|
Chromatography
|
$15.00 |
$15.00 |
$15.00 |
$81.25
|
|
Chromogenic substrate assay
|
$205.80 |
$205.80 |
$205.80 |
$148.68
|
|
Chromo high res and frag x - sendout
|
$174.60 |
$174.60 |
$174.60 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$107.70 |
$107.70 |
$107.70 |
$512.20
|
|
Chromosome analysis 5
|
$139.50 |
$139.50 |
$139.50 |
$644.80
|
|
Chromosome banding study
|
$52.50 |
$52.50 |
$52.50 |
$184.24
|
|
Chromosome count additional
|
$15.60 |
$15.60 |
$15.60 |
$92.45
|
|
Chromosome karyotype study
|
$30.00 |
$30.00 |
$30.00 |
$119.87
|
|
Chronic urticaria - sendout
|
$7.50 |
$7.50 |
$7.50 |
$75.00
|
|
Chylomicron screen, bf - sendout
|
$35.10 |
$35.10 |
$35.10 |
$124.15
|
|
Cidofovir injection
|
$756.58 |
$756.58 |
$756.58 |
$1,295.73
|
|
Cilastatin sodium injection
|
$52.24 |
$52.24 |
$52.24 |
$77.40
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$14.70 |
$14.70 |
$14.70 |
$34.88
|
|
Circumcision (newborn)
|
$617.40 |
$617.40 |
$617.40 |
$1,395.20
|
|
Cisplatin 1 mg/ml desensitization
|
$511.20 |
$511.20 |
$511.20 |
$192.66
|
|
C-kit mutation liquid tumor - sendout
|
$165.00 |
$165.00 |
$165.00 |
$655.00
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$757.94 |
$757.94 |
$757.94 |
$569.55
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$14.03 |
$14.03 |
$14.03 |
$55.20
|
|
Clip ligating vesolock lg
|
$594.00 |
$594.00 |
$594.00 |
$4,320.00
|
|
Clofarabine 1 mg/ml intravenous solution
|
$3,644.35 |
$3,644.35 |
$3,644.35 |
$4,784.71
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$92.51 |
$92.51 |
$92.51 |
$81.90
|
|
Closure paravalvlr leak pq
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$7,723.17
|
|
Clot factor xii hageman
|
$66.90 |
$66.90 |
$66.90 |
$134.39
|
|
Cmv pcr-sendout
|
$53.10 |
$53.10 |
$53.10 |
$177.50
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$14,356.20 |
$14,356.20 |
$14,356.20 |
$8,980.00
|
|
Coagulation time activated teg
|
$12.90 |
$12.90 |
$12.90 |
$53.72
|
|
Cold agglutinin titer
|
$43.50 |
$43.50 |
$43.50 |
$50.00
|
|
Collagenase, clost hist inj
|
$7,267.24 |
$7,267.24 |
$7,267.24 |
$12,906.28
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$9.86 |
$9.86 |
$9.86 |
$60.84
|
|
Collar cerv ascend 172 reg
|
$546.98 |
$546.98 |
$546.98 |
$213.89
|
|
Collar extrication adult univ
|
$1,363.50 |
$1,363.50 |
$1,363.50 |
$764.15
|
|
Collection blood specimen from completely implantable venous access device
|
$61.20 |
$61.20 |
$61.20 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$61.20 |
$61.20 |
$61.20 |
$153.30
|
|
Collection of venous blood by venipuncture
|
$4.50 |
$4.50 |
$4.50 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$54.30 |
$54.30 |
$54.30 |
$170.05
|
|
Compatibility test each unit electronic
|
$54.30 |
$54.30 |
$54.30 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$54.30 |
$54.30 |
$54.30 |
$169.52
|
|
Complement antigen each component c3
|
$36.30 |
$36.30 |
$36.30 |
$108.55
|
|
Computed tomographic angiography head and neck with contrast
|
$783.90 |
$783.90 |
$783.90 |
$2,237.25
|
|
Concentration infection agents any type
|
$20.10 |
$20.10 |
$20.10 |
$49.95
|
|
Conjugated estrogens 25 mg solution for injection
|
$385.33 |
$385.33 |
$385.33 |
$871.08
|
|
Consultation pathology during surgery cytological exam initial site
|
$29.40 |
$29.40 |
$29.40 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$21.60 |
$21.60 |
$21.60 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$38.10 |
$38.10 |
$38.10 |
$225.96
|
|
Consultation/report referred material w/preparation of slides
|
$93.00 |
$93.00 |
$93.00 |
$224.80
|
|
Contrast baths charges
|
$10.20 |
$10.20 |
$10.20 |
$70.50
|
|
Contrast exam abdominl aorta 75625-26
|
$1,451.70 |
$1,451.70 |
$1,451.70 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$2,558.40 |
$2,558.40 |
$2,558.40 |
$3,728.24
|
|
Contrast x-ray of elbow
|
$169.20 |
