|
Chest CT scan (with and without contrast)
|
$562.00 |
$562.00 |
$562.00 |
$1,947.00
|
|
Chest CT scan (with contrast)
|
$470.00 |
$470.00 |
$470.00 |
$1,658.80
|
|
Chest CT scan (without contrast)
|
$285.00 |
$285.00 |
$285.00 |
$1,350.03
|
|
Chest X-ray
|
$322.40 |
$322.40 |
$322.40 |
$295.03
|
|
Chest X-ray (single view)
|
$292.80 |
$292.80 |
$292.80 |
$241.20
|
|
Chg radiologic exam esophagus double contrast
|
$886.40 |
$886.40 |
$886.40 |
$512.00
|
|
Chloride
|
$23.20 |
$23.20 |
$23.20 |
$40.95
|
|
Chloride 24 hour urine
|
$28.80 |
$28.80 |
$28.80 |
$50.40
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$80.40 |
$80.40 |
$80.40 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$602.40
|
|
Cholesterol
|
$18.40 |
$18.40 |
$18.40 |
$45.50
|
|
Cholesterol (Lipid) Test
|
$40.00 |
$40.00 |
$40.00 |
$115.80
|
|
Chromo high res and frag x - sendout
|
$236.80 |
$236.80 |
$236.80 |
$250.00
|
|
Chromosome analysis 15-20 cell count
|
$626.40 |
$626.40 |
$626.40 |
$512.20
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$207.40 |
$207.40 |
$207.40 |
$36.23
|
|
Clearance of airways
|
$248.00 |
$248.00 |
$248.00 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$38.40 |
$38.40 |
$38.40 |
$55.20
|
|
Cllr miami j sm
|
$19.20 |
$19.20 |
$19.20 |
$552.23
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$42.40 |
$42.40 |
$42.40 |
$83.14
|
|
Close lac/mouth vest/2.5 cm or < 40830
|
$610.40 |
$610.40 |
$610.40 |
$472.50
|
|
Clot factor xiii fibrin stab
|
$106.40 |
$106.40 |
$106.40 |
$106.26
|
|
Clsd/shoulder dislo/manip/no anest 23650
|
$926.40 |
$926.40 |
$926.40 |
$657.28
|
|
Clsd tx/clavicular fx without manip 23500
|
$450.40 |
$450.40 |
$450.40 |
$452.40
|
|
Clsd tx/dis phalan fx without manip/ea 26750
|
$822.40 |
$822.40 |
$822.40 |
$416.16
|
|
Clsd tx dist fib fx w/manip 27788
|
$1,023.20 |
$1,023.20 |
$1,023.20 |
$676.20
|
|
Clsd tx/dis tib/wt bear no manip 27824
|
$900.00 |
$900.00 |
$900.00 |
$473.00
|
|
Clsd tx elbow dislocation child 24640
|
$900.00 |
$900.00 |
$900.00 |
$462.80
|
|
Clsd tx/fx grt toe/phalanx/phalang 28490
|
$260.00 |
$260.00 |
$260.00 |
$373.11
|
|
Clsd tx/fx/phalanx/phalang/manip 28515
|
$777.60 |
$777.60 |
$777.60 |
$448.80
|
|
Clsd tx fx radius/ulna dist without manip 25600
|
$710.40 |
$710.40 |
$710.40 |
$529.65
|
|
Clsd tx fx radius/ulna dist w/manip 25605
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$1,680.00
|
|
Clsd tx fx radius/ulna without manip 25560
|
$815.20 |
$815.20 |
$815.20 |
$487.20
|
|
Clsd tx fx radius/ulna w/manip 25565
|
$926.40 |
$926.40 |
$926.40 |
$1,548.40
|
|
Clsd tx/metacarpal fx/sg without manip 26600
|
$400.00 |
$400.00 |
$400.00 |
$496.80
|
|
Clsd tx/metatarsal fx without manip 28470
|
$406.40 |
$406.40 |
$406.40 |
$429.00
|
|
Clsd tx patella disloc without anes 27560
|
$869.60 |
$869.60 |
$869.60 |
$577.20
|
|
Clsd tx/patellar fx without manip 27520
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$495.80
|
|
Clsd tx/prox/mid phalnx fx/no manp 26720
|
$811.20 |
$811.20 |
$811.20 |
$414.40
|
|
Clsd tx/radial head/neck fx/no manip 24650
|
$484.00 |
$484.00 |
$484.00 |
$451.68
|
|
Clsd tx/scapular fx without manip 23570
|
$524.80 |
$524.80 |
$524.80 |
$452.40
|
|
Clsd tx temporomandibular dislocat 21480
|
$688.00 |
$688.00 |
$688.00 |
$424.38
|
|
Clsd tx trimall ankle fx w/manip 27818
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$1,565.74
|
|
Clsd tx wrist scaphoid fx without manip 25622
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
$535.60
|
|
Cltx gr hmrl tbrs fx w/mnpj
|
$1,350.40 |
$1,350.40 |
$1,350.40 |
$2,274.40
|
|
Cltx hum epcndylr fx wo mnpj
|
$812.00 |
$812.00 |
$812.00 |
$525.75
|
|
Cmv pcr-sendout
|
$175.20 |
$175.20 |
$175.20 |
$177.50
|
|
Cocaine 4 % nasal solution
|
$414.80 |
$414.80 |
$414.80 |
$629.41
|
|
Cold agglutinin titer
|
$33.60 |
$33.60 |
$33.60 |
$51.60
|
|
Collar cerv ascend 172 reg
|
$19.20 |
$19.20 |
$19.20 |
$213.89
|
|
Collection blood specimen from completely implantable venous access device
