|
Chromogenic substrate assay
|
$248.40 |
$248.40 |
$248.40 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$593.40 |
$593.40 |
$593.40 |
$269.00
|
|
Chromosome analys amniotic
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$466.00
|
|
Chromosome analysis 15-20 cell count
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$558.25
|
|
Chromosome analysis 5
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$719.23
|
|
Chromosome analys placenta
|
$889.20 |
$889.20 |
$889.20 |
$660.00
|
|
Chromosome banding study
|
$413.40 |
$413.40 |
$413.40 |
$235.95
|
|
Chromosome count additional
|
$214.80 |
$214.80 |
$214.80 |
$120.90
|
|
Chromosome karyotype study
|
$360.60 |
$360.60 |
$360.60 |
$120.60
|
|
Chromosome study additional
|
$126.00 |
$126.00 |
$126.00 |
$144.12
|
|
Chronic urticaria - sendout
|
$214.80 |
$214.80 |
$214.80 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$206.40 |
$206.40 |
$206.40 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$62.97 |
$62.97 |
$62.97 |
$35.00
|
|
Cisplatin 1 mg/ml desensitization
|
$1.98 |
$1.98 |
$1.98 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$88.00 |
$88.00 |
$88.00 |
$355.41
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$49.74
|
|
Clot factor xii hageman
|
$339.60 |
$339.60 |
$339.60 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$185.40 |
$185.40 |
$185.40 |
$81.25
|
|
#cmvcul-virus inoculation shell
|
$294.00 |
$294.00 |
$294.00 |
$109.80
|
|
Cmv pcr-sendout
|
$511.80 |
$511.80 |
$511.80 |
$177.50
|
|
Cold agglutinin titer
|
$210.00 |
$210.00 |
$210.00 |
$48.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$18.60 |
$18.60 |
$18.60 |
$32.26
|
|
Collar cerv adlt perfit ace extric
|
$18.60 |
$18.60 |
$18.60 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$21.60 |
$21.60 |
$21.60 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$196.20 |
$196.20 |
$196.20 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$175.80 |
$175.80 |
$175.80 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$46.20 |
$46.20 |
$46.20 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$183.60 |
$183.60 |
$183.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$111.00 |
$111.00 |
$111.00 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$216.60 |
$216.60 |
$216.60 |
$156.24
|
|
Compatibility test incubate
|
$161.40 |
$161.40 |
$161.40 |
$140.00
|
|
Complement antigen each component c3
|
$247.80 |
$247.80 |
$247.80 |
$110.00
|
|
Complement fixation each
|
$397.20 |
$397.20 |
$397.20 |
$62.50
|
|
Comprehensive hearing test
|
$277.80 |
$277.80 |
$277.80 |
$255.00
|
|
Concentration infection agents any type
|
$111.00 |
$111.00 |
$111.00 |
$48.00
|
|
Conditioning play audiometry 92582
|
$119.40 |
$119.40 |
$119.40 |
$176.93
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$839.07 |
$768.50
|
|
Consultation pathology during surgery
|
$162.00 |
$162.00 |
$162.00 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$175.80 |
$175.80 |
$175.80 |
$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
|
$377.40 |
$377.40 |
$377.40 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$350.40 |
$350.40 |
$350.40 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$358.80 |
$358.80 |
$358.80 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$365.60
|
|
Contrast baths charges
|
$75.60 |
$75.60 |
$75.60 |
$77.98
|
|
Contrast x-ray gallbladder
|
$312.00 |
$312.00 |
$312.00 |
$260.14
|
|
Contrast x-ray of ankle
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$517.26
|
|
Contrast x-ray of elbow
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$566.28
|
|
Contrast x-ray of hip
|
$748.80 |
$748.80 |
$748.80 |
$676.12
|
|
Contrast x-ray of knee joint
|
$740.40 |
$740.40 |
$740.40 |
$623.50
|
