|
Cast sup lng leg splnt fbrgl
|
$51.50 |
$51.50 |
$51.50 |
|
|
Cast sup lng leg splnt ped f
|
$25.00 |
$25.00 |
$25.00 |
|
|
Cast sup long arm adult fbrg
|
$44.00 |
$45.00 |
$47.50 |
|
|
Cast sup long arm adult plst
|
$19.00 |
$19.00 |
$19.50 |
|
|
Cast sup long arm ped fbrgls
|
$16.00 |
$22.00 |
$61.00 |
|
|
Cast sup long arm ped plster
|
$10.00 |
$10.00 |
$10.00 |
|
|
Cast sup long leg fiberglass
|
$110.00 |
$110.00 |
$115.50 |
|
|
Cast sup shrt leg ped fbrgls
|
$20.00 |
$20.50 |
$39.00 |
|
|
Cast sup shrt leg ped plster
|
$13.50 |
$13.50 |
$13.50 |
|
|
Cast sup shrt leg plaster
|
$24.50 |
$24.50 |
$24.50 |
|
|
Cast sup sht arm adult fbrgl
|
$27.50 |
$29.50 |
$30.50 |
|
|
Cast sup sht arm adult plstr
|
$13.50 |
$13.50 |
$13.50 |
|
|
Cast sup sht arm ped fbrglas
|
$14.50 |
$14.50 |
$28.00 |
|
|
Cast sup sht arm ped plaster
|
$28.00 |
$28.00 |
$28.00 |
|
|
Cast sup sht arm splint fbrg
|
$17.00 |
$17.50 |
$20.00 |
|
|
Cast sup sht arm splint plst
|
$10.50 |
$10.50 |
$11.00 |
|
|
Cast sup sht arm splnt ped f
|
$10.50 |
$13.00 |
$20.00 |
|
|
Cast sup sht arm splnt ped p
|
$5.00 |
$5.00 |
$5.00 |
|
|
Cast sup sht leg splnt fbrgl
|
$26.50 |
$26.50 |
$29.50 |
|
|
Cast sup sht leg splnt ped f
|
$14.00 |
$14.00 |
$14.00 |
|
|
Cast sup sht leg splnt plstr
|
$18.00 |
$18.00 |
$19.00 |
|
|
Cataract Surgery
|
$508.00 |
$2,266.50 |
$7,955.00 |
|
|
Catecholamines,fractionated, urine
|
$28.00 |
$28.00 |
$149.00 |
|
|
Cath 2lum 14.5frx43cm maxid kt mahurkar
|
$100.50 |
$435.00 |
$931.50 |
|
|
Cath ablat bi-d d-d 8fr 115cm
|
$3,290.50 |
$3,290.50 |
$5,949.50 |
|
|
Cath ablt clsfast 7fx100cmx
|
$260.00 |
$494.00 |
$654.00 |
|
|
Cath ablt rx lasr 2.0mm turbo
|
$1,428.84 |
$4,829.50 |
$6,036.75 |
|
|
Cath access del ds spyscop 2.0
|
$4,215.50 |
$4,215.50 |
$5,002.00 |
|
|
Cath acuity innr ic130 6f 63cm
|
$166.00 |
$1,550.00 |
$4,831.00 |
|
|
Cath acunav ge 10frx90cm
|
$2,232.00 |
$2,631.73 |
$4,088.00 |
|
|
Cath adherent clot 10mm 6f 10
|
$1,411.50 |
$5,701.58 |
$19,015.50 |
|
|
Cath baloon occl urnry 34f 7x2x65
|
$485.49 |
$1,362.00 |
$2,495.75 |
|
|
Cath bi-dir df smarttouch
|
$4,625.00 |
$4,625.00 |
$6,296.85 |
|
|
Cath blazer dx/20 2-10-2 space
|
$2,021.50 |
$2,066.50 |
$3,364.50 |
|
|
Cath combo lt&rt heart w/inj/s
|
$2,889.50 |
$4,502.50 |
$8,988.50 |
|
|
Cath council tip 16fr 5cc
|
$38.39 |
$38.39 |
$38.39 |
|
|
Cath cv dl inj 7fx16cm
|
$261.50 |
$579.50 |
$1,619.50 |
|
|
Cath del ampltz 12f 45d 80cm
|
$76.50 |
$1,554.38 |
$1,691.00 |
|
|
Cath epdrl brevi-stf 12in .043
|
$18.00 |
$73.50 |
$998.38 |
|
|
Catheter declot mechanical
|
$47.00 |
$47.50 |
$3,887.00 |
|
|
Catheter insert artery
|
$110.00 |
$112.50 |
$180.00 |
|
|
Catheterization collection of specimen single patient all places of service
|
$12.00 |
$25.20 |
$256.50 |
|
|
Catheter stripping venous
|
$2,669.50 |
$2,869.50 |
$3,348.50 |
|
|
Cath groshong MRI 8fr plstc port
|
$390.00 |
$443.50 |
$1,653.00 |
|
|
Cath hawkone s directional
|
$3,446.16 |
$4,133.00 |
$7,451.00 |
|
|
Cath imag ivus pv 8.5fx90 .035
|
$1,261.26 |
$1,464.00 |
$3,681.96 |
|
|
Cathj umbilical vein dx/ther nb
|
$224.00 |
$274.50 |
$329.50 |
|
|
Cath left heart/lv gram
|
$2,889.50 |
$5,990.50 |
$7,464.50 |
|
|
Cath left heart transseptal punc
|
$4,489.50 |
$4,489.50 |
$4,988.00 |
|
|
Cath lt/rt pulm art
|
$155.00 |
$248.00 |
$2,650.00 |
|
|
Cath malecot 28fr 4-wing ltx
|
$70.56 |
$1,086.00 |
$1,915.50 |
|
|
