|
Chromosome analysis 15-20 cell count
|
$237.60 |
$237.60 |
$237.60 |
$512.20
|
|
Chromosome analysis 45
|
$648.00 |
$648.00 |
$648.00 |
$429.28
|
|
Chromosome analysis 5
|
$330.60 |
$330.60 |
$330.60 |
$644.80
|
|
Chromosome analysis 50-100
|
$569.40 |
$569.40 |
$569.40 |
$405.00
|
|
Chromosome analys placenta
|
$181.80 |
$181.80 |
$181.80 |
$618.60
|
|
Chromosome banding study
|
$246.60 |
$246.60 |
$246.60 |
$184.24
|
|
Chromosome count additional
|
$330.60 |
$330.60 |
$330.60 |
$92.45
|
|
Chromosome karyotype study
|
$330.60 |
$330.60 |
$330.60 |
$119.87
|
|
Chromosome study additional
|
$63.60 |
$63.60 |
$63.60 |
$147.03
|
|
Chronic urticaria - sendout
|
$36.60 |
$36.60 |
$36.60 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$52.80 |
$52.80 |
$52.80 |
$124.15
|
|
Cidofovir injection
|
$3,485.40 |
$3,485.40 |
$3,485.40 |
$1,295.73
|
|
Cilastatin sodium injection
|
$166.56 |
$166.56 |
$166.56 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$30,122.74 |
$30,122.74 |
$30,122.74 |
$34.88
|
|
Circum 28 days or older
|
$12,876.30 |
$12,876.30 |
$12,876.30 |
$3,860.64
|
|
Cisplatin 1 mg/ml desensitization
|
$412.86 |
$412.86 |
$412.86 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$264.60 |
$264.60 |
$264.60 |
$655.00
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$28,866.42 |
$28,866.42 |
$28,866.42 |
$15,390.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$73.98 |
$73.98 |
$73.98 |
$55.20
|
|
Clip ligating vesolock lg
|
$9,894.46 |
$9,894.46 |
$9,894.46 |
$4,320.00
|
|
Cllr miami j sm
|
$1,359.95 |
$1,359.95 |
$1,359.95 |
$566.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$32.16 |
$32.16 |
$32.16 |
$81.90
|
|
Clot factor fletcher fact
|
$185.40 |
$185.40 |
$185.40 |
$119.50
|
|
Clot factor viii reltd antgn
|
$174.60 |
$174.60 |
$174.60 |
$158.20
|
|
Clot factor wght kininogen
|
$200.40 |
$200.40 |
$200.40 |
$167.96
|
|
Clot factor xii hageman
|
$68.40 |
$68.40 |
$68.40 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$30.00 |
$30.00 |
$30.00 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$192.00 |
$192.00 |
$192.00 |
$105.00
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$19,148.43 |
$19,148.43 |
$19,148.43 |
$3,678.17
|
|
#cmvcul-virus inoculation shell
|
$165.60 |
$165.60 |
$165.60 |
$100.80
|
|
Cmv pcr-sendout
|
$214.80 |
$214.80 |
$214.80 |
$177.50
|
|
Cnbp gene detc abnor allele
|
$496.20 |
$496.20 |
$496.20 |
$313.60
|
|
Coagulation time activated teg
|
$15.60 |
$15.60 |
$15.60 |
$53.72
|
|
Coch imp ext proc/contr rplc
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$20,146.35
|
|
Coch implant microphone repl
|
$1,172.24 |
$1,172.24 |
$1,172.24 |
$977.17
|
|
Cold agglutinin screen (arc)
|
$40.20 |
$40.20 |
$40.20 |
$45.00
|
|
Cold agglutinin titer
|
$20.40 |
$20.40 |
$20.40 |
$50.00
|
|
Colectomy partial w/anastomosis 44140
|
$30,122.74 |
$30,122.74 |
$30,122.74 |
$2,510.73
|
|
Colistimethate sodium inj
|
$142.80 |
$142.80 |
$142.80 |
$68.47
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$715.26 |
$715.26 |
$715.26 |
$60.84
|
|
Collar cerv adlt perfit ace extric
|
$226.50 |
$226.50 |
$226.50 |
$70.00
|
|
Collar cerv ascend 172 reg
|
$546.22 |
$546.22 |
$546.22 |
$213.89
|
|
Collar cerv patriot adlt
|
$374.36 |
$374.36 |
$374.36 |
$154.00
|
|
Collar extrication adult univ
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$764.15
|
|
Collection of venous blood by venipuncture
|
$16.20 |
$16.20 |
$16.20 |
$21.00
|
|
Colonoscopy (diagnostic)
|
$6,436.44 |
$6,436.44 |
$6,436.44 |
$1,899.00
|
|
Colonoscopy submucous njx
|
$9,175.08 |
$9,175.08 |
$9,175.08 |
$2,080.00
|
|
Colonoscopy thru stoma spx
|
$5,792.70 |
$5,792.70 |
$5,792.70 |
$1,899.00
|
|
Colonoscopy w/balloon dilat
|
$30,122.74 |
$30,122.74 |
$30,122.74 |
$1,645.43
|
|
Colonoscopy w/control bleed
|
$11,214.04 |
$11,214.04 |
$11,214.04 |
$2,030.25
|
|
Colonoscopy (with biopsy)
|
$9,618.96 |
$9,618.96 |
$9,618.96 |
$2,080.00
|
|
Colonoscopy (with polyp removal)
|
$8,203.08 |
