|
Ca screen;flexi sigmoidscope
|
$4,889.10 |
$4,889.10 |
$4,889.10 |
$1,206.00
|
|
Caspofungin acetate
|
$652.05 |
$652.05 |
$652.05 |
$615.86
|
|
Cataract Surgery
|
$12,633.88 |
$12,633.88 |
$12,633.88 |
$4,881.00
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$7,798.50 |
$7,798.50 |
$7,798.50 |
$830.58
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$20,536.05 |
$20,536.05 |
$20,536.05 |
$6,545.59
|
|
Cath ablt clsfast 7fx100cmx
|
$15,326.65 |
$15,326.65 |
$15,326.65 |
$2,808.00
|
|
Cath ablt rx lasr 2.0mm turbo
|
$18,271.88 |
$18,271.88 |
$18,271.88 |
$6,463.80
|
|
Cath access del ds spyscop 2.0
|
$72,760.01 |
$72,760.01 |
$72,760.01 |
$5,212.99
|
|
Cath acuity innr ic130 6f 63cm
|
$155,970.00 |
$155,970.00 |
$155,970.00 |
$9,236.50
|
|
Cath acunav ge 10frx90cm
|
$17,764.99 |
$17,764.99 |
$17,764.99 |
$6,433.20
|
|
Cath adherent clot 10mm 6f 10
|
$129,975.00 |
$129,975.00 |
$129,975.00 |
$18,560.00
|
|
Cath baloon occl urnry 34f 7x2x65
|
$33,793.50 |
$33,793.50 |
$33,793.50 |
$6,552.00
|
|
Cath bi-dir df smarttouch
|
$43,931.55 |
$43,931.55 |
$43,931.55 |
$8,282.05
|
|
Cath blazer dx/20 2-10-2 space
|
$17,323.07 |
$17,323.07 |
$17,323.07 |
$4,012.78
|
|
Cath combo lt&rt heart w/inj/s
|
$10,198.80 |
$10,198.80 |
$10,198.80 |
$8,899.15
|
|
Cath cv dl inj 7fx16cm
|
$21,198.61 |
$21,198.61 |
$21,198.61 |
$3,889.06
|
|
Cath del ampltz 12f 45d 80cm
|
$11,411.81 |
$11,411.81 |
$11,411.81 |
$2,337.00
|
|
Cath epdrl brevi-stf 12in .043
|
$4,679.10 |
$4,679.10 |
$4,679.10 |
$1,911.42
|
|
Catheterization collection of specimen single patient all places of service
|
$17.40 |
$17.40 |
$17.40 |
$40.95
|
|
Cath groshong MRI 8fr plstc port
|
$19,603.61 |
$19,603.61 |
$19,603.61 |
$1,653.00
|
|
Cath hawkone s directional
|
$16,870.76 |
$16,870.76 |
$16,870.76 |
$6,996.60
|
|
Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt
|
$3,598.90 |
$3,598.90 |
$3,598.90 |
$1,768.00
|
|
Cath imag ivus pv 8.5fx90 .035
|
$18,170.51 |
$18,170.51 |
$18,170.51 |
$4,160.00
|
|
Cath intrdsc spnecth 8 pin
|
$424.08 |
$424.08 |
$424.08 |
$1,994.50
|
|
Cathj umbilical vein dx/ther nb
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$254.80
|
|
Cath left heart/lv gram
|
$14,047.20 |
$14,047.20 |
$14,047.20 |
$7,685.82
|
|
Cath left heart transseptal punc
|
$8,505.60 |
$8,505.60 |
$8,505.60 |
$6,009.00
|
|
Cath lt/rt pulm art
|
$1,464.60 |
$1,464.60 |
$1,464.60 |
$1,281.93
|
|
Cath malecot 28fr 4-wing ltx
|
$36,113.09 |
$36,113.09 |
$36,113.09 |
$2,173.58
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$62,388.00 |
$62,388.00 |
$62,388.00 |
$19,384.20
|
|
Cath place 1st order venous 36011
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$1,377.75
|
|
Cath plc art ang/grft lt/rt hr
|
$16,959.60 |
$16,959.60 |
$16,959.60 |
$11,645.40
|
|
Cath plc art/angio/rt hrt cath
|
$11,367.00 |
$11,367.00 |
$11,367.00 |
$9,954.00
|
|
Cath ptca pcltxl agent 3x20mm
|
$29,374.35 |
$29,374.35 |
$29,374.35 |
$11,356.50
|
|
Cath right heart w/o2 sat & card
|
$8,512.80 |
$8,512.80 |
$8,512.80 |
$6,406.86
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,478.40 |
$1,478.40 |
$1,478.40 |
$469.09
|
|
Cath steerable flex adv 12f
|
$8,916.29 |
$8,916.29 |
$8,916.29 |
$2,925.00
|
|
Cath symplicity spyral
|
$83,184.00 |
$83,184.00 |
$83,184.00 |
$36,000.00
|
|
Cath temp pace flo bipol 5fr electrd
|
$34,963.28 |
$34,963.28 |
$34,963.28 |
$1,518.52
|
|
Cath uret open tp 6fx70cm
|
$1,819.65 |
$1,819.65 |
$1,819.65 |
$554.52
|
|
Cauterization chemical granulation tissue
|
$385.80 |
$385.80 |
$385.80 |
$340.90
|
|
#cbg+cort-cbg
|
$57.00 |
$57.00 |
$57.00 |
$73.10
|
|
Cciiv4 vacc abx free im
|
$31.80 |
$31.80 |
$31.80 |
$31.36
|
|
Cdna analysis for variants
|
$525.00 |
$525.00 |
$525.00 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$113.40 |
$113.40 |
$113.40 |
$37.70
|
|
Cefepime 1 gram solution for injection
|
$48.00 |
$48.00 |
$48.00 |
$44.03
|
|
Cefoxitin 1 gram intravenous solution
|
$94.50 |
$94.50 |
$94.50 |
$74.82
