|
Cath plc art/grft/angio right hrt
|
$10,023.30 |
$10,023.30 |
$10,023.30 |
$10,673.00
|
|
Cath right heart w/o2 sat & card
|
$1,352.93 |
$1,352.93 |
$1,352.93 |
$6,306.85
|
|
Cath right hrt mnpul art
|
$232.16 |
$232.16 |
$232.16 |
$1,210.00
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$144.90 |
$144.90 |
$144.90 |
$474.40
|
|
Cath segmntl pulm art
|
$180.81 |
$180.81 |
$180.81 |
$1,500.33
|
|
Cath temp pace flo bipol 5fr electrd
|
$1,015.13 |
$1,015.13 |
$1,015.13 |
$1,408.39
|
|
Cauterization chemical granulation tissue
|
$109.20 |
$109.20 |
$109.20 |
$354.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$23.60 |
$23.60 |
$23.60 |
$43.89
|
|
Cefepime 1 gram solution for injection
|
$25.17 |
$25.17 |
$25.17 |
$39.95
|
|
Cefotaxime sodium injection
|
$8.82 |
$8.82 |
$8.82 |
$40.63
|
|
Cefoxitin 1 gram intravenous solution
|
$37.76 |
$37.76 |
$37.76 |
$53.63
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$67.25 |
$67.25 |
$67.25 |
$53.62
|
|
Ceftazidime and avibactam
|
$326.41 |
$326.41 |
$326.41 |
$995.91
|
|
Ceftriaxone 1 gram solution for injection
|
$27.92 |
$27.92 |
$27.92 |
$84.15
|
|
Cell count body fluid
|
$87.85 |
$87.85 |
$87.85 |
$63.52
|
|
Cell marker study
|
$91.04 |
$91.04 |
$91.04 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$8,308.46 |
$8,308.46 |
$8,308.46 |
$30,922.02
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$1,275.28 |
$1,275.28 |
$1,275.28 |
$3,452.53
|
|
Chemo adm cns w/lmbr punct
|
$364.14 |
$364.14 |
$364.14 |
$722.70
|
|
Chemo ia infuse each addl hr
|
$77.18 |
$77.18 |
$77.18 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$355.32 |
$355.32 |
$355.32 |
$604.89
|
|
Chemo ia push tecnique
|
$355.32 |
$355.32 |
$355.32 |
$500.20
|
|
Chemo intralesional over 7
|
$417.69 |
$417.69 |
$417.69 |
$292.48
|
|
Chemo intralesional up to 7 96405
|
$200.97 |
$200.97 |
$200.97 |
$175.20
|
|
Chemotherapy injection 96542
|
$55.44 |
$55.44 |
$55.44 |
$422.37
|
|
Chemotx admn pertl cav impl
|
$263.66 |
$263.66 |
$263.66 |
$507.17
|
|
Chest 2 vws w oblique
|
$402.85 |
$402.85 |
$402.85 |
$377.06
|
|
Chest CT scan (with and without contrast)
|
$4,193.00 |
$4,193.00 |
$4,193.00 |
$2,083.25
|
|
Chest CT scan (with contrast)
|
$3,569.65 |
$3,569.65 |
$3,569.65 |
$1,714.50
|
|
Chest CT scan (without contrast)
|
$2,832.90 |
$2,832.90 |
$2,832.90 |
$1,350.03
|
|
Chest X-ray
|
$634.55 |
$634.55 |
$634.55 |
$295.03
|
|
Chest X-ray (single view)
|
$484.40 |
$484.40 |
$484.40 |
$232.17
|
|
Chlamydia culture
|
$57.96 |
$57.96 |
$57.96 |
$90.75
|
|
Chlamydia trachomatis ag if
|
$4.29 |
$4.29 |
$4.29 |
$30.40
|
|
Chlamydia type
|
$85.05 |
$85.05 |
$85.05 |
$34.92
|
|
Chlnggrphy intraop addl s&i
|
$155.05 |
$155.05 |
$155.05 |
$280.00
|
|
Chloride
|
$22.05 |
$22.05 |
$22.05 |
$39.05
|
|
Chloride 24 hour urine
|
$44.10 |
$44.10 |
$44.10 |
$46.13
|
|
Chlorpromazine 100 mg tablet
|
$20.06 |
$20.06 |
$20.06 |
$1.44
|
|
Chmotx admn plrl cav thrcnts
|
$263.66 |
$263.66 |
$263.66 |
$393.54
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$815.46 |
$815.46 |
$815.46 |
$629.25
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,310.00 |
$2,310.00 |
$2,310.00 |
$3,872.40
|
|
Cholesterol
|
$12.29 |
$12.29 |
$12.29 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$102.54 |
$102.54 |
$102.54 |
$115.83
|
|
Chromatography
|
$21.42 |
$21.42 |
$21.42 |
$77.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$31.98 |
$31.98 |
$31.98 |
$45.27
|
|
Circumcise/surg/28 days or < 54160
|
$231.70 |
$231.70 |
$231.70 |
$1,995.50
|
|
Cisplatin 1 mg/ml desensitization
|
$53.55 |
$53.55 |
$53.55 |
$130.16
|
|
Clearance of airways
|
$73.15 |
$73.15 |
$73.15 |
$208.00
|
|
Clip ligating vesolock lg
|
$557.87 |
$557.87 |
$557.87 |
$1,218.88
|
|
Clot factor xiii fibrin scrn
|
$25.20 |
$25.20 |
$25.20 |
$49.47
|
|
Clot factor xiii fibrin stab
|
$47.25 |
$47.25 |
$47.25 |
$84.27
