|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$18.06 |
$18.06 |
$18.06 |
$28.52
|
|
Cefepime 1 gram solution for injection
|
$19.61 |
$19.61 |
$19.61 |
$39.95
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$37.34 |
$37.34 |
$37.34 |
$48.12
|
|
Ceftriaxone 1 gram solution for injection
|
$24.62 |
$24.62 |
$24.62 |
$51.80
|
|
#celiac hla-dq2
|
$250.25 |
$250.25 |
$250.25 |
$226.28
|
|
Cell count body fluid
|
$53.30 |
$53.30 |
$53.30 |
$56.44
|
|
Cell count w differential body fluid
|
$55.25 |
$55.25 |
$55.25 |
$83.71
|
|
Cell cryopreserve/storage
|
$37.70 |
$37.70 |
$37.70 |
$58.50
|
|
Cell function assay w/stim
|
$326.95 |
$326.95 |
$326.95 |
$370.20
|
|
Cell marker study
|
$84.50 |
$84.50 |
$84.50 |
$273.70
|
|
#cf-97variants
|
$487.50 |
$487.50 |
$487.50 |
$748.28
|
|
Cftr gene dup/delet variants
|
$757.25 |
$757.25 |
$757.25 |
$870.40
|
|
Change of windpipe airway 31502
|
$137.80 |
$137.80 |
$137.80 |
$412.00
|
|
Chest 2 vws w oblique
|
$304.20 |
$304.20 |
$304.20 |
$334.02
|
|
Chest apical lordotic proj
|
$260.65 |
$260.65 |
$260.65 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,713.40 |
$1,713.40 |
$1,713.40 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,290.90 |
$1,290.90 |
$1,290.90 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$939.90 |
$939.90 |
$939.90 |
$1,186.80
|
|
Chest X-ray
|
$221.65 |
$221.65 |
$221.65 |
$267.50
|
|
Chest X-ray (single view)
|
$135.85 |
$135.85 |
$135.85 |
$206.71
|
|
Chlamydia culture
|
$74.75 |
$74.75 |
$74.75 |
$96.51
|
|
Chlamydia type
|
$34.45 |
$34.45 |
$34.45 |
$34.92
|
|
Chloride
|
$40.95 |
$40.95 |
$40.95 |
$37.48
|
|
Chloride 24 hour urine
|
$53.95 |
$53.95 |
$53.95 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$20.44 |
$20.44 |
$20.44 |
$53.03
|
|
Cholesterol
|
$49.40 |
$49.40 |
$49.40 |
$41.08
|
|
Cholesterol (Lipid) Test
|
$71.50 |
$71.50 |
$71.50 |
$101.43
|
|
Cholinesterase
|
$49.40 |
$49.40 |
$49.40 |
$49.40
|
|
Chrom analysis
|
$81.90 |
$81.90 |
$81.90 |
$156.00
|
|
Chromatography
|
$122.85 |
$122.85 |
$122.85 |
$81.25
|
|
Chromogenic substrate assay
|
$184.60 |
$184.60 |
$184.60 |
$189.00
|
|
Chromo high res and frag x - sendout
|
$190.45 |
$190.45 |
$190.45 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$541.45 |
$541.45 |
$541.45 |
$560.30
|
|
Chromosome analysis 5
|
$394.55 |
$394.55 |
$394.55 |
$719.23
|
|
Chromosome count additional
|
$44.85 |
$44.85 |
$44.85 |
$120.90
|
|
Chromosome karyotype study
|
$37.70 |
$37.70 |
$37.70 |
$120.60
|
|
Chylomicron screen, bf - sendout
|
$137.80 |
$137.80 |
$137.80 |
$136.09
|
|
Circum 28 days or older
|
$516.10 |
$516.10 |
$516.10 |
$4,074.80
|
|
C-kit mutation liquid tumor - sendout
|
$497.25 |
$497.25 |
$497.25 |
$606.06
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$21.92 |
$21.92 |
$21.92 |
$49.74
|
|
Closed tx humerus fx without manip 23600
|
$595.40 |
$595.40 |
$595.40 |
$494.15
|
|
Clot factor xii hageman
|
$102.05 |
$102.05 |
$102.05 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$84.50 |
$84.50 |
$84.50 |
$84.50
|
|
Clot factor xiii fibrin stab
|
$107.25 |
$107.25 |
$107.25 |
$84.27
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$601.90 |
$601.90 |
$601.90 |
$716.95
|
|
Clsd tx dist fib fx w/manip 27788
|
$949.00 |
$949.00 |
$949.00 |
$732.45
|
|
Clsd tx elbow dislocation child 24640
|
$248.30 |
$248.30 |
$248.30 |
$520.00
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$243.10 |
$243.10 |
$243.10 |
$376.11
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,132.95 |
$1,132.95 |
$1,132.95 |
$1,884.74
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$1,011.40 |
$1,011.40 |
$1,011.40 |
$1,771.43
|
|
Clsd tx hip disloc without anes 27265
|
$823.55 |
$823.55 |
$823.55 |
$685.81
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$537.55 |
$537.55 |
$537.55 |
$519.12
|
|
