|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$39.00 |
$39.00 |
$39.00 |
$43.80
|
|
C-kit mutation liquid tumor - sendout
|
$564.20 |
$564.20 |
$564.20 |
$606.06
|
|
Clearance of airways
|
$157.95 |
$157.95 |
$157.95 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$70.69 |
$70.69 |
$70.69 |
$49.74
|
|
Closed tx humerus fx w/manip 24505
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,592.00
|
|
Closed tx metatarsophalangeal jnt disl without anes
|
$280.15 |
$280.15 |
$280.15 |
$413.00
|
|
Closed tx orbit without manipulj
|
$523.90 |
$523.90 |
$523.90 |
$1,198.40
|
|
Closure laceration vestibule mouth > 2.5 cm cmplx
|
$599.95 |
$599.95 |
$599.95 |
$1,122.40
|
|
Clot factor xii hageman
|
$128.05 |
$128.05 |
$128.05 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$120.25 |
$120.25 |
$120.25 |
$84.50
|
|
Clozapine, 25 mg
|
$4.87 |
$4.87 |
$4.87 |
$5.40
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$707.20 |
$707.20 |
$707.20 |
$716.95
|
|
Clsd tx carpo/metacarpl disl thmb manip ea without anes
|
$514.80 |
$514.80 |
$514.80 |
$534.95
|
|
Clsd tx/clavicular fx without manip 23500
|
$352.30 |
$352.30 |
$352.30 |
$488.00
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$314.60 |
$314.60 |
$314.60 |
$426.82
|
|
Clsd tx elbow dislocation child 24640
|
$214.50 |
$214.50 |
$214.50 |
$520.00
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$306.15 |
$306.15 |
$306.15 |
$376.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$300.95 |
$300.95 |
$300.95 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$537.55 |
$537.55 |
$537.55 |
$567.20
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$1,174.55 |
$1,174.55 |
$1,174.55 |
$1,884.74
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$936.00 |
$936.00 |
$936.00 |
$1,771.43
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$531.70 |
$531.70 |
$531.70 |
$519.12
|
|
Clsd tx/metacarpal fx/sng/w manip 26605
|
$626.60 |
$626.60 |
$626.60 |
$688.00
|
|
Clsd tx/metatarsal fx without manip 28470
|
$363.35 |
$363.35 |
$363.35 |
$414.00
|
|
Clsd tx of ankle fracture w/manip 28435
|
$587.60 |
$587.60 |
$587.60 |
$1,815.75
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$313.30 |
$313.30 |
$313.30 |
$464.80
|
|
Clsd tx temporomandibular dislocat 21480
|
$262.60 |
$262.60 |
$262.60 |
$454.40
|
|
Clsd tx toe dislocation without anes28660
|
$281.45 |
$281.45 |
$281.45 |
$400.20
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$1,632.60
|
|
Clsd/ulnar fx/prox end without manip 24670
|
$401.05 |
$401.05 |
$401.05 |
$494.40
|
|
#cmvcul-virus inoculation shell
|
$130.00 |
$130.00 |
$130.00 |
$109.80
|
|
Cmv pcr-sendout
|
$215.80 |
$215.80 |
$215.80 |
$177.50
|
|
Cold agglutinin screen (arc)
|
$48.10 |
$48.10 |
$48.10 |
$48.57
|
|
Cold agglutinin titer
|
$53.30 |
$53.30 |
$53.30 |
$49.20
|
|
Collar cerv ascend 172 reg
|
$61.75 |
$61.75 |
$61.75 |
$151.05
|
|
Collection blood specimen from completely implantable venous access device
|
$116.35 |
$116.35 |
$116.35 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$116.35 |
$116.35 |
$116.35 |
$173.83
|
|
Collection of venous blood by venipuncture
|
$186.55 |
$186.55 |
$186.55 |
$20.70
|
|
Compatibility test each unit antiglobulin technique
|
$166.40 |
$166.40 |
$166.40 |
$156.60
|
|
Compatibility test each unit immediate spin technique
|
$128.05 |
$128.05 |
$128.05 |
$156.24
|
|
Compatibility test incubate
|
$143.65 |
$143.65 |
$143.65 |
$140.00
|
|
Complement antigen each component c3
|
$99.45 |
$99.45 |
$99.45 |
$112.45
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,042.60 |
$1,042.60 |
$1,042.60 |
$1,244.80
|
|
Complx repair fccmnaxghf 13131
|
$718.25 |
$718.25 |
$718.25 |
$911.40
|
|
Computed tomographic angiography head and neck with contrast
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$2,544.75
|
|
Concentration infection agents any type
|
$44.85 |
$44.85 |
$44.85 |
$48.68
|
|
Condylomata destruction 56420
|
$384.15 |
$384.15 |
$384.15 |
$472.50
|
|
Contrast baths charges
|
$56.55 |
$56.55 |
$56.55 |
$77.98
|
|
Control nosebleed pack+caut 30905
|
$467.35 |
$467.35 |
$467.35 |
