|
Chromatography
|
$1.28 |
$1.28 |
$1.28 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$5.25 |
$5.25 |
$5.25 |
$250.00
|
|
Cilastatin sodium injection
|
$13.37 |
$13.37 |
$13.37 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$52.36 |
$52.36 |
$52.36 |
$35.00
|
|
Cisplatin 1 mg/ml desensitization
|
$99.12 |
$99.12 |
$99.12 |
$192.66
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$50.82 |
$50.82 |
$50.82 |
$55.20
|
|
Clip ligating vesolock lg
|
$123.20 |
$123.20 |
$123.20 |
$4,320.00
|
|
#cmvcul-virus inoculation shell
|
$18.48 |
$18.48 |
$18.48 |
$100.20
|
|
Cmv pcr-sendout
|
$5.46 |
$5.46 |
$5.46 |
$177.10
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$1.19 |
$1.19 |
$1.19 |
$8,980.00
|
|
Cold agglutinin titer
|
$20.02 |
$20.02 |
$20.02 |
$50.00
|
|
Colistimethate sodium inj
|
$40.74 |
$40.74 |
$40.74 |
$68.47
|
|
Collection of venous blood by venipuncture
|
$7.56 |
$7.56 |
$7.56 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$48.72 |
$48.72 |
$48.72 |
$170.25
|
|
Compatibility test each unit immediate spin technique
|
$55.09 |
$55.09 |
$55.09 |
$169.52
|
|
Compatibility test incubate
|
$23.59 |
$23.59 |
$23.59 |
$155.40
|
|
Complement antigen each component c3
|
$3.44 |
$3.44 |
$3.44 |
$108.55
|
|
Concentration infection agents any type
|
$2.17 |
$2.17 |
$2.17 |
$49.95
|
|
Conjugated estrogens 25 mg solution for injection
|
$68.11 |
$68.11 |
$68.11 |
$871.08
|
|
Consultation pathology during surgery
|
$4.05 |
$4.05 |
$4.05 |
$100.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$2.49 |
$2.49 |
$2.49 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$1.98 |
$1.98 |
$1.98 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$3.23 |
$3.23 |
$3.23 |
$225.96
|
|
Contrast x-ray of ankle
|
$85.33 |
$85.33 |
$85.33 |
$612.30
|
|
Contrast x-ray of knee joint
|
$229.81 |
$229.81 |
$229.81 |
$769.88
|
|
Contrast x-ray of wrist
|
$321.72 |
$321.72 |
$321.72 |
$639.00
|
|
Controller infinity pt dbs
|
$489.16 |
$489.16 |
$489.16 |
$4,611.60
|
|
Coombs direct
|
$12.46 |
$12.46 |
$12.46 |
$74.75
|
|
Coombs indirect titer reference
|
$14.00 |
$14.00 |
$14.00 |
$146.40
|
|
Cortisol total am
|
$19.04 |
$19.04 |
$19.04 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$96.25 |
$96.25 |
$96.25 |
$189.22
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$91.98 |
$91.98 |
$91.98 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$44.52 |
$44.52 |
$44.52 |
$551.64
|
|
Covid-19 lab test non-cdc
|
$18.20 |
$18.20 |
$18.20 |
$80.50
|
|
C-peptide
|
$0.33 |
$0.33 |
$0.33 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$317.66 |
$317.66 |
$317.66 |
$1,240.80
|
|
C-reactive protein
|
$121.59 |
$121.59 |
$121.59 |
$68.38
|
|
C-reactive protein high sensitivity
|
$17.85 |
$17.85 |
$17.85 |
$85.00
|
|
Creatine kinase
|
$36.68 |
$36.68 |
$36.68 |
$66.30
|
|
Creatine kinase mb
|
$0.88 |
$0.88 |
$0.88 |
$114.00
|
|
Creatinine
|
$35.77 |
$35.77 |
$35.77 |
$44.72
|
|
Creatinine 24 hour urine
|
$50.19 |
$50.19 |
$50.19 |
$58.85
|
|
Creatinine clearance urine
|
$98.56 |
$98.56 |
$98.56 |
$89.50
|
|
Critical care 30-74 minutes
|
$868.49 |
$868.49 |
$868.49 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$419.79 |
$419.79 |
$419.79 |
$731.40
|
|
Crotalidae poly immune fab
|
$1,478.26 |
$1,478.26 |
$1,478.26 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$18.20 |
$18.20 |
$18.20 |
$144.78
|
|
Cryptosporidium antigen
|
$22.12 |
$22.12 |
$22.12 |
$52.08
|
|
Crystal identification light microscopy
|
$84.98 |
$84.98 |
$84.98 |
$62.40
|
|
Csf leakage imaging
|
$333.41 |
$333.41 |
$333.41 |
$1,544.85
|
|
CT 3d report other modality w/workstation
|
$127.61 |
$127.61 |
$127.61 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$791.56 |
$791.56 |
