|
Chest apical lordotic proj
|
$131.04 |
$131.04 |
$131.04 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,324.40 |
$1,324.40 |
$1,324.40 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,020.32 |
$1,020.32 |
$1,020.32 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$832.72 |
$832.72 |
$832.72 |
$1,166.90
|
|
Chest X-ray
|
$155.68 |
$155.68 |
$155.68 |
$265.85
|
|
Chest X-ray (single view)
|
$91.28 |
$91.28 |
$91.28 |
$192.50
|
|
Chlamydia culture
|
$80.08 |
$80.08 |
$80.08 |
$96.51
|
|
Chlamydia type
|
$68.32 |
$68.32 |
$68.32 |
$34.80
|
|
Chloride
|
$20.16 |
$20.16 |
$20.16 |
$37.48
|
|
Chloride 24 hour urine
|
$13.44 |
$13.44 |
$13.44 |
$40.80
|
|
Cholangiogram percutaneous compl
|
$5,187.28 |
$5,187.28 |
$5,187.28 |
$3,611.95
|
|
Cholecystostomy complete w/supervision & interpretation
|
$6,084.40 |
$6,084.40 |
$6,084.40 |
$3,690.60
|
|
Cholesterol
|
$20.72 |
$20.72 |
$20.72 |
$40.95
|
|
Cholesterol body fluid
|
$364.00 |
$364.00 |
$364.00 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$31.36 |
$31.36 |
$31.36 |
$101.43
|
|
Cholinesterase
|
$17.89 |
$17.89 |
$17.89 |
$49.40
|
|
Chromo high res and frag x - sendout
|
$176.40 |
$176.40 |
$176.40 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$356.16 |
$356.16 |
$356.16 |
$558.25
|
|
Chromosome analysis 20-25
|
$411.04 |
$411.04 |
$411.04 |
$411.04
|
|
Chromosome analysis 45
|
$262.64 |
$262.64 |
$262.64 |
$429.28
|
|
Chromosome analysis 5
|
$180.04 |
$180.04 |
$180.04 |
$719.23
|
|
Chromosome banding study
|
$82.32 |
$82.32 |
$82.32 |
$235.95
|
|
Chromosome count additional
|
$83.30 |
$83.30 |
$83.30 |
$120.90
|
|
Chromosome karyotype study
|
$83.30 |
$83.30 |
$83.30 |
$120.60
|
|
Chylomicron screen, bf - sendout
|
$66.64 |
$66.64 |
$66.64 |
$136.09
|
|
Cidofovir injection
|
$507.92 |
$507.92 |
$507.92 |
$1,099.26
|
|
Cisplatin 1 mg/ml desensitization
|
$8.48 |
$8.48 |
$8.48 |
$52.43
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$34.89 |
$34.89 |
$34.89 |
$355.41
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$4,939.20 |
$4,939.20 |
$4,939.20 |
$9,240.00
|
|
Clearance of airways
|
$190.40 |
$190.40 |
$190.40 |
$208.00
|
|
Clip ligating vesolock lg
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,453.20
|
|
Closure paravalvlr leak pq
|
$906.64 |
$906.64 |
$906.64 |
$10,497.50
|
|
Clot factor fletcher fact
|
$24.64 |
$24.64 |
$24.64 |
$90.97
|
|
Clot factor viii reltd antgn
|
$70.56 |
$70.56 |
$70.56 |
$95.72
|
|
Clot factor wght kininogen
|
$24.64 |
$24.64 |
$24.64 |
$178.50
|
|
Clot factor xii hageman
|
$25.20 |
$25.20 |
$25.20 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$123.20 |
$123.20 |
$123.20 |
$81.25
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$180.88 |
$180.88 |
$180.88 |
$441.18
|
|
C motor evoked lwr limbs
|
$647.36 |
$647.36 |
$647.36 |
$619.82
|
|
C motor evoked uppr limbs
|
$647.36 |
$647.36 |
$647.36 |
$749.40
|
|
C motor evoked upr&lwr limbs
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$1,209.08
|
|
#cms hgb-sulfhemoglobin
|
$11.11 |
$11.11 |
$11.11 |
$75.58
|
|
#cmvcul-virus inoculation shell
|
$146.16 |
$146.16 |
$146.16 |
$109.80
|
|
Cmv pcr-sendout
|
$45.92 |
$45.92 |
$45.92 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.36 |
$2.36 |
$2.36 |
$3.78
|
|
Coagulation time activated teg
|
$35.84 |
$35.84 |
$35.84 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$34.72 |
$34.72 |
$34.72 |
$48.57
|
|
Cold agglutinin titer
|
$34.72 |
$34.72 |
$34.72 |
$48.57
|
|
Collection of venous blood by venipuncture
|
$12.88 |
$12.88 |
$12.88 |
$20.30
|
|
Compatibility test each unit antiglobulin technique
|
$50.40 |
$50.40 |
$50.40 |
$156.60
|
|
