|
Calprotectin fecal
|
$369.60 |
$369.60 |
$369.60 |
$170.00
|
|
Candida dna
|
$162.00 |
$162.00 |
$162.00 |
$66.05
|
|
Carbamazepine free
|
$200.40 |
$200.40 |
$200.40 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$267.60 |
$267.60 |
$267.60 |
$108.81
|
|
Carbon dioxide
|
$88.20 |
$88.20 |
$88.20 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$253.80 |
$253.80 |
$253.80 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$344.40 |
$344.40 |
$344.40 |
$125.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$4,173.00 |
$4,173.00 |
$4,173.00 |
$2,538.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$318.60 |
$318.60 |
$318.60 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$289.80 |
$289.80 |
$289.80 |
$208.00
|
|
Cardiolipin antibody iga
|
$336.00 |
$336.00 |
$336.00 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,385.60 |
$2,385.60 |
$2,385.60 |
$1,461.75
|
|
Carfilzomib 10 mg intravenous solution
|
$97.12 |
$97.12 |
$97.12 |
$91.43
|
|
Carotene
|
$142.80 |
$142.80 |
$142.80 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$1,037.60
|
|
Catecholamines,fractionated, urine
|
$156.60 |
$156.60 |
$156.60 |
$70.67
|
|
Catheterization collection of specimen single patient all places of service
|
$93.00 |
$93.00 |
$93.00 |
$58.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$620.40 |
$620.40 |
$620.40 |
$505.90
|
|
Cauterization chemical granulation tissue
|
$399.00 |
$399.00 |
$399.00 |
$374.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$63.49 |
$63.49 |
$63.49 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$67.10 |
$67.10 |
$67.10 |
$39.95
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$79.92 |
$79.92 |
$79.92 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$153.25 |
$153.25 |
$153.25 |
$51.80
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$39.63 |
$39.63 |
$39.63 |
$19.80
|
|
#celiac hla-dq8
|
$302.40 |
$302.40 |
$302.40 |
$246.88
|
|
Cell count w differential body fluid
|
$154.80 |
$154.80 |
$154.80 |
$83.71
|
|
Cell marker study
|
$820.20 |
$820.20 |
$820.20 |
$265.80
|
|
#cf-97variants
|
$873.00 |
$873.00 |
$873.00 |
$748.16
|
|
Chest 2 vws w oblique
|
$321.60 |
$321.60 |
$321.60 |
$334.02
|
|
Chest apical lordotic proj
|
$299.40 |
$299.40 |
$299.40 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,795.80 |
$1,795.80 |
$1,795.80 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,435.80 |
$1,435.80 |
$1,435.80 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,078.80 |
$1,078.80 |
$1,078.80 |
$1,166.90
|
|
Chest X-ray
|
$246.00 |
$246.00 |
$246.00 |
$265.85
|
|
Chest X-ray (single view)
|
$201.60 |
$201.60 |
$201.60 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$117.00 |
$117.00 |
$117.00 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$520.80 |
$520.80 |
$520.80 |
$555.00
|
|
Chlamydia culture
|
$109.20 |
$109.20 |
$109.20 |
$96.51
|
|
Chlamydia type
|
$52.80 |
$52.80 |
$52.80 |
$34.80
|
|
Chloride
|
$75.00 |
$75.00 |
$75.00 |
$37.48
|
|
Chloride 24 hour urine
|
$96.00 |
$96.00 |
$96.00 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$51.16 |
$51.16 |
$51.16 |
$53.03
|
|
Cholesterol
|
$96.00 |
$96.00 |
$96.00 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$255.60 |
$255.60 |
$255.60 |
$101.43
|
|
Cholinesterase
|
$75.00 |
$75.00 |
$75.00 |
$49.40
|
|
Chrom analysis
|
$162.60 |
$162.60 |
$162.60 |
$156.00
|
|
Chromatogram assay sugars
|
$142.80 |
$142.80 |
$142.80 |
$86.42
|
|
Chromatography
|
$162.00 |
$162.00 |
$162.00 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$615.00 |
$615.00 |
$615.00 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$558.25
