|
Chest CT scan (without contrast)
|
$410.13 |
$410.13 |
$410.13 |
$1,303.15
|
|
Chest Physiotherapy (first session)
|
$72.28 |
$72.28 |
$72.28 |
$160.80
|
|
Chest Physiotherapy (follow-up session)
|
$93.66 |
$93.66 |
$93.66 |
$134.50
|
|
Chest Ultrasound
|
$337.39 |
$337.39 |
$337.39 |
$463.88
|
|
Chest X-ray
|
$227.77 |
$227.77 |
$227.77 |
$294.06
|
|
Chest X-ray (single view)
|
$108.46 |
$108.46 |
$108.46 |
$236.60
|
|
Chg pr pul rehab for copd patients
|
$104.65 |
$104.65 |
$104.65 |
$150.40
|
|
Chimerism anal no cell selec
|
$191.88 |
$191.88 |
$191.88 |
$393.74
|
|
Chlamydia culture
|
$30.53 |
$30.53 |
$30.53 |
$91.00
|
|
Chlamydia type
|
$24.51 |
$24.51 |
$24.51 |
$34.98
|
|
Chloride
|
$12.21 |
$12.21 |
$12.21 |
$42.63
|
|
Chloride 24 hour urine
|
$5.94 |
$5.94 |
$5.94 |
$50.88
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$292.50 |
$292.50 |
$292.50 |
$602.40
|
|
Cholecystostomy complete w/supervision & interpretation
|
$2,016.26 |
$2,016.26 |
$2,016.26 |
$3,856.84
|
|
Cholesterol
|
$18.15 |
$18.15 |
$18.15 |
$45.76
|
|
Cholesterol body fluid
|
$22.44 |
$22.44 |
$22.44 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$33.66 |
$33.66 |
$33.66 |
$115.80
|
|
Chromatography
|
$18.15 |
$18.15 |
$18.15 |
$84.60
|
|
Chromo high res and frag x - sendout
|
$52.98 |
$52.98 |
$52.98 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$238.34 |
$238.34 |
$238.34 |
$517.11
|
|
Chromosome analysis 5
|
$355.71 |
$355.71 |
$355.71 |
$644.80
|
|
Chromosome karyotype study
|
$45.25 |
$45.25 |
$45.25 |
$120.00
|
|
Chronic urticaria - sendout
|
$26.05 |
$26.05 |
$26.05 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$61.05 |
$61.05 |
$61.05 |
$136.09
|
|
Circumcision (newborn)
|
$567.05 |
$567.05 |
$567.05 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$304.61 |
$304.61 |
$304.61 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,905.81 |
$6,905.81 |
$6,905.81 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$10,207.26 |
$10,207.26 |
$10,207.26 |
$4,320.00
|
|
Clot factor fletcher fact
|
$55.61 |
$55.61 |
$55.61 |
$119.50
|
|
Clot factor wght kininogen
|
$76.72 |
$76.72 |
$76.72 |
$157.50
|
|
Clot factor xii hageman
|
$25.46 |
$25.46 |
$25.46 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$9.38 |
$9.38 |
$9.38 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$32.83 |
$32.83 |
$32.83 |
$106.40
|
|
#cmvcul-virus inoculation shell
|
$45.58 |
$45.58 |
$45.58 |
$89.76
|
|
Cmv pcr-sendout
|
$45.58 |
$45.58 |
$45.58 |
$175.70
|
|
Coil axium 3d 14mmx40cm qc
|
$295.22 |
$295.22 |
$295.22 |
$308.00
|
|
Cold agglutinin titer
|
$23.61 |
$23.61 |
$23.61 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$9,390.83 |
$9,390.83 |
$9,390.83 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$159.30 |
$159.30 |
$159.30 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$135.42 |
$135.42 |
$135.42 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$95.90 |
$95.90 |
$95.90 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$181.63 |
$181.63 |
$181.63 |
$173.50
|
|
Compatibility test each unit electronic
|
$181.63 |
$181.63 |
$181.63 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$181.63 |
$181.63 |
$181.63 |
$169.52
|
|
Complement antigen each component c3
|
$118.84 |
$118.84 |
$118.84 |
$110.00
|
|
Concentration infection agents any type
|
$55.04 |
$55.04 |
$55.04 |
$51.32
|
|
Consultation pathology during surgery cytological exam initial site
|
$723.07 |
$723.07 |
$723.07 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$32.54 |
$32.54 |
$32.54 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$169.59 |
$169.59 |
$169.59 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$53.24 |
