|
Cerv collar supp adj cerv ba
|
$1,989.16 |
$1,989.16 |
$1,989.16 |
$997.49
|
|
Cesarean section delivery only 59514
|
$13,216.50 |
$13,216.50 |
$13,216.50 |
$2,194.65
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$6,595.02 |
$6,595.02 |
$6,595.02 |
$2,948.27
|
|
#cf-97variants
|
$595.20 |
$595.20 |
$595.20 |
$612.26
|
|
Cftr gene dup/delet variants
|
$574.80 |
$574.80 |
$574.80 |
$849.00
|
|
Cftr gene known fam variants
|
$205.80 |
$205.80 |
$205.80 |
$195.20
|
|
Change cystostomy tube simple
|
$2,791.80 |
$2,791.80 |
$2,791.80 |
$473.00
|
|
Change g-tube to g-j perc
|
$2,982.00 |
$2,982.00 |
$2,982.00 |
$2,206.00
|
|
Change nephroureteral cath
|
$3,280.20 |
$3,280.20 |
$3,280.20 |
$3,128.16
|
|
Change of ureter tube/stent
|
$2,730.60 |
$2,730.60 |
$2,730.60 |
$2,424.12
|
|
Chemo adm cns w/lmbr punct
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$710.72
|
|
Chemo extend IV infus w/pump
|
$622.80 |
$622.80 |
$622.80 |
$754.00
|
|
Chemotherapy injection 96542
|
$1,934.40 |
$1,934.40 |
$1,934.40 |
$426.40
|
|
Chest 2 vws w oblique
|
$978.60 |
$978.60 |
$978.60 |
$385.71
|
|
Chest CT scan (with and without contrast)
|
$1,926.60 |
$1,926.60 |
$1,926.60 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$1,689.00 |
$1,689.00 |
$1,689.00 |
$1,698.32
|
|
Chest CT scan (without contrast)
|
$1,422.00 |
$1,422.00 |
$1,422.00 |
$1,372.50
|
|
Chest X-ray
|
$1,479.00 |
$1,479.00 |
$1,479.00 |
$301.70
|
|
Chest X-ray (single view)
|
$362.40 |
$362.40 |
$362.40 |
$247.00
|
|
Chlamydia culture
|
$168.60 |
$168.60 |
$168.60 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$107.40 |
$107.40 |
$107.40 |
$61.50
|
|
Chlamydia type
|
$21.60 |
$21.60 |
$21.60 |
$33.00
|
|
Chlnggrphy intraop addl s&i
|
$484.20 |
$484.20 |
$484.20 |
$301.40
|
|
Chloride
|
$34.20 |
$34.20 |
$34.20 |
$39.96
|
|
Chloride 24 hour urine
|
$52.80 |
$52.80 |
$52.80 |
$46.75
|
|
Chloroprocaine hcl injection
|
$106.14 |
$106.14 |
$106.14 |
$58.28
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$54.78 |
$54.78 |
$54.78 |
$78.43
|
|
Cholangiogram percutaneous compl
|
$2,529.60 |
$2,529.60 |
$2,529.60 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$777.00 |
$777.00 |
$777.00 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,735.40 |
$2,735.40 |
$2,735.40 |
$3,906.18
|
|
Cholesterol
|
$71.40 |
$71.40 |
$71.40 |
$46.15
|
|
Cholesterol body fluid
|
$19.20 |
$19.20 |
$19.20 |
$75.00
|
|
Cholesterol (Lipid) Test
|
$159.00 |
$159.00 |
$159.00 |
$115.80
|
|
Cholinesterase
|
$84.00 |
$84.00 |
$84.00 |
$40.80
|
|
Chrom analysis
|
$141.60 |
$141.60 |
$141.60 |
$151.84
|
|
Chromatography
|
$78.00 |
$78.00 |
$78.00 |
$80.00
|
|
Chromo high res and frag x - sendout
|
$181.20 |
$181.20 |
$181.20 |
$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
|
$834.60 |
$834.60 |
$834.60 |
$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
|
$58.20 |
$58.20 |
$58.20 |
$112.89
|
|
Chromosome study additional
|
$66.60 |
$66.60 |
$66.60 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$55.20 |
$55.20 |
$55.20 |
$123.20
|
|
Cilastatin sodium injection
|
$154.80 |
$154.80 |
$154.80 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$16.62 |
$16.62 |
$16.62 |
$37.00
|
|
Circumcision (newborn)
|
$1,777.80 |
$1,777.80 |
$1,777.80 |
$1,422.04
|
|
Cisplatin 1 mg/ml desensitization
|
$324.84 |
$324.84 |
$324.84 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$767.40 |
$767.40 |
$767.40 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$548.34 |
$548.34 |
