|
Cefoxitin 1 gram intravenous solution
|
$63.01 |
$63.01 |
$63.01 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$264.48 |
$264.48 |
$264.48 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$66.86 |
$66.86 |
$66.86 |
$58.89
|
|
Ceftriaxone 1 gram solution for injection
|
$97.95 |
$97.95 |
$97.95 |
$83.39
|
|
Cell count body fluid
|
$60.00 |
$60.00 |
$60.00 |
$63.52
|
|
Cell count w differential body fluid
|
$56.80 |
$56.80 |
$56.80 |
$92.56
|
|
Cell marker study
|
$383.20 |
$383.20 |
$383.20 |
$239.85
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$8,358.50 |
$8,358.50 |
$8,358.50 |
$10,638.62
|
|
Change cystostomy tube simple
|
$530.40 |
$530.40 |
$530.40 |
$477.60
|
|
Chest 2 vws w oblique
|
$531.20 |
$531.20 |
$531.20 |
$375.60
|
|
Chest apical lordotic proj
|
$411.20 |
$411.20 |
$411.20 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$2,691.20 |
$2,691.20 |
$2,691.20 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$2,095.20 |
$2,095.20 |
$2,095.20 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$214.40 |
$214.40 |
$214.40 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$99.20 |
$99.20 |
$99.20 |
$134.50
|
|
Chest Ultrasound
|
$623.20 |
$623.20 |
$623.20 |
$463.88
|
|
Chest X-ray
|
$350.40 |
$350.40 |
$350.40 |
$294.06
|
|
Chest X-ray (single view)
|
$276.00 |
$276.00 |
$276.00 |
$236.60
|
|
Chlamydia culture
|
$110.40 |
$110.40 |
$110.40 |
$91.00
|
|
Chloride
|
$58.40 |
$58.40 |
$58.40 |
$42.63
|
|
Chloride 24 hour urine
|
$48.00 |
$48.00 |
$48.00 |
$50.88
|
|
Cholesterol
|
$58.40 |
$58.40 |
$58.40 |
$45.76
|
|
Cholesterol body fluid
|
$52.80 |
$52.80 |
$52.80 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$90.40 |
$90.40 |
$90.40 |
$115.80
|
|
Cholinesterase
|
$35.20 |
$35.20 |
$35.20 |
$39.48
|
|
Chrom analysis
|
$84.80 |
$84.80 |
$84.80 |
$156.00
|
|
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
|
|
Cilastatin sodium injection
|
$68.09 |
$68.09 |
$68.09 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$55.67 |
$55.67 |
$55.67 |
$35.65
|
|
Clearance of airways
|
$214.40 |
$214.40 |
$214.40 |
$213.07
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$75.44 |
$75.44 |
$75.44 |
$55.20
|
|
Cllr miami j sm
|
$224.80 |
$224.80 |
$224.80 |
$536.64
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$406.40 |
$406.40 |
$406.40 |
$520.80
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,806.01
|
|
Closed tx humerus fx without manip 23600
|
$405.60 |
$405.60 |
$405.60 |
$498.40
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$386.40 |
$386.40 |
$386.40 |
$386.40
|
|
Closed tx sesamoid fx 28530
|
$246.40 |
$246.40 |
$246.40 |
$445.50
|
|
Closed tx/talus fracture without manip 28430
|
$358.40 |
$358.40 |
$358.40 |
$442.80
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$429.60 |
$429.60 |
$429.60 |
$472.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$564.80 |
$564.80 |
$564.80 |
$648.96
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$403.20 |
$403.20 |
$403.20 |
$535.60
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$427.20 |
$427.20 |
$427.20 |
$489.60
|
|
Clsd tx clav dislc without manip 23520
|
$1,538.40 |
$1,538.40 |
$1,538.40 |
$1,980.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$1,344.80 |
$1,344.80 |
$1,344.80 |
$1,893.86
|
|
Clsd tx/clavicular fx without manip 23500
|
$340.00 |
$340.00 |
$340.00 |
$452.40
|
|
Clsd tx coccygeal fracture 27200
|
$316.80 |
$316.80 |
$316.80 |
$378.60
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$343.20 |
$343.20 |
$343.20 |
$417.90
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$392.80 |
$392.80 |
