|
Chromosome analysis 15-20 cell count
|
$38.19 |
$38.19 |
$38.19 |
$433.01
|
|
Chromosome karyotype study
|
$58.32 |
$58.32 |
$58.32 |
$102.00
|
|
Chylomicron screen, bf - sendout
|
$120.48 |
$120.48 |
$120.48 |
$123.20
|
|
Cidofovir injection
|
$553.58 |
$553.58 |
$553.58 |
$1,447.81
|
|
Cilastatin sodium injection
|
$28.36 |
$28.36 |
$28.36 |
$79.29
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$19.92 |
$19.92 |
$19.92 |
$60.00
|
|
Cisplatin 1 mg/ml desensitization
|
$180.92 |
$180.92 |
$180.92 |
$148.77
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$192.06 |
$192.06 |
$192.06 |
$572.12
|
|
Clearance of airways
|
$145.34 |
$145.34 |
$145.34 |
$234.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$28.19 |
$28.19 |
$28.19 |
$66.73
|
|
Clip ligating vesolock lg
|
$164.28 |
$164.28 |
$164.28 |
$1,690.58
|
|
Clofarabine 1 mg/ml intravenous solution
|
$604.88 |
$604.88 |
$604.88 |
$1,199.25
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$35.57 |
$35.57 |
$35.57 |
$81.90
|
|
Closed tx humerus fx with manip 23605
|
$1,588.34 |
$1,588.34 |
$1,588.34 |
$2,460.00
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$251.60 |
$251.60 |
$251.60 |
$487.69
|
|
Closure paravalvlr leak pq
|
$926.48 |
$926.48 |
$926.48 |
$10,497.50
|
|
Clot factor xii hageman
|
$160.14 |
$160.14 |
$160.14 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$120.18 |
$120.18 |
$120.18 |
$50.41
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$241.24 |
$241.24 |
$241.24 |
$716.95
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$660.38 |
$660.38 |
$660.38 |
$1,893.86
|
|
Clsd tx patella disloc without anes 27560
|
$260.48 |
$260.48 |
$260.48 |
$705.60
|
|
Clsd tx shoulder dislc/fx 23665
|
$395.46 |
$395.46 |
$395.46 |
$2,055.00
|
|
#cmvcul-virus inoculation shell
|
$23.68 |
$23.68 |
$23.68 |
$102.57
|
|
Cmv pcr-sendout
|
$46.18 |
$46.18 |
$46.18 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4,789.51 |
$4,789.51 |
$4,789.51 |
$2,950.68
|
|
Coagulation time activated teg
|
$77.85 |
$77.85 |
$77.85 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$74.54 |
$74.54 |
$74.54 |
$807.71
|
|
Cold agglutinin titer
|
$74.30 |
$74.30 |
$74.30 |
$48.57
|
|
Colectomy/ ileostomy without prctect 44150
|
$2,272.99 |
$2,272.99 |
$2,272.99 |
$4,586.40
|
|
Colistimethate sodium inj
|
$48.74 |
$48.74 |
$48.74 |
$84.60
|
|
Collection blood specimen from completely implantable venous access device
|
$60.98 |
$60.98 |
$60.98 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$60.98 |
$60.98 |
$60.98 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$17.76 |
$17.76 |
$17.76 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$119.00 |
$119.00 |
$119.00 |
$173.25
|
|
Compatibility test each unit electronic
|
$94.72 |
$94.72 |
$94.72 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$100.94 |
$100.94 |
$100.94 |
$169.52
|
|
Comp cystometrogram/void/uret pres 51729
|
$271.73 |
$271.73 |
$271.73 |
$1,099.00
|
|
Complement antigen each component c3
|
$51.51 |
$51.51 |
$51.51 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$639.36 |
$639.36 |
$639.36 |
$940.00
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$591.41 |
$591.41 |
$591.41 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$97.68 |
$97.68 |
$97.68 |
$353.50
|
|
Complx repair trunk 1.1-2.5 cm 13100
|
$591.41 |
$591.41 |
$591.41 |
$1,193.40
|
|
Concentration infection agents any type
|
$12.73 |
$12.73 |
$12.73 |
$51.32
|
|
Condylomata destruction 56420
|
$190.92 |
$190.92 |
$190.92 |
$509.81
|
|
Conjugated estrogens 25 mg solution for injection
|
$435.84 |
$435.84 |
$435.84 |
$986.92
|
|
Consultation pathology during surgery cytological exam initial site
|
$782.92 |
$782.92 |
$782.92 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$66.31 |
$66.31 |
$66.31 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$137.94 |
$137.94 |
