|
Cladribine 10 mg/10 ml intravenous solution
|
$33.90 |
$33.90 |
$33.90 |
$572.12
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$11,075.79 |
$11,075.79 |
$11,075.79 |
$14,297.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$60.68 |
$60.68 |
$60.68 |
$66.73
|
|
Clip ligating vesolock lg
|
$415.25 |
$415.25 |
$415.25 |
$1,690.58
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$26.81 |
$26.81 |
$26.81 |
$81.25
|
|
Closure paravalvlr leak pq
|
$942.50 |
$942.50 |
$942.50 |
$9,285.00
|
|
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
|
$1,086.15 |
$1,086.15 |
$1,086.15 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$921.70 |
$921.70 |
$921.70 |
$49.47
|
|
Clot factor xiii fibrin stab
|
$376.35 |
$376.35 |
$376.35 |
$84.27
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$717.75
|
|
C motor evoked lwr limbs
|
$328.90 |
$328.90 |
$328.90 |
$624.87
|
|
#cms hgb-sulfhemoglobin
|
$53.30 |
$53.30 |
$53.30 |
$53.30
|
|
#cmvcul-virus inoculation shell
|
$39.00 |
$39.00 |
$39.00 |
$102.57
|
|
Cmv pcr-sendout
|
$117.00 |
$117.00 |
$117.00 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$7,494.47 |
$7,494.47 |
$7,494.47 |
$4.68
|
|
Coagulation time activated teg
|
$393.25 |
$393.25 |
$393.25 |
$50.05
|
|
Cold agglutinin titer
|
$52.00 |
$52.00 |
$52.00 |
$48.57
|
|
Colistimethate sodium inj
|
$52.32 |
$52.32 |
$52.32 |
$84.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$135.77 |
$135.77 |
$135.77 |
$57.85
|
|
Collar cerv ascend 172 reg
|
$260.22 |
$260.22 |
$260.22 |
$217.62
|
|
Collar cerv patriot adlt
|
$236.61 |
$236.61 |
$236.61 |
$116.28
|
|
Collection blood specimen from completely implantable venous access device
|
$516.10 |
$516.10 |
$516.10 |
$161.55
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$124.80 |
$124.80 |
$124.80 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$13.00 |
$13.00 |
$13.00 |
$21.20
|
|
Colonoscopy (diagnostic)
|
$2,875.60 |
$2,875.60 |
$2,875.60 |
$1,558.50
|
|
Colonoscopy flex with decompression 45393
|
$3,320.85 |
$3,320.85 |
$3,320.85 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$2,320.80
|
|
Colonoscopy for bleeding 44391
|
$3,024.45 |
$3,024.45 |
$3,024.45 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$3,198.65 |
$3,198.65 |
$3,198.65 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$1,395.28
|
|
Colonoscopy stoma w/endo mucosal rescj 44403
|
$3,464.50 |
$3,464.50 |
$3,464.50 |
$1,395.28
|
|
Colonoscopy stoma w/snare 44394
|
$3,231.80 |
$3,231.80 |
$3,231.80 |
$1,395.28
|
|
Colonoscopy submucous njx
|
$2,962.70 |
$2,962.70 |
$2,962.70 |
$2,284.75
|
|
Colonoscopy thru stoma spx
|
$2,728.70 |
$2,728.70 |
$2,728.70 |
$1,299.60
|
|
Colonoscopy w/ablation
|
$3,029.00 |
$3,029.00 |
$3,029.00 |
$2,708.80
|
|
Colonoscopy w/balloon dilat
|
$3,290.95 |
$3,290.95 |
$3,290.95 |
$1,645.43
|
|
Colonoscopy w/band ligation
|
$3,049.80 |
$3,049.80 |
$3,049.80 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$3,011.45 |
$3,011.45 |
$3,011.45 |
$2,111.46
|
|
Colonoscopy w/decompression
|
$3,198.65 |
$3,198.65 |
$3,198.65 |
$1,278.72
|
|
Colonoscopy w/dilation
|
$3,290.95 |
$3,290.95 |
$3,290.95 |
$2,448.60
|
|
Colonoscopy w/endoscope Ultrasound
|
$2,962.70 |
$2,962.70 |
$2,962.70 |
$2,138.50
|
|
Colonoscopy/w endoscopic stent 45389
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$1,395.28
|
|
Colonoscopy w/injection
|
$2,962.70 |
$2,962.70 |
$2,962.70 |
$2,353.00
|
|
Colonoscopy with ablation
|
$3,290.95 |
$3,290.95 |
$3,290.95 |
$2,495.25
|
|
Colonoscopy (with biopsy)
|
$3,198.65 |
$3,198.65 |
$3,198.65 |
$2,538.00
|
|
Colonoscopy with biopsy
|
$3,302.65 |
$3,302.65 |
$3,302.65 |
$1,395.28
|
|
Colonoscopy (with polyp removal)
|
$3,320.85 |
$3,320.85 |
$3,320.85 |
$2,472.75
|
|
Colonoscopy w/resection
|
$3,439.15 |
$3,439.15 |
$3,439.15 |
$3,254.25
|
|
Colonoscopy w/stent plcmt
|
$3,646.50 |
$3,646.50 |
$3,646.50 |
$4,445.35
|
|
Colonoscopy w/ultrasound
|
$3,320.85 |
