|
Catheterization collection of specimen single patient all places of service
|
$40.32 |
$40.32 |
$40.32 |
$58.50
|
|
Cath/saline/contrast/sis/hysteosal 58340
|
$1,380.96 |
$1,380.96 |
$1,380.96 |
$505.90
|
|
#cbg+cort-cbg
|
$15.15 |
$15.15 |
$15.15 |
$80.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$27.86 |
$27.86 |
$27.86 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$6.45 |
$6.45 |
$6.45 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$12.90 |
$12.90 |
$12.90 |
$42.00
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$5.91 |
$5.91 |
$5.91 |
$46.57
|
|
Ceftriaxone 1 gram solution for injection
|
$4.64 |
$4.64 |
$4.64 |
$51.80
|
|
#celiac hla-dq8
|
$540.35 |
$540.35 |
$540.35 |
$246.88
|
|
Cell count body fluid
|
$87.72 |
$87.72 |
$87.72 |
$56.44
|
|
Cell count w differential body fluid
|
$93.23 |
$93.23 |
$93.23 |
$83.71
|
|
Cell function assay w/stim
|
$460.08 |
$460.08 |
$460.08 |
$369.45
|
|
#cf-97variants
|
$470.72 |
$470.72 |
$470.72 |
$748.16
|
|
Chest CT scan (with and without contrast)
|
$910.64 |
$910.64 |
$910.64 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$792.81 |
$792.81 |
$792.81 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,044.56 |
$1,044.56 |
$1,044.56 |
$1,166.90
|
|
Chest X-ray
|
$103.26 |
$103.26 |
$103.26 |
$265.85
|
|
Chest X-ray (single view)
|
$101.01 |
$101.01 |
$101.01 |
$192.50
|
|
Chg pr pul rehab for copd patients
|
$105.44 |
$105.44 |
$105.44 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$173.00 |
$173.00 |
$173.00 |
$555.00
|
|
Chlamydia culture
|
$96.51 |
$96.51 |
$96.51 |
$96.51
|
|
Chlamydia type
|
$27.23 |
$27.23 |
$27.23 |
$34.80
|
|
Chloride
|
$53.61 |
$53.61 |
$53.61 |
$37.48
|
|
Chloride 24 hour urine
|
$40.80 |
$40.80 |
$40.80 |
$40.80
|
|
Chloroprocaine hcl injection
|
$0.11 |
$0.11 |
$0.11 |
$68.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$358.20 |
$358.20 |
$358.20 |
$358.30
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$62.10 |
$62.10 |
$62.10 |
$53.03
|
|
Cholangiogram percutaneous compl
|
$1,391.54 |
$1,391.54 |
$1,391.54 |
$3,611.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$240.77 |
$240.77 |
$240.77 |
$546.01
|
|
Cholesterol
|
$53.36 |
$53.36 |
$53.36 |
$40.95
|
|
Cholesterol body fluid
|
$105.71 |
$105.71 |
$105.71 |
$67.50
|
|
Cholesterol (Lipid) Test
|
$101.43 |
$101.43 |
$101.43 |
$101.43
|
|
Chromatography
|
$86.81 |
$86.81 |
$86.81 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$657.29 |
$657.29 |
$657.29 |
$558.25
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$3.71 |
$3.71 |
$3.71 |
$35.00
|
|
Clearance of airways
|
$166.05 |
$166.05 |
$166.05 |
$208.00
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$13.29 |
$13.29 |
$13.29 |
$49.74
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$55.97 |
$55.97 |
$55.97 |
$109.36
|
|
Clot factor xii hageman
|
$165.96 |
$165.96 |
$165.96 |
$125.00
|
|
#cmvcul-virus inoculation shell
|
$228.77 |
$228.77 |
$228.77 |
$109.80
|
|
Cmv pcr-sendout
|
$29.58 |
$29.58 |
$29.58 |
$177.50
|
|
Coagulation time activated teg
|
$53.72 |
$53.72 |
$53.72 |
$37.05
|
|
Cold agglutinin screen (arc)
|
$104.97 |
$104.97 |
$104.97 |
$48.57
|
|
Cold agglutinin titer
|
$59.61 |
$59.61 |
$59.61 |
$48.57
|
|
Collection blood specimen from completely implantable venous access device
|
$79.85 |
$79.85 |
$79.85 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$79.85 |
$79.85 |
$79.85 |
$170.68
|
|
Collection of venous blood by venipuncture
|
$11.99 |
$11.99 |
$11.99 |
$20.30
|
|
Colonoscopy (diagnostic)
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,500.00
|
|
Colonoscopy flex with decompression 45393
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,364.66
|
|
Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah)
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,846.40
|
|
Colonoscopy for bleeding 44391
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,645.43
|
|