$791.56 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$755.86 |
$755.86 |
$755.86 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$653.38 |
$653.38 |
$653.38 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$597.03 |
$597.03 |
$597.03 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,302.63 |
$1,302.63 |
$1,302.63 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$858.76 |
$858.76 |
$858.76 |
$1,940.00
|
|
CT Angiogram of the Head
|
$686.00 |
$686.00 |
$686.00 |
$1,996.80
|
|
CT angio pelvis
|
$1,010.10 |
$1,010.10 |
$1,010.10 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$848.05 |
$848.05 |
$848.05 |
$1,697.80
|
|
CT colonography dx
|
$176.12 |
$176.12 |
$176.12 |
$791.00
|
|
CT guidance for needle placement
|
$488.11 |
$488.11 |
$488.11 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$570.36 |
$570.36 |
$570.36 |
$1,168.20
|
|
CT heart w/evaluation of calcium without contrast
|
$237.16 |
$237.16 |
$237.16 |
$171.60
|
|
CT limited or localized follow-up study
|
$425.81 |
$425.81 |
$425.81 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$391.65 |
$391.65 |
$391.65 |
$1,619.25
|
|
CT lower extremity without contrast (both sides)
|
$409.50 |
$409.50 |
$409.50 |
$1,420.00
|
|
CT lwr extremity w/o&w/dye
|
$524.86 |
$524.86 |
$524.86 |
$1,851.60
|
|
CT neck soft tissue w/contrast
|
$757.33 |
$757.33 |
$757.33 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$494.20 |
$494.20 |
$494.20 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$745.85 |
$745.85 |
$745.85 |
$1,952.25
|
|
CT orbit/sella/fossa w/wo contrast
|
$804.79 |
$804.79 |
$804.79 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$567.98 |
$567.98 |
$567.98 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$554.89 |
$554.89 |
$554.89 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,276.03 |
$1,276.03 |
$1,276.03 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,302.63 |
$1,302.63 |
$1,302.63 |
$2,945.40
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,088.08 |
$1,088.08 |
$1,088.08 |
$2,368.80
|
|
CT thoracic spine w/contrast
|
$605.78 |
$605.78 |
$605.78 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$703.43 |
$703.43 |
$703.43 |
$1,464.00
|
|
CT upper extremity w/contrast (both sides)
|
$412.93 |
$412.93 |
$412.93 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$431.83 |
$431.83 |
$431.83 |
$1,430.20
|
|
CT uppr extremity w/o&w/dye
|
$679.98 |
$679.98 |
$679.98 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$20.86 |
$20.86 |
$20.86 |
$68.64
|
|
Culture afb any source
|
$0.53 |
$0.53 |
$0.53 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$96.32 |
$96.32 |
$96.32 |
$79.00
|
|
Culture anaerobic except blood
|
$101.08 |
$101.08 |
$101.08 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$21.35 |
$21.35 |
$21.35 |
$51.51
|
|
Culture body fluid
|
$111.37 |
$111.37 |
$111.37 |
$126.72
|
|
Culture fungi definitive id mold
|
$5.04 |
$5.04 |
$5.04 |
$76.72
|
|
Culture fungi definitive id yeast
|
$17.99 |
$17.99 |
$17.99 |
$79.10
|
|
Culture fungi other (except blood)
|
$31.64 |
$31.64 |
$31.64 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$14.07 |
$14.07 |
$14.07 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$17.71 |
$17.71 |
$17.71 |
$89.70
|
|
Culture screening strep group a
|
$104.86 |
$104.86 |
$104.86 |
$81.00
|
|
Culture typing immunologic
|
$49.91 |
$49.91 |
$49.91 |
$44.00
|
|
Culture urine each isolate
|
$9.24 |
$9.24 |
$9.24 |
$57.00
|
|
Cutter lead
|
$32.27 |
$32.27 |
$32.27 |
$6,092.06
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$53.97 |
$53.97 |
$53.97 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$3.44 |
$3.44 |
$3.44 |
$70.98
|
|
Cyclophosphamide 25 mg capsule
|
$7.70 |
$7.70 |
$7.70 |
$19.49
|