|
Chloride
|
$5.83 |
$5.83 |
$5.83 |
$38.50
|
|
Chloride 24 hour urine
|
$34.60 |
$34.60 |
$34.60 |
$46.13
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$48.29 |
$48.29 |
$48.29 |
$89.81
|
|
Cholesterol
|
$47.82 |
$47.82 |
$47.82 |
$46.15
|
|
Cholesterol body fluid
|
$31.08 |
$31.08 |
$31.08 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$156.97 |
$156.97 |
$156.97 |
$115.70
|
|
Cholinesterase
|
$3.70 |
$3.70 |
$3.70 |
$38.69
|
|
Chromatography
|
$25.53 |
$25.53 |
$25.53 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$36.63 |
$36.63 |
$36.63 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$130.24 |
$130.24 |
$130.24 |
$448.80
|
|
Chromosome analys placenta
|
$66.23 |
$66.23 |
$66.23 |
$642.00
|
|
Chromosome karyotype study
|
$48.19 |
$48.19 |
$48.19 |
$102.72
|
|
Chronic urticaria - sendout
|
$55.50 |
$55.50 |
$55.50 |
$89.70
|
|
Cinacalcet 30 mg tablet
|
$22.76 |
$22.76 |
$22.76 |
$53.80
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$39.70 |
$39.70 |
$39.70 |
$45.27
|
|
Clot factor xii hageman
|
$46.25 |
$46.25 |
$46.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$9.25 |
$9.25 |
$9.25 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$44.40 |
$44.40 |
$44.40 |
$84.27
|
|
#cms hgb-carboxyhemoglobin
|
$10.27 |
$10.27 |
$10.27 |
$19.42
|
|
#cmvcul-virus inoculation shell
|
$17.02 |
$17.02 |
$17.02 |
$102.57
|
|
Cmv pcr-sendout
|
$86.58 |
$86.58 |
$86.58 |
$172.25
|
|
Coagulation time activated teg
|
$62.90 |
$62.90 |
$62.90 |
$50.05
|
|
Cold agglutinin screen (arc)
|
$39.22 |
$39.22 |
$39.22 |
$47.19
|
|
Cold agglutinin titer
|
$78.44 |
$78.44 |
$78.44 |
$49.40
|
|
Collection of venous blood by venipuncture
|
$5.00 |
$5.00 |
$5.00 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$81.31 |
$81.31 |
$81.31 |
$165.00
|
|
Compatibility test each unit electronic
|
$277.69 |
$277.69 |
$277.69 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$81.96 |
$81.96 |
$81.96 |
$159.95
|
|
Compatibility test incubate
|
$30.53 |
$30.53 |
$30.53 |
$143.64
|
|
Complement antigen each component c3
|
$51.06 |
$51.06 |
$51.06 |
$113.13
|
|
Concentration infection agents any type
|
$16.74 |
$16.74 |
$16.74 |
$50.70
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$2,242.57 |
$2,242.57 |
$2,242.57 |
$2,242.57
|
|
Consultation pathology during surgery
|
$72.89 |
$72.89 |
$72.89 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$187.59 |
$187.59 |
$187.59 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$9.34 |
$9.34 |
$9.34 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$61.42 |
$61.42 |
$61.42 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$48.84 |
$48.84 |
$48.84 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$72.89 |
$72.89 |
$72.89 |
$176.15
|
|
Consult comp w/report rfrd material
|
$337.44 |
$337.44 |
$337.44 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$1,281.31 |
$1,281.31 |
$1,281.31 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$1,767.68 |
$1,767.68 |
$1,767.68 |
$3,780.00
|
|
Coombs direct
|
$31.27 |
$31.27 |
$31.27 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$9.71 |
$9.71 |
$9.71 |
$100.29
|
|
Coombs indirect titer reference
|
$65.68 |
$65.68 |
$65.68 |
$143.40
|
|
Cortisol total am
|
$67.62 |
$67.62 |
$67.62 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$48.14 |
$48.14 |
$48.14 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$63.73 |
$63.73 |
$63.73 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$832.50 |
$832.50 |
$832.50 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$832.50 |
$832.50 |
$832.50 |
$533.10
|
|
#covid19rsv-rsv
|
$124.69 |
$124.69 |
$124.69 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$10.27 |
$10.27 |
$10.27 |
