description standard charge › documents › charge-master-c.pdf · 2020-06-30 · description...

Description Standard ChargeC Difficile Toxin B Cell Culture $67.50

C Difficile Toxin B DNA by PCR $506.00

C Difficile Toxin By PCR $506.00

C Kit Mutation Analysis $334.66

C Peptide $10.62

C Pneumoniae Antibodies IgG IgA IgM by IF $26.89

C Pneumoniae DNA PCR $223.50

C Psittaci Antibodies IgG IgA IgM $26.89

C Reactive Protein $325.00

C Trachomatis and N Gonorrhoeae RNA TMA $48.25

C Trachomatis Antibodies IgG IgA IgM $41.45

C Trachomatis by DNA Probe $6.00

C/S Drape $112.00

C_Difficile A_B Toxin_Focus $67.50

C_Difficile Toxin And Culture $93.65

C_Difficile Toxin EIA $328.00

C1 Inhibitor Functional $17.00

C1 Inhibitor Protein $16.41

C1q Complement $43.50

C2 Complement $45.00

C3 and C4 Complements $13.51

C3 Complement $6.76

C3 Nephritic Factor $87.70

C3D Circulating Immune Complex $65.50

C3Pa Properdin Factor B $33.00

C4 Binding Protein Plasma $19.30

C4 Complement $6.76

C5 Serum $38.15

C6 Serum $51.00

C7 Serum $43.50

C8 Serum $48.50

C9 Serum $49.40

CA 125 $799.00

CA 15 3 $11.58

CA 19 9 $10.62

Ca 19‐9 Peritoneal Fluid $34.66

CA 27 29 $9.65

CA 72 4 $60.00

Cabazitaxel 60mG Inj $65,851.55

Cabergoline 0.5Mg Po $384.95

Cabozantinib 100mG Po $57,174.00



Cad Diagnostic Mammography‐Inactive $175.00

Cad Screening Mammography‐Inactive $178.00

Cadexomer Iodine 1.4Oz Gel $1,439.15

Cadmium $54.50

Cafergot 100Mg/1Mg Po $14.90

Caffeine $524.00

Caffeine (Quest) $19.30

Caffeine Cit 14Mg Oral Sol $111.70

Caffeine Cit 20mG Inj $236.25

Caffeine Cit 60Mg Oral Sol $65.45

Caffeine/Benzoate 500Mg Inj $241.30

Cal Carbonate 500Mg Po $10.00

Cal Carbonate 600Mg Po $10.00

Cal Glubionate Oral Liq 30ml $10.00

Cal Gluc Sol 30Ml $10.00

Cal Gluconate 10% 10ML Inj $115.30

Cal Gluconate 100Mg Oral Liq $2.00

Cal Gluconate 500Mg Po $10.00

Cal Polycarbophil 625Mg Po $10.00

Caladryl Lotion 180Ml $58.30

Calamine Lotion 4Oz $44.75

Calazime $26.00

Calazime Skin Paste 4Oz $129.05

Calciferol 1200units/0.15ml Or $10.00

Calcimar 400Units Inj $10,841.35

Calciparin 5000Units Inj $144.75

Calcipotriene 0.005% Crm 60Gm $3,045.85

Calcitonin $26.54

Calcitonin 200 Units 3.7Ml Nasal Spray $3,441.80

Calcitriol 0.25Mcg Po $13.45

Calcitriol 0.5Mcg Po $20.05

Calcitriol 0.7Mcg Oral Liq $87.70

Calcitriol 1mCg $63.00

Calcitrol 1Mcg Oral Liq $69.95

Calcium $398.00

Calcium Acetate 667Mg Po $11.35

Calcium Bone Filler $8,680.00

Calcium Carbonate 1250Mg Oral Susp $29.40

Calcium Carbonate 500Mg Po $10.00

Calcium Carbonate 750Mg Po $10.00

Calcium Chloride 10% 10Ml Inj $254.75

Calcium Citrate 950Mg Po $10.00

Calcium Gluc 1000mG/50mL NS $248.85

Calcium Total $389.00

Calmoseptine 2.5Oz $42.00

Calprotectin, Stool $62.73

Calreticulin Mutation Analysis $445.55

CAM Walker Boot Hi‐Top, Lrg $93.00

CAM Walker Boot Hi‐Top, Med $93.00

CAM Walker Boot Hi‐Top, SM $93.00

CAM Walker Boot Hi‐Top, XLrg $107.00

CAM Walker Boot Hi‐Top, XSM $107.00

Campy Assay EIA $307.00

Canalith Repositioning Procedure $232.00

Cancelled Case $1,149.00

Candesartan 16Mg Po $37.05



Candida Albicans Antibody $30.50

Candida Skin Test $1,499.40

Cangrelor Tetrasodium 50mG Inj $4,494.00

Canister Disp $12.00

Cann w/Dilator AngoVac 180 $58,000.00

Cannabinoids Confirmation $40.30

Cannister F/Vac W/Gel $132.28

Cannual Shiley Inner 8 $46.00

Cannula $620.00

Cannula 5.0 Mm F/Sz 6 Trach $180.00

Cannula 6.0 Mm F/Sz 7 Trach $180.00

Cannula 7Mm F/Sz8 Trach $180.00

Cannula 8Mm F/Sz9 Trach $180.00

Cannula Inner Size 7 $42.00

Cannula Inner Size 8 $42.00

Cannula Inner Xtra Length Sz7 $46.00

Cannula Nazal $36.00

Capecitabine 150Mg Po $170.85

Capecitabine 500Mg Po $283.40

Capillary Blood Collection $54.00

Capital W/Codeine Liq 1 Dose $45.50

Capsaicin 0.25% 60Gm Crm $101.95

Capsule Endoscopy $4,894.00

Capsule Endoscopy Kit $2,475.00

Captopril 12.5Mg Po $10.00

Captopril 1Mg Oral Liq $10.00

Captopril 25Mg Po $18.90

Captopril 6.25Mg Po $10.00

Carbachol 0.01% 1.5Ml Ophth Sol $424.40

Carbamazepine 200Mg Oral Susp $47.80

Carbamazepine 200mg Po $36.00

Carbamazepine 300Mg Po $20.05

Carbamazepine Xr 100Mg Po $10.00

Carbamazepine Xr 200Mg Po $20.05

Carbamide Peroxide 10% 15Ml $22.45

Carbamide Peroxide 6.5% 15Ml Otic Sol $18.25

Carbidop/Levodop/Entacap 12.5/50/200Mg Po $96.40

Carbidop/Levodop/Entacap 18.75/75/200Mg Po $96.40

Carbidopa/Levodopa 25/100Mg Po $10.00

