|
Calculi urinary-sendout
|
$134.00 |
$134.00 |
$134.00 |
$81.90
|
|
Calculus analysis qual
|
$148.00 |
$148.00 |
$148.00 |
$85.80
|
|
Calprotectin fecal
|
$190.00 |
$190.00 |
$190.00 |
$177.45
|
|
Candida dna
|
$109.00 |
$109.00 |
$109.00 |
$74.40
|
|
Carbamazepine total therapeutic drug level
|
$80.00 |
$80.00 |
$80.00 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$96.00 |
$96.00 |
$96.00 |
$111.60
|
|
Carbon dioxide
|
$57.00 |
$57.00 |
$57.00 |
$46.40
|
|
Carboxyhemoglobin quantitative
|
$116.00 |
$116.00 |
$116.00 |
$86.45
|
|
Carcinoembryonic ag (cea)
|
$204.00 |
$204.00 |
$204.00 |
$132.60
|
|
Cardiac drug stress test
|
$656.00 |
$656.00 |
$656.00 |
$517.33
|
|
Cardiac perf planar sgl/ef/wm
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$1,778.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,917.00 |
$2,917.00 |
$2,917.00 |
$2,683.51
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$387.00 |
$387.00 |
$387.00 |
$258.10
|
|
Cardioassist internal
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$2,037.75
|
|
Cardiolipin antibody iga
|
$83.00 |
$83.00 |
$83.00 |
$130.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$1,596.40
|
|
Carotene
|
$161.00 |
$161.00 |
$161.00 |
$63.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,056.60
|
|
Cath combo lt&rt heart w/inj/s
|
$13,117.00 |
$13,117.00 |
$13,117.00 |
$10,362.80
|
|
Catheterization collection of specimen single patient all places of service
|
$90.00 |
$90.00 |
$90.00 |
$58.50
|
|
Cath left heart/lv gram
|
$11,759.00 |
$11,759.00 |
$11,759.00 |
$9,682.00
|
|
Cath plc art ang/grft lt/rt hr
|
$18,051.00 |
$18,051.00 |
$18,051.00 |
$12,021.10
|
|
Cath plc art/angio/rt hrt cath
|
$15,517.00 |
$15,517.00 |
$15,517.00 |
$12,021.10
|
|
Cath plc art/grft/angio right hrt
|
$17,265.00 |
$17,265.00 |
$17,265.00 |
$11,372.40
|
|
Cath right heart w/o2 sat & card
|
$7,005.00 |
$7,005.00 |
$7,005.00 |
$6,790.00
|
|
Cdna analysis for variants
|
$842.00 |
$842.00 |
$842.00 |
$602.00
|
|
Cebpa gene full sequence
|
$700.00 |
$700.00 |
$700.00 |
$485.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$43.88 |
$43.88 |
$43.88 |
$28.52
|
|
Cefepime 1 gram solution for injection
|
$45.00 |
$45.00 |
$45.00 |
$42.71
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$71.64 |
$71.64 |
$71.64 |
$57.54
|
|
Ceftriaxone 1 gram solution for injection
|
$45.00 |
$45.00 |
$45.00 |
$75.77
|
|
#celiac hla-dq2
|
$418.00 |
$418.00 |
$418.00 |
$226.28
|
|
Cell count body fluid
|
$26.00 |
$26.00 |
$26.00 |
$56.44
|
|
Cell count w differential body fluid
|
$160.00 |
$160.00 |
$160.00 |
$83.71
|
|
Cell cryopreserve/storage
|
$120.00 |
$120.00 |
$120.00 |
$58.50
|
|
Cell function assay w/stim
|
$669.00 |
$669.00 |
$669.00 |
$372.45
|
|
Cell marker study
|
$331.00 |
$331.00 |
$331.00 |
$273.70
|
|
Cerebrospinal fld flw imag
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$895.95
|
|
#cf-97variants
|
$740.00 |
$740.00 |
$740.00 |
$841.80
|
|
Cftr gene dup/delet variants
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$870.40
|
|
Chemo ia infusion up to 1 hr
|
$788.00 |
$788.00 |
$788.00 |
$691.12
|
|
Chest 2 vws w oblique
|
$553.00 |
$553.00 |
$553.00 |
$361.77
|
|
Chest apical lordotic proj
|
$471.00 |
$471.00 |
$471.00 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$3,374.00 |
$3,374.00 |
$3,374.00 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$3,174.00 |
$3,174.00 |
$3,174.00 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$2,492.00 |
$2,492.00 |
$2,492.00 |
$1,350.03
|
|
Chest X-ray
|
$356.00 |
$356.00 |
$356.00 |
$281.40
|
|
Chest X-ray (single view)
|
$261.00 |
$261.00 |
$261.00 |
$220.00
|
|
Chlamydia culture
|
$146.00 |
$146.00 |
$146.00 |
$96.00
|
|
Chlamydia type
|
$59.00 |
$59.00 |
$59.00 |
$34.75
|
|
Chloride
|
$63.00 |
$63.00 |
$63.00 |
$37.60
|
|
Chloride 24 hour urine
|
$82.00 |
$82.00 |
$82.00 |
$42.57
