|
Chg radiologic exam esophagus double contrast
|
$4,430.80 |
$4,430.80 |
$4,430.80 |
$520.80
|
|
Chlamydia culture
|
$1,406.70 |
$1,406.70 |
$1,406.70 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$178.48 |
$178.48 |
$178.48 |
$30.40
|
|
Chloramphenicol sodium injec
|
$1,562.40 |
$1,562.40 |
$1,562.40 |
$122.59
|
|
Chloride 24 hour urine
|
$1,495.13 |
$1,495.13 |
$1,495.13 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$893.76 |
$893.76 |
$893.76 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$505.68 |
$505.68 |
$505.68 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$625.60
|
|
Cholesterol
|
$711.76 |
$711.76 |
$711.76 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$1,792.42 |
$1,792.42 |
$1,792.42 |
$115.70
|
|
Cholinesterase
|
$1,708.33 |
$1,708.33 |
$1,708.33 |
$38.69
|
|
Chrom analysis
|
$1,269.45 |
$1,269.45 |
$1,269.45 |
$127.86
|
|
Chromatography
|
$96.02 |
$96.02 |
$96.02 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$1,615.02 |
$1,615.02 |
$1,615.02 |
$264.25
|
|
Chromosome count additional
|
$342.32 |
$342.32 |
$342.32 |
$110.00
|
|
Chromosome study additional
|
$755.70 |
$755.70 |
$755.70 |
$147.03
|
|
Cine/video x-rays add-on
|
$1,220.45 |
$1,220.45 |
$1,220.45 |
$213.15
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$45.27
|
|
C-kit mutation liquid tumor - sendout
|
$10,274.41 |
$10,274.41 |
$10,274.41 |
$640.41
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$21,739.20 |
$21,739.20 |
$21,739.20 |
$576.60
|
|
Clofarabine 1 mg/ml intravenous solution
|
$1,086.40 |
$1,086.40 |
$1,086.40 |
$604.88
|
|
Clot factor fletcher fact
|
$1,060.59 |
$1,060.59 |
$1,060.59 |
$88.20
|
|
Clot factor viii reltd antgn
|
$1,851.55 |
$1,851.55 |
$1,851.55 |
$95.72
|
|
Clot factor wght kininogen
|
$1,060.59 |
$1,060.59 |
$1,060.59 |
$134.81
|
|
Clot factor xii hageman
|
$1,630.76 |
$1,630.76 |
$1,630.76 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$84.27
|
|
Clotting assay whole blood
|
$1,371.98 |
$1,371.98 |
$1,371.98 |
$105.95
|
|
Cmv pcr-sendout
|
$254.98 |
$254.98 |
$254.98 |
$172.25
|
|
Cold agglutinin screen (arc)
|
$617.91 |
$617.91 |
$617.91 |
$47.19
|
|
Cold agglutinin titer
|
$64.56 |
$64.56 |
$64.56 |
$49.40
|
|
Collar cerv ascend 172 reg
|
$439.00 |
$439.00 |
$439.00 |
$174.01
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$210.05 |
$210.05 |
$210.05 |
$163.07
|
|
Compatibility test each unit immediate spin technique
|
$780.66 |
$780.66 |
$780.66 |
$159.95
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,665.44 |
$1,665.44 |
$1,665.44 |
$792.24
|
|
Consultation pathology during surgery
|
$129.66 |
$129.66 |
$129.66 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$3,658.08 |
$3,658.08 |
$3,658.08 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,882.48 |
$1,882.48 |
$1,882.48 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$222.97 |
$222.97 |
$222.97 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$714.47 |
$714.47 |
$714.47 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$281.56 |
$281.56 |
$281.56 |
$176.15
|
|
Contrast x-ray gallbladder
|
$4,130.50 |
$4,130.50 |
$4,130.50 |
$276.65
|
|
Coombs indirect titer reference
|
$1,836.45 |
$1,836.45 |
$1,836.45 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,564.64 |
$1,564.64 |
$1,564.64 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$864.60 |
$864.60 |
$864.60 |
$110.00
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$681.38 |
$681.38 |
$681.38 |
$569.31
|
|
#covid19rsv-rsv
|
$164.38 |
$164.38 |
$164.38 |
$140.80
|
|
C-peptide
|
$1,305.26 |
$1,305.26 |
$1,305.26 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$13,412.00 |
$13,412.00 |
$13,412.00 |
$1,409.85
|
|
C-reactive protein
|
$903.81 |
$903.81 |
$903.81 |
$61.10
|
|
C-reactive protein high sensitivity
|
$903.81 |
$903.81 |
$903.81 |
$91.20
|
|
Creatine kinase
|
$1,495.13 |
$1,495.13 |
$1,495.13 |
$58.30
|
|
Creatine kinase isoenzymes
