|
Cmv pcr-sendout
|
$86.40 |
$86.40 |
$86.40 |
$175.70
|
|
Cold agglutinin titer
|
$86.40 |
$86.40 |
$86.40 |
$52.00
|
|
Colistimethate sodium inj
|
$69.60 |
$69.60 |
$69.60 |
$82.71
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$363.20 |
$363.20 |
$363.20 |
$303.73
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$210.40 |
$210.40 |
$210.40 |
$61.20
|
|
Collar cerv ascend 172 reg
|
$299.20 |
$299.20 |
$299.20 |
$224.11
|
|
Collection blood specimen from completely implantable venous access device
|
$192.80 |
$192.80 |
$192.80 |
$162.00
|
|
Compatibility test each unit antiglobulin technique
|
$200.00 |
$200.00 |
$200.00 |
$173.50
|
|
Compatibility test each unit electronic
|
$52.80 |
$52.80 |
$52.80 |
$171.00
|
|
Compatibility test each unit immediate spin technique
|
$154.40 |
$154.40 |
$154.40 |
$169.52
|
|
Compatibility test incubate
|
$147.20 |
$147.20 |
$147.20 |
$156.24
|
|
Complement antigen each component c3
|
$96.80 |
$96.80 |
$96.80 |
$110.00
|
|
Complex repair trunk 1.1-2.5cm 13120
|
$904.00 |
$904.00 |
$904.00 |
$893.41
|
|
Complex repair trunk 2.6-7.5cm 13101
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,191.78
|
|
Complx repair enel 2.6-7.5 cm 13152
|
$1,218.40 |
$1,218.40 |
$1,218.40 |
$1,212.00
|
|
Complx repair enel addl 5cm/< 13153
|
$816.00 |
$816.00 |
$816.00 |
$490.50
|
|
Complx repair fccmnaxghf 13131
|
$751.20 |
$751.20 |
$751.20 |
$805.20
|
|
Complx repair fccmnaxghf 13132
|
$950.40 |
$950.40 |
$950.40 |
$1,107.60
|
|
Complx repair sal addl 5 cm/> 13122
|
$687.20 |
$687.20 |
$687.20 |
$508.44
|
|
Complx repair trunk addl 5cm/< 13102
|
$1,177.60 |
$1,177.60 |
$1,177.60 |
$537.00
|
|
Computed tomographic angiography head and neck with contrast
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$2,247.00
|
|
Concentration infection agents any type
|
$73.60 |
$73.60 |
$73.60 |
$51.32
|
|
Condylomata destruction 56420
|
$400.00 |
$400.00 |
$400.00 |
$467.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$185.60 |
$185.60 |
$185.60 |
$430.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$76.00 |
$76.00 |
$76.00 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$192.00 |
$192.00 |
$192.00 |
$226.50
|
|
Contrast baths charges
|
$87.20 |
$87.20 |
$87.20 |
$75.60
|
|
Contrast x-ray of hip
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$796.38
|
|
Contrast x-ray of knee joint
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$790.50
|
|
Control nosebleed pack+caut 30905
|
$473.60 |
$473.60 |
$473.60 |
$383.52
|
|
Control of nosebleed ant comp 30903
|
$419.20 |
$419.20 |
$419.20 |
$396.00
|
|
Control of nosebleedantersmpl 30901
|
$388.00 |
$388.00 |
$388.00 |
$352.80
|
|
Coombs direct
|
$91.20 |
$91.20 |
$91.20 |
$76.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$66.40 |
$66.40 |
$66.40 |
$107.25
|
|
Coombs indirect titer reference
|
$96.80 |
$96.80 |
$96.80 |
$156.71
|
|
Copper intrauterine device
|
$3,324.00 |
$3,324.00 |
$3,324.00 |
$1,953.00
|
|
Cortisol total am
|
$148.80 |
$148.80 |
$148.80 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$219.49 |
$219.49 |
$219.49 |
$189.22
|
|
Covid-19 administration immunization im inj 1st/only component
|
$71.20 |
$71.20 |
$71.20 |
$49.13
|
|
Covid-19 convalescent plasma
|
$863.20 |
$863.20 |
$863.20 |
$590.80
|
|
#covid19rsv-rsv
|
$171.20 |
$171.20 |
$171.20 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$76.00 |
$76.00 |
$76.00 |
$60.00
|
|
CPAP or BiPAP Setup (first day)
|
$812.00 |
$812.00 |
$812.00 |
$584.50
|
|
C-peptide
|
$236.00 |
$236.00 |
$236.00 |
$93.60
|
|
CPR (Cardiopulmonary Resuscitation)
|
$1,143.20 |
$1,143.20 |
$1,143.20 |
$777.71
|
|
C-reactive protein
|
$105.60 |
$105.60 |
$105.60 |
$69.36
|
|
C-reactive protein high sensitivity
|
$151.20 |
$151.20 |
$151.20 |
$85.50
|
|
Creatine kinase
|
$72.80 |
$72.80 |
$72.80 |
$66.30
|
|
Creatine kinase isoenzymes
|
$133.60 |
$133.60 |
$133.60 |
$56.20
|
|
Creatine kinase mb
|
$161.60 |
$161.60 |
$161.60 |
$113.63
|
|