|
|
Cmv pcr-sendout
|
$232.79 |
$232.79 |
$232.79 |
$172.25
|
|
Coagulation time activated teg
|
$66.15 |
$66.15 |
$66.15 |
$51.48
|
|
Cold agglutinin titer
|
$44.73 |
$44.73 |
$44.73 |
$49.20
|
|
Collection blood specimen from completely implantable venous access device
|
$100.80 |
$100.80 |
$100.80 |
$159.60
|
|
Collection of venous blood by venipuncture
|
$21.35 |
$21.35 |
$21.35 |
$22.05
|
|
Compatibility test each unit antiglobulin technique
|
$208.00 |
$208.00 |
$208.00 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$203.92 |
$203.92 |
$203.92 |
$163.80
|
|
Complement antigen each component c3
|
$53.66 |
$53.66 |
$53.66 |
$113.30
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$168.35 |
$168.35 |
$168.35 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$168.35 |
$168.35 |
$168.35 |
$1,357.20
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$290.85 |
$290.85 |
$290.85 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$247.45 |
$247.45 |
$247.45 |
$1,252.90
|
|
Complx repair enel addl 5cm/< 13153
|
$86.10 |
$86.10 |
$86.10 |
$541.50
|
|
Complx repair fccmnaxghf 13131
|
$163.10 |
$163.10 |
$163.10 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$186.90 |
$186.90 |
$186.90 |
$1,212.00
|
|
Complx repair fccmnaxghf 13133
|
$67.90 |
$67.90 |
$67.90 |
$797.64
|
|
Complx repair sal addl 5 cm/> 13122
|
$66.85 |
$66.85 |
$66.85 |
$592.69
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$147.35 |
$147.35 |
$147.35 |
$1,193.40
|
|
Complx repair trunk addl 5cm/< 13102
|
$170.80 |
$170.80 |
$170.80 |
$741.60
|
|
Concentration infection agents any type
|
$32.20 |
$32.20 |
$32.20 |
$51.32
|
|
Conjugated estrogens 25 mg solution for injection
|
$291.38 |
$291.38 |
$291.38 |
$839.07
|
|
Consultation pathology during surgery
|
$48.46 |
$48.46 |
$48.46 |
$118.20
|
|
Consultation pathology during surgery cytological exam initial site
|
$910.53 |
$910.53 |
$910.53 |
$404.03
|
|
Consultation pathology during surgery frozen section each additional block
|
$94.85 |
$94.85 |
$94.85 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$235.55 |
$235.55 |
$235.55 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$45.50 |
$45.50 |
$45.50 |
$235.95
|
|
Contrast baths charges
|
$30.24 |
$30.24 |
$30.24 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$3,391.03
|
|
Contrast exam thoracic aorta
|
$991.31 |
$991.31 |
$991.31 |
$3,706.68
|
|
Contrast exam thoracic aorta 75605-26
|
$1,037.93 |
$1,037.93 |
$1,037.93 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$232.16 |
$232.16 |
$232.16 |
$280.14
|
|
Contrast x-ray of ankle
|
$575.82 |
$575.82 |
$575.82 |
$566.28
|
|
Contrast x-ray of brain
|
$1,150.70 |
$1,150.70 |
$1,150.70 |
$445.20
|
|
Contrast x-ray of brain
|
$1,185.03 |
$1,185.03 |
$1,185.03 |
$900.00
|
|
Contrast x-ray of elbow
|
$575.82 |
$575.82 |
$575.82 |
$623.60
|
|
Contrast x-ray of hip
|
$525.11 |
$525.11 |
$525.11 |
$770.88
|
|
Contrast x-ray of knee joint
|
$613.31 |
$613.31 |
$613.31 |
$655.05
|
|
Contrast x-ray of wrist
|
$475.65 |
$475.65 |
$475.65 |
$566.28
|
|
Controller infinity pt dbs
|
$2,181.12 |
$2,181.12 |
$2,181.12 |
$3,260.96
|
|
Control of nosebleedantersmpl 30901
|
$440.36 |
$440.36 |
$440.36 |
$385.45
|
|
Coombs direct
|
$56.00 |
$56.00 |
$56.00 |
$71.74
|
|
Coombs indirect titer reference
|
$49.14 |
$49.14 |
$49.14 |
$144.00
|
|
Core ndl bx lng/med perq
|
$1,164.87 |
$1,164.87 |
$1,164.87 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$9,173.85 |
$9,173.85 |
$9,173.85 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,494.15 |
$8,494.15 |
$8,494.15 |
$10,281.09
|
|
Coronary angio/lv gram/rt< heart
|
$10,193.05 |
$10,193.05 |
$10,193.05 |
$11,247.60
|
|
Coronary art/grft angio s&i
|
$5,640.25 |
$5,640.25 |
$5,640.25 |
$7,923.88
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$4,027.52 |
$4,027.52 |
$4,027.52 |
$7,697.25
|
