|
Chest apical lordotic proj
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$11,809.00 |
$11,809.00 |
$11,809.00 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$10,684.00 |
$10,684.00 |
$10,684.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$8,990.00 |
$8,990.00 |
$8,990.00 |
$1,350.03
|
|
Chest X-ray
|
$1,719.00 |
$1,719.00 |
$1,719.00 |
$294.06
|
|
Chest X-ray (single view)
|
$1,004.00 |
$1,004.00 |
$1,004.00 |
$229.08
|
|
Chlamydia culture
|
$749.00 |
$749.00 |
$749.00 |
$94.90
|
|
Chloride
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$38.50
|
|
Chloride 24 hour urine
|
$108.00 |
$108.00 |
$108.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$303.00 |
$303.00 |
$303.00 |
$78.26
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,629.00 |
$4,629.00 |
$4,629.00 |
$625.60
|
|
Cholesterol
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$798.00 |
$798.00 |
$798.00 |
$115.70
|
|
Cholinesterase
|
$140.00 |
$140.00 |
$140.00 |
$38.69
|
|
Chrom analysis
|
$769.00 |
$769.00 |
$769.00 |
$127.86
|
|
Chromatography
|
$433.00 |
$433.00 |
$433.00 |
$80.60
|
|
Chromogenic substrate assay
|
$235.00 |
$235.00 |
$235.00 |
$183.52
|
|
Chromo high res and frag x - sendout
|
$381.00 |
$381.00 |
$381.00 |
$264.25
|
|
Chromosome analys amniotic
|
$6,796.00 |
$6,796.00 |
$6,796.00 |
$436.00
|
|
Chromosome analysis 15-20 cell count
|
$5,971.00 |
$5,971.00 |
$5,971.00 |
$448.80
|
|
Chromosome analysis 45
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$367.29
|
|
Chromosome analysis 50-100
|
$6,447.00 |
$6,447.00 |
$6,447.00 |
$301.50
|
|
Chromosome count additional
|
$343.00 |
$343.00 |
$343.00 |
$110.00
|
|
Chromosome karyotype study
|
$410.00 |
$410.00 |
$410.00 |
$102.72
|
|
Chromosome study additional
|
$536.00 |
$536.00 |
$536.00 |
$147.03
|
|
Chronic urticaria - sendout
|
$153.00 |
$153.00 |
$153.00 |
$89.70
|
|
Cidofovir injection
|
$4,995.48 |
$4,995.48 |
$4,995.48 |
$1,099.26
|
|
Cisplatin 1 mg/ml desensitization
|
$26.00 |
$26.00 |
$26.00 |
$127.11
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$125.00 |
$125.00 |
$125.00 |
$81.02
|
|
Clot factor xii hageman
|
$503.00 |
$503.00 |
$503.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$178.00 |
$178.00 |
$178.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$153.00 |
$153.00 |
$153.00 |
$84.27
|
|
Cmv pcr-sendout
|
$928.00 |
$928.00 |
$928.00 |
$172.25
|
|
Codeine 15 mg/ml inj 2 ml
|
$17.00 |
$17.00 |
$17.00 |
$43.17
|
|
Cold agglutinin screen (arc)
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$47.19
|
|
Cold agglutinin titer
|
$298.00 |
$298.00 |
$298.00 |
$49.40
|
|
Colistimethate sodium inj
|
$535.00 |
$535.00 |
$535.00 |
$84.22
|
|
Compatibility test each unit antiglobulin technique
|
$578.00 |
$578.00 |
$578.00 |
$165.00
|
|
Compatibility test each unit electronic
|
$827.00 |
$827.00 |
$827.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$817.00 |
$817.00 |
$817.00 |
$159.95
|
|
Complement fixation each
|
$94.00 |
$94.00 |
$94.00 |
$25.70
|
|
Concentration infection agents any type
|
$359.00 |
$359.00 |
$359.00 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,825.00 |
$2,825.00 |
$2,825.00 |
$792.24
|
|
Connect omega .5mm
|
$714.00 |
$714.00 |
$714.00 |
$747.50
|
|
Consultation pathology during surgery
|
$178.00 |
$178.00 |
$178.00 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$507.00 |
$507.00 |
$507.00 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$4,660.00 |
$4,660.00 |
$4,660.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$468.00 |
$468.00 |
$468.00 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$178.00 |
$178.00 |
$178.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$536.00 |
$536.00 |
$536.00 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$14,859.00 |
$14,859.00 |
$14,859.00 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$14,974.00 |
