|
Contrast baths charges
|
$45.50 |
$45.50 |
$45.50 |
$77.98
|
|
Coombs direct
|
$54.50 |
$54.50 |
$54.50 |
$70.02
|
|
Cortisol total am
|
$55.50 |
$55.50 |
$55.50 |
$117.50
|
|
Co-treatment - group 15 mins, st
|
$170.00 |
$170.00 |
$170.00 |
$108.81
|
|
C-peptide
|
$108.00 |
$108.00 |
$108.00 |
$110.50
|
|
C-reactive protein
|
$8.00 |
$8.00 |
$8.00 |
$56.00
|
|
C-reactive protein high sensitivity
|
$67.50 |
$67.50 |
$67.50 |
$91.65
|
|
Creatine kinase mb
|
$34.50 |
$34.50 |
$34.50 |
$100.75
|
|
Creatine - sendout
|
$22.00 |
$22.00 |
$22.00 |
$35.10
|
|
Creatinine
|
$20.50 |
$20.50 |
$20.50 |
$40.00
|
|
Creatinine 24 hour urine
|
$43.00 |
$43.00 |
$43.00 |
$53.85
|
|
Creatinine clearance urine
|
$65.50 |
$65.50 |
$65.50 |
$73.86
|
|
#creutz-prot.,western blot
|
$356.00 |
$356.00 |
$356.00 |
$166.20
|
|
Crisis psychotherapy 90839
|
$205.00 |
$205.00 |
$205.00 |
$324.85
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,606.00 |
$2,606.00 |
$2,606.00 |
$1,901.10
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$2,570.50 |
$2,570.50 |
$2,570.50 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,083.50 |
$2,083.50 |
$2,083.50 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$2,240.40
|
|
Culture aerobic additional method definitive id each
|
$37.00 |
$37.00 |
$37.00 |
$60.93
|
|
Culture afb any source
|
$101.50 |
$101.50 |
$101.50 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$61.50 |
$61.50 |
$61.50 |
$73.00
|
|
Culture anaerobic except blood
|
$55.50 |
$55.50 |
$55.50 |
$114.40
|
|
Culture bact stool aero addl path ea
|
$20.00 |
$20.00 |
$20.00 |
$50.40
|
|
Culture body fluid
|
$38.00 |
$38.00 |
$38.00 |
$105.34
|
|
Culture mycoplasma any source
|
$104.50 |
$104.50 |
$104.50 |
$92.91
|
|
Culture screening strep group a
|
$51.00 |
$51.00 |
$51.00 |
$75.00
|
|
Culture urine each isolate
|
$42.00 |
$42.00 |
$42.00 |
$44.73
|
|
Cyclic citrullinated peptide antibody
|
$48.50 |
$48.50 |
$48.50 |
$91.00
|
|
Cyclosporine 2 hour
|
$123.50 |
$123.50 |
$123.50 |
$126.00
|
|
Cystatin c
|
$183.50 |
$183.50 |
$183.50 |
$83.20
|
|
Cystogram >= 3 views supervision & interpretation
|
$244.00 |
$244.00 |
$244.00 |
$487.04
|
|
Cytogenom microarray copy nmbr var
|
$2,351.50 |
$2,351.50 |
$2,351.50 |
$1,307.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$74.50 |
$74.50 |
$74.50 |
$96.20
|
|
Cytomegalovirus (cmv) antibody igm
|
$86.00 |
$86.00 |
$86.00 |
$95.00
|
|
Dch validity tests
|
$18.00 |
$18.00 |
$18.00 |
$23.45
|
|
Desoxycorticosterone
|
$145.50 |
$145.50 |
$145.50 |
$109.28
|
|
Developmental screen/score/document 96110
|
$149.50 |
$149.50 |
$149.50 |
$127.95
|
|
Devel tst phys/qhp 1st hr
|
$361.50 |
$361.50 |
$361.50 |
$337.50
|
|
Dev tst admin phys/qhp ea addl 30 min
|
$200.00 |
$200.00 |
$200.00 |
$196.30
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$210.00 |
$210.00 |
$210.00 |
$220.43
|
|
Dhea-s (dehydroepiand sulfate)
|
$104.50 |
$104.50 |
$104.50 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$67.00 |
$67.00 |
$67.00 |
$70.00
|
|
Digoxin total therapeutic drug level
|
$49.00 |
$49.00 |
$49.00 |
$95.00
|
|
Disaccharidases
|
$93.50 |
$93.50 |
$93.50 |
$224.58
|
|
Dna antibody native/double stranded
|
$71.50 |
$71.50 |
$71.50 |
$99.00
|
|
Dna probe gc
|
$112.00 |
$112.00 |
$112.00 |
$88.67
|
|
Electrical stimulation/unattended 97014
|
$45.50 |
$45.50 |
$45.50 |
$77.33
|
|
Electric stim/w chemodenervation 95873
|
$125.00 |
$125.00 |
$125.00 |
$128.40
|
|
Electroacous eval hear aid/biaural 92595
|
$227.50 |
$227.50 |
$227.50 |
$97.50
|
|
Electrolyte panel
|
$19.00 |
$19.00 |
$19.00 |
