|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$34.12 |
$34.12 |
$34.12 |
$35.00
|
|
Circum 28 days or older
|
$6,703.07 |
$6,703.07 |
$6,703.07 |
$4,074.80
|
|
Circumcise/surg/28 days or < 54160
|
$414.05 |
$414.05 |
$414.05 |
$1,479.87
|
|
Circumcision (newborn)
|
$9,118.60 |
$9,118.60 |
$9,118.60 |
$1,516.80
|
|
Cisplatin 1 mg/ml desensitization
|
$101.27 |
$101.27 |
$101.27 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$584.35 |
$584.35 |
$584.35 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,278.87 |
$1,278.87 |
$1,278.87 |
$355.41
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,613.00 |
$2,613.00 |
$2,613.00 |
$9,240.00
|
|
Clearance of airways
|
$416.65 |
$416.65 |
$416.65 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$70.69 |
$70.69 |
$70.69 |
$49.74
|
|
Clip ligating vesolock lg
|
$304.85 |
$304.85 |
$304.85 |
$1,453.20
|
|
Cllr miami j sm
|
$354.90 |
$354.90 |
$354.90 |
$112.39
|
|
Clofarabine 1 mg/ml intravenous solution
|
$5,564.00 |
$5,564.00 |
$5,564.00 |
$298.90
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$121.87 |
$121.87 |
$121.87 |
$109.36
|
|
Clot factor xii hageman
|
$95.55 |
$95.55 |
$95.55 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$138.45 |
$138.45 |
$138.45 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$155.35 |
$155.35 |
$155.35 |
$84.27
|
|
Clozapine, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$5.40
|
|
Cmbn ant pst colprhy
|
$10,105.74 |
$10,105.74 |
$10,105.74 |
$5,194.98
|
|
#cmvcul-virus inoculation shell
|
$170.95 |
$170.95 |
$170.95 |
$109.80
|
|
Cmv pcr-sendout
|
$61.75 |
$61.75 |
$61.75 |
$177.50
|
|
Co2 monitor per day
|
$300.30 |
$300.30 |
$300.30 |
$400.00
|
|
Coagulation time activated teg
|
$93.60 |
$93.60 |
$93.60 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$51.35 |
$51.35 |
$51.35 |
$48.57
|
|
Cold agglutinin titer
|
$65.65 |
$65.65 |
$65.65 |
$48.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.95 |
$27.95 |
$27.95 |
$32.26
|
|
Collar cerv ascend 172 reg
|
$26.65 |
$26.65 |
$26.65 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$824.25 |
$824.25 |
$824.25 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$284.70 |
$284.70 |
$284.70 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$293.15 |
$293.15 |
$293.15 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,646.35 |
$2,646.35 |
$2,646.35 |
$1,846.40
|
|
Colonoscopy stoma w/snare 44394
|
$2,169.18 |
$2,169.18 |
$2,169.18 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$3,771.27 |
$3,771.27 |
$3,771.27 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,086.70 |
$2,086.70 |
$2,086.70 |
$1,261.31
|
|
Colonoscopy w/band ligation
|
$1,733.55 |
$1,733.55 |
$1,733.55 |
$1,916.00
|
|
Colonoscopy w/fb removal
|
$2,987.84 |
$2,987.84 |
$2,987.84 |
$1,306.21
|
|
Colonoscopy with ablation
|
$2,529.99 |
$2,529.99 |
$2,529.99 |
$1,740.00
|
|
Colonoscopy (with biopsy)
|
$3,327.84 |
$3,327.84 |
$3,327.84 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$2,751.58 |
$2,751.58 |
$2,751.58 |
$2,074.50
|
|
Colpocleisis (le forte type) 57120
|
$7,505.89 |
$7,505.89 |
$7,505.89 |
$4,279.19
|
|
Colposcopy/cervix/bx vagina/cervix 57421
|
$7,488.91 |
$7,488.91 |
$7,488.91 |
$929.66
|
|
Compatibility test each unit antiglobulin technique
|
$61.75 |
$61.75 |
$61.75 |
$156.60
|
|
Compatibility test each unit electronic
|
$179.40 |
$179.40 |
$179.40 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$44.85 |
$44.85 |
$44.85 |
$156.24
|
|
Compatibility test incubate
|
$44.85 |
$44.85 |
$44.85 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$2,403.70 |
$2,403.70 |
$2,403.70 |
$933.75
|
|
Complement antigen each component c3
|
$108.55 |
$108.55 |
$108.55 |
$110.00
|
|
Complex uroflowmetry (electronic) 51741
|
$451.10 |
$451.10 |
$451.10 |
$353.50
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$155.35 |