$548.34 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$28,866.42 |
$28,866.42 |
$28,866.42 |
$15,050.75
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$37.26 |
$37.26 |
$37.26 |
$55.20
|
|
Clip ligating vesolock lg
|
$5,064.74 |
$5,064.74 |
$5,064.74 |
$4,658.12
|
|
Cllr miami j sm
|
$898.12 |
$898.12 |
$898.12 |
$552.23
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$372.00 |
$372.00 |
$372.00 |
$535.76
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$1,815.75
|
|
Closed tx humerus fx with manip 23605
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$1,549.52
|
|
Closed tx orbit without manipulj
|
$865.80 |
$865.80 |
$865.80 |
$1,028.06
|
|
Closure paravalvlr leak pq
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$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
|
$111.60 |
$111.60 |
$111.60 |
$128.05
|
|
Clot factor xiii fibrin stab
|
$75.00 |
$75.00 |
$75.00 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$252.00 |
$252.00 |
$252.00 |
$700.00
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$394.20 |
$394.20 |
$394.20 |
$509.60
|
|
Clsd tx clavicle dislocation without manip 23540
|
$394.20 |
$394.20 |
$394.20 |
$444.71
|
|
Clsd tx coccygeal fracture 27200
|
$394.20 |
$394.20 |
$394.20 |
$394.20
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$360.00 |
$360.00 |
$360.00 |
$426.82
|
|
Clsd tx elbow dislocation child 24640
|
$252.00 |
$252.00 |
$252.00 |
$507.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$252.00 |
$252.00 |
$252.00 |
$551.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$1,772.97
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$1,668.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$394.20 |
$394.20 |
$394.20 |
$475.68
|
|
Clsd tx humerus fract without manip 24500
|
$394.20 |
$394.20 |
$394.20 |
$520.80
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$496.80 |
$496.80 |
$496.80 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$252.00 |
$252.00 |
$252.00 |
$688.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$372.00 |
$372.00 |
$372.00 |
$416.65
|
|
Clsd tx radius fracture w/manip 24655
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$1,806.10
|
|
Clsd tx shoulder dislc/fx 23665
|
$2,490.60 |
$2,490.60 |
$2,490.60 |
$1,893.86
|
|
Clsd tx shoulder disloc w/anatom neck fx w/manip 23675
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$1,790.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$2,421.00
|
|
Clsd tx temporomandibular dislocat 21480
|
$338.40 |
$338.40 |
$338.40 |
$445.15
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$394.20 |
$394.20 |
$394.20 |
$513.75
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$2,667.00 |
$2,667.00 |
$2,667.00 |
$2,274.40
|
|
Cltx mndblr fx w/mnpj
|
$2,518.80 |
$2,518.80 |
$2,518.80 |
$2,432.15
|
|
Cltx scap fx w/mnpj +-tractj
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$2,030.33
|
|
Cmbn ant pst colprhy
|
$27,838.66 |
$27,838.66 |
$27,838.66 |
$4,928.00
|
|
#cmvcul-virus inoculation shell
|
$73.80 |
$73.80 |
$73.80 |
$102.50
|
|
Cmv pcr-sendout
|
$138.00 |
$138.00 |
$138.00 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$53,952.00 |
$53,952.00 |
$53,952.00 |
$6.90
|
|
Coagulation time activated teg
|
$52.80 |
$52.80 |
$52.80 |
$52.00
|
|
Coch imp ext proc/contr rplc
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$12,888.72
|
|
Coch implant microphone repl
|
$774.14 |
$774.14 |
$774.14 |
$774.14
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