Creatinine
|
$66.40 |
$66.40 |
$66.40 |
$46.20
|
|
Creatinine 24 hour urine
|
$82.40 |
$82.40 |
$82.40 |
$57.85
|
|
Creatinine clearance urine
|
$147.20 |
$147.20 |
$147.20 |
$90.26
|
|
Critical care each additional 30 minutes
|
$376.00 |
$376.00 |
$376.00 |
$686.86
|
|
Critical Care (first 30 to 74 minutes)
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$2,535.00
|
|
Cryofibrinogen qualitative - sendout
|
$57.60 |
$57.60 |
$57.60 |
$52.50
|
|
Crystal identification light microscopy
|
$66.40 |
$66.40 |
$66.40 |
$66.43
|
|
CT 3d report other modality w/workstation
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$661.13
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,516.00 |
$2,516.00 |
$2,516.00 |
$1,986.77
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,775.20 |
$3,775.20 |
$3,775.20 |
$2,839.85
|
|
CT Angiogram of the Abdomen
|
$2,866.40 |
$2,866.40 |
$2,866.40 |
$1,994.52
|
|
CT Angiogram of the Abdomen and Both Legs
|
$3,172.80 |
$3,172.80 |
$3,172.80 |
$1,909.90
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,717.60 |
$2,717.60 |
$2,717.60 |
$1,915.30
|
|
CT Angiogram of the Head
|
$2,718.40 |
$2,718.40 |
$2,718.40 |
$1,940.00
|
|
CT Angiogram of the Neck
|
$3,082.40 |
$3,082.40 |
$3,082.40 |
$1,881.75
|
|
CT angio pelvis
|
$2,510.40 |
$2,510.40 |
$2,510.40 |
$1,806.60
|
|
Cta upper extremity w &/or without contrast left
|
$2,472.80 |
$2,472.80 |
$2,472.80 |
$1,691.30
|
|
CT limited or localized follow-up study
|
$957.60 |
$957.60 |
$957.60 |
$636.55
|
|
CT lwr extremity w/o&w/dye
|
$2,536.80 |
$2,536.80 |
$2,536.80 |
$1,818.96
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$4,994.40 |
$4,994.40 |
$4,994.40 |
$3,426.52
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$2,871.20
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$4,107.20 |
$4,107.20 |
$4,107.20 |
$2,272.00
|
|
CT t-spine w /wo contrast
|
$2,957.60 |
$2,957.60 |
$2,957.60 |
$1,975.00
|
|
CT uppr extremity w/o&w/dye
|
$2,494.40 |
$2,494.40 |
$2,494.40 |
$1,845.36
|
|
Culture aerobic additional method definitive id each
|
$99.20 |
$99.20 |
$99.20 |
$72.00
|
|
Culture afb any source
|
$147.20 |
$147.20 |
$147.20 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$118.40 |
$118.40 |
$118.40 |
$84.76
|
|
Culture anaerobic except blood
|
$147.20 |
$147.20 |
$147.20 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$65.60 |
$65.60 |
$65.60 |
$52.50
|
|
Culture body fluid
|
$141.60 |
$141.60 |
$141.60 |
$126.75
|
|
Culture fungi definitive id mold
|
$92.80 |
$92.80 |
$92.80 |
$80.00
|
|
Culture fungi definitive id yeast
|
$120.00 |
$120.00 |
$120.00 |
$80.00
|
|
Culture fungi other (except blood)
|
$143.20 |
$143.20 |
$143.20 |
$111.10
|
|
Culture fungi skin/hair/nail
|
$117.60 |
$117.60 |
$117.60 |
$74.75
|
|
Culture mycobacteria definitive id each isolate
|
$171.20 |
$171.20 |
$171.20 |
$100.00
|
|
Culture screening strep group a
|
$79.20 |
$79.20 |
$79.20 |
$84.60
|
|
Culture typing immunologic
|
$46.40 |
$46.40 |
$46.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$576.00 |
$576.00 |
$576.00 |
$408.37
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$183.20 |
$183.20 |
$183.20 |
$140.80
|
|
Culture urine each isolate
|
$72.00 |
$72.00 |
$72.00 |
$55.50
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$61.92 |
$61.92 |
$61.92 |
$25.32
|
|
Cyclic citrullinated peptide antibody
|
$176.80 |
$176.80 |
$176.80 |
$72.36
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$915.05 |
$915.05 |
$915.05 |
$1,305.02
|
|
Cyclosporine 2 hour
|
$136.00 |
$136.00 |
$136.00 |
$130.40
|
|
Cystatin c
|
$99.20 |
$99.20 |
$99.20 |
$77.60
|
|
Cystine urine quantitative
|
$192.80 |
$192.80 |
$192.80 |
$100.70
|
|
Cystoscopy (Bladder Scope)
|
$2,540.80 |
$2,540.80 |
$2,540.80 |
$1,493.80
|
|
Cytarabine 20 mg/ml injection solution
|
$270.57 |
$270.57 |
$270.57 |
$90.00
|
|
Cytogenetics 25-99
|
$103.20 |
$103.20 |
$103.20 |
$189.80
|
|
Cytogenetics 3-5
|
$99.20 |
$99.20 |
$99.20 |
$147.36
|