|
|
Chromosome karyotype study
|
$213.00 |
$213.00 |
$213.00 |
$120.60
|
|
Chromosome study additional
|
$253.80 |
$253.80 |
$253.80 |
$144.12
|
|
Chronic urticaria - sendout
|
$213.60 |
$213.60 |
$213.60 |
$100.00
|
|
Cilastatin sodium injection
|
$119.35 |
$119.35 |
$119.35 |
$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
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.73 |
$66.73 |
$66.73 |
$49.74
|
|
Clos txnose fx without stablz 21315
|
$4,296.60 |
$4,296.60 |
$4,296.60 |
$2,739.17
|
|
Clot factor xii hageman
|
$311.40 |
$311.40 |
$311.40 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$172.80 |
$172.80 |
$172.80 |
$81.25
|
|
Clsd tx/nasal bone fx/stabilize 21320
|
$4,296.60 |
$4,296.60 |
$4,296.60 |
$3,592.74
|
|
#cmvcul-virus inoculation shell
|
$181.20 |
$181.20 |
$181.20 |
$109.80
|
|
Cmv pcr-sendout
|
$316.80 |
$316.80 |
$316.80 |
$177.50
|
|
Cold agglutinin screen (arc)
|
$255.00 |
$255.00 |
$255.00 |
$48.57
|
|
Cold agglutinin titer
|
$176.40 |
$176.40 |
$176.40 |
$48.57
|
|
Colistimethate sodium inj
|
$48.13 |
$48.13 |
$48.13 |
$46.62
|
|
Collar cerv ascend 172 reg
|
$37.20 |
$37.20 |
$37.20 |
$151.05
|
|
Collar cerv patriot adlt
|
$37.20 |
$37.20 |
$37.20 |
$83.20
|
|
Collection blood specimen from completely implantable venous access device
|
$97.20 |
$97.20 |
$97.20 |
$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
|
$39.60 |
$39.60 |
$39.60 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$178.80 |
$178.80 |
$178.80 |
$156.60
|
|
Compatibility test each unit electronic
|
$140.40 |
$140.40 |
$140.40 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$188.40 |
$188.40 |
$188.40 |
$156.24
|
|
Compatibility test incubate
|
$155.40 |
$155.40 |
$155.40 |
$140.00
|
|
Complement antigen each component c3
|
$248.40 |
$248.40 |
$248.40 |
$110.00
|
|
Concentration infection agents any type
|
$60.60 |
$60.60 |
$60.60 |
$48.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$336.00 |
$336.00 |
$336.00 |
$200.00
|
|
Contrast baths charges
|
$67.80 |
$67.80 |
$67.80 |
$77.98
|
|
Contrast x-ray of ankle
|
$1,310.40 |
$1,310.40 |
$1,310.40 |
$517.26
|
|
Contrast x-ray of elbow
|
$1,359.60 |
$1,359.60 |
$1,359.60 |
$566.28
|
|
Contrast x-ray of hip
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$676.12
|
|
Contrast x-ray of knee joint
|
$1,676.40 |
$1,676.40 |
$1,676.40 |
$623.50
|
|
Contrast x-ray of wrist
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$541.20
|
|
Coombs direct
|
$129.00 |
$129.00 |
$129.00 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$151.20 |
$151.20 |
$151.20 |
$76.70
|
|
Coronary thrombolysis/iv infusion 92977
|
$789.60 |
$789.60 |
$789.60 |
$537.60
|
|
Cortisol total am
|
$313.80 |
$313.80 |
$313.80 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.34 |
$121.34 |
$121.34 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$142.20 |
$142.20 |
$142.20 |
$108.81
|
|
Covid-19 administration immunization im inj 1st/only component
|
$104.40 |
$104.40 |
$104.40 |
$64.50
|
|
#covid19rsv-rsv
|
$221.40 |
$221.40 |
$221.40 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$54.00 |
$54.00 |
$54.00 |
$65.36
|
|
C-peptide
|
$304.20 |
$304.20 |
$304.20 |
$111.20
|
|
C-reactive protein
|
$192.00 |
$192.00 |
$192.00 |
$54.43
|
|
C-reactive protein high sensitivity
|
$216.00 |
$216.00 |
$216.00 |
$91.65
|
|
C-reactive protein, quantitative
|
$137.40 |
$137.40 |
$137.40 |
$77.50
|
|
Creatine kinase
|
$126.60 |
$126.60 |
$126.60 |
$55.00
|
|
Creatine kinase isoenzymes
|
$255.00 |
$255.00 |
$255.00 |
$66.00
|
|
Creatine kinase mb
|
$199.80 |
$199.80 |
$199.80 |
$100.75
|
