|
Chlnggrphy intraop addl s&i
|
$2,914.80 |
$2,914.80 |
$2,914.80 |
$301.40
|
|
Chloramphenicol sodium injec
|
$807.94 |
$807.94 |
$807.94 |
$113.84
|
|
Chloride 24 hour urine
|
$340.19 |
$340.19 |
$340.19 |
$49.50
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$4,344.66 |
$4,344.66 |
$4,344.66 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$292.05 |
$292.05 |
$292.05 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,417.99 |
$2,417.99 |
$2,417.99 |
$602.40
|
|
Cholesterol body fluid
|
$458.58 |
$458.58 |
$458.58 |
$77.55
|
|
Cholinesterase
|
$1,110.60 |
$1,110.60 |
$1,110.60 |
$38.69
|
|
Chrom analysis
|
$1,324.05 |
$1,324.05 |
$1,324.05 |
$156.00
|
|
Chromosome analysis 15-20 cell count
|
$3,265.11 |
$3,265.11 |
$3,265.11 |
$512.20
|
|
Chromosome count additional
|
$390.21 |
$390.21 |
$390.21 |
$92.45
|
|
Chromosome study additional
|
$1,023.89 |
$1,023.89 |
$1,023.89 |
$147.03
|
|
Cinacalcet 30 mg tablet
|
$385.67 |
$385.67 |
$385.67 |
$41.25
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$404.83 |
$404.83 |
$404.83 |
$81.90
|
|
Clostridium toxin a w/optic
|
$1,492.47 |
$1,492.47 |
$1,492.47 |
$35.20
|
|
Clot factor viii reltd antgn
|
$2,097.82 |
$2,097.82 |
$2,097.82 |
$158.20
|
|
Clot factor xii hageman
|
$1,572.51 |
$1,572.51 |
$1,572.51 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$1,173.95 |
$1,173.95 |
$1,173.95 |
$105.00
|
|
#cmvcul-virus inoculation shell
|
$428.56 |
$428.56 |
$428.56 |
$100.80
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$28.92 |
$28.92 |
$28.92 |
$8,980.00
|
|
Coagulation time lee & white
|
$565.30 |
$565.30 |
$565.30 |
$11.20
|
|
Cocaine 4 % nasal solution
|
$2,077.56 |
$2,077.56 |
$2,077.56 |
$629.41
|
|
Coch imp ext proc/contr rplc
|
$13,128.00 |
$13,128.00 |
$13,128.00 |
$20,146.35
|
|
Cold agglutinin titer
|
$905.50 |
$905.50 |
$905.50 |
$50.00
|
|
Colistimethate sodium inj
|
$1,161.10 |
$1,161.10 |
$1,161.10 |
$68.47
|
|
Collar extrication adult univ
|
$2,937.00 |
$2,937.00 |
$2,937.00 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$813.76 |
$813.76 |
$813.76 |
$159.60
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$3,512.00 |
$3,512.00 |
$3,512.00 |
$1,350.27
|
|
Conivaptan hcl
|
$11,405.44 |
$11,405.44 |
$11,405.44 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,369.77 |
$2,369.77 |
$2,369.77 |
$871.08
|
|
Connector tis 2x10mm
|
$18,932.00 |
$18,932.00 |
$18,932.00 |
$4,091.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,390.73 |
$1,390.73 |
$1,390.73 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$992.19 |
$992.19 |
$992.19 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,837.66 |
$1,837.66 |
$1,837.66 |
$225.96
|
|
Consultation/report referred slides prepared elsewhere
|
$536.76 |
$536.76 |
$536.76 |
$171.65
|
|
Contrast x-ray gallbladder
|
$1,783.21 |
$1,783.21 |
$1,783.21 |
$350.22
|
|
Controler lvad heartmate 3 includes ebb
|
$20,025.00 |
$20,025.00 |
$20,025.00 |
$13,218.75
|
|
Coombs indirect titer reference
|
$1,847.66 |
$1,847.66 |
$1,847.66 |
$146.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$2,052.41 |
$2,052.41 |
$2,052.41 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$90.81 |
$90.81 |
$90.81 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$88.32 |
$88.32 |
$88.32 |
$49.13
|
|
Covid-19 lab test non-cdc
|
$118.18 |
$118.18 |
$118.18 |
$80.50
|
|
#covid19rsv-rsv
|
$2,257.88 |
$2,257.88 |
$2,257.88 |
$145.60
|
|
C-peptide
|
$1,127.28 |
$1,127.28 |
$1,127.28 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$5,602.18 |
$5,602.18 |
$5,602.18 |
$1,240.80
|
|
C-reactive protein high sensitivity
|
$692.03 |
$692.03 |
$692.03 |
$85.00
|
|
Creatine kinase mb
|
$1,465.78 |
$1,465.78 |
$1,465.78 |
$114.00
|
|
#creutz-prot.,western blot
|
$2,276.24 |
$2,276.24 |
$2,276.24 |
$166.20
|
|
Crotalidae poly immune fab
|
$40,217.86 |
$40,217.86 |
$40,217.86 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$301.84 |
$301.84 |
$301.84 |
$52.50
|
|
Csf leakage imaging
|
$5,882.29 |
$5,882.29 |
