|
Cholesterol (Lipid) Test
|
$99.69 |
$99.69 |
$99.69 |
$115.70
|
|
Cholinesterase
|
$64.97 |
$64.97 |
$64.97 |
$38.69
|
|
Chrom analysis
|
$414.11 |
$414.11 |
$414.11 |
$127.86
|
|
Chromatography
|
$103.65 |
$103.65 |
$103.65 |
$80.60
|
|
Chromogenic substrate assay
|
$242.02 |
$242.02 |
$242.02 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$189.95 |
$189.95 |
$189.95 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$533.63 |
$533.63 |
$533.63 |
$448.80
|
|
Chromosome analysis 5
|
$462.71 |
$462.71 |
$462.71 |
$644.80
|
|
Chromosome analys placenta
|
$908.05 |
$908.05 |
$908.05 |
$642.00
|
|
Chromosome banding study
|
$173.08 |
$173.08 |
$173.08 |
$172.80
|
|
Chromosome count additional
|
$91.75 |
$91.75 |
$91.75 |
$110.00
|
|
Chromosome karyotype study
|
$58.03 |
$58.03 |
$58.03 |
$102.72
|
|
Chronic urticaria - sendout
|
$72.41 |
$72.41 |
$72.41 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$48.61 |
$48.61 |
$48.61 |
$123.20
|
|
Cilastatin sodium injection
|
$34.22 |
$34.22 |
$34.22 |
$65.86
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$8.44 |
$8.44 |
$8.44 |
$45.27
|
|
Ciprofloxacin otic susp 6 mg
|
$435.93 |
$435.93 |
$435.93 |
$435.93
|
|
Cisplatin 1 mg/ml desensitization
|
$18.85 |
$18.85 |
$18.85 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$1,279.51 |
$1,279.51 |
$1,279.51 |
$640.41
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$357.57 |
$357.57 |
$357.57 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$4,092.42 |
$4,092.42 |
$4,092.42 |
$8,873.40
|
|
Clearance of airways
|
$186.47 |
$186.47 |
$186.47 |
$206.80
|
|
Clip ligating vesolock lg
|
$12,497.45 |
$12,497.45 |
$12,497.45 |
$1,042.63
|
|
Clofarabine 1 mg/ml intravenous solution
|
$206.31 |
$206.31 |
$206.31 |
$604.88
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$28.77 |
$28.77 |
$28.77 |
$81.02
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$243.01 |
$243.01 |
$243.01 |
$612.80
|
|
Closed tx humerus fx with manip 23605
|
$849.04 |
$849.04 |
$849.04 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$774.65 |
$774.65 |
$774.65 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$134.40 |
$134.40 |
$134.40 |
$413.00
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$878.79 |
$878.79 |
$878.79 |
$2,864.00
|
|
Closed tx/talus fracture without manip 28430
|
$139.36 |
$139.36 |
$139.36 |
$442.80
|
|
Clot factor fletcher fact
|
$178.54 |
$178.54 |
$178.54 |
$88.20
|
|
Clot factor viii reltd antgn
|
$305.50 |
$305.50 |
$305.50 |
$95.72
|
|
Clot factor wght kininogen
|
$188.95 |
$188.95 |
$188.95 |
$134.81
|
|
Clot factor xii hageman
|
$123.49 |
$123.49 |
$123.49 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$39.68 |
$39.68 |
$39.68 |
$49.47
|
|
Clot factor xiii fibrin stab
|
$204.82 |
$204.82 |
$204.82 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$257.39 |
$257.39 |
$257.39 |
$716.95
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$243.01 |
$243.01 |
$243.01 |
$625.13
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$243.01 |
$243.01 |
$243.01 |
$543.00
|
|
Clsd tx clav dislc without manip 23520
|
$982.44 |
$982.44 |
$982.44 |
$1,839.79
|
|
Clsd tx dist fib fx w/manip 27788
|
$134.40 |
$134.40 |
$134.40 |
$728.00
|
|
Clsd tx elbow dislocation child 24640
|
$243.01 |
$243.01 |
$243.01 |
$525.28
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$134.40 |
$134.40 |
$134.40 |
$471.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$134.40 |
$134.40 |
$134.40 |
$597.60
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$410.64 |
$410.64 |
$410.64 |
$1,893.86
|
|
Clsd tx fx radius/ulna without manip 25560
|
$100.18 |
$100.18 |
$100.18 |
$551.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$134.40 |
$134.40 |
$134.40 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$167.13 |
$167.13 |
$167.13 |
$716.95
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$100.18 |
$100.18 |
$100.18 |
$529.08
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$243.01 |
$243.01 |
$243.01 |
$716.95
|
