|
Chloride 24 hour urine
|
$633.56 |
$633.56 |
$633.56 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$87.00 |
$87.00 |
$87.00 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,507.60 |
$2,507.60 |
$2,507.60 |
$625.60
|
|
Cholesterol
|
$909.07 |
$909.07 |
$909.07 |
$46.15
|
|
Cholinesterase
|
$11.00 |
$11.00 |
$11.00 |
$38.69
|
|
Chrom analysis
|
$110.00 |
$110.00 |
$110.00 |
$127.86
|
|
Chromatography
|
$33.00 |
$33.00 |
$33.00 |
$80.60
|
|
Chromogenic substrate assay
|
$95.00 |
$95.00 |
$95.00 |
$183.52
|
|
Chromosome analys placenta
|
$508.00 |
$508.00 |
$508.00 |
$642.00
|
|
Chromosome count additional
|
$33.00 |
$33.00 |
$33.00 |
$110.00
|
|
Chromosome karyotype study
|
$38.00 |
$38.00 |
$38.00 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$33.00 |
$33.00 |
$33.00 |
$123.20
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$76.00 |
$76.00 |
$76.00 |
$81.02
|
|
Clot factor xii hageman
|
$247.00 |
$247.00 |
$247.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$77.00 |
$77.00 |
$77.00 |
$47.30
|
|
#cmvcul-virus inoculation shell
|
$329.00 |
$329.00 |
$329.00 |
$102.57
|
|
Cmv pcr-sendout
|
$183.00 |
$183.00 |
$183.00 |
$172.25
|
|
Coagulation time activated teg
|
$1,055.48 |
$1,055.48 |
$1,055.48 |
$50.05
|
|
Cold agglutinin titer
|
$18.00 |
$18.00 |
$18.00 |
$49.40
|
|
Colistimethate sodium inj
|
$482.00 |
$482.00 |
$482.00 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$200.20 |
$200.20 |
$200.20 |
$46.88
|
|
Collar cerv ascend 172 reg
|
$71.76 |
$71.76 |
$71.76 |
$174.01
|
|
Compatibility test each unit electronic
|
$770.11 |
$770.11 |
$770.11 |
$167.17
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$792.24
|
|
Consultation pathology during surgery
|
$196.99 |
$196.99 |
$196.99 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,007.57 |
$1,007.57 |
$1,007.57 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$838.53 |
$838.53 |
$838.53 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,340.32 |
$1,340.32 |
$1,340.32 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$368.69 |
$368.69 |
$368.69 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$196.99 |
$196.99 |
$196.99 |
$176.15
|
|
Consult comp w/report rfrd material
|
$260.00 |
$260.00 |
$260.00 |
$345.71
|
|
Contrast x-ray gallbladder
|
$2,953.49 |
$2,953.49 |
$2,953.49 |
$276.65
|
|
Coombs direct
|
$507.11 |
$507.11 |
$507.11 |
$71.74
|
|
Coombs indirect titer reference
|
$672.16 |
$672.16 |
$672.16 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,333.00 |
$1,333.00 |
$1,333.00 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$103.82 |
$103.82 |
$103.82 |
$57.60
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$250.00 |
$140.80
|
|
C-peptide
|
$247.00 |
$247.00 |
$247.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$24,383.92 |
$24,383.92 |
$24,383.92 |
$1,409.85
|
|
Creatine kinase
|
$1,353.63 |
$1,353.63 |
$1,353.63 |
$58.30
|
|
Creatine kinase isoenzymes
|
$8.00 |
$8.00 |
$8.00 |
$49.40
|
|
Creatine kinase mb
|
$42.00 |
$42.00 |
$42.00 |
$105.95
|
|
Creatinine clearance urine
|
$1,876.71 |
$1,876.71 |
$1,876.71 |
$85.80
|
|
#creutz-prot.,western blot
|
$173.00 |
$173.00 |
$173.00 |
$179.28
|
|
Crotalidae poly immune fab
|
$9,146.00 |
$9,146.00 |
$9,146.00 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$7.00 |
$7.00 |
$7.00 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$41.00 |
$41.00 |
$41.00 |
$80.85
|
|
Crystal identification light microscopy
|
$516.43 |
$516.43 |
$516.43 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$23,819.14 |
$23,819.14 |
$23,819.14 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$23,819.14 |
$23,819.14 |
$23,819.14 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$21,084.31 |
$21,084.31 |
$21,084.31 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$23,820.34 |
$23,820.34 |
