|
Calcium ionized
|
$247.80 |
$247.80 |
$247.80 |
$80.80
|
|
Calcium total
|
$99.60 |
$99.60 |
$99.60 |
$43.20
|
|
Calprotectin fecal
|
$375.60 |
$375.60 |
$375.60 |
$170.00
|
|
Candida dna
|
$141.60 |
$141.60 |
$141.60 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$297.00 |
$297.00 |
$297.00 |
$108.81
|
|
Carbohydrate urine - sendout
|
$74.40 |
$74.40 |
$74.40 |
$39.62
|
|
Carbon dioxide
|
$98.40 |
$98.40 |
$98.40 |
$42.00
|
|
Carboxyhemoglobin quantitative
|
$282.60 |
$282.60 |
$282.60 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$382.80 |
$382.80 |
$382.80 |
$125.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$249.00 |
$249.00 |
$249.00 |
$258.10
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$270.60 |
$270.60 |
$270.60 |
$208.00
|
|
Cardiolipin antibody iga
|
$374.40 |
$374.40 |
$374.40 |
$126.14
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,649.00 |
$2,649.00 |
$2,649.00 |
$1,461.75
|
|
Carotene
|
$132.60 |
$132.60 |
$132.60 |
$66.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,435.80 |
$1,435.80 |
$1,435.80 |
$1,037.60
|
|
Car seat/bed test 60 minutes
|
$233.40 |
$233.40 |
$233.40 |
$137.65
|
|
Catecholamines,fractionated, urine
|
$454.80 |
$454.80 |
$454.80 |
$70.67
|
|
Catheterization collection of specimen single patient all places of service
|
$119.40 |
$119.40 |
$119.40 |
$58.50
|
|
Cauterization chemical granulation tissue
|
$383.40 |
$383.40 |
$383.40 |
$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
|
$101.92 |
$101.92 |
$101.92 |
$39.95
|
|
Cefotaxime sodium injection
|
$88.56 |
$88.56 |
$88.56 |
$43.10
|
|
Cefoxitin 1 gram intravenous solution
|
$102.91 |
$102.91 |
$102.91 |
$42.00
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$79.92 |
$79.92 |
$79.92 |
$46.57
|
|
Ceftazidime and avibactam
|
$662.30 |
$662.30 |
$662.30 |
$824.61
|
|
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
|
$42.25 |
$42.25 |
$42.25 |
$19.80
|
|
#celiac hla-dq8
|
$295.80 |
$295.80 |
$295.80 |
$246.88
|
|
Cell count body fluid
|
$186.60 |
$186.60 |
$186.60 |
$56.44
|
|
Cell count w differential body fluid
|
$199.80 |
$199.80 |
$199.80 |
$83.71
|
|
Cell function assay w/stim
|
$480.00 |
$480.00 |
$480.00 |
$369.45
|
|
Cell marker study
|
$997.20 |
$997.20 |
$997.20 |
$265.80
|
|
#cf-97variants
|
$841.80 |
$841.80 |
$841.80 |
$748.16
|
|
Chest 2 vws w oblique
|
$238.80 |
$238.80 |
$238.80 |
$334.02
|
|
Chest apical lordotic proj
|
$235.80 |
$235.80 |
$235.80 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,281.80 |
$2,281.80 |
$2,281.80 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,521.00 |
$1,521.00 |
$1,521.00 |
$1,166.90
|
|
Chest X-ray
|
$211.80 |
$211.80 |
$211.80 |
$265.85
|
|
Chest X-ray (single view)
|
$160.80 |
$160.80 |
$160.80 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$227.40 |
$227.40 |
$227.40 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$555.00 |
$555.00 |
$555.00 |
$555.00
|
|
Chlamydia culture
|
$232.80 |
$232.80 |
$232.80 |
$96.51
|
|
Chlamydia trachomatis ag if
|
$186.60 |
$186.60 |
$186.60 |
$30.40
|
|
Chlamydia type
|
$98.40 |
$98.40 |
$98.40 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$442.80 |
$442.80 |
$442.80 |
$252.99
|
|
Chloride
|
$84.60 |
$84.60 |
$84.60 |
$37.48
|
|
Chloride 24 hour urine
|
$106.80 |
$106.80 |
$106.80 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$53.03 |
$53.03 |
$53.03 |
$53.03
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$775.80 |
$775.80 |
$775.80 |
$546.01
|
|
Cholesterol
|
