|
Chest 2 vws w oblique
|
$216.20 |
$216.20 |
$216.20 |
$334.02
|
|
Chest apical lordotic proj
|
$159.33 |
$159.33 |
$159.33 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,151.50 |
$1,151.50 |
$1,151.50 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$816.86 |
$816.86 |
$816.86 |
$1,166.90
|
|
Chest X-ray
|
$109.04 |
$109.04 |
$109.04 |
$265.85
|
|
Chest X-ray (single view)
|
$68.62 |
$68.62 |
$68.62 |
$192.50
|
|
Chg radiologic exam esophagus double contrast
|
$156.98 |
$156.98 |
$156.98 |
$555.00
|
|
Chlamydia culture
|
$32.90 |
$32.90 |
$32.90 |
$96.51
|
|
Chlamydia type
|
$15.41 |
$15.41 |
$15.41 |
$34.80
|
|
Chloride
|
$8.46 |
$8.46 |
$8.46 |
$37.48
|
|
Chloride 24 hour urine
|
$8.46 |
$8.46 |
$8.46 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$31.53 |
$31.53 |
$31.53 |
$53.03
|
|
Chlorpromazine 100 mg tablet
|
$6.68 |
$6.68 |
$6.68 |
$2.40
|
|
Cholangiogram percutaneous compl
|
$3,611.95 |
$3,611.95 |
$3,611.95 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$191.76 |
$191.76 |
$191.76 |
$546.01
|
|
Cholesterol
|
$4.23 |
$4.23 |
$4.23 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$48.88 |
$48.88 |
$48.88 |
$101.43
|
|
Chromatogram assay sugars
|
$18.33 |
$18.33 |
$18.33 |
$86.42
|
|
Chromatography
|
$18.80 |
$18.80 |
$18.80 |
$81.25
|
|
Chromogenic substrate assay
|
$6.21 |
$6.21 |
$6.21 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$61.57 |
$61.57 |
$61.57 |
$269.00
|
|
Chromosome analysis 100
|
$90.24 |
$90.24 |
$90.24 |
$292.43
|
|
Chromosome analysis 15-20 cell count
|
$176.72 |
$176.72 |
$176.72 |
$558.25
|
|
Chromosome analysis 20-25
|
$90.24 |
$90.24 |
$90.24 |
$411.04
|
|
Chromosome analysis 5
|
$124.08 |
$124.08 |
$124.08 |
$719.23
|
|
Chromosome analysis 50-100
|
$90.24 |
$90.24 |
$90.24 |
$301.50
|
|
Chromosome analys placenta
|
$131.13 |
$131.13 |
$131.13 |
$660.00
|
|
Chromosome count additional
|
$79.90 |
$79.90 |
$79.90 |
$120.90
|
|
Chromosome karyotype study
|
$43.71 |
$43.71 |
$43.71 |
$120.60
|
|
Chylomicron screen, bf - sendout
|
$29.14 |
$29.14 |
$29.14 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$11.36 |
$11.36 |
$11.36 |
$35.00
|
|
Cisplatin 1 mg/ml desensitization
|
$4.63 |
$4.63 |
$4.63 |
$52.43
|
|
C-kit mutation liquid tumor - sendout
|
$155.10 |
$155.10 |
$155.10 |
$606.06
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$12,032.00 |
$12,032.00 |
$12,032.00 |
$9,240.00
|
|
Clostridium toxin a w/optic
|
$7.52 |
$7.52 |
$7.52 |
$35.20
|
|
Clot factor fletcher fact
|
$9.87 |
$9.87 |
$9.87 |
$90.97
|
|
Clot factor viii reltd antgn
|
$30.08 |
$30.08 |
$30.08 |
$95.72
|
|
Clot factor wght kininogen
|
$9.87 |
$9.87 |
$9.87 |
$178.50
|
|
Clot factor xii hageman
|
$24.04 |
$24.04 |
$24.04 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$4.70 |
$4.70 |
$4.70 |
$81.25
|
|
#cms hgb-carboxyhemoglobin
|
$13.16 |
$13.16 |
$13.16 |
$64.28
|
|
#cmvcul-virus inoculation shell
|
$23.97 |
$23.97 |
$23.97 |
$109.80
|
|
Cmv pcr-sendout
|
$36.66 |
$36.66 |
$36.66 |
$177.50
|
|
Co2 monitor per day
|
$108.10 |
$108.10 |
$108.10 |
$400.00
|
|
Coagulation time activated teg
|
$9.87 |
$9.87 |
$9.87 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$14.57 |
$14.57 |
$14.57 |
$48.57
|
|
Colistimethate sodium inj
|
$25.22 |
$25.22 |
$25.22 |
$46.62
|
|
Collection of venous blood by venipuncture
|
$7.99 |
$7.99 |
$7.99 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$967.73 |
$967.73 |
$967.73 |
$1,500.00
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,116.25 |
$1,116.25 |
$1,116.25 |
$1,846.40
|
|