$3,320.85 |
$3,320.85 |
$2,495.25
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$326.30 |
$326.30 |
$326.30 |
$323.20
|
|
Colposcopy w/biopsy of cervix 57455
|
$573.30 |
$573.30 |
$573.30 |
$534.30
|
|
Compatibility test each unit antiglobulin technique
|
$113.10 |
$113.10 |
$113.10 |
$167.17
|
|
Compatibility test each unit electronic
|
$114.40 |
$114.40 |
$114.40 |
$178.01
|
|
Compatibility test each unit immediate spin technique
|
$144.95 |
$144.95 |
$144.95 |
$167.20
|
|
Compatibility test incubate
|
$114.40 |
$114.40 |
$114.40 |
$143.65
|
|
Complement antigen each component c3
|
$265.85 |
$265.85 |
$265.85 |
$112.45
|
|
Complement fixation each
|
$143.65 |
$143.65 |
$143.65 |
$21.12
|
|
Concentration infection agents any type
|
$133.90 |
$133.90 |
$133.90 |
$51.32
|
|
Condylomata destruction 56420
|
$885.30 |
$885.30 |
$885.30 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,198.83 |
$1,198.83 |
$1,198.83 |
$977.00
|
|
Connect omega .5mm
|
$683.77 |
$683.77 |
$683.77 |
$926.65
|
|
Connector tis 2x10mm
|
$1,566.54 |
$1,566.54 |
$1,566.54 |
$3,682.94
|
|
Consultation pathology during surgery
|
$159.25 |
$159.25 |
$159.25 |
$123.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$451.75 |
$451.75 |
$451.75 |
$434.60
|
|
Consultation pathology during surgery frozen section each additional block
|
$294.45 |
$294.45 |
$294.45 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$520.65 |
$520.65 |
$520.65 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$351.00 |
$351.00 |
$351.00 |
$236.25
|
|
Consult comp w/report rfrd material
|
$177.45 |
$177.45 |
$177.45 |
$352.50
|
|
Contrast baths charges
|
$113.10 |
$113.10 |
$113.10 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$3,332.55 |
$3,332.55 |
$3,332.55 |
$3,391.03
|
|
Contrast exam thoracic aorta 75605-26
|
$5,639.40 |
$5,639.40 |
$5,639.40 |
$3,903.90
|
|
Contrast x-ray of ankle
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$575.82
|
|
Contrast x-ray of elbow
|
$1,316.90 |
$1,316.90 |
$1,316.90 |
$625.35
|
|
Contrast x-ray of hip
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$768.00
|
|
Contrast x-ray of knee joint
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$669.24
|
|
Contrast x-ray of wrist
|
$1,067.30 |
$1,067.30 |
$1,067.30 |
$602.68
|
|
Controler lvad heartmate 3 includes ebb
|
$11,463.34 |
$11,463.34 |
$11,463.34 |
$11,723.40
|
|
Controller infinity pt dbs
|
$2,560.14 |
$2,560.14 |
$2,560.14 |
$3,718.18
|
|
Control nosebleed pack+caut 30905
|
$1,812.20 |
$1,812.20 |
$1,812.20 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$411.20
|
|
Control of nosebleedantersmpl 30901
|
$1,670.50 |
$1,670.50 |
$1,670.50 |
$385.45
|
|
Control oropharyngeal hemorr/simp 42960
|
$830.05 |
$830.05 |
$830.05 |
$611.49
|
|
Conversion ext bil drg cath
|
$11,313.90 |
$11,313.90 |
$11,313.90 |
$4,270.00
|
|
Convert nephrostomy catheter
|
$12,681.50 |
$12,681.50 |
$12,681.50 |
$3,577.60
|
|
Coombs direct
|
$130.00 |
$130.00 |
$130.00 |
$72.45
|
|
Coombs indirect qualitative each reagent red cell reference
|
$114.40 |
$114.40 |
$114.40 |
$100.29
|
|
Coombs indirect titer reference
|
$437.45 |
$437.45 |
$437.45 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,903.35 |
$1,903.35 |
$1,903.35 |
$2,083.80
|
|
Copper intrauterine device
|
$2,195.34 |
$2,195.34 |
$2,195.34 |
$2,283.16
|
|
Core ndl bx lng/med perq
|
$4,928.30 |
$4,928.30 |
$4,928.30 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,895.60 |
$9,895.60 |
$9,895.60 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$9,351.55 |
$9,351.55 |
$9,351.55 |
$10,281.09
|
|
Coronary angio/lv gram/rt< heart
|
$10,295.35 |
$10,295.35 |
$10,295.35 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$9,229.35 |
$9,229.35 |
$9,229.35 |
$7,942.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,586.15 |
$7,586.15 |
$7,586.15 |
$7,726.20
|
|
Cortisol acth stimulation test - sendout
|
$343.20 |
$343.20 |
$343.20 |
$120.13
|