|
Chest X-ray
|
$411.45 |
$411.45 |
$411.45 |
$265.85
|
|
Chest X-ray (single view)
|
$325.65 |
$325.65 |
$325.65 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$284.05 |
$284.05 |
$284.05 |
$150.40
|
|
Chlamydia culture
|
$212.55 |
$212.55 |
$212.55 |
$96.51
|
|
Chlamydia type
|
$40.95 |
$40.95 |
$40.95 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$646.10 |
$646.10 |
$646.10 |
$252.99
|
|
Chloramphenicol sodium injec
|
$212.82 |
$212.82 |
$212.82 |
$126.46
|
|
Chloride
|
$42.90 |
$42.90 |
$42.90 |
$37.48
|
|
Chloride 24 hour urine
|
$99.45 |
$99.45 |
$99.45 |
$40.80
|
|
Chloroprocaine hcl injection
|
$121.18 |
$121.18 |
$121.18 |
$68.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$195.39 |
$195.39 |
$195.39 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$50.55 |
$50.55 |
$50.55 |
$53.03
|
|
Chmotx admn plrl cav thrcnts
|
$400.40 |
$400.40 |
$400.40 |
$437.19
|
|
Cholangiogram percutaneous compl
|
$1,536.60 |
$1,536.60 |
$1,536.60 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$692.90 |
$692.90 |
$692.90 |
$546.01
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,874.00 |
$3,874.00 |
$3,874.00 |
$3,690.60
|
|
Cholesterol
|
$43.55 |
$43.55 |
$43.55 |
$40.95
|
|
Cholesterol body fluid
|
$1,461.20 |
$1,461.20 |
$1,461.20 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$154.70 |
$154.70 |
$154.70 |
$101.43
|
|
Cholinesterase
|
$132.60 |
$132.60 |
$132.60 |
$49.40
|
|
Cholinesterase challenge
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$296.91
|
|
Chrom analysis
|
$414.05 |
$414.05 |
$414.05 |
$156.00
|
|
Chromatography
|
$100.10 |
$100.10 |
$100.10 |
$81.25
|
|
Chromogenic substrate assay
|
$412.10 |
$412.10 |
$412.10 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$513.50 |
$513.50 |
$513.50 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$1,230.45 |
$1,230.45 |
$1,230.45 |
$558.25
|
|
Chromosome count additional
|
$158.60 |
$158.60 |
$158.60 |
$120.90
|
|
Chromosome karyotype study
|
$44.20 |
$44.20 |
$44.20 |
$120.60
|
|
Chronic urticaria - sendout
|
$190.45 |
$190.45 |
$190.45 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$124.15 |
$124.15 |
$124.15 |
$136.09
|
|
Cilastatin sodium injection
|
$119.65 |
$119.65 |
$119.65 |
$43.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$35.00 |
$35.00 |
$35.00 |
$35.00
|
|
Circum 28 days or older
|
$5,888.19 |
$5,888.19 |
$5,888.19 |
$4,074.80
|
|
Circumcision (newborn)
|
$652.60 |
$652.60 |
$652.60 |
$1,516.80
|
|
Cisplatin 1 mg/ml desensitization
|
$1,862.25 |
$1,862.25 |
$1,862.25 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$347.75 |
$347.75 |
$347.75 |
$606.06
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$3,064.75 |
$3,064.75 |
$3,064.75 |
$9,240.00
|
|
Clearance of airways
|
$136.50 |
$136.50 |
$136.50 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$68.69 |
$68.69 |
$68.69 |
$49.74
|
|
Clip ligating vesolock lg
|
$1,617.20 |
$1,617.20 |
$1,617.20 |
$1,453.20
|
|
Cllr miami j sm
|
$612.95 |
$612.95 |
$612.95 |
$112.39
|
|
Clofarabine 1 mg/ml intravenous solution
|
$2,958.15 |
$2,958.15 |
$2,958.15 |
$298.90
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$109.36 |
$109.36 |
$109.36 |
$109.36
|
|
Closure enterostomy lg/sm intestine oth/thn 44625
|
$11,803.27 |
$11,803.27 |
$11,803.27 |
$2,504.80
|
|
Closure of windpipe lesion 31820
|
$755.23 |
$755.23 |
$755.23 |
$3,544.29
|
|
Clot factor xii hageman
|
$124.15 |
$124.15 |
$124.15 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$135.20 |
$135.20 |
$135.20 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$166.40 |
$166.40 |
$166.40 |
$84.27
|
|
Clozapine, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$5.40
|
|
Cmbn ant pst colprhy
|
$12,337.31 |
$12,337.31 |
$12,337.31 |
$5,194.98
|
|
C motor evoked lwr limbs
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$619.82
|
|