Carbidopa/Levodopa 25/250Mg Po $10.60

Carbohydrate Deficient Transferrin $62.50

Carboplatin 150mG $264.60

Carboplatin 450mG $2,170.35

Carboplatin 50mg Inj $242.00

Carboplatin 600mG $1,246.90

Carboprost 250Mcg Inj $4,465.85

Carboxyhemoglobin (RT) $100.00

Carboxyhemoglobin, Bld $24.37

Carboxymeth/Glycer 0.5%/0.9%PF $10.00

Carboxymethycellulose 1% 0.4Ml $10.00

Cardene 25Mg Inj $292.65

Cardiac Cath $1,183.00

Cardiac Event Monitor Hook‐up $221.00

Cardiac Intensive Care Unit $20,240.00

Cardiac Intensive Care Unit MC $20,240.00

Cardiac Rehab Phase II $47.00

Cardiac Rehab/Monitored $275.00

Cardiac Rehab/Non‐Monitored $329.00

Cardiac Troponin I $722.00

Cardiac Troponin I POCT $722.00

Cardiac Troponin I_Quest $16.75

Cardio CRP $13.81

Cardio IQ (R) HDL Cholesterol $2.00

Cardio Iq 9P21 Genotype $335.24

Cardio IQ Omega 3, 6 Fatty Acids $50.00

Cardio IQ R Advanced Lipid Panel $55.88

Cardio IQ TM LP $22.61

Cardio Iq( R) Lpa Aspirin Geno $176.31

Cardio R Omega3,6 Fatty Acids $175.50

Cardioform Septal Occluder $31,644.00

Cardiolipin AB IGG, IGA, IGM $83.00

Cardiolipin Antibody IGA $5.30

Cardiolipin Antibody IGG $5.30

Cardiolipin Antibody IGM $5.30

Cardiolipin Reflex T $80.00

CardioMEMS PA Sensor w/delivery sys $99,800.00

Cardioplegia Sol 1000Ml $160.45

Cardiovascular Graft Bifurca $3,480.00

Cardiovascular Graft St Long $7,900.00

Cardiovascular Graft St Short $4,848.00

Cardiovascular Graft/Ring $6,488.00

Cardiovascular Patch $828.00

Cardioversion $18,029.00

Cardioversion Elect Int $11,131.00

Cardioversion Elect Int $11,131.00

Carfilzomib 30mG Inj $9,035.00

Carfilzomib 60mG Inj $9,463.20

Carisoprodol 3250Mg Po $12.50

Carisoprolol 350Mg Oral Susp $10.00

Carmustine 100mG Inj $13,990.60

Carnitine $29.92

Carnitor 1GM/10ML Oral Sol 100 $20.60

Carotene $15.00

Carotid Duplex $3,717.00

Carotid/Abi/Aorta Anerysm Scrn $181.00

Carotid/Cerv Bil Ang S&I $11,574.00

Carrasyn V 3Oz Gel $98.50

Cart Percutaneous Trach $2,517.00

Carvedilol 1.56mG Tab $11.25

Carvedilol 25Mg Po $30.25

Carvedilol 3.125Mg Po $23.85

Carvedilol 6.25Mg Po $31.00

Carvedilol Cr 10Mg Po $115.60

Carvedilol Cr 20Mg Po $88.15

Carvedilol Cr 40mg Po $88.15

C‐Arwtrero Perc Thrombo Cath $2,660.00

Casein F78 IGE $6.00

Cashew Nut Component $5.45

Cashew Nut IGE $5.50

Caspofungin 50mG $4,255.15

Caspofungin 5mG $247.50

Caspofungin 5Mg Inj $247.50

Caspofungin 70mG $4,421.15

CASPR2 AB $320.00

CASPR2 AB CBA $145.83

Cast (Ptb) $1,200.00

Cast Shoe Lg $292.00

Cast Shoe Md $292.00

Cast Shoe Sm $292.00

Castor Oil 4Oz $46.50

Catapres 0.2Mg $29.90

Cat‐Dander Ige $19.53

Catecholamines Plasma $75.00

Cath 7Fr Therm Oil $1,225.00

Cath Abdle 1St $1,269.00

Cath Arterial 301Ra $577.00

Cath Brachy Tx Seed Adm $3,900.00

Cath Cholangiography Oper $297.00

Cath Cva Dual Lumen 401J $1,589.00

Cath Cvp Dual Lumen 501J $1,464.00

Cath Cvp Dual Lumen Jrsf $1,589.00

Cath Dbl Lum Fem Marhurkar $1,680.00

Cath Declot Balloon $308.00

Cath Dual Lumen Ureteral $424.00

Cath Embo Fogt $136.00

Cath Embofogt Irri $82.00

Cath Foley 10 Fr $470.00

Cath Foley 12 Fr W/5 Cc Bad $369.00

Cath Foley 14 Fr W/5 Cc Bad $365.00

Cath Foley 16 Fr W/30 Cc Bag $340.00



Cath Foley 18F $577.00

Cath Foley 20 Fr 2Way $382.00

Cath Foley 20 Fr W/30 Cc 3W $576.00



Cath Foley 22F w/5cc Bag $36.00

Cath Foley 22Fr 3Way $470.00

Cath Foley 24 Fr 3Way $470.00




Cath Foley 8 Fr $556.00

Cath Foley Coude 16Fr 5Cc $427.00

Cath Foley Coude 20 Fr $589.00

Cath Foley Coude 22 Fr $591.00

Cath Intradiscal $4,800.00

Cath Intro Aorta $727.00

Cath Intro Carotid/Vertebral $637.00

Cath Intro Retro Brachial Art $637.00

Cath Intro Rt/Main Pulm $480.00

Cath Intro Sup/Inf Vena Cava $359.00

Cath Intro Translum Aortic $480.00

Cath Leg Strap $537.00

Cath Mahur 11.5Frx16Cm Curved $1,314.00

Cath Mini 5 Fr $171.00

Cath Mushroom $29.00

Cath Occl/Emb $4,474.00

Cath Oral Suct 10FR $5.00

Cath Paceport $1,362.00

Cath Pacing 5Fr $1,725.00

Cath Pacing 6Fr $1,610.00

Cath Pigtail 6Fr $448.00

Cath Placmnt RT/LT W/O LT Vent $60,454.00

Cath Plcmnt Add 2nd,3rd&Beyond $252.00

Cath Plcmnt Arch Ext Carotid $8,444.00

Cath Plcmnt Arch Int‐Ext Caro $8,444.00

Cath Plcmnt Cervicerbrl Arch $6,641.00

Cath Plcmnt Ea Addl Ica/Vert $6,641.00

Cath Plcmnt External Carotid $7,185.00

Cath Plcmnt For Coro Angio $14,874.00

Cath Plcmnt Internal Carotid $8,444.00

