|
Cholesterol (Lipid) Test
|
$1,726.38 |
$1,726.38 |
$1,726.38 |
$115.70
|
|
Cholinesterase
|
$1,058.97 |
$1,058.97 |
$1,058.97 |
$38.69
|
|
Chromosome analysis 15-20 cell count
|
$15,920.08 |
$15,920.08 |
$15,920.08 |
$448.80
|
|
Chromosome analysis 5
|
$286.03 |
$286.03 |
$286.03 |
$644.80
|
|
Chromosome count additional
|
$61.02 |
$61.02 |
$61.02 |
$110.00
|
|
Chromosome karyotype study
|
$683.94 |
$683.94 |
$683.94 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$1,576.37 |
$1,576.37 |
$1,576.37 |
$123.20
|
|
Cilastatin sodium injection
|
$1,694.20 |
$1,694.20 |
$1,694.20 |
$65.86
|
|
C-kit mutation liquid tumor - sendout
|
$424.61 |
$424.61 |
$424.61 |
$640.41
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$567.00 |
$567.00 |
$567.00 |
$81.02
|
|
Closure paravalvlr leak pq
|
$1,975.60 |
$1,975.60 |
$1,975.60 |
$7,723.17
|
|
Clot factor viii reltd antgn
|
$744.97 |
$744.97 |
$744.97 |
$95.72
|
|
Clot factor xii hageman
|
$1,735.28 |
$1,735.28 |
$1,735.28 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$2,998.92 |
$2,998.92 |
$2,998.92 |
$84.27
|
|
Clotting assay whole blood
|
$1,488.66 |
$1,488.66 |
$1,488.66 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$1,009.38 |
$1,009.38 |
$1,009.38 |
$102.57
|
|
Cmv pcr-sendout
|
$695.38 |
$695.38 |
$695.38 |
$172.25
|
|
Coagulation time activated teg
|
$621.65 |
$621.65 |
$621.65 |
$50.05
|
|
Cold agglutinin titer
|
$809.80 |
$809.80 |
$809.80 |
$49.40
|
|
Colistimethate sodium inj
|
$209.79 |
$209.79 |
$209.79 |
$84.22
|
|
Compatibility test each unit antiglobulin technique
|
$394.09 |
$394.09 |
$394.09 |
$165.00
|
|
Compatibility test each unit electronic
|
$429.69 |
$429.69 |
$429.69 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$385.19 |
$385.19 |
$385.19 |
$159.95
|
|
Compatibility test incubate
|
$647.07 |
$647.07 |
$647.07 |
$143.64
|
|
Comp cystometrogram/void presssure 51728
|
$3,235.40 |
$3,235.40 |
$3,235.40 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$1,543.34 |
$1,543.34 |
$1,543.34 |
$1,099.00
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,769.04 |
$1,769.04 |
$1,769.04 |
$792.24
|
|
Consultation pathology during surgery
|
$1,175.92 |
$1,175.92 |
$1,175.92 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,951.39 |
$1,951.39 |
$1,951.39 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$971.25 |
$971.25 |
$971.25 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,951.39 |
$1,951.39 |
$1,951.39 |
$210.80
|
|
Consultation/report referred slides prepared elsewhere
|
$1,044.98 |
$1,044.98 |
$1,044.98 |
$176.15
|
|
Contrast exam thoracic aorta
|
$10,881.72 |
$10,881.72 |
$10,881.72 |
$3,648.84
|
|
Contrast x-ray of ankle
|
$7,255.32 |
$7,255.32 |
$7,255.32 |
$566.28
|
|
Contrast x-ray of elbow
|
$520.21 |
$520.21 |
$520.21 |
$609.40
|
|
Coombs direct
|
$601.31 |
$601.31 |
$601.31 |
$71.74
|
|
Coombs indirect titer reference
|
$961.07 |
$961.07 |
$961.07 |
$143.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$22,238.95 |
$22,238.95 |
$22,238.95 |
$484.37
|
|
Cortisol total am
|
$1,859.86 |
$1,859.86 |
$1,859.86 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$734.83 |
$734.83 |
$734.83 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$338.19 |
$338.19 |
$338.19 |
$110.00
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$833.33 |
$833.33 |
$833.33 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$833.33 |
$833.33 |
$833.33 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$81.11 |
$81.11 |
$81.11 |
$56.44
|
|
#covid19rsv-rsv
|
$925.49 |
$925.49 |
$925.49 |
$140.80
|
|
C-peptide
|
$1,358.99 |
$1,358.99 |
$1,358.99 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$13,341.82 |
$13,341.82 |
$13,341.82 |
$1,409.85
|
|
C-reactive protein
|
$851.75 |
$851.75 |
$851.75 |
$61.10
|
|
C-reactive protein high sensitivity
|
$1,375.51 |
$1,375.51 |
$1,375.51 |
$91.20
|
|
Creatine kinase
|
$1,130.16 |
$1,130.16 |
$1,130.16 |
$58.30
|
|
Creatine kinase isoenzymes
|
$1,933.60 |
$1,933.60 |
$1,933.60 |
$49.40
|
|
Creatine kinase mb
|
$1,430.17 |