|
$100.00 |
$100.00 |
$100.00 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$100.00 |
$100.00 |
$100.00 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$5.00 |
$5.00 |
$5.00 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$653.60 |
$653.60 |
$653.60 |
$172.00
|
|
Compatibility test each unit electronic
|
$653.60 |
$653.60 |
$653.60 |
$166.26
|
|
Compatibility test each unit immediate spin technique
|
$653.60 |
$653.60 |
$653.60 |
$167.17
|
|
Complement antigen each component c3
|
$49.60 |
$49.60 |
$49.60 |
$110.00
|
|
Concentration infection agents any type
|
$33.60 |
$33.60 |
$33.60 |
$51.32
|
|
Condylomata destruction 56420
|
$701.60 |
$701.60 |
$701.60 |
$463.98
|
|
Consultation pathology during surgery frozen section each additional block
|
$113.60 |
$113.60 |
$113.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$577.60 |
$577.60 |
$577.60 |
$224.87
|
|
Control nosebleed pack+caut 30905
|
$613.60 |
$613.60 |
$613.60 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$598.40 |
$598.40 |
$598.40 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$352.80
|
|
Coombs direct
|
$238.40 |
$238.40 |
$238.40 |
$76.44
|
|
Coombs indirect qualitative each reagent red cell reference
|
$653.60 |
$653.60 |
$653.60 |
$102.90
|
|
Cortisol acth stimulation test - sendout
|
$136.00 |
$136.00 |
$136.00 |
$146.25
|
|
Cortisol total am
|
$68.00 |
$68.00 |
$68.00 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$83.60 |
$83.60 |
$83.60 |
$189.02
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$500.80 |
$500.80 |
$500.80 |
$588.08
|
|
#coxa-coxsackie a serotype a16
|
$64.80 |
$64.80 |
$64.80 |
$60.00
|
|
C-peptide
|
$86.40 |
$86.40 |
$86.40 |
$93.60
|
|
C-reactive protein
|
$20.00 |
$20.00 |
$20.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$54.40 |
$54.40 |
$54.40 |
$85.00
|
|
Creatine kinase
|
$32.80 |
$32.80 |
$32.80 |
$65.60
|
|
Creatine kinase mb
|
$57.60 |
$57.60 |
$57.60 |
$113.63
|
|
Creatinine
|
$15.00 |
$15.00 |
$15.00 |
$45.65
|
|
Creatinine 24 hour urine
|
$20.00 |
$20.00 |
$20.00 |
$57.60
|
|
Creatinine clearance urine
|
$39.20 |
$39.20 |
$39.20 |
$89.28
|
|
#creutz-prot.,western blot
|
$121.60 |
$121.60 |
$121.60 |
$163.50
|
|
Critical care 30-74 minutes
|
$3,573.60 |
$3,573.60 |
$3,573.60 |
$2,519.00
|
|
Critical care each additional 30 minutes
|
$567.20 |
$567.20 |
$567.20 |
$686.86
|
|
Crotalidae poly immune fab
|
$7,082.00 |
$7,082.00 |
$7,082.00 |
$5,760.00
|
|
Cryofibrinogen qualitative - sendout
|
$59.20 |
$59.20 |
$59.20 |
$52.50
|
|
Crystal identification light microscopy
|
$30.40 |
$30.40 |
$30.40 |
$65.50
|
|
CT 3d report other modality w/workstation
|
$691.20 |
$691.20 |
$691.20 |
$637.41
|
|
Cta abdomen without & /or w/contrast
|
$532.50 |
$532.50 |
$532.50 |
$2,002.00
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$397.50 |
$397.50 |
$397.50 |
$1,916.50
|
|
Cta lower extremity without & w/contrast (both sides)
|
$528.50 |
$528.50 |
$528.50 |
$2,002.44
|
|
Cta neck without &/or w/contrast
|
$538.00 |
$538.00 |
$538.00 |
$1,899.75
|
|
CT Angiogram of Abdomen and Pelvis
|
$517.50 |
$517.50 |
$517.50 |
$2,842.40
|
|
CT Angiogram of the Chest (for blood clot)
|
$531.50 |
$531.50 |
$531.50 |
$1,912.50
|
|
CT Angiogram of the Head
|
$538.00 |
$538.00 |
$538.00 |
$1,946.10
|
|
Cta upper extremity w &/or without contrast left
|
$535.50 |
$535.50 |
$535.50 |
$1,681.50
|
|
CT guidance for needle placement
|
$1,810.40 |
$1,810.40 |
$1,810.40 |
$1,498.20
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$1,862.40 |
$1,862.40 |
$1,862.40 |
$1,178.52
|
|
CT lower extremity w/contrast (both sides)
|
$475.50 |
$475.50 |
$475.50 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$285.50 |
$285.50 |
$285.50 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$572.00 |
$572.00 |
$572.00 |
$1,818.96
|
|
CT neck soft tissue w/contrast
|
$461.50 |
$461.50 |
$461.50 |
$1,603.55
|
|
CT neck soft tissue without contrast
|
$268.00 |
$268.00 |
$268.00 |
$1,312.00
|