|
Bx thyroid/percutan core needle 60100
|
$633.60 |
$633.60 |
$633.60 |
$957.60
|
|
Bx vulva or perineum/1 lesion 56605
|
$861.60 |
$861.60 |
$861.60 |
$1,097.40
|
|
C1 esterase inhibitor func - sendout
|
$49.60 |
$49.60 |
$49.60 |
$96.72
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$3,341.00 |
$3,341.00 |
$3,341.00 |
$2,177.05
|
|
Calcium 24 hour urine
|
$24.80 |
$24.80 |
$24.80 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$137.20 |
$137.20 |
$137.20 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$114.60 |
$114.60 |
$114.60 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$184.20 |
$184.20 |
$184.20 |
$91.60
|
|
Calcium ionized
|
$55.20 |
$55.20 |
$55.20 |
$89.88
|
|
Calcium total
|
$21.60 |
$21.60 |
$21.60 |
$50.00
|
|
Calprotectin fecal
|
$80.00 |
$80.00 |
$80.00 |
$170.00
|
|
Canthotomy 67715
|
$3,981.60 |
$3,981.60 |
$3,981.60 |
$3,014.70
|
|
Carbamazepine free
|
$55.20 |
$55.20 |
$55.20 |
$59.15
|
|
Carbamazepine free -sendout
|
$77.60 |
$77.60 |
$77.60 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$60.80 |
$60.80 |
$60.80 |
$122.85
|
|
Carbohydrate deficient transf - sendout
|
$75.20 |
$75.20 |
$75.20 |
$116.40
|
|
Carbon dioxide
|
$19.20 |
$19.20 |
$19.20 |
$42.66
|
|
Carboplatin 10 mg/ml desensitization
|
$334.20 |
$334.20 |
$334.20 |
$197.57
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$460.80
|
|
Carboxyhemoglobin quantitative
|
$52.00 |
$52.00 |
$52.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$65.00 |
$65.00 |
$65.00 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,720.00 |
$4,720.00 |
$4,720.00 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$276.00 |
$276.00 |
$276.00 |
$248.00
|
|
Cardiolipin antibody iga
|
$105.60 |
$105.60 |
$105.60 |
$105.60
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,464.80 |
$1,464.80 |
$1,464.80 |
$1,411.50
|
|
Carotene
|
$38.40 |
$38.40 |
$38.40 |
$46.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$997.10
|
|
Car seat/bed test 60 minutes
|
$219.20 |
$219.20 |
$219.20 |
$110.40
|
|
Car seat/bed test additional 30 minutes
|
$55.20 |
$55.20 |
$55.20 |
$65.00
|
|
Catheterization collection of specimen single patient all places of service
|
$36.00 |
$36.00 |
$36.00 |
$40.95
|
|
Cath plc art ang/grft lt/rt hr
|
$18,341.60 |
$18,341.60 |
$18,341.60 |
$11,689.44
|
|
Cath plc art/angio/rt hrt cath
|
$21,007.20 |
$21,007.20 |
$21,007.20 |
$9,974.16
|
|
Cath plc art/grft/angio right hrt
|
$24,028.00 |
$24,028.00 |
$24,028.00 |
$10,600.47
|
|
Cath ptca pcltxl agent 3x20mm
|
$17,176.00 |
$17,176.00 |
$17,176.00 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$5,681.60 |
$5,681.60 |
$5,681.60 |
$6,356.90
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$380.00 |
$380.00 |
$380.00 |
$462.80
|
|
Cdna analysis for variants
|
$756.00 |
$756.00 |
$756.00 |
$547.95
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$54.60 |
$54.60 |
$54.60 |
$40.39
|
|
Cefepime 1 gram solution for injection
|
$66.80 |
$66.80 |
$66.80 |
$44.99
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$64.00 |
$64.00 |
$64.00 |
$59.79
|
|
Ceftazidime and avibactam
|
$2,742.40 |
$2,742.40 |
$2,742.40 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$27.40 |
$27.40 |
$27.40 |
$84.15
|
|
Cell count body fluid
|
$19.20 |
$19.20 |
$19.20 |
$63.52
|
|
Cell count w differential body fluid
|
$23.20 |
$23.20 |
$23.20 |
$93.23
|
|
Cell function assay w/stim
|
$564.80 |
$564.80 |
$564.80 |
$318.58
