|
Chloride 24 hour urine
|
$67.68 |
$67.68 |
$67.68 |
$46.13
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$193.60 |
$193.60 |
$193.60 |
$89.81
|
|
Chmotx admn plrl cav thrcnts
|
$508.05 |
$508.05 |
$508.05 |
$393.54
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$336.15 |
$336.15 |
$336.15 |
$625.60
|
|
Cholesterol
|
$62.10 |
$62.10 |
$62.10 |
$46.15
|
|
Cholesterol body fluid
|
$32.76 |
$32.76 |
$32.76 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$144.72 |
$144.72 |
$144.72 |
$115.70
|
|
Cholinesterase
|
$45.27 |
$45.27 |
$45.27 |
$38.69
|
|
Chrom analysis
|
$135.81 |
$135.81 |
$135.81 |
$127.86
|
|
Chromatography
|
$176.49 |
$176.49 |
$176.49 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$711.54 |
$711.54 |
$711.54 |
$264.25
|
|
Chromosome analys amniotic
|
$162.54 |
$162.54 |
$162.54 |
$436.00
|
|
Chromosome analysis 15-20 cell count
|
$1,232.19 |
$1,232.19 |
$1,232.19 |
$448.80
|
|
Chromosome analysis 50-100
|
$297.90 |
$297.90 |
$297.90 |
$301.50
|
|
Chromosome karyotype study
|
$60.03 |
$60.03 |
$60.03 |
$102.72
|
|
Cilastatin sodium injection
|
$38.49 |
$38.49 |
$38.49 |
$65.86
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$4.95 |
$4.95 |
$4.95 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$163.62 |
$163.62 |
$163.62 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$366.93 |
$366.93 |
$366.93 |
$640.41
|
|
Clot factor xii hageman
|
$150.21 |
$150.21 |
$150.21 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$89.64 |
$89.64 |
$89.64 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$79.92 |
$79.92 |
$79.92 |
$84.27
|
|
Clotting assay whole blood
|
$18.99 |
$18.99 |
$18.99 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$223.29 |
$223.29 |
$223.29 |
$102.57
|
|
Cmv pcr-sendout
|
$275.13 |
$275.13 |
$275.13 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$2.16 |
$2.16 |
$2.16 |
$4.22
|
|
Coagulation time activated teg
|
$108.09 |
$108.09 |
$108.09 |
$50.05
|
|
Cold agglutinin titer
|
$59.76 |
$59.76 |
$59.76 |
$49.40
|
|
Collar cerv ascend 172 reg
|
$103.95 |
$103.95 |
$103.95 |
$174.01
|
|
Collection blood specimen from completely implantable venous access device
|
$86.22 |
$86.22 |
$86.22 |
$159.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$71.19 |
$71.19 |
$71.19 |
$163.07
|
|
Collection of venous blood by venipuncture
|
$18.09 |
$18.09 |
$18.09 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$60.30 |
$60.30 |
$60.30 |
$165.00
|
|
Compatibility test each unit electronic
|
$47.07 |
$47.07 |
$47.07 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$47.07 |
$47.07 |
$47.07 |
$159.95
|
|
Complement antigen each component c3
|
$56.16 |
$56.16 |
$56.16 |
$113.13
|
|
Concentration infection agents any type
|
$111.60 |
$111.60 |
$111.60 |
$50.70
|
|
Conivaptan hcl
|
$482.40 |
$482.40 |
$482.40 |
$438.57
|
|
Consultation pathology during surgery
|
$31.86 |
$31.86 |
$31.86 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$100.53 |
$100.53 |
$100.53 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$130.23 |
$130.23 |
$130.23 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$57.87 |
$57.87 |
$57.87 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$288.27 |
$288.27 |
$288.27 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$183.87 |
$183.87 |
$183.87 |
$176.15
|
|
Consult comp w/report rfrd material
|
$496.89 |
$496.89 |
$496.89 |
$345.71
|
|
Contrast baths charges
|
$38.34 |
$38.34 |
$38.34 |
$77.98
|
|
Contrast x-ray of ankle
|
$566.28 |
$566.28 |
$566.28 |
$566.28
|
|
Contrast x-ray of elbow
|
$566.28 |
$566.28 |
$566.28 |
$609.40
|
|
Contrast x-ray of hip
|
$566.28 |
$566.28 |
$566.28 |
$770.88
|
|
Contrast x-ray of knee joint
|
$566.28 |
$566.28 |
$566.28 |