Cath Plcmnt RHC, Coro Angio $37,553.00

Cath Plcmnt RT/LT Cath LT Vent $71,959.00

Cath Plcmnt Subclav/Innominate $8,444.00

Cath Plcmnt Vertebral $9,514.00

Cath Plcmt 2Nd $1,292.00

Cath Plcmt 3Rd $1,580.00

Cath Plcmt Coro Angio, Byps $20,924.00

Cath Plcmt W/LT Vent, Coron $69,058.00

Cath Plcmt, W/O LT Vent, Coron $57,558.00

Cath Pneumothorax Pigtail $436.00

Cath RT/LT Cath, LT Vent, BYPS $77,943.00

Cath RT/LT CTH W/O LT Ven, Byps $66,442.00

Cath Suction $65.00

Cath Suction 10 7R $331.00

Cath Suction 14Fr Steri $570.00

Cath Suction 8Fr $58.00

Cath Thor 36Fr R Angle $946.00

Cath Tip Culture $382.00

Cath Triple Lumen 12Fr $633.00

Cath Triple Lumen Precept $1,977.00

Cath Trocar 10Fr $558.00

Cath Trocar 12 Fr $514.00

Cath Trocar 24Fr $251.00

Cath Trocar Sz 24Fr $498.00

Cath Uret Cone All $56.00

Cath Uret Round All $32.00

Cath Uret Spiral All $51.00

Cath Uret Whistle $40.00

Cath Venous Sampling $560.00

Cath Ventricular Kit $2,045.00

Cath, Arterial 300Ra $577.00

Cath, Arterial 301Fa $577.00

Cath,6Fr $448.00

Cath,Swan 8Fr $2,052.00

Cath/Wire 1 $76.00

Cath/Wire A $66.00

Cath/Wire B $139.00

Cath/Wire C $276.00

Cath/Wire D $826.00

Cath/Wire E $449.00

Cath/Wire F $676.00

Cath/Wire G $899.00

Cath/Wire H $1,123.00

Catheter $841.00

Catheter All Sizes $311.00

Catheter Angio Balloon $1,248.00

Catheter Ash Repair Kit $907.00

Catheter Coronay $69.00

Catheter Hemodialysis $1,444.00

Catheter Intraspinal $3,468.00

Catheter Iupc $101.00

Catheter Ivus $3,600.00

Catheter Ivus ‐Car $5,026.00

Catheter Presep Oxim 8.5F 16Cm $1,620.00

Catheter Suction $305.00

Catheter Suppl $227.00

Catheter Thrombectomy $3,293.00

Catheter Tray A $297.00

Catheter Tray All Sizes $393.00

Catheter Tray B $381.00

Catheter Tray with Urinometer All Sizes $942.00

Catheter Ureteral $685.00

Catheter Xtrn Cnvn Optm 25mm $141.00





Catheter Xtrn Cnvn Shrt 21mm $141.00




Catheterization Kit $291.00

Catheterize For Urine Spec $17.00

Catheters Angiographic $400.00

Catheters Dilating $2,630.00

Caut Disp Opth $204.00

Cautery Pencil $81.00

Cautery Tool $999.00

CBCT Guidance for 3D TX $1,010.00

Cd68 Kp1 Immunostain (Mayo) $144.00

Cdi Sensor $4,839.00

CDKMS (MAYO) $900.00

CEA $1,029.00

CEA Pleural Fluid $9.00

Cefadroxil 500Mg Po $26.80

Cefazolin 0.5Gm Inj $91.75

Cefazolin 1000mG Inj $10.00

Cefazolin 1Gm / 50 mL $26.25

Cefazolin 1Gm / 50mL Duplex $75.55

Cefazolin 1Gm / 50mL Premix $73.50

Cefazolin 2000mG Inj $367.00

Cefazolin 2Gm / 50ml $252.00

Cefazolin 500mg Inj $53.15

Cefepime 0.5G $185.90

Cefepime 0.5Gm Inj $255.41

Cefepime 1Gm / 50mL $278.90

Cefepime 1Gm Inj $213.45

Cefepime 2Gm / 50mL $306.10

Cefepime 2Gm Inj $423.80

Cefepime 500Mg Inj $185.90

Cefepime 500mG Inj a $10.00

Cefixime 100Mg Oral Susp $36.10

Cefotaxime 1000mG $10.00

Cefotaxime 1GM inj $119.50

Cefotaxime 1Gm Inj a $27.70

Cefotaxime 2Gm Inj $97.65

Cefotetan 1gm $242.35

Cefotetan 1Gm / 50mL $228.60

Cefotetan 1gm Inj $298.55

Cefotetan 2Gm / 50mL a $326.85

Cefotetan 2Gm Inj $484.70

Cefotetan 500Mg Inj $10.00

Cefoxitin 1000mg Inj $10.00

Cefoxitin 1Gm / 50mL $159.80

Cefoxitin 1Gm Inj $125.35

Cefoxitin 1Gm Inj a $125.35

Cefoxitin 2gm Inj $126.00

Ceftaroline 10Mg Inj $197.55

Ceftaroline 400mG $2,118.60

Ceftaroline 400Mg Inj $325.65

Ceftaroline 600 Mg Inj $320.65

Ceftaroline 600mG $2,118.60

Ceftazidime 0.5Gm $162.70

Ceftazidime 0.5Gm a $136.60

Ceftazidime 1000mG Inj $10.00

Ceftazidime 1Gm / 50mL $187.75

Ceftazidime 1Gm Inj $132.30

Ceftazidime 2Gm Inj $274.05

Ceftazidime 500Mg Inj $162.70

Ceftriaxone 0.25Gm $20.70

Ceftriaxone 0.5Gm $220.50

Ceftriaxone 1 Gm $20.05

Ceftriaxone 1 Gm / 50mL Premix $189.40

Ceftriaxone 1Gm / 50mL Duplex $334.10

Ceftriaxone 2 Gm / 50mL $223.95

Ceftriaxone 2 Gm $35.90

Ceftriaxone 250mG $10.00

Ceftriaxone 500mG $11.95

Cefuroxime 100Mg Inj $33.20

Cefuroxime 250Mg Po $69.70

Cefuroxime 750Mg Inj $37.80

Celecoxib 100Mg Po $48.50

Celecoxib 400mg Cap $116.25

Celero 12G Vac Core Ndl $2,267.00

Celeromark Bx Marker $760.00

Celestone Soluspan 6Mg/Ml $471.25

Celiac Genetics $215.00

Celiac Disease Panel $14.74

Celiac Disease System $290.00

Cell Saver $4,381.00

Cell Saver Hrs Perfusion Serv $515.00

Cell Saver Setup Perfusion Ser $515.00

Cell Saver Standby Perfusion S $1,375.00

Central Line Insertion Tray $1,171.00

Central Venous Pressure Line $1,366.00

Centrifuged Concentration $315.00