Colonoscopy for foreign body
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,056.92
|
|
Colonoscopy & polypectomy 44392
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,305.08
|
|
Colonoscopy stoma w/snare 44394
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,368.00
|
|
Colonoscopy submucous njx
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,063.25
|
|
Colonoscopy thru stoma spx
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,261.31
|
|
Colonoscopy w/ablation
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,571.00
|
|
Colonoscopy w/balloon dilat
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,497.60
|
|
Colonoscopy w/band ligation
|
$1,253.13 |
$1,253.13 |
$1,253.13 |
$1,916.00
|
|
Colonoscopy w/control bleed
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,019.60
|
|
Colonoscopy w/decompression
|
$1,253.13 |
$1,253.13 |
$1,253.13 |
$1,073.68
|
|
Colonoscopy w/dilation
|
$1,253.13 |
$1,253.13 |
$1,253.13 |
$1,439.25
|
|
Colonoscopy w/fb removal
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,306.21
|
|
Colonoscopy w/injection
|
$1,253.13 |
$1,253.13 |
$1,253.13 |
$1,422.40
|
|
Colonoscopy with ablation
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,740.00
|
|
Colonoscopy (with biopsy)
|
$1,253.13 |
$1,253.13 |
$1,253.13 |
$2,074.50
|
|
Colonoscopy with biopsy
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$1,368.00
|
|
Colonoscopy (with polyp removal)
|
$1,523.00 |
$1,523.00 |
$1,523.00 |
$2,074.50
|
|
Colonoscopy w/resection
|
$2,522.64 |
$2,522.64 |
$2,522.64 |
$3,214.09
|
|
Compatibility test each unit antiglobulin technique
|
$67.97 |
$67.97 |
$67.97 |
$156.60
|
|
Compatibility test each unit electronic
|
$102.11 |
$102.11 |
$102.11 |
$156.24
|
|
Compatibility test each unit immediate spin technique
|
$102.11 |
$102.11 |
$102.11 |
$156.24
|
|
Complement antigen each component c3
|
$93.26 |
$93.26 |
$93.26 |
$110.00
|
|
Concentration infection agents any type
|
$29.90 |
$29.90 |
$29.90 |
$48.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$768.50 |
$768.50 |
$768.50 |
$768.50
|
|
Consultation pathology during surgery cytological exam initial site
|
$364.01 |
$364.01 |
$364.01 |
$368.46
|
|
Consultation pathology during surgery frozen section each additional block
|
$31.71 |
$31.71 |
$31.71 |
$115.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$75.50 |
$75.50 |
$75.50 |
$200.00
|
|
Consultation/report referred material w/preparation of slides
|
$29.60 |
$29.60 |
$29.60 |
$231.75
|
|
Contrast baths charges
|
$40.50 |
$40.50 |
$40.50 |
$77.98
|
|
Contrast x-ray of hip
|
$254.55 |
$254.55 |
$254.55 |
$676.12
|
|
Contrast x-ray of knee joint
|
$235.85 |
$235.85 |
$235.85 |
$623.50
|
|
Contrast x-ray of wrist
|
$289.29 |
$289.29 |
$289.29 |
$541.20
|
|
Coombs direct
|
$56.69 |
$56.69 |
$56.69 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$102.11 |
$102.11 |
$102.11 |
$76.70
|
|
Coombs indirect titer reference
|
$156.71 |
$156.71 |
$156.71 |
$122.85
|
|
Core ndl bx lng/med perq
|
$2,200.35 |
$2,200.35 |
$2,200.35 |
$2,963.00
|
|
Cortisol acth stimulation test - sendout
|
$81.09 |
$81.09 |
$81.09 |
$143.40
|
|
Cortisol total am
|
$95.76 |
$95.76 |
$95.76 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$47.94 |
$47.94 |
$47.94 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$36.39 |
$36.39 |
$36.39 |
$57.85
|
|
#covid19rsv-rsv
|
$36.36 |
$36.36 |
$36.36 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$65.36 |
$65.36 |
$65.36 |
$65.36
|
|
C-peptide
|
$79.41 |
$79.41 |
$79.41 |
$111.20
|
|
C-reactive protein
|
$52.04 |
$52.04 |
$52.04 |
$54.43
|
|
C-reactive protein high sensitivity
|
$204.95 |
$204.95 |
$204.95 |
$91.65
|
|
Creatine kinase
|
$32.63 |
$32.63 |
$32.63 |
$55.00
|
|
Creatine kinase isoenzymes
|
$66.18 |
$66.18 |
$66.18 |
$66.00
|
|
Creatinine
|
$34.11 |
$34.11 |
$34.11 |
$40.00
|
|
Creatinine 24 hour urine
|
$40.10 |
$40.10 |
$40.10 |
$54.40
|