|
#cmvcul-virus inoculation shell
|
$387.00 |
$387.00 |
$387.00 |
$109.80
|
|
Cmv pcr-sendout
|
$319.80 |
$319.80 |
$319.80 |
$177.50
|
|
Cold agglutinin titer
|
$109.80 |
$109.80 |
$109.80 |
$48.57
|
|
Colistimethate sodium inj
|
$48.13 |
$48.13 |
$48.13 |
$46.62
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$22.80 |
$22.80 |
$22.80 |
$32.26
|
|
Collar cerv ascend 172 reg
|
$171.00 |
$171.00 |
$171.00 |
$151.05
|
|
Collar cerv patriot adlt
|
$30.60 |
$30.60 |
$30.60 |
$83.20
|
|
Collection blood specimen from completely implantable venous access device
|
$181.80 |
$181.80 |
$181.80 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$181.80 |
$181.80 |
$181.80 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$27.60 |
$27.60 |
$27.60 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$192.60 |
$192.60 |
$192.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$145.80 |
$145.80 |
$145.80 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$144.00 |
$144.00 |
$144.00 |
$156.24
|
|
Compatibility test incubate
|
$147.00 |
$147.00 |
$147.00 |
$140.00
|
|
Complement antigen each component c3
|
$196.20 |
$196.20 |
$196.20 |
$110.00
|
|
Concentration infection agents any type
|
$64.20 |
$64.20 |
$64.20 |
$48.00
|
|
Consultation pathology during surgery
|
$156.60 |
$156.60 |
$156.60 |
$89.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$438.00 |
$438.00 |
$438.00 |
$200.00
|
|
Consultation/report referred slides prepared elsewhere
|
$269.40 |
$269.40 |
$269.40 |
$176.15
|
|
Contrast baths charges
|
$70.80 |
$70.80 |
$70.80 |
$77.98
|
|
Coombs direct
|
$109.20 |
$109.20 |
$109.20 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$115.20 |
$115.20 |
$115.20 |
$76.70
|
|
Coronary thrombolysis/iv infusion 92977
|
$769.20 |
$769.20 |
$769.20 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$381.00 |
$381.00 |
$381.00 |
$143.40
|
|
Cortisol total am
|
$223.20 |
$223.20 |
$223.20 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$121.34 |
$121.34 |
$121.34 |
$218.95
|
|
Covid-19 administration immunization im inj 1st/only component
|
$142.80 |
$142.80 |
$142.80 |
$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
|
$243.00 |
$243.00 |
$243.00 |
$111.20
|
|
C-reactive protein
|
$154.20 |
$154.20 |
$154.20 |
$54.43
|
|
C-reactive protein high sensitivity
|
$159.00 |
$159.00 |
$159.00 |
$91.65
|
|
Creatine kinase
|
$100.20 |
$100.20 |
$100.20 |
$55.00
|
|
Creatine kinase isoenzymes
|
$205.80 |
$205.80 |
$205.80 |
$66.00
|
|
Creatine kinase mb
|
$172.20 |
$172.20 |
$172.20 |
$100.75
|
|
Creatine - sendout
|
$90.00 |
$90.00 |
$90.00 |
$35.10
|
|
Creatinine
|
$70.80 |
$70.80 |
$70.80 |
$40.00
|
|
Creatinine 24 hour urine
|
$75.60 |
$75.60 |
$75.60 |
$54.40
|
|
Creatinine clearance urine
|
$208.80 |
$208.80 |
$208.80 |
$73.86
|
|
Critical care 30-74 minutes
|
$2,976.60 |
$2,976.60 |
$2,976.60 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$777.00 |
$777.00 |
$777.00 |
$663.00
|
|
Cryofibrinogen qualitative - sendout
|
$33.60 |
$33.60 |
$33.60 |
$52.50
|
|
Cryptosporidium antigen
|
$96.60 |
$96.60 |
$96.60 |
$65.55
|
|
Crystal identification light microscopy
|
$125.40 |
$125.40 |
$125.40 |
$56.44
|
|
Cta abdomen without & /or w/contrast
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,555.60 |
$3,555.60 |
$3,555.60 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$4,791.60 |
$4,791.60 |
$4,791.60 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$1,509.60 |
$1,509.60 |
$1,509.60 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$4,496.40 |
$4,496.40 |
$4,496.40 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,970.40 |
$1,970.40 |
$1,970.40 |
$1,951.50
|
|
CT angio pelvis