Centrimed Pump $4,265.00

Centromere B Antibody $22.50

Centromere E. Probe (C) $175.00

Centromere E. Probe (M) $175.00

Cepacol 1 Lozenge $10.00

Cephalexin 250Mg Po $12.70

Cephalexin 500Mg Po $14.20

Cepodoxime 200Mg Po $94.90

Cer/Carotid Angio S&I Right $8,575.00

Cerclage Removal $4,148.00

Ceritinib 150mG Po $28,148.60

Ceruloplasmin $6.76

Cerv Spine 6 Or More Views $1,865.00

Cerv/Thor Diskography S&I $10,504.00

Cervi Coll Lg $271.00

Cervi Coll Med $271.00

Cervi Coll Sm $271.00

Cervica Tract $2,029.00

Cervical Myelogram S&I $2,185.00

Cervical Spine 2 or 3 Views $941.00

Cervical Spine 3 or Less Views $799.00

Cervical Spine 4 or 5 Views $1,453.00

Cessation Thrombolysis Comp $8,534.00

Cetacaine 5Gm $661.70

Cetacaine Spry 56Gm $353.45

Cetaphil 8Oz Lot $53.75

Cetaphil Skin 4Oz Cleanser $42.20

Cetirizine 1Mg Oral Syrup $16.40

Cetirizine 5Mg Po $26.15

Cetuximab 100mG $3,825.00

Cetuximab 10mg $346.85

Cetuximab 200mG Inj $7,650.00

CFTR Intron 8 Poly‐T Analysis $142.50

Chafin Tube $515.00

Change Peg Tube $519.00

Change Tracheostomy Tube $549.00

Charcoal Susp. $65.85

Cheese Mold F82 IGE $6.00

Chemical Pleurodesis $409.00

Chemo Anti Neopl SQ IM $293.00

Chemo Extended IV Infusion W/Pump $383.00

Chemo Hormon Antineopl SQ IM $293.00

Chemo Infusion $1,437.00

Chemo Injection $620.00

Chemo IV Ea Add Hr $549.00

Chemo Iv Ea Addi Hr $490.00

Chemo IV Push Addl Drug $638.00

Chemo IV Push Single Drug $1,194.00

Chemo Prolong Infuse W Pump $1,437.00

Chemo Prolong Infuse w/ Pump $1,605.00

Chemotherapy Infusion $1,605.00

Chemotherapy Injection $471.00

Chest 1 View $730.00

Chest 2 View $919.00

Chest 3 Views $1,178.00

Chest 4 Views $1,547.00

Chest Catheter Drain $1,396.00

Chest Lung Biopsy S&I $1,939.00

Chest Tube Drainage Set All Sizes $1,561.00

Chest Tube Insertion $3,114.00

Chg Of Gastrostomy/No Scope $3,110.00

Chikungunya AB w/Reflex Titer $91.68

Childhood Allergy Prof With IgE $109.90

Chlamy.Trac/Neiss/Gonorroeae $16.00

Chlamydia $140.00

Chlamydia and N Gonorrheae $50.00

Chlamydia and N Gonorrheae Gen Probe $12.00

Chlamydia C. Trachomatis (CT) $209.00

Chlamydia GC RNA TMA $48.25

Chlamydia Pneum DNA Probe $140.36

Chlamydia Pneumoniae Culture $108.50

Chlamydia Species Antibodies IgM $52.50

Chlamydia Trachomatis by DFA $63.00

Chlamydia Trachomatis Culture $22.20

Chlamydophila Pneumoniae Cult $54.80

Chloral Hydrate 500Mg Oral Liq $43.45

Chlorambucil 2Mg Po $255.45

Chloramphenicol 1000mG Inj $490.35

Chloramphenicol 1Gm Inj $1,120.80

Chloraseptic Spray 1.5Oz $20.35

Chlordiazepoxide 25Mg Po $56.50

Chlordiazepoxide 5Mg Po $10.00

Chlordiazepoxide/Clidinium 5Mg/2.5Mg Po $10.00

Chlorhexidine 12% 15Ml Oral Rinse $10.00

Chloride $398.00

Chloride:Blood $389.00

Chloroprocaine 2% 2.5ML $268.50

Chloroprocaine 3% 20Ml Inj $282.05

Chloroquine 250Mg Po $10.00

Chlorothiazide 500Mg Inj $1,309.90

Chlorothiazide 50Mg Oral Susp $10.00

Chlorothiazide 5mG/mL Inj 1mL $13.15

Chlorpheniram/Hydrocodone 10/8Mg Oral Susp $35.20

Chlorpheniramine 12Mg Po $57.35

Chlorpheniramine 4Mg Po $12.30

Chlorpromazine $80.00

Chlorpromazine 100Mg Po $11.55

Chlorpromazine 10Mg Oral Liq $66.95

Chlorpromazine 10mG PO $45.15

Chlorpromazine 25Mg Inj $331.15

Chlorpromazine 25mG PO $10.00

Chlorpromazine 5mg PO $103.05

Chlorpromazine 5mG PO a $85.45

Chlorpropamide 250Mg Po $10.00

Chlorthalidone 25Mg Po $10.00

Chlortrim 4Mg $17.95

Chng Perc/Cath S&I $2,270.00

Chocolate F93 IGE $6.00

Cholecalciferol 1000Units Po $10.00

Cholecalciferol 400Units Po $10.00

Cholecyst Cath $623.00

Cholecystectomy Tray $4,780.00

Cholesterol $400.00

Cholinesterase $30.00

Chr Anlys,15‐20Cell Kryotp Wb $174.14

Chr Anlys,5Cells 1Kryo Wb $246.93

Chr Anlys,Add Cells Ea Study $26.54

Chromagranin A $23.50

Chromatin Ab $19.30

Chromatin Necleosomal AB $19.30

Chromic 40meq 10ml $246.25

Chromium $49.50

Chromosome Analysis Blood $241.25

Chromosome Analysis Blood Leukemic $680.00

Chromosome Analysis Fish Aneu Vyson $460.00

Chromosome Analysis Fish Single Probe $310.00

Chromosome Analysis Hematologic $207.86

Chromosome Analysis High Resolution $337.75

Chromosome Analysis High Resolution Genesis $535.00

Chromosome Analysis Routine Banding $435.00

Chromosome Analysis Solid Tissue Genesis $560.00

Chromosome Analysis Solid Tumor $451.50

Chromosome Analysis Tissue $375.00

Chromosome Specific $120.00

Chromosome, Setup $85.00

