|
Cholesterol (Lipid) Test
|
$65.40 |
$65.40 |
$65.40 |
$115.80
|
|
Cholinesterase
|
$102.00 |
$102.00 |
$102.00 |
$39.48
|
|
Cholinesterase challenge
|
$229.20 |
$229.20 |
$229.20 |
$366.72
|
|
Chrom analysis
|
$309.60 |
$309.60 |
$309.60 |
$156.00
|
|
Chromatogram assay sugars
|
$106.20 |
$106.20 |
$106.20 |
$86.42
|
|
Chromatography
|
$115.20 |
$115.20 |
$115.20 |
$84.60
|
|
Chromogenic substrate assay
|
$171.60 |
$171.60 |
$171.60 |
$159.00
|
|
Chromo high res and frag x - sendout
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$517.11
|
|
Chromosome analysis 5
|
$1,561.20 |
$1,561.20 |
$1,561.20 |
$644.80
|
|
Chromosome analys placenta
|
$886.20 |
$886.20 |
$886.20 |
$572.99
|
|
Chromosome count additional
|
$156.60 |
$156.60 |
$156.60 |
$96.50
|
|
Chromosome karyotype study
|
$220.80 |
$220.80 |
$220.80 |
$120.00
|
|
Chromosome study additional
|
$545.40 |
$545.40 |
$545.40 |
$151.09
|
|
Chronic urticaria - sendout
|
$148.20 |
$148.20 |
$148.20 |
$75.71
|
|
Cidofovir injection
|
$1,099.26 |
$1,099.26 |
$1,099.26 |
$1,352.09
|
|
Cilastatin sodium injection
|
$119.35 |
$119.35 |
$119.35 |
$77.40
|
|
Ciliary transsleral therapy
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$3,269.14
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$62.97 |
$62.97 |
$62.97 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$1.98 |
$1.98 |
$1.98 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$867.00 |
$867.00 |
$867.00 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$88.00 |
$88.00 |
$88.00 |
$576.60
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$55.20
|
|
Clofarabine 1 mg/ml intravenous solution
|
$303.49 |
$303.49 |
$303.49 |
$4,784.71
|
|
Closure paravalvlr leak pq
|
$5,037.60 |
$5,037.60 |
$5,037.60 |
$9,434.46
|
|
Clot factor xii hageman
|
$105.00 |
$105.00 |
$105.00 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$69.00 |
$69.00 |
$69.00 |
$56.85
|
|
C motor evoked lwr limbs
|
$328.20 |
$328.20 |
$328.20 |
$627.89
|
|
C motor evoked uppr limbs
|
$640.80 |
$640.80 |
$640.80 |
$859.50
|
|
C motor evoked upr&lwr limbs
|
$677.40 |
$677.40 |
$677.40 |
$1,333.36
|
|
#cmvcul-virus inoculation shell
|
$160.20 |
$160.20 |
$160.20 |
$89.76
|
|
Cmv pcr-sendout
|
$381.00 |
$381.00 |
$381.00 |
$175.70
|
|
Co2 monitor per day
|
$307.80 |
$307.80 |
$307.80 |
$459.20
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$4.22 |
$4.22 |
$4.22 |
$11,888.50
|
|
Coagulation time activated teg
|
$87.00 |
$87.00 |
$87.00 |
$52.47
|
|
Cold agglutinin titer
|
$55.20 |
$55.20 |
$55.20 |
$52.00
|
|
Colistimethate sodium inj
|
$46.62 |
$46.62 |
$46.62 |
$82.71
|
|
Collagen dressing <=16 sq in
|
$73.20 |
$73.20 |
$73.20 |
$42.50
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$251.40 |
$251.40 |
$251.40 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$31.80 |
$31.80 |
$31.80 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$141.00 |
$141.00 |
$141.00 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$159.60 |
$159.60 |
$159.60 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$183.00 |
$183.00 |
$183.00 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$70.20 |
$70.20 |
$70.20 |
$173.50
|
|
Compatibility test each unit electronic
|
$138.00 |
$138.00 |
$138.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$139.80 |
$139.80 |
$139.80 |
$169.52
|
|
Compatibility test incubate
|
$76.20 |
$76.20 |
$76.20 |
$156.24
|
|
Comp cystometrogram/void presssure 51728
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$985.00
|
|
Comp cystometrogram/void/uret pres 51729
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$1,111.03
|
|
Complement antigen each component c3
|
$172.80 |
$172.80 |
$172.80 |
$110.00
|
|
Complex cystometrogram 51726
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$727.35
|
|
Complex uroflowmetry (electronic) 51741
|
$512.40 |
