|
Candida dna
|
$90.40 |
$90.40 |
$100.80 |
|
|
Cannula ercp contour 5-4-3 tip
|
$15,000.00 |
$15,000.00 |
$46,000.00 |
|
|
Canthotomy 67715
|
$2,862.40 |
$2,862.40 |
$2,862.40 |
|
|
Capecitabine, oral, 50 mg
|
$34.64 |
$34.64 |
$34.64 |
|
|
Cap nerve 2x15mm
|
$4,504.00 |
$4,504.00 |
$54,316.80 |
|
|
Cap trach decann 15mm
|
$1,178.40 |
$1,178.40 |
$8,676.00 |
|
|
Carbamazepine free
|
$71.20 |
$71.20 |
$71.20 |
|
|
Carbamazepine total therapeutic drug level
|
$78.40 |
$110.40 |
$112.00 |
|
|
Carbohydrate urine - sendout
|
$49.60 |
$49.60 |
$49.60 |
|
|
Carbon dioxide
|
$27.20 |
$52.80 |
$65.60 |
|
|
Carboplatin 10 mg/ml desensitization
|
$234.30 |
$282.66 |
$297.60 |
|
|
Carboxyhemoglobin quantitative
|
$60.80 |
$103.20 |
$139.20 |
|
|
Carcinoembryonic ag (cea)
|
$100.00 |
$100.00 |
$100.00 |
|
|
Cardiac perf planar mult/ef/wm
|
$2,768.80 |
$2,768.80 |
$2,768.80 |
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,980.00 |
$3,479.20 |
$3,606.40 |
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$252.80 |
$256.00 |
$321.60 |
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$240.80 |
$241.60 |
$281.60 |
|
|
Cardiolipin antibody iga
|
$86.40 |
$96.80 |
$207.20 |
|
|
Cardioversion (Scheduled Heart Rhythm Shock)
|
$1,666.40 |
$1,746.40 |
$1,888.00 |
|
|
Card MRI veloc flow mapping
|
$822.40 |
$822.40 |
$960.00 |
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$120.80 |
$124.00 |
$129.60 |
|
|
Caregiver training strategies&tq ea addl 15 min
|
$60.00 |
$61.60 |
$64.80 |
|
|
Carfilzomib 10 mg intravenous solution
|
$7,420.81 |
$7,420.81 |
$7,420.81 |
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,800.64 |
$2,800.64 |
$2,800.64 |
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,102.40 |
$1,158.40 |
$1,440.00 |
|
|
Carpal Tunnel Release Surgery
|
$4,592.80 |
$4,592.80 |
$4,592.80 |
|
|
Car seat/bed test 60 minutes
|
$72.80 |
$88.80 |
$106.40 |
|
|
Car seat/bed test additional 30 minutes
|
$33.60 |
$41.60 |
$44.80 |
|
|
Caspofungin acetate
|
$585.06 |
$585.06 |
$1,038.85 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$375.20 |
$375.20 |
$1,680.80 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$11,416.00 |
$11,416.00 |
$11,416.00 |
|
|
Cath ablt clsfast 7fx100cmx
|
$3,588.00 |
$3,588.00 |
$5,382.40 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$8,397.60 |
$8,397.60 |
$8,397.60 |
|
|
Cath access del ds spyscop 2.0
|
$8,764.00 |
$8,764.00 |
$8,764.00 |
|
|
Cath acuity innr ic130 6f 63cm
|
$3,108.00 |
$3,108.00 |
$13,440.00 |
|
|
Cath acunav ge 10frx90cm
|
$11,130.40 |
$11,130.40 |
$11,130.40 |
|
|
Cath adherent clot 10mm 6f 10
|
$273.60 |
$17,460.00 |
$22,080.00 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$8,820.00 |
$8,820.00 |
$8,820.00 |
|
|
Cath bi-dir df smarttouch
|
$6,952.80 |
$6,952.80 |
$13,160.00 |
|
|
Cath blazer dx/20 2-10-2 space
|
$7,860.00 |
$7,860.00 |
$7,860.00 |
|
|
Cath combo lt&rt heart w/inj/s
|
$13,384.80 |
$13,384.80 |
$14,279.20 |
|
|
Cath cv dl inj 7fx16cm
|
$340.80 |
$756.00 |
$9,000.00 |
|
|
Cath del ampltz 12f 45d 80cm
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
|
|
Cath epdrl brevi-stf 12in .043
|
$4,622.40 |
$4,622.40 |
$4,622.40 |
|
|
Catheter declot mechanical
|
$2,583.20 |
$2,583.20 |
$3,156.00 |
|
|
Catheter insert artery
|
$547.20 |
$547.20 |
$621.60 |
|
|
Catheterization collection of specimen single patient all places of service
|
$66.40 |
$66.40 |
$66.40 |
|
|
Catheter stripping venous
|
$2,871.20 |
$2,871.20 |
$3,998.40 |
|
|
Cath groshong MRI 8fr plstc port
|
$348.00 |
$928.00 |
$3,664.80 |
|
|
Cath hawkone s directional
|
$6,540.00 |
$6,540.00 |
$9,156.00 |
|