$112.80 |
$112.80 |
$112.80 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$243.60 |
$243.60 |
$243.60 |
$101.43
|
|
Cholinesterase
|
$162.00 |
$162.00 |
$162.00 |
$49.40
|
|
Chrom analysis
|
$402.60 |
$402.60 |
$402.60 |
$156.00
|
|
Chromatography
|
$195.00 |
$195.00 |
$195.00 |
$81.25
|
|
Chromogenic substrate assay
|
$297.60 |
$297.60 |
$297.60 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$625.80 |
$625.80 |
$625.80 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$1,669.20 |
$1,669.20 |
$1,669.20 |
$558.25
|
|
Chromosome analysis 50-100
|
$1,147.80 |
$1,147.80 |
$1,147.80 |
$301.50
|
|
Chromosome karyotype study
|
$99.60 |
$99.60 |
$99.60 |
$120.60
|
|
Chylomicron screen, bf - sendout
|
$222.60 |
$222.60 |
$222.60 |
$136.09
|
|
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
|
|
Clostridium toxin a w/optic
|
$249.00 |
$249.00 |
$249.00 |
$35.20
|
|
Clot factor xii hageman
|
$277.80 |
$277.80 |
$277.80 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$199.80 |
$199.80 |
$199.80 |
$81.25
|
|
#cmvcul-virus inoculation shell
|
$100.80 |
$100.80 |
$100.80 |
$109.80
|
|
Cmv pcr-sendout
|
$95.40 |
$95.40 |
$95.40 |
$177.50
|
|
Coagulation time otr method
|
$88.20 |
$88.20 |
$88.20 |
$11.20
|
|
Cold agglutinin screen (arc)
|
$102.00 |
$102.00 |
$102.00 |
$48.57
|
|
Cold agglutinin titer
|
$225.60 |
$225.60 |
$225.60 |
$48.57
|
|
Collar cerv adlt perfit ace extric
|
$18.60 |
$18.60 |
$18.60 |
$29.25
|
|
Collar cerv ascend 172 reg
|
$240.00 |
$240.00 |
$240.00 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$187.20 |
$187.20 |
$187.20 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$173.40 |
$173.40 |
$173.40 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$27.60 |
$27.60 |
$27.60 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$204.60 |
$204.60 |
$204.60 |
$156.60
|
|
Compatibility test each unit electronic
|
$154.20 |
$154.20 |
$154.20 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$212.40 |
$212.40 |
$212.40 |
$156.24
|
|
Compatibility test incubate
|
$175.80 |
$175.80 |
$175.80 |
$140.00
|
|
Complement antigen each component c3
|
$270.00 |
$270.00 |
$270.00 |
$110.00
|
|
Concentration infection agents any type
|
$119.40 |
$119.40 |
$119.40 |
$48.00
|
|
Consultation pathology during surgery frozen section first tissue block
|
$369.60 |
$369.60 |
$369.60 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$381.60 |
$381.60 |
$381.60 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$393.00 |
$393.00 |
$393.00 |
$176.15
|
|
Consult comp w/report rfrd material
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$365.60
|
|
Contrast baths charges
|
$80.40 |
$80.40 |
$80.40 |
$77.98
|
|
Contrast x-ray of ankle
|
$602.40 |
$602.40 |
$602.40 |
$517.26
|
|
Contrast x-ray of elbow
|
$751.20 |
$751.20 |
$751.20 |
$566.28
|
|
Contrast x-ray of hip
|
$801.60 |
$801.60 |
$801.60 |
$676.12
|
|
Contrast x-ray of knee joint
|
$792.00 |
$792.00 |
$792.00 |
$623.50
|
|
Contrast x-ray of wrist
|
$639.00 |
$639.00 |
$639.00 |
$541.20
|
|
Coombs direct
|
$145.80 |
$145.80 |
$145.80 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$173.40 |
$173.40 |
$173.40 |
$76.70
|
|
Coombs indirect titer reference
|
$400.80 |
$400.80 |
$400.80 |
$122.85
|
|
Coronary thrombolysis/iv infusion 92977
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$537.60
|
|
Cortisol acth stimulation test - sendout
|
$492.60 |
$492.60 |
$492.60 |
$143.40
|
|
Cortisol total am
|
$349.80 |
$349.80 |
$349.80 |
$117.81
|
