|
Cholesterol (Lipid) Test
|
$170.00 |
$170.00 |
$170.00 |
$115.80
|
|
Cholinesterase
|
$113.00 |
$113.00 |
$113.00 |
$39.48
|
|
Chromosome karyotype study
|
$100.00 |
$100.00 |
$100.00 |
$120.00
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$37.00 |
$37.00 |
$37.00 |
$35.65
|
|
Cisplatin 1 mg/ml desensitization
|
$379.00 |
$379.00 |
$379.00 |
$205.56
|
|
C-kit mutation liquid tumor - sendout
|
$2,171.00 |
$2,171.00 |
$2,171.00 |
$666.60
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$496.70 |
$496.70 |
$496.70 |
$576.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$23,155.00 |
$23,155.00 |
$23,155.00 |
$15,560.16
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$30.00 |
$30.00 |
$30.00 |
$55.20
|
|
Clip ligating vesolock lg
|
$12,630.00 |
$12,630.00 |
$12,630.00 |
$4,320.00
|
|
Clip phn wireless f/baha4 proc
|
$828.95 |
$828.95 |
$828.95 |
$449.46
|
|
Cllr miami j sm
|
$934.33 |
$934.33 |
$934.33 |
$536.64
|
|
Clofarabine 1 mg/ml intravenous solution
|
$17,608.50 |
$17,608.50 |
$17,608.50 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$79.35 |
$79.35 |
$79.35 |
$85.37
|
|
Closed tx humerus fx without manip 23600
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$498.40
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$769.00 |
$769.00 |
$769.00 |
$472.50
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$648.96
|
|
Clsd tx/clavicular fx without manip 23500
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$452.40
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$541.80
|
|
Clsd tx humeral fract without manip 24530
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$577.20
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$2,571.00 |
$2,571.00 |
$2,571.00 |
$498.85
|
|
Clsd tx/metatarsal fx without manip 28470
|
$2,471.00 |
$2,471.00 |
$2,471.00 |
$429.00
|
|
Clsd tx/patellar fx without manip 27520
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$498.85
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$2,471.00 |
$2,471.00 |
$2,471.00 |
$414.40
|
|
Clsd tx/scapular fx without manip 23570
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$452.40
|
|
Clsd tx wrist carpal fx without manip 25630
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$476.00
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$3,707.00 |
$3,707.00 |
$3,707.00 |
$535.60
|
|
#cms hgb-sulfhemoglobin
|
$50.00 |
$50.00 |
$50.00 |
$74.00
|
|
Coagulation time activated teg
|
$77.00 |
$77.00 |
$77.00 |
$52.47
|
|
Coil axium 3d 14mmx40cm qc
|
$4,536.28 |
$4,536.28 |
$4,536.28 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$103.00 |
$103.00 |
$103.00 |
$48.10
|
|
Cold agglutinin titer
|
$84.00 |
$84.00 |
$84.00 |
$52.00
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$417.00 |
$417.00 |
$417.00 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$68.41 |
$68.41 |
$68.41 |
$61.20
|
|
Collar cerv adlt perfit ace extric
|
$77.58 |
$77.58 |
$77.58 |
$67.73
|
|
Collar cerv ascend 172 reg
|
$1,844.20 |
$1,844.20 |
$1,844.20 |
$224.11
|
|
Collar cerv patriot adlt
|
$4.89 |
$4.89 |
$4.89 |
$134.66
|
|
Collar extrication adult univ
|
$64.50 |
$64.50 |
$64.50 |
$766.23
|
|
Collection blood specimen from completely implantable venous access device
|
$472.00 |
$472.00 |
$472.00 |
$162.00
|
|
Colonoscopy (diagnostic)
|
$8,592.30 |
$8,592.30 |
$8,592.30 |
$1,899.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$7,515.15 |
$7,515.15 |
$7,515.15 |
$2,288.00
|
|
Colonoscopy submucous njx
|
$10,868.00 |
$10,868.00 |
$10,868.00 |
$2,080.00
|
|
Colonoscopy (with biopsy)
|
$12,526.50 |
$12,526.50 |
$12,526.50 |
$2,214.00
|
|
Colonoscopy (with polyp removal)
|
$8,228.10 |
$8,228.10 |
$8,228.10 |
$2,288.00
|
|
Compatibility test each unit antiglobulin technique
|
$3,916.50 |
$3,916.50 |
$3,916.50 |
$173.50
|
|
Compatibility test each unit electronic
|
$4,379.00 |
$4,379.00 |
$4,379.00 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$3,916.50 |
$3,916.50 |
$3,916.50 |
$169.52
|
|
Complement antigen each component c3
