|
Chromosome analysis 15-20 cell count
|
$1,489.00 |
$1,489.00 |
$1,489.00 |
$448.80
|
|
Chromosome analysis 50-100
|
$4,206.00 |
$4,206.00 |
$4,206.00 |
$301.50
|
|
Chromosome count additional
|
$403.00 |
$403.00 |
$403.00 |
$110.00
|
|
Chromosome karyotype study
|
$273.00 |
$273.00 |
$273.00 |
$102.72
|
|
Chromosome study additional
|
$1,274.00 |
$1,274.00 |
$1,274.00 |
$147.03
|
|
Cidofovir injection
|
$4,120.36 |
$4,120.36 |
$4,120.36 |
$1,099.26
|
|
Cilastatin sodium injection
|
$697.00 |
$697.00 |
$697.00 |
$65.86
|
|
Cisplatin 1 mg/ml desensitization
|
$843.00 |
$843.00 |
$843.00 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$9,967.00 |
$9,967.00 |
$9,967.00 |
$576.60
|
|
Clot factor fletcher fact
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$88.20
|
|
Clot factor viii reltd antgn
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$95.72
|
|
Clot factor wght kininogen
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$134.81
|
|
Clot factor xii hageman
|
$1,726.00 |
$1,726.00 |
$1,726.00 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$84.27
|
|
Coagulation time activated teg
|
$779.00 |
$779.00 |
$779.00 |
$50.05
|
|
Codeine 15 mg/ml inj 2 ml
|
$94.00 |
$94.00 |
$94.00 |
$43.17
|
|
Cold agglutinin screen (arc)
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$47.19
|
|
Cold agglutinin titer
|
$316.00 |
$316.00 |
$316.00 |
$49.40
|
|
Colistimethate sodium inj
|
$833.00 |
$833.00 |
$833.00 |
$84.22
|
|
Collection of venous blood by venipuncture
|
$234.00 |
$234.00 |
$234.00 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$647.00 |
$647.00 |
$647.00 |
$165.00
|
|
Compatibility test each unit electronic
|
$813.00 |
$813.00 |
$813.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$727.00 |
$727.00 |
$727.00 |
$159.95
|
|
Compatibility test incubate
|
$424.00 |
$424.00 |
$424.00 |
$143.64
|
|
Complement fixation each
|
$114.00 |
$114.00 |
$114.00 |
$25.70
|
|
Concentration infection agents any type
|
$423.00 |
$423.00 |
$423.00 |
$50.70
|
|
Connect omega .5mm
|
$714.00 |
$714.00 |
$714.00 |
$747.50
|
|
Consultation pathology during surgery cytological exam initial site
|
$771.00 |
$771.00 |
$771.00 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$752.00 |
$752.00 |
$752.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$2,493.00 |
$2,493.00 |
$2,493.00 |
$235.95
|
|
Contrast exam thoracic aorta 75605-26
|
$18,649.00 |
$18,649.00 |
$18,649.00 |
$3,780.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$990.00 |
$990.00 |
$990.00 |
$100.29
|
|
Coombs indirect titer reference
|
$445.00 |
$445.00 |
$445.00 |
$143.40
|
|
Cortisol total am
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$315.00 |
$315.00 |
$315.00 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$354.00 |
$354.00 |
$354.00 |
$110.00
|
|
Covid-19 lab test non-cdc
|
$50.00 |
$50.00 |
$50.00 |
$56.44
|
|
C-peptide
|
$1,355.00 |
$1,355.00 |
$1,355.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$1,409.85
|
|
C-reactive protein
|
$393.00 |
$393.00 |
$393.00 |
$61.10
|
|
C-reactive protein high sensitivity
|
$874.00 |
$874.00 |
$874.00 |
$91.20
|
|
Creatine kinase
|
$2,342.00 |
$2,342.00 |
$2,342.00 |
$58.30
|
|
Creatine kinase isoenzymes
|
$944.00 |
$944.00 |
$944.00 |
$49.40
|
|
Creatine kinase mb
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$105.95
|
|
Creatine - sendout
|
$72.00 |
$72.00 |
$72.00 |
$40.59
|
|
Creatinine
|
$706.00 |
$706.00 |
$706.00 |
$42.50
|
|
Creatinine clearance urine
|
$614.00 |
$614.00 |
$614.00 |
$85.80
|
|
#creutz-prot.,western blot
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$179.28
|
|
Critical care 30-74 minutes
|
$6,889.00 |
$6,889.00 |
$6,889.00 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$2,795.00 |
$2,795.00 |
$2,795.00 |
$756.00
|
|
