|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$12.29 |
$12.29 |
$12.29 |
$51.66
|
|
Ceftriaxone 1 gram solution for injection
|
$6.58 |
$6.58 |
$6.58 |
$86.58
|
|
#celiac hla-dq8
|
$361.73 |
$361.73 |
$361.73 |
$246.88
|
|
Cell count body fluid
|
$40.24 |
$40.24 |
$40.24 |
$63.52
|
|
Cell count w differential body fluid
|
$14.69 |
$14.69 |
$14.69 |
$95.55
|
|
#cf-97variants
|
$325.59 |
$325.59 |
$325.59 |
$612.26
|
|
Change cystostomy tube; complex 51710
|
$745.94 |
$745.94 |
$745.94 |
$1,546.40
|
|
Change of windpipe airway 31502
|
$261.50 |
$261.50 |
$261.50 |
$412.00
|
|
Chest 2 vws w oblique
|
$324.74 |
$324.74 |
$324.74 |
$373.20
|
|
Chest apical lordotic proj
|
$257.66 |
$257.66 |
$257.66 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$2,167.36 |
$2,167.36 |
$2,167.36 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$1,926.60 |
$1,926.60 |
$1,926.60 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$1,708.72 |
$1,708.72 |
$1,708.72 |
$1,350.03
|
|
Chest X-ray
|
$273.33 |
$273.33 |
$273.33 |
$294.06
|
|
Chest X-ray (single view)
|
$212.81 |
$212.81 |
$212.81 |
$229.08
|
|
Chloride
|
$43.29 |
$43.29 |
$43.29 |
$38.50
|
|
Chloride 24 hour urine
|
$47.39 |
$47.39 |
$47.39 |
$46.13
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$460.46 |
$460.46 |
$460.46 |
$625.60
|
|
Cholesterol
|
$41.08 |
$41.08 |
$41.08 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$58.44 |
$58.44 |
$58.44 |
$115.70
|
|
Cholinesterase
|
$142.55 |
$142.55 |
$142.55 |
$38.69
|
|
Chrom analysis
|
$108.55 |
$108.55 |
$108.55 |
$127.86
|
|
Chromatography
|
$88.47 |
$88.47 |
$88.47 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$360.04 |
$360.04 |
$360.04 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$540.93 |
$540.93 |
$540.93 |
$448.80
|
|
Chromosome study additional
|
$141.31 |
$141.31 |
$141.31 |
$147.03
|
|
Chronic urticaria - sendout
|
$244.60 |
$244.60 |
$244.60 |
$89.70
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$15.91 |
$15.91 |
$15.91 |
$45.27
|
|
Clearance of airways
|
$86.71 |
$86.71 |
$86.71 |
$206.80
|
|
Clip ligating vesolock lg
|
$2,082.86 |
$2,082.86 |
$2,082.86 |
$977.62
|
|
Clostridium toxin a w/optic
|
$132.15 |
$132.15 |
$132.15 |
$17.60
|
|
Clot factor xii hageman
|
$218.08 |
$218.08 |
$218.08 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$218.08 |
$218.08 |
$218.08 |
$47.30
|
|
Clsd tx temporomandibular dislocat 21480
|
$346.00 |
$346.00 |
$346.00 |
$506.40
|
|
Cmv pcr-sendout
|
$276.90 |
$276.90 |
$276.90 |
$172.25
|
|
Cold agglutinin titer
|
$88.14 |
$88.14 |
$88.14 |
$49.40
|
|
Collection blood specimen from completely implantable venous access device
|
$116.68 |
$116.68 |
$116.68 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$116.68 |
$116.68 |
$116.68 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$11.05 |
$11.05 |
$11.05 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$78.00 |
$78.00 |
$78.00 |
$165.00
|
|
Compatibility test each unit electronic
|
$78.00 |
$78.00 |
$78.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$78.00 |
$78.00 |
$78.00 |
$159.95
|
|
Complement antigen each component c3
|
$117.78 |
$117.78 |
$117.78 |
$113.13
|
|
Complement fixation each
|
$70.66 |
$70.66 |
$70.66 |
$25.70
|
|
Concentration infection agents any type
|
$38.81 |
$38.81 |
$38.81 |
$50.70
|
|
Condylomata destruction 56420
|
$264.49 |
$264.49 |
$264.49 |
$503.67
|
|
Consultation pathology during surgery
|
$64.55 |
$64.55 |
$64.55 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$189.22 |
$189.22 |
$189.22 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$143.59 |
$143.59 |
