|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$2,105.33 |
$2,105.33 |
$2,105.33 |
$513.08
|
|
Carcinoembryonic ag (cea)
|
$167.70 |
$167.70 |
$167.70 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$2,626.88
|
|
Cardiolipin antibody iga
|
$66.60 |
$66.60 |
$66.60 |
$105.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$950.70 |
$950.70 |
$950.70 |
$1,396.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$1,018.68
|
|
Carpal Tunnel Release Surgery
|
$9,855.21 |
$9,855.21 |
$9,855.21 |
$3,608.80
|
|
Cataract Surgery
|
$5,460.76 |
$5,460.76 |
$5,460.76 |
$4,881.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$2,481.75 |
$2,481.75 |
$2,481.75 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$6,535.27 |
$6,535.27 |
$6,535.27 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$4,877.47 |
$4,877.47 |
$4,877.47 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$5,814.74 |
$5,814.74 |
$5,814.74 |
$6,463.80
|
|
Cath access del ds spyscop 2.0
|
$23,154.73 |
$23,154.73 |
$23,154.73 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$49,635.00 |
$49,635.00 |
$49,635.00 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$5,653.43 |
$5,653.43 |
$5,653.43 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$41,362.50 |
$41,362.50 |
$41,362.50 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$10,754.25 |
$10,754.25 |
$10,754.25 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$13,980.52 |
$13,980.52 |
$13,980.52 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$5,512.79 |
$5,512.79 |
$5,512.79 |
$4,012.78
|
|
Cath cv dl inj 7fx16cm
|
$6,746.12 |
$6,746.12 |
$6,746.12 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$3,631.63 |
$3,631.63 |
$3,631.63 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$1,489.05 |
$1,489.05 |
$1,489.05 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$37.80 |
$37.80 |
$37.80 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$6,238.54 |
$6,238.54 |
$6,238.54 |
$1,653.00
|
|
Cath hawkone s directional
|
$5,368.85 |
$5,368.85 |
$5,368.85 |
$6,996.60
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$1,145.29 |
$1,145.29 |
$1,145.29 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$5,782.48 |
$5,782.48 |
$5,782.48 |
$4,160.00
|
|
Cath intrdsc spnecth 8 pin
|
$134.96 |
$134.96 |
$134.96 |
$1,994.50
|
|
Cath malecot 28fr 4-wing ltx
|
$11,492.42 |
$11,492.42 |
$11,492.42 |
$2,173.58
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$19,854.00 |
$19,854.00 |
$19,854.00 |
$19,384.20
|
|
Cath ptca pcltxl agent 3x20mm
|
$9,347.92 |
$9,347.92 |
$9,347.92 |
$11,356.50
|
|
Cath steerable flex adv 12f
|
$2,837.47 |
$2,837.47 |
$2,837.47 |
$2,925.00
|
|
Cath symplicity spyral
|
$26,472.00 |
$26,472.00 |
$26,472.00 |
$36,000.00
|
|
Cath temp pace flo bipol 5fr electrd
|
$11,126.51 |
$11,126.51 |
$11,126.51 |
$1,518.52
|
|
Cath uret open tp 6fx70cm
|
$579.07 |
$579.07 |
$579.07 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$194.70 |
$194.70 |
$194.70 |
$340.90
|
|
Cdna analysis for variants
|
$125.70 |
$125.70 |
$125.70 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$56.10 |
$56.10 |
$56.10 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$93.26 |
$93.26 |
$93.26 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$42.31 |
$42.31 |
$42.31 |
$74.82
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$63.05 |
$63.05 |
$63.05 |
$63.05
|
|
Ceftriaxone 1 gram solution for injection
|
$39.60 |
$39.60 |
$39.60 |
$84.18
|
|
Cell count body fluid
|
$6.30 |
$6.30 |
$6.30 |
$63.63
|
|
Cell count w differential body fluid
|
$128.40 |
$128.40 |
$128.40 |
$93.23
|
|
Cellesta or duo per sq cm
|
$11,118.24 |
$11,118.24 |
$11,118.24 |
$20,019.68
|
|
Cell function assay w/stim
|
$213.90 |
$213.90 |
$213.90 |
$314.25
|
|
Cer post col occ/man sup adj
|
$495.19 |
$495.19 |
$495.19 |
$802.30
|
|
Cerv collar supp adj cerv ba
|
$1,254.11 |
$1,254.11 |
$1,254.11 |
$1,124.77
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$6,323.94 |
$6,323.94 |
$6,323.94 |
$3,028.20
|
|
Change cystostomy tube simple
