|
#celiac hla-dq2
|
$784.49 |
$784.49 |
$784.49 |
$225.12
|
|
#celiac hla-dq8
|
$784.49 |
$784.49 |
$784.49 |
$246.88
|
|
Cell count body fluid
|
$504.65 |
$504.65 |
$504.65 |
$63.63
|
|
Cell marker study
|
$1,918.82 |
$1,918.82 |
$1,918.82 |
$247.20
|
|
Cer post col occ/man sup adj
|
$110.00 |
$110.00 |
$110.00 |
$802.30
|
|
#cf-97variants
|
$1,961.98 |
$1,961.98 |
$1,961.98 |
$622.20
|
|
Chest 2 vws w oblique
|
$1,323.70 |
$1,323.70 |
$1,323.70 |
$377.06
|
|
Chest apical lordotic proj
|
$1,234.55 |
$1,234.55 |
$1,234.55 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$7,269.99 |
$7,269.99 |
$7,269.99 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$6,139.57 |
$6,139.57 |
$6,139.57 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$5,365.47 |
$5,365.47 |
$5,365.47 |
$1,350.03
|
|
Chest X-ray
|
$1,187.71 |
$1,187.71 |
$1,187.71 |
$294.06
|
|
Chest X-ray (single view)
|
$757.05 |
$757.05 |
$757.05 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$1,238.95 |
$1,238.95 |
$1,238.95 |
$511.59
|
|
Chlamydia culture
|
$1,418.64 |
$1,418.64 |
$1,418.64 |
$93.90
|
|
Chlamydia trachomatis ag if
|
$812.79 |
$812.79 |
$812.79 |
$74.88
|
|
Chlamydia type
|
$468.92 |
$468.92 |
$468.92 |
$34.20
|
|
Chloride
|
$291.79 |
$291.79 |
$291.79 |
$40.95
|
|
Chloride 24 hour urine
|
$241.16 |
$241.16 |
$241.16 |
$49.50
|
|
Chloroprocaine hcl injection
|
$0.60 |
$0.60 |
$0.60 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,753.55 |
$1,753.55 |
$1,753.55 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$250.86 |
$250.86 |
$250.86 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,610.82 |
$1,610.82 |
$1,610.82 |
$602.40
|
|
Cholesterol
|
$422.76 |
$422.76 |
$422.76 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$1,245.97 |
$1,245.97 |
$1,245.97 |
$115.80
|
|
Cholinesterase
|
$349.84 |
$349.84 |
$349.84 |
$38.69
|
|
Chrom analysis
|
$1,100.08 |
$1,100.08 |
$1,100.08 |
$156.00
|
|
Chromatography
|
$385.56 |
$385.56 |
$385.56 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$1,104.56 |
$1,104.56 |
$1,104.56 |
$247.59
|
|
Chromosome analysis 15-20 cell count
|
$2,219.50 |
$2,219.50 |
$2,219.50 |
$512.20
|
|
Chromosome analys placenta
|
$6,901.18 |
$6,901.18 |
$6,901.18 |
$618.60
|
|
Chromosome karyotype study
|
$550.78 |
$550.78 |
$550.78 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$952.70 |
$952.70 |
$952.70 |
$124.15
|
|
Cilastatin sodium injection
|
$236.57 |
$236.57 |
$236.57 |
$77.40
|
|
Cinacalcet 30 mg tablet
|
$6.11 |
$6.11 |
$6.11 |
$41.25
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$180.40 |
$180.40 |
$180.40 |
$81.90
|
|
Clot factor xii hageman
|
$1,317.41 |
$1,317.41 |
$1,317.41 |
$134.39
|
|
Clot factor xiii fibrin stab
|
$1,228.12 |
$1,228.12 |
$1,228.12 |
$105.00
|
|
Clsd ostomy pouch w/flange
|
$6.00 |
$6.00 |
$6.00 |
$3.53
|
|
#cms hgb-sulfhemoglobin
|
$599.91 |
$599.91 |
$599.91 |
$74.00
|
|
#cmvcul-virus inoculation shell
|
$449.57 |
$449.57 |
$449.57 |
$100.80
|
|
Cmv pcr-sendout
|
$2,130.19 |
$2,130.19 |
$2,130.19 |
$177.50
|
|
Co2 monitor per day
|
$2,906.02 |
$2,906.02 |
$2,906.02 |
$450.60
|
|
Coagulation time activated teg
|
$519.55 |
$519.55 |
$519.55 |
$53.72
|
|
Coagulation time lee & white
|
$391.52 |
$391.52 |
$391.52 |
$11.20
|
|
Cold agglutinin titer
|
$482.31 |
$482.31 |
$482.31 |
$50.00
|
|
Colistimethate sodium inj
|
$1,301.39 |
$1,301.39 |
$1,301.39 |
$68.47
|
|
Collagen dressing <=16 sq in
|
$319.00 |
$319.00 |
$319.00 |
$42.50
|
|
Collagen imp urinary 2.5 ml
|
$5,190.00 |
$5,190.00 |
$5,190.00 |
$1,949.63
|
|
Collar cerv adlt perfit ace extric
|
$9.00 |
$9.00 |
$9.00 |
$70.00
|
|
Collection of venous blood by venipuncture
|
$62.52 |
$62.52 |
$62.52 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$299.20 |
$299.20 |
$299.20 |
$170.05
|
|
Compatibility test each unit immediate spin technique
|
$299.20 |
