|
Cetuximab 100 mg/50 ml intravenous solution
|
$3,337.68 |
$3,337.68 |
$3,337.68 |
$2,948.27
|
|
#cf-97variants
|
$544.20 |
$544.20 |
$544.20 |
$612.26
|
|
Cftr gene dup/delet variants
|
$676.20 |
$676.20 |
$676.20 |
$849.00
|
|
Cftr gene known fam variants
|
$288.60 |
$288.60 |
$288.60 |
$195.20
|
|
Chemo adm cns w/lmbr punct
|
$678.60 |
$678.60 |
$678.60 |
$710.72
|
|
Chemo extend IV infus w/pump
|
$548.40 |
$548.40 |
$548.40 |
$754.00
|
|
Chemotherapy injection 96542
|
$384.60 |
$384.60 |
$384.60 |
$426.40
|
|
Chest 2 vws w oblique
|
$69.00 |
$69.00 |
$69.00 |
$385.71
|
|
Chest apical lordotic proj
|
$57.00 |
$57.00 |
$57.00 |
$316.68
|
|
Chest CT scan (with and without contrast)
|
$2,158.20 |
$2,158.20 |
$2,158.20 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$1,327.80 |
$1,327.80 |
$1,327.80 |
$1,697.25
|
|
Chest CT scan (without contrast)
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$1,372.50
|
|
Chest X-ray
|
$426.60 |
$426.60 |
$426.60 |
$301.23
|
|
Chest X-ray (single view)
|
$213.60 |
$213.60 |
$213.60 |
$246.94
|
|
Chlamydia culture
|
$99.60 |
$99.60 |
$99.60 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$107.40 |
$107.40 |
$107.40 |
$61.50
|
|
Chlamydia type
|
$84.60 |
$84.60 |
$84.60 |
$33.00
|
|
Chloride
|
$27.60 |
$27.60 |
$27.60 |
$39.65
|
|
Chloride 24 hour urine
|
$51.60 |
$51.60 |
$51.60 |
$46.75
|
|
Chloroprocaine hcl injection
|
$261.90 |
$261.90 |
$261.90 |
$58.69
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$400.68 |
$400.68 |
$400.68 |
$358.20
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$135.24 |
$135.24 |
$135.24 |
$79.87
|
|
Cholangiogram percutaneous compl
|
$2,631.60 |
$2,631.60 |
$2,631.60 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$733.20 |
$733.20 |
$733.20 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,435.80 |
$4,435.80 |
$4,435.80 |
$3,906.18
|
|
Cholesterol
|
$32.40 |
$32.40 |
$32.40 |
$46.15
|
|
Cholesterol body fluid
|
$67.80 |
$67.80 |
$67.80 |
$73.83
|
|
Cholesterol (Lipid) Test
|
$153.60 |
$153.60 |
$153.60 |
$115.70
|
|
Cholinesterase
|
$75.60 |
$75.60 |
$75.60 |
$40.80
|
|
Chrom analysis
|
$141.60 |
$141.60 |
$141.60 |
$142.00
|
|
Chromatography
|
$54.00 |
$54.00 |
$54.00 |
$79.00
|
|
Chromo high res and frag x - sendout
|
$375.00 |
$375.00 |
$375.00 |
$245.70
|
|
Chromosome analys amniotic
|
$408.60 |
$408.60 |
$408.60 |
$450.00
|
|
Chromosome analysis 100
|
$597.60 |
$597.60 |
$597.60 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$514.20 |
$514.20 |
$514.20 |
$479.38
|
|
Chromosome analysis 45
|
$680.40 |
$680.40 |
$680.40 |
$429.80
|
|
Chromosome analysis 5
|
$513.60 |
$513.60 |
$513.60 |
$711.20
|
|
Chromosome analysis 50-100
|
$597.60 |
$597.60 |
$597.60 |
$362.40
|
|
Chromosome analys placenta
|
$268.80 |
$268.80 |
$268.80 |
$596.75
|
|
Chromosome banding study
|
$259.20 |
$259.20 |
$259.20 |
$184.24
|
|
Chromosome count additional
|
$167.40 |
$167.40 |
$167.40 |
$101.92
|
|
Chromosome karyotype study
|
$63.00 |
$63.00 |
$63.00 |
$112.50
|
|
Chromosome study additional
|
$66.60 |
$66.60 |
$66.60 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$49.80 |
$49.80 |
$49.80 |
$123.20
|
|
Cilastatin sodium injection
|
$382.02 |
$382.02 |
$382.02 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$40.98 |
$40.98 |
$40.98 |
$37.00
|
|
Circum 28 days or older
|
$14,647.78 |
$14,647.78 |
$14,647.78 |
$4,074.80
|
|
Circumcision (newborn)
|
$10,149.84 |
$10,149.84 |
$10,149.84 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$164.40 |
$164.40 |
$164.40 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$793.80 |
$793.80 |
$793.80 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$29,871.43 |
$29,871.43 |
$29,871.43 |
$15,050.75
|
|
Claviculectomy partial
|
$73,125.98 |
$73,125.98 |
$73,125.98 |
$3,839.54