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$110.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$2,695.58 |
$2,695.58 |
$2,695.58 |
$1,350.27
|
|
Computed tomographic angiography head and neck with contrast
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$81.00 |
$81.00 |
$81.00 |
$51.32
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$5,157.25 |
$5,157.25 |
$5,157.25 |
$3,352.21
|
|
Condylomata destruction 56420
|
$336.00 |
$336.00 |
$336.00 |
$467.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,780.10 |
$1,780.10 |
$1,780.10 |
$860.00
|
|
Connect omega .5mm
|
$31,880.76 |
$31,880.76 |
$31,880.76 |
$1,260.00
|
|
Connector tis 2x10mm
|
$10,394.49 |
$10,394.49 |
$10,394.49 |
$4,024.34
|
|
Consultation pathology during surgery
|
$214.00 |
$214.00 |
$214.00 |
$100.89
|
|
Consultation pathology during surgery cytological exam initial site
|
$430.00 |
$430.00 |
$430.00 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$103.00 |
$103.00 |
$103.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$197.00 |
$197.00 |
$197.00 |
$226.50
|
|
Consultation/report referred slides prepared elsewhere
|
$410.00 |
$410.00 |
$410.00 |
$176.28
|
|
Cont gluc mntr analysis i&r 95251
|
$109.00 |
$109.00 |
$109.00 |
$80.00
|
|
Controler lvad heartmate 3 includes ebb
|
$15,050.75 |
$15,050.75 |
$15,050.75 |
$12,355.20
|
|
Controller infinity pt dbs
|
$42,303.21 |
$42,303.21 |
$42,303.21 |
$4,836.44
|
|
Coombs direct
|
$140.00 |
$140.00 |
$140.00 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$142.00 |
$142.00 |
$142.00 |
$107.25
|
|
Coombs indirect titer reference
|
$210.00 |
$210.00 |
$210.00 |
$156.71
|
|
Cor hlx vlgs prx phlx osteot
|
$3,520.00 |
$3,520.00 |
$3,520.00 |
$5,855.00
|
|
Cornea 1/2moon str split thick
|
$1,222.35 |
$1,222.35 |
$1,222.35 |
$7,193.20
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$8,777.85 |
$8,777.85 |
$8,777.85 |
$7,849.80
|
|
Cortisol total am
|
$188.00 |
$188.00 |
$188.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$101.75 |
$101.75 |
$101.75 |
$189.22
|
|
Counseling visit to discuss need for ldct g0296
|
$73.00 |
$73.00 |
$73.00 |
$102.38
|
|
Coveredge 32 lead kit 40cm 48
|
$14,208.75 |
$14,208.75 |
$14,208.75 |
$4,180.79
|
|
Cover wrist
|
$0.01 |
$0.01 |
$0.01 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$110.00 |
$110.00 |
$110.00 |
$49.13
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$683.00 |
$683.00 |
$683.00 |
$592.49
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$683.00 |
$683.00 |
$683.00 |
$540.00
|
|
CPAP or BiPAP Setup (first day)
|
$987.00 |
$987.00 |
$987.00 |
$584.50
|
|
C-peptide
|
$252.00 |
$252.00 |
$252.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$777.71
|
|
Cr-51 sodium chromate
|
$7,028.75 |
$7,028.75 |
$7,028.75 |
$688.80
|
|
C-reactive protein
|
$109.00 |
$109.00 |
$109.00 |
$69.36
|
|
C-reactive protein high sensitivity
|
$199.00 |
$199.00 |
$199.00 |
$85.50
|
|
Create eardrum opening
|
$1,182.00 |
$1,182.00 |
$1,182.00 |
$3,340.97
|
|
Creatine kinase
|
$102.00 |
$102.00 |
$102.00 |
$66.30
|
|
Creatine kinase isoenzymes
|
$177.00 |
$177.00 |
$177.00 |
$56.20
|
|
Creatine kinase mb
|
$168.00 |
$168.00 |
$168.00 |
$113.63
|
|
Creatinine
|
$65.00 |
$65.00 |
$65.00 |
$46.20
|
|
Creatinine 24 hour urine
|
$97.00 |
$97.00 |
$97.00 |
$57.85
|
|
Creatinine clearance urine
|
$107.00 |
$107.00 |
$107.00 |
$90.26
|
|
Critical care each additional 30 minutes
|
$500.00 |
$500.00 |
$500.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$1,908.00 |
$1,908.00 |
$1,908.00 |
$2,535.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$7,358.85 |
$7,358.85 |
$7,358.85 |
$4,288.58
|
|
Cryoprecipitate each unit
|
$190.00 |
$190.00 |
$190.00 |
$144.78
|
|
Crystal identification light microscopy
|
$849.00 |
$849.00 |
$849.00 |
$66.43
|
|
Cta lower extremity without & w/contrast (both sides)
|
$3,564.00 |
$3,564.00 |
$3,564.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$6,472.00 |
$6,472.00 |
$6,472.00 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$4,046.00 |
$4,046.00 |
$4,046.00 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$1,909.90
|