|
Cath imag ivus pv 8.5fx90 .035
|
$2,688.00 |
$2,688.00 |
$9,520.00 |
|
|
Cathj umbilical vein dx/ther nb
|
$372.00 |
$372.00 |
$372.00 |
|
|
Cath left heart/lv gram
|
$11,989.60 |
$11,989.60 |
$12,116.80 |
|
|
Cath left heart transseptal punc
|
$8,535.20 |
$8,535.20 |
$9,085.60 |
|
|
Cath lt/rt pulm art
|
$1,812.00 |
$1,812.00 |
$2,212.00 |
|
|
Cath malecot 28fr 4-wing ltx
|
$178.40 |
$583.20 |
$13,746.40 |
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$2,469.60 |
$2,469.60 |
$33,120.00 |
|
|
Cath place 1st order venous 36011
|
$1,992.00 |
$1,992.00 |
$2,614.40 |
|
|
Cath plc art ang/grft lt/rt hr
|
$17,024.80 |
$17,024.80 |
$17,390.40 |
|
|
Cath plc art/angio/rt hrt cath
|
$14,424.80 |
$14,424.80 |
$14,475.20 |
|
|
Cath plc art/grft/angio right hrt
|
$15,844.80 |
$15,844.80 |
$16,069.60 |
|
|
Cath ptca pcltxl agent 3x20mm
|
$11,300.00 |
$11,300.00 |
$17,920.00 |
|
|
Cath right heart w/o2 sat & card
|
$8,684.80 |
$8,684.80 |
$9,958.40 |
|
|
Cath right hrt mnpul art
|
$1,651.20 |
$1,651.20 |
$2,052.00 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$557.60 |
$557.60 |
$650.40 |
|
|
Cath segmntl pulm art
|
$1,857.60 |
$1,857.60 |
$2,603.20 |
|
|
Cath steerable flex adv 12f
|
$2,800.00 |
$2,800.00 |
$4,800.00 |
|
|
Cath stripping venous s&i
|
$710.40 |
$710.40 |
$987.20 |
|
|
Cath symplicity spyral
|
$56,400.00 |
$56,400.00 |
$56,400.00 |
|
|
Cath temp pace flo bipol 5fr electrd
|
$2,528.00 |
$2,528.00 |
$2,528.00 |
|
|
Cath uret open tp 6fx70cm
|
$36.00 |
$194.00 |
$1,126.40 |
|
|
Cauterization chemical granulation tissue
|
$369.60 |
$369.60 |
$386.40 |
|
|
Cdna analysis for variants
|
$452.00 |
$452.00 |
$494.04 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$78.57 |
$111.26 |
$315.88 |
|
|
Cefepime 1 gram solution for injection
|
$61.89 |
$63.52 |
$318.54 |
|
|
Cefoxitin 1 gram intravenous solution
|
$63.01 |
$65.84 |
$325.00 |
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$107.52 |
$264.48 |
$622.32 |
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$62.41 |
$64.36 |
$418.99 |
|
|
Ceftazidime and avibactam
|
$556.42 |
$620.00 |
$645.27 |
|
|
Ceftriaxone 1 gram solution for injection
|
$97.95 |
$136.60 |
$324.72 |
|
|
Cell count body fluid
|
$30.40 |
$48.00 |
$77.60 |
|
|
Cell count w differential body fluid
|
$40.00 |
$56.80 |
$101.60 |
|
|
Cell marker study
|
$383.20 |
$383.20 |
$419.20 |
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$6,024.02 |
$8,358.50 |
$15,499.20 |
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,644.68 |
$1,644.68 |
$3,210.56 |
|
|
#cf-97variants
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
|
|
Cftr gene dup/delet variants
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
|
|
Change cystostomy tube; complex 51710
|
$1,576.80 |
$1,576.80 |
$1,722.40 |
|
|
Change cystostomy tube simple
|
$236.00 |
$424.80 |
$556.80 |
|
|
Change g-tube to g-j perc
|
$2,153.60 |
$2,153.60 |
$2,462.40 |
|
|
Change nephroureteral cath
|
$3,108.00 |
$3,108.00 |
$3,328.00 |
|
|
Change of ureter tube/stent
|
$2,752.00 |
$2,752.00 |
$3,028.00 |
|
|
Change of windpipe airway 31502
|
$341.60 |
$341.60 |
$539.20 |
|
|
Change stent via transureth
|
$4,413.60 |
$4,413.60 |
$5,487.20 |
|
|
Change ureter stent percut
|
$4,759.20 |
$4,759.20 |
$4,872.00 |
|
|
Chemo adm cns w/lmbr punct
|
$981.60 |
$981.60 |
$981.60 |
|
|
Chemodenerv 1 extrem 1-4 ea 64643
|
$884.00 |
$884.00 |
$884.00 |
|
|
Chemodenerv 1 extrem 5/> ea 64645
|
$952.00 |
$952.00 |
$952.00 |
|
|
Chemodenerv 1 extrem 5/> mus 64644
|
$1,149.60 |
$1,149.60 |
$1,149.60 |
|
|
Chemodenerv 1 extremity 1-4 64642
|
$1,099.20 |
$1,099.20 |
$1,099.20 |
|
