|
Chromosome count additional
|
$12.94 |
$12.94 |
$12.94 |
$110.00
|
|
Chromosome karyotype study
|
$14.90 |
$14.90 |
$14.90 |
$102.00
|
|
Chromosome study additional
|
$104.67 |
$104.67 |
$104.67 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$38.86 |
$38.86 |
$38.86 |
$123.20
|
|
Cilastatin sodium injection
|
$153.67 |
$153.67 |
$153.67 |
$79.29
|
|
Cinacalcet 30 mg tablet
|
$81.54 |
$81.54 |
$81.54 |
$53.80
|
|
Circumcision (newborn)
|
$396.71 |
$396.71 |
$396.71 |
$1,549.50
|
|
Cisplatin 1 mg/ml desensitization
|
$24.70 |
$24.70 |
$24.70 |
$148.77
|
|
C-kit mutation liquid tumor - sendout
|
$98.00 |
$98.00 |
$98.00 |
$606.06
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$15,733.32 |
$15,733.32 |
$15,733.32 |
$16,786.53
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.55 |
$61.55 |
$61.55 |
$66.73
|
|
Clip ligating vesolock lg
|
$1,926.29 |
$1,926.29 |
$1,926.29 |
$1,690.58
|
|
Cllr miami j sm
|
$137.60 |
$137.60 |
$137.60 |
$610.38
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$117.60 |
$117.60 |
$117.60 |
$81.90
|
|
Closure paravalvlr leak pq
|
$856.92 |
$856.92 |
$856.92 |
$10,497.50
|
|
Clot factor viii reltd antgn
|
$87.71 |
$87.71 |
$87.71 |
$95.72
|
|
Clot factor xii hageman
|
$85.45 |
$85.45 |
$85.45 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$46.83 |
$46.83 |
$46.83 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$51.75 |
$51.75 |
$51.75 |
$84.27
|
|
Clotting assay whole blood
|
$39.99 |
$39.99 |
$39.99 |
$105.95
|
|
C motor evoked upr&lwr limbs
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$1,308.00
|
|
#cmvcul-virus inoculation shell
|
$22.25 |
$22.25 |
$22.25 |
$102.57
|
|
Cmv pcr-sendout
|
$43.12 |
$43.12 |
$43.12 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8.24 |
$8.24 |
$8.24 |
$2,950.68
|
|
Coagulation time activated teg
|
$27.05 |
$27.05 |
$27.05 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$1,152.48 |
$1,152.48 |
$1,152.48 |
$807.71
|
|
Cold agglutinin screen (arc)
|
$8.43 |
$8.43 |
$8.43 |
$47.19
|
|
Cold agglutinin titer
|
$4.85 |
$4.85 |
$4.85 |
$48.57
|
|
Colistimethate sodium inj
|
$131.72 |
$131.72 |
$131.72 |
$84.60
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$9.02 |
$9.02 |
$9.02 |
$66.69
|
|
Collar cerv ascend 172 reg
|
$104.28 |
$104.28 |
$104.28 |
$241.88
|
|
Collection blood specimen from completely implantable venous access device
|
$103.88 |
$103.88 |
$103.88 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$103.88 |
$103.88 |
$103.88 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$36.07 |
$36.07 |
$36.07 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$239.52 |
$239.52 |
$239.52 |
$173.25
|
|
Compatibility test each unit immediate spin technique
|
$363.00 |
$363.00 |
$363.00 |
$169.52
|
|
Complement antigen each component c3
|
$120.13 |
$120.13 |
$120.13 |
$111.15
|
|
Complement fixation each
|
$20.78 |
$20.78 |
$20.78 |
$24.00
|
|
Concentration infection agents any type
|
$17.64 |
$17.64 |
$17.64 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,481.76 |
$1,481.76 |
$1,481.76 |
$2,423.65
|
|
Conjugated estrogens 25 mg solution for injection
|
$792.24 |
$792.24 |
$792.24 |
$986.92
|
|
Consultation pathology during surgery
|
$162.68 |
$162.68 |
$162.68 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,870.62 |
$2,870.62 |
$2,870.62 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$7.21 |
$7.21 |
$7.21 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$12.00 |
$12.00 |
$12.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$148.57 |
$148.57 |
$148.57 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$234.77 |
$234.77 |
$234.77 |
$176.15
|
|
Consult comp w/report rfrd material
|
$248.42 |
$248.42 |
$248.42 |
$359.87
|
|
Contrast exam abdominl aorta 75625-26
|
$5,823.56 |
$5,823.56 |
$5,823.56 |
$3,458.54
|
|
Contrast exam thoracic aorta
|
$4,361.00 |
$4,361.00 |
$4,361.00 |
