|
Chromosome analysis 15-20 cell count
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$558.25
|
|
Chromosome analysis 5
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$719.23
|
|
Chromosome analys placenta
|
$642.00 |
$642.00 |
$642.00 |
$660.00
|
|
Chromosome count additional
|
$205.80 |
$205.80 |
$205.80 |
$120.90
|
|
Chromosome karyotype study
|
$273.60 |
$273.60 |
$273.60 |
$120.60
|
|
Chromosome study additional
|
$123.00 |
$123.00 |
$123.00 |
$144.12
|
|
Chronic urticaria - sendout
|
$210.60 |
$210.60 |
$210.60 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$192.00 |
$192.00 |
$192.00 |
$136.09
|
|
Cidofovir injection
|
$1,099.26 |
$1,099.26 |
$1,099.26 |
$1,099.26
|
|
Cilastatin sodium injection
|
$119.57 |
$119.57 |
$119.57 |
$43.44
|
|
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
|
$921.60 |
$921.60 |
$921.60 |
$606.06
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$88.00 |
$88.00 |
$88.00 |
$355.41
|
|
Clearance of airways
|
$234.60 |
$234.60 |
$234.60 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$49.74
|
|
Clot factor xii hageman
|
$306.00 |
$306.00 |
$306.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$180.00 |
$180.00 |
$180.00 |
$81.25
|
|
#cmvcul-virus inoculation shell
|
$266.40 |
$266.40 |
$266.40 |
$109.80
|
|
Cmv pcr-sendout
|
$325.20 |
$325.20 |
$325.20 |
$177.50
|
|
Coagulation time activated teg
|
$99.60 |
$99.60 |
$99.60 |
$37.05
|
|
Cold agglutinin titer
|
$184.20 |
$184.20 |
$184.20 |
$48.57
|
|
Colistimethate sodium inj
|
$46.62 |
$46.62 |
$46.62 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$25.20 |
$25.20 |
$25.20 |
$32.26
|
|
Collar cerv ascend 172 reg
|
$201.60 |
$201.60 |
$201.60 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$172.20 |
$172.20 |
$172.20 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$165.00 |
$165.00 |
$165.00 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$40.20 |
$40.20 |
$40.20 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$177.00 |
$177.00 |
$177.00 |
$156.60
|
|
Compatibility test each unit electronic
|
$132.00 |
$132.00 |
$132.00 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$192.00 |
$192.00 |
$192.00 |
$156.24
|
|
Compatibility test incubate
|
$138.00 |
$138.00 |
$138.00 |
$140.00
|
|
Complement antigen each component c3
|
$234.00 |
$234.00 |
$234.00 |
$110.00
|
|
Concentration infection agents any type
|
$109.20 |
$109.20 |
$109.20 |
$48.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$839.07 |
$839.07 |
$839.07 |
$768.50
|
|
Consultation pathology during surgery
|
$179.40 |
$179.40 |
$179.40 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$151.80 |
$151.80 |
$151.80 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$201.60 |
$201.60 |
$201.60 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$384.60 |
$384.60 |
$384.60 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$372.60 |
$372.60 |
$372.60 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$406.20 |
$406.20 |
$406.20 |
$176.15
|
|
Contrast baths charges
|
$46.20 |
$46.20 |
$46.20 |
$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 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
|
|
Convert nephrostomy catheter
|
$7,627.20 |
$7,627.20 |
$7,627.20 |
$4,197.30
|
|
Coombs direct
|
$105.00 |
$105.00 |
$105.00 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$192.00 |
$192.00 |
$192.00 |
$76.70
|
|
Coombs indirect titer reference
|
$189.60 |
$189.60 |
$189.60 |
$122.85
|
|
Core ndl bx lng/med perq
|
$2,438.40 |
$2,438.40 |
$2,438.40 |
$2,963.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$15,583.80 |
$15,583.80 |
$15,583.80 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$13,647.00 |
$13,647.00 |
$13,647.00 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$15,432.00 |
$15,432.00 |
$15,432.00 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$12,113.40 |
$12,113.40 |
$12,113.40 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$10,179.60 |
$10,179.60 |
$10,179.60 |
$9,198.18
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,150.20 |
$1,150.20 |
$1,150.20 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$102.00 |
$102.00 |
$102.00 |
$143.40
|
|
Cortisol total am
|
$305.40 |
$305.40 |
$305.40 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.34 |
$121.34 |
$121.34 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$114.00 |
$114.00 |
$114.00 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$98.40 |
$98.40 |
$98.40 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$73.80 |
$73.80 |
$73.80 |
$64.50
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$831.60 |
$831.60 |
$831.60 |
$831.60
|
|
#covid19rsv-rsv
|
$210.60 |
$210.60 |
$210.60 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$72.00 |
$72.00 |
$72.00 |
$65.36
|
|
C-peptide
|
$313.20 |
$313.20 |
$313.20 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$1,949.40 |
$1,949.40 |
$1,949.40 |
$1,170.64
|
|
C-reactive protein
|
$160.20 |
$160.20 |
$160.20 |
$54.43
|
|
C-reactive protein high sensitivity
|
$129.60 |
$129.60 |
$129.60 |
$91.65
|
|
C-reactive protein, quantitative
|
$139.20 |
$139.20 |
$139.20 |
$77.50
|
|
Creatine kinase
|
$128.40 |
$128.40 |
$128.40 |
$55.00
|
|
Creatine kinase isoenzymes
|
$48.60 |
$48.60 |
$48.60 |
$66.00
|
|
Creatine kinase mb
|
$202.20 |
$202.20 |
$202.20 |
$100.75
|
|
Creatine - sendout
|
$122.40 |
$122.40 |
$122.40 |
$35.10
|
|
Creatinine
|
$85.80 |
$85.80 |
$85.80 |
$40.00
|
|
Creatinine 24 hour urine
|
$112.20 |
$112.20 |
$112.20 |
$54.40
|
|
Creatinine clearance urine
|
$237.60 |
$237.60 |
$237.60 |
$73.86
|
|
#creutz-prot.,western blot
|
$433.80 |
$433.80 |
$433.80 |
$178.10
|
|
Critical care 30-74 minutes
|
$3,891.60 |
$3,891.60 |
$3,891.60 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$927.60 |
$927.60 |
$927.60 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$30.60 |
$30.60 |
$30.60 |
$52.50
|
|
Cryoprecipitate each unit
|
$190.20 |
$190.20 |
$190.20 |
$182.25
|
|
Cryptococcus abs qn - sendout
|
$180.00 |
$180.00 |
$180.00 |
$89.70
|
|
Cryptosporidium antigen
|
$124.20 |
$124.20 |
$124.20 |
$65.55
|
|
Crystal identification light microscopy
|
$137.40 |
$137.40 |
$137.40 |
$56.44
|
|
Csf leakage imaging
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$1,426.73
|
|
CT 3d report other modality w/workstation
|
$537.00 |
$537.00 |
$537.00 |
$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 hrt w/3d image
|
$542.40 |
$542.40 |
$542.40 |
$1,618.00
|
|
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
|
