|
Cholesterol (Lipid) Test
|
$47.59 |
$47.59 |
$47.59 |
$115.80
|
|
Cholinesterase
|
$9.24 |
$9.24 |
$9.24 |
$39.48
|
|
Chrom analysis
|
$34.61 |
$34.61 |
$34.61 |
$156.00
|
|
Chromatography
|
$8.47 |
$8.47 |
$8.47 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$48.95 |
$48.95 |
$48.95 |
$250.00
|
|
Chromosome analys amniotic
|
$172.42 |
$172.42 |
$172.42 |
$450.00
|
|
Chromosome analysis 100
|
$172.01 |
$172.01 |
$172.01 |
$439.20
|
|
Chromosome analysis 15-20 cell count
|
$124.63 |
$124.63 |
$124.63 |
$517.11
|
|
Chromosome analysis 5
|
$163.56 |
$163.56 |
$163.56 |
$644.80
|
|
Chromosome analys placenta
|
$116.60 |
$116.60 |
$116.60 |
$572.99
|
|
Chromosome count additional
|
$26.78 |
$26.78 |
$26.78 |
$96.50
|
|
Chromosome karyotype study
|
$33.37 |
$33.37 |
$33.37 |
$120.00
|
|
Chromosome study additional
|
$34.20 |
$34.20 |
$34.20 |
$151.09
|
|
Chronic urticaria - sendout
|
$8.38 |
$8.38 |
$8.38 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$28.49 |
$28.49 |
$28.49 |
$136.09
|
|
Circumcision (newborn)
|
$150.12 |
$150.12 |
$150.12 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$282.66 |
$282.66 |
$282.66 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$2,153.72 |
$2,153.72 |
$2,153.72 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$5,695.04 |
$5,695.04 |
$5,695.04 |
$4,320.00
|
|
Clot factor fletcher fact
|
$31.71 |
$31.71 |
$31.71 |
$119.50
|
|
Clot factor viii reltd antgn
|
$11.84 |
$11.84 |
$11.84 |
$140.42
|
|
Clot factor xii hageman
|
$14.52 |
$14.52 |
$14.52 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$5.35 |
$5.35 |
$5.35 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$18.72 |
$18.72 |
$18.72 |
$106.40
|
|
#cmvcul-virus inoculation shell
|
$21.31 |
$21.31 |
$21.31 |
$89.76
|
|
Cmv pcr-sendout
|
$21.31 |
$21.31 |
$21.31 |
$175.70
|
|
Coagulation time activated teg
|
$2.48 |
$2.48 |
$2.48 |
$52.47
|
|
Coil axium 3d 14mmx40cm qc
|
$92.07 |
$92.07 |
$92.07 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$3.28 |
$3.28 |
$3.28 |
$48.10
|
|
Cold agglutinin titer
|
$3.28 |
$3.28 |
$3.28 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$5,239.52 |
$5,239.52 |
$5,239.52 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$74.56 |
$74.56 |
$74.56 |
$303.73
|
|
Compatibility test each unit antiglobulin technique
|
$71.17 |
$71.17 |
$71.17 |
$173.50
|
|
Compatibility test each unit electronic
|
$71.17 |
$71.17 |
$71.17 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$71.17 |
$71.17 |
$71.17 |
$169.52
|
|
Complement antigen each component c3
|
$38.25 |
$38.25 |
$38.25 |
$110.00
|
|
Complement fixation each
|
$4.06 |
$4.06 |
$4.06 |
$29.12
|
|
Concentration infection agents any type
|
$25.73 |
$25.73 |
$25.73 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$83.62 |
$83.62 |
$83.62 |
$3,352.21
|
|
Connector tis 2x10mm
|
$3,010.80 |
$3,010.80 |
$3,010.80 |
$4,024.34
|
|
Consultation pathology during surgery
|
$46.80 |
$46.80 |
$46.80 |
$100.89
|
|
Consultation pathology during surgery frozen section each additional block
|
$24.30 |
$24.30 |
$24.30 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$82.12 |
$82.12 |
$82.12 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$25.65 |
$25.65 |
$25.65 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$110.03 |
$110.03 |
$110.03 |
$176.28
|
|
Consult comp w/report rfrd material
|
$173.02 |
$173.02 |
$173.02 |
$374.40
|
|
Contrast baths charges
|
$17.36 |
$17.36 |
$17.36 |
$75.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,137.21 |
$1,137.21 |
$1,137.21 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$1,175.56 |
$1,175.56 |
$1,175.56 |
$3,745.00
|
|
Contrast x-ray of elbow
|
$293.05 |
$293.05 |
$293.05 |