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$169.68 |
$169.68 |
$169.68 |
$55.20
|
|
Clip ligating vesolock lg
|
$8,658.95 |
$8,658.95 |
$8,658.95 |
$4,658.12
|
|
Cllr miami j sm
|
$3,306.59 |
$3,306.59 |
$3,306.59 |
$552.23
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$2,780.40 |
$2,780.40 |
$2,780.40 |
$2,621.64
|
|
Closure paravalvlr leak pq
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$7,723.17
|
|
Clot factor fletcher fact
|
$120.60 |
$120.60 |
$120.60 |
$118.50
|
|
Clot factor viii reltd antgn
|
$174.60 |
$174.60 |
$174.60 |
$124.50
|
|
Clot factor wght kininogen
|
$200.40 |
$200.40 |
$200.40 |
$167.96
|
|
Clot factor xii hageman
|
$220.80 |
$220.80 |
$220.80 |
$126.39
|
|
Clot factor xiii fibrin scrn
|
$33.60 |
$33.60 |
$33.60 |
$51.91
|
|
Clot factor xiii fibrin stab
|
$298.20 |
$298.20 |
$298.20 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$748.20 |
$748.20 |
$748.20 |
$700.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$17,727.84 |
$17,727.84 |
$17,727.84 |
$3,678.17
|
|
#cms hgb-sulfhemoglobin
|
$90.00 |
$90.00 |
$90.00 |
$66.56
|
|
#cmvcul-virus inoculation shell
|
$166.20 |
$166.20 |
$166.20 |
$102.40
|
|
Cmv pcr-sendout
|
$365.40 |
$365.40 |
$365.40 |
$172.25
|
|
Cnbp gene detc abnor allele
|
$272.40 |
$272.40 |
$272.40 |
$313.60
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$54,373.50 |
$54,373.50 |
$54,373.50 |
$6.90
|
|
Coagulation time activated teg
|
$64.80 |
$64.80 |
$64.80 |
$52.00
|
|
Cocaine 4 % nasal solution
|
$901.20 |
$901.20 |
$901.20 |
$624.55
|
|
Coch imp ext proc/contr rplc
|
$33,936.77 |
$33,936.77 |
$33,936.77 |
$12,888.72
|
|
Coch implant microphone repl
|
$2,850.18 |
$2,850.18 |
$2,850.18 |
$774.14
|
|
Cold agglutinin screen (arc)
|
$42.60 |
$42.60 |
$42.60 |
$45.00
|
|
Cold agglutinin titer
|
$105.60 |
$105.60 |
$105.60 |
$50.00
|
|
Colistimethate sodium inj
|
$327.60 |
$327.60 |
$327.60 |
$68.47
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$821.24 |
$821.24 |
$821.24 |
$52.78
|
|
Collar cerv adlt perfit ace extric
|
$550.71 |
$550.71 |
$550.71 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$1,328.09 |
$1,328.09 |
$1,328.09 |
$189.95
|
|
Collar cerv patriot adlt
|
$910.22 |
$910.22 |
$910.22 |
$154.00
|
|
Collection of venous blood by venipuncture
|
$12.60 |
$12.60 |
$12.60 |
$20.90
|
|
Colonoscopy (diagnostic)
|
$6,070.68 |
$6,070.68 |
$6,070.68 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$19,527.49 |
$19,527.49 |
$19,527.49 |
$2,288.00
|
|
Colonoscopy & polypectomy 44392
|
$4,472.94 |
$4,472.94 |
$4,472.94 |
$2,288.00
|
|
Colonoscopy stoma w/snare 44394
|
$4,472.94 |
$4,472.94 |
$4,472.94 |
$1,645.43
|
|
Colonoscopy submucous njx
|
$9,158.88 |
$9,158.88 |
$9,158.88 |
$2,080.00
|
|
Colonoscopy w/ablation
|
$4,291.44 |
$4,291.44 |
$4,291.44 |
$2,975.70
|
|
Colonoscopy w/control bleed
|
$9,158.88 |
$9,158.88 |
$9,158.88 |
$2,139.80
|
|
Colonoscopy w/endoscope Ultrasound
|
$3,134.70 |
$3,134.70 |
$3,134.70 |
$2,288.00
|
|
Colonoscopy (with biopsy)
|
$8,765.76 |
$8,765.76 |
$8,765.76 |
$2,132.40
|
|
Colonoscopy (with polyp removal)
|
$7,996.56 |
$7,996.56 |
$7,996.56 |
$2,472.75
|
|
Colostomy skin level cecostomy 44320
|
$37,382.68 |
$37,382.68 |
$37,382.68 |
$2,953.60
|
|
Combination bilateral ho
|
$7,822.44 |
$7,822.44 |
$7,822.44 |
$3,279.58
|
|
Compatibility test each unit antiglobulin technique
|
$110.40 |
$110.40 |
$110.40 |
$165.00
|
|
Compatibility test each unit electronic
|
$110.40 |
$110.40 |
$110.40 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$87.00 |
$87.00 |
$87.00 |
$169.52
|
|
Compatibility test incubate
|
$99.60 |
$99.60 |
$99.60 |
$143.64
|
|
Complement antigen each component c3
|
$100.20 |
$100.20 |
$100.20 |
$110.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$14,979.36 |
$14,979.36 |
$14,979.36 |
$1,244.65
|