Clsd tx patella disloc without anes 27560
|
$614.25 |
$614.25 |
$614.25 |
$614.25
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$365.95 |
$365.95 |
$365.95 |
$464.80
|
|
Clsd tx shoulder dislc/fx 23665
|
$720.20 |
$720.20 |
$720.20 |
$2,055.00
|
|
Clsd tx toe dislocation without anes28660
|
$291.20 |
$291.20 |
$291.20 |
$400.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,042.60 |
$1,042.60 |
$1,042.60 |
$1,632.60
|
|
Cltx carpl scphd fx w/mnpj
|
$955.50 |
$955.50 |
$955.50 |
$2,316.80
|
|
#cmvcul-virus inoculation shell
|
$137.80 |
$137.80 |
$137.80 |
$109.80
|
|
Cmv pcr-sendout
|
$262.60 |
$262.60 |
$262.60 |
$177.50
|
|
Cold agglutinin screen (arc)
|
$57.85 |
$57.85 |
$57.85 |
$48.57
|
|
Cold agglutinin titer
|
$72.15 |
$72.15 |
$72.15 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$73.45 |
$73.45 |
$73.45 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$114.40 |
$114.40 |
$114.40 |
$173.83
|
|
Collection of venous blood by venipuncture
|
$16.25 |
$16.25 |
$16.25 |
$20.40
|
|
Colonoscopy (diagnostic)
|
$676.00 |
$676.00 |
$676.00 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$859.30 |
$859.30 |
$859.30 |
$1,846.40
|
|
Colonoscopy (with biopsy)
|
$831.35 |
$831.35 |
$831.35 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$992.55 |
$992.55 |
$992.55 |
$2,074.50
|
|
Compatibility test each unit antiglobulin technique
|
$94.90 |
$94.90 |
$94.90 |
$156.60
|
|
Compatibility test each unit electronic
|
$95.55 |
$95.55 |
$95.55 |
$158.55
|
|
Compatibility test each unit immediate spin technique
|
$94.90 |
$94.90 |
$94.90 |
$156.24
|
|
Compatibility test incubate
|
$94.90 |
$94.90 |
$94.90 |
$140.00
|
|
Complement antigen each component c3
|
$112.45 |
$112.45 |
$112.45 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$488.15 |
$488.15 |
$488.15 |
$876.00
|
|
Complx repair fccmnaxghf 13132
|
$937.30 |
$937.30 |
$937.30 |
$1,193.40
|
|
Computed tomographic angiography head and neck with contrast
|
$2,544.75 |
$2,544.75 |
$2,544.75 |
$2,544.75
|
|
Concentration infection agents any type
|
$57.20 |
$57.20 |
$57.20 |
$48.10
|
|
Condylomata destruction 56420
|
$352.95 |
$352.95 |
$352.95 |
$472.50
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,195.05 |
$1,195.05 |
$1,195.05 |
$839.07
|
|
Consultation pathology during surgery cytological exam initial site
|
$223.60 |
$223.60 |
$223.60 |
$364.01
|
|
Consultation pathology during surgery frozen section each additional block
|
$92.30 |
$92.30 |
$92.30 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$198.90 |
$198.90 |
$198.90 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$181.35 |
$181.35 |
$181.35 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$195.00 |
$195.00 |
$195.00 |
$171.65
|
|
Consult comp w/report rfrd material
|
$282.75 |
$282.75 |
$282.75 |
$387.00
|
|
Contrast baths charges
|
$53.30 |
$53.30 |
$53.30 |
$77.98
|
|
Control nosebleed pack+caut 30905
|
$497.25 |
$497.25 |
$497.25 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$401.70 |
$401.70 |
$401.70 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$217.75 |
$217.75 |
$217.75 |
$355.50
|
|
Coombs direct
|
$44.20 |
$44.20 |
$44.20 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$102.70 |
$102.70 |
$102.70 |
$76.70
|
|
Coombs indirect titer reference
|
$134.55 |
$134.55 |
$134.55 |
$122.85
|
|
Cortisol acth stimulation test - sendout
|
$252.85 |
$252.85 |
$252.85 |
$146.25
|
|
Cortisol total am
|
$81.90 |
$81.90 |
$81.90 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$119.60 |
$119.60 |
$119.60 |
$108.81
|
|
Covid-19 administration immunization im inj 1st/only component
|
$41.60 |
$41.60 |
$41.60 |
$64.50
|
|
#covid19rsv-rsv
|
$152.10 |
$152.10 |
$152.10 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$70.85 |
$70.85 |
$70.85 |
$65.36
|
|
C-peptide
|
$62.40 |
$62.40 |
$62.40 |
$112.00
|