$169.20 |
$169.20 |
$649.80
|
|
Contrast x-ray of hip
|
$338.40 |
$338.40 |
$338.40 |
$771.12
|
|
Controller infinity pt dbs
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$4,611.60
|
|
Conversion ext bil drg cath
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$2,192.40 |
$2,192.40 |
$2,192.40 |
$2,777.60
|
|
Coombs direct
|
$27.00 |
$27.00 |
$27.00 |
$75.00
|
|
Coombs indirect titer reference
|
$277.20 |
$277.20 |
$277.20 |
$146.40
|
|
Copper cu 64 dotatate diag
|
$618.38 |
$618.38 |
$618.38 |
$2,417.86
|
|
Core ndl bx lng/med perq
|
$1,744.20 |
$1,744.20 |
$1,744.20 |
$2,678.00
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$1,530.00 |
$1,530.00 |
$1,530.00 |
$8,272.50
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$1,808.40 |
$1,808.40 |
$1,808.40 |
$10,540.92
|
|
Coronary angio/lv gram/lt heart
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$10,246.32
|
|
Coronary angio/lv gram/rt< heart
|
$2,025.90 |
$2,025.90 |
$2,025.90 |
$11,228.50
|
|
Coronary art/grft angio s&i
|
$1,690.20 |
$1,690.20 |
$1,690.20 |
$8,194.20
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$1,276.20 |
$1,276.20 |
$1,276.20 |
$7,914.00
|
|
Cortisol acth stimulation test - sendout
|
$68.40 |
$68.40 |
$68.40 |
$146.25
|
|
Cortisol total am
|
$49.20 |
$49.20 |
$49.20 |
$120.63
|
|
Cosyntropin 0.25 mg solution for injection
|
$139.74 |
$139.74 |
$139.74 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$25.20 |
$25.20 |
$25.20 |
$110.00
|
|
Cover wrist
|
$141.60 |
$141.60 |
$141.60 |
$225.00
|
|
Covid-19 administration immunization im inj 1st/only component
|
$30.90 |
$30.90 |
$30.90 |
$49.13
|
|
#covid19rsv-rsv
|
$147.30 |
$147.30 |
$147.30 |
$145.60
|
|
#coxa-coxsackie a serotype a16
|
$11.10 |
$11.10 |
$11.10 |
$60.00
|
|
C-peptide
|
$10.80 |
$10.80 |
$10.80 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$284.40 |
$284.40 |
$284.40 |
$1,240.80
|
|
C-reactive protein
|
$15.60 |
$15.60 |
$15.60 |
$68.38
|
|
C-reactive protein high sensitivity
|
$39.00 |
$39.00 |
$39.00 |
$85.00
|
|
Creatine kinase
|
$19.80 |
$19.80 |
$19.80 |
$66.30
|
|
Creatine kinase mb
|
$34.80 |
$34.80 |
$34.80 |
$114.00
|
|
Creatinine
|
$15.30 |
$15.30 |
$15.30 |
$44.72
|
|
Creatinine 24 hour urine
|
$15.60 |
$15.60 |
$15.60 |
$58.85
|
|
Creatinine clearance urine
|
$28.50 |
$28.50 |
$28.50 |
$89.50
|
|
#creutz-prot.,western blot
|
$180.00 |
$180.00 |
$180.00 |
$166.20
|
|
Critical care 30-74 minutes
|
$396.00 |
$396.00 |
$396.00 |
$2,505.60
|
|
Critical care each additional 30 minutes
|
$84.90 |
$84.90 |
$84.90 |
$731.40
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$2,507.89 |
$2,507.89 |
$2,507.89 |
$4,288.58
|
|
Crotalidae poly immune fab
|
$3,269.63 |
$3,269.63 |
$3,269.63 |
$5,590.35
|
|
Cryoprecipitate each unit
|
$79.80 |
$79.80 |
$79.80 |
$144.78
|
|
Cta abdomen without & /or w/contrast
|
$783.90 |
$783.90 |
$783.90 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$873.00 |
$873.00 |
$873.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,044.60 |
$1,044.60 |
$1,044.60 |
$2,047.80
|
|
Cta neck without &/or w/contrast
|
$681.60 |
$681.60 |
$681.60 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$783.90 |
$783.90 |
$783.90 |
$1,940.00
|
|
CT Angiogram of the Head
|
$783.90 |
$783.90 |
$783.90 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$325.20 |
$325.20 |
$325.20 |
$1,500.38
|
|
CT angio pelvis
|
$783.90 |
$783.90 |
$783.90 |
$1,837.80
|
|
Cta upper extremity w &/or without contrast left
|
$1,044.60 |
$1,044.60 |
$1,044.60 |
$1,698.00
|
|
CT cerebral perf w cont & prcssng
|
$243.30 |
$243.30 |
$243.30 |
$803.40
|
|
CT guidance for needle placement
|
$406.50 |
$406.50 |
$406.50 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$252.60 |
$252.60 |
$252.60 |
$1,178.52
|
|
CT heart w/evaluation of calcium without contrast
|
$36.00 |
$36.00 |
$36.00 |
$171.60
|
