|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$72.20 |
$72.20 |
$72.20 |
$23.92
|
|
Bundled special stain group 1 microorganisms
|
$191.20 |
$191.20 |
$191.20 |
$159.00
|
|
Bundled special stain group 2
|
$185.60 |
$185.60 |
$185.60 |
$173.40
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$63.53 |
$63.53 |
$63.53 |
$32.47
|
|
Buprenorphine and metabolite - sendout
|
$168.80 |
$168.80 |
$168.80 |
$80.64
|
|
Butorphanol tartrate 1 mg
|
$63.73 |
$63.73 |
$63.73 |
$41.79
|
|
Bx vulva or perineum/1 lesion 56605
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$1,110.40
|
|
Cadd pump refill
|
$516.00 |
$516.00 |
$516.00 |
$386.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$66.84 |
$66.84 |
$66.84 |
$46.09
|
|
Calcium 24 hour urine
|
$89.60 |
$89.60 |
$89.60 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$68.11 |
$68.11 |
$68.11 |
$48.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$66.17 |
$66.17 |
$66.17 |
$64.49
|
|
Calcium ionized
|
$145.60 |
$145.60 |
$145.60 |
$90.00
|
|
Calcium total
|
$87.20 |
$87.20 |
$87.20 |
$50.00
|
|
Calprotectin fecal
|
$292.80 |
$292.80 |
$292.80 |
$170.00
|
|
Candida dna
|
$100.80 |
$100.80 |
$100.80 |
$61.10
|
|
Carbamazepine free
|
$71.20 |
$71.20 |
$71.20 |
$60.00
|
|
Carbamazepine total therapeutic drug level
|
$110.40 |
$110.40 |
$110.40 |
$122.85
|
|
Carbon dioxide
|
$65.60 |
$65.60 |
$65.60 |
$44.00
|
|
Carboplatin 10 mg/ml desensitization
|
$297.60 |
$297.60 |
$297.60 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$139.20 |
$139.20 |
$139.20 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
$145.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$3,606.40 |
$3,606.40 |
$3,606.40 |
$2,917.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$279.20 |
$279.20 |
$279.20 |
$249.60
|
|
Cardiolipin antibody iga
|
$122.40 |
$122.40 |
$122.40 |
$107.25
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,746.40 |
$1,746.40 |
$1,746.40 |
$1,431.36
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$120.80 |
$120.80 |
$120.80 |
$97.01
|
|
Caregiver training strategies&tq ea addl 15 min
|
$60.00 |
$60.00 |
$60.00 |
$51.52
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,024.32
|
|
Caspofungin acetate
|
$585.06 |
$585.06 |
$585.06 |
$633.91
|
|
Cath adherent clot 10mm 6f 10
|
$273.60 |
$273.60 |
$273.60 |
$19,800.55
|
|
Cath bi-dir df smarttouch
|
$6,952.80 |
$6,952.80 |
$6,952.80 |
$8,461.48
|
|
Cath cv dl inj 7fx16cm
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$4,488.99
|
|
Cath groshong MRI 8fr plstc port
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,690.71
|
|
Cath malecot 28fr 4-wing ltx
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$2,549.50
|
|
Cath uret open tp 6fx70cm
|
$36.00 |
$36.00 |
$36.00 |
$573.88
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$139.02 |
$139.02 |
$139.02 |
$39.52
|
|
Cefepime 1 gram solution for injection
|
$67.33 |
$67.33 |
$67.33 |
$45.47
|
|
Cefoxitin 1 gram intravenous solution
|
$69.47 |
$69.47 |
$69.47 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$107.52 |
$107.52 |
$107.52 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$171.58 |
$171.58 |
$171.58 |
$58.89
|
|
Ceftazidime and avibactam
|
$620.00 |
$620.00 |
$620.00 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$174.16 |
$174.16 |
$174.16 |
$83.39
|
|
Cell count body fluid
|
$77.60 |
$77.60 |
$77.60 |
$63.52
|
|
Cell count w differential body fluid
|
$101.60 |
$101.60 |
$101.60 |
$92.56
|
|
Cell marker study
|
$419.20 |
$419.20 |
$419.20 |
$239.85
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$6,024.02 |
$6,024.02 |
$6,024.02 |
$10,638.62
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,644.68 |
$1,644.68 |
$1,644.68 |
$3,011.40
