|
Chemo adm cns w/lmbr punct
|
$870.60 |
$870.60 |
$870.60 |
$710.72
|
|
Chemotherapy injection 96542
|
$463.20 |
$463.20 |
$463.20 |
$426.40
|
|
Chest 2 vws w oblique
|
$536.40 |
$536.40 |
$536.40 |
$385.71
|
|
Chest apical lordotic proj
|
$321.60 |
$321.60 |
$321.60 |
$316.68
|
|
Chest CT scan (with and without contrast)
|
$1,297.20 |
$1,297.20 |
$1,297.20 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$1,666.80 |
$1,666.80 |
$1,666.80 |
$1,698.32
|
|
Chest CT scan (without contrast)
|
$1,448.40 |
$1,448.40 |
$1,448.40 |
$1,372.50
|
|
Chest X-ray
|
$411.00 |
$411.00 |
$411.00 |
$301.70
|
|
Chest X-ray (single view)
|
$372.00 |
$372.00 |
$372.00 |
$247.00
|
|
Chlamydia culture
|
$112.80 |
$112.80 |
$112.80 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$107.40 |
$107.40 |
$107.40 |
$61.50
|
|
Chlamydia type
|
$52.80 |
$52.80 |
$52.80 |
$33.00
|
|
Chloride
|
$52.20 |
$52.20 |
$52.20 |
$39.96
|
|
Chloride 24 hour urine
|
$63.60 |
$63.60 |
$63.60 |
$46.75
|
|
Chloroprocaine hcl injection
|
$130.50 |
$130.50 |
$130.50 |
$58.28
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$139.74 |
$139.74 |
$139.74 |
$358.20
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$47.16 |
$47.16 |
$47.16 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$6,150.60 |
$6,150.60 |
$6,150.60 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$577.20 |
$577.20 |
$577.20 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,003.40 |
$5,003.40 |
$5,003.40 |
$3,906.18
|
|
Cholesterol
|
$73.20 |
$73.20 |
$73.20 |
$46.15
|
|
Cholesterol body fluid
|
$75.00 |
$75.00 |
$75.00 |
$75.00
|
|
Cholesterol (Lipid) Test
|
$198.00 |
$198.00 |
$198.00 |
$115.80
|
|
Cholinesterase
|
$22.80 |
$22.80 |
$22.80 |
$40.80
|
|
Chrom analysis
|
$141.60 |
$141.60 |
$141.60 |
$151.84
|
|
Chromatography
|
$45.60 |
$45.60 |
$45.60 |
$80.00
|
|
Chromo high res and frag x - sendout
|
$210.00 |
$210.00 |
$210.00 |
$245.70
|
|
Chromosome analys amniotic
|
$718.80 |
$718.80 |
$718.80 |
$450.00
|
|
Chromosome analysis 100
|
$597.60 |
$597.60 |
$597.60 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$520.80 |
$520.80 |
$520.80 |
$479.38
|
|
Chromosome analysis 45
|
$680.40 |
$680.40 |
$680.40 |
$429.80
|
|
Chromosome analysis 50-100
|
$597.60 |
$597.60 |
$597.60 |
$362.40
|
|
Chromosome analys placenta
|
$268.80 |
$268.80 |
$268.80 |
$593.05
|
|
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 |
$112.89
|
|
Chromosome study additional
|
$66.60 |
$66.60 |
$66.60 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$112.80 |
$112.80 |
$112.80 |
$123.20
|
|
Cidofovir injection
|
$2,064.60 |
$2,064.60 |
$2,064.60 |
$1,295.73
|
|
Cilastatin sodium injection
|
$122.34 |
$122.34 |
$122.34 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$13.08 |
$13.08 |
$13.08 |
$37.00
|
|
Circumcision (newborn)
|
$3,492.60 |
$3,492.60 |
$3,492.60 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$114.48 |
$114.48 |
$114.48 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$793.80 |
$793.80 |
$793.80 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$386.40 |
$386.40 |
$386.40 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$32,770.32 |
$32,770.32 |
$32,770.32 |
$15,050.75
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$9.00 |
$9.00 |
$9.00 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,749.70 |
$5,749.70 |
$5,749.70 |
$4,658.12
|
|
Cllr miami j sm
|
$1,019.57 |
$1,019.57 |
$1,019.57 |
$552.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$19.20 |
$19.20 |
$19.20 |
$80.66
|
|
Closure paravalvlr leak pq
|
$11,843.40 |
$11,843.40 |
$11,843.40 |
$7,723.17
|
|
Clot factor fletcher fact
|
$120.60 |
$120.60 |
$120.60 |
$119.40
|
|
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