$14,974.00 |
$14,974.00 |
$3,780.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$333.00 |
$333.00 |
$333.00 |
$100.29
|
|
Coombs indirect titer reference
|
$273.00 |
$273.00 |
$273.00 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$500.00 |
$500.00 |
$500.00 |
$258.83
|
|
Covid-19 lab test non-cdc
|
$55.00 |
$55.00 |
$55.00 |
$56.44
|
|
C-peptide
|
$333.00 |
$333.00 |
$333.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$1,409.85
|
|
C-reactive protein
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$61.10
|
|
C-reactive protein high sensitivity
|
$333.00 |
$333.00 |
$333.00 |
$91.20
|
|
Creatine kinase
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$58.30
|
|
Creatine kinase isoenzymes
|
$482.00 |
$482.00 |
$482.00 |
$49.40
|
|
Creatine kinase mb
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$105.95
|
|
Creatinine
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$42.50
|
|
Creatinine clearance urine
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$85.80
|
|
Critical care 30-74 minutes
|
$3,753.00 |
$3,753.00 |
$3,753.00 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$1,878.00 |
$1,878.00 |
$1,878.00 |
$756.00
|
|
Crotalidae poly immune fab
|
$4,129.00 |
$4,129.00 |
$4,129.00 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$264.00 |
$264.00 |
$264.00 |
$50.88
|
|
Cryptosporidium antigen
|
$982.00 |
$982.00 |
$982.00 |
$58.94
|
|
Crystal identification light microscopy
|
$171.00 |
$171.00 |
$171.00 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$2,908.00 |
$2,908.00 |
$2,908.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,036.00 |
$4,036.00 |
$4,036.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$10,002.00 |
$10,002.00 |
$10,002.00 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$10,002.00 |
$10,002.00 |
$10,002.00 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,510.00 |
$6,510.00 |
$6,510.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,036.00 |
$4,036.00 |
$4,036.00 |
$2,017.89
|
|
CT Angiogram of the Head
|
$4,036.00 |
$4,036.00 |
$4,036.00 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$12,503.00 |
$12,503.00 |
$12,503.00 |
$1,601.60
|
|
CT angio pelvis
|
$4,036.00 |
$4,036.00 |
$4,036.00 |
$1,778.40
|
|
CT bone density axial
|
$4,502.00 |
$4,502.00 |
$4,502.00 |
$338.69
|
|
CT guid parench tis ablat
|
$2,356.00 |
$2,356.00 |
$2,356.00 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$8,999.00 |
$8,999.00 |
$8,999.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$8,999.00 |
$8,999.00 |
$8,999.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$12,503.00 |
$12,503.00 |
$12,503.00 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$2,222.00 |
$2,222.00 |
$2,222.00 |
$630.50
|
|
CT neck soft tissue w/contrast
|
$8,990.00 |
$8,990.00 |
$8,990.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$6,021.00 |
$6,021.00 |
$6,021.00 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$11,809.00 |
$11,809.00 |
$11,809.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$9,053.00 |
$9,053.00 |
$9,053.00 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$7,872.00 |
$7,872.00 |
$7,872.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$7,313.00 |
$7,313.00 |
$7,313.00 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$23,617.00 |
$23,617.00 |
$23,617.00 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$17,986.00 |
$17,986.00 |
$17,986.00 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$16,304.00 |
$16,304.00 |
$16,304.00 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$9,536.00 |
$9,536.00 |
$9,536.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$8,990.00 |
$8,990.00 |
$8,990.00 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$296.00 |
$296.00 |
$296.00 |
$420.60
|
|
CT t-spine w /wo contrast
|
$11,809.00 |
$11,809.00 |
$11,809.00 |
$2,030.60
|