$392.80 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$564.80 |
$564.80 |
$564.80 |
$465.21
|
|
Clsd tx fracture of radius 25500
|
$361.60 |
$361.60 |
$361.60 |
$442.50
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$300.80 |
$300.80 |
$300.80 |
$373.15
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$490.40 |
$490.40 |
$490.40 |
$464.20
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$408.00 |
$408.00 |
$408.00 |
$541.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$1,726.01
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$1,592.00
|
|
Clsd tx/grt hum tube fx without manip 23620
|
$340.80 |
$340.80 |
$340.80 |
$452.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$720.00 |
$720.00 |
$720.00 |
$883.00
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$360.80 |
$360.80 |
$360.80 |
$498.85
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$512.80 |
$512.80 |
$512.80 |
$620.32
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$588.80 |
$588.80 |
$588.80 |
$522.78
|
|
Clsd tx/metatarsal fx without manip 28470
|
$332.80 |
$332.80 |
$332.80 |
$429.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$488.00 |
$488.00 |
$488.00 |
$573.52
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$370.40 |
$370.40 |
$370.40 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$373.60 |
$373.60 |
$373.60 |
$466.14
|
|
Clsd tx/scapular fx without manip 23570
|
$331.20 |
$331.20 |
$331.20 |
$452.40
|
|
Clsd tx shoulder dislc/fx 23665
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$1,828.80
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$2,331.50
|
|
Clsd tx toe dislocation without anes28660
|
$400.00 |
$400.00 |
$400.00 |
$412.00
|
|
Clsd tx trimall ankle fx without manip 27816
|
$480.80 |
$480.80 |
$480.80 |
$489.60
|
|
Clsd tx wrist carpal fx without manip 25630
|
$355.20 |
$355.20 |
$355.20 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$407.20 |
$407.20 |
$407.20 |
$535.60
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$584.00 |
$584.00 |
$584.00 |
$612.80
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$392.80 |
$392.80 |
$392.80 |
$487.15
|
|
Cmv pcr-sendout
|
$86.40 |
$86.40 |
$86.40 |
$175.70
|
|
Cold agglutinin titer
|
$72.00 |
$72.00 |
$72.00 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$308.80 |
$308.80 |
$308.80 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$27.20 |
$27.20 |
$27.20 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$48.00 |
$48.00 |
$48.00 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$116.80 |
$116.80 |
$116.80 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$116.80 |
$116.80 |
$116.80 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$151.20 |
$151.20 |
$151.20 |
$173.50
|
|
Compatibility test each unit immediate spin technique
|
$117.60 |
$117.60 |
$117.60 |
$169.52
|
|
Compatibility test incubate
|
$111.20 |
$111.20 |
$111.20 |
$156.24
|
|
Complement antigen each component c3
|
$76.00 |
$76.00 |
$76.00 |
$110.00
|
|
Complx repair fccmnaxghf 13132
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$571.20 |
$571.20 |
$571.20 |
$508.44
|
|
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
|
$46.40 |
$46.40 |
$46.40 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$103.20 |
$103.20 |
$103.20 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$65.60 |
$65.60 |
$65.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$98.40 |
$98.40 |
$98.40 |
$226.50
|
|
Control nosebleed pack+caut 30905
|
$323.20 |
$323.20 |
$323.20 |
$383.52
|
|
Control of nosebleedantersmpl 30901
|
$273.60 |
$273.60 |
$273.60 |
$352.80
|
|
Coombs direct
|
$60.00 |
$60.00 |
$60.00 |
$76.80
|