|
Bx breast add lesion strtctc
|
$931.80 |
$931.80 |
$931.80 |
$1,800.00
|
|
Bx breast add lesion Ultrasound imag
|
$545.80 |
$545.80 |
$545.80 |
$1,708.85
|
|
Bx breast perq without image 19100
|
$397.60 |
$397.60 |
$397.60 |
$1,312.15
|
|
Bx pancreas pq ndl
|
$343.60 |
$343.60 |
$343.60 |
$1,635.24
|
|
Bx perianal mass
|
$157.20 |
$157.20 |
$157.20 |
$1,537.44
|
|
Bx pleura pq ndl
|
$479.00 |
$479.00 |
$479.00 |
$1,617.00
|
|
Bx skin punch ea sep/ addl les
|
$39.80 |
$39.80 |
$39.80 |
$227.13
|
|
Bx soft tiss pelvis+hip area supf 27040
|
$499.20 |
$499.20 |
$499.20 |
$1,917.33
|
|
Bx thyroid/percutan core needle 60100
|
$234.80 |
$234.80 |
$234.80 |
$960.00
|
|
Bypass temp external fem-fem
|
$285.40 |
$285.40 |
$285.40 |
$1,705.50
|
|
C1 esterase inhibitor func - sendout
|
$43.20 |
$43.20 |
$43.20 |
$91.80
|
|
Cabergoline, oral 0.25mg
|
$1.35 |
$1.35 |
$1.35 |
$65.85
|
|
Cad breast MRI w/r&i
|
$20.20 |
$20.20 |
$20.20 |
$132.16
|
|
Cadd pump refill
|
$116.40 |
$116.40 |
$116.40 |
$365.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$48.66 |
$48.66 |
$48.66 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$832.59 |
$832.59 |
$832.59 |
$2,017.24
|
|
Calcium 24 hour urine
|
$45.40 |
$45.40 |
$45.40 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$53.40 |
$53.40 |
$53.40 |
$62.13
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$25.05 |
$25.05 |
$25.05 |
$91.60
|
|
Calcium ionized
|
$42.00 |
$42.00 |
$42.00 |
$87.20
|
|
Calcium total
|
$33.20 |
$33.20 |
$33.20 |
$49.40
|
|
Calprotectin fecal
|
$136.40 |
$136.40 |
$136.40 |
$169.20
|
|
Campylobacter antibody
|
$86.80 |
$86.80 |
$86.80 |
$75.40
|
|
Canthotomy 67715
|
$1,319.40 |
$1,319.40 |
$1,319.40 |
$2,956.50
|
|
Capecitabine, oral, 50 mg
|
$8.12 |
$8.12 |
$8.12 |
$50.86
|
|
Carbamazepine free
|
$9.60 |
$9.60 |
$9.60 |
$59.15
|
|
Carbamazepine free -sendout
|
$14.80 |
$14.80 |
$14.80 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$79.60 |
$79.60 |
$79.60 |
$115.29
|
|
Carbohydrate deficient transf - sendout
|
$8.40 |
$8.40 |
$8.40 |
$121.80
|
|
Carbon dioxide
|
$25.00 |
$25.00 |
$25.00 |
$42.60
|
|
Carboplatin 10 mg/ml desensitization
|
$125.20 |
$125.20 |
$125.20 |
$196.00
|
|
Carboxyhemoglobin quantitative
|
$70.60 |
$70.60 |
$70.60 |
$81.09
|
|
Carcinoembryonic ag (cea)
|
$56.60 |
$56.60 |
$56.60 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$965.60 |
$965.60 |
$965.60 |
$2,552.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$54.00 |
$54.00 |
$54.00 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$54.00 |
$54.00 |
$54.00 |
$196.50
|
|
Cardiolipin antibody iga
|
$101.00 |
$101.00 |
$101.00 |
$107.25
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$364.60 |
$364.60 |
$364.60 |
$1,389.98
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$31.20 |
$31.20 |
$31.20 |
$103.20
|
|
Caregiver training strategies&tq ea addl 15 min
|
$15.60 |
$15.60 |
$15.60 |
$51.52
|
|
Carmustine 100 mg intravenous powder for solution
|
$416.30 |
$416.30 |
$416.30 |
$1,596.90
|
|
Carotene
|
$22.60 |
$22.60 |
$22.60 |
$44.10
|
|
Carotid Artery Ultrasound (Duplex)
|
$387.60 |
$387.60 |
$387.60 |
$1,029.60
|
|
Car seat/bed test 60 minutes
|
$12.40 |
$12.40 |
$12.40 |
$108.97
|
|
Car seat/bed test additional 30 minutes
|
$6.20 |
$6.20 |
$6.20 |
$65.00
|
|
Casiri and imdev repeat
|
$292.00 |
$292.00 |
$292.00 |
$540.00
|
|
Caspofungin acetate
|
$341.20 |
$341.20 |
$341.20 |
$757.91
|
|
Catecholamines,fractionated, urine
|
$163.20 |
$163.20 |
$163.20 |
$70.67
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$119.00 |
$119.00 |
$119.00 |
$851.01
|
|
Cath combo lt&rt heart w/inj/s
|
$2,871.60 |
$2,871.60 |
