|
Cmv pcr-sendout
|
$50.00 |
$50.00 |
$50.00 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$8,687.56 |
$8,687.56 |
$8,687.56 |
$2,950.68
|
|
Coagulation time activated teg
|
$20.00 |
$20.00 |
$20.00 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$380.65 |
$380.65 |
$380.65 |
$807.71
|
|
Cold agglutinin screen (arc)
|
$32.50 |
$32.50 |
$32.50 |
$47.19
|
|
Cold agglutinin titer
|
$7.00 |
$7.00 |
$7.00 |
$48.57
|
|
Colistimethate sodium inj
|
$49.46 |
$49.46 |
$49.46 |
$84.60
|
|
Collar cerv ascend 172 reg
|
$45.22 |
$45.22 |
$45.22 |
$241.88
|
|
Collection blood specimen from completely implantable venous access device
|
$62.50 |
$62.50 |
$62.50 |
$164.50
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$62.50 |
$62.50 |
$62.50 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$10.00 |
$10.00 |
$10.00 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$62.50 |
$62.50 |
$62.50 |
$173.25
|
|
Compatibility test each unit electronic
|
$87.50 |
$87.50 |
$87.50 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$62.50 |
$62.50 |
$62.50 |
$169.52
|
|
Complement antigen each component c3
|
$50.00 |
$50.00 |
$50.00 |
$111.15
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$300.00 |
$300.00 |
$300.00 |
$940.00
|
|
Complx repair enel 1.1-2.5 cm 13151
|
$300.00 |
$300.00 |
$300.00 |
$1,206.00
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$500.00 |
$500.00 |
$500.00 |
$1,388.40
|
|
Complx repair fccmnaxghf 13131
|
$112.50 |
$112.50 |
$112.50 |
$942.00
|
|
Complx repair fccmnaxghf 13132
|
$500.00 |
$500.00 |
$500.00 |
$1,244.09
|
|
Complx repair sal addl 5 cm/> 13122
|
$112.50 |
$112.50 |
$112.50 |
$576.66
|
|
Concentration infection agents any type
|
$31.25 |
$31.25 |
$31.25 |
$51.32
|
|
Condylomata destruction 56420
|
$162.50 |
$162.50 |
$162.50 |
$509.81
|
|
Conivaptan hcl
|
$48.25 |
$48.25 |
$48.25 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$260.90 |
$260.90 |
$260.90 |
$986.92
|
|
Consultation pathology during surgery
|
$26.25 |
$26.25 |
$26.25 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$81.25 |
$81.25 |
$81.25 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$50.00 |
$50.00 |
$50.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$87.50 |
$87.50 |
$87.50 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$75.00 |
$75.00 |
$75.00 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$85.00 |
$85.00 |
$85.00 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$3,458.54
|
|
Contrast x-ray gallbladder
|
$175.00 |
$175.00 |
$175.00 |
$312.00
|
|
Contrast x-ray of hip
|
$231.25 |
$231.25 |
$231.25 |
$768.00
|
|
Contrast x-ray of knee joint
|
$231.25 |
$231.25 |
$231.25 |
$683.20
|
|
Contrast x-ray of wrist
|
$231.25 |
$231.25 |
$231.25 |
$623.50
|
|
Controller infinity pt dbs
|
$1,162.68 |
$1,162.68 |
$1,162.68 |
$4,320.00
|
|
Control nosebleed pack+caut 30905
|
$43.75 |
$43.75 |
$43.75 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$43.75 |
$43.75 |
$43.75 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$43.75 |
$43.75 |
$43.75 |
$385.45
|
|
Convert nephrostomy catheter
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$3,569.60
|
|
Coombs direct
|
$40.00 |
$40.00 |
$40.00 |
$73.26
|
|
Coombs indirect qualitative each reagent red cell reference
|
$5.00 |
$5.00 |
$5.00 |
$94.90
|
|
Coombs indirect titer reference
|
$118.75 |
$118.75 |
$118.75 |
$146.00
|
|
Copper intrauterine device
|
$1,660.90 |
$1,660.90 |
$1,660.90 |
$2,346.79
|
|
Core ndl bx lng/med perq
|
$600.00 |
$600.00 |
$600.00 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$3,650.00 |
$3,650.00 |
$3,650.00 |
$10,595.00
|
|
Coronary angio/lv gram/rt< heart
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$11,280.10