$5,882.29 |
$1,544.85
|
|
CT heart w/evaluation of calcium without contrast
|
$140.27 |
$140.27 |
$140.27 |
$171.60
|
|
CT scan for therapy guide
|
$4.31 |
$4.31 |
$4.31 |
$694.60
|
|
Culture aerobic additional method definitive id each
|
$773.75 |
$773.75 |
$773.75 |
$68.64
|
|
Culture fungi definitive id mold
|
$857.12 |
$857.12 |
$857.12 |
$77.28
|
|
Culture mycobacteria definitive id each isolate
|
$290.16 |
$290.16 |
$290.16 |
$89.70
|
|
Culture quantitative aerobic other source
|
$39.56 |
$39.56 |
$39.56 |
$90.35
|
|
Culture typing added method
|
$30.96 |
$30.96 |
$30.96 |
$38.58
|
|
Culture urine each isolate
|
$740.40 |
$740.40 |
$740.40 |
$57.00
|
|
Cyanocobalamin unsat binding capacity
|
$395.20 |
$395.20 |
$395.20 |
$64.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$45.90 |
$45.90 |
$45.90 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$450.24 |
$450.24 |
$450.24 |
$70.72
|
|
Cyclophosphamide 100 mg inj
|
$2,271.42 |
$2,271.42 |
$2,271.42 |
$555.25
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$2,271.42 |
$2,271.42 |
$2,271.42 |
$1,305.02
|
|
Cyclophosphamide 25 mg capsule
|
$71.85 |
$71.85 |
$71.85 |
$19.49
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$643.74 |
$643.74 |
$643.74 |
$140.78
|
|
Cyclosporine 2 hour
|
$1,395.76 |
$1,395.76 |
$1,395.76 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$50.14 |
$50.14 |
$50.14 |
$7.48
|
|
Cyp2c19 gene com variants
|
$3,355.15 |
$3,355.15 |
$3,355.15 |
$504.00
|
|
Cytogenetics 25-99
|
$945.51 |
$945.51 |
$945.51 |
$190.00
|
|
Cytogenetics 3-5
|
$1,834.32 |
$1,834.32 |
$1,834.32 |
$170.27
|
|
Cytomegalovirus (cmv) antibody igm
|
$1,107.27 |
$1,107.27 |
$1,107.27 |
$97.50
|
|
Cytomegalovirus dfa
|
$863.81 |
$863.81 |
$863.81 |
$79.34
|
|
Cytopath c/v index add-on
|
$255.13 |
$255.13 |
$255.13 |
$35.57
|
|
Cytopathology cellular enhancement technique non-gyn
|
$248.46 |
$248.46 |
$248.46 |
$159.45
|
|
Cytopathology concentration technique smears & interpretation
|
$1,480.81 |
$1,480.81 |
$1,480.81 |
$129.60
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,449.11 |
$1,449.11 |
$1,449.11 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$1,425.78 |
$1,425.78 |
$1,425.78 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$1,239.02 |
$1,239.02 |
$1,239.02 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$2,441.32 |
$2,441.32 |
$2,441.32 |
$209.23
|
|
Cytopath smear other source
|
$326.84 |
$326.84 |
$326.84 |
$88.13
|
|
Cytopath smear oth prep screen & interp
|
$360.21 |
$360.21 |
$360.21 |
$96.20
|
|
Cytopath tbs c/v manual
|
$436.90 |
$436.90 |
$436.90 |
$59.28
|
|
Dacarbazine 100 mg intravenous solution
|
$168.07 |
$168.07 |
$168.07 |
$58.22
|
|
Dactinomycin 0.5 mg intravenous solution
|
$12,817.44 |
$12,817.44 |
$12,817.44 |
$3,024.59
|
|
Dalteparin sodium
|
$560.70 |
$560.70 |
$560.70 |
$469.55
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$4,157.72 |
$4,157.72 |
$4,157.72 |
$168.53
|
|
Dark field exam spec collj
|
$800.44 |
$800.44 |
$800.44 |
$31.20
|
|
Dch pulmonary stress test
|
$3,876.35 |
$3,876.35 |
$3,876.35 |
$963.30
|
|
Decalcification
|
$923.82 |
$923.82 |
$923.82 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$30,656.48 |
$30,656.48 |
$30,656.48 |
$1,073.52
|
|
Deferoxamine 500 mg solution for injection
|
$689.54 |
$689.54 |
$689.54 |
$95.85
|
|
Degarelix 120 mg subcutaneous solution
|
$4,426.79 |
$4,426.79 |
$4,426.79 |
$1,807.08
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$607.08 |
$607.08 |
$607.08 |
$185.17
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$22,701.09 |
$22,701.09 |
$22,701.09 |
$6,324.98
|
|
Deodorant ostmy adapt lube 8ml
|
$5.00 |
$5.00 |
$5.00 |
$1.98
|
|
Depo-estradiol cypionate inj
|
$1,108.87 |
$1,108.87 |
$1,108.87 |
$71.51
|
|
Desoxycorticosterone
|
$1,404.10 |
$1,404.10 |
$1,404.10 |
$109.28
|
|
Detect agent nos dna dir
|
$734.66 |
$734.66 |
$734.66 |
$115.20
|
|
Device hemospray 7frx220cm endo hemostat min access
|
$29,371.00 |
$29,371.00 |
$29,371.00 |
$4,200.00
|