$299.20 |
$299.20 |
$169.52
|
|
Compatibility test incubate
|
$299.20 |
$299.20 |
$299.20 |
$155.40
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,722.52 |
$2,722.52 |
$2,722.52 |
$871.08
|
|
Connect omega .5mm
|
$8,221.00 |
$8,221.00 |
$8,221.00 |
$1,260.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$791.96 |
$791.96 |
$791.96 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$791.96 |
$791.96 |
$791.96 |
$225.96
|
|
Contrast exam thoracic aorta 75605-26
|
$7,754.84 |
$7,754.84 |
$7,754.84 |
$3,728.24
|
|
Contrast x-ray gallbladder
|
$1,589.66 |
$1,589.66 |
$1,589.66 |
$350.22
|
|
Controler lvad heartmate 3 includes ebb
|
$36,401.00 |
$36,401.00 |
$36,401.00 |
$13,218.75
|
|
Coombs direct
|
$303.69 |
$303.69 |
$303.69 |
$75.00
|
|
Coombs indirect titer reference
|
$321.55 |
$321.55 |
$321.55 |
$146.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,880.17 |
$1,880.17 |
$1,880.17 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$137.69 |
$137.69 |
$137.69 |
$55.90
|
|
Covid-19 administration immunization im inj 1st/only component
|
$122.32 |
$122.32 |
$122.32 |
$49.13
|
|
#covid19rsv-rsv
|
$565.67 |
$565.67 |
$565.67 |
$145.60
|
|
C-peptide
|
$1,055.43 |
$1,055.43 |
$1,055.43 |
$97.30
|
|
Cranial cervical torticollis
|
$3,791.00 |
$3,791.00 |
$3,791.00 |
$573.85
|
|
Crbrospnl fld flw imag cistern
|
$5,265.40 |
$5,265.40 |
$5,265.40 |
$1,240.80
|
|
C-reactive protein
|
$330.47 |
$330.47 |
$330.47 |
$68.38
|
|
C-reactive protein high sensitivity
|
$519.55 |
$519.55 |
$519.55 |
$85.00
|
|
Creatine kinase
|
$346.85 |
$346.85 |
$346.85 |
$66.30
|
|
Creatine kinase isoenzymes
|
$635.63 |
$635.63 |
$635.63 |
$56.80
|
|
Creatinine
|
$340.92 |
$340.92 |
$340.92 |
$44.72
|
|
Creatinine 24 hour urine
|
$340.92 |
$340.92 |
$340.92 |
$58.85
|
|
Creatinine clearance urine
|
$422.76 |
$422.76 |
$422.76 |
$89.50
|
|
Critical care each additional 30 minutes
|
$2,521.37 |
$2,521.37 |
$2,521.37 |
$731.40
|
|
Cryofibrinogen qualitative - sendout
|
$2,232.92 |
$2,232.92 |
$2,232.92 |
$52.50
|
|
Cryptococcus abs qn - sendout
|
$625.21 |
$625.21 |
$625.21 |
$89.70
|
|
Crystal identification light microscopy
|
$710.07 |
$710.07 |
$710.07 |
$62.50
|
|
Cta abdomen without & /or w/contrast
|
$7,219.47 |
$7,219.47 |
$7,219.47 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$7,427.01 |
$7,427.01 |
$7,427.01 |
$1,940.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,525.31 |
$7,525.31 |
$7,525.31 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$7,143.02 |
$7,143.02 |
$7,143.02 |
$1,940.00
|
|
CT angio pelvis
|
$7,525.31 |
$7,525.31 |
$7,525.31 |
$1,837.80
|
|
CT guidance for needle placement
|
$5,048.73 |
$5,048.73 |
$5,048.73 |
$1,494.00
|
|
CT hrt w/3d image
|
$6,437.19 |
$6,437.19 |
$6,437.19 |
$1,383.06
|
|
CT limited or localized follow-up study
|
$1,253.32 |
$1,253.32 |
$1,253.32 |
$642.75
|
|
CT neck soft tissue w/contrast
|
$6,590.10 |
$6,590.10 |
$6,590.10 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$4,890.36 |
$4,890.36 |
$4,890.36 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$8,184.72 |
$8,184.72 |
$8,184.72 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$7,742.37 |
$7,742.37 |
$7,742.37 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$5,822.82 |
$5,822.82 |
$5,822.82 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$6,046.73 |
$6,046.73 |
$6,046.73 |
$1,360.00
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$17,882.15 |
$17,882.15 |
$17,882.15 |
$3,493.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$15,106.57 |
$15,106.57 |
$15,106.57 |
$2,971.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$12,559.01 |
$12,559.01 |
$12,559.01 |
$2,370.63
|
|
CT thoracic spine w/contrast
|
$6,282.93 |
$6,282.93 |
$6,282.93 |
$1,690.32
|
|
CT thoracic spine without contrast
|
$5,658.99 |
$5,658.99 |
$5,658.99 |
$1,464.00
|
