|
Cell count w differential body fluid
|
$81.00 |
$81.00 |
$81.00 |
$92.56
|
|
Cell cryopreserve/storage
|
$189.00 |
$189.00 |
$189.00 |
$62.72
|
|
Cell function assay w/stim
|
$721.80 |
$721.80 |
$721.80 |
$325.76
|
|
Cell marker study
|
$126.60 |
$126.60 |
$126.60 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$497.40 |
$497.40 |
$497.40 |
$21,625.43
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$35.00 |
$35.00 |
$35.00 |
$10,638.62
|
|
#cf-97variants
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$639.44
|
|
Cftr gene known fam variants
|
$334.20 |
$334.20 |
$334.20 |
$195.20
|
|
Change cystostomy tube simple
|
$379.80 |
$379.80 |
$379.80 |
$477.60
|
|
Change of windpipe airway 31502
|
$242.40 |
$242.40 |
$242.40 |
$401.50
|
|
Chemodenerv 1 extremity 1-4 64642
|
$483.60 |
$483.60 |
$483.60 |
$988.50
|
|
Chemodenervation/face muscl/unilat 64612
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$600.00
|
|
Chemodenerv musc migraine 64615
|
$597.60 |
$597.60 |
$597.60 |
$540.80
|
|
Chemodenerv trunk musc 1-5 64646
|
$472.20 |
$472.20 |
$472.20 |
$1,071.50
|
|
Chemodenerv trunk musc 6/] 64647
|
$546.60 |
$546.60 |
$546.60 |
$1,278.40
|
|
Chest 2 vws w oblique
|
$308.40 |
$308.40 |
$308.40 |
$375.60
|
|
Chest apical lordotic proj
|
$215.40 |
$215.40 |
$215.40 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$989.40 |
$989.40 |
$989.40 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$802.20 |
$802.20 |
$802.20 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$289.20 |
$289.20 |
$289.20 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$94.80 |
$94.80 |
$94.80 |
$134.50
|
|
Chest Ultrasound
|
$289.80 |
$289.80 |
$289.80 |
$463.88
|
|
Chest X-ray
|
$215.40 |
$215.40 |
$215.40 |
$294.06
|
|
Chest X-ray (single view)
|
$215.40 |
$215.40 |
$215.40 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$245.40 |
$245.40 |
$245.40 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$237.00 |
$237.00 |
$237.00 |
$520.80
|
|
Chloride
|
$16.20 |
$16.20 |
$16.20 |
$42.63
|
|
Chloride 24 hour urine
|
$32.40 |
$32.40 |
$32.40 |
$50.88
|
|
Chloroprocaine hcl injection
|
$1.20 |
$1.20 |
$1.20 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$416.00 |
$416.00 |
$416.00 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$48.60 |
$48.60 |
$48.60 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$0.80 |
$0.80 |
$0.80 |
$6.96
|
|
Cholangiogram percutaneous compl
|
$2,453.40 |
$2,453.40 |
$2,453.40 |
$3,427.55
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$311.40 |
$311.40 |
$311.40 |
$602.40
|
|
Cholesterol
|
$32.40 |
$32.40 |
$32.40 |
$45.76
|
|
Cholesterol body fluid
|
$9,563.40 |
$9,563.40 |
$9,563.40 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$75.60 |
$75.60 |
$75.60 |
$115.80
|
|
Chromatography
|
$49.20 |
$49.20 |
$49.20 |
$84.60
|
|
Chromogenic substrate assay
|
$117.00 |
$117.00 |
$117.00 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$3,739.80 |
$3,739.80 |
$3,739.80 |
$250.00
|
|
Chromosome analysis 100
|
$858.60 |
$858.60 |
$858.60 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$346.20 |
$346.20 |
$346.20 |
$517.11
|
|
Chromosome analysis 5
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$644.80
|
|
Chronic urticaria - sendout
|
$114.60 |
$114.60 |
$114.60 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$372.60 |
$372.60 |
$372.60 |
$136.09
|
|
Cilastatin sodium injection
|
$223.80 |
$223.80 |
$223.80 |
$77.40
|
|
Ciliary transsleral therapy
|
$3,349.80 |
$3,349.80 |
$3,349.80 |
$3,269.14
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$43.40 |
$43.40 |
$43.40 |
$35.65
|
|
C-kit mutation liquid tumor - sendout
|
$4,054.80 |
$4,054.80 |
$4,054.80 |