Compatibility test each unit antiglobulin technique
|
$29.61 |
$29.61 |
$29.61 |
$156.60
|
|
Compatibility test each unit electronic
|
$17.39 |
$17.39 |
$17.39 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$19.74 |
$19.74 |
$19.74 |
$156.24
|
|
Complement antigen each component c3
|
$47.74 |
$47.74 |
$47.74 |
$110.00
|
|
Complement fixation each
|
$20.68 |
$20.68 |
$20.68 |
$62.50
|
|
Concentration infection agents any type
|
$10.05 |
$10.05 |
$10.05 |
$48.00
|
|
Connector tis 2x10mm
|
$2,988.26 |
$2,988.26 |
$2,988.26 |
$3,167.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$31.96 |
$31.96 |
$31.96 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$54.99 |
$54.99 |
$54.99 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$32.90 |
$32.90 |
$32.90 |
$231.75
|
|
Contrast baths charges
|
$35.72 |
$35.72 |
$35.72 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$1,220.59 |
$1,220.59 |
$1,220.59 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$1,150.09 |
$1,150.09 |
$1,150.09 |
$3,167.26
|
|
Contrast x-ray of ankle
|
$267.90 |
$267.90 |
$267.90 |
$517.26
|
|
Contrast x-ray of brain
|
$367.54 |
$367.54 |
$367.54 |
$897.88
|
|
Contrast x-ray of elbow
|
$159.33 |
$159.33 |
$159.33 |
$566.28
|
|
Contrast x-ray of hip
|
$532.98 |
$532.98 |
$532.98 |
$676.12
|
|
Contrast x-ray of knee joint
|
$302.21 |
$302.21 |
$302.21 |
$623.50
|
|
Contrast x-ray of wrist
|
$487.86 |
$487.86 |
$487.86 |
$541.20
|
|
Convert nephrostomy catheter
|
$3,417.84 |
$3,417.84 |
$3,417.84 |
$4,197.30
|
|
Coombs direct
|
$29.61 |
$29.61 |
$29.61 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$8.46 |
$8.46 |
$8.46 |
$76.70
|
|
Coombs indirect titer reference
|
$78.49 |
$78.49 |
$78.49 |
$122.85
|
|
Cor artery disease mrna
|
$493.50 |
$493.50 |
$493.50 |
$1,050.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$5,121.59 |
$5,121.59 |
$5,121.59 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$4,982.47 |
$4,982.47 |
$4,982.47 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$5,121.59 |
$5,121.59 |
$5,121.59 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$5,121.59 |
$5,121.59 |
$5,121.59 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$5,121.59 |
$5,121.59 |
$5,121.59 |
$9,198.18
|
|
Cortisol total am
|
$31.49 |
$31.49 |
$31.49 |
$117.81
|
|
Cosyntropin 0.25 mg solution for injection
|
$82.37 |
$82.37 |
$82.37 |
$218.95
|
|
Co-treatment - group 15 mins, st
|
$156.51 |
$156.51 |
$156.51 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$12.69 |
$12.69 |
$12.69 |
$57.85
|
|
Covid-19 lab test non-cdc
|
$44.65 |
$44.65 |
$44.65 |
$52.69
|
|
#covid19rsv-rsv
|
$65.80 |
$65.80 |
$65.80 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$62.51 |
$62.51 |
$62.51 |
$65.36
|
|
C-peptide
|
$21.62 |
$21.62 |
$21.62 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$432.40 |
$432.40 |
$432.40 |
$1,170.64
|
|
C-reactive protein
|
$5.64 |
$5.64 |
$5.64 |
$54.43
|
|
C-reactive protein high sensitivity
|
$13.16 |
$13.16 |
$13.16 |
$91.65
|
|
Creatine kinase
|
$6.11 |
$6.11 |
$6.11 |
$55.00
|
|
Creatine kinase isoenzymes
|
$27.73 |
$27.73 |
$27.73 |
$66.00
|
|
Creatine kinase mb
|
$15.98 |
$15.98 |
$15.98 |
$100.75
|
|
Creatine - sendout
|
$20.36 |
$20.36 |
$20.36 |
$35.10
|
|
Creatinine
|
$8.93 |
$8.93 |
$8.93 |
$40.00
|
|
Creatinine 24 hour urine
|
$13.63 |
$13.63 |
$13.63 |
$54.40
|
|
Creatinine clearance urine
|
$19.27 |
$19.27 |
$19.27 |
$73.86
|
|
#creutz-prot.,western blot
|
$47.41 |
$47.41 |
$47.41 |
$178.10
|
|
Crisis psychotherapy 90839
|
$102.93 |
$102.93 |
$102.93 |
$326.34
|