|
Cerebrospinal fld flw imag
|
$833.30 |
$833.30 |
$833.30 |
$895.95
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$19,479.00 |
$19,479.00 |
$19,479.00 |
$13,244.85
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$3,569.83
|
|
#cf-97variants
|
$300.30 |
$300.30 |
$300.30 |
$603.56
|
|
Cftr gene dup/delet variants
|
$1,251.25 |
$1,251.25 |
$1,251.25 |
$849.00
|
|
Cftr gene known fam variants
|
$889.85 |
$889.85 |
$889.85 |
$161.88
|
|
Change cystostomy tube; complex 51710
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$1,403.09
|
|
Change cystostomy tube simple
|
$1,307.80 |
$1,307.80 |
$1,307.80 |
$520.00
|
|
Change g-tube to g-j perc
|
$2,236.00 |
$2,236.00 |
$2,236.00 |
$2,236.00
|
|
Change nephroureteral cath
|
$10,016.50 |
$10,016.50 |
$10,016.50 |
$2,969.25
|
|
Change of ureter tube/stent
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$450.45 |
$450.45 |
$450.45 |
$406.53
|
|
Change stent via transureth
|
$8,906.30 |
$8,906.30 |
$8,906.30 |
$3,986.00
|
|
Change ureter stent percut
|
$9,852.70 |
$9,852.70 |
$9,852.70 |
$4,099.50
|
|
Chemo adm cns w/lmbr punct
|
$1,145.30 |
$1,145.30 |
$1,145.30 |
$732.00
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$863.20 |
$863.20 |
$863.20 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$1,020.87
|
|
Chemodenerv musc migraine 64615
|
$526.50 |
$526.50 |
$526.50 |
$556.86
|
|
Chemodenerv musc neck dyston 64616
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$808.84
|
|
Chemodenerv trunk musc 1-5 64646
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$1,002.30
|
|
Chemodenerv trunk musc 6/] 64647
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$1,234.53
|
|
Chemo ia push tecnique
|
$4,566.25 |
$4,566.25 |
$4,566.25 |
$495.00
|
|
Chemo intralesional over 7
|
$309.40 |
$309.40 |
$309.40 |
$292.48
|
|
Chemo intralesional up to 7 96405
|
$154.05 |
$154.05 |
$154.05 |
$175.20
|
|
Chemotherapy injection 96542
|
$370.50 |
$370.50 |
$370.50 |
$420.00
|
|
Chemotx admn pertl cav impl
|
$941.20 |
$941.20 |
$941.20 |
$507.17
|
|
Chest 2 vws w oblique
|
$392.60 |
$392.60 |
$392.60 |
$377.06
|
|
Chest apical lordotic proj
|
$356.85 |
$356.85 |
$356.85 |
$294.91
|
|
Chest CT scan (with and without contrast)
|
$2,432.30 |
$2,432.30 |
$2,432.30 |
$2,044.52
|
|
Chest CT scan (with contrast)
|
$2,210.65 |
$2,210.65 |
$2,210.65 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$2,009.15 |
$2,009.15 |
$2,009.15 |
$1,350.03
|
|
Chest X-ray
|
$328.90 |
$328.90 |
$328.90 |
$301.23
|
|
Chest X-ray (single view)
|
$295.75 |
$295.75 |
$295.75 |
$244.20
|
|
Chg pr pul rehab for copd patients
|
$188.50 |
$188.50 |
$188.50 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$609.05 |
$609.05 |
$609.05 |
$565.25
|
|
Chlamydia culture
|
$221.65 |
$221.65 |
$221.65 |
$90.35
|
|
Chlamydia type
|
$120.90 |
$120.90 |
$120.90 |
$34.92
|
|
Chlnggrphy intraop addl s&i
|
$238.55 |
$238.55 |
$238.55 |
$274.50
|
|
Chloride
|
$6.50 |
$6.50 |
$6.50 |
$39.60
|
|
Chloride 24 hour urine
|
$38.35 |
$38.35 |
$38.35 |
$46.13
|
|
Chloroprocaine hcl injection
|
$85.48 |
$85.48 |
$85.48 |
$71.09
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$121.78 |
$121.78 |
$121.78 |
$329.69
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$133.00 |
$133.00 |
$133.00 |
$91.92
|
|
Cholangiogram percutaneous compl
|
$4,195.75 |
$4,195.75 |
$4,195.75 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$473.20 |
$473.20 |
$473.20 |
$628.80
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,031.25 |
$2,031.25 |
$2,031.25 |
$3,909.56
|
|
Cholesterol
|
$31.85 |
$31.85 |
$31.85 |
$46.15
|
|
Cholesterol body fluid
|
$242.45 |
$242.45 |
