|
Chest 2 vws w oblique
|
$479.60 |
$479.60 |
$479.60 |
$377.06
|
|
Chest apical lordotic proj
|
$443.20 |
$443.20 |
$443.20 |
$299.40
|
|
Chest CT scan (with and without contrast)
|
$1,754.40 |
$1,754.40 |
$1,754.40 |
$2,044.52
|
|
Chest CT scan (with contrast)
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,725.00
|
|
Chest CT scan (without contrast)
|
$1,241.60 |
$1,241.60 |
$1,241.60 |
$1,350.03
|
|
Chest X-ray
|
$259.60 |
$259.60 |
$259.60 |
$301.23
|
|
Chest X-ray (single view)
|
$225.20 |
$225.20 |
$225.20 |
$245.98
|
|
Chlamydia culture
|
$10.08 |
$10.08 |
$10.08 |
$88.40
|
|
Chlamydia type
|
$18.00 |
$18.00 |
$18.00 |
$34.80
|
|
Chloride
|
$16.36 |
$16.36 |
$16.36 |
$39.60
|
|
Chloride 24 hour urine
|
$15.80 |
$15.80 |
$15.80 |
$46.13
|
|
Chloroprocaine hcl injection
|
$16.52 |
$16.52 |
$16.52 |
$71.78
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$30.96 |
$30.96 |
$30.96 |
$327.19
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$53.95 |
$53.95 |
$53.95 |
$91.92
|
|
Cholesterol
|
$10.48 |
$10.48 |
$10.48 |
$46.15
|
|
Cholesterol body fluid
|
$83.36 |
$83.36 |
$83.36 |
$80.28
|
|
Cholesterol (Lipid) Test
|
$37.20 |
$37.20 |
$37.20 |
$115.70
|
|
Cholinesterase
|
$4.33 |
$4.33 |
$4.33 |
$38.68
|
|
Chromatography
|
$13.02 |
$13.02 |
$13.02 |
$77.00
|
|
Chromogenic substrate assay
|
$56.00 |
$56.00 |
$56.00 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$39.56 |
$39.56 |
$39.56 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$55.00 |
$55.00 |
$55.00 |
$432.06
|
|
Chromosome count additional
|
$12.00 |
$12.00 |
$12.00 |
$110.00
|
|
Cidofovir injection
|
$755.84 |
$755.84 |
$755.84 |
$1,116.30
|
|
Cilastatin sodium injection
|
$20.68 |
$20.68 |
$20.68 |
$76.82
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$127.88 |
$127.88 |
$127.88 |
$51.00
|
|
Cisplatin 1 mg/ml desensitization
|
$121.00 |
$121.00 |
$121.00 |
$143.78
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$121.80 |
$121.80 |
$121.80 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$4.00 |
$4.00 |
$4.00 |
$66.73
|
|
Clofarabine 1 mg/ml intravenous solution
|
$158.92 |
$158.92 |
$158.92 |
$604.88
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$109.56 |
$109.56 |
$109.56 |
$81.02
|
|
Clot factor xii hageman
|
$18.73 |
$18.73 |
$18.73 |
$125.00
|
|
#cmvcul-virus inoculation shell
|
$111.56 |
$111.56 |
$111.56 |
$102.57
|
|
Cmv pcr-sendout
|
$92.84 |
$92.84 |
$92.84 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$3.32 |
$3.32 |
$3.32 |
$4.28
|
|
Coagulation time activated teg
|
$37.72 |
$37.72 |
$37.72 |
$50.05
|
|
Cold agglutinin titer
|
$27.76 |
$27.76 |
$27.76 |
$48.90
|
|
Colistimethate sodium inj
|
$93.20 |
$93.20 |
$93.20 |
$84.63
|
|
Collection of venous blood by venipuncture
|
$17.20 |
$17.20 |
$17.20 |
$21.35
|
|
Compatibility test each unit antiglobulin technique
|
$125.56 |
$125.56 |
$125.56 |
$166.40
|
|
Compatibility test each unit immediate spin technique
|
$60.52 |
$60.52 |
$60.52 |
$163.80
|
|
Compatibility test incubate
|
$63.20 |
$63.20 |
$63.20 |
$143.65
|
|
Complement antigen each component c3
|
$68.60 |
$68.60 |
$68.60 |
$112.45
|
|
Concentration infection agents any type
|
$17.04 |
$17.04 |
$17.04 |
$51.32
|
|
Consultation pathology during surgery
|
$67.60 |
$67.60 |
$67.60 |
$122.85
|
|
Consultation pathology during surgery frozen section each additional block
|
$72.40 |
$72.40 |
$72.40 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$151.20 |
$151.20 |
$151.20 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$145.20 |
$145.20 |
$145.20 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$128.00 |
$128.00 |
