|
Compatibility test each unit antiglobulin technique
|
$156.60 |
$156.60 |
$156.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$163.80 |
$163.80 |
$163.80 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$183.60 |
$183.60 |
$183.60 |
$156.24
|
|
Compatibility test incubate
|
$161.40 |
$161.40 |
$161.40 |
$140.00
|
|
Complement antigen each component c3
|
$275.40 |
$275.40 |
$275.40 |
$110.00
|
|
Comprehensive hearing test
|
$304.80 |
$304.80 |
$304.80 |
$255.00
|
|
Concentration infection agents any type
|
$105.60 |
$105.60 |
$105.60 |
$48.00
|
|
Conditioning play audiometry 92582
|
$213.00 |
$213.00 |
$213.00 |
$176.93
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$839.07 |
$768.50
|
|
Connect omega .5mm
|
$1,140.60 |
$1,140.60 |
$1,140.60 |
$847.52
|
|
Consultation pathology during surgery
|
$199.20 |
$199.20 |
$199.20 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$230.40 |
$230.40 |
$230.40 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$226.20 |
$226.20 |
$226.20 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$389.40 |
$389.40 |
$389.40 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$333.00 |
$333.00 |
$333.00 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$444.60 |
$444.60 |
$444.60 |
$176.15
|
|
Consult comp w/report rfrd material
|
$709.20 |
$709.20 |
$709.20 |
$365.60
|
|
Contrast baths charges
|
$24.00 |
$24.00 |
$24.00 |
$77.98
|
|
Contrast x-ray of ankle
|
$782.40 |
$782.40 |
$782.40 |
$517.26
|
|
Contrast x-ray of elbow
|
$903.60 |
$903.60 |
$903.60 |
$566.28
|
|
Contrast x-ray of hip
|
$964.80 |
$964.80 |
$964.80 |
$676.12
|
|
Contrast x-ray of knee joint
|
$914.40 |
$914.40 |
$914.40 |
$623.50
|
|
Contrast x-ray of wrist
|
$760.80 |
$760.80 |
$760.80 |
$541.20
|
|
Coombs direct
|
$99.00 |
$99.00 |
$99.00 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$115.20 |
$115.20 |
$115.20 |
$76.70
|
|
Coombs indirect titer reference
|
$314.40 |
$314.40 |
$314.40 |
$122.85
|
|
Coronary thrombolysis/iv infusion 92977
|
$630.60 |
$630.60 |
$630.60 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$108.00 |
$108.00 |
$108.00 |
$143.40
|
|
Cortisol total am
|
$316.20 |
$316.20 |
$316.20 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$255.58 |
$255.58 |
$255.58 |
$218.95
|
|
Counseling smoke cess interm >10mins
|
$121.20 |
$121.20 |
$121.20 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$85.80 |
$85.80 |
$85.80 |
$64.50
|
|
#covid19rsv-rsv
|
$207.60 |
$207.60 |
$207.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$49.20 |
$49.20 |
$49.20 |
$65.36
|
|
C-peptide
|
$303.60 |
$303.60 |
$303.60 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$1,726.80 |
$1,726.80 |
$1,726.80 |
$1,170.64
|
|
C-reactive protein
|
$190.80 |
$190.80 |
$190.80 |
$54.43
|
|
C-reactive protein high sensitivity
|
$217.80 |
$217.80 |
$217.80 |
$91.65
|
|
C-reactive protein, quantitative
|
$148.20 |
$148.20 |
$148.20 |
$77.50
|
|
Creatine kinase
|
$130.80 |
$130.80 |
$130.80 |
$55.00
|
|
Creatine kinase isoenzymes
|
$51.60 |
$51.60 |
$51.60 |
$66.00
|
|
Creatine kinase mb
|
$226.20 |
$226.20 |
$226.20 |
$100.75
|
|
Creatine - sendout
|
$129.00 |
$129.00 |
$129.00 |
$35.10
|
|
Creatinine
|
$88.80 |
$88.80 |
$88.80 |
$40.00
|
|
Creatinine 24 hour urine
|
$119.40 |
$119.40 |
$119.40 |
$54.40
|
|
Creatinine clearance urine
|
$75.60 |
$75.60 |
$75.60 |
$73.86
|
|
#creutz-prot.,western blot
|
$493.20 |
$493.20 |
$493.20 |
$178.10
|
|
Critical care 30-74 minutes
|
$3,762.00 |
$3,762.00 |
$3,762.00 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$621.60 |
$621.60 |
$621.60 |
$663.00
|
|
Crotalidae poly immune fab
|
$3,138.28 |
$3,138.28 |
$3,138.28 |
$3,996.74
|
|
Cryofibrinogen qualitative - sendout
|
$33.00 |
$33.00 |
$33.00 |
$52.50
|
|
Cryoprecipitate each unit
|
$198.60 |
$198.60 |
$198.60 |
$182.25
|
|
Cryptosporidium antigen
|
$121.20 |
$121.20 |
$121.20 |
$65.55
|
|
Crystal identification light microscopy
|
$156.60 |
$156.60 |
$156.60 |
$56.44
|
|
Csf leakage imaging
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$1,426.73
|
|
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
|
$797.40 |
$797.40 |
$797.40 |
$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 hrt c+ strux cgen hrt ds
|
$542.40 |
$542.40 |
$542.40 |
$1,217.45
|
|
CT hrt w/3d image
|
$542.40 |
$542.40 |
$542.40 |
$1,513.20
|
|
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
|
|
CT orbit/sella/fossa w/wo contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,250.00
|
|
CT scan for therapy guide
|
$542.40 |
$542.40 |
$542.40 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$542.40 |
$542.40 |
$542.40 |
$418.50
|
|
CT t-spine w /wo contrast
|
$542.40 |
$542.40 |
$542.40 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$542.40 |
$542.40 |
$542.40 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$542.40 |
$542.40 |
$542.40 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$100.80 |
$100.80 |
$100.80 |
$61.03
|
|
Culture afb any source
|
$325.20 |
$325.20 |
$325.20 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$131.40 |
$131.40 |
$131.40 |
$73.00
|
|
Culture anaerobic except blood
|
$305.40 |
$305.40 |
$305.40 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$148.20 |
$148.20 |
$148.20 |
$49.40
|
|
Culture body fluid
|
$244.80 |
$244.80 |
$244.80 |
$111.15
|