|
#celiac hla-dq2
|
$42.90 |
$42.90 |
$42.90 |
$226.28
|
|
#celiac hla-dq8
|
$42.90 |
$42.90 |
$42.90 |
$246.88
|
|
Cell count w differential body fluid
|
$80.23 |
$80.23 |
$80.23 |
$97.83
|
|
Cell marker study
|
$74.85 |
$74.85 |
$74.85 |
$237.12
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$20,820.44 |
$20,820.44 |
$20,820.44 |
$13,244.85
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$36.44 |
$36.44 |
$36.44 |
$3,569.83
|
|
#cf-97variants
|
$370.95 |
$370.95 |
$370.95 |
$603.56
|
|
Change cystostomy tube simple
|
$135.10 |
$135.10 |
$135.10 |
$520.00
|
|
Change of windpipe airway 31502
|
$77.27 |
$77.27 |
$77.27 |
$406.53
|
|
Chemo adm cns w/lmbr punct
|
$195.45 |
$195.45 |
$195.45 |
$732.00
|
|
Chest 2 vws w oblique
|
$271.50 |
$271.50 |
$271.50 |
$377.06
|
|
Chest apical lordotic proj
|
$251.70 |
$251.70 |
$251.70 |
$294.91
|
|
Chest CT scan (with and without contrast)
|
$1,078.80 |
$1,078.80 |
$1,078.80 |
$2,044.52
|
|
Chest CT scan (with contrast)
|
$918.45 |
$918.45 |
$918.45 |
$1,707.60
|
|
Chest CT scan (without contrast)
|
$729.00 |
$729.00 |
$729.00 |
$1,350.03
|
|
Chest X-ray
|
$199.95 |
$199.95 |
$199.95 |
$301.23
|
|
Chest X-ray (single view)
|
$152.55 |
$152.55 |
$152.55 |
$244.20
|
|
Chlamydia culture
|
$29.70 |
$29.70 |
$29.70 |
$90.35
|
|
Chloride
|
$24.54 |
$24.54 |
$24.54 |
$39.60
|
|
Chloride 24 hour urine
|
$40.35 |
$40.35 |
$40.35 |
$46.13
|
|
Chloroprocaine hcl injection
|
$77.67 |
$77.67 |
$77.67 |
$71.09
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,085.20 |
$1,085.20 |
$1,085.20 |
$329.69
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$114.88 |
$114.88 |
$114.88 |
$91.92
|
|
Chlorpromazine 100 mg tablet
|
$1.44 |
$1.44 |
$1.44 |
$1.44
|
|
Cholangiogram percutaneous compl
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$3,747.56
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$291.38 |
$291.38 |
$291.38 |
$628.80
|
|
Cholesterol
|
$39.00 |
$39.00 |
$39.00 |
$46.15
|
|
Cholesterol body fluid
|
$24.90 |
$24.90 |
$24.90 |
$80.28
|
|
Cholesterol (Lipid) Test
|
$102.36 |
$102.36 |
$102.36 |
$118.30
|
|
Cholinesterase
|
$14.25 |
$14.25 |
$14.25 |
$38.69
|
|
Chrom analysis
|
$97.80 |
$97.80 |
$97.80 |
$127.86
|
|
Chromogenic substrate assay
|
$43.20 |
$43.20 |
$43.20 |
$180.18
|
|
Chromosome analys amniotic
|
$159.45 |
$159.45 |
$159.45 |
$436.00
|
|
Chromosome analysis 15-20 cell count
|
$188.55 |
$188.55 |
$188.55 |
$432.06
|
|
Chromosome analysis 20-25
|
$185.25 |
$185.25 |
$185.25 |
$277.09
|
|
Chromosome karyotype study
|
$61.35 |
$61.35 |
$61.35 |
$100.00
|
|
Chromosome study additional
|
$57.45 |
$57.45 |
$57.45 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$75.30 |
$75.30 |
$75.30 |
$123.20
|
|
Cinacalcet 30 mg tablet
|
$88.79 |
$88.79 |
$88.79 |
$53.80
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$86.76 |
$86.76 |
$86.76 |
$55.64
|
|
Circumcision (newborn)
|
$301.50 |
$301.50 |
$301.50 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$11.22 |
$11.22 |
$11.22 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$156.17 |
$156.17 |
$156.17 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,615.32 |
$6,615.32 |
$6,615.32 |
$15,779.40
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$73.95 |
$73.95 |
$73.95 |
$66.73
|
|
Clip ligating vesolock lg
|
$31,286.28 |
$31,286.28 |
$31,286.28 |
$1,848.00
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$15.27 |
$15.27 |
$15.27 |
$81.25
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$126.30 |
$126.30 |
$126.30 |
$612.80
|
|
Closed tx humerus fx with manip 23605
|
$493.80 |
$493.80 |
$493.80 |
$2,460.00
|
|
Closed tx humerus fx w/manip 24505
|
$221.40 |
$221.40 |
$221.40 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$126.30 |
$126.30 |
$126.30 |
$423.20
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$885.45 |
$885.45 |
$885.45 |
