|
Bronchial challenge
|
$845.00 |
$845.00 |
$845.00 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$154.05 |
$154.05 |
$154.05 |
$161.46
|
|
Bundled special stain group 2
|
$136.50 |
$136.50 |
$136.50 |
$170.65
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$12.19 |
$12.19 |
$12.19 |
$25.29
|
|
C1 esterase inhibitor func - sendout
|
$211.90 |
$211.90 |
$211.90 |
$129.75
|
|
Calcium 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$25.60 |
$25.60 |
$25.60 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$24.37 |
$24.37 |
$24.37 |
$48.29
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$96.28 |
$96.28 |
$96.28 |
$62.87
|
|
Calcium ionized
|
$108.55 |
$108.55 |
$108.55 |
$82.80
|
|
Calcium total
|
$53.95 |
$53.95 |
$53.95 |
$44.00
|
|
Calculi urinary-sendout
|
$87.10 |
$87.10 |
$87.10 |
$102.05
|
|
Calprotectin fecal
|
$195.65 |
$195.65 |
$195.65 |
$176.80
|
|
Candida dna
|
$70.85 |
$70.85 |
$70.85 |
$68.25
|
|
Carbamazepine total therapeutic drug level
|
$115.05 |
$115.05 |
$115.05 |
$112.00
|
|
Carbon dioxide
|
$37.05 |
$37.05 |
$37.05 |
$44.00
|
|
Carboxyhemoglobin quantitative
|
$75.40 |
$75.40 |
$75.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$132.60 |
$132.60 |
$132.60 |
$127.40
|
|
Cardiac drug stress test
|
$426.40 |
$426.40 |
$426.40 |
$543.20
|
|
Cardiac perf planar sgl/ef/wm
|
$1,688.70 |
$1,688.70 |
$1,688.70 |
$1,778.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,896.05 |
$1,896.05 |
$1,896.05 |
$2,619.38
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$251.55 |
$251.55 |
$251.55 |
$258.10
|
|
Cardioassist internal
|
$954.20 |
$954.20 |
$954.20 |
$1,482.00
|
|
Cardiolipin antibody iga
|
$84.50 |
$84.50 |
$84.50 |
$130.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$1,504.08
|
|
Carotene
|
$104.65 |
$104.65 |
$104.65 |
$65.40
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,025.70 |
$1,025.70 |
$1,025.70 |
$1,033.80
|
|
Cath combo lt&rt heart w/inj/s
|
$8,526.05 |
$8,526.05 |
$8,526.05 |
$10,126.48
|
|
Catheterization collection of specimen single patient all places of service
|
$58.50 |
$58.50 |
$58.50 |
$58.50
|
|
Cath left heart/lv gram
|
$7,643.35 |
$7,643.35 |
$7,643.35 |
$9,682.00
|
|
Cath plc art ang/grft lt/rt hr
|
$11,733.15 |
$11,733.15 |
$11,733.15 |
$12,021.10
|
|
Cath plc art/angio/rt hrt cath
|
$10,086.05 |
$10,086.05 |
$10,086.05 |
$12,021.10
|
|
Cath plc art/grft/angio right hrt
|
$11,222.25 |
$11,222.25 |
$11,222.25 |
$11,227.80
|
|
Cath right heart w/o2 sat & card
|
$4,553.25 |
$4,553.25 |
$4,553.25 |
$6,790.00
|
|
Cauterization chemical granulation tissue
|
$139.10 |
$139.10 |
$139.10 |
$377.40
|
|
Cdna analysis for variants
|
$547.30 |
$547.30 |
$547.30 |
$609.80
|
|
Cebpa gene full sequence
|
$455.00 |
$455.00 |
$455.00 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$28.52 |
$28.52 |
$28.52 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$27.79 |
$27.79 |
$27.79 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$34.08 |
$34.08 |
$34.08 |
$46.54
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$25.35 |
$25.35 |
$25.35 |
$46.57
|
|
Ceftazidime and avibactam
|
$2,126.15 |
$2,126.15 |
$2,126.15 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$21.94 |
$21.94 |
$21.94 |
$54.30
|
|
#celiac hla-dq2
|
$271.70 |
$271.70 |
$271.70 |
$226.87
|
|
Cell count w differential body fluid
|
$104.00 |
$104.00 |
$104.00 |
$83.71
|
|
Cell cryopreserve/storage
|
$78.00 |
$78.00 |
$78.00 |
$58.50
|
|
Cell marker study
|
$215.15 |
$215.15 |
$215.15 |
$265.80
|
|
Cftr gene dup/delet variants
|
$744.25 |
$744.25 |
$744.25 |
$870.40
|
|
Change cystostomy tube simple
|
$200.85 |
$200.85 |
$200.85 |
$426.63
|
|
Chest 2 vws w oblique
|
$359.45 |
$359.45 |
$359.45 |
$342.71
|
|
Chest apical lordotic proj
|
$306.15 |
$306.15 |