C motor evoked uppr limbs
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$749.40
|
|
C motor evoked upr&lwr limbs
|
$637.00 |
$637.00 |
$637.00 |
$1,209.08
|
|
#cmvcul-virus inoculation shell
|
$210.60 |
$210.60 |
$210.60 |
$109.80
|
|
Cmv pcr-sendout
|
$460.20 |
$460.20 |
$460.20 |
$177.50
|
|
Co2 monitor per day
|
$473.20 |
$473.20 |
$473.20 |
$400.00
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$9,606.67 |
$9,606.67 |
$9,606.67 |
$3.78
|
|
Coagulation time activated teg
|
$89.70 |
$89.70 |
$89.70 |
$37.05
|
|
Cocaine 4 % nasal solution
|
$836.06 |
$836.06 |
$836.06 |
$836.06
|
|
Cold agglutinin screen (arc)
|
$55.25 |
$55.25 |
$55.25 |
$48.57
|
|
Cold agglutinin titer
|
$65.65 |
$65.65 |
$65.65 |
$48.57
|
|
Colistimethate sodium inj
|
$122.45 |
$122.45 |
$122.45 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$78.00 |
$78.00 |
$78.00 |
$32.26
|
|
Collar cerv ascend 172 reg
|
$352.95 |
$352.95 |
$352.95 |
$151.05
|
|
Collar cerv patriot adlt
|
$57.20 |
$57.20 |
$57.20 |
$83.20
|
|
Collar extrication adult univ
|
$934.70 |
$934.70 |
$934.70 |
$503.75
|
|
Collection blood specimen from completely implantable venous access device
|
$1,069.90 |
$1,069.90 |
$1,069.90 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$495.95 |
$495.95 |
$495.95 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$60.45 |
$60.45 |
$60.45 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$2,651.34 |
$2,651.34 |
$2,651.34 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$3,859.39 |
$3,859.39 |
$3,859.39 |
$1,846.40
|
|
Colonoscopy stoma w/snare 44394
|
$3,288.97 |
$3,288.97 |
$3,288.97 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$4,493.11 |
$4,493.11 |
$4,493.11 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$2,873.02 |
$2,873.02 |
$2,873.02 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$3,998.57 |
$3,998.57 |
$3,998.57 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$3,947.52 |
$3,947.52 |
$3,947.52 |
$1,497.60
|
|
Colonoscopy w/band ligation
|
$3,069.97 |
$3,069.97 |
$3,069.97 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$3,261.97 |
$3,261.97 |
$3,261.97 |
$2,019.60
|
|
Colonoscopy w/dilation
|
$3,021.77 |
$3,021.77 |
$3,021.77 |
$1,439.25
|
|
Colonoscopy/w endoscopic stent 45389
|
$12,719.58 |
$12,719.58 |
$12,719.58 |
$4,379.25
|
|
Colonoscopy w/fb removal
|
$4,616.72 |
$4,616.72 |
$4,616.72 |
$1,306.21
|
|
Colonoscopy (with biopsy)
|
$3,331.67 |
$3,331.67 |
$3,331.67 |
$2,074.50
|
|
Colonoscopy with biopsy
|
$3,188.27 |
$3,188.27 |
$3,188.27 |
$1,368.00
|
|
Colonoscopy (with polyp removal)
|
$3,350.12 |
$3,350.12 |
$3,350.12 |
$2,074.50
|
|
Colonoscopy w/resection
|
$5,603.67 |
$5,603.67 |
$5,603.67 |
$3,214.09
|
|
Colpocleisis (le forte type) 57120
|
$12,263.15 |
$12,263.15 |
$12,263.15 |
$4,279.19
|
|
Colpopexy extraperitoneal
|
$14,605.22 |
$14,605.22 |
$14,605.22 |
$4,423.50
|
|
Colpopexy intraperitoneal
|
$13,144.44 |
$13,144.44 |
$13,144.44 |
$4,755.92
|
|
Colposcopy vulva w/biopsy 56821
|
$9,078.32 |
$9,078.32 |
$9,078.32 |
$393.60
|
|
Compatibility test each unit antiglobulin technique
|
$61.75 |
$61.75 |
$61.75 |
$156.60
|
|
Compatibility test each unit electronic
|
$61.75 |
$61.75 |
$61.75 |
$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
|
$2,042.95 |
$2,042.95 |
$2,042.95 |
$933.75
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,284.40 |
$1,284.40 |
$1,284.40 |
$978.47
|
|
Complement antigen each component c3
|
$125.45 |
$125.45 |
$125.45 |
$110.00
|
|
Complex cystometrogram 51726
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$710.40
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$3,151.80 |
$3,151.80 |
$3,151.80 |
$876.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$13,445.39 |
$13,445.39 |
$13,445.39 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$1,732.90 |
$1,732.90 |
$1,732.90 |
$353.50
|
