|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$61.91 |
$61.91 |
$61.91 |
$91.92
|
|
Chlorpromazine 100 mg tablet
|
$72.03 |
$72.03 |
$72.03 |
$2.10
|
|
Cholangiogram percutaneous compl
|
$3,177.58 |
$3,177.58 |
$3,177.58 |
$3,786.00
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$609.97 |
$609.97 |
$609.97 |
$625.60
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,812.95 |
$2,812.95 |
$2,812.95 |
$3,913.80
|
|
Cholesterol
|
$9.31 |
$9.31 |
$9.31 |
$46.15
|
|
Cholesterol body fluid
|
$202.62 |
$202.62 |
$202.62 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$35.11 |
$35.11 |
$35.11 |
$115.70
|
|
Cholinesterase
|
$14.81 |
$14.81 |
$14.81 |
$38.68
|
|
Chromatography
|
$33.84 |
$33.84 |
$33.84 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$97.29 |
$97.29 |
$97.29 |
$261.30
|
|
Chromosome analysis 15-20 cell count
|
$54.57 |
$54.57 |
$54.57 |
$433.01
|
|
Chromosome karyotype study
|
$83.34 |
$83.34 |
$83.34 |
$102.00
|
|
Chylomicron screen, bf - sendout
|
$172.17 |
$172.17 |
$172.17 |
$123.20
|
|
Cidofovir injection
|
$791.10 |
$791.10 |
$791.10 |
$1,352.09
|
|
Cilastatin sodium injection
|
$40.52 |
$40.52 |
$40.52 |
$87.44
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$28.46 |
$28.46 |
$28.46 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$258.54 |
$258.54 |
$258.54 |
$175.08
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$274.46 |
$274.46 |
$274.46 |
$496.70
|
|
Clearance of airways
|
$207.70 |
$207.70 |
$207.70 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$40.28 |
$40.28 |
$40.28 |
$62.03
|
|
Clip ligating vesolock lg
|
$234.77 |
$234.77 |
$234.77 |
$5,000.40
|
|
Clofarabine 1 mg/ml intravenous solution
|
$864.40 |
$864.40 |
$864.40 |
$1,824.84
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$50.83 |
$50.83 |
$50.83 |
$81.25
|
|
Closed tx humerus fx with manip 23605
|
$2,269.82 |
$2,269.82 |
$2,269.82 |
$2,460.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$359.55 |
$359.55 |
$359.55 |
$487.69
|
|
Closure paravalvlr leak pq
|
$1,323.99 |
$1,323.99 |
$1,323.99 |
$10,497.50
|
|
Clot factor xii hageman
|
$228.85 |
$228.85 |
$228.85 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$171.74 |
$171.74 |
$171.74 |
$50.41
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$344.75 |
$344.75 |
$344.75 |
$716.95
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$943.72 |
$943.72 |
$943.72 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$372.24 |
$372.24 |
$372.24 |
$705.60
|
|
Clsd tx shoulder dislc/fx 23665
|
$565.13 |
$565.13 |
$565.13 |
$2,055.00
|
|
#cmvcul-virus inoculation shell
|
$33.84 |
$33.84 |
$33.84 |
$102.57
|
|
Cmv pcr-sendout
|
$65.99 |
$65.99 |
$65.99 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6,844.47 |
$6,844.47 |
$6,844.47 |
$6.36
|
|
Coagulation time activated teg
|
$111.25 |
$111.25 |
$111.25 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$106.52 |
$106.52 |
$106.52 |
$624.58
|
|
Cold agglutinin titer
|
$106.18 |
$106.18 |
$106.18 |
$48.57
|
|
Colectomy/ ileostomy without prctect 44150
|
$3,248.22 |
$3,248.22 |
$3,248.22 |
$4,586.40
|
|
Colistimethate sodium inj
|
$69.65 |
$69.65 |
$69.65 |
$90.35
|
|
Collection blood specimen from completely implantable venous access device
|
$87.14 |
$87.14 |
$87.14 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$87.14 |
$87.14 |
$87.14 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$25.38 |
$25.38 |
$25.38 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$170.05 |
$170.05 |
$170.05 |
$173.25
|
|
Compatibility test each unit electronic
|
$135.36 |
$135.36 |
$135.36 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$144.25 |
$144.25 |
$144.25 |
$169.52
|
|
Comp cystometrogram/void/uret pres 51729
|
$388.32 |
$388.32 |
$388.32 |
$1,099.00
|
|
Complement antigen each component c3
|
$73.61 |
$73.61 |
$73.61 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$913.68 |