$655.05
|
|
Contrast x-ray of wrist
|
$566.28 |
$566.28 |
$566.28 |
$558.71
|
|
Coombs direct
|
$73.26 |
$73.26 |
$73.26 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$64.53 |
$64.53 |
$64.53 |
$100.29
|
|
Coombs indirect titer reference
|
$31.32 |
$31.32 |
$31.32 |
$143.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$80.73 |
$80.73 |
$80.73 |
$484.37
|
|
Cortisol total am
|
$169.65 |
$169.65 |
$169.65 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$215.54 |
$215.54 |
$215.54 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$159.03 |
$159.03 |
$159.03 |
$57.60
|
|
Covid-19 lab test non-cdc
|
$84.87 |
$84.87 |
$84.87 |
$56.44
|
|
#coxa-coxsackie a serotype a16
|
$63.45 |
$63.45 |
$63.45 |
$65.36
|
|
C-peptide
|
$75.51 |
$75.51 |
$75.51 |
$100.26
|
|
C-reactive protein
|
$21.96 |
$21.96 |
$21.96 |
$61.10
|
|
C-reactive protein high sensitivity
|
$44.10 |
$44.10 |
$44.10 |
$91.20
|
|
C-reactive protein, quantitative
|
$90.36 |
$90.36 |
$90.36 |
$63.07
|
|
Creatine kinase
|
$56.16 |
$56.16 |
$56.16 |
$58.30
|
|
Creatine kinase isoenzymes
|
$383.22 |
$383.22 |
$383.22 |
$49.40
|
|
Creatine kinase mb
|
$82.35 |
$82.35 |
$82.35 |
$105.95
|
|
Creatinine
|
$22.32 |
$22.32 |
$22.32 |
$42.50
|
|
Creatinine 24 hour urine
|
$84.87 |
$84.87 |
$84.87 |
$59.80
|
|
Creatinine clearance urine
|
$114.03 |
$114.03 |
$114.03 |
$85.80
|
|
#creutz-prot.,western blot
|
$217.17 |
$217.17 |
$217.17 |
$179.28
|
|
Critical care 30-74 minutes
|
$2,212.02 |
$2,212.02 |
$2,212.02 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$797.22 |
$797.22 |
$797.22 |
$756.00
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$858.53
|
|
Crotalidae poly immune fab
|
$3,747.84 |
$3,747.84 |
$3,747.84 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$52.47 |
$52.47 |
$52.47 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$79.65 |
$79.65 |
$79.65 |
$80.85
|
|
Cryptosporidium antigen
|
$114.03 |
$114.03 |
$114.03 |
$58.94
|
|
Crystal identification light microscopy
|
$31.95 |
$31.95 |
$31.95 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$193.32 |
$193.32 |
$193.32 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$744.30 |
$744.30 |
$744.30 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,837.53 |
$1,837.53 |
$1,837.53 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,565.37 |
$1,565.37 |
$1,565.37 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$528.48 |
$528.48 |
$528.48 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$744.30 |
$744.30 |
$744.30 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$692.64 |
$692.64 |
$692.64 |
$2,017.89
|
|
CT Angiogram of the Head
|
$468.45 |
$468.45 |
$468.45 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$2,278.35 |
$2,278.35 |
$2,278.35 |
$1,601.60
|
|
CT angio pelvis
|
$610.29 |
$610.29 |
$610.29 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$782.19 |
$782.19 |
$782.19 |
$1,652.95
|
|
CT colonography dx
|
$352.35 |
$352.35 |
$352.35 |
$770.90
|
|
CT colonography dx w/dye
|
$574.56 |
$574.56 |
$574.56 |
$1,009.98
|
|
CT colonography screening
|
$391.68 |
$391.68 |
$391.68 |
$1,084.20
|
|
CT heart w/evaluation of calcium without contrast
|
$53.01 |
$53.01 |
$53.01 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$2,665.71 |
$2,665.71 |
$2,665.71 |
$1,217.45
|
|
CT limited or localized follow-up study
|
$277.29 |
$277.29 |
$277.29 |
$630.50
|
|
CT lower extremity w/contrast (both sides)
|
$844.29 |
$844.29 |
$844.29 |
$1,680.60
|
|
CT lower extremity without contrast (both sides)
|
$698.13 |
$698.13 |
$698.13 |
$1,398.82
|
|
CT lwr extremity w/o&w/dye
|
$1,008.09 |
$1,008.09 |
$1,008.09 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$1,844.10 |
$1,844.10 |
$1,844.10 |
$1,667.00
|
