|
Chromosome karyotype study
|
$21.45 |
$21.45 |
$21.45 |
$102.00
|
|
Chromosome study additional
|
$293.15 |
$293.15 |
$293.15 |
$147.03
|
|
Chronic urticaria - sendout
|
$206.70 |
$206.70 |
$206.70 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$118.30 |
$118.30 |
$118.30 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$45.27 |
$45.27 |
$45.27 |
$60.00
|
|
Circumcision (newborn)
|
$640.90 |
$640.90 |
$640.90 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$88.08 |
$88.08 |
$88.08 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$2,227.55 |
$2,227.55 |
$2,227.55 |
$606.06
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$56.58 |
$56.58 |
$56.58 |
$66.73
|
|
Clip ligating vesolock lg
|
$419.29 |
$419.29 |
$419.29 |
$1,690.58
|
|
Clot factor fletcher fact
|
$406.25 |
$406.25 |
$406.25 |
$88.20
|
|
Clot factor wght kininogen
|
$406.25 |
$406.25 |
$406.25 |
$134.81
|
|
Clot factor xii hageman
|
$1,197.95 |
$1,197.95 |
$1,197.95 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$1,016.60 |
$1,016.60 |
$1,016.60 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$456.95 |
$456.95 |
$456.95 |
$84.27
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,563.25 |
$1,563.25 |
$1,563.25 |
$716.95
|
|
#cms hgb-sulfhemoglobin
|
$55.25 |
$55.25 |
$55.25 |
$53.30
|
|
#cmvcul-virus inoculation shell
|
$24.70 |
$24.70 |
$24.70 |
$102.57
|
|
Cmv pcr-sendout
|
$93.60 |
$93.60 |
$93.60 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$14,967.55 |
$14,967.55 |
$14,967.55 |
$2,950.68
|
|
Coagulation time activated teg
|
$433.55 |
$433.55 |
$433.55 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$624.55 |
$624.55 |
$624.55 |
$807.71
|
|
Cold agglutinin titer
|
$40.95 |
$40.95 |
$40.95 |
$48.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$135.77 |
$135.77 |
$135.77 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$260.22 |
$260.22 |
$260.22 |
$241.88
|
|
Collar cerv patriot adlt
|
$240.92 |
$240.92 |
$240.92 |
$153.57
|
|
Collection blood specimen from completely implantable venous access device
|
$465.40 |
$465.40 |
$465.40 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$91.00 |
$91.00 |
$91.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$11.05 |
$11.05 |
$11.05 |
$22.00
|
|
Colonoscopy (diagnostic)
|
$2,529.80 |
$2,529.80 |
$2,529.80 |
$1,612.62
|
|
Colonoscopy flex with decompression 45393
|
$3,505.45 |
$3,505.45 |
$3,505.45 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$1,904.00
|
|
Colonoscopy for bleeding 44391
|
$3,192.80 |
$3,192.80 |
$3,192.80 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$3,376.75 |
$3,376.75 |
$3,376.75 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$3,215.55 |
$3,215.55 |
$3,215.55 |
$1,395.28
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$3,656.90 |
$3,656.90 |
$3,656.90 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$3,411.20 |
$3,411.20 |
$3,411.20 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,605.85 |
$2,605.85 |
$2,605.85 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,880.80 |
$2,880.80 |
$2,880.80 |
$1,278.72
|
|
Colonoscopy w/ablation
|
$3,197.35 |
$3,197.35 |
$3,197.35 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$3,474.25 |
$3,474.25 |
$3,474.25 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$2,649.40 |
$2,649.40 |
$2,649.40 |
$2,101.71
|
|
Colonoscopy w/decompression
|
$3,376.75 |
$3,376.75 |
$3,376.75 |
$1,278.72
|
|
Colonoscopy w/dilation
|
$3,474.25 |
$3,474.25 |
$3,474.25 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$3,127.15 |
$3,127.15 |
$3,127.15 |
$2,138.50
|
|
Colonoscopy/w endoscopic stent 45389
|
$4,075.50 |
$4,075.50 |
$4,075.50 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$3,630.25 |
$3,630.25 |
$3,630.25 |
$1,395.28
|
|
Colonoscopy w/injection
|
$3,127.15 |
$3,127.15 |
$3,127.15 |
$2,353.00
|
|
Colonoscopy with ablation
|
$3,474.25 |
$3,474.25 |
$3,474.25 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$2,813.85 |