$242.45 |
$80.28
|
|
Cholesterol (Lipid) Test
|
$36.40 |
$36.40 |
$36.40 |
$118.30
|
|
Cholinesterase
|
$19.50 |
$19.50 |
$19.50 |
$38.69
|
|
Chorion biopsy
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$1,030.40
|
|
Chrom analysis
|
$52.65 |
$52.65 |
$52.65 |
$127.86
|
|
Chromatography
|
$839.80 |
$839.80 |
$839.80 |
$76.70
|
|
Chromogenic substrate assay
|
$551.85 |
$551.85 |
$551.85 |
$180.18
|
|
Chromo high res and frag x - sendout
|
$555.10 |
$555.10 |
$555.10 |
$264.25
|
|
Chromosome analys amniotic
|
$307.45 |
$307.45 |
$307.45 |
$436.00
|
|
Chromosome analysis 100
|
$481.00 |
$481.00 |
$481.00 |
$321.44
|
|
Chromosome analysis 15-20 cell count
|
$307.45 |
$307.45 |
$307.45 |
$432.06
|
|
Chromosome analysis 5
|
$715.65 |
$715.65 |
$715.65 |
$644.80
|
|
Chromosome analys placenta
|
$819.65 |
$819.65 |
$819.65 |
$642.00
|
|
Chromosome banding study
|
$22.75 |
$22.75 |
$22.75 |
$172.80
|
|
Chromosome count additional
|
$104.65 |
$104.65 |
$104.65 |
$110.00
|
|
Chromosome karyotype study
|
$17.55 |
$17.55 |
$17.55 |
$100.00
|
|
Chromosome study additional
|
$211.25 |
$211.25 |
$211.25 |
$147.03
|
|
Chronic urticaria - sendout
|
$352.95 |
$352.95 |
$352.95 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$123.50 |
$123.50 |
$123.50 |
$123.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$46.38 |
$46.38 |
$46.38 |
$55.64
|
|
Circumcision (newborn)
|
$567.45 |
$567.45 |
$567.45 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$93.37 |
$93.37 |
$93.37 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$2,304.90 |
$2,304.90 |
$2,304.90 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$233.77 |
$233.77 |
$233.77 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$56.58 |
$56.58 |
$56.58 |
$66.73
|
|
Clip ligating vesolock lg
|
$403.54 |
$403.54 |
$403.54 |
$1,848.00
|
|
Cllr miami j sm
|
$202.99 |
$202.99 |
$202.99 |
$476.64
|
|
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
|
$950.30 |
$950.30 |
$950.30 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$804.05 |
$804.05 |
$804.05 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$355.55 |
$355.55 |
$355.55 |
$84.27
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$1,387.10 |
$1,387.10 |
$1,387.10 |
$717.75
|
|
#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
|
$105.30 |
$105.30 |
$105.30 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$59,806.01 |
$59,806.01 |
$59,806.01 |
$4.82
|
|
Coagulation time activated teg
|
$341.25 |
$341.25 |
$341.25 |
$51.48
|
|
Cold agglutinin titer
|
$71.50 |
$71.50 |
$71.50 |
$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 |
$62.40
|
|
Collar cerv ascend 172 reg
|
$260.22 |
$260.22 |
$260.22 |
$236.77
|
|
Collar cerv patriot adlt
|
$240.92 |
$240.92 |
$240.92 |
$126.00
|
|
Collar extrication adult univ
|
$1,321.76 |
$1,321.76 |
$1,321.76 |
$567.53
|
|
Collection blood specimen from completely implantable venous access device
|
$411.45 |
$411.45 |
$411.45 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$37.70 |
$37.70 |
$37.70 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$10.40 |
$10.40 |
$10.40 |
$21.20
|
|
Colonoscopy (diagnostic)
|
$3,572.40 |
$3,572.40 |
$3,572.40 |
$1,500.00
|
|
Colonoscopy flex with decompression 45393
|
$4,049.50 |
$4,049.50 |
$4,049.50 |
$1,645.43
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,788.85 |
$3,788.85 |
$3,788.85 |
$2,320.80
|
|
Colonoscopy for bleeding 44391
|
$3,901.30 |
$3,901.30 |
$3,901.30 |
$1,658.40
|
|
Colonoscopy for foreign body
|
$3,901.30 |
$3,901.30 |
$3,901.30 |
$1,278.72
|
|
Colonoscopy & polypectomy 44392
|
$3,715.40 |
$3,715.40 |
$3,715.40 |
$1,395.28
|