$65.36
|
|
C-reactive protein
|
$38.85 |
$38.85 |
$38.85 |
$61.10
|
|
C-reactive protein high sensitivity
|
$17.48 |
$17.48 |
$17.48 |
$91.20
|
|
C-reactive protein, quantitative
|
$28.49 |
$28.49 |
$28.49 |
$63.07
|
|
Creatine kinase
|
$53.65 |
$53.65 |
$53.65 |
$58.30
|
|
Creatine kinase mb
|
$26.83 |
$26.83 |
$26.83 |
$105.95
|
|
Creatine - sendout
|
$27.75 |
$27.75 |
$27.75 |
$40.59
|
|
Creatinine
|
$7.12 |
$7.12 |
$7.12 |
$42.50
|
|
Creatinine 24 hour urine
|
$32.84 |
$32.84 |
$32.84 |
$59.80
|
|
Creatinine clearance urine
|
$67.99 |
$67.99 |
$67.99 |
$85.80
|
|
#creutz-prot.,western blot
|
$18.50 |
$18.50 |
$18.50 |
$179.28
|
|
Critical care 30-74 minutes
|
$1,534.67 |
$1,534.67 |
$1,534.67 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$889.76 |
$889.76 |
$889.76 |
$756.00
|
|
Crotalidae poly immune fab
|
$1,074.85 |
$1,074.85 |
$1,074.85 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$50.88 |
$50.88 |
$50.88 |
$50.88
|
|
Cryoprecipitate each unit
|
$103.88 |
$103.88 |
$103.88 |
$190.20
|
|
Cryptococcus abs qn - sendout
|
$17.39 |
$17.39 |
$17.39 |
$80.85
|
|
Crystal identification light microscopy
|
$36.91 |
$36.91 |
$36.91 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$892.81 |
$892.81 |
$892.81 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$647.32 |
$647.32 |
$647.32 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$647.32 |
$647.32 |
$647.32 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$647.32 |
$647.32 |
$647.32 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$647.32 |
$647.32 |
$647.32 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$647.32 |
$647.32 |
$647.32 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$647.32 |
$647.32 |
$647.32 |
$2,017.89
|
|
CT Angiogram of the Head
|
$647.32 |
$647.32 |
$647.32 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$647.32 |
$647.32 |
$647.32 |
$1,601.60
|
|
CT angio pelvis
|
$647.32 |
$647.32 |
$647.32 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$647.32 |
$647.32 |
$647.32 |
$1,652.95
|
|
CT guidance for needle placement
|
$647.32 |
$647.32 |
$647.32 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$770.99 |
$770.99 |
$770.99 |
$1,058.40
|
|
CT guid parench tis ablat
|
$647.32 |
$647.32 |
$647.32 |
$1,282.50
|
|
CT hrt w/3d image
|
$647.32 |
$647.32 |
$647.32 |
$1,477.35
|
|
CT lower extremity w/contrast (both sides)
|
$601.44 |
$601.44 |
$601.44 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$833.24 |
$833.24 |
$833.24 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$647.32 |
$647.32 |
$647.32 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$647.32 |
$647.32 |
$647.32 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$601.44 |
$601.44 |
$601.44 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$693.10 |
$693.10 |
$693.10 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$670.16 |
$670.16 |
$670.16 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$624.28 |
$624.28 |
$624.28 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$578.40 |
$578.40 |
$578.40 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$738.98 |
$738.98 |
$738.98 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$693.10 |
$693.10 |
$693.10 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$647.32 |
$647.32 |
$647.32 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$624.28 |
$624.28 |
$624.28 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$578.40 |
$578.40 |
$578.40 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$647.32 |
$647.32 |
$647.32 |
$420.60
|
|
CT t-spine w /wo contrast
|
$670.16 |
$670.16 |
$670.16 |
$2,030.60
|
|
CT upper extremity w/contrast (both sides)
|
$647.32 |
$647.32 |
$647.32 |
$1,697.85
|