|
Carfilzomib 10 mg intravenous solution
|
$8,807.40 |
$8,807.40 |
$8,807.40 |
$6,306.47
|
|
Carmustine 100 mg intravenous powder for solution
|
$382.20 |
$382.20 |
$382.20 |
$1,854.00
|
|
Carotene
|
$65.40 |
$65.40 |
$65.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$481.20 |
$481.20 |
$481.20 |
$1,024.32
|
|
Carpal Tunnel Release Surgery
|
$763.80 |
$763.80 |
$763.80 |
$3,867.50
|
|
Car seat/bed test 60 minutes
|
$165.60 |
$165.60 |
$165.60 |
$111.15
|
|
Cast sup lng arm splint fbrg
|
$19.80 |
$19.80 |
$19.80 |
$29.40
|
|
Cast sup lng arm splnt ped f
|
$16.80 |
$16.80 |
$16.80 |
$18.40
|
|
Cast sup lng leg ped fbrgls
|
$40.80 |
$40.80 |
$40.80 |
$87.36
|
|
Cast sup lng leg splnt fbrgl
|
$36.60 |
$36.60 |
$36.60 |
$85.60
|
|
Cast sup lng leg splnt ped f
|
$21.00 |
$21.00 |
$21.00 |
$43.16
|
|
Cast sup long arm adult fbrg
|
$33.00 |
$33.00 |
$33.00 |
$58.20
|
|
Cast sup long arm ped fbrgls
|
$19.80 |
$19.80 |
$19.80 |
$36.80
|
|
Cast sup long leg fiberglass
|
$67.80 |
$67.80 |
$67.80 |
$157.80
|
|
Cast sup shrt leg ped fbrgls
|
$24.00 |
$24.00 |
$24.00 |
$52.00
|
|
Cast sup sht arm adult fbrgl
|
$22.80 |
$22.80 |
$22.80 |
$36.00
|
|
Cast sup sht arm ped fbrglas
|
$18.00 |
$18.00 |
$18.00 |
$24.96
|
|
Cast sup sht arm splint fbrg
|
$19.20 |
$19.20 |
$19.20 |
$26.98
|
|
Cast sup sht arm splnt ped f
|
$16.20 |
$16.20 |
$16.20 |
$15.60
|
|
Cast sup sht leg splnt fbrgl
|
$24.00 |
$24.00 |
$24.00 |
$40.63
|
|
Cast sup sht leg splnt ped f
|
$18.00 |
$18.00 |
$18.00 |
$23.92
|
|
Catecholamines,fractionated, urine
|
$163.80 |
$163.80 |
$163.80 |
$133.70
|
|
Cath cv dl inj 7fx16cm
|
$362.40 |
$362.40 |
$362.40 |
$4,488.99
|
|
Cath epdrl brevi-stf 12in .043
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,928.17
|
|
Cath groshong MRI 8fr plstc port
|
$450.00 |
$450.00 |
$450.00 |
$1,690.71
|
|
Cath impl vasc access portal
|
$39.00 |
$39.00 |
$39.00 |
$156.85
|
|
Cath malecot 28fr 4-wing ltx
|
$567.00 |
$567.00 |
$567.00 |
$2,549.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$246.00 |
$246.00 |
$246.00 |
$462.80
|
|
Cauterization chemical granulation tissue
|
$248.40 |
$248.40 |
$248.40 |
$340.90
|
|
Cdna analysis for variants
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$542.87
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$13.20 |
$13.20 |
$13.20 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$45.00 |
$45.00 |
$45.00 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$292.80 |
$292.80 |
$292.80 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$17.40 |
$17.40 |
$17.40 |
$58.89
|
|
Ceftazidime and avibactam
|
$450.00 |
$450.00 |
$450.00 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$98.40 |
$98.40 |
$98.40 |
$83.39
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$7.80 |
$7.80 |
$7.80 |
$30.66
|
|
Cell count body fluid
|
$37.80 |
$37.80 |
$37.80 |
$63.52
|
|
Cell count w differential body fluid
|
$55.80 |
$55.80 |
$55.80 |
$92.56
|
|
Cell marker study
|
$255.60 |
$255.60 |
$255.60 |
$239.85
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$14,938.20 |
$14,938.20 |
$14,938.20 |
$10,638.62
|
|
Cervical or vaginal cancer screening g0101
|
$81.60 |
$81.60 |
$81.60 |
$109.46
|
|
Cesarean section delivery only 59514
|
$1,754.40 |
$1,754.40 |
$1,754.40 |
$2,194.65
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,044.00 |
$4,044.00 |
$4,044.00 |
$3,011.40
|
|
#cf-97variants
|
$1,763.40 |
$1,763.40 |
$1,763.40 |
$639.44
|
|
Change cystostomy tube; complex 51710
|
$171.60 |
$171.60 |
$171.60 |
$1,527.00
|
|
Change cystostomy tube simple
|
$355.80 |
$355.80 |
$355.80 |
$477.60
|
|
Change of windpipe airway 31502
|
$220.20 |
$220.20 |
$220.20 |
$401.50
|
|
Chemo adm cns w/lmbr punct
|
