|
Cath epdrl brevi-stf 12in .043
|
$70.40 |
$70.40 |
$70.40 |
$2,003.82
|
|
Catheterization collection of specimen single patient all places of service
|
$36.00 |
$36.00 |
$36.00 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$651.76 |
$651.76 |
$651.76 |
$1,758.92
|
|
Cath hawkone s directional
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$7,076.25
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,313.40 |
$1,313.40 |
$1,313.40 |
$4,536.00
|
|
Cath lt/rt pulm art
|
$660.80 |
$660.80 |
$660.80 |
$1,256.00
|
|
Cath malecot 28fr 4-wing ltx
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$2,502.00
|
|
Cath place 1st order venous 36011
|
$896.00 |
$896.00 |
$896.00 |
$1,357.20
|
|
Cath plc art ang/grft lt/rt hr
|
$13,276.80 |
$13,276.80 |
$13,276.80 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$6,210.40 |
$6,210.40 |
$6,210.40 |
$9,974.16
|
|
Cath plc art/grft/angio right hrt
|
$11,252.80 |
$11,252.80 |
$11,252.80 |
$10,600.47
|
|
Cath ptca pcltxl agent 3x20mm
|
$7,458.00 |
$7,458.00 |
$7,458.00 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$5,858.40 |
$5,858.40 |
$5,858.40 |
$6,356.90
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$275.20 |
$275.20 |
$275.20 |
$462.80
|
|
Cath segmntl pulm art
|
$497.60 |
$497.60 |
$497.60 |
$1,250.25
|
|
Cath steerable flex adv 12f
|
$1,180.08 |
$1,180.08 |
$1,180.08 |
$2,925.00
|
|
Cath uret open tp 6fx70cm
|
$114.51 |
$114.51 |
$114.51 |
$583.80
|
|
Cauterization chemical granulation tissue
|
$712.00 |
$712.00 |
$712.00 |
$340.90
|
|
Cdna analysis for variants
|
$770.40 |
$770.40 |
$770.40 |
$547.95
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$18.20 |
$18.20 |
$18.20 |
$40.39
|
|
Cefepime 1 gram solution for injection
|
$23.40 |
$23.40 |
$23.40 |
$44.99
|
|
Cefotaxime sodium injection
|
$840.00 |
$840.00 |
$840.00 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$19.20 |
$19.20 |
$19.20 |
$74.57
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$673.20 |
$673.20 |
$673.20 |
$602.45
|
|
Ceftazidime and avibactam
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$18.60 |
$18.60 |
$18.60 |
$84.15
|
|
Cell count body fluid
|
$23.20 |
$23.20 |
$23.20 |
$63.52
|
|
Cell count w differential body fluid
|
$28.00 |
$28.00 |
$28.00 |
$93.23
|
|
Cerebrospinal fld flw imag
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$951.06
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$6,830.20 |
$6,830.20 |
$6,830.20 |
$10,638.62
|
|
#cf-97variants
|
$1,275.20 |
$1,275.20 |
$1,275.20 |
$612.26
|
|
Change cystostomy tube; complex 51710
|
$1,457.60 |
$1,457.60 |
$1,457.60 |
$1,484.16
|
|
Change cystostomy tube simple
|
$564.80 |
$564.80 |
$564.80 |
$473.00
|
|
Change g-tube to g-j perc
|
$2,888.00 |
$2,888.00 |
$2,888.00 |
$2,198.40
|
|
Change nephroureteral cath
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$3,000.00
|
|
Change of ureter tube/stent
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
$2,424.12
|
|
Change of windpipe airway 31502
|
$484.80 |
$484.80 |
$484.80 |
$398.43
|
|
Chest 2 vws w oblique
|
$501.60 |
$501.60 |
$501.60 |
$373.60
|
|
Chest apical lordotic proj
|
$416.00 |
$416.00 |
$416.00 |
$309.65
|
|
Chest CT scan (with and without contrast)
|
$562.00 |
$562.00 |
$562.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$470.00 |
$470.00 |
$470.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$285.00 |
$285.00 |
$285.00 |
$1,350.03
|
|
Chest X-ray
|
$322.40 |
$322.40 |
$322.40 |
$295.03
|
|
Chest X-ray (single view)
|
$292.80 |
$292.80 |
$292.80 |
$241.20
|
|
Chg radiologic exam esophagus double contrast
|
$886.40 |
$886.40 |
$886.40 |
$512.00
|
|
Chloride
|
$23.20 |
$23.20 |
$23.20 |
$40.95
|
|
Chloride 24 hour urine
|
$28.80 |
$28.80 |
$28.80 |
$50.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$76.60 |
$76.60 |
$76.60 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$65.20 |