$2,864.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$134.55 |
$134.55 |
$134.55 |
$487.69
|
|
Clos txnose fx without stablz 21315
|
$845.48 |
$845.48 |
$845.48 |
$2,518.42
|
|
Clot factor wght kininogen
|
$56.55 |
$56.55 |
$56.55 |
$134.81
|
|
Clot factor xii hageman
|
$129.45 |
$129.45 |
$129.45 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$150.75 |
$150.75 |
$150.75 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$243.75 |
$243.75 |
$243.75 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$94.65 |
$94.65 |
$94.65 |
$543.00
|
|
Clsd tx clavicle fracture w/manip 23505
|
$531.45 |
$531.45 |
$531.45 |
$2,021.04
|
|
Clsd tx dist fib fx w/manip 27788
|
$131.10 |
$131.10 |
$131.10 |
$731.04
|
|
Clsd tx elbow dislocation child 24640
|
$120.35 |
$120.35 |
$120.35 |
$525.28
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$640.05 |
$640.05 |
$640.05 |
$2,660.00
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$93.15 |
$93.15 |
$93.15 |
$494.40
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$849.12 |
$849.12 |
$849.12 |
$1,893.86
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$586.65 |
$586.65 |
$586.65 |
$1,827.71
|
|
Clsd tx hip disloc without anes 27265
|
$123.72 |
$123.72 |
$123.72 |
$716.95
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$128.83 |
$128.83 |
$128.83 |
$717.75
|
|
Clsd tx metatarsal fracture w/manip 28475
|
$78.00 |
$78.00 |
$78.00 |
$580.30
|
|
Clsd tx patella disloc without anes 27560
|
$126.19 |
$126.19 |
$126.19 |
$707.30
|
|
Clsd tx prox fib/shaft fx w/manip 27781
|
$853.35 |
$853.35 |
$853.35 |
$2,548.00
|
|
Clsd tx radius fracture w/manip 24655
|
$894.00 |
$894.00 |
$894.00 |
$1,868.38
|
|
Clsd tx shoulder dislc/fx 23665
|
$616.95 |
$616.95 |
$616.95 |
$2,043.80
|
|
Clsd tx temporomandibular dislocat 21480
|
$126.30 |
$126.30 |
$126.30 |
$506.40
|
|
Clsd tx toe dislocation without anes28660
|
$131.10 |
$131.10 |
$131.10 |
$428.00
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$870.42 |
$870.42 |
$870.42 |
$1,707.42
|
|
Clsd tx wrist ulnar styloid fx 25650
|
$94.65 |
$94.65 |
$94.65 |
$692.03
|
|
Cls tx of heel fracture w/manip 28405
|
$78.00 |
$78.00 |
$78.00 |
$896.35
|
|
C motor evoked upr&lwr limbs
|
$216.75 |
$216.75 |
$216.75 |
$1,273.61
|
|
#cmvcul-virus inoculation shell
|
$147.75 |
$147.75 |
$147.75 |
$102.57
|
|
Cmv pcr-sendout
|
$84.45 |
$84.45 |
$84.45 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$16,657.92 |
$16,657.92 |
$16,657.92 |
$4.82
|
|
Cocaine 4 % nasal solution
|
$16,155.00 |
$16,155.00 |
$16,155.00 |
$856.13
|
|
Coil axium 3d 14mmx40cm qc
|
$1,260.16 |
$1,260.16 |
$1,260.16 |
$577.03
|
|
Cold agglutinin titer
|
$10.50 |
$10.50 |
$10.50 |
$48.57
|
|
Colistimethate sodium inj
|
$164.85 |
$164.85 |
$164.85 |
$84.63
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$3.00 |
$3.00 |
$3.00 |
$62.40
|
|
Collar cerv adlt perfit ace extric
|
$110.10 |
$110.10 |
$110.10 |
$29.25
|
|
Collection of venous blood by venipuncture
|
$10.65 |
$10.65 |
$10.65 |
$21.20
|
|
Colpocentesis 57020
|
$1,914.45 |
$1,914.45 |
$1,914.45 |
$4,883.45
|
|
Colposcopy/cervix/inc up/adjacent vag 57452
|
$40.95 |
$40.95 |
$40.95 |
$321.10
|
|
Colposcopy vulva 56820
|
$21.00 |
$21.00 |
$21.00 |
$295.20
|
|
Compatibility test each unit antiglobulin technique
|
$85.95 |
$85.95 |
$85.95 |
$168.69
|
|
Complement antigen each component c3
|
$51.75 |
$51.75 |
$51.75 |
$112.45
|
|
Complx repair fccmnaxghf 13131
|
$157.80 |
$157.80 |
$157.80 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$333.30 |
$333.30 |
$333.30 |
$1,226.00
|
|
Complx repair fccmnaxghf 13133
|
$72.45 |
$72.45 |
$72.45 |
$757.08
|
|
Complx repair sal addl 5 cm/> 13122
|
$71.91 |
$71.91 |
$71.91 |
$590.20
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$266.97 |
$266.97 |
$266.97 |
$1,000.10
|
|
Concentration infection agents any type
|
$19.50 |
$19.50 |
$19.50 |
$51.32
|