$155.35 |
$155.35 |
$163.15
|
|
Computed tomographic angiography head and neck with contrast
|
$3,498.95 |
$3,498.95 |
$3,498.95 |
$2,544.75
|
|
Concentration infection agents any type
|
$40.95 |
$40.95 |
$40.95 |
$48.00
|
|
Conization/cerv/loop electrode exc 57522
|
$6,436.66 |
$6,436.66 |
$6,436.66 |
$4,198.50
|
|
Consultation pathology during surgery
|
$119.60 |
$119.60 |
$119.60 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$127.40 |
$127.40 |
$127.40 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$23,893.17 |
$23,893.17 |
$23,893.17 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$23,893.17 |
$23,893.17 |
$23,893.17 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$6,278.36 |
$6,278.36 |
$6,278.36 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$214.50 |
$214.50 |
$214.50 |
$176.15
|
|
Consult comp w/report rfrd material
|
$182.65 |
$182.65 |
$182.65 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,973.40 |
$1,973.40 |
$1,973.40 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$4,841.20 |
$4,841.20 |
$4,841.20 |
$3,167.26
|
|
Contrast x-ray gallbladder
|
$657.80 |
$657.80 |
$657.80 |
$260.14
|
|
Contrast x-ray of hip
|
$992.55 |
$992.55 |
$992.55 |
$676.12
|
|
Contrast x-ray of knee joint
|
$1,894.10 |
$1,894.10 |
$1,894.10 |
$623.50
|
|
Contrast x-ray of wrist
|
$861.90 |
$861.90 |
$861.90 |
$541.20
|
|
Controller infinity pt dbs
|
$2,535.00 |
$2,535.00 |
$2,535.00 |
$4,678.20
|
|
Convert nephrostomy catheter
|
$1,442.35 |
$1,442.35 |
$1,442.35 |
$4,197.30
|
|
Coombs direct
|
$248.30 |
$248.30 |
$248.30 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$169.00 |
$169.00 |
$169.00 |
$76.70
|
|
Coombs indirect titer reference
|
$94.25 |
$94.25 |
$94.25 |
$122.85
|
|
Core ndl bx lng/med perq
|
$4,648.38 |
$4,648.38 |
$4,648.38 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,204.65 |
$9,204.65 |
$9,204.65 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$8,498.10 |
$8,498.10 |
$8,498.10 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$8,928.40 |
$8,928.40 |
$8,928.40 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$7,096.05 |
$7,096.05 |
$7,096.05 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,764.90 |
$7,764.90 |
$7,764.90 |
$9,198.18
|
|
Cortisol acth stimulation test - sendout
|
$243.10 |
$243.10 |
$243.10 |
$143.40
|
|
Cortisol total am
|
$79.30 |
$79.30 |
$79.30 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$390.97 |
$390.97 |
$390.97 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$92.30 |
$92.30 |
$92.30 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$98.15 |
$98.15 |
$98.15 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$7,683.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$31.20 |
$31.20 |
$31.20 |
$64.50
|
|
#covid19rsv-rsv
|
$160.55 |
$160.55 |
$160.55 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$65.65 |
$65.65 |
$65.65 |
$65.36
|
|
C-peptide
|
$55.90 |
$55.90 |
$55.90 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$2,386.75 |
$2,386.75 |
$2,386.75 |
$1,170.64
|
|
C-reactive protein
|
$24.70 |
$24.70 |
$24.70 |
$54.43
|
|
C-reactive protein high sensitivity
|
$101.40 |
$101.40 |
$101.40 |
$91.65
|
|
C-reactive protein, quantitative
|
$120.90 |
$120.90 |
$120.90 |
$77.50
|
|
Creatine kinase
|
$23.40 |
$23.40 |
$23.40 |
$55.00
|
|
Creatine kinase isoenzymes
|
$54.60 |
$54.60 |
$54.60 |
$66.00
|
|
Creatine kinase mb
|
$144.95 |
$144.95 |
$144.95 |
$100.75
|
|
Creatinine
|
$25.35 |
$25.35 |
$25.35 |
$40.00
|
|
Creatinine 24 hour urine
|
$62.40 |
$62.40 |
$62.40 |
$54.40
|
|
Creatinine clearance urine
|
$33.80 |
$33.80 |
$33.80 |
$73.86
|
|
#creutz-prot.,western blot
|
$206.70 |
$206.70 |
$206.70 |
$178.10
|
|
Critical care 30-74 minutes
|
$2,490.15 |
$2,490.15 |
$2,490.15 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$449.80 |
$449.80 |
$449.80 |
$663.00
|