|
Cholesterol (Lipid) Test
|
$59.80 |
$59.80 |
$59.80 |
$115.80
|
|
Chorionic gonadotropin/1000u
|
$730.67 |
$730.67 |
$730.67 |
$548.36
|
|
Chromatogram assay sugars
|
$174.85 |
$174.85 |
$174.85 |
$86.42
|
|
Chromatography
|
$81.25 |
$81.25 |
$81.25 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$256.10 |
$256.10 |
$256.10 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$562.90 |
$562.90 |
$562.90 |
$517.11
|
|
Chromosome analys placenta
|
$845.65 |
$845.65 |
$845.65 |
$572.99
|
|
Chromosome count additional
|
$120.90 |
$120.90 |
$120.90 |
$96.50
|
|
Chromosome karyotype study
|
$150.15 |
$150.15 |
$150.15 |
$120.00
|
|
Chylomicron screen, bf - sendout
|
$275.60 |
$275.60 |
$275.60 |
$136.09
|
|
Cidofovir injection
|
$462.72 |
$462.72 |
$462.72 |
$1,352.09
|
|
Cilastatin sodium injection
|
$76.40 |
$76.40 |
$76.40 |
$77.40
|
|
Ciltacabtagene car-pos t
|
$1,732,568.58 |
$1,732,568.58 |
$1,732,568.58 |
$1,573,072.37
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$0.08 |
$0.08 |
$0.08 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$1.74 |
$1.74 |
$1.74 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$1,478.10 |
$1,478.10 |
$1,478.10 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$135.72 |
$135.72 |
$135.72 |
$576.60
|
|
Clearance of airways
|
$608.40 |
$608.40 |
$608.40 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.51 |
$0.51 |
$0.51 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$457.81 |
$457.81 |
$457.81 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$40.95 |
$40.95 |
$40.95 |
$85.37
|
|
Closed tx humerus fx with manip 23605
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$716.95 |
$716.95 |
$716.95 |
$498.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,569.28
|
|
Closed tx/talus fracture without manip 28430
|
$716.95 |
$716.95 |
$716.95 |
$442.80
|
|
Clos txnose fx without stablz 21315
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,392.80
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$1,259.62
|
|
Clot factor fletcher fact
|
$85.15 |
$85.15 |
$85.15 |
$119.50
|
|
Clot factor xii hageman
|
$87.10 |
$87.10 |
$87.10 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$73.45 |
$73.45 |
$73.45 |
$106.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$716.95 |
$716.95 |
$716.95 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$716.95 |
$716.95 |
$716.95 |
$535.60
|
|
Clsd tx clavicle dislocation without manip 23540
|
$716.95 |
$716.95 |
$716.95 |
$419.40
|
|
Clsd tx clavicle fracture w/manip 23505
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$716.95 |
$716.95 |
$716.95 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$716.95 |
$716.95 |
$716.95 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$716.95 |
$716.95 |
$716.95 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$716.95 |
$716.95 |
$716.95 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$716.95 |
$716.95 |
$716.95 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$716.95 |
$716.95 |
$716.95 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$716.95 |
$716.95 |
$716.95 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$716.95 |
$716.95 |
$716.95 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$716.95 |
$716.95 |
$716.95 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$716.95 |
$716.95 |
$716.95 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$716.95 |
$716.95 |
$716.95 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$716.95 |
$716.95 |
$716.95 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$716.95 |
$716.95 |
$716.95 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$716.95 |
$716.95 |
$716.95 |
$492.99
|
|
Clsd tx mandibular fx without manip 21450
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$987.60
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$716.95 |
$716.95 |
$716.95 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$716.95 |
$716.95 |
$716.95 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$716.95 |
$716.95 |
$716.95 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$716.95 |
$716.95 |
$716.95 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$716.95 |
$716.95 |
$716.95 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$716.95 |
$716.95 |
$716.95 |
$498.85
|
|
Clsd tx pelvic ring fx
|
$716.95 |
$716.95 |
$716.95 |
$424.50
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$716.95 |
$716.95 |
$716.95 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$716.95 |
$716.95 |
$716.95 |
$466.14
|
|
Clsd tx/scapular fx without manip 23570
|
$716.95 |
$716.95 |
$716.95 |
$452.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$716.95 |
$716.95 |
$716.95 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$716.95 |
$716.95 |
$716.95 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$716.95 |
$716.95 |
$716.95 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,592.00
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$716.95 |
$716.95 |
$716.95 |
$473.00
|
|
Clsd tx wrist carpal fx without manip 25630
|
$716.95 |
$716.95 |
$716.95 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$716.95 |
$716.95 |
$716.95 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$716.95 |
$716.95 |
$716.95 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$716.95 |
$716.95 |
$716.95 |
$487.15
|
|
Cls tx of heel fracture w/manip 28405
|
$716.95 |
$716.95 |
$716.95 |
$725.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$716.95 |
$716.95 |
$716.95 |
$525.75
|
|
Cltx humrl cndylr fx w/mnpj
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$1,851.78
|
|
Cltx humrl cndylr fx wo mnpj
|
$716.95 |
$716.95 |
$716.95 |
$535.60
|
|
Cltx thigh fx
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$3,986.00
|
|
#cmvcul-virus inoculation shell
|
$87.75 |
$87.75 |
$87.75 |
$89.76
|
|
Cmv pcr-sendout
|
$157.30 |
$157.30 |
$157.30 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6.90 |
$6.90 |
$6.90 |
$11,888.50
|
|
Cocaine 4 % nasal solution
|
$125.97 |
$125.97 |
$125.97 |
$630.04
|
|
Cold agglutinin titer
|
$36.40 |
$36.40 |
$36.40 |
$52.00
|
|
Colistimethate sodium inj
|
$65.52 |
$65.52 |
$65.52 |
$82.71
|
|
Collagenase, clost hist inj
|
$17,281.45 |
$17,281.45 |
$17,281.45 |
$12,906.28
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$15.60 |
$15.60 |
$15.60 |
$61.20
|
|
Collar cerv patriot adlt
|
$27.95 |
$27.95 |
$27.95 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$481.65 |
$481.65 |
$481.65 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$481.65 |
$481.65 |
$481.65 |
$155.40
|
|
Colposcopy w/biopsy of cervix 57455
|
$909.35 |
$909.35 |
$909.35 |
$485.50
|
|
Compatibility test each unit antiglobulin technique
|
$768.30 |
$768.30 |
$768.30 |
$173.50
|
|
Compatibility test each unit electronic
|
$768.30 |
$768.30 |
$768.30 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$768.30 |
$768.30 |
$768.30 |
$169.52
|
|
Compatibility test incubate
|
$768.30 |
$768.30 |
$768.30 |
$156.24
|
|
Complement antigen each component c3
|
$53.95 |
$53.95 |
$53.95 |
$110.00
|
|
Complex cystometrogram 51726
|
$727.35 |
$727.35 |
$727.35 |
$727.35
|
|
Complex uroflowmetry (electronic) 51741
|
$930.80 |
$930.80 |
$930.80 |
$344.68
|
|
Complx repair fccmnaxghf 13131
|
$779.35 |
$779.35 |
$779.35 |
$805.20
|
|
Complx repair fccmnaxghf 13133
|
$753.35 |
$753.35 |
$753.35 |
$521.16
|
|
Complx repair sal addl 5 cm/> 13122
|
$471.90 |
$471.90 |
$471.90 |
$508.44
|
|
Comprehensive hearing test
|
$406.90 |
$406.90 |
$406.90 |
$261.46
|