|
Contrast x-ray of wrist
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$541.20
|
|
Coombs direct
|
$109.80 |
$109.80 |
$109.80 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$123.00 |
$123.00 |
$123.00 |
$76.70
|
|
Coombs indirect titer reference
|
$176.40 |
$176.40 |
$176.40 |
$122.85
|
|
Coronary thrombolysis/iv infusion 92977
|
$861.60 |
$861.60 |
$861.60 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$477.60 |
$477.60 |
$477.60 |
$143.40
|
|
Cortisol total am
|
$295.20 |
$295.20 |
$295.20 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.34 |
$121.34 |
$121.34 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$114.60 |
$114.60 |
$114.60 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$174.60 |
$174.60 |
$174.60 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$98.40 |
$98.40 |
$98.40 |
$64.50
|
|
#covid19rsv-rsv
|
$212.40 |
$212.40 |
$212.40 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$30.60 |
$30.60 |
$30.60 |
$65.36
|
|
C-peptide
|
$318.00 |
$318.00 |
$318.00 |
$111.20
|
|
C-reactive protein
|
$166.80 |
$166.80 |
$166.80 |
$54.43
|
|
C-reactive protein high sensitivity
|
$187.80 |
$187.80 |
$187.80 |
$91.65
|
|
C-reactive protein, quantitative
|
$172.20 |
$172.20 |
$172.20 |
$77.50
|
|
Creatine kinase
|
$123.60 |
$123.60 |
$123.60 |
$55.00
|
|
Creatine kinase isoenzymes
|
$276.60 |
$276.60 |
$276.60 |
$66.00
|
|
Creatine kinase mb
|
$207.00 |
$207.00 |
$207.00 |
$100.75
|
|
Creatine - sendout
|
$111.00 |
$111.00 |
$111.00 |
$35.10
|
|
Creatinine
|
$88.20 |
$88.20 |
$88.20 |
$40.00
|
|
Creatinine 24 hour urine
|
$112.80 |
$112.80 |
$112.80 |
$54.40
|
|
Creatinine clearance urine
|
$231.60 |
$231.60 |
$231.60 |
$73.86
|
|
#creutz-prot.,western blot
|
$951.00 |
$951.00 |
$951.00 |
$178.10
|
|
Critical care 30-74 minutes
|
$3,266.40 |
$3,266.40 |
$3,266.40 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$741.00 |
$741.00 |
$741.00 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$45.00 |
$45.00 |
$45.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$175.80 |
$175.80 |
$175.80 |
$182.25
|
|
Cryptosporidium antigen
|
$119.40 |
$119.40 |
$119.40 |
$65.55
|
|
Crystal identification light microscopy
|
$161.40 |
$161.40 |
$161.40 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$525.60 |
$525.60 |
$525.60 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$2,501.40 |
$2,501.40 |
$2,501.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,824.20 |
$2,824.20 |
$2,824.20 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,993.20 |
$4,993.20 |
$4,993.20 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$2,395.80 |
$2,395.80 |
$2,395.80 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,182.80 |
$5,182.80 |
$5,182.80 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,370.60 |
$2,370.60 |
$2,370.60 |
$1,728.80
|
|
CT Angiogram of the Head
|
$3,418.80 |
$3,418.80 |
$3,418.80 |
$1,951.50
|
|
CT angio pelvis
|
$2,139.60 |
$2,139.60 |
$2,139.60 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,136.60 |
$2,136.60 |
$2,136.60 |
$1,650.60
|
|
CT bone density axial
|
$279.00 |
$279.00 |
$279.00 |
$321.75
|
|
CT guidance for needle placement
|
$1,660.20 |
$1,660.20 |
$1,660.20 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,146.60 |
$1,146.60 |
$1,146.60 |
$1,007.29
|
|
CT heart w/evaluation of calcium without contrast
|
$366.60 |
$366.60 |
$366.60 |
$176.89
|
|
CT limited or localized follow-up study
|
$269.40 |
$269.40 |
$269.40 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$1,560.60 |
$1,560.60 |
$1,560.60 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$1,248.60 |
$1,248.60 |
$1,248.60 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$4,371.60 |
$4,371.60 |
$4,371.60 |
$1,618.50
|
