|
Cell count w differential body fluid
|
$577.01 |
$577.01 |
$577.01 |
$95.55
|
|
Cell marker study
|
$254.89 |
$254.89 |
$254.89 |
$239.85
|
|
Chest CT scan (with and without contrast)
|
$27,946.62 |
$27,946.62 |
$27,946.62 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$17,924.75 |
$17,924.75 |
$17,924.75 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$13,518.31 |
$13,518.31 |
$13,518.31 |
$1,350.03
|
|
Chest X-ray
|
$2,163.59 |
$2,163.59 |
$2,163.59 |
$294.06
|
|
Chest X-ray (single view)
|
$814.57 |
$814.57 |
$814.57 |
$229.08
|
|
Chlamydia culture
|
$307.85 |
$307.85 |
$307.85 |
$94.90
|
|
Chloride
|
$625.81 |
$625.81 |
$625.81 |
$38.50
|
|
Chloride 24 hour urine
|
$671.84 |
$671.84 |
$671.84 |
$46.13
|
|
Cholesterol (Lipid) Test
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$115.70
|
|
Cholinesterase
|
$7.54 |
$7.54 |
$7.54 |
$38.69
|
|
Chromosome analysis 15-20 cell count
|
$676.25 |
$676.25 |
$676.25 |
$448.80
|
|
Chromosome analysis 5
|
$369.50 |
$369.50 |
$369.50 |
$644.80
|
|
Chromosome count additional
|
$20.41 |
$20.41 |
$20.41 |
$110.00
|
|
Chromosome karyotype study
|
$25.00 |
$25.00 |
$25.00 |
$102.72
|
|
Clot factor xiii fibrin stab
|
$57.02 |
$57.02 |
$57.02 |
$84.27
|
|
#cmvcul-virus inoculation shell
|
$315.43 |
$315.43 |
$315.43 |
$102.57
|
|
Cold agglutinin titer
|
$5.00 |
$5.00 |
$5.00 |
$49.40
|
|
Collection of venous blood by venipuncture
|
$195.06 |
$195.06 |
$195.06 |
$21.66
|
|
Compatibility test each unit electronic
|
$1,585.31 |
$1,585.31 |
$1,585.31 |
$167.17
|
|
Concentration infection agents any type
|
$8.80 |
$8.80 |
$8.80 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$726.05 |
$726.05 |
$726.05 |
$792.24
|
|
Consultation pathology during surgery cytological exam initial site
|
$594.18 |
$594.18 |
$594.18 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$2,619.63 |
$2,619.63 |
$2,619.63 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$4,025.59 |
$4,025.59 |
$4,025.59 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$6,731.66 |
$6,731.66 |
$6,731.66 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$152.55 |
$152.55 |
$152.55 |
$176.15
|
|
Consult comp w/report rfrd material
|
$238.75 |
$238.75 |
$238.75 |
$345.71
|
|
Contrast baths charges
|
$158.87 |
$158.87 |
$158.87 |
$77.98
|
|
Copper cu 64 dotatate diag
|
$3,656.25 |
$3,656.25 |
$3,656.25 |
$2,083.80
|
|
Cortisol total am
|
$155.46 |
$155.46 |
$155.46 |
$122.00
|
|
#covid19rsv-rsv
|
$258.00 |
$258.00 |
$258.00 |
$140.80
|
|
C-peptide
|
$179.45 |
$179.45 |
$179.45 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$1,846.83 |
$1,846.83 |
$1,846.83 |
$1,409.85
|
|
C-reactive protein
|
$320.18 |
$320.18 |
$320.18 |
$61.10
|
|
C-reactive protein high sensitivity
|
$8.50 |
$8.50 |
$8.50 |
$91.20
|
|
Creatine kinase
|
$1,021.31 |
$1,021.31 |
$1,021.31 |
$58.30
|
|
Creatine kinase isoenzymes
|
$16.24 |
$16.24 |
$16.24 |
$49.40
|
|
Creatinine
|
$815.41 |
$815.41 |
$815.41 |
$42.50
|
|
Creatinine 24 hour urine
|
$368.42 |
$368.42 |
$368.42 |
$59.80
|
|
Creatinine clearance urine
|
$991.54 |
$991.54 |
$991.54 |
$85.80
|
|
Cryofibrinogen qualitative - sendout
|
$13.22 |
$13.22 |
$13.22 |
$50.88
|
|
Crystal identification light microscopy
|
$593.27 |
$593.27 |
$593.27 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$17,042.48 |
$17,042.48 |
$17,042.48 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$22,715.76 |
$22,715.76 |
$22,715.76 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$20,094.03 |
$20,094.03 |
$20,094.03 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$22,192.94 |
$22,192.94 |
$22,192.94 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$14,941.07 |
$14,941.07 |
$14,941.07 |
$2,017.89
|
|
CT Angiogram of the Head
|
$20,094.03 |
$20,094.03 |
$20,094.03 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$5,356.95 |
$5,356.95 |
$5,356.95 |
$1,601.60
|
|
CT guidance for needle placement
|
$9,373.09 |