$742.20 |
$742.20 |
$742.20 |
$720.20
|
|
Chemodener muscle larynx emg
|
$143.40 |
$143.40 |
$143.40 |
$801.75
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$93.00 |
$93.00 |
$93.00 |
$617.60
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$104.40 |
$104.40 |
$104.40 |
$631.80
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$147.00 |
$147.00 |
$147.00 |
$1,033.63
|
|
Chemodenerv 1 extremity 1-4 64642
|
$134.40 |
$134.40 |
$134.40 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$171.60 |
$171.60 |
$171.60 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$155.40 |
$155.40 |
$155.40 |
$540.80
|
|
Chemodenerv musc neck dyston 64616
|
$220.80 |
$220.80 |
$220.80 |
$719.20
|
|
Chemodenerv trunk musc 1-5 64646
|
$145.80 |
$145.80 |
$145.80 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$168.00 |
$168.00 |
$168.00 |
$1,278.40
|
|
Chemo extend IV infus w/pump
|
$1,050.60 |
$1,050.60 |
$1,050.60 |
$748.55
|
|
Chemotherapy injection 96542
|
$490.20 |
$490.20 |
$490.20 |
$442.20
|
|
Chest 2 vws w oblique
|
$154.20 |
$154.20 |
$154.20 |
$375.60
|
|
Chest apical lordotic proj
|
$154.20 |
$154.20 |
$154.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,992.60 |
$1,992.60 |
$1,992.60 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$751.80 |
$751.80 |
$751.80 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$102.60 |
$102.60 |
$102.60 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$91.20 |
$91.20 |
$91.20 |
$134.50
|
|
Chest Ultrasound
|
$235.80 |
$235.80 |
$235.80 |
$463.88
|
|
Chest X-ray
|
$150.60 |
$150.60 |
$150.60 |
$294.06
|
|
Chest X-ray (single view)
|
$102.60 |
$102.60 |
$102.60 |
$236.60
|
|
Chloride
|
$36.60 |
$36.60 |
$36.60 |
$42.63
|
|
Chloride 24 hour urine
|
$40.20 |
$40.20 |
$40.20 |
$50.88
|
|
Chloroprocaine hcl injection
|
$4.20 |
$4.20 |
$4.20 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$156.00 |
$156.00 |
$156.00 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$72.60 |
$72.60 |
$72.60 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$297.00 |
$297.00 |
$297.00 |
$602.40
|
|
Cholesterol
|
$34.20 |
$34.20 |
$34.20 |
$45.76
|
|
Cholesterol body fluid
|
$61.80 |
$61.80 |
$61.80 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$97.80 |
$97.80 |
$97.80 |
$115.80
|
|
Cholinesterase
|
$78.00 |
$78.00 |
$78.00 |
$39.48
|
|
Chromatogram assay sugars
|
$186.60 |
$186.60 |
$186.60 |
$86.42
|
|
Chromosome analysis 15-20 cell count
|
$821.40 |
$821.40 |
$821.40 |
$517.11
|
|
Chromosome karyotype study
|
$115.80 |
$115.80 |
$115.80 |
$120.00
|
|
Chylomicron screen, bf - sendout
|
$321.00 |
$321.00 |
$321.00 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$5.40 |
$5.40 |
$5.40 |
$35.65
|
|
Circum 28 days or older
|
$383.40 |
$383.40 |
$383.40 |
$4,074.80
|
|
Circumcision (newborn)
|
$283.80 |
$283.80 |
$283.80 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$12.00 |
$12.00 |
$12.00 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$1,123.20 |
$1,123.20 |
$1,123.20 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$576.60
|
|
Claviculectomy partial
|
$1,090.80 |
$1,090.80 |
$1,090.80 |
$3,839.54
|
|
Clean out mastoid cavity
|
$250.80 |
$250.80 |
$250.80 |
$1,033.60
|
|
Clearance of airways
|
$1,011.60 |
$1,011.60 |
$1,011.60 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$26.40 |
$26.40 |
$26.40 |
$55.20
|
|
Clip phn wireless f/baha4 proc
|
$225.60 |
$225.60 |
$225.60 |
$449.46
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$77.40 |
$77.40 |
$77.40 |
$85.37
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,351.20 |
$1,351.20 |
$1,351.20 |
$1,806.01
|
|
Closed tx/acetabululm without manip 27220
|
$664.80 |
$664.80 |
$664.80 |
$478.53
|