Chromosomes_Amniotic Fluid $362.00

Chromosone Analy Mosaicism $317.50

Chromosone Analysis (Gen) $400.00

Chromosone Anlys Add Kryo,Ea $35.07

Chromosone Anlys Analyze 20‐25 $174.14

Chromosone Microdeletion DNA $282.61

Chronic Granulomatis Disease $59.93

Ciclopirox 0.77% 15Gm Crm $515.85

Cidofovir 375Mg $4,440.00

Cilostazol 100Mg Po $19.10

Cilostazol 50Mg Po $10.00

Cimetidine 300Mg Oral Liq $21.95

Cimetidine 400Mg Po $18.25

Cinacalcet 30Mg Po $324.65

Cine/Videoradiography $661.00

Ciprodex Otic 7.5ml Susp $2,974.85

Ciprofloxacin 0.3% 3.5Gm Ophth Oint $2,700.90

Ciprofloxacin 0.3% 5Ml Ophth Sol $343.05

Ciprofloxacin 200mG / 100mL $30.15

Ciprofloxacin 200Mg Inj $290.70

Ciprofloxacin 250Mg Po $84.20

Ciprofloxacin 400mG / 200mL $37.15

Ciprofloxacin 500Mg Po $53.55

Ciprofloxacin Hc 10Ml Otic Sol $3,979.90

Ciprofloxin 250Mg Oral Susp $48.00

Cisatracurium 20Mg Inj $346.60

Cisplatin 100mG Inj $507.80

Cisplatin 10mg Inj $279.70

Cisplatin 50mG Inj $544.50

Cisterno S&I $4,209.00

Citadel Bed $1,938.00

Citalopram 10Mg Po $25.50

Citalopram 20Mg Po $28.25

Citrate, Urine $69.20

Citric Acid/Potassium Citrate 30Ml Oral Liq $49.05

CK Isoenzymes $31.71

Cladribine 10mG Inj $2,610.00

Clarient Consult $73.34

Clarient Consult TC $56.86

Clarithromycin 250Mg Oral Susp $60.85

Clarithromycin 250Mg Po $61.55

Clarithromycin 500Mg Po $85.45

Clavicle Left $710.00

Clavicle Right $710.00

Cleocin 600Mg Po $26.30

Clevidipine 1Mg Inj $2,006.40

Clevidipine 50mG $7,622.50

Clevidipine 50mG/100mL Inj $1,755.70

Clindamycin $28.20

Clindamycin 1% Gel 60mL $4,481.05

Clindamycin 1% Lotion 60Ml $1,261.90

Clindamycin 150Mg Po $10.00

Clindamycin 18mG/mL Inj 1mL $10.00

Clindamycin 300Mg Inj $85.45

Clindamycin 300Mg Po $66.45

Clindamycin 600Mg Inj $219.75

Clindamycin 75Mg Oral Susp $32.55

Clindamycin 900mG 50mL $268.50

Clindamycin 900mG 6mL $133.90

Clindamycin T 1% 60Ml Lotion $1,797.30

Clindamycin Vaginal 2% 40Gm Crm $2,424.15

Clindamycn 1% Gel 75Ml $1,960.45

Clinic Visit Est High $305.00

Clinic Visit Est Limited $171.00

Clinic Visit Est Low Complex $186.00

Clinic Visit Est Minimum $153.00

Clinic Visit Est Mod Complex $238.00

Clinic Visit Est Very Complex $202.00

Clinic Visit New Patient High $403.00

Clinic Visit New Patient Limited $195.00

Clinic Visit New Patient Low Complex $228.00

Clinic Visit New Patient Minimum $162.00

Clinic Visit New Patient Mod Complex $271.00

Clip Device $424.00

CLL Prognostic Panel Comprehensive $1,580.93

Clo Test H. Pylori $187.00

Clobazam 10mG Po $253.45

Clobazam 2.5mG Liq $221.95

Clobazam 20mG Po $169.80

Clobetasol 0.05% 15 Gm Crm $1,346.40

Clobetasol 0.05% 15Gm Oint $453.70

Clobetasol 0.05% 15Gm Oint a $1,632.25

Clofarabine 20mG Inj $13,964.40

Clomipramine $26.00

Clomipramine 25Mg Po $444.80

Clonazepam $19.34

Clonazepam 0.25mG ODT $13.65

Clonazepam 1Mg Po $10.00

Clonidine 0,2Mg Patch $174.30

Clonidine 0.1Mg Patch $347.75

Clonidine 0.1Mg Po $10.00

Clonidine 0.3Mg Patch $236.55

Clonidine 0.3Mg Po $10.00

Clonidine 1000mCg/10mL inj $529.20

CLONIDINE 10MCG 0.5ML ORAL LIQ $10.00

Clopidogrel 300Mg Po $279.60

Clopidogrel 75Mg Po $44.30

Clorazepate 7.5Mg Po $65.40

Clostridium Difficile Neutral $63.95

Closure Device $840.00

Closure,Tail Drain Pouch $103.00

Clotrimazole 1% 15Gm Crm $54.95

Clotrimazole 1% 30Gm Crm $365.50

Clotrimazole 1% 30Ml Topical Sol $784.65

Clotrimazole 1% Vaginal Crm 45Gm $100.80

Clozapine 100Mg Po $167.60

Clozapine 25Mg Po $13.85

Clozapine Panel $26.00

Clubfoot Cast Long Or Short $684.00

CMV Antibodies IgG and IgM $18.34

CMV DNA Qualitative by RT PCR $75.00

CMV DNA Quantitative by PCR $67.55

CMV IgG Antibody $5.73

CMV IgM Antibody $10.62

Cntrl Venous Kit A $516.16

Cntrl Venous Kit B $1,100.00

CO2 $369.00

Coag Factor Xa, recomb 100mG $16,500.00

Coag Factor Xa, recomb 200mG $33,000.00

Coagulation Factor VIIa 1000mCg Inj $13.45

Coagulation Time Activated $7.00

Cobalt (Blood) $62.00

Coban 3 Inch $4.00

Coban Bandage 3X5 $91.00

Cobimetinib Fumarate 20mG Po $415.60

Coblador Wand $1,275.00

Cobra Fusion Ablation System $11,975.00

Cobra Knot Mini $1,565.00

Cobra Knot MIS $1,788.00

Cobra Knot Single $115.00

Cocaine Confirmation_Blood $35.55

Cocaine Nasal Sol 4% 4mL $3,087.00

Cocaine Sol 40Mg/Ml 4Ml $2,342.75

Coccidioides Abs TP And F Ag $45.36

Coccidioides Antibody by CF $40.26

Coccidioides Antibody ID $46.32