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$2,206.76 |
$2,206.76 |
$2,206.76 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$94.50 |
$94.50 |
$94.50 |
$63.05
|
|
Ceftazidime and avibactam
|
$3,925.20 |
$3,925.20 |
$3,925.20 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$247.97 |
$247.97 |
$247.97 |
$84.18
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$51.28 |
$51.28 |
$51.28 |
$29.45
|
|
#celiac hla-dq2
|
$510.60 |
$510.60 |
$510.60 |
$225.12
|
|
Cell count body fluid
|
$228.60 |
$228.60 |
$228.60 |
$63.63
|
|
Cell count w differential body fluid
|
$22.80 |
$22.80 |
$22.80 |
$93.23
|
|
Cellesta or duo per sq cm
|
$34,937.28 |
$34,937.28 |
$34,937.28 |
$20,019.68
|
|
Cell function assay w/stim
|
$427.80 |
$427.80 |
$427.80 |
$314.25
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$63,583.29 |
$63,583.29 |
$63,583.29 |
$21,238.53
|
|
Cer post col occ/man sup adj
|
$1,556.06 |
$1,556.06 |
$1,556.06 |
$802.30
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$34,556.72 |
$34,556.72 |
$34,556.72 |
$10,638.62
|
|
Cerv collar supp adj cerv ba
|
$3,940.84 |
$3,940.84 |
$3,940.84 |
$1,124.77
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$9,736.86 |
$9,736.86 |
$9,736.86 |
$3,028.20
|
|
#cf-97variants
|
$1,534.20 |
$1,534.20 |
$1,534.20 |
$622.20
|
|
Change cystostomy tube simple
|
$544.80 |
$544.80 |
$544.80 |
$451.00
|
|
Change g-tube to g-j perc
|
$2,305.80 |
$2,305.80 |
$2,305.80 |
$2,198.40
|
|
Change of ureter tube/stent
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$2,423.46
|
|
Change of windpipe airway 31502
|
$432.00 |
$432.00 |
$432.00 |
$388.00
|
|
Change ureter stent percut
|
$2,245.20 |
$2,245.20 |
$2,245.20 |
$3,863.60
|
|
Chemodenervation anal musc
|
$11,913.21 |
$11,913.21 |
$11,913.21 |
$2,462.82
|
|
Chest 2 vws w oblique
|
$606.00 |
$606.00 |
$606.00 |
$377.06
|
|
Chest apical lordotic proj
|
$533.40 |
$533.40 |
$533.40 |
$310.80
|
|
Chest CT scan (with contrast)
|
$3,035.40 |
$3,035.40 |
$3,035.40 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$1,350.03
|
|
Chest X-ray
|
$960.60 |
$960.60 |
$960.60 |
$294.06
|
|
Chest X-ray (single view)
|
$332.40 |
$332.40 |
$332.40 |
$239.04
|
|
Chg pr pul rehab for copd patients
|
$126.60 |
$126.60 |
$126.60 |
$147.95
|
|
Chimerism anal w/cell select
|
$821.40 |
$821.40 |
$821.40 |
$585.60
|
|
Chloride
|
$39.00 |
$39.00 |
$39.00 |
$40.95
|
|
Chloride 24 hour urine
|
$95.40 |
$95.40 |
$95.40 |
$49.50
|
|
Chloroprocaine hcl injection
|
$344.45 |
$344.45 |
$344.45 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$323.61 |
$323.61 |
$323.61 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$109.21 |
$109.21 |
$109.21 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$904.80 |
$904.80 |
$904.80 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$4,381.80 |
$4,381.80 |
$4,381.80 |
$3,690.60
|
|
Cholesterol
|
$32.40 |
$32.40 |
$32.40 |
$45.76
|
|
Cholesterol body fluid
|
$5,092.80 |
$5,092.80 |
$5,092.80 |
$77.55
|
|
Cholesterol (Lipid) Test
|
$168.60 |
$168.60 |
$168.60 |
$115.80
|
|
Cholinesterase
|
$24.60 |
$24.60 |
$24.60 |
$38.69
|
|
Chromatography
|
$103.20 |
$103.20 |
$103.20 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$706.20 |
$706.20 |
$706.20 |
$512.20
|
|
Chromosome karyotype study
|
$480.60 |
$480.60 |
$480.60 |
$119.87
|
|
Chromosome study additional
|
$148.80 |
$148.80 |
$148.80 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$189.00 |
$189.00 |
$189.00 |
$124.15
|
|
Cidofovir injection
|
$4,262.40 |
$4,262.40 |
$4,262.40 |
$1,295.73
|
|
Cilastatin sodium injection
|
$308.56 |
$308.56 |
$308.56 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$48.00 |
$48.00 |
$48.00 |
$34.88
|
|
Circum 28 days or older
|
$1,546.20 |
$1,546.20 |
$1,546.20 |
$3,860.64
|
|
Circumcision (newborn)
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$479.57 |
$479.57 |
$479.57 |
$192.66
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$809.51 |
$809.51 |
$809.51 |
$569.55
|
