|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$34.60 |
$34.60 |
$34.60 |
$10,638.62
|
|
Cervical or vaginal cancer screening g0101
|
$48.00 |
$48.00 |
$48.00 |
$109.46
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$2,809.20 |
$2,809.20 |
$2,809.20 |
$3,011.40
|
|
#cf-97variants
|
$3,108.00 |
$3,108.00 |
$3,108.00 |
$639.44
|
|
Cftr gene intron poly t
|
$288.00 |
$288.00 |
$288.00 |
$301.65
|
|
Change cystostomy tube simple
|
$998.40 |
$998.40 |
$998.40 |
$477.60
|
|
Change of windpipe airway 31502
|
$571.20 |
$571.20 |
$571.20 |
$401.50
|
|
Chemo adm cns w/lmbr punct
|
$841.60 |
$841.60 |
$841.60 |
$720.20
|
|
Chemo extend IV infus w/pump
|
$841.60 |
$841.60 |
$841.60 |
$748.55
|
|
Chemotherapy injection 96542
|
$841.60 |
$841.60 |
$841.60 |
$442.20
|
|
Chemotx admn pertl cav impl
|
$637.60 |
$637.60 |
$637.60 |
$590.00
|
|
Chest 2 vws w oblique
|
$603.20 |
$603.20 |
$603.20 |
$375.60
|
|
Chest apical lordotic proj
|
$603.20 |
$603.20 |
$603.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,812.80 |
$3,812.80 |
$3,812.80 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$3,222.40 |
$3,222.40 |
$3,222.40 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,714.40 |
$2,714.40 |
$2,714.40 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$287.20 |
$287.20 |
$287.20 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$233.60 |
$233.60 |
$233.60 |
$134.50
|
|
Chest Ultrasound
|
$557.60 |
$557.60 |
$557.60 |
$463.88
|
|
Chest X-ray
|
$701.60 |
$701.60 |
$701.60 |
$294.06
|
|
Chest X-ray (single view)
|
$212.00 |
$212.00 |
$212.00 |
$236.60
|
|
Chg radiologic exam esophagus double contrast
|
$862.40 |
$862.40 |
$862.40 |
$520.80
|
|
Chlamydia culture
|
$883.20 |
$883.20 |
$883.20 |
$91.00
|
|
Chlamydia type
|
$63.20 |
$63.20 |
$63.20 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$288.80 |
$288.80 |
$288.80 |
$281.18
|
|
Chloride
|
$47.80 |
$47.80 |
$47.80 |
$42.63
|
|
Chloride 24 hour urine
|
$80.80 |
$80.80 |
$80.80 |
$50.88
|
|
Chloroprocaine hcl injection
|
$1.20 |
$1.20 |
$1.20 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,236.80 |
$1,236.80 |
$1,236.80 |
$406.36
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$215.40 |
$215.40 |
$215.40 |
$79.74
|
|
Chlorpromazine 100 mg tablet
|
$0.80 |
$0.80 |
$0.80 |
$6.96
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,756.80 |
$4,756.80 |
$4,756.80 |
$3,856.84
|
|
Cholesterol
|
$47.80 |
$47.80 |
$47.80 |
$45.76
|
|
Cholesterol body fluid
|
$622.40 |
$622.40 |
$622.40 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$276.00 |
$276.00 |
$276.00 |
$115.80
|
|
Cholinesterase
|
$103.20 |
$103.20 |
$103.20 |
$39.48
|
|
Chromatography
|
$22.40 |
$22.40 |
$22.40 |
$84.60
|
|
Chromogenic substrate assay
|
$158.40 |
$158.40 |
$158.40 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$770.40 |
$770.40 |
$770.40 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$1,241.60 |
$1,241.60 |
$1,241.60 |
$517.11
|
|
Chromosome analysis 45
|
$1,109.60 |
$1,109.60 |
$1,109.60 |
$382.85
|
|
Chromosome study additional
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$151.09
|
|
Chronic urticaria - sendout
|
$160.00 |
$160.00 |
$160.00 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$404.80 |
$404.80 |
$404.80 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$9.00 |
$9.00 |
$9.00 |
$35.65
|
|
Circumcision (newborn)
|
$630.60 |
$630.60 |
$630.60 |
$1,364.88
|
|
Cisplatin 1 mg/ml desensitization
|
$83.40 |
$83.40 |
$83.40 |
$205.56
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,014.80 |
$2,014.80 |
$2,014.80 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$45.80 |
$45.80 |
$45.80 |
$55.20
|
|
Clip ligating vesolock lg
|
$736.00 |
$736.00 |
$736.00 |
$4,320.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$453.60 |
$453.60 |
$453.60 |
$85.37
|
|
Closed treatment of femoral fracture proximal end neck; wi