$2,871.60 |
$8,910.89
|
|
Cath cv dl inj 7fx16cm
|
$129.20 |
$129.20 |
$129.20 |
$4,405.84
|
|
Cathj umbilical vein dx/ther nb
|
$172.20 |
$172.20 |
$172.20 |
$254.80
|
|
Cath left heart/lv gram
|
$2,749.80 |
$2,749.80 |
$2,749.80 |
$7,729.41
|
|
Cath malecot 28fr 4-wing ltx
|
$54.40 |
$54.40 |
$54.40 |
$2,164.32
|
|
Cath plc art ang/grft lt/rt hr
|
$3,612.20 |
$3,612.20 |
$3,612.20 |
$11,645.40
|
|
Cath right heart w/o2 sat & card
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$6,356.90
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$938.00 |
$938.00 |
$938.00 |
$474.40
|
|
Cauterization chemical granulation tissue
|
$48.20 |
$48.20 |
$48.20 |
$327.20
|
|
Cdna analysis for variants
|
$164.20 |
$164.20 |
$164.20 |
$525.00
|
|
Cebpa gene full sequence
|
$175.00 |
$175.00 |
$175.00 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$43.77 |
$43.77 |
$43.77 |
$38.70
|
|
Cefepime 1 gram solution for injection
|
$13.88 |
$13.88 |
$13.88 |
$44.22
|
|
Cefotaxime sodium injection
|
$17.45 |
$17.45 |
$17.45 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$69.63 |
$69.63 |
$69.63 |
$74.81
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$15.26 |
$15.26 |
$15.26 |
$64.36
|
|
Ceftriaxone 1 gram solution for injection
|
$141.15 |
$141.15 |
$141.15 |
$81.36
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$48.79 |
$48.79 |
$48.79 |
$27.72
|
|
Cell count body fluid
|
$33.00 |
$33.00 |
$33.00 |
$62.56
|
|
Cell count w differential body fluid
|
$33.00 |
$33.00 |
$33.00 |
$92.56
|
|
Cell function assay w/stim
|
$191.20 |
$191.20 |
$191.20 |
$314.16
|
|
#cf-97variants
|
$202.60 |
$202.60 |
$202.60 |
$612.26
|
|
Cftr gene dup/delet variants
|
$282.20 |
$282.20 |
$282.20 |
$757.25
|
|
Change cystostomy tube simple
|
$60.40 |
$60.40 |
$60.40 |
$442.55
|
|
Change g-tube to g-j perc
|
$572.40 |
$572.40 |
$572.40 |
$2,198.40
|
|
Change of windpipe airway 31502
|
$42.60 |
$42.60 |
$42.60 |
$380.40
|
|
Chemo adm cns w/lmbr punct
|
$163.00 |
$163.00 |
$163.00 |
$685.85
|
|
Chemotherapy injection 96542
|
$126.20 |
$126.20 |
$126.20 |
$426.40
|
|
Chest 2 vws w oblique
|
$98.80 |
$98.80 |
$98.80 |
$378.40
|
|
Chest apical lordotic proj
|
$83.40 |
$83.40 |
$83.40 |
$306.15
|
|
Chest CT scan (with and without contrast)
|
$855.00 |
$855.00 |
$855.00 |
$1,953.00
|
|
Chest CT scan (with contrast)
|
$738.60 |
$738.60 |
$738.60 |
$1,666.80
|
|
Chest CT scan (without contrast)
|
$630.40 |
$630.40 |
$630.40 |
$1,350.03
|
|
Chest X-ray
|
$81.80 |
$81.80 |
$81.80 |
$299.40
|
|
Chest X-ray (single view)
|
$77.00 |
$77.00 |
$77.00 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$25.60 |
$25.60 |
$25.60 |
$147.00
|
|
Chlamydia culture
|
$71.60 |
$71.60 |
$71.60 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$65.40 |
$65.40 |
$65.40 |
$65.50
|
|
Chlamydia type
|
$2.40 |
$2.40 |
$2.40 |
$32.56
|
|
Chloramphenicol sodium injec
|
$54.03 |
$54.03 |
$54.03 |
$113.85
|
|
Chloride
|
$33.20 |
$33.20 |
$33.20 |
$39.65
|
|
Chloride 24 hour urine
|
$31.80 |
$31.80 |
$31.80 |
$46.75
|
|
Chloroprocaine hcl injection
|
$27.96 |
$27.96 |
$27.96 |
$61.87
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$87.53 |
$87.53 |
$87.53 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$39.63 |
$39.63 |
$39.63 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$118.00 |
$118.00 |
$118.00 |
$602.40
|
|
Cholesterol
|
$33.20 |
$33.20 |
$33.20 |
$45.75
|
|
Cholesterol body fluid
|
$96.40 |
$96.40 |
$96.40 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$96.40 |
$96.40 |
$96.40 |
$115.02
|
|
Cholinesterase
|
$17.60 |
$17.60 |
$17.60 |
$40.80
|
|
Chrom analysis
|
$23.20 |
$23.20 |
$23.20 |
$152.40
|