Coccidioides Antibody With Reflex ID $61.74

Coccidioidomycosis Ser(Davis) $40.00

Coconut IGE $5.50

Codeine 15Mg Po $55.80

Codeine 30Mg Inj $15.35

Codeine 30Mg Po $62.00

Codfish F3 IGE $6.00

Codfish IGE $5.50

Coenzyme Q10 $120.00

Cognitive Training addl15 Min $289.00

Cognitive Training Ea 15 Min $301.00

Cognitive Training Ea 15 Min OT $320.00

Cognitive Training init15 Min $308.00

Cognitive Training: addl15 Min $266.00

Cognitive Training: init15 Min $284.00

Cognitive Training_addl15 Min $266.00

Cognitive Training_init15 Min $284.00

Colbenemid 0.5Mg/5Gm Po $172.50

Colchicine 0.6Mg Po $88.00

Cold Agglutin Titer $40.00

Cold Agglutinin Titer $379.00

Cold Ther Pad $925.00

Colesevelam 625Mg Po $15.25

Colestid 1Gm Po $26.55

Colestipol 5Gm Pkt $45.90

Colistimetate 150Mg Inj $598.50

Collagen Cross Linked N Telopeptides $21.23

Collagen Dres<16Sqin $179.00

Collagen Type I $30.00

Collagen Type I C‐Telopeptide $28.98

Collagenase 30Gm Oint $2,580.50

Collector Wound Drain W/Barier $588.00

Colon Ca Scrn/Colonscopy Be $2,282.00

Colon Stent Placement $3,686.00

Colon Tube $65.00

Colon w/Fb Removal $5,038.00

Colonoscopy $4,746.00

Colonoscopy Biopsy $5,217.00

Colonoscopy w/ Banding $9,288.00

Colonoscopy w/ Submucosal Inj $7,873.00

Colonoscopy w/Control of Bleed $7,296.00

Colonoscopy With Eus $6,037.00

Colonoscopy With Eus And Fna $6,037.00

Coloplast Ur B $95.00

Color Mapping $1,932.00

Colostomy Rod $52.00

Combined Myelogram S&I $4,970.00

Combivent 14.7Gms $5,069.10

Comp Fracture Brace W/Pelic $17,415.00

Compazine Supp $56.95

Complement Fixation $42.00

Complement Total $8.44

Complete Blood Count $442.00

Complete Blood Count w/ Auto Diff $432.00

Complete EPS w/ SVT ablation $63,933.00

Complete EPS w/ VT ablation+3D $78,739.00

Complete Pulm Funct Test $1,636.00

Composite Valve $30,000.00

Comprehensive Drug Screen $35.00

Comprehensive Metabolic Panel $1,096.00

Compression Garmet Bariatric $250.00

Compression Sock All Sizes $77.00

Comvax Vacine $263.50

Congenital Adrenal Hyperplasia Panel 6 $265.00

Congenital Adrenal Hyperplasia Profile 6B $569.00

Conivaptan 20mG / 100mL $4,094.70

Conray $65.00

Conray 30ml $33.00

Consult Facility $693.00

Contact Cast $1,557.00

Container Evac 1000Ml $91.00

Container Evac 500Ml $76.00

Container Eval 250Ml $76.00

Contd Med Physics Per 5 Tx $2,452.00

Conventional Afb Id $45.00

Conventional Io Lens $150.00

CONVER EXT BILI DRAIN CATH COMPLETE $13,014.00

Conversion Peg to Pej $3,630.00

Conversion Tube to GJ Complt $2,767.00

Cook Sheath (All Sizes) $902.00

Coons Bent Wire Gd 35/146 $235.00

Copeptin $151.46

Copper $10.00

Copper Liver $140.00

Copper Plasma $9.65

Coproporphyrin Isomers I and III $76.61

Corneal Transplant $13,000.00

Coronary Perfusion Cannula $365.00

Corticotropin 40 Units Inj $333.75

Cortisol $755.00

Cortisol (Saliva) LCMSMS $25.00

Cortisol Free And Total $33.78

Cortisol Free Ux $11.58

Cortisone 25Mg Po $32.75

Cortispor Opth $360.45

Cortisporin 3.5Gm Ophth Oint $683.05

Cortisporin 7.5Ml Ophth Sol $661.60

Cortisporin Crm 7.5Gm $434.60

Cortisporin Oint 15Gms $2,002.65

Cortisporin Otic 10Ml Sol $183.25

Cortisporin Otic 10Ml Susp $203.40

Cortizone 10Mg $10.00

Cortrosyn 0.25Mg Inj $379.45

Cosopt Plus 5Ml Ophth Sol $1,612.15

Cosyntropin 0.25mG Inj $1,342.95

Cosyntropin 10mCq Inj $53.75

Cosyntropin 1mCg Inj $10.00

Coumadin $17.37

COVID19 Antibody IGG (inhouse) $168.52

Cow‐Dander Ige $19.53

Coxiella Burnetii DNA PCR Qual $223.50

Coxsackie A Ab (4,16) $46.00

Coxsackie A Abs_ Serum $61.36

Coxsackie B1 B6 Antibodies $34.86

Cpap Tx $1,663.00

CPK $491.00

CPK MB By Immunoassay $789.00

Cpm‐9000 $1,354.00

C‐Pta Balloons E $2,000.00

C‐PTA Balloons F $2,400.00

Crab IGE $5.50

Cranioplasty Kit $522.00

Cre Balloon $1,892.00

CRE Screen $48.00

Cream Skin Repair $17.00

Creatine 24HR Urine Quest $5.79

Creatinine, Urine $17.30

Creatinine_Serum $369.00

Creon 6k/19k/30k $19.65

Critical Care in ED $4,158.00

Crizotinib 200mG Po $7,034.10

Crizotinib 250mG Po $7,034.10

CRMP5 A B LB $161.25

CRMP5 AB LB $178.00

Cromolyn 10 Mg Inh $38.60

Crossmatch $762.00

Crossmatch Electronic $158.00

CRRT $9,077.00

Crt‐D Lv Lead $12,500.00

Cryo Balloon $7,939.00

Cryo Inflation Device $3,180.00

Cryofibrinogen $17.99

Cryoglobulin Qualitative $17.00

Cryoglobulin Reflex T $99.00

Cryoglobulin Screen and Reflex $25.34

Cryoprecipitate $62.00