$143.59 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$239.33 |
$239.33 |
$239.33 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$243.88 |
$243.88 |
$243.88 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$176.28 |
$176.28 |
$176.28 |
$176.15
|
|
Consult comp w/report rfrd material
|
$401.12 |
$401.12 |
$401.12 |
$345.71
|
|
Contrast baths charges
|
$65.26 |
$65.26 |
$65.26 |
$77.98
|
|
Contrast x-ray of hip
|
$796.38 |
$796.38 |
$796.38 |
$770.88
|
|
Contrast x-ray of knee joint
|
$796.38 |
$796.38 |
$796.38 |
$655.05
|
|
Contrast x-ray of wrist
|
$796.38 |
$796.38 |
$796.38 |
$558.71
|
|
Control nosebleed pack+caut 30905
|
$220.22 |
$220.22 |
$220.22 |
$460.17
|
|
Control of nosebleed ant comp 30903
|
$220.22 |
$220.22 |
$220.22 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$220.22 |
$220.22 |
$220.22 |
$385.45
|
|
Coombs direct
|
$50.12 |
$50.12 |
$50.12 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$53.82 |
$53.82 |
$53.82 |
$100.29
|
|
Cortisol total am
|
$153.73 |
$153.73 |
$153.73 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$218.95 |
$218.95 |
$218.95 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$69.49 |
$69.49 |
$69.49 |
$57.60
|
|
Covid-19 administration immunization im inj 1st/only component
|
$43.10 |
$43.10 |
$43.10 |
$62.15
|
|
Covid-19 lab test non-cdc
|
$113.69 |
$113.69 |
$113.69 |
$56.44
|
|
#coxa-coxsackie a serotype a16
|
$144.69 |
$144.69 |
$144.69 |
$65.36
|
|
C-peptide
|
$173.55 |
$173.55 |
$173.55 |
$100.26
|
|
C-reactive protein
|
$86.84 |
$86.84 |
$86.84 |
$61.10
|
|
C-reactive protein high sensitivity
|
$104.33 |
$104.33 |
$104.33 |
$91.20
|
|
C-reactive protein, quantitative
|
$91.65 |
$91.65 |
$91.65 |
$63.07
|
|
Creatine kinase
|
$34.58 |
$34.58 |
$34.58 |
$58.30
|
|
Creatine kinase isoenzymes
|
$132.67 |
$132.67 |
$132.67 |
$49.40
|
|
Creatine kinase mb
|
$85.67 |
$85.67 |
$85.67 |
$105.95
|
|
Creatine - sendout
|
$41.15 |
$41.15 |
$41.15 |
$40.59
|
|
Creatinine
|
$30.75 |
$30.75 |
$30.75 |
$42.50
|
|
Creatinine 24 hour urine
|
$48.82 |
$48.82 |
$48.82 |
$59.80
|
|
Creatinine clearance urine
|
$89.18 |
$89.18 |
$89.18 |
$85.80
|
|
#creutz-prot.,western blot
|
$124.41 |
$124.41 |
$124.41 |
$179.28
|
|
Critical care 30-74 minutes
|
$1,453.92 |
$1,453.92 |
$1,453.92 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$484.77 |
$484.77 |
$484.77 |
$756.00
|
|
Cryofibrinogen qualitative - sendout
|
$32.57 |
$32.57 |
$32.57 |
$50.88
|
|
Cryoprecipitate each unit
|
$266.18 |
$266.18 |
$266.18 |
$190.20
|
|
Crystal identification light microscopy
|
$70.79 |
$70.79 |
$70.79 |
$58.50
|
|
Cta abdomen without & /or w/contrast
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$932.23 |
$932.23 |
$932.23 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$2,041.78 |
$2,041.78 |
$2,041.78 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,088.35 |
$3,088.35 |
$3,088.35 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$2,017.89
|
|
CT Angiogram of the Head
|
$2,041.78 |
$2,041.78 |
$2,041.78 |
$2,041.78
|
|
CT angio pelvis
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$932.23 |
$932.23 |
$932.23 |
$1,652.95
|
|
CT guidance for needle placement
|
$780.07 |
$780.07 |
$780.07 |
$1,506.04
|
|
CT limited or localized follow-up study
|
$795.60 |
$795.60 |
$795.60 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$1,529.39 |
$1,529.39 |
$1,529.39 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$1,473.55 |
$1,473.55 |
$1,473.55 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,771.38 |
$1,771.38 |
$1,771.38 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,511.71 |
$1,511.71 |
$1,511.71 |
$1,667.00
|