|
|
#cf-97variants
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$639.44
|
|
Cftr gene dup/delet variants
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$757.25
|
|
Change cystostomy tube simple
|
$424.80 |
$424.80 |
$424.80 |
$477.60
|
|
Chest 2 vws w oblique
|
$489.60 |
$489.60 |
$489.60 |
$375.60
|
|
Chest apical lordotic proj
|
$411.20 |
$411.20 |
$411.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$2,862.40 |
$2,862.40 |
$2,862.40 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,841.60 |
$2,841.60 |
$2,841.60 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,307.20 |
$2,307.20 |
$2,307.20 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$208.80 |
$208.80 |
$208.80 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$154.40 |
$154.40 |
$154.40 |
$134.50
|
|
Chest Ultrasound
|
$547.20 |
$547.20 |
$547.20 |
$463.88
|
|
Chest X-ray
|
$369.60 |
$369.60 |
$369.60 |
$294.06
|
|
Chest X-ray (single view)
|
$306.40 |
$306.40 |
$306.40 |
$236.60
|
|
Chlamydia culture
|
$180.80 |
$180.80 |
$180.80 |
$91.00
|
|
Chloride
|
$64.00 |
$64.00 |
$64.00 |
$42.63
|
|
Chloride 24 hour urine
|
$76.80 |
$76.80 |
$76.80 |
$50.88
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$80.28 |
$80.28 |
$80.28 |
$79.74
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$828.80 |
$828.80 |
$828.80 |
$602.40
|
|
Cholesterol
|
$73.60 |
$73.60 |
$73.60 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$153.60 |
$153.60 |
$153.60 |
$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
|
|
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
|
|
Chromosome study additional
|
$185.60 |
$185.60 |
$185.60 |
$151.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$109.89 |
$109.89 |
$109.89 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$282.64 |
$282.64 |
$282.64 |
$205.56
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$62.65 |
$62.65 |
$62.65 |
$55.20
|
|
Closed tx humerus fx with manip 23605
|
$2,274.40 |
$2,274.40 |
$2,274.40 |
$2,291.20
|
|
Closed tx humerus fx w/manip 24505
|
$1,391.20 |
$1,391.20 |
$1,391.20 |
$1,549.52
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$3,022.40 |
$3,022.40 |
$3,022.40 |
$2,569.28
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$575.20 |
$575.20 |
$575.20 |
$648.96
|
|
Clsd tx dist fib fx w/manip 27788
|
$655.20 |
$655.20 |
$655.20 |
$676.65
|
|
Clsd tx elbow dislocation child 24640
|
$324.00 |
$324.00 |
$324.00 |
$465.21
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
$2,211.05
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$472.00 |
$472.00 |
$472.00 |
$464.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$838.40 |
$838.40 |
$838.40 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$610.40 |
$610.40 |
$610.40 |
$1,592.00
|
|
Clsd tx hip disloc without anes 27265
|
$530.40 |
$530.40 |
$530.40 |
$630.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$883.00
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$724.00 |
$724.00 |
$724.00 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$528.00 |
$528.00 |
$528.00 |
$522.78
|
|
Clsd tx patella disloc without anes 27560
|
$532.00 |
$532.00 |
$532.00 |
$573.52
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$2,825.60 |
$2,825.60 |
$2,825.60 |
$2,222.00
|
|
Clsd tx radius fracture w/manip 24655
|
$1,804.80 |
$1,804.80 |
$1,804.80 |
$1,782.86
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,678.40 |
$1,678.40 |
$1,678.40 |
$2,331.50
|
|
Clsd tx toe dislocation without anes28660
|
$441.60 |
$441.60 |
$441.60 |
$412.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,817.60 |
$1,817.60 |
$1,817.60 |
$1,592.00
|
|
Cltx post ankle fx w/mnpj
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$1,939.00
|