$23,820.34 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$22,904.34 |
$22,904.34 |
$22,904.34 |
$2,017.89
|
|
CT Angiogram of the Head
|
$18,159.85 |
$18,159.85 |
$18,159.85 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$2,470.05 |
$2,470.05 |
$2,470.05 |
$1,601.60
|
|
CT angio pelvis
|
$23,820.34 |
$23,820.34 |
$23,820.34 |
$1,778.40
|
|
CT guidance for needle placement
|
$20,028.78 |
$20,028.78 |
$20,028.78 |
$1,506.04
|
|
CT guid parench tis ablat
|
$16,220.53 |
$16,220.53 |
$16,220.53 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$1,820.04 |
$1,820.04 |
$1,820.04 |
$192.00
|
|
CT limited or localized follow-up study
|
$6,908.04 |
$6,908.04 |
$6,908.04 |
$630.50
|
|
CT neck soft tissue w/contrast
|
$16,905.14 |
$16,905.14 |
$16,905.14 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$16,905.14 |
$16,905.14 |
$16,905.14 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$26,971.41 |
$26,971.41 |
$26,971.41 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$16,973.12 |
$16,973.12 |
$16,973.12 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$13,265.05 |
$13,265.05 |
$13,265.05 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$16,383.93 |
$16,383.93 |
$16,383.93 |
$1,345.05
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$23,778.59 |
$23,778.59 |
$23,778.59 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$23,778.59 |
$23,778.59 |
$23,778.59 |
$2,883.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$23,778.59 |
$23,778.59 |
$23,778.59 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$19,319.14 |
$19,319.14 |
$19,319.14 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$17,855.71 |
$17,855.71 |
$17,855.71 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$13,119.55 |
$13,119.55 |
$13,119.55 |
$420.60
|
|
CT t-spine w /wo contrast
|
$19,319.14 |
$19,319.14 |
$19,319.14 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$596.29 |
$596.29 |
$596.29 |
$62.65
|
|
Culture afb any source
|
$329.00 |
$329.00 |
$329.00 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$601.61 |
$601.61 |
$601.61 |
$75.29
|
|
Culture anaerobic except blood
|
$1,496.04 |
$1,496.04 |
$1,496.04 |
$120.00
|
|
Culture fungi other (except blood)
|
$329.00 |
$329.00 |
$329.00 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$51.00 |
$51.00 |
$51.00 |
$88.14
|
|
Culture mycoplasma any source
|
$247.00 |
$247.00 |
$247.00 |
$90.37
|
|
Culture urine each isolate
|
$541.72 |
$541.72 |
$541.72 |
$46.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$18.00 |
$18.00 |
$18.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$247.00 |
$247.00 |
$247.00 |
$85.03
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$610.00 |
$610.00 |
$610.00 |
$150.79
|
|
Cyclosporine 2 hour
|
$219.00 |
$219.00 |
$219.00 |
$119.40
|
|
Cyclosporine oral 100 mg
|
$146.00 |
$146.00 |
$146.00 |
$42.97
|
|
Cyp2c19 gene com variants
|
$177.00 |
$177.00 |
$177.00 |
$553.00
|
|
Cystogram >= 3 views supervision & interpretation
|
$4,867.47 |
$4,867.47 |
$4,867.47 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$146.00 |
$146.00 |
$146.00 |
$66.95
|
|
Cytomegalovirus (cmv) antibody igm
|
$14.00 |
$14.00 |
$14.00 |
$101.94
|
|
Cytopath c/v index add-on
|
$97.16 |
$97.16 |
$97.16 |
$29.60
|
|
Cytopath fl nongyn filter
|
$10.00 |
$10.00 |
$10.00 |
$66.61
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$291.49 |
$291.49 |
$291.49 |
$75.60
|
|
Cytopath smear other source
|
$10.00 |
$10.00 |
$10.00 |
$85.80
|
|
Cytopath tbs c/v manual
|
$143.75 |
$143.75 |
$143.75 |
$57.94
|
|
Cytotoxic antibody screening
|
$181.00 |
$181.00 |
$181.00 |
$157.60
|
|
Cytotoxic antibody screening
|
$275.00 |
$275.00 |
$275.00 |
$75.20
|
|
Dacarbazine 100 mg intravenous solution
|
$358.00 |
$358.00 |
$358.00 |
$61.64
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$194.08
|