|
$61.80 |
$61.80 |
$61.80 |
$128.05
|
|
Clot factor xiii fibrin stab
|
$215.40 |
$215.40 |
$215.40 |
$97.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$58,599.19 |
$58,599.19 |
$58,599.19 |
$1,772.97
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$7,132.95 |
$7,132.95 |
$7,132.95 |
$1,668.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$7,427.94 |
$7,427.94 |
$7,427.94 |
$3,678.17
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$6,144.18 |
$6,144.18 |
$6,144.18 |
$1,602.79
|
|
Cmbn ant pst colprhy
|
$28,646.95 |
$28,646.95 |
$28,646.95 |
$4,928.00
|
|
#cmvcul-virus inoculation shell
|
$56.40 |
$56.40 |
$56.40 |
$102.50
|
|
Cmv pcr-sendout
|
$102.00 |
$102.00 |
$102.00 |
$172.25
|
|
Coagulation time activated teg
|
$88.80 |
$88.80 |
$88.80 |
$52.00
|
|
Coch imp ext proc/contr rplc
|
$35,591.54 |
$35,591.54 |
$35,591.54 |
$12,888.72
|
|
Coch implant microphone repl
|
$878.84 |
$878.84 |
$878.84 |
$774.14
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
|
Cold agglutinin titer
|
$112.80 |
$112.80 |
$112.80 |
$50.00
|
|
Colistimethate sodium inj
|
$114.24 |
$114.24 |
$114.24 |
$68.47
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$253.22 |
$253.22 |
$253.22 |
$56.00
|
|
Collar cerv adlt perfit ace extric
|
$169.81 |
$169.81 |
$169.81 |
$56.85
|
|
Collar cerv ascend 172 reg
|
$409.51 |
$409.51 |
$409.51 |
$189.21
|
|
Collar cerv patriot adlt
|
$280.66 |
$280.66 |
$280.66 |
$153.57
|
|
Collection of venous blood by venipuncture
|
$33.00 |
$33.00 |
$33.00 |
$20.91
|
|
Colonoscopy (diagnostic)
|
$10,307.16 |
$10,307.16 |
$10,307.16 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$6,887.10 |
$6,887.10 |
$6,887.10 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$5,798.58 |
$5,798.58 |
$5,798.58 |
$1,899.00
|
|
Colonoscopy w/ablation
|
$6,639.14 |
$6,639.14 |
$6,639.14 |
$2,904.85
|
|
Colonoscopy w/fb removal
|
$10,868.64 |
$10,868.64 |
$10,868.64 |
$1,645.43
|
|
Colonoscopy (with biopsy)
|
$6,412.92 |
$6,412.92 |
$6,412.92 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$12,969.65 |
$12,969.65 |
$12,969.65 |
$2,288.00
|
|
Colonoscopy w/resection
|
$7,454.03 |
$7,454.03 |
$7,454.03 |
$3,229.60
|
|
Colpopexy extraperitoneal
|
$32,985.67 |
$32,985.67 |
$32,985.67 |
$5,855.00
|
|
Combination bilateral ho
|
$5,194.24 |
$5,194.24 |
$5,194.24 |
$3,279.58
|
|
Compatibility test each unit antiglobulin technique
|
$218.40 |
$218.40 |
$218.40 |
$165.00
|
|
Compatibility test each unit electronic
|
$273.60 |
$273.60 |
$273.60 |
$175.45
|
|
Compatibility test each unit immediate spin technique
|
$172.80 |
$172.80 |
$172.80 |
$169.52
|
|
Compatibility test incubate
|
$273.60 |
$273.60 |
$273.60 |
$143.64
|
|
Complement antigen each component c3
|
$105.00 |
$105.00 |
$105.00 |
$110.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$23,456.11 |
$23,456.11 |
$23,456.11 |
$893.41
|
|
Complx repair fccmnaxghf 13131
|
$6,008.82 |
$6,008.82 |
$6,008.82 |
$832.02
|
|
Complx repair fccmnaxghf 13132
|
$12,015.74 |
$12,015.74 |
$12,015.74 |
$1,193.40
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$5,713.92 |
$5,713.92 |
$5,713.92 |
$1,116.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,478.63 |
$2,478.63 |
$2,478.63 |
$1,198.33
|
|
Concentration infection agents any type
|
$61.80 |
$61.80 |
$61.80 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$20,838.94 |
$20,838.94 |
$20,838.94 |
$3,322.20
|
|
Conization/cerv/loop electrode exc 57522
|
$8,953.20 |
$8,953.20 |
$8,953.20 |
$4,451.18
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,537.68 |
$1,537.68 |
$1,537.68 |
$871.08
|
|
Connect omega .5mm
|
$8,711.45 |
$8,711.45 |
$8,711.45 |
$1,348.80
|
|
Connector tis 2x10mm
|
$9,211.44 |
$9,211.44 |
$9,211.44 |
$3,967.08
|