Cryoprecipitate Irradiated $62.00

Cryosurgery Probe $8,800.00

Cryosurgery Prostate $66,095.00

Cryptococcal Ag Latex Screen $9.65

Cryptococcal AG Latex Titer $71.00

Cryptococcal Ag‐Csf $20.00

Cryptococcus Ag Detection_LA $27.00

Cryptococcus Ag Screen Reflex Titer $13.13

Cryptococcus Ag Serum $13.75

Cryptococcus Ag Titer Fee $35.50

Cryptococcus Ag, Serum $20.80

Cryptococcus Antibody $24.13

Cryptospora And Isospora Detection $44.72

Cryptosporidiu/Giardia Dir Dfa $92.25

Cryptosporidium Ag $65.25

Cs Venogram W/O Implant $6,321.00

CSF Amino Acids Quantitative $262.00

CSF Angiotensin Converting Enzyme $34.50

CSF B_Burgdorferi DNA by PCR $37.10

Csf Catheter System $800.00

CSF Cell Count And Differential $288.00

CSF CMV Antibodies IgG and IgM $28.95

CSF Coccidioides Antibody by CF $21.71

CSF Coccidioides Antibody ID $58.00

CSF Cryptococcus Antibody $38.60

CSF Echovirus Antibody $64.17

CSF Glucose $398.00

CSF Herpes Simplex Virus 1 and 2 Antibody Panel $147.89

CSF HTLV I and II Antibody $59.00

CSF Hu Antibody Screen With Reflex $95.54

CSF IGG $10.62

CSF Lactic Acid $58.07

CSF Listeria Antibodies $91.50

CSF Meningoencephalitis Panel $483.94

CSF Protein $398.00

Csf Shunt Injection $4,038.00

CSF Synthesis Rate $28.00

CSF T_Pallidum Antibody by IFA $58.50

CSF Toxoplasma Gondii at Focus $53.00

CSF VDRL $4.83

CSF West Nile Virus Antibodies IgG IgM by Elisa $58.87

CSF3R Exon 14/17 Mutation Gene $210.00

Ct Abd & Pelvis With Contrast $19,676.00

Ct Abd & Pelvis Wo Contrast $16,615.00

Ct Abd/Pel Wo/W 1/Both Areas $24,929.00

Ct Abdomen Angio $3,038.00

Ct Abdomen W Contrast $9,193.00

Ct Abdomen W/Wo Contrast $11,693.00

Ct Abdomen Wo Contrast $7,377.00

CT Ablation Guidance $3,213.00

CT Angio Abdomen & Pelvis $6,788.00

Ct Biopsy S+I $7,151.00

Ct Bone Marrow Aspiration $4,482.00

Ct Bone Marrow Biopsy $4,482.00

Ct Cardiac Scoring $3,408.00

Ct Cervical Spine W Contrast $10,195.00

Ct Cervical Spine W/Wo Contrst $10,989.00

Ct Cervical Spine Wo Contrast $9,407.00

Ct Chest Angio $4,716.00

CT Chest Screening $443.00

Ct Chest Wo Contrast $7,998.00

Ct Colonography $3,282.00

Ct Colonography Screening $2,980.00

Ct Colonography W Contrast $3,533.00

Ct Colonography Wo Contrast $3,251.00

Ct Cyst Aspiration S+I $7,151.00

Ct Drain/Speci Coll S&I $2,257.00

CT Drainage Complete $4,658.00

Ct Facial Bones W Con $9,444.00

Ct Facial Bones W Contrast $9,076.00

Ct Facial Bones Wo Con $4,815.00

Ct Facial Bones Wo Contrast $4,628.00

Ct Guide Plcmnt Rad Tx Fields $2,185.00

Ct Guide Stereotactic Loc $11,358.00

Ct Head Perfusion Analysis $7,134.00

Ct Head Stroke Protocol $7,593.00

Ct Head W Contrast $8,262.00

Ct Head W/Wo Contrast $11,250.00

Ct Head Wo Contrast $7,578.00

Ct Head Wocont $7,593.00

Ct Heart Cacs Wo Contrast $9,316.00

Ct Heart Structure W Contrast $11,547.00

Ct Heart W Cont Cong Disease $11,569.00

CT Lim Head $2,449.00

CT Limited Abdomen $2,446.00

Ct Lower Ext W Contrast Left $7,750.00

Ct Lower Ext W Contrast Right $7,750.00

Ct Lower Ext W/Wo Cont Left $11,466.00

Ct Lower Ext W/Wo Cont Right $11,466.00

Ct Lower Ext Wo Contrast Left $6,845.00

Ct Lower Ext Wo Contrast Right $6,845.00

Ct Lt Lung Bx S+I $7,151.00

Ct Lt Renal Bx S+I $7,151.00

Ct Lt Shoulder Arthrogram $7,063.00

Ct Lt Upext W $7,078.00

Ct Lt Upper Ext W Contrast $7,488.00

Ct Lumbar Spine W Contrast $10,416.00

Ct Lumbar Spine W/Wo Contrast $12,959.00

Ct Lumbar Spine Wo Contrast $9,034.00

Ct Maxilla/Mand Wo $4,637.00

Ct Maxillofacial Wo/W Contrast $9,130.00

Ct Neck W Contrast $7,277.00

Ct Neck Wo Contrast $6,131.00

Ct Neck Wo/W Contrast $9,140.00

Ct Orbit W Con $8,263.00

Ct Orbit W Contrast $8,580.00

Ct Orbit W/Wo Contrast $10,191.00

Ct Orbit Wo Cn $7,136.00

Ct Orbit Wo Contrast $7,122.00

Ct Orbits W Contrast $8,740.00

Ct Pelvis Angio $3,748.00

Ct Pelvis W Contrast $8,560.00

Ct Pelvis W/Wo Contrast $10,794.00

Ct Pelvis Wo Contrast $7,585.00

Ct Rt Lung Bx S+I $7,151.00

Ct Rt Renal Bx S+I $7,151.00

Ct Rt Shoulder Arthrogram $7,063.00

Ct Rt Upext W $7,078.00

Ct Rt Upper Ext W Contrast $7,488.00

Ct Sinuses W Contrast $9,076.00

Ct Sinuses Wo Contrast $4,628.00

Ct Soft Tissue Ndl Biopsy $3,547.00

CT Surgical Code $886.00

Ct Temporal Bones W Con $8,580.00

Ct Temporal Bones W Contrast $8,740.00

Ct Temporal Bones Wo Con $7,410.00

Ct Temporal Bones Wo Contrast $7,548.00

Ct Temporal W $8,263.00

