|
Cauterization chemical granulation tissue
|
$326.34 |
$326.34 |
$326.34 |
$374.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$3.17 |
$3.17 |
$3.17 |
$27.86
|
|
Cefoxitin 1 gram intravenous solution
|
$14.16 |
$14.16 |
$14.16 |
$42.00
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$9.67 |
$9.67 |
$9.67 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$5.07 |
$5.07 |
$5.07 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$1.80 |
$1.80 |
$1.80 |
$51.80
|
|
Cell count body fluid
|
$10.08 |
$10.08 |
$10.08 |
$56.44
|
|
Cell count w differential body fluid
|
$11.76 |
$11.76 |
$11.76 |
$83.71
|
|
Chest 2 vws w oblique
|
$132.30 |
$132.30 |
$132.30 |
$334.02
|
|
Chest apical lordotic proj
|
$126.42 |
$126.42 |
$126.42 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$997.50 |
$997.50 |
$997.50 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$869.40 |
$869.40 |
$869.40 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$736.68 |
$736.68 |
$736.68 |
$1,166.90
|
|
Chest X-ray
|
$71.82 |
$71.82 |
$71.82 |
$265.85
|
|
Chest X-ray (single view)
|
$71.82 |
$71.82 |
$71.82 |
$192.50
|
|
Chlamydia culture
|
$12.55 |
$12.55 |
$12.55 |
$96.51
|
|
Chlamydia trachomatis ag if
|
$29.09 |
$29.09 |
$29.09 |
$30.40
|
|
Chlamydia type
|
$12.18 |
$12.18 |
$12.18 |
$34.80
|
|
Chloride
|
$9.24 |
$9.24 |
$9.24 |
$37.48
|
|
Chloride 24 hour urine
|
$9.24 |
$9.24 |
$9.24 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$49.27 |
$49.27 |
$49.27 |
$53.03
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$255.78 |
$255.78 |
$255.78 |
$546.01
|
|
Cholesterol
|
$9.66 |
$9.66 |
$9.66 |
$40.95
|
|
Cholinesterase
|
$14.39 |
$14.39 |
$14.39 |
$49.40
|
|
Chromatography
|
$24.05 |
$24.05 |
$24.05 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$147.00 |
$147.00 |
$147.00 |
$269.00
|
|
Chromosome analys amniotic
|
$241.08 |
$241.08 |
$241.08 |
$466.00
|
|
Chromosome analysis 15-20 cell count
|
$725.34 |
$725.34 |
$725.34 |
$558.25
|
|
Chromosome analysis 50-100
|
$200.76 |
$200.76 |
$200.76 |
$301.50
|
|
Chromosome analys placenta
|
$572.46 |
$572.46 |
$572.46 |
$660.00
|
|
Chromosome karyotype study
|
$197.40 |
$197.40 |
$197.40 |
$120.60
|
|
Chylomicron screen, bf - sendout
|
$46.10 |
$46.10 |
$46.10 |
$136.09
|
|
Cisplatin 1 mg/ml desensitization
|
$4.17 |
$4.17 |
$4.17 |
$52.43
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$14.35 |
$14.35 |
$14.35 |
$355.41
|
|
Cllr miami j sm
|
$186.06 |
$186.06 |
$186.06 |
$112.39
|
|
Clot factor xii hageman
|
$21.48 |
$21.48 |
$21.48 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$16.04 |
$16.04 |
$16.04 |
$81.25
|
|
#cmvcul-virus inoculation shell
|
$57.65 |
$57.65 |
$57.65 |
$109.80
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$89,135.21 |
$89,135.21 |
$89,135.21 |
$3.78
|
|
Coagulation time activated teg
|
$10.50 |
$10.50 |
$10.50 |
$37.05
|
|
Cold agglutinin titer
|
$3.65 |
$3.65 |
$3.65 |
$48.57
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$18.06 |
$18.06 |
$18.06 |
$32.26
|
|
Collar cerv ascend 172 reg
|
$86.10 |
$86.10 |
$86.10 |
$151.05
|
|
Collar extrication adult univ
|
$349.86 |
$349.86 |
$349.86 |
$503.75
|
|
Collection of venous blood by venipuncture
|
$5.04 |
$5.04 |
$5.04 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$38.22 |
$38.22 |
$38.22 |
$156.60
|
|
Compatibility test each unit immediate spin technique
|
$27.30 |
$27.30 |
$27.30 |
$156.24
|
|
Complement antigen each component c3
|
$267.44 |
$267.44 |
$267.44 |
$110.00
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$482.16 |
$482.16 |
$482.16 |
$163.15
|
|
Concentration infection agents any type
|
$5.46 |
$5.46 |
$5.46 |