$306.15 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,193.10 |
$2,193.10 |
$2,193.10 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$2,063.10 |
$2,063.10 |
$2,063.10 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$1,226.40
|
|
Chest X-ray
|
$233.35 |
$233.35 |
$233.35 |
$267.50
|
|
Chest X-ray (single view)
|
$171.60 |
$171.60 |
$171.60 |
$201.60
|
|
Chlamydia culture
|
$94.90 |
$94.90 |
$94.90 |
$96.51
|
|
Chlamydia type
|
$38.35 |
$38.35 |
$38.35 |
$35.75
|
|
Chloride
|
$40.95 |
$40.95 |
$40.95 |
$37.60
|
|
Chloride 24 hour urine
|
$53.30 |
$53.30 |
$53.30 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$32.28 |
$32.28 |
$32.28 |
$51.16
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$498.55 |
$498.55 |
$498.55 |
$546.01
|
|
Cholesterol
|
$46.15 |
$46.15 |
$46.15 |
$41.08
|
|
Cholesterol (Lipid) Test
|
$118.30 |
$118.30 |
$118.30 |
$101.43
|
|
Cholinesterase
|
$46.15 |
$46.15 |
$46.15 |
$53.95
|
|
Chrom analysis
|
$87.75 |
$87.75 |
$87.75 |
$162.60
|
|
Chromatography
|
$75.40 |
$75.40 |
$75.40 |
$81.25
|
|
Chromogenic substrate assay
|
$209.95 |
$209.95 |
$209.95 |
$189.00
|
|
Chromosome analysis 15-20 cell count
|
$585.65 |
$585.65 |
$585.65 |
$558.25
|
|
Chromosome count additional
|
$49.40 |
$49.40 |
$49.40 |
$120.90
|
|
Chromosome karyotype study
|
$40.95 |
$40.95 |
$40.95 |
$127.86
|
|
Chylomicron screen, bf - sendout
|
$147.55 |
$147.55 |
$147.55 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$39.00 |
$39.00 |
$39.00 |
$39.00
|
|
Circumcise/surg/28 days or < 54160
|
$380.90 |
$380.90 |
$380.90 |
$1,479.87
|
|
C-kit mutation liquid tumor - sendout
|
$564.20 |
$564.20 |
$564.20 |
$606.06
|
|
Clearance of airways
|
$160.55 |
$160.55 |
$160.55 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$70.69 |
$70.69 |
$70.69 |
$49.74
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$376.35 |
$376.35 |
$376.35 |
$413.00
|
|
Clot factor xii hageman
|
$128.05 |
$128.05 |
$128.05 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$120.25 |
$120.25 |
$120.25 |
$84.50
|
|
Clot factor xiii fibrin stab
|
$126.10 |
$126.10 |
$126.10 |
$97.20
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$662.35 |
$662.35 |
$662.35 |
$716.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$425.75 |
$425.75 |
$425.75 |
$488.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$391.30 |
$391.30 |
$391.30 |
$426.82
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$507.65 |
$507.65 |
$507.65 |
$497.60
|
|
Clsd tx elbow dislocation child 24640
|
$278.20 |
$278.20 |
$278.20 |
$520.00
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$271.05 |
$271.05 |
$271.05 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$271.70 |
$271.70 |
$271.70 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$701.35 |
$701.35 |
$701.35 |
$567.08
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,190.15 |
$1,190.15 |
$1,190.15 |
$1,912.80
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,022.45 |
$1,022.45 |
$1,022.45 |
$1,771.43
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$692.90 |
$692.90 |
$692.90 |
$1,014.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$507.00 |
$507.00 |
$507.00 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$566.80 |
$566.80 |
$566.80 |
$688.00
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$551.85 |
$551.85 |
$551.85 |
$551.85
|
|
Clsd tx/metatarsal fx without manip 28470
|
$367.90 |
$367.90 |
$367.90 |
$414.00
|
|
Clsd tx patella disloc without anes 27560
|
$525.85 |
$525.85 |
$525.85 |
$628.00
|
|
Clsd tx/patellar fx without manip 27520
|
$525.85 |
$525.85 |
$525.85 |
$525.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$408.85 |
$408.85 |
$408.85 |
$429.65
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$421.20 |
$421.20 |
$421.20 |
$486.20
|
