|
Clearance of airways
|
$249.60 |
$249.60 |
$249.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$49.74
|
|
Clofarabine 1 mg/ml intravenous solution
|
$363.89 |
$363.89 |
$363.89 |
$298.90
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$38.72 |
$38.72 |
$38.72 |
$109.36
|
|
Clot factor xii hageman
|
$362.40 |
$362.40 |
$362.40 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$190.80 |
$190.80 |
$190.80 |
$81.25
|
|
C motor evoked lwr limbs
|
$653.40 |
$653.40 |
$653.40 |
$619.82
|
|
C motor evoked uppr limbs
|
$643.20 |
$643.20 |
$643.20 |
$749.40
|
|
C motor evoked upr&lwr limbs
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$1,209.08
|
|
#cmvcul-virus inoculation shell
|
$324.00 |
$324.00 |
$324.00 |
$109.80
|
|
Cmv pcr-sendout
|
$520.80 |
$520.80 |
$520.80 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4.22 |
$4.22 |
$4.22 |
$3.78
|
|
Coagulation time activated teg
|
$31.80 |
$31.80 |
$31.80 |
$37.05
|
|
Cold agglutinin titer
|
$203.40 |
$203.40 |
$203.40 |
$48.57
|
|
Colistimethate sodium inj
|
$46.62 |
$46.62 |
$46.62 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$26.40 |
$26.40 |
$26.40 |
$32.26
|
|
Collar cerv adlt perfit ace extric
|
$19.80 |
$19.80 |
$19.80 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$267.00 |
$267.00 |
$267.00 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$199.20 |
$199.20 |
$199.20 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$162.00 |
$162.00 |
$162.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$49.80 |
$49.80 |
$49.80 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$234.60 |
$234.60 |
$234.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$154.80 |
$154.80 |
$154.80 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$192.00 |
$192.00 |
$192.00 |
$156.24
|
|
Compatibility test incubate
|
$194.40 |
$194.40 |
$194.40 |
$140.00
|
|
Complement antigen each component c3
|
$241.80 |
$241.80 |
$241.80 |
$110.00
|
|
Comprehensive hearing test
|
$232.80 |
$232.80 |
$232.80 |
$255.00
|
|
Concentration infection agents any type
|
$108.00 |
$108.00 |
$108.00 |
$48.00
|
|
Conditioning play audiometry 92582
|
$118.80 |
$118.80 |
$118.80 |
$176.93
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$839.07 |
$768.50
|
|
Consultation pathology during surgery
|
$186.60 |
$186.60 |
$186.60 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$252.00 |
$252.00 |
$252.00 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$232.20 |
$232.20 |
$232.20 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$383.40 |
$383.40 |
$383.40 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$424.80 |
$424.80 |
$424.80 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$270.00 |
$270.00 |
$270.00 |
$176.15
|
|
Contrast baths charges
|
$33.60 |
$33.60 |
$33.60 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,476.20 |
$2,476.20 |
$2,476.20 |
$3,167.26
|
|
Contrast x-ray of hip
|
$482.40 |
$482.40 |
$482.40 |
$676.12
|
|
Contrast x-ray of knee joint
|
$457.20 |
$457.20 |
$457.20 |
$623.50
|
|
Coombs direct
|
$109.20 |
$109.20 |
$109.20 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$116.40 |
$116.40 |
$116.40 |
$76.70
|
|
Coombs indirect titer reference
|
$231.00 |
$231.00 |
$231.00 |
$122.85
|
|
Core ndl bx lng/med perq
|
$2,806.80 |
$2,806.80 |
$2,806.80 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,706.60 |
$17,706.60 |
$17,706.60 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$15,516.60 |
$15,516.60 |
$15,516.60 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$17,536.80 |
$17,536.80 |
$17,536.80 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$12,409.20 |
$12,409.20 |
$12,409.20 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$11,505.60 |
$11,505.60 |
$11,505.60 |
$9,198.18
|
|
Coronary thrombolysis/iv infusion 92977
|
$768.60 |
$768.60 |
$768.60 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$396.60 |
$396.60 |
$396.60 |
$143.40
|
|
Cortisol total am
|
$291.00 |
$291.00 |
$291.00 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$233.75 |
$233.75 |
$233.75 |
$218.95
|
|
Counseling smoke cess interm >10mins
|
$175.20 |
$175.20 |
$175.20 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$69.60 |
$69.60 |
$69.60 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$952.80 |
$952.80 |
$952.80 |
$831.60
|
|
#covid19rsv-rsv
|
$210.60 |
$210.60 |
$210.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$30.60 |
$30.60 |
$30.60 |
$65.36
|
|
C-peptide
|
$313.20 |
$313.20 |
$313.20 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$2,236.80 |
$2,236.80 |
$2,236.80 |
$1,170.64
|
|
C-reactive protein
|
$140.40 |
$140.40 |
$140.40 |
$54.43
|
|
C-reactive protein high sensitivity
|
$161.40 |
$161.40 |
$161.40 |
$91.65
|
|
C-reactive protein, quantitative
|
$183.60 |
$183.60 |
$183.60 |
$77.50
|
|
Creatine kinase
|
$126.00 |
$126.00 |
$126.00 |
$55.00
|
|
Creatine kinase isoenzymes
|
$40.20 |
$40.20 |
$40.20 |
$66.00
|
|
Creatine kinase mb
|
$201.60 |
$201.60 |
$201.60 |
$100.75
|
|
Creatine - sendout
|
$121.20 |
$121.20 |
$121.20 |
$35.10
|
|
Creatinine
|
$84.60 |
$84.60 |
$84.60 |
$40.00
|
|
Creatinine 24 hour urine
|
$111.60 |
$111.60 |
$111.60 |
$54.40
|
|
Creatinine clearance urine
|
$226.20 |
$226.20 |
$226.20 |
$73.86
|
|
#creutz-prot.,western blot
|
$457.80 |
$457.80 |
$457.80 |
$178.10
|
|
Critical care 30-74 minutes
|
$3,138.00 |
$3,138.00 |
$3,138.00 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$33.00 |
$33.00 |
$33.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$245.40 |
$245.40 |
$245.40 |
$182.25
|
|
Crystal identification light microscopy
|
$154.80 |
$154.80 |
$154.80 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$559.20 |
$559.20 |
$559.20 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$542.40 |
$542.40 |
$542.40 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$542.40 |
$542.40 |
$542.40 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,206.00 |
$1,206.00 |
$1,206.00 |
$1,951.50
|
|
CT angio pelvis
|
$542.40 |
$542.40 |
$542.40 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$542.40 |
$542.40 |
$542.40 |
$1,650.60
|
|
CT colonography dx
|
$797.40 |
$797.40 |
$797.40 |
$770.90
|
|
CT colonography dx w/dye
|
$797.40 |
$797.40 |
$797.40 |
$1,009.98
|
|
CT colonography screening
|
$1,144.20 |
$1,144.20 |
$1,144.20 |
$1,233.01
|
|
CT guidance for needle placement
|
$542.40 |
$542.40 |
$542.40 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$617.40 |
$617.40 |
$617.40 |
$1,007.29
|
|
CT heart w/evaluation of calcium without contrast
|
$231.60 |
$231.60 |
$231.60 |
$176.89
|
|
CT limited or localized follow-up study
|
$271.20 |
$271.20 |
$271.20 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,752.75
|