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$74.88 |
$74.88 |
$74.88 |
$51.16
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$767.00 |
$767.00 |
$767.00 |
$639.00
|
|
Cholesterol
|
$71.00 |
$71.00 |
$71.00 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$182.00 |
$182.00 |
$182.00 |
$107.40
|
|
Cholinesterase
|
$71.00 |
$71.00 |
$71.00 |
$58.80
|
|
Chrom analysis
|
$135.00 |
$135.00 |
$135.00 |
$173.40
|
|
Chromatography
|
$116.00 |
$116.00 |
$116.00 |
$81.25
|
|
Chromogenic substrate assay
|
$323.00 |
$323.00 |
$323.00 |
$188.40
|
|
Chromo high res and frag x - sendout
|
$293.00 |
$293.00 |
$293.00 |
$269.00
|
|
Chromosome analysis 15-20 cell count
|
$901.00 |
$901.00 |
$901.00 |
$560.30
|
|
Chromosome count additional
|
$76.00 |
$76.00 |
$76.00 |
$120.90
|
|
Chromosome karyotype study
|
$63.00 |
$63.00 |
$63.00 |
$127.86
|
|
Chronic urticaria - sendout
|
$153.00 |
$153.00 |
$153.00 |
$100.00
|
|
Chylomicron screen, bf - sendout
|
$227.00 |
$227.00 |
$227.00 |
$136.09
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$60.00 |
$60.00 |
$60.00 |
$39.70
|
|
Circumcise/surg/28 days or < 54160
|
$586.00 |
$586.00 |
$586.00 |
$1,995.50
|
|
C-kit mutation liquid tumor - sendout
|
$868.00 |
$868.00 |
$868.00 |
$659.20
|
|
Clearance of airways
|
$243.00 |
$243.00 |
$243.00 |
$225.12
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$88.88 |
$88.88 |
$88.88 |
$51.80
|
|
Clot factor xii hageman
|
$197.00 |
$197.00 |
$197.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$185.00 |
$185.00 |
$185.00 |
$81.25
|
|
Clot factor xiii fibrin stab
|
$194.00 |
$194.00 |
$194.00 |
$105.00
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$865.00 |
$865.00 |
$865.00 |
$716.95
|
|
Clsd tx elbow dislocation child 24640
|
$365.00 |
$365.00 |
$365.00 |
$520.00
|
|
Clsd tx iphal jnt disl w/manip req anes
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$1,014.00
|
|
Clsd tx/shoulder dislo/manip/anest 23655
|
$1,316.00 |
$1,316.00 |
$1,316.00 |
$2,375.20
|
|
Clsd tx toe dislocation without anes28660
|
$50.00 |
$50.00 |
$50.00 |
$412.00
|
|
#cmvcul-virus inoculation shell
|
$194.00 |
$194.00 |
$194.00 |
$102.57
|
|
Coagulation time activated teg
|
$116.00 |
$116.00 |
$116.00 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$60.00 |
$60.00 |
$60.00 |
$48.57
|
|
Cold agglutinin titer
|
$82.00 |
$82.00 |
$82.00 |
$49.80
|
|
Collection blood specimen from completely implantable venous access device
|
$179.00 |
$179.00 |
$179.00 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$179.00 |
$179.00 |
$179.00 |
$179.79
|
|
Collection of venous blood by venipuncture
|
$311.00 |
$311.00 |
$311.00 |
$22.50
|
|
Compatibility test each unit antiglobulin technique
|
$256.00 |
$256.00 |
$256.00 |
$166.40
|
|
Compatibility test each unit immediate spin technique
|
$197.00 |
$197.00 |
$197.00 |
$158.27
|
|
Compatibility test incubate
|
$221.00 |
$221.00 |
$221.00 |
$140.00
|
|
Comp cystometrogram/void presssure 51728
|
$969.00 |
$969.00 |
$969.00 |
$933.75
|
|
Complement antigen each component c3
|
$153.00 |
$153.00 |
$153.00 |
$118.80
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$940.00 |
$940.00 |
$940.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$973.00 |
$973.00 |
$973.00 |
$1,357.20
|
|
Complex uroflowmetry (electronic) 51741
|
$384.00 |
$384.00 |
$384.00 |
$353.50
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$1,244.80
|
|
Complx repair fccmnaxghf 13131
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$911.40
|
|
Complx repair fccmnaxghf 13132
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$1,193.40
|
|
Complx repair sal addl 5 cm/> 13122
|
$380.00 |
$380.00 |
$380.00 |
$549.00
|
|
Computed tomographic angiography head and neck with contrast
|
$3,466.00 |
$3,466.00 |
$3,466.00 |
$2,544.75
|
|
Concentration infection agents any type
|
$69.00 |
$69.00 |
$69.00 |
$48.00
|