$457.60
|
|
Control of nosebleed ant comp 30903
|
$326.95 |
$326.95 |
$326.95 |
$410.06
|
|
Control of nosebleedantersmpl 30901
|
$248.95 |
$248.95 |
$248.95 |
$356.00
|
|
Coombs direct
|
$72.80 |
$72.80 |
$72.80 |
$71.50
|
|
Coombs indirect qualitative each reagent red cell reference
|
$93.60 |
$93.60 |
$93.60 |
$76.70
|
|
Coombs indirect titer reference
|
$101.40 |
$101.40 |
$101.40 |
$124.74
|
|
Cortisol acth stimulation test - sendout
|
$209.95 |
$209.95 |
$209.95 |
$146.25
|
|
Cortisol total am
|
$126.10 |
$126.10 |
$126.10 |
$118.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$519.58 |
$519.58 |
$519.58 |
$255.58
|
|
Counseling smoke cess interm >10mins
|
$50.70 |
$50.70 |
$50.70 |
$57.85
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.90 |
$42.90 |
$42.90 |
$64.50
|
|
#covid19rsv-rsv
|
$141.05 |
$141.05 |
$141.05 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$65.00 |
$65.00 |
$65.00 |
$65.36
|
|
C-peptide
|
$118.30 |
$118.30 |
$118.30 |
$115.05
|
|
C-reactive protein
|
$50.70 |
$50.70 |
$50.70 |
$56.40
|
|
C-reactive protein high sensitivity
|
$100.75 |
$100.75 |
$100.75 |
$91.65
|
|
C-reactive protein, quantitative
|
$84.50 |
$84.50 |
$84.50 |
$84.50
|
|
Creatine kinase
|
$50.70 |
$50.70 |
$50.70 |
$55.00
|
|
Creatine kinase isoenzymes
|
$70.20 |
$70.20 |
$70.20 |
$64.28
|
|
Creatine kinase mb
|
$68.25 |
$68.25 |
$68.25 |
$102.40
|
|
Creatinine
|
$39.00 |
$39.00 |
$39.00 |
$40.00
|
|
Creatinine 24 hour urine
|
$59.80 |
$59.80 |
$59.80 |
$55.25
|
|
Creatinine clearance urine
|
$94.25 |
$94.25 |
$94.25 |
$73.86
|
|
#creutz-prot.,western blot
|
$178.10 |
$178.10 |
$178.10 |
$173.45
|
|
Critical care 30-74 minutes
|
$1,123.85 |
$1,123.85 |
$1,123.85 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$505.70 |
$505.70 |
$505.70 |
$663.00
|
|
Crystal identification light microscopy
|
$57.85 |
$57.85 |
$57.85 |
$56.44
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$3,038.10 |
$3,038.10 |
$3,038.10 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,060.50 |
$2,060.50 |
$2,060.50 |
$2,060.50
|
|
Cta neck without &/or w/contrast
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,881.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,777.80 |
$3,777.80 |
$3,777.80 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,191.80 |
$2,191.80 |
$2,191.80 |
$1,774.40
|
|
CT Angiogram of the Head
|
$2,146.95 |
$2,146.95 |
$2,146.95 |
$1,972.80
|
|
CT lower extremity w/contrast (both sides)
|
$1,805.70 |
$1,805.70 |
$1,805.70 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$2,912.65 |
$2,912.65 |
$2,912.65 |
$1,343.00
|
|
CT lwr extremity w/o&w/dye
|
$1,989.65 |
$1,989.65 |
$1,989.65 |
$1,620.48
|
|
CT neck soft tissue w/contrast
|
$1,581.45 |
$1,581.45 |
$1,581.45 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$1,247.35 |
$1,247.35 |
$1,247.35 |
$1,197.95
|
|
CT neck soft tissue without & w/contrast
|
$2,165.15 |
$2,165.15 |
$2,165.15 |
$1,790.00
|
|
CT orbit/sella/fossa w/wo contrast
|
$2,369.25 |
$2,369.25 |
$2,369.25 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$1,961.05 |
$1,961.05 |
$1,961.05 |
$1,524.90
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$916.50 |
$916.50 |
$916.50 |
$1,301.36
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$3,587.35 |
$3,587.35 |
$3,587.35 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$2,871.05 |
$2,871.05 |
$2,871.05 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$2,527.85 |
$2,527.85 |
$2,527.85 |
$2,245.00
|
|
CT thoracic spine w/contrast
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$1,623.05
|
|
CT thoracic spine without contrast
|
$1,732.90 |
$1,732.90 |
$1,732.90 |
$1,382.10
|
|
CT thorax low dose for lung screening without contrast
|
$330.85 |
$330.85 |
$330.85 |
$418.50
|
|
CT t-spine w /wo contrast
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,826.74
|
|
CT upper extremity w/contrast (both sides)
|
$1,651.65 |
$1,651.65 |
$1,651.65 |
$1,687.88
|
|
CT upper extremity without contrast (both sides)
|
$1,627.60 |
$1,627.60 |
$1,627.60 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$1,707.60
|