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$2,608.20 |
$2,608.20 |
$2,608.20 |
$1,650.60
|
|
CT heart w/evaluation of calcium without contrast
|
$288.00 |
$288.00 |
$288.00 |
$176.89
|
|
CT limited or localized follow-up study
|
$273.00 |
$273.00 |
$273.00 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$3,423.60 |
$3,423.60 |
$3,423.60 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,608.80 |
$2,608.80 |
$2,608.80 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$4,106.40 |
$4,106.40 |
$4,106.40 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$1,711.80 |
$1,711.80 |
$1,711.80 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$1,369.20 |
$1,369.20 |
$1,369.20 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$2,158.80 |
$2,158.80 |
$2,158.80 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,761.60 |
$1,761.60 |
$1,761.60 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$1,342.20 |
$1,342.20 |
$1,342.20 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,956.40 |
$3,956.40 |
$3,956.40 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$3,297.00 |
$3,297.00 |
$3,297.00 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,636.40 |
$2,636.40 |
$2,636.40 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$1,564.20 |
$1,564.20 |
$1,564.20 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$579.60 |
$579.60 |
$579.60 |
$418.50
|
|
CT t-spine w /wo contrast
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$3,727.20 |
$3,727.20 |
$3,727.20 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$2,841.60 |
$2,841.60 |
$2,841.60 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$4,473.60 |
$4,473.60 |
$4,473.60 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$82.80 |
$82.80 |
$82.80 |
$61.03
|
|
Culture afb any source
|
$211.80 |
$211.80 |
$211.80 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$110.40 |
$110.40 |
$110.40 |
$73.00
|
|
Culture anaerobic except blood
|
$241.20 |
$241.20 |
$241.20 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$135.00 |
$135.00 |
$135.00 |
$49.40
|
|
Culture body fluid
|
$195.00 |
$195.00 |
$195.00 |
$111.15
|
|
Culture fungi definitive id mold
|
$179.40 |
$179.40 |
$179.40 |
$70.00
|
|
Culture fungi definitive id yeast
|
$105.60 |
$105.60 |
$105.60 |
$68.00
|
|
Culture fungi other (except blood)
|
$194.40 |
$194.40 |
$194.40 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$142.80 |
$142.80 |
$142.80 |
$74.75
|
|
Culture mycoplasma any source
|
$159.60 |
$159.60 |
$159.60 |
$94.00
|
|
Culture quantitative aerobic other source
|
$183.60 |
$183.60 |
$183.60 |
$63.45
|
|
Culture screening strep group a
|
$129.00 |
$129.00 |
$129.00 |
$76.00
|
|
Culture typing immunologic
|
$86.40 |
$86.40 |
$86.40 |
$38.58
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.40 |
$392.40 |
$392.40 |
$392.40
|
|
Culture urine each isolate
|
$92.40 |
$92.40 |
$92.40 |
$44.80
|
|
Cyanocobalamin unsat binding capacity
|
$146.40 |
$146.40 |
$146.40 |
$64.28
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$42.47 |
$42.47 |
$42.47 |
$17.58
|
|
Cyclic citrullinated peptide antibody
|
$175.80 |
$175.80 |
$175.80 |
$91.20
|
|
Cyclosporine 2 hour
|
$255.00 |
$255.00 |
$255.00 |
$126.10
|
|
Cystatin c
|
$136.80 |
$136.80 |
$136.80 |
$83.20
|
|
Cystogram >= 3 views supervision & interpretation
|
$428.40 |
$428.40 |
$428.40 |
$487.04
|
|
Cytomegalovirus (cmv) antibody igg
|
$190.20 |
$190.20 |
$190.20 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$251.40 |
$251.40 |
$251.40 |
$95.00
|
|
Cytopath c/v index add-on
|
$88.20 |
$88.20 |
$88.20 |
$29.60
|
|
Cytopathology cellular enhancement technique non-gyn
|
$294.60 |
$294.60 |
$294.60 |
$163.43
|