$65.20 |
$65.20 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$3,703.20 |
$3,703.20 |
$3,703.20 |
$3,739.81
|
|
Cholesterol
|
$18.40 |
$18.40 |
$18.40 |
$45.50
|
|
Cholesterol body fluid
|
$49.60 |
$49.60 |
$49.60 |
$88.65
|
|
Cholesterol (Lipid) Test
|
$40.00 |
$40.00 |
$40.00 |
$115.80
|
|
Chromatography
|
$75.20 |
$75.20 |
$75.20 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$236.80 |
$236.80 |
$236.80 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$626.40 |
$626.40 |
$626.40 |
$512.20
|
|
Chromosome karyotype study
|
$140.00 |
$140.00 |
$140.00 |
$120.00
|
|
Cilastatin sodium injection
|
$96.00 |
$96.00 |
$96.00 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$24.00 |
$24.00 |
$24.00 |
$36.23
|
|
Circumcise/surg/28 days or < 54160
|
$433.60 |
$433.60 |
$433.60 |
$1,219.20
|
|
Circumcision (newborn)
|
$392.80 |
$392.80 |
$392.80 |
$1,358.70
|
|
Cisplatin 1 mg/ml desensitization
|
$79.60 |
$79.60 |
$79.60 |
$198.28
|
|
C-kit mutation liquid tumor - sendout
|
$1,371.20 |
$1,371.20 |
$1,371.20 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$15,779.40
|
|
Clearance of airways
|
$248.00 |
$248.00 |
$248.00 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$38.40 |
$38.40 |
$38.40 |
$55.20
|
|
Clip ligating vesolock lg
|
$673.20 |
$673.20 |
$673.20 |
$4,194.00
|
|
Cllr miami j sm
|
$19.20 |
$19.20 |
$19.20 |
$552.23
|
|
Closed tx/acetabululm without manip 27220
|
$986.40 |
$986.40 |
$986.40 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$2,269.80
|
|
Closed tx humerus fx without manip 23600
|
$952.80 |
$952.80 |
$952.80 |
$494.49
|
|
Closed tx humerus fx w/manip 24505
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,540.50
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$685.60 |
$685.60 |
$685.60 |
$386.40
|
|
Closed tx/talus fracture without manip 28430
|
$522.40 |
$522.40 |
$522.40 |
$439.95
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$610.40 |
$610.40 |
$610.40 |
$472.50
|
|
Clot factor xii hageman
|
$112.80 |
$112.80 |
$112.80 |
$135.01
|
|
Clot factor xiii fibrin stab
|
$106.40 |
$106.40 |
$106.40 |
$106.26
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$926.40 |
$926.40 |
$926.40 |
$657.28
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$929.60 |
$929.60 |
$929.60 |
$484.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$1,686.40 |
$1,686.40 |
$1,686.40 |
$419.40
|
|
Clsd tx/clavicular fx without manip 23500
|
$450.40 |
$450.40 |
$450.40 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$822.40 |
$822.40 |
$822.40 |
$416.16
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$676.20
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$2,211.05
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$260.00 |
$260.00 |
$260.00 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$777.60 |
$777.60 |
$777.60 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$710.40 |
$710.40 |
$710.40 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$1,680.00
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$926.40 |
$926.40 |
$926.40 |
$1,548.40
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$450.10
|
|
Clsd tx hip disloc without anes 27265
|
$3,321.60 |
$3,321.60 |
$3,321.60 |
$631.00
|
|
Clsd tx humeral fract without manip 24530
|
$624.00 |
$624.00 |
$624.00 |
$574.00
|
|
Clsd tx humerus fract without manip 24500
|
$614.40 |
$614.40 |
$614.40 |
$491.50
|
|
Clsd tx mandibular fx without manip 21450
|
$641.60 |
$641.60 |
$641.60 |
$987.60
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$400.00 |
$400.00 |
$400.00 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$777.60 |
$777.60 |
$777.60 |
$613.14
|
|
Clsd tx/metatarsal fx without manip 28470
|
$406.40 |
$406.40 |
$406.40 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$869.60 |
$869.60 |
$869.60 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$495.80
|