$53.24 |
$53.24 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$38.95 |
$38.95 |
$38.95 |
$176.28
|
|
Contrast baths charges
|
$41.85 |
$41.85 |
$41.85 |
$75.60
|
|
Contrast x-ray gallbladder
|
$198.90 |
$198.90 |
$198.90 |
$341.00
|
|
Contrast x-ray of hip
|
$495.92 |
$495.92 |
$495.92 |
$796.38
|
|
Contrast x-ray of knee joint
|
$286.16 |
$286.16 |
$286.16 |
$790.50
|
|
Contrast x-ray of wrist
|
$350.78 |
$350.78 |
$350.78 |
$667.50
|
|
Controller infinity pt dbs
|
$6,475.07 |
$6,475.07 |
$6,475.07 |
$4,836.44
|
|
Coombs direct
|
$48.84 |
$48.84 |
$48.84 |
$76.80
|
|
Coombs indirect titer reference
|
$140.01 |
$140.01 |
$140.01 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$1,098.64 |
$1,098.64 |
$1,098.64 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$1,002.38 |
$1,002.38 |
$1,002.38 |
$2,904.48
|
|
Cortisol total am
|
$106.59 |
$106.59 |
$106.59 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$38.46 |
$38.46 |
$38.46 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$3,562.10 |
$3,562.10 |
$3,562.10 |
$4,180.79
|
|
#covid19rsv-rsv
|
$90.73 |
$90.73 |
$90.73 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$21.57 |
$21.57 |
$21.57 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$450.47 |
$450.47 |
$450.47 |
$584.50
|
|
C-peptide
|
$20.79 |
$20.79 |
$20.79 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$442.32 |
$442.32 |
$442.32 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$467.65 |
$467.65 |
$467.65 |
$1,330.02
|
|
C-reactive protein
|
$29.30 |
$29.30 |
$29.30 |
$69.36
|
|
C-reactive protein high sensitivity
|
$23.20 |
$23.20 |
$23.20 |
$85.50
|
|
C-reactive protein, quantitative
|
$32.97 |
$32.97 |
$32.97 |
$65.16
|
|
Creatine kinase
|
$18.15 |
$18.15 |
$18.15 |
$66.30
|
|
Creatine kinase isoenzymes
|
$19.47 |
$19.47 |
$19.47 |
$56.20
|
|
Creatine kinase mb
|
$11.55 |
$11.55 |
$11.55 |
$113.63
|
|
Creatine - sendout
|
$19.80 |
$19.80 |
$19.80 |
$41.25
|
|
Creatinine
|
$14.85 |
$14.85 |
$14.85 |
$46.20
|
|
Creatinine 24 hour urine
|
$26.40 |
$26.40 |
$26.40 |
$57.85
|
|
Creatinine clearance urine
|
$9.57 |
$9.57 |
$9.57 |
$90.26
|
|
#creutz-prot.,western blot
|
$51.15 |
$51.15 |
$51.15 |
$163.50
|
|
Critical care each additional 30 minutes
|
$488.64 |
$488.64 |
$488.64 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$977.28 |
$977.28 |
$977.28 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$22.77 |
$22.77 |
$22.77 |
$52.50
|
|
Cryoprecipitate each unit
|
$40.76 |
$40.76 |
$40.76 |
$144.78
|
|
Cryptosporidium antigen
|
$47.73 |
$47.73 |
$47.73 |
$52.08
|
|
Crystal identification light microscopy
|
$11.62 |
$11.62 |
$11.62 |
$66.43
|
|
Cta lower extremity without & w/contrast (both sides)
|
$697.14 |
$697.14 |
$697.14 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$903.42 |
$903.42 |
$903.42 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$579.96 |
$579.96 |
$579.96 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,290.38 |
$1,290.38 |
$1,290.38 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$646.11 |
$646.11 |
$646.11 |
$1,915.30
|
|
CT Angiogram of the Head
|
$637.74 |
$637.74 |
$637.74 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$700.65 |
$700.65 |
$700.65 |
$1,881.75
|
|
CT angio hrt w/3d image
|
$1,400.54 |
$1,400.54 |
$1,400.54 |
$1,428.68
|
|
CT angio pelvis
|
$1,268.73 |
$1,268.73 |
$1,268.73 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$962.82 |
$962.82 |
$962.82 |
$1,691.30
|
|
CT colonography dx
|
$752.11 |
$752.11 |
$752.11 |
$811.41
|
|
CT colonography dx w/dye
|
$940.46 |
$940.46 |
$940.46 |
$1,069.25
|
|
CT guidance for needle placement
|
$586.66 |
$586.66 |
$586.66 |
$1,494.00
|
