|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$103.43 |
$103.43 |
$103.43 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$63.52 |
$63.52 |
$63.52 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$65.65 |
$65.65 |
$65.65 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$63.37 |
$63.37 |
$63.37 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$127.03 |
$127.03 |
$127.03 |
$83.39
|
|
Cell count body fluid
|
$30.40 |
$30.40 |
$30.40 |
$63.52
|
|
Cell count w differential body fluid
|
$49.60 |
$49.60 |
$49.60 |
$92.56
|
|
Chest 2 vws w oblique
|
$344.00 |
$344.00 |
$344.00 |
$375.60
|
|
Chest apical lordotic proj
|
$320.80 |
$320.80 |
$320.80 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,678.40 |
$2,678.40 |
$2,678.40 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,216.00 |
$2,216.00 |
$2,216.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,054.40 |
$2,054.40 |
$2,054.40 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$208.80 |
$208.80 |
$208.80 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$159.20 |
$159.20 |
$159.20 |
$134.50
|
|
Chest Ultrasound
|
$568.00 |
$568.00 |
$568.00 |
$463.88
|
|
Chest X-ray
|
$279.20 |
$279.20 |
$279.20 |
$294.06
|
|
Chest X-ray (single view)
|
$210.40 |
$210.40 |
$210.40 |
$236.60
|
|
Chloride
|
$32.00 |
$32.00 |
$32.00 |
$42.63
|
|
Chloride 24 hour urine
|
$35.20 |
$35.20 |
$35.20 |
$50.88
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$83.49 |
$83.49 |
$83.49 |
$406.36
|
|
Cholesterol
|
$28.80 |
$28.80 |
$28.80 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$75.20 |
$75.20 |
$75.20 |
$115.80
|
|
Cholinesterase
|
$35.20 |
$35.20 |
$35.20 |
$39.48
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
Chromatography
|
$43.20 |
$43.20 |
$43.20 |
$84.60
|
|
Chromogenic substrate assay
|
$289.60 |
$289.60 |
$289.60 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$139.20 |
$139.20 |
$139.20 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$306.40 |
$306.40 |
$306.40 |
$517.11
|
|
Chromosome analysis 45
|
$366.40 |
$366.40 |
$366.40 |
$382.85
|
|
Chromosome analysis 5
|
$644.80 |
$644.80 |
$644.80 |
$644.80
|
|
Chronic urticaria - sendout
|
$100.00 |
$100.00 |
$100.00 |
$75.71
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$79.01 |
$79.01 |
$79.01 |
$35.65
|
|
Clearance of airways
|
$260.80 |
$260.80 |
$260.80 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$126.20 |
$126.20 |
$126.20 |
$55.20
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$426.40 |
$426.40 |
$426.40 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$1,806.01
|
|
Closed tx humerus fx without manip 23600
|
$425.60 |
$425.60 |
$425.60 |
$498.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$423.20 |
$423.20 |
$423.20 |
$386.40
|
|
Closed tx sesamoid fx 28530
|
$352.00 |
$352.00 |
$352.00 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$392.80 |
$392.80 |
$392.80 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$452.00 |
$452.00 |
$452.00 |
$472.50
|
|
Clot factor xiii fibrin scrn
|
$220.00 |
$220.00 |
$220.00 |
$56.85
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$516.80 |
$516.80 |
$516.80 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$423.20 |
$423.20 |
$423.20 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$391.20 |
$391.20 |
$391.20 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,502.40 |
$1,502.40 |
$1,502.40 |
$1,980.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,468.80 |
$1,468.80 |
$1,468.80 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$358.40 |
$358.40 |
$358.40 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$288.00 |
$288.00 |
$288.00 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$360.80 |
$360.80 |
$360.80 |
$417.90
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$412.00 |
$412.00 |
$412.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$375.20 |
$375.20 |
$375.20 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$352.80 |
$352.80 |
$352.80 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$330.40 |
$330.40 |
$330.40 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$448.80 |
$448.80 |
$448.80 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$428.80 |
$428.80 |
$428.80 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,484.80 |
$1,484.80 |
$1,484.80 |
$1,726.01
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$359.20 |
$359.20 |
$359.20 |
$452.00
|
|
Clsd tx/metacar/interphal artic fx 26740
|
$409.60 |
$409.60 |
$409.60 |
$506.10
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$378.40 |
$378.40 |
$378.40 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$627.20 |
$627.20 |
$627.20 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$604.00 |
$604.00 |
$604.00 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$349.60 |
$349.60 |
$349.60 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,237.60 |
$1,237.60 |
$1,237.60 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$479.20 |
$479.20 |
$479.20 |
$573.52
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$389.60 |
$389.60 |
$389.60 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$392.80 |
$392.80 |
$392.80 |
$466.14
|
|
Clsd tx/scapular fx without manip 23570
|
$324.00 |
$324.00 |
$324.00 |
$452.40
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$2,331.50
|
|
Clsd tx temporomandibular dislocat 21480
|
$460.80 |
$460.80 |
$460.80 |
$424.38
|
|
Clsd tx toe dislocation without anes28660
|
$420.80 |
$420.80 |
$420.80 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$440.80 |
$440.80 |
$440.80 |
$489.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$373.60 |
$373.60 |
$373.60 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$427.20 |
$427.20 |
$427.20 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$612.80 |
$612.80 |
$612.80 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$412.00 |
$412.00 |
$412.00 |
$487.15
|
|
Cmv pcr-sendout
|
$86.40 |
$86.40 |
$86.40 |
$175.70
|
|
Cold agglutinin titer
|
$40.80 |
$40.80 |
$40.80 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$291.20 |
$291.20 |
$291.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$38.40 |
$38.40 |
$38.40 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$47.20 |
$47.20 |
$47.20 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$105.60 |
$105.60 |
$105.60 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$134.40 |
$134.40 |
$134.40 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$133.60 |
$133.60 |
$133.60 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$143.20 |
$143.20 |
$143.20 |
$173.50
|
|
Compatibility test each unit electronic
|
$143.20 |
$143.20 |
$143.20 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$143.20 |
$143.20 |
$143.20 |
$169.52
|
|
Complement antigen each component c3
|
$60.00 |
$60.00 |
$60.00 |
$110.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$996.00 |
$996.00 |
$996.00 |
$1,212.00
|
|
Complx repair fccmnaxghf 13131
|
$644.00 |
$644.00 |
$644.00 |
$805.20
|
|
Computed tomographic angiography head and neck with contrast
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$38.40 |
$38.40 |
$38.40 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$108.00 |
$108.00 |
$108.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$62.40 |
$62.40 |
$62.40 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$102.40 |
$102.40 |
$102.40 |
$226.50
|
|
Contrast baths charges
|
$84.80 |
$84.80 |
$84.80 |
$75.60
|
|
Control nosebleed pack+caut 30905
|
$340.00 |
$340.00 |
$340.00 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$323.20 |
$323.20 |
$323.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$288.80 |
$288.80 |
$288.80 |
$352.80
|
|
Coombs direct
|
$40.80 |
$40.80 |
$40.80 |
$76.80
|