$2,813.85 |
$2,813.85 |
$2,512.42
|
|
Colonoscopy with biopsy
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$3,895.45 |
$3,895.45 |
$3,895.45 |
$2,205.33
|
|
Colonoscopy w/resection
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$3,252.60
|
|
Colonoscopy w/stent plcmt
|
$3,848.65 |
$3,848.65 |
$3,848.65 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$3,505.45 |
$3,505.45 |
$3,505.45 |
$2,495.25
|
|
Compatibility test each unit antiglobulin technique
|
$113.75 |
$113.75 |
$113.75 |
$173.25
|
|
Compatibility test each unit electronic
|
$113.75 |
$113.75 |
$113.75 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$118.30 |
$118.30 |
$118.30 |
$169.52
|
|
Compatibility test incubate
|
$107.25 |
$107.25 |
$107.25 |
$143.65
|
|
Complement antigen each component c3
|
$209.30 |
$209.30 |
$209.30 |
$111.15
|
|
Complement fixation each
|
$102.70 |
$102.70 |
$102.70 |
$24.00
|
|
Concentration infection agents any type
|
$107.90 |
$107.90 |
$107.90 |
$51.32
|
|
Condylomata destruction 56420
|
$351.65 |
$351.65 |
$351.65 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,157.42 |
$1,157.42 |
$1,157.42 |
$986.92
|
|
Consultation pathology during surgery
|
$176.80 |
$176.80 |
$176.80 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$507.00 |
$507.00 |
$507.00 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$326.95 |
$326.95 |
$326.95 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$578.50 |
$578.50 |
$578.50 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$390.00 |
$390.00 |
$390.00 |
$239.85
|
|
Consult comp w/report rfrd material
|
$196.95 |
$196.95 |
$196.95 |
$359.87
|
|
Contrast baths charges
|
$72.15 |
$72.15 |
$72.15 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$2,414.75 |
$2,414.75 |
$2,414.75 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$4,086.55 |
$4,086.55 |
$4,086.55 |
$4,178.00
|
|
Contrast x-ray of ankle
|
$977.60 |
$977.60 |
$977.60 |
$602.40
|
|
Contrast x-ray of elbow
|
$954.20 |
$954.20 |
$954.20 |
$637.14
|
|
Contrast x-ray of hip
|
$813.80 |
$813.80 |
$813.80 |
$768.00
|
|
Contrast x-ray of knee joint
|
$977.60 |
$977.60 |
$977.60 |
$683.20
|
|
Contrast x-ray of wrist
|
$1,024.40 |
$1,024.40 |
$1,024.40 |
$623.50
|
|
Controller infinity pt dbs
|
$1,597.28 |
$1,597.28 |
$1,597.28 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$863.20 |
$863.20 |
$863.20 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$962.00 |
$962.00 |
$962.00 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$664.30 |
$664.30 |
$664.30 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$329.55 |
$329.55 |
$329.55 |
$618.80
|
|
Conversion ext bil drg cath
|
$5,188.95 |
$5,188.95 |
$5,188.95 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$9,350.90 |
$9,350.90 |
$9,350.90 |
$3,569.60
|
|
Coombs direct
|
$105.95 |
$105.95 |
$105.95 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$113.75 |
$113.75 |
$113.75 |
$94.90
|
|
Coombs indirect titer reference
|
$356.85 |
$356.85 |
$356.85 |
$146.00
|
|
Copper intrauterine device
|
$2,195.34 |
$2,195.34 |
$2,195.34 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$3,829.80 |
$3,829.80 |
$3,829.80 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$6,332.95 |
$6,332.95 |
$6,332.95 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$5,985.20 |
$5,985.20 |
$5,985.20 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$6,589.05 |
$6,589.05 |
$6,589.05 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$5,906.55 |
$5,906.55 |
$5,906.55 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,855.50 |
$4,855.50 |
$4,855.50 |
$7,769.30
|
|
Cortisol acth stimulation test - sendout
|
$276.25 |
$276.25 |
$276.25 |
$123.73
|
|
Cortisol total am
|
$85.15 |
$85.15 |
$85.15 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$81.67 |
$81.67 |
$81.67 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$96.20 |
$96.20 |
$96.20 |
$108.81
|