|
Cholesterol (Lipid) Test
|
$130.40 |
$130.40 |
$130.40 |
$115.80
|
|
Cholinesterase
|
$4.20 |
$4.20 |
$4.20 |
$38.69
|
|
Chrom analysis
|
$32.03 |
$32.03 |
$32.03 |
$156.00
|
|
Chromatography
|
$5.76 |
$5.76 |
$5.76 |
$81.25
|
|
Chromogenic substrate assay
|
$28.20 |
$28.20 |
$28.20 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$11.41 |
$11.41 |
$11.41 |
$247.59
|
|
Chromosome analys amniotic
|
$39.65 |
$39.65 |
$39.65 |
$450.00
|
|
Chromosome analysis 100
|
$88.20 |
$88.20 |
$88.20 |
$434.40
|
|
Chromosome analysis 15-20 cell count
|
$42.27 |
$42.27 |
$42.27 |
$512.20
|
|
Chromosome analysis 45
|
$52.67 |
$52.67 |
$52.67 |
$429.28
|
|
Chylomicron screen, bf - sendout
|
$15.00 |
$15.00 |
$15.00 |
$124.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$7.93 |
$7.93 |
$7.93 |
$34.88
|
|
C-kit mutation liquid tumor - sendout
|
$113.50 |
$113.50 |
$113.50 |
$655.00
|
|
Clearance of airways
|
$54.80 |
$54.80 |
$54.80 |
$208.86
|
|
Clip ligating vesolock lg
|
$420.40 |
$420.40 |
$420.40 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$499.40 |
$499.40 |
$499.40 |
$538.82
|
|
Clot factor fletcher fact
|
$3.37 |
$3.37 |
$3.37 |
$119.50
|
|
Clot factor wght kininogen
|
$35.70 |
$35.70 |
$35.70 |
$167.96
|
|
Clot factor xii hageman
|
$3.44 |
$3.44 |
$3.44 |
$134.39
|
|
Clot factor xiii fibrin scrn
|
$1.58 |
$1.58 |
$1.58 |
$55.44
|
|
Clot factor xiii fibrin stab
|
$2.90 |
$2.90 |
$2.90 |
$105.00
|
|
#cmvcul-virus inoculation shell
|
$11.60 |
$11.60 |
$11.60 |
$100.80
|
|
Cmv pcr-sendout
|
$13.10 |
$13.10 |
$13.10 |
$177.50
|
|
Co2 monitor per day
|
$184.40 |
$184.40 |
$184.40 |
$450.60
|
|
Coagulation time activated teg
|
$24.00 |
$24.00 |
$24.00 |
$53.72
|
|
Cold agglutinin screen (arc)
|
$20.60 |
$20.60 |
$20.60 |
$45.00
|
|
Cold agglutinin titer
|
$2.40 |
$2.40 |
$2.40 |
$50.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$35.40 |
$35.40 |
$35.40 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$17.20 |
$17.20 |
$17.20 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$157.80 |
$157.80 |
$157.80 |
$170.05
|
|
Compatibility test each unit electronic
|
$34.80 |
$34.80 |
$34.80 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$36.40 |
$36.40 |
$36.40 |
$169.52
|
|
Compatibility test incubate
|
$165.40 |
$165.40 |
$165.40 |
$155.40
|
|
Complement antigen each component c3
|
$25.40 |
$25.40 |
$25.40 |
$108.55
|
|
Complement fixation each
|
$13.00 |
$13.00 |
$13.00 |
$29.12
|
|
Computed tomographic angiography head and neck with contrast
|
$2,504.40 |
$2,504.40 |
$2,504.40 |
$2,237.25
|
|
Concentration infection agents any type
|
$37.00 |
$37.00 |
$37.00 |
$49.95
|
|
Condylomata destruction 56420
|
$124.00 |
$124.00 |
$124.00 |
$469.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$260.58 |
$260.58 |
$260.58 |
$871.08
|
|
Consultation pathology during surgery cytological exam initial site
|
$259.40 |
$259.40 |
$259.40 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$5.60 |
$5.60 |
$5.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$54.40 |
$54.40 |
$54.40 |
$225.96
|
|
Contrast baths charges
|
$16.40 |
$16.40 |
$16.40 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$3,335.00 |
$3,335.00 |
$3,335.00 |
$3,648.84
|
|
Contrast x-ray of ankle
|
$159.60 |
$159.60 |
$159.60 |
$612.30
|
|
Contrast x-ray of elbow
|
$1,072.20 |
$1,072.20 |
$1,072.20 |
$649.80
|
|
Contrast x-ray of hip
|
$238.20 |
$238.20 |
$238.20 |
$771.12
|
|
Contrast x-ray of knee joint
|
$241.60 |
$241.60 |
$241.60 |
$769.88
|
|
Contrast x-ray of wrist
|
$226.00 |
$226.00 |
$226.00 |
$637.00
|
|
Convert nephrostomy catheter
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$2,777.60
|
|
Coombs direct
|
