|
Car seat/bed test 60 minutes
|
$108.97 |
$108.97 |
$108.97 |
$137.65
|
|
Car seat/bed test additional 30 minutes
|
$54.67 |
$54.67 |
$54.67 |
$83.46
|
|
Caspofungin acetate
|
$504.99 |
$504.99 |
$504.99 |
$858.08
|
|
Catecholamines,fractionated, urine
|
$70.67 |
$70.67 |
$70.67 |
$70.67
|
|
Cath combo lt&rt heart w/inj/s
|
$3,531.28 |
$3,531.28 |
$3,531.28 |
$10,029.00
|
|
Catheter declot mechanical
|
$1,516.26 |
$1,516.26 |
$1,516.26 |
$1,852.05
|
|
Catheter insert artery
|
$304.05 |
$304.05 |
$304.05 |
$388.85
|
|
Catheterization collection of specimen single patient all places of service
|
$31.08 |
$31.08 |
$31.08 |
$58.50
|
|
Catheter stripping venous
|
$2,655.40 |
$2,655.40 |
$2,655.40 |
$3,414.00
|
|
Cathj umbilical vein dx/ther nb
|
$584.05 |
$584.05 |
$584.05 |
$275.20
|
|
Cath left heart/lv gram
|
$3,830.24 |
$3,830.24 |
$3,830.24 |
$8,923.85
|
|
Cath left heart transseptal punc
|
$2,674.64 |
$2,674.64 |
$2,674.64 |
$6,169.00
|
|
Cath lt/rt pulm art
|
$389.06 |
$389.06 |
$389.06 |
$1,963.80
|
|
Cath pezzer 34fr drain bardex propor head mushrm ltx
|
$43.18 |
$43.18 |
$43.18 |
$53.07
|
|
Cath place 1st order venous 36011
|
$468.61 |
$468.61 |
$468.61 |
$2,240.12
|
|
Cath plc art ang/grft lt/rt hr
|
$5,177.04 |
$5,177.04 |
$5,177.04 |
$11,903.70
|
|
Cath plc art/angio/rt hrt cath
|
$4,001.55 |
$4,001.55 |
$4,001.55 |
$11,927.25
|
|
Cath plc art/grft/angio right hrt
|
$4,457.58 |
$4,457.58 |
$4,457.58 |
$11,222.25
|
|
Cath right heart w/o2 sat & card
|
$3,903.59 |
$3,903.59 |
$3,903.59 |
$6,790.00
|
|
Cath right hrt mnpul art
|
$221.35 |
$221.35 |
$221.35 |
$1,417.44
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$139.31 |
$139.31 |
$139.31 |
$505.90
|
|
Cath segmntl pulm art
|
$195.92 |
$195.92 |
$195.92 |
$1,707.42
|
|
Cath stripping venous s&i
|
$138.47 |
$138.47 |
$138.47 |
$572.69
|
|
Cauterization chemical granulation tissue
|
$195.27 |
$195.27 |
$195.27 |
$374.60
|
|
Ccnd1/igh translocation alys
|
$230.14 |
$230.14 |
$230.14 |
$405.00
|
|
Cdna analysis for variants
|
$632.05 |
$632.05 |
$632.05 |
$609.80
|
|
Cebpa gene full sequence
|
$271.58 |
$271.58 |
$271.58 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$18.54 |
$18.54 |
$18.54 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$31.48 |
$31.48 |
$31.48 |
$39.95
|
|
Cefotaxime sodium injection
|
$18.94 |
$18.94 |
$18.94 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$35.67 |
$35.67 |
$35.67 |
$42.00
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$9.25 |
$9.25 |
$9.25 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$34.93 |
$34.93 |
$34.93 |
$46.57
|
|
Ceftazidime and avibactam
|
$427.66 |
$427.66 |
$427.66 |
$824.61
|
|
Ceftriaxone 1 gram solution for injection
|
$51.80 |
$51.80 |
$51.80 |
$51.80
|
|
#celiac hla-dq8
|
$288.69 |
$288.69 |
$288.69 |
$246.88
|
|
Cell count w differential body fluid
|
$40.98 |
$40.98 |
$40.98 |
$83.71
|
|
Cell function assay w/stim
|
$247.35 |
$247.35 |
$247.35 |
$369.45
|
|
Cell marker study
|
$141.03 |
$141.03 |
$141.03 |
$265.80
|
|
Cerebrospinal fld flw imag
|
$350.02 |
$350.02 |
$350.02 |
$884.00
|
|
Cesarean section delivery only 59514
|
$2,311.30 |
$2,311.30 |
$2,311.30 |
$4,613.05
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$109.08 |
$109.08 |
$109.08 |
$120.37
|
|
#cf-97variants
|
$723.91 |
$723.91 |
$723.91 |
$748.16
|
|
Cftr gene dup/delet variants
|
$160.95 |
$160.95 |
$160.95 |
$870.40
|
|
Cftr gene intron poly t
|
$137.73 |
$137.73 |
$137.73 |
$285.75
|
|
Change cystostomy tube; complex 51710
|
$571.10 |
$571.10 |
$571.10 |
$1,368.46
|
|
Change cystostomy tube simple
|
$126.17 |
$126.17 |
$126.17 |
$426.63
|
|
Change g-tube to g-j perc
|
$804.47 |
$804.47 |
$804.47 |
$2,198.40
|
|
Change nephroureteral cath
|
$850.08 |
$850.08 |
$850.08 |
$2,760.00
|
|
Change of ureter tube/stent