$913.68 |
$913.68 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$845.16 |
$845.16 |
$845.16 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$139.59 |
$139.59 |
$139.59 |
$353.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$845.16 |
$845.16 |
$845.16 |
$1,193.40
|
|
Composite byp grft pros&vein
|
$4,063.77 |
$4,063.77 |
$4,063.77 |
$416.00
|
|
Concentration infection agents any type
|
$18.19 |
$18.19 |
$18.19 |
$51.32
|
|
Condylomata destruction 56420
|
$272.84 |
$272.84 |
$272.84 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$622.83 |
$622.83 |
$622.83 |
$905.72
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,118.84 |
$1,118.84 |
$1,118.84 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$94.76 |
$94.76 |
$94.76 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$197.12 |
$197.12 |
$197.12 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$54.57 |
$54.57 |
$54.57 |
$239.85
|
|
Contrast baths charges
|
$129.02 |
$129.02 |
$129.02 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$2,521.93 |
$2,521.93 |
$2,521.93 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$3,976.20 |
$3,976.20 |
$3,976.20 |
$4,178.00
|
|
Control nosebleed pack+caut 30905
|
$183.16 |
$183.16 |
$183.16 |
$460.17
|
|
Conversion ext bil drg cath
|
$3,808.27 |
$3,808.27 |
$3,808.27 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$1,075.69 |
$1,075.69 |
$1,075.69 |
$3,569.60
|
|
Coombs direct
|
$10.58 |
$10.58 |
$10.58 |
$73.26
|
|
Coombs indirect titer reference
|
$50.76 |
$50.76 |
$50.76 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$4,229.58 |
$4,229.58 |
$4,229.58 |
$2,083.80
|
|
Core ndl bx lng/med perq
|
$2,380.65 |
$2,380.65 |
$2,380.65 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$10,109.70 |
$10,109.70 |
$10,109.70 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$10,109.70 |
$10,109.70 |
$10,109.70 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$10,109.70 |
$10,109.70 |
$10,109.70 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$3,605.23 |
$3,605.23 |
$3,605.23 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,605.23 |
$3,605.23 |
$3,605.23 |
$7,769.30
|
|
Cortisol total am
|
$140.44 |
$140.44 |
$140.44 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$67.93 |
$67.93 |
$67.93 |
$249.41
|
|
Covid-19 administration immunization im inj 1st/only component
|
$67.68 |
$67.68 |
$67.68 |
$58.61
|
|
Covid-19 convalescent plasma
|
$1,307.07 |
$1,307.07 |
$1,307.07 |
$590.80
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$784.25 |
$784.25 |
$784.25 |
$603.65
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$784.25 |
$784.25 |
$784.25 |
$569.31
|
|
Covid-19 lab test non-cdc
|
$96.45 |
$96.45 |
$96.45 |
$58.32
|
|
#covid19rsv-rsv
|
$130.71 |
$130.71 |
$130.71 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$65.99 |
$65.99 |
$65.99 |
$65.36
|
|
C-peptide
|
$60.92 |
$60.92 |
$60.92 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$825.70 |
$825.70 |
$825.70 |
$1,466.97
|
|
C-reactive protein
|
$124.37 |
$124.37 |
$124.37 |
$63.00
|
|
C-reactive protein high sensitivity
|
$129.02 |
$129.02 |
$129.02 |
$91.65
|
|
C-reactive protein, quantitative
|
$20.31 |
$20.31 |
$20.31 |
$62.50
|
|
Creatine kinase
|
$22.00 |
$22.00 |
$22.00 |
$59.78
|
|
Creatine kinase isoenzymes
|
$34.27 |
$34.27 |
$34.27 |
$46.34
|
|
Creatine kinase mb
|
$296.10 |
$296.10 |
$296.10 |
$111.00
|
|
Creatine - sendout
|
$38.07 |
$38.07 |
$38.07 |
$39.00
|
|
Creatinine
|
$13.12 |
$13.12 |
$13.12 |
$44.10
|
|
Creatinine 24 hour urine
|
$18.62 |
$18.62 |
$18.62 |
$59.80
|
|
Creatinine clearance urine
|
$168.78 |
$168.78 |
$168.78 |
$87.50
|
|
#creutz-prot.,western blot
|
$450.08 |
$450.08 |
$450.08 |
$173.00
|
|
Critical care 30-74 minutes
|
$1,082.88 |
$1,082.88 |
$1,082.88 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$379.01 |
$379.01 |
$379.01 |
$777.00
|