$3,724.63
|
|
Contrast exam thoracic aorta 75605-26
|
$6,471.14 |
$6,471.14 |
$6,471.14 |
$4,178.00
|
|
Controller infinity pt dbs
|
$4,235.56 |
$4,235.56 |
$4,235.56 |
$4,320.00
|
|
Conversion ext bil drg cath
|
$2,312.02 |
$2,312.02 |
$2,312.02 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$1,540.96 |
$1,540.96 |
$1,540.96 |
$3,569.60
|
|
Coombs direct
|
$129.66 |
$129.66 |
$129.66 |
$73.26
|
|
Coombs indirect titer reference
|
$222.66 |
$222.66 |
$222.66 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,620.14 |
$1,620.14 |
$1,620.14 |
$2,083.80
|
|
Core ndl bx lng/med perq
|
$1,822.41 |
$1,822.41 |
$1,822.41 |
$2,963.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$7,894.10 |
$7,894.10 |
$7,894.10 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$8,288.06 |
$8,288.06 |
$8,288.06 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$8,288.06 |
$8,288.06 |
$8,288.06 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$8,288.06 |
$8,288.06 |
$8,288.06 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$8,308.05 |
$8,308.05 |
$8,308.05 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$8,308.05 |
$8,308.05 |
$8,308.05 |
$7,769.30
|
|
Coronary thrombolysis/iv infusion 92977
|
$265.78 |
$265.78 |
$265.78 |
$489.00
|
|
Cortisol total am
|
$128.58 |
$128.58 |
$128.58 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$501.37 |
$501.37 |
$501.37 |
$222.48
|
|
Counseling smoke cess interm >10mins
|
$30.58 |
$30.58 |
$30.58 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$5,507.21 |
$5,507.21 |
$5,507.21 |
$3,151.80
|
|
Covid-19 administration immunization im inj 1st/only component
|
$90.56 |
$90.56 |
$90.56 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$358.29 |
$358.29 |
$358.29 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$358.29 |
$358.29 |
$358.29 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$39.20 |
$39.20 |
$39.20 |
$56.44
|
|
#covid19rsv-rsv
|
$165.43 |
$165.43 |
$165.43 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$13.29 |
$13.29 |
$13.29 |
$65.36
|
|
C-peptide
|
$30.38 |
$30.38 |
$30.38 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,627.59 |
$1,627.59 |
$1,627.59 |
$1,466.97
|
|
C-reactive protein
|
$169.74 |
$169.74 |
$169.74 |
$63.00
|
|
C-reactive protein high sensitivity
|
$168.96 |
$168.96 |
$168.96 |
$91.65
|
|
C-reactive protein, quantitative
|
$54.30 |
$54.30 |
$54.30 |
$62.50
|
|
Creatine kinase
|
$156.41 |
$156.41 |
$156.41 |
$59.78
|
|
Creatine kinase isoenzymes
|
$3.53 |
$3.53 |
$3.53 |
$46.34
|
|
Creatine kinase mb
|
$199.53 |
$199.53 |
$199.53 |
$111.00
|
|
Creatine - sendout
|
$20.84 |
$20.84 |
$20.84 |
$39.00
|
|
Creatinine
|
$96.83 |
$96.83 |
$96.83 |
$44.10
|
|
Creatinine 24 hour urine
|
$193.65 |
$193.65 |
$193.65 |
$59.80
|
|
Creatinine clearance urine
|
$242.26 |
$242.26 |
$242.26 |
$87.50
|
|
#creutz-prot.,western blot
|
$223.44 |
$223.44 |
$223.44 |
$173.00
|
|
Critical care 30-74 minutes
|
$3,130.12 |
$3,130.12 |
$3,130.12 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$1,007.05 |
$1,007.05 |
$1,007.05 |
$777.00
|
|
Crotalidae poly immune fab
|
$14,700.00 |
$14,700.00 |
$14,700.00 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$3.23 |
$3.23 |
$3.23 |
$50.88
|
|
Cryoprecipitate each unit
|
$163.47 |
$163.47 |
$163.47 |
$185.64
|
|
Crystal identification light microscopy
|
$109.76 |
$109.76 |
$109.76 |
$65.25
|
|
Csf leakage imaging
|
$3,891.78 |
$3,891.78 |
$3,891.78 |
$1,446.24
|
|
CT 3d report other modality w/workstation
|
$309.29 |
$309.29 |
$309.29 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,552.72 |
$1,552.72 |
$1,552.72 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,299.48 |
$1,299.48 |
$1,299.48 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$1,977.25 |
$1,977.25 |
$1,977.25 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,834.16 |
$2,834.16 |
$2,834.16 |
$2,839.85
|