|
$2,412.22 |
$2,412.22 |
$2,412.22 |
$2,513.80
|
|
Change of windpipe airway 31502
|
$152.16 |
$152.16 |
$152.16 |
$412.00
|
|
Change ureter stent percut
|
$1,374.46 |
$1,374.46 |
$1,374.46 |
$4,099.50
|
|
Chemo adm cns w/lmbr punct
|
$248.18 |
$248.18 |
$248.18 |
$749.01
|
|
Chemo ia infusion up to 1 hr
|
$161.88 |
$161.88 |
$161.88 |
$604.89
|
|
Chemo ia push tecnique
|
$110.35 |
$110.35 |
$110.35 |
$589.90
|
|
Chemotherapy injection 96542
|
$132.65 |
$132.65 |
$132.65 |
$444.49
|
|
Chest 2 vws w oblique
|
$119.33 |
$119.33 |
$119.33 |
$334.02
|
|
Chest apical lordotic proj
|
$130.80 |
$130.80 |
$130.80 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,043.49 |
$1,043.49 |
$1,043.49 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,108.34 |
$1,108.34 |
$1,108.34 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$952.66 |
$952.66 |
$952.66 |
$1,166.90
|
|
Chest X-ray
|
$118.40 |
$118.40 |
$118.40 |
$265.85
|
|
Chest X-ray (single view)
|
$86.03 |
$86.03 |
$86.03 |
$192.50
|
|
Chlamydia culture
|
$238.37 |
$238.37 |
$238.37 |
$96.51
|
|
Chlamydia type
|
$67.80 |
$67.80 |
$67.80 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$107.30 |
$107.30 |
$107.30 |
$252.99
|
|
Chloramphenicol sodium injec
|
$83.08 |
$83.08 |
$83.08 |
$126.46
|
|
Chloride
|
$21.74 |
$21.74 |
$21.74 |
$37.48
|
|
Chloride 24 hour urine
|
$22.85 |
$22.85 |
$22.85 |
$40.80
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$106.21 |
$106.21 |
$106.21 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$47.84 |
$47.84 |
$47.84 |
$53.03
|
|
Chmotx admn plrl cav thrcnts
|
$359.27 |
$359.27 |
$359.27 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$2,915.42 |
$2,915.42 |
$2,915.42 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$244.48 |
$244.48 |
$244.48 |
$546.01
|
|
Cholecystostomy complete w/supervision & interpretation
|
$1,424.41 |
$1,424.41 |
$1,424.41 |
$3,690.60
|
|
Cholesterol
|
$18.32 |
$18.32 |
$18.32 |
$40.95
|
|
Cholesterol body fluid
|
$187.01 |
$187.01 |
$187.01 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$66.42 |
$66.42 |
$66.42 |
$101.43
|
|
Cholinesterase
|
$30.90 |
$30.90 |
$30.90 |
$49.40
|
|
Chrom analysis
|
$108.80 |
$108.80 |
$108.80 |
$156.00
|
|
Chromo high res and frag x - sendout
|
$180.75 |
$180.75 |
$180.75 |
$269.00
|
|
Chromosome analysis 100
|
$181.95 |
$181.95 |
$181.95 |
$292.43
|
|
Chromosome analysis 15-20 cell count
|
$311.36 |
$311.36 |
$311.36 |
$558.25
|
|
Chromosome study additional
|
$144.12 |
$144.12 |
$144.12 |
$144.12
|
|
Chylomicron screen, bf - sendout
|
$59.57 |
$59.57 |
$59.57 |
$136.09
|
|
Cidofovir injection
|
$1,060.92 |
$1,060.92 |
$1,060.92 |
$1,099.26
|
|
Cilastatin sodium injection
|
$43.44 |
$43.44 |
$43.44 |
$43.44
|
|
Cine/video x-rays
|
$187.41 |
$187.41 |
$187.41 |
$206.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$43.80 |
$43.80 |
$43.80 |
$35.00
|
|
Circumcision (newborn)
|
$149.02 |
$149.02 |
$149.02 |
$1,516.80
|
|
Cisplatin 1 mg/ml desensitization
|
$52.43 |
$52.43 |
$52.43 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$365.76 |
$365.76 |
$365.76 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$347.10 |
$347.10 |
$347.10 |
$355.41
|
|
Clearance of airways
|
$80.94 |
$80.94 |
$80.94 |
$208.00
|
|
Clearance of tear duct
|
$535.39 |
$535.39 |
$535.39 |
$795.53
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,993.47 |
$3,993.47 |
$3,993.47 |
$298.90
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$387.33 |
$387.33 |
$387.33 |
$109.36
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$230.88 |
$230.88 |
$230.88 |
$650.40
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$2,628.48 |
$2,628.48 |
$2,628.48 |
$1,815.75
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$1,505.99 |
$1,505.99 |
$1,505.99 |
$1,966.30
|