$68.56
|
|
Epstein barr early antigen antibody
|
$64.00 |
$64.00 |
$64.00 |
$78.00
|
|
Epstein barr nuclear antigen antibody
|
$18.50 |
$18.50 |
$18.50 |
$85.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$22.00 |
$22.00 |
$22.00 |
$100.20
|
|
Established Patient Office Visit (level 1)
|
$108.00 |
$108.00 |
$108.00 |
$113.42
|
|
Established Patient Office Visit (level 2)
|
$159.00 |
$159.00 |
$159.00 |
$131.07
|
|
Established Patient Office Visit (level 3)
|
$224.00 |
$224.00 |
$224.00 |
$167.05
|
|
Established Patient Office Visit (level 4)
|
$304.50 |
$304.50 |
$304.50 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$385.00 |
$385.00 |
$385.00 |
$267.33
|
|
Estradiol total
|
$146.50 |
$146.50 |
$146.50 |
$142.20
|
|
Evaluation of speech fluency 92521
|
$445.50 |
$445.50 |
$445.50 |
$348.27
|
|
Evaluation psychiatric diagnostic
|
$402.50 |
$402.50 |
$402.50 |
$324.00
|
|
Evoked auditory tst complete
|
$164.50 |
$164.50 |
$164.50 |
$366.72
|
|
Evoked oa emissions ltd
|
$154.00 |
$154.00 |
$154.00 |
$234.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$658.50 |
$658.50 |
$658.50 |
$502.88
|
|
Factor ix
|
$154.50 |
$154.50 |
$154.50 |
$146.25
|
|
Factor viii
|
$93.50 |
$93.50 |
$93.50 |
$152.50
|
|
Family therapy without pt 50min 90846
|
$239.50 |
$239.50 |
$239.50 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$243.00 |
$243.00 |
$243.00 |
$222.75
|
|
Fat/lipids feces qualitative
|
$29.50 |
$29.50 |
$29.50 |
$41.89
|
|
Fatty acids nonesterified
|
$39.50 |
$39.50 |
$39.50 |
$57.00
|
|
Felbamate (felbatol(r)) - sendout
|
$29.50 |
$29.50 |
$29.50 |
$66.43
|
|
Ferritin
|
$63.00 |
$63.00 |
$63.00 |
$87.98
|
|
Fibrin degradation d dimer quantitative
|
$57.50 |
$57.50 |
$57.50 |
$88.80
|
|
Fibrinogen activity
|
$70.00 |
$70.00 |
$70.00 |
$65.40
|
|
Fluidotherapy charges pt
|
$45.50 |
$45.50 |
$45.50 |
$100.22
|
|
Fluorescent antibody titer dna
|
$70.00 |
$70.00 |
$70.00 |
$123.65
|
|
Folic acid
|
$74.50 |
$74.50 |
$74.50 |
$85.50
|
|
Foot X-ray
|
$279.00 |
$279.00 |
$279.00 |
$339.50
|
|
Fructosamine glycated protein
|
$82.00 |
$82.00 |
$82.00 |
$68.05
|
|
Gammaglobulin iga
|
$52.50 |
$52.50 |
$52.50 |
$73.82
|
|
Gammaglobulin ige
|
$85.50 |
$85.50 |
$85.50 |
$87.10
|
|
Gamma glutamyltransferase
|
$36.50 |
$36.50 |
$36.50 |
$54.60
|
|
Gastroesophageal reflux study
|
$822.00 |
$822.00 |
$822.00 |
$863.10
|
|
General health panel
|
$35.00 |
$35.00 |
$35.00 |
$267.20
|
|
Gentamicin peak therapeutic drug level
|
$109.00 |
$109.00 |
$109.00 |
$113.40
|
|
Ghs alpha thalasemia, 7 deletions
|
$457.50 |
$457.50 |
$457.50 |
$405.60
|
|
Ghs antibodies (torch) igm
|
$74.50 |
$74.50 |
$74.50 |
$82.50
|
|
Ghs community re-entry 15 minutes
|
$45.50 |
$45.50 |
$45.50 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$47.00 |
$47.00 |
$47.00 |
$85.20
|
|
Ghs hcv amplificaiton
|
$244.00 |
$244.00 |
$244.00 |
$201.06
|
|
Ghs HIV antibody
|
$131.50 |
$131.50 |
$131.50 |
$90.14
|
|
Ghs musc test done w/n test comp
|
$168.00 |
$168.00 |
$168.00 |
$349.80
|
|
Ghs musc tst done w/nerv tst lim
|
$152.00 |
$152.00 |
$152.00 |
$276.60
|
|
Ghs musc tst done w/n tst non ext
|
$219.50 |
$219.50 |
$219.50 |
$219.05
|
|
Ghs ot prosthetic training/15 min
|
$72.50 |
$72.50 |
$72.50 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$110.00 |
$110.00 |
$110.00 |
$91.24
|
|
Ghs phenylketonurid
|
$41.50 |
$41.50 |
$41.50 |
$55.80
|
|
Ghs respiratory syncytical virus igg/m
|
$64.50 |
$64.50 |
$64.50 |
$41.30
|
|
Ghs reticulocyte count
|
$20.00 |
$20.00 |
$20.00 |
$30.00
|
|
Ghs sedimentation rate
|
$21.50 |
$21.50 |
$21.50 |
$36.50
|