Crotalidae poly immune fab
|
$15,151.00 |
$15,151.00 |
$15,151.00 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$418.00 |
$418.00 |
$418.00 |
$50.88
|
|
Cryptosporidium antigen
|
$427.00 |
$427.00 |
$427.00 |
$58.94
|
|
Crystal identification light microscopy
|
$778.00 |
$778.00 |
$778.00 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$15,272.00 |
$15,272.00 |
$15,272.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,341.00 |
$4,341.00 |
$4,341.00 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$5,161.00 |
$5,161.00 |
$5,161.00 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$18,015.00 |
$18,015.00 |
$18,015.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$16,761.00 |
$16,761.00 |
$16,761.00 |
$2,017.89
|
|
CT Angiogram of the Head
|
$19,800.00 |
$19,800.00 |
$19,800.00 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$13,555.00 |
$13,555.00 |
$13,555.00 |
$1,601.60
|
|
CT angio pelvis
|
$13,563.00 |
$13,563.00 |
$13,563.00 |
$1,778.40
|
|
CT guidance for needle placement
|
$22,989.00 |
$22,989.00 |
$22,989.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$5,311.00 |
$5,311.00 |
$5,311.00 |
$1,058.40
|
|
CT heart w/evaluation of calcium without contrast
|
$3,236.00 |
$3,236.00 |
$3,236.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$3,236.00 |
$3,236.00 |
$3,236.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$3,236.00 |
$3,236.00 |
$3,236.00 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$10,292.00 |
$10,292.00 |
$10,292.00 |
$630.50
|
|
CT neck soft tissue w/contrast
|
$11,994.00 |
$11,994.00 |
$11,994.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$11,007.00 |
$11,007.00 |
$11,007.00 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$14,594.00 |
$14,594.00 |
$14,594.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$23,525.00 |
$23,525.00 |
$23,525.00 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$14,864.00 |
$14,864.00 |
$14,864.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$8,668.00 |
$8,668.00 |
$8,668.00 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$26,875.00 |
$26,875.00 |
$26,875.00 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$25,310.00 |
$25,310.00 |
$25,310.00 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$23,855.00 |
$23,855.00 |
$23,855.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$11,605.00 |
$11,605.00 |
$11,605.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$9,834.00 |
$9,834.00 |
$9,834.00 |
$1,436.50
|
|
CT t-spine w /wo contrast
|
$16,400.00 |
$16,400.00 |
$16,400.00 |
$2,030.60
|
|
Culture afb any source
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$564.00 |
$564.00 |
$564.00 |
$75.29
|
|
Culture anaerobic except blood
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$52.50
|
|
Culture fungi definitive id yeast
|
$708.00 |
$708.00 |
$708.00 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$438.00 |
$438.00 |
$438.00 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$88.14
|
|
Culture mycoplasma any source
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$90.37
|
|
Culture urine each isolate
|
$589.00 |
$589.00 |
$589.00 |
$46.20
|
|
Cyanocobalamin unsat binding capacity
|
$248.00 |
$248.00 |
$248.00 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$79.00 |
$79.00 |
$79.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$472.00 |
$472.00 |
$472.00 |
$85.03
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$602.00 |
$602.00 |
$602.00 |
$150.79
|
|
Cyclosporine 2 hour
|
$944.00 |
$944.00 |
$944.00 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$43.00 |
$43.00 |
$43.00 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$144.00 |
$144.00 |
$144.00 |
$42.97
|
|
Cystatin c
|
$242.00 |
$242.00 |
$242.00 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$527.50
|