$137.94 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$38.19 |
$38.19 |
$38.19 |
$239.85
|
|
Contrast baths charges
|
$90.28 |
$90.28 |
$90.28 |
$75.35
|
|
Contrast exam abdominl aorta 75625-26
|
$1,764.76 |
$1,764.76 |
$1,764.76 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,782.40 |
$2,782.40 |
$2,782.40 |
$4,178.00
|
|
Control nosebleed pack+caut 30905
|
$128.17 |
$128.17 |
$128.17 |
$460.17
|
|
Conversion ext bil drg cath
|
$2,664.89 |
$2,664.89 |
$2,664.89 |
$4,661.80
|
|
Convert nephrostomy catheter
|
$752.73 |
$752.73 |
$752.73 |
$3,569.60
|
|
Coombs direct
|
$7.40 |
$7.40 |
$7.40 |
$73.26
|
|
Coombs indirect titer reference
|
$35.52 |
$35.52 |
$35.52 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$2,959.71 |
$2,959.71 |
$2,959.71 |
$2,083.80
|
|
Core ndl bx lng/med perq
|
$1,665.89 |
$1,665.89 |
$1,665.89 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$7,074.40 |
$7,074.40 |
$7,074.40 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$7,074.40 |
$7,074.40 |
$7,074.40 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$7,074.40 |
$7,074.40 |
$7,074.40 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$2,522.81 |
$2,522.81 |
$2,522.81 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,522.81 |
$2,522.81 |
$2,522.81 |
$7,769.30
|
|
Cortisol total am
|
$98.28 |
$98.28 |
$98.28 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$47.53 |
$47.53 |
$47.53 |
$222.48
|
|
Covid-19 administration immunization im inj 1st/only component
|
$47.36 |
$47.36 |
$47.36 |
$58.61
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$548.79 |
$548.79 |
$548.79 |
$548.79
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$548.79 |
$548.79 |
$548.79 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$67.49 |
$67.49 |
$67.49 |
$56.44
|
|
#covid19rsv-rsv
|
$91.47 |
$91.47 |
$91.47 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$46.18 |
$46.18 |
$46.18 |
$65.36
|
|
C-peptide
|
$42.63 |
$42.63 |
$42.63 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$577.80 |
$577.80 |
$577.80 |
$1,466.97
|
|
C-reactive protein
|
$87.03 |
$87.03 |
$87.03 |
$63.00
|
|
C-reactive protein high sensitivity
|
$90.28 |
$90.28 |
$90.28 |
$91.65
|
|
C-reactive protein, quantitative
|
$14.21 |
$14.21 |
$14.21 |
$62.50
|
|
Creatine kinase
|
$15.40 |
$15.40 |
$15.40 |
$59.78
|
|
Creatine kinase isoenzymes
|
$23.98 |
$23.98 |
$23.98 |
$46.34
|
|
Creatine kinase mb
|
$207.20 |
$207.20 |
$207.20 |
$111.00
|
|
Creatine - sendout
|
$26.64 |
$26.64 |
$26.64 |
$39.00
|
|
Creatinine
|
$9.18 |
$9.18 |
$9.18 |
$44.10
|
|
Creatinine 24 hour urine
|
$13.03 |
$13.03 |
$13.03 |
$59.80
|
|
Creatinine clearance urine
|
$118.11 |
$118.11 |
$118.11 |
$87.50
|
|
#creutz-prot.,western blot
|
$314.95 |
$314.95 |
$314.95 |
$173.00
|
|
Critical care 30-74 minutes
|
$757.76 |
$757.76 |
$757.76 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$265.22 |
$265.22 |
$265.22 |
$777.00
|
|
Crotalidae poly immune fab
|
$2,886.44 |
$2,886.44 |
$2,886.44 |
$5,160.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$1,931.11 |
$1,931.11 |
$1,931.11 |
$2,649.05
|
|
Cryofibrinogen qualitative - sendout
|
$39.96 |
$39.96 |
$39.96 |
$50.88
|
|
Cryoprecipitate each unit
|
$114.26 |
$114.26 |
$114.26 |
$185.64
|
|
Cryptococcus abs qn - sendout
|
$66.31 |
$66.31 |
$66.31 |
$70.00
|
|
Crystal identification light microscopy
|
$86.44 |
$86.44 |
$86.44 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$296.00 |
$296.00 |
$296.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$1,710.88 |
$1,710.88 |
$1,710.88 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,539.50 |
$1,539.50 |
$1,539.50 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$772.27 |
$772.27 |
$772.27 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,252.38 |
$1,252.38 |
$1,252.38 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,659.08 |
$1,659.08 |
$1,659.08 |
$1,955.80
|