|
Chromosome analysis 15-20 cell count
|
$114.91 |
$114.91 |
$114.91 |
$517.11
|
|
Chromosome count additional
|
$17.50 |
$17.50 |
$17.50 |
$96.50
|
|
Chromosome karyotype study
|
$21.82 |
$21.82 |
$21.82 |
$120.00
|
|
Chromosome study additional
|
$22.46 |
$22.46 |
$22.46 |
$151.09
|
|
Chronic urticaria - sendout
|
$36.86 |
$36.86 |
$36.86 |
$75.71
|
|
Chylomicron screen, bf - sendout
|
$89.17 |
$89.17 |
$89.17 |
$136.09
|
|
Circumcision (newborn)
|
$159.65 |
$159.65 |
$159.65 |
$1,364.88
|
|
C-kit mutation liquid tumor - sendout
|
$480.65 |
$480.65 |
$480.65 |
$666.60
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$6,711.28 |
$6,711.28 |
$6,711.28 |
$15,560.16
|
|
Clip ligating vesolock lg
|
$12,594.80 |
$12,594.80 |
$12,594.80 |
$4,320.00
|
|
Clot factor xii hageman
|
$36.63 |
$36.63 |
$36.63 |
$138.40
|
|
Clot factor xiii fibrin scrn
|
$13.50 |
$13.50 |
$13.50 |
$56.85
|
|
Clot factor xiii fibrin stab
|
$47.24 |
$47.24 |
$47.24 |
$106.40
|
|
#cmvcul-virus inoculation shell
|
$33.98 |
$33.98 |
$33.98 |
$89.76
|
|
Cmv pcr-sendout
|
$56.29 |
$56.29 |
$56.29 |
$175.70
|
|
Coil axium 3d 14mmx40cm qc
|
$286.90 |
$286.90 |
$286.90 |
$308.00
|
|
Cold agglutinin screen (arc)
|
$14.40 |
$14.40 |
$14.40 |
$48.10
|
|
Cold agglutinin titer
|
$33.41 |
$33.41 |
$33.41 |
$52.00
|
|
Collagen imp urinary 2.5 ml
|
$11,587.40 |
$11,587.40 |
$11,587.40 |
$1,949.63
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$212.79 |
$212.79 |
$212.79 |
$303.73
|
|
Collection blood specimen from completely implantable venous access device
|
$97.78 |
$97.78 |
$97.78 |
$162.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$99.72 |
$99.72 |
$99.72 |
$155.40
|
|
Compatibility test each unit antiglobulin technique
|
$276.30 |
$276.30 |
$276.30 |
$173.50
|
|
Compatibility test each unit electronic
|
$276.30 |
$276.30 |
$276.30 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$276.30 |
$276.30 |
$276.30 |
$169.52
|
|
Complement antigen each component c3
|
$168.19 |
$168.19 |
$168.19 |
$110.00
|
|
Concentration infection agents any type
|
$67.97 |
$67.97 |
$67.97 |
$51.32
|
|
Contrast baths charges
|
$34.66 |
$34.66 |
$34.66 |
$75.60
|
|
Contrast x-ray gallbladder
|
$233.16 |
$233.16 |
$233.16 |
$341.00
|
|
Contrast x-ray of ankle
|
$446.57 |
$446.57 |
$446.57 |
$684.00
|
|
Contrast x-ray of elbow
|
$452.82 |
$452.82 |
$452.82 |
$708.00
|
|
Contrast x-ray of hip
|
$428.39 |
$428.39 |
$428.39 |
$796.38
|
|
Contrast x-ray of knee joint
|
$401.11 |
$401.11 |
$401.11 |
$790.50
|
|
Contrast x-ray of wrist
|
$193.17 |
$193.17 |
$193.17 |
$667.50
|
|
Controller infinity pt dbs
|
$7,989.62 |
$7,989.62 |
$7,989.62 |
$4,836.44
|
|
Coombs direct
|
$73.15 |
$73.15 |
$73.15 |
$76.80
|
|
Coombs indirect titer reference
|
$210.24 |
$210.24 |
$210.24 |
$156.71
|
|
Core ndl bx lng/med perq
|
$1,067.52 |
$1,067.52 |
$1,067.52 |
$2,904.48
|
|
Cortisol total am
|
$155.69 |
$155.69 |
$155.69 |
$121.20
|
|
Co-treatment - group 15 mins, st
|
$38.07 |
$38.07 |
$38.07 |
$112.00
|
|
Coveredge 32 lead kit 40cm 48
|
$4,395.30 |
$4,395.30 |
$4,395.30 |
$4,180.79
|
|
#covid19rsv-rsv
|
$112.04 |
$112.04 |
$112.04 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$31.10 |
$31.10 |
$31.10 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$336.92 |
$336.92 |
$336.92 |
$584.50
|
|
C-peptide
|
$30.37 |
$30.37 |
$30.37 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$226.00 |
$226.00 |
$226.00 |
$777.71
|
|
Crbrospnl fld flw imag cistern
|
$467.10 |
$467.10 |
$467.10 |
$1,330.02
|
|
C-reactive protein
|
$9.22 |
$9.22 |
$9.22 |
$69.36
|
|
C-reactive protein high sensitivity
|
$75.46 |
$75.46 |
$75.46 |
$85.50
|
|
C-reactive protein, quantitative
|
$46.66 |
$46.66 |
$46.66 |
$65.16
|
|