$8,203.08 |
$8,203.08 |
$2,288.00
|
|
Colonoscopy w/resection
|
$14,558.48 |
$14,558.48 |
$14,558.48 |
$3,029.60
|
|
Colpopexy intraperitoneal
|
$40,951.02 |
$40,951.02 |
$40,951.02 |
$6,906.50
|
|
Colposcopy/cervix/ conization 57461
|
$9,758.34 |
$9,758.34 |
$9,758.34 |
$3,744.41
|
|
Combination bilateral ho
|
$4,575.46 |
$4,575.46 |
$4,575.46 |
$4,575.46
|
|
Compatibility test each unit antiglobulin technique
|
$260.40 |
$260.40 |
$260.40 |
$170.05
|
|
Compatibility test each unit electronic
|
$221.40 |
$221.40 |
$221.40 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$116.40 |
$116.40 |
$116.40 |
$169.52
|
|
Compatibility test incubate
|
$260.40 |
$260.40 |
$260.40 |
$155.40
|
|
Complement antigen each component c3
|
$174.60 |
$174.60 |
$174.60 |
$108.55
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$10,162.21 |
$10,162.21 |
$10,162.21 |
$1,191.78
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$6,149.82 |
$6,149.82 |
$6,149.82 |
$1,049.60
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$7,752.00 |
$7,752.00 |
$7,752.00 |
$1,194.25
|
|
Complx repair fccmnaxghf 13132
|
$9,409.20 |
$9,409.20 |
$9,409.20 |
$1,107.60
|
|
Complx repair trunk addl 5cm/< 13102
|
$10,162.21 |
$10,162.21 |
$10,162.21 |
$537.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,183.35 |
$2,183.35 |
$2,183.35 |
$1,350.27
|
|
Concentration infection agents any type
|
$68.40 |
$68.40 |
$68.40 |
$49.95
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$27,795.89 |
$27,795.89 |
$27,795.89 |
$3,322.20
|
|
Condylomata destruction 56420
|
$9,210.06 |
$9,210.06 |
$9,210.06 |
$469.00
|
|
Conization/cerv/loop electrode exc 57522
|
$7,988.16 |
$7,988.16 |
$7,988.16 |
$4,840.07
|
|
Conization of cervix
|
$9,306.24 |
$9,306.24 |
$9,306.24 |
$3,762.53
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,922.10 |
$1,922.10 |
$1,922.10 |
$871.08
|
|
Connect omega .5mm
|
$11,619.71 |
$11,619.71 |
$11,619.71 |
$1,260.00
|
|
Connector tis 2x10mm
|
$12,286.62 |
$12,286.62 |
$12,286.62 |
$4,091.00
|
|
Consultation pathology during surgery
|
$33.60 |
$33.60 |
$33.60 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$16.80 |
$16.80 |
$16.80 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$109.20 |
$109.20 |
$109.20 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$178.80 |
$178.80 |
$178.80 |
$224.80
|
|
Consultation/report referred slides prepared elsewhere
|
$172.80 |
$172.80 |
$172.80 |
$171.65
|
|
Consult comp w/report rfrd material
|
$260.40 |
$260.40 |
$260.40 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$5,328.60 |
$5,328.60 |
$5,328.60 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$8,924.40 |
$8,924.40 |
$8,924.40 |
$3,728.24
|
|
Contrast x-ray of elbow
|
$901.80 |
$901.80 |
$901.80 |
$649.80
|
|
Contrast x-ray of hip
|
$901.80 |
$901.80 |
$901.80 |
$771.12
|
|
Contrast x-ray of knee joint
|
$835.20 |
$835.20 |
$835.20 |
$769.88
|
|
Controler lvad heartmate 3 includes ebb
|
$28,411.81 |
$28,411.81 |
$28,411.81 |
$13,218.75
|
|
Controller infinity pt dbs
|
$6,755.26 |
$6,755.26 |
$6,755.26 |
$4,611.60
|
|
Control of nosebleedantersmpl 30901
|
$14,528.21 |
$14,528.21 |
$14,528.21 |
$355.50
|
|
Coombs direct
|
$87.60 |
$87.60 |
$87.60 |
$75.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$256.80 |
$256.80 |
$256.80 |
$102.90
|
|
Coombs indirect titer reference
|
$146.40 |
$146.40 |
$146.40 |
$146.40
|
|
Core ndl bx lng/med perq
|
$6,550.80 |
$6,550.80 |
$6,550.80 |
$2,678.00
|
|
Cor hlx vlgs double osteot
|
$89,406.19 |
$89,406.19 |
$89,406.19 |
$5,986.40
|
|
Cor hlx vlgs dstl mtar osteo
|
$37,336.58 |
$37,336.58 |
$37,336.58 |
$4,539.20
|
|
Cor hlx vlgs prx phlx osteot
|
$40,140.11 |
$40,140.11 |
$40,140.11 |
$4,627.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$19,868.40 |
$19,868.40 |
$19,868.40 |
$8,272.50
|
|
Correct bunion/keller/mcbride/mayo 28292
|
$43,411.88 |
$43,411.88 |
$43,411.88 |
$3,839.54
|
|
Corrj halux rigdus w/implt
|
$17,432.12 |
$17,432.12 |
$17,432.12 |
$5,886.74
|