$48.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$572.91 |
$572.91 |
$572.91 |
$768.50
|
|
Connect omega .5mm
|
$597.24 |
$597.24 |
$597.24 |
$847.52
|
|
Consultation pathology during surgery
|
$39.06 |
$39.06 |
$39.06 |
$89.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$29.82 |
$29.82 |
$29.82 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$73.50 |
$73.50 |
$73.50 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$63.84 |
$63.84 |
$63.84 |
$231.75
|
|
Consultation/report referred slides prepared elsewhere
|
$72.66 |
$72.66 |
$72.66 |
$176.15
|
|
Consult comp w/report rfrd material
|
$101.64 |
$101.64 |
$101.64 |
$365.60
|
|
Contrast exam abdominl aorta 75625-26
|
$1,793.82 |
$1,793.82 |
$1,793.82 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$3,304.98 |
$3,304.98 |
$3,304.98 |
$3,167.26
|
|
Contrast x-ray of hip
|
$265.02 |
$265.02 |
$265.02 |
$676.12
|
|
Contrast x-ray of knee joint
|
$484.68 |
$484.68 |
$484.68 |
$623.50
|
|
Contrast x-ray of wrist
|
$216.30 |
$216.30 |
$216.30 |
$541.20
|
|
Coombs direct
|
$14.70 |
$14.70 |
$14.70 |
$70.74
|
|
Coombs indirect titer reference
|
$68.88 |
$68.88 |
$68.88 |
$122.85
|
|
Cortisol total am
|
$34.02 |
$34.02 |
$34.02 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$60.06 |
$60.06 |
$60.06 |
$218.95
|
|
Cover wrist
|
$228.06 |
$228.06 |
$228.06 |
$308.82
|
|
#coxa-coxsackie a serotype a16
|
$30.19 |
$30.19 |
$30.19 |
$65.36
|
|
Crbrospnl fld flw imag cistern
|
$438.90 |
$438.90 |
$438.90 |
$1,170.64
|
|
C-reactive protein
|
$10.92 |
$10.92 |
$10.92 |
$54.43
|
|
Creatine kinase isoenzymes
|
$4.57 |
$4.57 |
$4.57 |
$66.00
|
|
Creatine kinase mb
|
$14.70 |
$14.70 |
$14.70 |
$100.75
|
|
Creatine - sendout
|
$150.15 |
$150.15 |
$150.15 |
$35.10
|
|
Creatinine 24 hour urine
|
$27.72 |
$27.72 |
$27.72 |
$54.40
|
|
Creatinine clearance urine
|
$19.32 |
$19.32 |
$19.32 |
$73.86
|
|
Critical care 30-74 minutes
|
$1,594.32 |
$1,594.32 |
$1,594.32 |
$2,540.23
|
|
Cryofibrinogen qualitative - sendout
|
$3.52 |
$3.52 |
$3.52 |
$52.50
|
|
Cryptococcus abs qn - sendout
|
$31.84 |
$31.84 |
$31.84 |
$89.70
|
|
Crystal identification light microscopy
|
$7.98 |
$7.98 |
$7.98 |
$56.44
|
|
Csf leakage imaging
|
$981.96 |
$981.96 |
$981.96 |
$1,426.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$941.64 |
$941.64 |
$941.64 |
$1,899.75
|
|
CT angio pelvis
|
$941.64 |
$941.64 |
$941.64 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,046.22 |
$1,046.22 |
$1,046.22 |
$1,650.60
|
|
CT guidance for needle placement
|
$646.38 |
$646.38 |
$646.38 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$874.44 |
$874.44 |
$874.44 |
$1,007.29
|
|
CT neck soft tissue w/contrast
|
$880.32 |
$880.32 |
$880.32 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$847.56 |
$847.56 |
$847.56 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$997.50 |
$997.50 |
$997.50 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$897.54 |
$897.54 |
$897.54 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$869.40 |
$869.40 |
$869.40 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$736.68 |
$736.68 |
$736.68 |
$1,250.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,816.50 |
$1,816.50 |
$1,816.50 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,365.42 |
$1,365.42 |
$1,365.42 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$871.92 |
$871.92 |
$871.92 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$736.68 |
$736.68 |
$736.68 |
$1,381.20
|
|
CT thorax low dose for lung screening without contrast
|
$137.76 |
$137.76 |
$137.76 |
$418.50
|
|
CT t-spine w /wo contrast
|
$897.54 |
$897.54 |
$897.54 |
$1,817.25
|
|
Culture afb any source
|
$18.48 |
$18.48 |
$18.48 |
$93.50
|