$9,373.09 |
$9,373.09 |
$1,506.04
|
|
CT heart w/evaluation of calcium without contrast
|
$16,046.26 |
$16,046.26 |
$16,046.26 |
$192.00
|
|
CT limited or localized follow-up study
|
$5,550.11 |
$5,550.11 |
$5,550.11 |
$630.50
|
|
CT neck soft tissue w/contrast
|
$11,306.36 |
$11,306.36 |
$11,306.36 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$11,356.63 |
$11,356.63 |
$11,356.63 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$18,090.68 |
$18,090.68 |
$18,090.68 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$12,284.18 |
$12,284.18 |
$12,284.18 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$10,160.13 |
$10,160.13 |
$10,160.13 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$9,504.09 |
$9,504.09 |
$9,504.09 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$24,834.75 |
$24,834.75 |
$24,834.75 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$21,848.56 |
$21,848.56 |
$21,848.56 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$18,867.40 |
$18,867.40 |
$18,867.40 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$10,512.03 |
$10,512.03 |
$10,512.03 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$10,512.03 |
$10,512.03 |
$10,512.03 |
$1,436.50
|
|
Culture aerobic additional method definitive id each
|
$886.59 |
$886.59 |
$886.59 |
$62.65
|
|
Culture afb any source
|
$2.86 |
$2.86 |
$2.86 |
$107.50
|
|
Culture anaerobic except blood
|
$2,214.01 |
$2,214.01 |
$2,214.01 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$317.63 |
$317.63 |
$317.63 |
$52.50
|
|
Culture body fluid
|
$1,152.55 |
$1,152.55 |
$1,152.55 |
$129.21
|
|
Culture fungi definitive id mold
|
$288.38 |
$288.38 |
$288.38 |
$70.00
|
|
Culture fungi other (except blood)
|
$3.25 |
$3.25 |
$3.25 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$163.90 |
$163.90 |
$163.90 |
$88.14
|
|
Culture mycoplasma any source
|
$28.51 |
$28.51 |
$28.51 |
$90.37
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$19.50 |
$19.50 |
$19.50 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$127.60 |
$127.60 |
$127.60 |
$85.03
|
|
Cyclosporine 2 hour
|
$164.47 |
$164.47 |
$164.47 |
$119.40
|
|
Cystatin c
|
$2,272.90 |
$2,272.90 |
$2,272.90 |
$82.50
|
|
Cytomegalovirus (cmv) antibody igg
|
$139.65 |
$139.65 |
$139.65 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$159.97 |
$159.97 |
$159.97 |
$101.94
|
|
Cytopath c/v index add-on
|
$17.53 |
$17.53 |
$17.53 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$109.59 |
$109.59 |
$109.59 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$2,272.90 |
$2,272.90 |
$2,272.90 |
$91.53
|
|
Cytopathology concentration technique smears & interpretation
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,618.01 |
$1,618.01 |
$1,618.01 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$111.21 |
$111.21 |
$111.21 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$965.37 |
$965.37 |
$965.37 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$3,859.10 |
$3,859.10 |
$3,859.10 |
$203.08
|
|
Cytopath smear other source
|
$109.59 |
$109.59 |
$109.59 |
$135.27
|
|
Cytopath smear oth prep screen & interp
|
$930.92 |
$930.92 |
$930.92 |
$95.00
|
|
Cytopath tbs c/v manual
|
$189.27 |
$189.27 |
$189.27 |
$57.94
|
|
Cytotoxic antibody screening
|
$88.00 |
$88.00 |
$88.00 |
$157.60
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$86.05 |
$86.05 |
$86.05 |
$544.35
|
|
Deamidated gliadin antibody iga
|
$7.34 |
$7.34 |
$7.34 |
$44.20
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$19.50 |
$19.50 |
$19.50 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$129.59 |
$129.59 |
$129.59 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$204.66 |
$204.66 |
$204.66 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$361.37 |
$361.37 |
$361.37 |
$78.03
|
|
Diatrizoate meglumine 18 % urethral solution
|
$97.91 |
$97.91 |
$97.91 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$45.16 |
$45.16 |
$45.16 |
$67.89
|