|
|
Coronary art/grft angio s&i
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$8,308.05
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$7,769.30
|
|
Cortisol total am
|
$54.50 |
$54.50 |
$54.50 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$87.62 |
$87.62 |
$87.62 |
$222.48
|
|
Co-treatment - group 15 mins, st
|
$42.50 |
$42.50 |
$42.50 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$30.00 |
$30.00 |
$30.00 |
$57.85
|
|
#covid19rsv-rsv
|
$62.50 |
$62.50 |
$62.50 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$35.00 |
$35.00 |
$35.00 |
$65.36
|
|
C-peptide
|
$32.50 |
$32.50 |
$32.50 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$575.00 |
$575.00 |
$575.00 |
$1,466.97
|
|
C-reactive protein
|
$30.00 |
$30.00 |
$30.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$35.00 |
$35.00 |
$35.00 |
$91.65
|
|
Creatine kinase
|
$43.75 |
$43.75 |
$43.75 |
$59.78
|
|
Creatine kinase isoenzymes
|
$35.00 |
$35.00 |
$35.00 |
$46.34
|
|
Creatine kinase mb
|
$35.00 |
$35.00 |
$35.00 |
$111.00
|
|
Creatine - sendout
|
$20.00 |
$20.00 |
$20.00 |
$39.00
|
|
Creatinine
|
$22.50 |
$22.50 |
$22.50 |
$44.10
|
|
Creatinine 24 hour urine
|
$22.50 |
$22.50 |
$22.50 |
$59.80
|
|
Creatinine clearance urine
|
$32.50 |
$32.50 |
$32.50 |
$87.50
|
|
#creutz-prot.,western blot
|
$43.75 |
$43.75 |
$43.75 |
$173.00
|
|
Critical care 30-74 minutes
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$2,745.69
|
|
Critical care each additional 30 minutes
|
$277.50 |
$277.50 |
$277.50 |
$777.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$188.57 |
$188.57 |
$188.57 |
$1,026.00
|
|
Crotalidae poly immune fab
|
$1,067.70 |
$1,067.70 |
$1,067.70 |
$5,160.00
|
|
Cryofibrinogen qualitative - sendout
|
$35.00 |
$35.00 |
$35.00 |
$50.88
|
|
Cryoprecipitate each unit
|
$31.25 |
$31.25 |
$31.25 |
$185.64
|
|
Crystal identification light microscopy
|
$31.25 |
$31.25 |
$31.25 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$250.00 |
$250.00 |
$250.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$700.00 |
$700.00 |
$700.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$700.00 |
$700.00 |
$700.00 |
$2,080.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$750.00 |
$750.00 |
$750.00 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$875.00 |
$875.00 |
$875.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,955.80
|
|
CT Angiogram of the Head
|
$875.00 |
$875.00 |
$875.00 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$1,588.60
|
|
CT angio pelvis
|
$750.00 |
$750.00 |
$750.00 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$750.00 |
$750.00 |
$750.00 |
$1,652.25
|
|
CT guidance for needle placement
|
$625.00 |
$625.00 |
$625.00 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$175.00 |
$175.00 |
$175.00 |
$1,085.05
|
|
CT guid parench tis ablat
|
$250.00 |
$250.00 |
$250.00 |
$1,281.75
|
|
CT heart w/evaluation of calcium without contrast
|
$18.75 |
$18.75 |
$18.75 |
$192.00
|
|
CT hrt w/3d image
|
$175.00 |
$175.00 |
$175.00 |
$1,418.60
|
|
CT lower extremity w/contrast (both sides)
|
$700.00 |
$700.00 |
$700.00 |
$1,693.20
|
|
CT lower extremity without contrast (both sides)
|
$625.00 |
$625.00 |
$625.00 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$750.00 |
$750.00 |
$750.00 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$700.00 |
$700.00 |
$700.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$625.00 |
$625.00 |
$625.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$750.00 |
$750.00 |
$750.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$750.00 |
$750.00 |
$750.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$700.00 |
$700.00 |
$700.00 |
$1,543.83
|