|
$149.70 |
$149.70 |
$149.70 |
$451.00
|
|
Change of windpipe airway 31502
|
$144.60 |
$144.60 |
$144.60 |
$388.00
|
|
Chest CT scan (with and without contrast)
|
$898.50 |
$898.50 |
$898.50 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$718.80 |
$718.80 |
$718.80 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$422.70 |
$422.70 |
$422.70 |
$1,350.03
|
|
Chest X-ray
|
$187.20 |
$187.20 |
$187.20 |
$294.06
|
|
Chest X-ray (single view)
|
$150.60 |
$150.60 |
$150.60 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$187.80 |
$187.80 |
$187.80 |
$511.59
|
|
Chimerism anal w/cell select
|
$410.70 |
$410.70 |
$410.70 |
$585.60
|
|
Chlamydia culture
|
$30.90 |
$30.90 |
$30.90 |
$93.90
|
|
Chlamydia type
|
$8.70 |
$8.70 |
$8.70 |
$34.20
|
|
Chloride 24 hour urine
|
$69.90 |
$69.90 |
$69.90 |
$49.50
|
|
Chloroprocaine hcl injection
|
$147.71 |
$147.71 |
$147.71 |
$61.51
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$43.69 |
$43.69 |
$43.69 |
$78.43
|
|
Cholesterol
|
$70.50 |
$70.50 |
$70.50 |
$45.76
|
|
Cholesterol body fluid
|
$371.10 |
$371.10 |
$371.10 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$47.70 |
$47.70 |
$47.70 |
$115.80
|
|
Cholinesterase
|
$12.30 |
$12.30 |
$12.30 |
$38.69
|
|
Chromatography
|
$11.10 |
$11.10 |
$11.10 |
$81.25
|
|
Chronic urticaria - sendout
|
$273.60 |
$273.60 |
$273.60 |
$75.00
|
|
Circum 28 days or older
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$3,860.64
|
|
Cisplatin 1 mg/ml desensitization
|
$116.05 |
$116.05 |
$116.05 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$365.15 |
$365.15 |
$365.15 |
$569.55
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$18,199.50 |
$18,199.50 |
$18,199.50 |
$15,390.00
|
|
Clearance of airways
|
$132.00 |
$132.00 |
$132.00 |
$208.86
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$70.62 |
$70.62 |
$70.62 |
$55.20
|
|
Clip ligating vesolock lg
|
$3,193.18 |
$3,193.18 |
$3,193.18 |
$4,320.00
|
|
Cllr miami j sm
|
$566.23 |
$566.23 |
$566.23 |
$566.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$24.75 |
$24.75 |
$24.75 |
$81.90
|
|
Closed carpo/metacarpal disl thumb w/manip
|
$222.90 |
$222.90 |
$222.90 |
$508.45
|
|
Closed carpo/metacarpal fx disl thumb w/manip
|
$996.90 |
$996.90 |
$996.90 |
$1,806.01
|
|
Closed tx humerus fx with manip 23605
|
$996.90 |
$996.90 |
$996.90 |
$2,211.05
|
|
Closed tx humerus fx w/manip 24505
|
$996.90 |
$996.90 |
$996.90 |
$1,507.80
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$222.90 |
$222.90 |
$222.90 |
$376.96
|
|
Closed tx orbit without manipulj
|
$317.40 |
$317.40 |
$317.40 |
$998.40
|
|
Closed tx post hip arthroplasty disloc w/anes 27266
|
$1,494.60 |
$1,494.60 |
$1,494.60 |
$2,520.60
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$144.60 |
$144.60 |
$144.60 |
$481.80
|
|
Clos txnose fx without stablz 21315
|
$964.50 |
$964.50 |
$964.50 |
$2,326.08
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$222.90 |
$222.90 |
$222.90 |
$641.90
|
|
Clsd tx bimalleol ank fx without manip 27808
|
$222.90 |
$222.90 |
$222.90 |
$526.35
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$222.90 |
$222.90 |
$222.90 |
$476.80
|
|
Clsd tx clavicle dislocation without manip 23540
|
$222.90 |
$222.90 |
$222.90 |
$419.29
|
|
Clsd tx clavicle fracture w/manip 23505
|
$996.90 |
$996.90 |
$996.90 |
$1,893.86
|
|
Clsd tx coccygeal fracture 27200
|
$222.90 |
$222.90 |
$222.90 |
$388.80
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$226.80 |
$226.80 |
$226.80 |
$401.00
|
|
Clsd tx dist fib fx w/manip 27788
|
$222.90 |
$222.90 |
$222.90 |
$653.60
|
|
Clsd tx elbow dislocation child 24640
|
$222.90 |
$222.90 |
$222.90 |
$462.80
|
|
Clsd tx/fem shaft fx/manipulation 27502
|
$996.90 |
$996.90 |
$996.90 |
$2,184.08
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$222.90 |
$222.90 |
$222.90 |
$411.73
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$222.90 |
$222.90 |
$222.90 |
$520.80
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$996.90 |
$996.90 |
$996.90 |
$1,656.90
|