$97.40 |
$97.40 |
$97.40 |
$75.00
|
|
Coombs indirect titer reference
|
$52.60 |
$52.60 |
$52.60 |
$146.40
|
|
Copper intrauterine device
|
$304.84 |
$304.84 |
$304.84 |
$1,953.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,703.80 |
$2,703.80 |
$2,703.80 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$3,988.40 |
$3,988.40 |
$3,988.40 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$5,301.20 |
$5,301.20 |
$5,301.20 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$5,311.00 |
$5,311.00 |
$5,311.00 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$3,851.20 |
$3,851.20 |
$3,851.20 |
$7,914.00
|
|
Cortisol acth stimulation test - sendout
|
$119.80 |
$119.80 |
$119.80 |
$146.25
|
|
Cortisol total am
|
$104.00 |
$104.00 |
$104.00 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$80.97 |
$80.97 |
$80.97 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$29.40 |
$29.40 |
$29.40 |
$110.00
|
|
#covid19rsv-rsv
|
$150.20 |
$150.20 |
$150.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$3.40 |
$3.40 |
$3.40 |
$60.00
|
|
C-peptide
|
$24.00 |
$24.00 |
$24.00 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$368.60 |
$368.60 |
$368.60 |
$1,240.80
|
|
C-reactive protein
|
$78.60 |
$78.60 |
$78.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$82.60 |
$82.60 |
$82.60 |
$85.00
|
|
Creatine kinase
|
$118.80 |
$118.80 |
$118.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$5.20 |
$5.20 |
$5.20 |
$56.80
|
|
Creatine kinase mb
|
$139.80 |
$139.80 |
$139.80 |
$114.00
|
|
Creatine - sendout
|
$8.38 |
$8.38 |
$8.38 |
$39.00
|
|
Creatinine
|
$119.80 |
$119.80 |
$119.80 |
$44.72
|
|
Creatinine 24 hour urine
|
$119.40 |
$119.40 |
$119.40 |
$58.85
|
|
Creatinine clearance urine
|
$170.60 |
$170.60 |
$170.60 |
$89.50
|
|
#creutz-prot.,western blot
|
$32.00 |
$32.00 |
$32.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$615.00 |
$615.00 |
$615.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$211.60 |
$211.60 |
$211.60 |
$731.40
|
|
Crotalidae poly immune fab
|
$1,399.71 |
$1,399.71 |
$1,399.71 |
$5,590.35
|
|
Cryofibrinogen qualitative - sendout
|
$1.87 |
$1.87 |
$1.87 |
$52.50
|
|
Cryoprecipitate each unit
|
$49.40 |
$49.40 |
$49.40 |
$144.78
|
|
Crystal identification light microscopy
|
$142.60 |
$142.60 |
$142.60 |
$62.50
|
|
Csf leakage imaging
|
$365.40 |
$365.40 |
$365.40 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$396.20 |
$396.20 |
$396.20 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$2,150.20 |
$2,150.20 |
$2,150.20 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,569.20 |
$2,569.20 |
$2,569.20 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,042.40 |
$3,042.40 |
$3,042.40 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$2,323.60 |
$2,323.60 |
$2,323.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,996.80 |
$2,996.80 |
$2,996.80 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,543.80 |
$2,543.80 |
$2,543.80 |
$1,940.00
|
|
CT Angiogram of the Head
|
$2,504.40 |
$2,504.40 |
$2,504.40 |
$1,996.80
|
|
CT angio pelvis
|
$713.80 |
$713.80 |
$713.80 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$1,698.00
|
|
CT guidance for needle placement
|
$248.40 |
$248.40 |
$248.40 |
$1,494.00
|
|
CT limited or localized follow-up study
|
$142.20 |
$142.20 |
$142.20 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$2,513.80 |
$2,513.80 |
$2,513.80 |
$1,652.00
|
|
CT lower extremity without contrast (both sides)
|
$1,895.80 |
$1,895.80 |
$1,895.80 |
$1,421.85
|
|
CT lwr extremity w/o&w/dye
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$1,854.05
|
|
CT neck soft tissue w/contrast
|
$1,975.60 |
$1,975.60 |
$1,975.60 |
$1,652.00
|