$666.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$51.60 |
$51.60 |
$51.60 |
$55.20
|
|
Clip ligating vesolock lg
|
$778.20 |
$778.20 |
$778.20 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$57.80 |
$57.80 |
$57.80 |
$85.37
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$657.60 |
$657.60 |
$657.60 |
$520.80
|
|
Closed tx humerus fx with manip 23605
|
$2,952.60 |
$2,952.60 |
$2,952.60 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$379.80 |
$379.80 |
$379.80 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$379.80 |
$379.80 |
$379.80 |
$386.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,625.20 |
$3,625.20 |
$3,625.20 |
$2,569.28
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$550.80 |
$550.80 |
$550.80 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$2,635.80 |
$2,635.80 |
$2,635.80 |
$2,392.80
|
|
Clot factor fletcher fact
|
$186.60 |
$186.60 |
$186.60 |
$119.50
|
|
Clot factor wght kininogen
|
$186.60 |
$186.60 |
$186.60 |
$157.50
|
|
Clot factor xii hageman
|
$75.00 |
$75.00 |
$75.00 |
$138.40
|
|
Clot factor xiii fibrin stab
|
$128.40 |
$128.40 |
$128.40 |
$106.40
|
|
Clozapine, 25 mg
|
$1.20 |
$1.20 |
$1.20 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$632.40 |
$632.40 |
$632.40 |
$648.96
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$381.60 |
$381.60 |
$381.60 |
$489.60
|
|
Clsd tx dist fib fx w/manip 27788
|
$379.80 |
$379.80 |
$379.80 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$379.80 |
$379.80 |
$379.80 |
$465.21
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$379.80 |
$379.80 |
$379.80 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$379.80 |
$379.80 |
$379.80 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$379.80 |
$379.80 |
$379.80 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$3,680.40 |
$3,680.40 |
$3,680.40 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$379.80 |
$379.80 |
$379.80 |
$620.32
|
|
Clsd tx patella disloc without anes 27560
|
$316.80 |
$316.80 |
$316.80 |
$573.52
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,706.00 |
$2,706.00 |
$2,706.00 |
$2,222.00
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,070.00 |
$2,070.00 |
$2,070.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$231.60 |
$231.60 |
$231.60 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$316.80 |
$316.80 |
$316.80 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$379.80 |
$379.80 |
$379.80 |
$489.60
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,592.00
|
|
Clsd tx wrist trans-scaph fx w/manip 25680
|
$3,391.80 |
$3,391.80 |
$3,391.80 |
$490.00
|
|
Cltx humrl cndylr fx w/mnpj
|
$2,374.20 |
$2,374.20 |
$2,374.20 |
$1,851.78
|
|
Cltx scap fx w/mnpj +-tractj
|
$2,565.60 |
$2,565.60 |
$2,565.60 |
$2,021.04
|
|
#cmvcul-virus inoculation shell
|
$75.60 |
$75.60 |
$75.60 |
$89.76
|
|
Cmv pcr-sendout
|
$699.60 |
$699.60 |
$699.60 |
$175.70
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$5.40 |
$5.40 |
$5.40 |
$11,888.50
|
|
Coagulation time activated teg
|
$47.40 |
$47.40 |
$47.40 |
$52.47
|
|
Cold agglutinin titer
|
$22.20 |
$22.20 |
$22.20 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$237.60 |
$237.60 |
$237.60 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$42.60 |
$42.60 |
$42.60 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$130.20 |
$130.20 |
$130.20 |
$224.11
|
|
Collar cerv patriot adlt
|
$55.80 |
$55.80 |
$55.80 |
$134.66
|
|
Collection blood specimen from completely implantable venous access device
|
$147.00 |
$147.00 |
$147.00 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$213.00 |
$213.00 |
$213.00 |
$155.40
|
|
Colonoscopy (diagnostic)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$2,288.00
|