Ct Temporal Wo $7,136.00

Ct Temprl W/Wo $10,211.00

CT Thoracentesis Complete $7,877.00

Ct Thoracic Spine W Contrast $8,644.00

Ct Thoracic Spine Wo Contrast $7,113.00

Ct Thoracic Wo/W Contrast $10,839.00

CT Thorax Screen w/o Contrast $7,998.00

Ct Thorax W Contrast $9,389.00

Ct Thorax W/Wo Contrast $10,329.00

Ct Upper Ext W Contrast Left $7,349.00

Ct Upper Ext W Contrast Right $7,349.00

Ct Upper Ext W/Wo Contrast Left $12,467.00

Ct Upper Ext W/Wo Contrast Right $11,762.00

Ct Upper Ext Wo Contrast Left $6,913.00

Ct Upper Ext Wo Contrast Right $6,913.00

Cta Aorta‐Ilio $2,936.00

Cta Head $1,846.00

Cta Head A $1,849.00

Cta Head B $1,849.00

Cta Heart Complete $5,157.00

Cta Lower Ext Left $2,305.00

Cta Lower Ext Right $2,305.00

Cta Neck $1,788.00

Cta Uext Left $2,427.00

Cta Uext Right $2,427.00

Cto Device $2,697.00

CTO W/Bare $103,929.00

CTO W/Des $124,356.00

Cts Ultima Opcab System $3,505.00

Culture B Pertussis and DFA $41.60

Culture Blood $658.00

Culture Cath Tip Non Urinary $559.00

Culture Chlamydia Trachomatis and Psittaci $35.00

Culture Cytomegalovirus Rapid $40.00

Culture Enterovirus Rapid $199.50

Culture Fungus $405.00

Culture GC $382.00

Culture Genital Rule Out Grp B Strep $278.00

Culture Herpes Simplex Virus Rapid 48 HR $33.84

Culture Mycoplasma Fastidious Pathogen $198.00

Culture Mycoplasma Pneumoniae $80.25

Culture Peritoneal Dialysis and Gram Stain $448.00

Culture Respiratory Virus Rapid $199.50

Culture Routine $559.00

Culture Strep Screen $256.00

Culture Throat $559.00

Culture Trichomonas $43.68

Culture Typing Id Organism $27.00

Culture Typing PBP2 $35.00

Culture Typing Staph Latex $35.00

Culture Varicella Zoster Rapid $81.75

Culture Virus $81.00

Culture VRE Screen $278.00

Culture VRE Screen for Inpatients $278.00

Culture, Tissue $448.00

Curasalt Packing Strip 1/2Inch $175.00

Cusa $2,817.00

Cusapak $1,667.00

Cushion Ring $741.00

Cutting Balloon $6,067.00

Cv Cath Inj/Eval W/Fluoro $175.00

Cv Stress Test $2,812.00

CV2 Antibody $696.25

Cva Fluoro Guidance $2,208.00

CVA US Guidance $2,297.00

Cvp Insertion $291.00

Cvp Line/Ohs $2,908.00

Cvp Mult Lum Tray $1,282.00

CVP Tray All Sizes $1,068.00

Cxr Picc Ln Plcmnt $935.00

Cyanide $44.87

Cyanide Antidote Kit $1,491.15

Cyano Kit $3,432.00

Cyanocobalamin 0.1Mg Inj $27.20

Cyanocobalamin 1000 Mcg Po $10.00

Cyanocobalamin 1000Mcg Inj $91.75

Cyanocobalamin 100Mcg Po $10.00

Cyclic Citrullinated Peptide Antibody IgG $7.00

Cyclobenzaprine 10Mg Po $10.20

Cyclobenzaprine 5mG Tab $12.90

Cyclomydril 2Ml Ophth Sol $350.70

Cyclopentolate 0.5% 15Ml Ophth Sol $958.65

Cyclopentolate 1% 2ml Ophth Sol $176.40

Cyclophosphamide 1000mG Inj $4,413.30

Cyclophosphamide 100Mg/10Ml $927.15

Cyclophosphamide 2000mG $8,790.00

Cyclophosphamide 500mG $4,614.75

Cyclophosphamide 50mG PO $180.40

Cycloserine 250 Mg Po $877.80

Cyclospora and Isospora Exam $37.50

Cyclospora Detection by FM $80.25

Cyclosporin 100mg Po $184.50

Cyclosporin 25Mg Po $46.20

Cyclosporine 100Mg Oral Liq $79.40

Cyclosporine 100Mg PO Modified $107.50

Cyclosporine 250Mg Inj $718.85

Cyclosporine 25Mg Po Modified $14.50

Cyclosporine by LC_MS_MS $64.71

Cyclosporine Trough by FPIA $28.57

Cyclpentolate 2% 2Ml Ophth Sol $439.00

Cylinder Cast (Thigh To Ankle) $1,200.00

Cyproheptadine 2Mg Oral SUSP $10.00

Cyproheptadine 4Mg Po $10.00

Cyro Ablation Probe $3,513.00

Cystatin C $54.00

Cysteine 50Mg Inj $104.20

Cystic Fibrosis Carrier Screen $82.03

Cysticercus Ab Csf Elisa $62.00

Cysticercus Antibody by Elisa $54.04

Cysto Dilit Tx Stricture $16,660.00

Cysto Pack $509.76

Cysto W Washings $45,273.00

Cystogram S&I $1,339.00

Cystoscopy $15,252.00

Cystoscopy/Ureteroscopy/Stone Extraction $39,671.00

Cystoureteroscopy $38,411.00

Cytarabine 1000mg $252.00

Cytarabine 100mG $59.85

Cytarabine 2Gm $231.65

Cytarabine 500mG Inj $368.50

Cytarabine Lipo 50mG Inj $17,784.00

Cytochrome P450 2D6 Genotype $199.76

Cytogenetics Interp.& Report ‐ Inactive $29.29

Cytology Catheter $793.00

Cytology PAP & Rvw $72.38

Cytology,Sacco, Cytospin $390.00

Cytology/Sacco, Sytospin $390.00

Cytology/Smears, Brush $260.00

Cytology/Smears‐Other Source A $217.00

Cytology/Smears‐Other Source B $217.00

Cytology‐Prep And Interp $336.00

Cytospin Concentration $292.00

description standard charge › documents › charge-master-c.pdf · 2020-06-30 · description...

Documents