|
Carbon dioxide
|
$300.00 |
$300.00 |
$300.00 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,473.74 |
$1,473.74 |
$1,473.74 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$474.00 |
$474.00 |
$474.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$296.00 |
$296.00 |
$296.00 |
$144.00
|
|
Cardiac MRI w/stress img
|
$2,261.27 |
$2,261.27 |
$2,261.27 |
$1,474.98
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$686.32 |
$686.32 |
$686.32 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$523.74 |
$523.74 |
$523.74 |
$196.50
|
|
Card MRI veloc flow mapping
|
$911.61 |
$911.61 |
$911.61 |
$600.50
|
|
Carotene
|
$172.00 |
$172.00 |
$172.00 |
$45.24
|
|
Cdna analysis for variants
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$525.00
|
|
#celiac hla-dq8
|
$273.00 |
$273.00 |
$273.00 |
$246.88
|
|
Chemo adm cns w/lmbr punct
|
$1,857.07 |
$1,857.07 |
$1,857.07 |
$665.40
|
|
Chest 2 vws w oblique
|
$1,531.77 |
$1,531.77 |
$1,531.77 |
$377.06
|
|
Chest apical lordotic proj
|
$1,531.77 |
$1,531.77 |
$1,531.77 |
$310.80
|
|
Chg radiologic exam esophagus double contrast
|
$901.07 |
$901.07 |
$901.07 |
$511.59
|
|
Chlamydia culture
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$93.90
|
|
Chlamydia type
|
$90.72 |
$90.72 |
$90.72 |
$34.20
|
|
Chloride
|
$440.83 |
$440.83 |
$440.83 |
$40.95
|
|
Chloride 24 hour urine
|
$719.00 |
$719.00 |
$719.00 |
$49.50
|
|
Chloroprocaine hcl injection
|
$130.26 |
$130.26 |
$130.26 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$2,343.27 |
$2,343.27 |
$2,343.27 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$296.18 |
$296.18 |
$296.18 |
$78.43
|
|
Chlorpromazine 100 mg tablet
|
$78.76 |
$78.76 |
$78.76 |
$3.95
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,369.59 |
$2,369.59 |
$2,369.59 |
$602.40
|
|
Cholesterol
|
$550.01 |
$550.01 |
$550.01 |
$45.76
|
|
Cholinesterase
|
$130.00 |
$130.00 |
$130.00 |
$38.69
|
|
Chromatography
|
$386.00 |
$386.00 |
$386.00 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$516.00 |
$516.00 |
$516.00 |
$512.20
|
|
Chromosome karyotype study
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$119.87
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$107.54 |
$107.54 |
$107.54 |
$34.88
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,453.46 |
$1,453.46 |
$1,453.46 |
$569.55
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$352.60 |
$352.60 |
$352.60 |
$81.90
|
|
Clot factor xii hageman
|
$678.00 |
$678.00 |
$678.00 |
$134.39
|
|
#cmvcul-virus inoculation shell
|
$936.28 |
$936.28 |
$936.28 |
$100.80
|
|
Cmv pcr-sendout
|
$527.86 |
$527.86 |
$527.86 |
$177.50
|
|
Cocaine 4 % nasal solution
|
$1,283.29 |
$1,283.29 |
$1,283.29 |
$629.41
|
|
Cocaine hcl nasal (numbrino)
|
$1,658.58 |
$1,658.58 |
$1,658.58 |
$512.30
|
|
Cold agglutinin titer
|
$468.14 |
$468.14 |
$468.14 |
$50.00
|
|
Colistimethate sodium inj
|
$1,478.33 |
$1,478.33 |
$1,478.33 |
$68.47
|
|
Collection of venous blood by venipuncture
|
$119.00 |
$119.00 |
$119.00 |
$21.00
|
|
Compatibility test each unit electronic
|
$112.32 |
$112.32 |
$112.32 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$804.00 |
$804.00 |
$804.00 |
$169.52
|
|
Compatibility test incubate
|
$95.04 |
$95.04 |
$95.04 |
$155.40
|
|
Conjugated estrogens 25 mg solution for injection
|
$511.59 |
$511.59 |
$511.59 |
$871.08
|
|
Connect omega .5mm
|
$3,274.00 |
$3,274.00 |
$3,274.00 |
$1,260.00
|
|
Consultation pathology during surgery cytological exam initial site
|
$111.26 |
$111.26 |
$111.26 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$37.79 |
$37.79 |
$37.79 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$98.65 |
$98.65 |
$98.65 |
$225.96
|
|
Contrast exam abdominl aorta 75625-26
|
$9,491.93 |
$9,491.93 |
$9,491.93 |
$3,458.54
|
|
Coombs indirect qualitative each reagent red cell reference
|
$50.00 |
$50.00 |
$50.00 |