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$23,323.00 |
$23,323.00 |
$23,323.00 |
$10,638.62
|
|
#cf-97variants
|
$243.20 |
$243.20 |
$243.20 |
$612.26
|
|
Change cystostomy tube; complex 51710
|
$1,457.60 |
$1,457.60 |
$1,457.60 |
$1,484.16
|
|
Change cystostomy tube simple
|
$512.00 |
$512.00 |
$512.00 |
$473.00
|
|
Change nephroureteral cath
|
$3,511.20 |
$3,511.20 |
$3,511.20 |
$3,000.00
|
|
Change of ureter tube/stent
|
$3,307.20 |
$3,307.20 |
$3,307.20 |
$2,424.12
|
|
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
|
$236.80 |
$236.80 |
$236.80 |
$512.00
|
|
Chloride
|
$18.40 |
$18.40 |
$18.40 |
$40.95
|
|
Chloride 24 hour urine
|
$24.00 |
$24.00 |
$24.00 |
$50.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$243.20 |
$243.20 |
$243.20 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$255.60 |
$255.60 |
$255.60 |
$78.43
|
|
Cholecystostomy complete w/supervision & interpretation
|
$5,436.00 |
$5,436.00 |
$5,436.00 |
$3,739.81
|
|
Cholesterol
|
$18.40 |
$18.40 |
$18.40 |
$45.50
|
|
Cholesterol (Lipid) Test
|
$40.00 |
$40.00 |
$40.00 |
$115.80
|
|
Cholinesterase
|
$32.80 |
$32.80 |
$32.80 |
$39.32
|
|
Chromatography
|
$75.20 |
$75.20 |
$75.20 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$232.80 |
$232.80 |
$232.80 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$512.00 |
$512.00 |
$512.00 |
$512.20
|
|
Cilastatin sodium injection
|
$144.80 |
$144.80 |
$144.80 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$90.80 |
$90.80 |
$90.80 |
$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
|
$263.20 |
$263.20 |
$263.20 |
$198.28
|
|
Clearance of airways
|
$295.20 |
$295.20 |
$295.20 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$145.00 |
$145.00 |
$145.00 |
$55.20
|
|
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
|
$880.80 |
$880.80 |
$880.80 |
$494.49
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$610.40 |
$610.40 |
$610.40 |
$472.50
|
|
Clot factor xiii fibrin stab
|
$106.40 |
$106.40 |
$106.40 |
$106.26
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$540.00 |
$540.00 |
$540.00 |
$657.28
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$553.60 |
$553.60 |
$553.60 |
$528.50
|
|
Clsd tx/clavicular fx without manip 23500
|
$409.60 |
$409.60 |
$409.60 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$747.20 |
$747.20 |
$747.20 |
$416.16
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$676.20
|
|
Clsd tx elbow dislocation child 24640
|
$368.00 |
$368.00 |
$368.00 |
$462.80
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$494.40 |
$494.40 |
$494.40 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$689.60 |
$689.60 |
$689.60 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$606.40 |
$606.40 |
$606.40 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$884.00 |
$884.00 |
$884.00 |
$1,548.40
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$928.80 |
$928.80 |
$928.80 |
$450.10
|
|
Clsd tx hip disloc without anes 27265
|
$3,321.60 |
$3,321.60 |
$3,321.60 |
$631.00
|
|
Clsd tx humerus fract without manip 24500
|
$568.00 |
$568.00 |
$568.00 |
$491.50
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$777.60 |
$777.60 |
$777.60 |
$496.80
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$452.80 |
$452.80 |
$452.80 |
$613.14
|
|
Clsd tx/metatarsal fx without manip 28470
|
$608.00 |
$608.00 |
$608.00 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$409.60 |
$409.60 |
$409.60 |
$577.20
|