$708.00
|
|
Contrast x-ray of hip
|
$330.05 |
$330.05 |
$330.05 |
$796.38
|
|
Contrast x-ray of knee joint
|
$293.05 |
$293.05 |
$293.05 |
$790.50
|
|
Contrast x-ray of wrist
|
$290.13 |
$290.13 |
$290.13 |
$667.50
|
|
Controller infinity pt dbs
|
$7,972.64 |
$7,972.64 |
$7,972.64 |
$4,836.44
|
|
Conversion ext bil drg cath
|
$1,700.59 |
$1,700.59 |
$1,700.59 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$1,971.10 |
$1,971.10 |
$1,971.10 |
$2,777.60
|
|
Coombs direct
|
$16.64 |
$16.64 |
$16.64 |
$76.80
|
|
Coombs indirect titer reference
|
$47.82 |
$47.82 |
$47.82 |
$156.71
|
|
Core ndl bx lng/med perq
|
$2,496.35 |
$2,496.35 |
$2,496.35 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$3,601.07 |
$3,601.07 |
$3,601.07 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$4,895.13 |
$4,895.13 |
$4,895.13 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$3,964.51 |
$3,964.51 |
$3,964.51 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$2,474.89 |
$2,474.89 |
$2,474.89 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,415.23 |
$2,415.23 |
$2,415.23 |
$7,988.40
|
|
Cortisol total am
|
$49.74 |
$49.74 |
$49.74 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$34.07 |
$34.07 |
$34.07 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$2,468.96 |
$2,468.96 |
$2,468.96 |
$4,180.79
|
|
#covid19rsv-rsv
|
$42.41 |
$42.41 |
$42.41 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$6.94 |
$6.94 |
$6.94 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$290.20 |
$290.20 |
$290.20 |
$584.50
|
|
C-peptide
|
$9.70 |
$9.70 |
$9.70 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$302.05 |
$302.05 |
$302.05 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$351.71 |
$351.71 |
$351.71 |
$1,330.02
|
|
C-reactive protein
|
$14.93 |
$14.93 |
$14.93 |
$69.36
|
|
C-reactive protein high sensitivity
|
$17.16 |
$17.16 |
$17.16 |
$85.50
|
|
C-reactive protein, quantitative
|
$10.61 |
$10.61 |
$10.61 |
$65.16
|
|
Creatine kinase
|
$32.34 |
$32.34 |
$32.34 |
$66.30
|
|
Creatine kinase isoenzymes
|
$9.09 |
$9.09 |
$9.09 |
$56.20
|
|
Creatine kinase mb
|
$10.16 |
$10.16 |
$10.16 |
$113.63
|
|
Creatine - sendout
|
$9.24 |
$9.24 |
$9.24 |
$41.25
|
|
Creatinine
|
$18.48 |
$18.48 |
$18.48 |
$46.20
|
|
Creatinine 24 hour urine
|
$24.18 |
$24.18 |
$24.18 |
$57.85
|
|
Creatinine clearance urine
|
$4.47 |
$4.47 |
$4.47 |
$90.26
|
|
#creutz-prot.,western blot
|
$23.87 |
$23.87 |
$23.87 |
$163.50
|
|
Critical care each additional 30 minutes
|
$925.10 |
$925.10 |
$925.10 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,849.96 |
$1,849.96 |
$1,849.96 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$26.52 |
$26.52 |
$26.52 |
$144.78
|
|
Cryptosporidium antigen
|
$22.31 |
$22.31 |
$22.31 |
$52.08
|
|
Crystal identification light microscopy
|
$14.04 |
$14.04 |
$14.04 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$109.22 |
$109.22 |
$109.22 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$449.92 |
$449.92 |
$449.92 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$698.25 |
$698.25 |
$698.25 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$490.70 |
$490.70 |
$490.70 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$362.01 |
$362.01 |
$362.01 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$647.15 |
$647.15 |
$647.15 |
$1,915.30
|
|
CT Angiogram of the Head
|
$453.30 |
$453.30 |
$453.30 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$414.18 |
$414.18 |
$414.18 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$371.33 |
$371.33 |
$371.33 |
$1,428.68
|
|
CT angio pelvis
|
$539.52 |
$539.52 |
$539.52 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$474.78 |
$474.78 |
$474.78 |
$1,691.30
|