$128.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$244.40 |
$244.40 |
$244.40 |
$337.44
|
|
Contrast exam abdominl aorta 75625-26
|
$2,166.80 |
$2,166.80 |
$2,166.80 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$12,377.20 |
$12,377.20 |
$12,377.20 |
$3,865.46
|
|
Contrast x-ray of ankle
|
$555.60 |
$555.60 |
$555.60 |
$575.82
|
|
Contrast x-ray of elbow
|
$623.60 |
$623.60 |
$623.60 |
$625.35
|
|
Contrast x-ray of hip
|
$766.40 |
$766.40 |
$766.40 |
$766.40
|
|
Contrast x-ray of knee joint
|
$518.00 |
$518.00 |
$518.00 |
$669.24
|
|
Contrast x-ray of wrist
|
$592.40 |
$592.40 |
$592.40 |
$598.13
|
|
Coombs direct
|
$66.96 |
$66.96 |
$66.96 |
$72.78
|
|
Coombs indirect qualitative each reagent red cell reference
|
$63.20 |
$63.20 |
$63.20 |
$100.29
|
|
Coombs indirect titer reference
|
$189.68 |
$189.68 |
$189.68 |
$144.30
|
|
Cortisol total am
|
$56.40 |
$56.40 |
$56.40 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$201.48 |
$201.48 |
$201.48 |
$233.75
|
|
Co-treatment - group 15 mins, st
|
$44.80 |
$44.80 |
$44.80 |
$108.81
|
|
#covid19rsv-rsv
|
$69.60 |
$69.60 |
$69.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$17.73 |
$17.73 |
$17.73 |
$65.36
|
|
C-peptide
|
$59.68 |
$59.68 |
$59.68 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$1,410.04
|
|
C-reactive protein
|
$106.88 |
$106.88 |
$106.88 |
$61.60
|
|
C-reactive protein high sensitivity
|
$97.12 |
$97.12 |
$97.12 |
$91.65
|
|
Creatine kinase
|
$33.68 |
$33.68 |
$33.68 |
$60.39
|
|
Creatine kinase isoenzymes
|
$25.84 |
$25.84 |
$25.84 |
$48.48
|
|
Creatine kinase mb
|
$188.12 |
$188.12 |
$188.12 |
$109.47
|
|
Creatine - sendout
|
$7.92 |
$7.92 |
$7.92 |
$39.00
|
|
Creatinine
|
$20.28 |
$20.28 |
$20.28 |
$44.10
|
|
Creatinine 24 hour urine
|
$122.16 |
$122.16 |
$122.16 |
$62.00
|
|
Creatinine clearance urine
|
$37.68 |
$37.68 |
$37.68 |
$87.20
|
|
#creutz-prot.,western blot
|
$20.18 |
$20.18 |
$20.18 |
$178.10
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$140.80 |
$140.80 |
$140.80 |
$858.53
|
|
Cryofibrinogen qualitative - sendout
|
$31.64 |
$31.64 |
$31.64 |
$50.88
|
|
Cryptosporidium antigen
|
$63.36 |
$63.36 |
$63.36 |
$56.00
|
|
Crystal identification light microscopy
|
$21.60 |
$21.60 |
$21.60 |
$65.25
|
|
Csf leakage imaging
|
$529.60 |
$529.60 |
$529.60 |
$1,433.25
|
|
CT 3d report other modality w/workstation
|
$392.00 |
$392.00 |
$392.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,780.40 |
$1,780.40 |
$1,780.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,780.40 |
$1,780.40 |
$1,780.40 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,598.80 |
$1,598.80 |
$1,598.80 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$1,946.10
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,780.40 |
$1,780.40 |
$1,780.40 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$2,032.54
|
|
CT Angiogram of the Head
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$631.20 |
$631.20 |
$631.20 |
$1,601.60
|
|
CT angio pelvis
|
$1,819.20 |
$1,819.20 |
$1,819.20 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$1,652.95
|
|
CT colonography dx
|
$402.80 |
$402.80 |
$402.80 |
$770.90
|
|
CT colonography dx w/dye
|
$764.80 |
$764.80 |
$764.80 |
$1,009.98
|
|
CT colonography screening
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$1,084.20
|
|
CT guidance for needle placement
|
$1,054.40 |
$1,054.40 |
$1,054.40 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$876.40 |
$876.40 |
$876.40 |
$1,084.05
|
|
CT guid parench tis ablat
|
$1,728.80 |
$1,728.80 |
$1,728.80 |
$1,282.50
|
|
CT hrt w/3d image
|
$631.20 |
$631.20 |
$631.20 |
$1,450.00
|