$1,430.17 |
$1,430.17 |
$105.95
|
|
Creatinine
|
$901.33 |
$901.33 |
$901.33 |
$42.50
|
|
Creatinine clearance urine
|
$1,631.03 |
$1,631.03 |
$1,631.03 |
$85.80
|
|
Crotalidae poly immune fab
|
$19,678.30 |
$19,678.30 |
$19,678.30 |
$6,208.33
|
|
Crystal identification light microscopy
|
$565.71 |
$565.71 |
$565.71 |
$58.50
|
|
Csf leakage imaging
|
$13,341.82 |
$13,341.82 |
$13,341.82 |
$1,433.25
|
|
CT 3d report other modality w/workstation
|
$3,407.17 |
$3,407.17 |
$3,407.17 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$14,154.11 |
$14,154.11 |
$14,154.11 |
$2,050.23
|
|
CT Angiogram of Abdomen and Pelvis
|
$14,313.86 |
$14,313.86 |
$14,313.86 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$14,154.11 |
$14,154.11 |
$14,154.11 |
$2,017.89
|
|
CT angio hrt w/3d image
|
$11,304.82 |
$11,304.82 |
$11,304.82 |
$1,601.60
|
|
CT angio pelvis
|
$29,867.04 |
$29,867.04 |
$29,867.04 |
$1,778.40
|
|
Cta upper extremity w &/or without contrast left
|
$14,154.11 |
$14,154.11 |
$14,154.11 |
$1,652.95
|
|
CT guidance for needle placement
|
$15,948.81 |
$15,948.81 |
$15,948.81 |
$1,506.04
|
|
CT guid parench tis ablat
|
$9,043.35 |
$9,043.35 |
$9,043.35 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$287.55 |
$287.55 |
$287.55 |
$192.00
|
|
CT hrt w/3d image
|
$14,154.11 |
$14,154.11 |
$14,154.11 |
$1,477.35
|
|
CT neck soft tissue w/contrast
|
$10,071.75 |
$10,071.75 |
$10,071.75 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$9,341.64 |
$9,341.64 |
$9,341.64 |
$1,316.71
|
|
CT neck soft tissue without & w/contrast
|
$11,047.72 |
$11,047.72 |
$11,047.72 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$10,056.77 |
$10,056.77 |
$10,056.77 |
$1,661.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$9,857.09 |
$9,857.09 |
$9,857.09 |
$1,543.83
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$28,446.76 |
$28,446.76 |
$28,446.76 |
$3,328.00
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$18,716.98 |
$18,716.98 |
$18,716.98 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$15,689.21 |
$15,689.21 |
$15,689.21 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$14,766.90 |
$14,766.90 |
$14,766.90 |
$1,436.50
|
|
CT thorax low dose for lung screening without contrast
|
$1,491.42 |
$1,491.42 |
$1,491.42 |
$420.60
|
|
Culture afb any source
|
$1,456.87 |
$1,456.87 |
$1,456.87 |
$107.50
|
|
Culture anaerobic except blood
|
$1,890.37 |
$1,890.37 |
$1,890.37 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$62.30 |
$62.30 |
$62.30 |
$52.50
|
|
Culture fungi definitive id yeast
|
$799.62 |
$799.62 |
$799.62 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,650.10 |
$1,650.10 |
$1,650.10 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$1,044.98 |
$1,044.98 |
$1,044.98 |
$88.14
|
|
Culture mycoplasma any source
|
$825.06 |
$825.06 |
$825.06 |
$90.37
|
|
Culture typing immunologic
|
$2,673.47 |
$2,673.47 |
$2,673.47 |
$41.19
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$125.87 |
$125.87 |
$125.87 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$624.20 |
$624.20 |
$624.20 |
$85.03
|
|
Cyclophosphamide 25 mg capsule
|
$144.02 |
$144.02 |
$144.02 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$173.50 |
$173.50 |
$173.50 |
$150.79
|
|
Cyclosporine 2 hour
|
$877.18 |
$877.18 |
$877.18 |
$119.40
|
|
Cyp2c19 gene com variants
|
$958.54 |
$958.54 |
$958.54 |
$553.00
|
|
Cyp2c9 gene com variants
|
$2,204.38 |
$2,204.38 |
$2,204.38 |
$275.10
|
|
Cystatin c
|
$1,147.95 |
$1,147.95 |
$1,147.95 |
$82.50
|
|
Cystic fibrosis cftr
|
$882.26 |
$882.26 |
$882.26 |
$1,041.95
|
|
Cystine urine quantitative
|
$4,340.10 |
$4,340.10 |
$4,340.10 |
$103.35
|
|
Cystogram >= 3 views supervision & interpretation
|
$4,715.96 |
$4,715.96 |
$4,715.96 |
$527.50
|
|
Cytomegalovirus (cmv) antibody igg
|
$1,058.97 |
$1,058.97 |
$1,058.97 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$1,295.42 |
$1,295.42 |
$1,295.42 |
$101.94
|
|
Cytopathology concentration technique smears & interpretation
|
$1,981.91 |
$1,981.91 |
$1,981.91 |
$142.94
|