|
$1,829.31 |
$1,829.31 |
$1,829.31 |
$49.40
|
|
Creatine kinase mb
|
$1,395.85 |
$1,395.85 |
$1,395.85 |
$105.95
|
|
Creatine - sendout
|
$1,280.84 |
$1,280.84 |
$1,280.84 |
$40.59
|
|
Creatinine clearance urine
|
$1,599.29 |
$1,599.29 |
$1,599.29 |
$85.80
|
|
Crotalidae poly immune fab
|
$40,843.60 |
$40,843.60 |
$40,843.60 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$718.27 |
$718.27 |
$718.27 |
$50.88
|
|
Cryoprecipitate each unit
|
$1,213.85 |
$1,213.85 |
$1,213.85 |
$190.20
|
|
Cryptococcus abs qn - sendout
|
$1,633.47 |
$1,633.47 |
$1,633.47 |
$80.85
|
|
Cryptosporidium antigen
|
$992.78 |
$992.78 |
$992.78 |
$58.94
|
|
Csf leakage imaging
|
$6,805.00 |
$6,805.00 |
$6,805.00 |
$1,433.25
|
|
CT angio hrt w/3d image
|
$24,140.60 |
$24,140.60 |
$24,140.60 |
$1,601.60
|
|
CT heart w/evaluation of calcium without contrast
|
$3,716.90 |
$3,716.90 |
$3,716.90 |
$192.00
|
|
Culture afb any source
|
$1,417.55 |
$1,417.55 |
$1,417.55 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$746.48 |
$746.48 |
$746.48 |
$75.29
|
|
Culture fungi definitive id mold
|
$804.53 |
$804.53 |
$804.53 |
$70.00
|
|
Culture fungi definitive id yeast
|
$804.53 |
$804.53 |
$804.53 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,137.62 |
$1,137.62 |
$1,137.62 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$2,421.18 |
$2,421.18 |
$2,421.18 |
$88.14
|
|
Culture quantitative aerobic other source
|
$3,217.57 |
$3,217.57 |
$3,217.57 |
$85.80
|
|
Culture typing added method
|
$2,570.91 |
$2,570.91 |
$2,570.91 |
$34.45
|
|
Culture urine each isolate
|
$746.48 |
$746.48 |
$746.48 |
$46.20
|
|
Cyanocobalamin unsat binding capacity
|
$746.48 |
$746.48 |
$746.48 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$505.68 |
$505.68 |
$505.68 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$1,294.41 |
$1,294.41 |
$1,294.41 |
$85.03
|
|
Cyclophosphamide 25 mg capsule
|
$25.76 |
$25.76 |
$25.76 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$1,942.64 |
$1,942.64 |
$1,942.64 |
$150.79
|
|
Cyclosporine 2 hour
|
$1,547.21 |
$1,547.21 |
$1,547.21 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$25.76 |
$25.76 |
$25.76 |
$9.79
|
|
Cystatin c
|
$1,387.72 |
$1,387.72 |
$1,387.72 |
$82.50
|
|
Cystic fibrosis cftr
|
$17,594.90 |
$17,594.90 |
$17,594.90 |
$1,041.95
|
|
Cytogenom microarray copy nmbr var
|
$15,989.10 |
$15,989.10 |
$15,989.10 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igm
|
$1,066.01 |
$1,066.01 |
$1,066.01 |
$101.94
|
|
Cytopathology cellular enhancement technique non-gyn
|
$558.78 |
$558.78 |
$558.78 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$347.20 |
$347.20 |
$347.20 |
$91.53
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$1,342.69 |
$1,342.69 |
$1,342.69 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$1,032.38 |
$1,032.38 |
$1,032.38 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,269.45 |
$1,269.45 |
$1,269.45 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$309.23 |
$309.23 |
$309.23 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$716.10 |
$716.10 |
$716.10 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$1,472.89 |
$1,472.89 |
$1,472.89 |
$203.08
|
|
Cytopath smear oth prep screen & interp
|
$1,186.99 |
$1,186.99 |
$1,186.99 |
$95.00
|
|
Cytotoxic antibody screening
|
$6,576.19 |
$6,576.19 |
$6,576.19 |
$157.60
|
|
Cytp urine 3-5 probes cmptr
|
$2,838.36 |
$2,838.36 |
$2,838.36 |
$690.00
|
|
Dacarbazine 100 mg intravenous solution
|
$385.84 |
$385.84 |
$385.84 |
$61.64
|
|
Dactinomycin 0.5 mg intravenous solution
|
$7,338.24 |
$7,338.24 |
$7,338.24 |
$2,281.50
|
|
Dalbavancin 500 mg intravenous solution
|
$8,790.32 |
$8,790.32 |
$8,790.32 |
$3,753.91
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$39,092.28 |
$39,092.28 |
$39,092.28 |
$28,415.40
|
|
Darbepoetin alfa, esrd use
|
$89.04 |
$89.04 |
$89.04 |
$3.04
|
|
Decalcification
|
$597.84 |
$597.84 |
$597.84 |
$75.38
|