|
Clsd tx patella disloc without anes 27560
|
$100.18 |
$100.18 |
$100.18 |
$665.50
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$243.01 |
$243.01 |
$243.01 |
$484.00
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$142.83 |
$142.83 |
$142.83 |
$501.80
|
|
Clsd tx shoulder dislc/fx 23665
|
$795.97 |
$795.97 |
$795.97 |
$2,055.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,321.95 |
$2,321.95 |
$2,321.95 |
$2,423.85
|
|
Clsd tx temporomandibular dislocat 21480
|
$143.82 |
$143.82 |
$143.82 |
$512.40
|
|
Clsd tx toe dislocation without anes28660
|
$100.18 |
$100.18 |
$100.18 |
$415.20
|
|
Clsd tx trimall ankle fx without manip 27816
|
$134.40 |
$134.40 |
$134.40 |
$597.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$759.77 |
$759.77 |
$759.77 |
$1,707.42
|
|
Clsd tx/ulnar shaft fx without manip 25530
|
$100.18 |
$100.18 |
$100.18 |
$510.40
|
|
#cms hgb-sulfhemoglobin
|
$243.51 |
$243.51 |
$243.51 |
$53.30
|
|
#cmvcul-virus inoculation shell
|
$187.47 |
$187.47 |
$187.47 |
$102.57
|
|
Cmv pcr-sendout
|
$128.95 |
$128.95 |
$128.95 |
$172.25
|
|
Co2 monitor per day
|
$187.96 |
$187.96 |
$187.96 |
$388.85
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6,203.02 |
$6,203.02 |
$6,203.02 |
$4.22
|
|
Coagulation time activated teg
|
$20.34 |
$20.34 |
$20.34 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$202.34 |
$202.34 |
$202.34 |
$781.82
|
|
Cold agglutinin titer
|
$31.25 |
$31.25 |
$31.25 |
$49.40
|
|
Colistimethate sodium inj
|
$23.81 |
$23.81 |
$23.81 |
$84.60
|
|
Collar cerv ascend 172 reg
|
$189.95 |
$189.95 |
$189.95 |
$174.01
|
|
Collection blood specimen from completely implantable venous access device
|
$181.02 |
$181.02 |
$181.02 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$202.84 |
$202.84 |
$202.84 |
$164.05
|
|
Collection of venous blood by venipuncture
|
$19.35 |
$19.35 |
$19.35 |
$22.00
|
|
Colporrhapy/vag injury sut/non ob 57200
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$3,762.53
|
|
Compatibility test each unit antiglobulin technique
|
$189.45 |
$189.45 |
$189.45 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$153.25 |
$153.25 |
$153.25 |
$159.95
|
|
Compatibility test incubate
|
$41.66 |
$41.66 |
$41.66 |
$143.64
|
|
Complement antigen each component c3
|
$222.18 |
$222.18 |
$222.18 |
$113.13
|
|
Complement fixation each
|
$152.26 |
$152.26 |
$152.26 |
$25.70
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$549.99 |
$549.99 |
$549.99 |
$913.68
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$312.94 |
$312.94 |
$312.94 |
$1,193.40
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$381.87 |
$381.87 |
$381.87 |
$1,252.90
|
|
Complx repair fccmnaxghf 13131
|
$457.75 |
$457.75 |
$457.75 |
$927.55
|
|
Complx repair fccmnaxghf 13132
|
$312.94 |
$312.94 |
$312.94 |
$1,212.00
|
|
Complx repair sal addl 5 cm/> 13122
|
$92.25 |
$92.25 |
$92.25 |
$590.20
|
|
Comprehensive hearing test
|
$115.56 |
$115.56 |
$115.56 |
$220.23
|
|
Concentration infection agents any type
|
$32.74 |
$32.74 |
$32.74 |
$50.70
|
|
Conditioning play audiometry 92582
|
$73.40 |
$73.40 |
$73.40 |
$185.15
|
|
Condylomata destruction 56420
|
$100.18 |
$100.18 |
$100.18 |
$503.67
|
|
Conivaptan hcl
|
$892.68 |
$892.68 |
$892.68 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$436.42 |
$436.42 |
$436.42 |
$792.24
|
|
Consultation pathology during surgery cytological exam initial site
|
$67.95 |
$67.95 |
$67.95 |
$382.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$75.39 |
$75.39 |
$75.39 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$123.00 |
$123.00 |
$123.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$191.93 |
$191.93 |
$191.93 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$271.28 |
$271.28 |
$271.28 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$3,179.41 |
$3,179.41 |
$3,179.41 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$1,866.19 |
$1,866.19 |
$1,866.19 |
$3,780.00
|
|
Controller infinity pt dbs
|
$12,150.30 |
$12,150.30 |
$12,150.30 |
$3,101.00
|