Cath occl flo-rester 2.25x12mm cor internal vessel occluder
|
$10,682.00 |
$10,682.00 |
$10,682.00 |
|
|
Cath place 1st order venous 36011
|
$163.00 |
$260.80 |
$10,450.00 |
|
|
Cath plc art ang/grft lt/rt hr
|
$2,889.50 |
$6,442.00 |
$16,723.80 |
|
|
Cath plc art/angio/rt hrt cath
|
$4,990.00 |
$7,246.50 |
$13,033.20 |
|
|
Cath plc art/grft/angio right hrt
|
$3,076.00 |
$5,990.50 |
$8,007.50 |
|
|
Cath ptca pcltxl agent 3x20mm
|
$5,733.00 |
$5,733.00 |
$5,733.00 |
|
|
Cath right heart w/o2 sat & card
|
$2,889.50 |
$5,742.50 |
$8,403.60 |
|
|
Cath right hrt mnpul art
|
$131.00 |
$132.50 |
$1,022.50 |
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$59.50 |
$284.00 |
$1,224.00 |
|
|
Cath segmntl pulm art
|
$690.00 |
$1,350.50 |
$2,004.00 |
|
|
Cath steerable flex adv 12f
|
$117.50 |
$1,114.50 |
$2,826.63 |
|
|
Cath stripping venous s&i
|
$188.00 |
$534.00 |
$828.00 |
|
|
Cath symplicity spyral
|
$14,487.00 |
$14,487.00 |
$14,487.00 |
|
|
Cath temp pace flo bipol 5fr electrd
|
$1,840.50 |
$1,881.00 |
$2,079.50 |
|
|
Cath uret open tp 6fx70cm
|
$18.97 |
$45.00 |
$698.81 |
|
|
Cath w/drainage 2-way latex
|
$278.50 |
$278.50 |
$278.50 |
|
|
Cauterization chemical granulation tissue
|
$192.50 |
$308.00 |
$1,991.00 |
|
|
Cauterization of cervix 57510
|
$3,711.50 |
$3,721.00 |
$6,788.00 |
|
|
#cbg+cort-cbg
|
$34.20 |
$34.20 |
$61.00 |
|
|
Cciiv4 vacc abx free im
|
$28.00 |
$29.50 |
$29.50 |
|
|
Cciiv4 vac no prsv 0.5 ml im
|
$26.00 |
$30.50 |
$30.50 |
|
|
Ccnd1/igh translocation alys
|
$160.17 |
$160.17 |
$160.17 |
|
|
Cdna analysis for variants
|
$299.00 |
$478.40 |
$1,745.00 |
|
|
Cdp-sot 6 cond w/i&r
|
$96.00 |
$96.00 |
$96.00 |
|
|
Cebpa gene full sequence
|
$493.00 |
$647.00 |
$866.00 |
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$1.50 |
$7.11 |
$38.70 |
|
|
Cefepime 1 gram solution for injection
|
$2.00 |
$17.24 |
$34.47 |
|
|
Cefotetan 1 gm vial
|
$58.92 |
$58.92 |
$58.92 |
|
|
Cefoxitin 1 gram intravenous solution
|
$7.14 |
$15.26 |
$109.58 |
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.50 |
$11.00 |
$1,027.50 |
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$2.00 |
$6.62 |
$40.64 |
|
|
Ceftazidime and avibactam
|
$306.49 |
$306.49 |
$817.30 |
|
|
Ceftriaxone 1 gram solution for injection
|
$1.00 |
$24.00 |
$193.50 |
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$1.34 |
$1.34 |
$1.34 |
|
|
#celiac hla-dq2
|
$148.20 |
$148.20 |
$158.40 |
|
|
#celiac hla-dq8
|
$250.00 |
$304.50 |
$1,080.50 |
|
|
Cell count body fluid
|
$17.00 |
$36.50 |
$48.50 |
|
|
Cell count w differential body fluid
|
$50.00 |
$71.00 |
$392.00 |
|
|
Cell cryopreserve/storage
|
$19.00 |
$19.00 |
$262.00 |
|
|
Cell enumeration & id
|
$487.50 |
$487.50 |
$975.50 |
|
|
Cell function assay w/stim
|
$270.00 |
$415.80 |
$803.00 |
|
|
Cell marker study
|
$37.50 |
$153.50 |
$600.00 |
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$17,001.98 |
$21,213.52 |
$22,669.31 |
|
|
Cerclage of uterine cervix nonob 57700
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
|
|
Cerebrospinal fld flw imag
|
$930.50 |
$988.50 |
$988.50 |
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$10,872.46 |
$11,405.23 |
$11,405.23 |
|
|
Cervical lymphadenectomy 38720
|
$20,256.67 |
$20,256.67 |
$20,256.67 |
|
|
Cervical or vaginal cancer screening g0101
|
$9.50 |
$57.00 |
$170.50 |
|
|
Cesarean section delivery only 59514
|
$993.00 |
$1,007.00 |
$1,611.20 |
|