Creatine kinase
|
$26.51 |
$26.51 |
$26.51 |
$66.30
|
|
Creatine kinase isoenzymes
|
$28.44 |
$28.44 |
$28.44 |
$56.20
|
|
Creatine kinase mb
|
$16.87 |
$16.87 |
$16.87 |
$113.63
|
|
Creatine - sendout
|
$28.92 |
$28.92 |
$28.92 |
$41.25
|
|
Creatinine
|
$21.69 |
$21.69 |
$21.69 |
$46.20
|
|
Creatinine 24 hour urine
|
$38.56 |
$38.56 |
$38.56 |
$57.85
|
|
Creatinine clearance urine
|
$13.98 |
$13.98 |
$13.98 |
$90.26
|
|
#creutz-prot.,western blot
|
$74.71 |
$74.71 |
$74.71 |
$163.50
|
|
Critical care each additional 30 minutes
|
$364.00 |
$364.00 |
$364.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$728.00 |
$728.00 |
$728.00 |
$2,535.00
|
|
Cryoprecipitate each unit
|
$26.79 |
$26.79 |
$26.79 |
$144.78
|
|
Cryptosporidium antigen
|
$58.94 |
$58.94 |
$58.94 |
$52.08
|
|
Crystal identification light microscopy
|
$16.65 |
$16.65 |
$16.65 |
$66.43
|
|
Csf leakage imaging
|
$757.08 |
$757.08 |
$757.08 |
$1,564.11
|
|
CT 3d report other modality w/workstation
|
$527.69 |
$527.69 |
$527.69 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$964.81 |
$964.81 |
$964.81 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,680.79 |
$2,680.79 |
$2,680.79 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$1,759.59 |
$1,759.59 |
$1,759.59 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$1,656.28 |
$1,656.28 |
$1,656.28 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,820.84 |
$1,820.84 |
$1,820.84 |
$1,915.30
|
|
CT Angiogram of the Head
|
$735.84 |
$735.84 |
$735.84 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$950.88 |
$950.88 |
$950.88 |
$1,881.75
|
|
CT angio pelvis
|
$2,060.94 |
$2,060.94 |
$2,060.94 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$925.61 |
$925.61 |
$925.61 |
$1,691.30
|
|
CT bone density axial
|
$168.07 |
$168.07 |
$168.07 |
$385.15
|
|
CT guidance for needle placement
|
$589.94 |
$589.94 |
$589.94 |
$1,494.00
|
|
CT limited or localized follow-up study
|
$422.01 |
$422.01 |
$422.01 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$918.75 |
$918.75 |
$918.75 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,552.90 |
$2,552.90 |
$2,552.90 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,127.58 |
$2,127.58 |
$2,127.58 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,701.77 |
$1,701.77 |
$1,701.77 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$1,243.62 |
$1,243.62 |
$1,243.62 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$881.51 |
$881.51 |
$881.51 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$54.69 |
$54.69 |
$54.69 |
$72.00
|
|
Culture afb any source
|
$34.52 |
$34.52 |
$34.52 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$62.66 |
$62.66 |
$62.66 |
$84.76
|
|
Culture anaerobic except blood
|
$15.40 |
$15.40 |
$15.40 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$33.45 |
$33.45 |
$33.45 |
$52.50
|
|
Culture body fluid
|
$59.47 |
$59.47 |
$59.47 |
$126.75
|
|
Culture fungi definitive id mold
|
$73.28 |
$73.28 |
$73.28 |
$80.00
|
|
Culture fungi definitive id yeast
|
$32.92 |
$32.92 |
$32.92 |
$80.00
|
|
Culture fungi other (except blood)
|
$46.73 |
$46.73 |
$46.73 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$31.33 |
$31.33 |
$31.33 |
$74.75
|
|
Culture mycoplasma any source
|
$33.45 |
$33.45 |
$33.45 |
$83.21
|
|
Culture quantitative aerobic other source
|
$32.39 |
$32.39 |
$32.39 |
$87.02
|
|
Culture screening strep group a
|
$35.05 |
$35.05 |
$35.05 |
$84.60
|
|
Culture typing immunologic
|
$45.14 |
$45.14 |
$45.14 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$72.75 |
$72.75 |
$72.75 |
$140.80
|
|
Culture urine each isolate
|
$13.28 |
$13.28 |
$13.28 |
$55.50
|
|
Cutter lead
|
$17,455.14 |
$17,455.14 |
$17,455.14 |
$6,581.45
|