|
$3,630.40 |
$3,630.40 |
$3,630.40 |
$1,642.82
|
|
Closed tx/acetabululm without manip 27220
|
$561.60 |
$561.60 |
$561.60 |
$478.53
|
|
Closed tx humerus fx with manip 23605
|
$3,791.20 |
$3,791.20 |
$3,791.20 |
$2,291.20
|
|
Closed tx humerus fx without manip 23600
|
$998.40 |
$998.40 |
$998.40 |
$498.40
|
|
Closed tx humerus fx w/manip 24505
|
$998.40 |
$998.40 |
$998.40 |
$1,549.52
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$998.40 |
$998.40 |
$998.40 |
$386.40
|
|
Closed tx/talus fracture without manip 28430
|
$998.40 |
$998.40 |
$998.40 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$998.40 |
$998.40 |
$998.40 |
$472.50
|
|
Clos txnose fx without stablz 21315
|
$998.40 |
$998.40 |
$998.40 |
$2,392.80
|
|
Clot factor viii reltd antgn
|
$348.00 |
$348.00 |
$348.00 |
$140.42
|
|
Clot factor xii hageman
|
$197.60 |
$197.60 |
$197.60 |
$138.40
|
|
Clozapine, 25 mg
|
$8.40 |
$8.40 |
$8.40 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$998.40 |
$998.40 |
$998.40 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$998.40 |
$998.40 |
$998.40 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$998.40 |
$998.40 |
$998.40 |
$489.60
|
|
Clsd tx clavicle dislocation without manip 23540
|
$647.20 |
$647.20 |
$647.20 |
$419.40
|
|
Clsd tx/clavicular fx without manip 23500
|
$998.40 |
$998.40 |
$998.40 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$998.40 |
$998.40 |
$998.40 |
$417.90
|
|
Clsd tx dist fib fx w/manip 27788
|
$868.80 |
$868.80 |
$868.80 |
$676.65
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$766.40 |
$766.40 |
$766.40 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$998.40 |
$998.40 |
$998.40 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$2,211.05
|
|
Clsd tx fracture of radius 25500
|
$998.40 |
$998.40 |
$998.40 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$825.60 |
$825.60 |
$825.60 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$825.60 |
$825.60 |
$825.60 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$998.40 |
$998.40 |
$998.40 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$998.40 |
$998.40 |
$998.40 |
$1,726.01
|
|
Clsd tx fx radius/ulna without manip 25560
|
$998.40 |
$998.40 |
$998.40 |
$488.88
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$995.20 |
$995.20 |
$995.20 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$882.40 |
$882.40 |
$882.40 |
$452.00
|
|
Clsd tx hip disloc without anes 27265
|
$868.80 |
$868.80 |
$868.80 |
$630.00
|
|
Clsd tx humeral fract without manip 24530
|
$998.40 |
$998.40 |
$998.40 |
$577.20
|
|
Clsd tx humerus fract without manip 24500
|
$998.40 |
$998.40 |
$998.40 |
$492.99
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$4,051.20 |
$4,051.20 |
$4,051.20 |
$883.00
|
|
Clsd tx mandibular fx without manip 21450
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$987.60
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$882.40 |
$882.40 |
$882.40 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$998.40 |
$998.40 |
$998.40 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$998.40 |
$998.40 |
$998.40 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$647.20 |
$647.20 |
$647.20 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$825.60 |
$825.60 |
$825.60 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$998.40 |
$998.40 |
$998.40 |
$573.52
|
|
Clsd tx/patellar fx without manip 27520
|
$998.40 |
$998.40 |
$998.40 |
$498.85
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$950.40 |
$950.40 |
$950.40 |
$2,222.00
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$998.40 |
$998.40 |
$998.40 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$998.40 |
$998.40 |
$998.40 |
$466.14
|
|
Clsd tx radius fracture w/manip 24655
|
$4,070.40 |
$4,070.40 |
$4,070.40 |
$1,782.86
|
|
Clsd tx/scapular fx without manip 23570
|
$998.40 |
$998.40 |
$998.40 |
$452.40
|