$102.90
|
|
Coombs indirect titer reference
|
$262.00 |
$262.00 |
$262.00 |
$146.40
|
|
Copper intrauterine device
|
$4,971.14 |
$4,971.14 |
$4,971.14 |
$1,953.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$546.22 |
$546.22 |
$546.22 |
$189.22
|
|
Co-treatment - group 15 mins, st
|
$115.35 |
$115.35 |
$115.35 |
$110.00
|
|
#covid19rsv-rsv
|
$130.00 |
$130.00 |
$130.00 |
$145.60
|
|
C-peptide
|
$751.00 |
$751.00 |
$751.00 |
$97.30
|
|
C-reactive protein high sensitivity
|
$136.00 |
$136.00 |
$136.00 |
$85.00
|
|
Creatine - sendout
|
$52.00 |
$52.00 |
$52.00 |
$39.00
|
|
Creatinine clearance urine
|
$804.00 |
$804.00 |
$804.00 |
$89.50
|
|
Cryofibrinogen qualitative - sendout
|
$386.00 |
$386.00 |
$386.00 |
$52.50
|
|
Cryptococcus abs qn - sendout
|
$751.00 |
$751.00 |
$751.00 |
$89.70
|
|
Crystal identification light microscopy
|
$388.00 |
$388.00 |
$388.00 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$1,841.10 |
$1,841.10 |
$1,841.10 |
$613.47
|
|
CT angio hrt w/3d image
|
$4,199.52 |
$4,199.52 |
$4,199.52 |
$1,500.38
|
|
CT colonography dx
|
$4,199.52 |
$4,199.52 |
$4,199.52 |
$791.00
|
|
CT guidance for needle placement
|
$5,201.59 |
$5,201.59 |
$5,201.59 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$9,101.00 |
$9,101.00 |
$9,101.00 |
$1,178.52
|
|
CT guid parench tis ablat
|
$15,919.96 |
$15,919.96 |
$15,919.96 |
$1,281.75
|
|
CT scan for localization
|
$6,255.82 |
$6,255.82 |
$6,255.82 |
$1,205.14
|
|
Culture aerobic additional method definitive id each
|
$41.68 |
$41.68 |
$41.68 |
$68.64
|
|
Culture afb any source
|
$980.37 |
$980.37 |
$980.37 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$41.68 |
$41.68 |
$41.68 |
$79.00
|
|
Culture anaerobic except blood
|
$891.00 |
$891.00 |
$891.00 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$703.00 |
$703.00 |
$703.00 |
$51.45
|
|
Culture fungi definitive id mold
|
$365.32 |
$365.32 |
$365.32 |
$77.28
|
|
Culture fungi definitive id yeast
|
$41.68 |
$41.68 |
$41.68 |
$79.10
|
|
Culture fungi other (except blood)
|
$405.15 |
$405.15 |
$405.15 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$648.68 |
$648.68 |
$648.68 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$83.33 |
$83.33 |
$83.33 |
$89.70
|
|
Culture mycoplasma any source
|
$831.00 |
$831.00 |
$831.00 |
$85.26
|
|
Culture quantitative aerobic other source
|
$743.16 |
$743.16 |
$743.16 |
$90.35
|
|
Culture typing added method
|
$368.46 |
$368.46 |
$368.46 |
$38.58
|
|
Culture typing immunologic
|
$606.68 |
$606.68 |
$606.68 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$133.90
|
|
Culture urine each isolate
|
$456.00 |
$456.00 |
$456.00 |
$57.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$108.71 |
$108.71 |
$108.71 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$130.00 |
$130.00 |
$130.00 |
$70.72
|
|
Cyclosporine 2 hour
|
$524.00 |
$524.00 |
$524.00 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$65.20 |
$65.20 |
$65.20 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$29.04 |
$29.04 |
$29.04 |
$34.88
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,457.68 |
$1,457.68 |
$1,457.68 |
$542.10
|
|
Cytomegalovirus (cmv) antibody igg
|
$490.00 |
$490.00 |
$490.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$258.00 |
$258.00 |
$258.00 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$138.53 |
$138.53 |
$138.53 |
$159.45
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$119.62 |
$119.62 |
$119.62 |
$129.35
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$20.97 |
$20.97 |
$20.97 |
$67.20
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$58.76 |
$58.76 |
$58.76 |
$187.28
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$209.92 |
$209.92 |
$209.92 |
$209.23
|
|
Debridement (>20 cm) charge pt
|
$985.15 |
$985.15 |
$985.15 |
$260.61
|
|
Decalcification
|
$23.08 |
$23.08 |
$23.08 |
$68.90
|