$512.40 |
$512.40 |
$344.68
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,362.20 |
$2,362.20 |
$2,362.20 |
$1,350.27
|
|
Concentration infection agents any type
|
$54.60 |
$54.60 |
$54.60 |
$51.32
|
|
Conditioning play audiometry 92582
|
$225.60 |
$225.60 |
$225.60 |
$189.15
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$3,616.80 |
$3,616.80 |
$3,616.80 |
$3,352.21
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$839.07 |
$860.00
|
|
Connect omega .5mm
|
$1,113.60 |
$1,113.60 |
$1,113.60 |
$1,260.00
|
|
Consultation pathology during surgery
|
$166.20 |
$166.20 |
$166.20 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$168.00 |
$168.00 |
$168.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$141.60 |
$141.60 |
$141.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$201.60 |
$201.60 |
$201.60 |
$226.50
|
|
Consultation/report referred material w/preparation of slides
|
$317.40 |
$317.40 |
$317.40 |
$224.83
|
|
Consultation/report referred slides prepared elsewhere
|
$365.40 |
$365.40 |
$365.40 |
$176.28
|
|
Consult comp w/report rfrd material
|
$675.60 |
$675.60 |
$675.60 |
$374.40
|
|
Contact layer >16<= 48 sq in
|
$86.40 |
$86.40 |
$86.40 |
$36.17
|
|
Contrast exam abdominl aorta 75625-26
|
$3,084.00 |
$3,084.00 |
$3,084.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$3,084.00 |
$3,084.00 |
$3,084.00 |
$3,745.00
|
|
Contrast x-ray of elbow
|
$478.80 |
$478.80 |
$478.80 |
$708.00
|
|
Contrast x-ray of hip
|
$511.20 |
$511.20 |
$511.20 |
$796.38
|
|
Contrast x-ray of knee joint
|
$484.80 |
$484.80 |
$484.80 |
$790.50
|
|
Contrast x-ray of wrist
|
$403.20 |
$403.20 |
$403.20 |
$667.50
|
|
Conversion ext bil drg cath
|
$5,140.80 |
$5,140.80 |
$5,140.80 |
$4,122.00
|
|
Convert nephrostomy catheter
|
$7,567.80 |
$7,567.80 |
$7,567.80 |
$2,777.60
|
|
Coombs direct
|
$82.80 |
$82.80 |
$82.80 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$169.20 |
$169.20 |
$169.20 |
$107.25
|
|
Coombs indirect titer reference
|
$114.00 |
$114.00 |
$114.00 |
$156.71
|
|
Copper cu 64 dotatate diag
|
$1,822.80 |
$1,822.80 |
$1,822.80 |
$2,820.66
|
|
Core ndl bx lng/med perq
|
$3,271.80 |
$3,271.80 |
$3,271.80 |
$2,904.48
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$17,136.00 |
$17,136.00 |
$17,136.00 |
$10,695.40
|
|
Coronary angio/lv gram/lt heart
|
$16,309.80 |
$16,309.80 |
$16,309.80 |
$10,353.29
|
|
Coronary angio/lv gram/rt< heart
|
$15,681.60 |
$15,681.60 |
$15,681.60 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$9,503.40 |
$9,503.40 |
$9,503.40 |
$8,191.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,251.00 |
$10,251.00 |
$10,251.00 |
$7,988.40
|
|
Cortisol acth stimulation test - sendout
|
$367.20 |
$367.20 |
$367.20 |
$146.25
|
|
Cortisol total am
|
$69.00 |
$69.00 |
$69.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$255.58 |
$255.58 |
$255.58 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$196.20 |
$196.20 |
$196.20 |
$112.00
|
|
Counseling smoke cess interm >10mins
|
$120.60 |
$120.60 |
$120.60 |
$54.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$72.00 |
$72.00 |
$72.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$859.20 |
$859.20 |
$859.20 |
$592.49
|
|
#covid19rsv-rsv
|
$171.00 |
$171.00 |
$171.00 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$43.80 |
$43.80 |
$43.80 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$421.80 |
$421.80 |
$421.80 |
$584.50
|
|
C-peptide
|
$243.60 |
$243.60 |
$243.60 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$851.40 |
$851.40 |
$851.40 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$1,594.20 |
$1,594.20 |
$1,594.20 |
$1,330.02
|
|
C-reactive protein
|
$56.40 |
$56.40 |
$56.40 |
$69.36
|
|
C-reactive protein high sensitivity
|
$87.00 |
$87.00 |
$87.00 |
$85.50
|
|
C-reactive protein, quantitative
|
$52.80 |
$52.80 |
$52.80 |
$65.16
|