Compatibility test each unit immediate spin technique
|
$50.40 |
$50.40 |
$50.40 |
$156.24
|
|
Compatibility test incubate
|
$13.44 |
$13.44 |
$13.44 |
$140.00
|
|
Complement antigen each component c3
|
$65.52 |
$65.52 |
$65.52 |
$110.00
|
|
Concentration infection agents any type
|
$8.96 |
$8.96 |
$8.96 |
$48.00
|
|
Conduit wrap neuomend 3mmx2.5cm
|
$1,425.20 |
$1,425.20 |
$1,425.20 |
$2,242.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$187.60 |
$187.60 |
$187.60 |
$768.50
|
|
Connect omega .5mm
|
$577.36 |
$577.36 |
$577.36 |
$847.52
|
|
Connector tis 2x10mm
|
$1,597.12 |
$1,597.12 |
$1,597.12 |
$3,167.05
|
|
Consultation pathology during surgery
|
$24.64 |
$24.64 |
$24.64 |
$89.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$50.40 |
$50.40 |
$50.40 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$14.00 |
$14.00 |
$14.00 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$33.60 |
$33.60 |
$33.60 |
$200.00
|
|
Consult comp w/report rfrd material
|
$137.20 |
$137.20 |
$137.20 |
$365.60
|
|
Contrast baths charges
|
$41.44 |
$41.44 |
$41.44 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$1,293.04 |
$1,293.04 |
$1,293.04 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$3,167.26
|
|
Contrast x-ray of ankle
|
$294.56 |
$294.56 |
$294.56 |
$517.26
|
|
Contrast x-ray of elbow
|
$203.84 |
$203.84 |
$203.84 |
$566.28
|
|
Contrast x-ray of hip
|
$646.24 |
$646.24 |
$646.24 |
$676.12
|
|
Contrast x-ray of knee joint
|
$652.96 |
$652.96 |
$652.96 |
$623.50
|
|
Contrast x-ray of wrist
|
$428.40 |
$428.40 |
$428.40 |
$541.20
|
|
Controller infinity pt dbs
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$4,678.20
|
|
Conversion ext bil drg cath
|
$12,470.64 |
$12,470.64 |
$12,470.64 |
$4,270.00
|
|
Convert nephrostomy catheter
|
$7,683.20 |
$7,683.20 |
$7,683.20 |
$4,197.30
|
|
Coombs direct
|
$15.68 |
$15.68 |
$15.68 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$13.44 |
$13.44 |
$13.44 |
$76.70
|
|
Coombs indirect titer reference
|
$18.48 |
$18.48 |
$18.48 |
$122.85
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$13,833.12 |
$13,833.12 |
$13,833.12 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$12,262.88 |
$12,262.88 |
$12,262.88 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$14,560.00 |
$14,560.00 |
$14,560.00 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$8,875.44 |
$8,875.44 |
$8,875.44 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,320.88 |
$7,320.88 |
$7,320.88 |
$9,198.18
|
|
Cortisol total am
|
$50.84 |
$50.84 |
$50.84 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$53.20 |
$53.20 |
$53.20 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$31.92 |
$31.92 |
$31.92 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$7,683.00
|
|
Covid-19 lab test non-cdc
|
$43.12 |
$43.12 |
$43.12 |
$52.69
|
|
#covid19rsv-rsv
|
$90.16 |
$90.16 |
$90.16 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$34.72 |
$34.72 |
$34.72 |
$65.36
|
|
C-peptide
|
$39.76 |
$39.76 |
$39.76 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$599.76 |
$599.76 |
$599.76 |
$1,170.64
|
|
C-reactive protein
|
$10.08 |
$10.08 |
$10.08 |
$54.43
|
|
C-reactive protein high sensitivity
|
$29.68 |
$29.68 |
$29.68 |
$91.65
|
|
C-reactive protein, quantitative
|
$71.06 |
$71.06 |
$71.06 |
$77.50
|
|
Creatine kinase
|
$24.08 |
$24.08 |
$24.08 |
$55.00
|
|
Creatine kinase mb
|
$43.12 |
$43.12 |
$43.12 |
$100.75
|
|
Creatine - sendout
|
$27.44 |
$27.44 |
$27.44 |
$35.10
|
|
Creatinine
|
$7.84 |
$7.84 |
$7.84 |
$40.00
|
|
Creatinine 24 hour urine
|
$15.68 |
$15.68 |
$15.68 |
$54.40
|
|
Creatinine clearance urine
|
$26.88 |
$26.88 |
$26.88 |
$73.86
|