|
Cefotetan 1 gm vial
|
$279.54 |
$279.54 |
$279.54 |
$51.20
|
|
#celiac hla-dq2
|
$1,447.16 |
$1,447.16 |
$1,447.16 |
$226.28
|
|
#celiac hla-dq8
|
$538.01 |
$538.01 |
$538.01 |
$246.88
|
|
Chest 2 vws w oblique
|
$1,207.06 |
$1,207.06 |
$1,207.06 |
$377.06
|
|
Chest apical lordotic proj
|
$1,131.39 |
$1,131.39 |
$1,131.39 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$6,002.62 |
$6,002.62 |
$6,002.62 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$4,497.10 |
$4,497.10 |
$4,497.10 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$3,510.52 |
$3,510.52 |
$3,510.52 |
$1,350.03
|
|
Chest X-ray
|
$1,056.20 |
$1,056.20 |
$1,056.20 |
$302.90
|
|
Chest X-ray (single view)
|
$963.03 |
$963.03 |
$963.03 |
$246.94
|
|
Chlamydia type
|
$927.48 |
$927.48 |
$927.48 |
$34.80
|
|
Chloride
|
$223.56 |
$223.56 |
$223.56 |
$39.05
|
|
Chloride 24 hour urine
|
$157.51 |
$157.51 |
$157.51 |
$46.13
|
|
Chloroprocaine hcl injection
|
$264.86 |
$264.86 |
$264.86 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$827.12 |
$827.12 |
$827.12 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$184.01 |
$184.01 |
$184.01 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,372.39 |
$2,372.39 |
$2,372.39 |
$625.60
|
|
Cholesterol
|
$477.39 |
$477.39 |
$477.39 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$1,074.15 |
$1,074.15 |
$1,074.15 |
$115.70
|
|
Chromatography
|
$651.24 |
$651.24 |
$651.24 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$3,101.76 |
$3,101.76 |
$3,101.76 |
$433.01
|
|
Cinacalcet 30 mg tablet
|
$114.62 |
$114.62 |
$114.62 |
$53.80
|
|
Cisplatin 1 mg/ml desensitization
|
$474.54 |
$474.54 |
$474.54 |
$175.08
|
|
#cmvcul-virus inoculation shell
|
$524.00 |
$524.00 |
$524.00 |
$102.57
|
|
Cmv pcr-sendout
|
$1,665.28 |
$1,665.28 |
$1,665.28 |
$173.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$6.67 |
$6.67 |
$6.67 |
$6.36
|
|
Coagulation time activated teg
|
$523.04 |
$523.04 |
$523.04 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$1,177.17 |
$1,177.17 |
$1,177.17 |
$624.58
|
|
Collection of venous blood by venipuncture
|
$94.28 |
$94.28 |
$94.28 |
$22.00
|
|
Compatibility test each unit electronic
|
$209.52 |
$209.52 |
$209.52 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$547.37 |
$547.37 |
$547.37 |
$169.52
|
|
Compatibility test incubate
|
$428.39 |
$428.39 |
$428.39 |
$143.65
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,905.57 |
$1,905.57 |
$1,905.57 |
$905.72
|
|
Consultation pathology during surgery
|
$186.56 |
$186.56 |
$186.56 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$245.43 |
$245.43 |
$245.43 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$822.73 |
$822.73 |
$822.73 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,162.81 |
$1,162.81 |
$1,162.81 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$1,542.94 |
$1,542.94 |
$1,542.94 |
$176.15
|
|
Coombs indirect titer reference
|
$954.34 |
$954.34 |
$954.34 |
$146.00
|
|
Cortisol total am
|
$989.22 |
$989.22 |
$989.22 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,062.89 |
$1,062.89 |
$1,062.89 |
$249.41
|
|
#covid19rsv-rsv
|
$964.44 |
$964.44 |
$964.44 |
$140.80
|
|
C-peptide
|
$1,140.74 |
$1,140.74 |
$1,140.74 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$2,124.44 |
$2,124.44 |
$2,124.44 |
$1,466.97
|
|
C-reactive protein
|
$491.98 |
$491.98 |
$491.98 |
$63.00
|
|
C-reactive protein high sensitivity
|
$572.40 |
$572.40 |
$572.40 |
$91.65
|
|
Creatine kinase
|
$590.77 |
$590.77 |
$590.77 |
$59.78
|
|
Creatinine
|
$448.96 |
$448.96 |
$448.96 |
$44.10
|
|
Creatinine clearance urine
|
$761.37 |
$761.37 |
$761.37 |
$87.50
|
|
Crystal identification light microscopy
|
$84.92 |
$84.92 |
$84.92 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$4,242.68 |
$4,242.68 |
$4,242.68 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$4,242.68 |
$4,242.68 |
$4,242.68 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$3,427.81 |
$3,427.81 |
$3,427.81 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$7,480.83 |
$7,480.83 |
$7,480.83 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$5,980.91 |
$5,980.91 |
$5,980.91 |
$1,955.80
|
|
CT Angiogram of the Head
|
$3,427.81 |
$3,427.81 |
$3,427.81 |
$2,021.40
|
|
CT angio pelvis
|
$4,242.68 |
$4,242.68 |
$4,242.68 |
$1,775.28
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$6,345.32 |
$6,345.32 |
$6,345.32 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$1,542.18 |
$1,542.18 |
$1,542.18 |
$192.00
|
|
CT hrt w/3d image
|
$1,696.33 |
$1,696.33 |
$1,696.33 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$2,641.02 |
$2,641.02 |
$2,641.02 |
$625.63
|
|
CT lwr extremity w/o&w/dye
|
$7,585.21 |
$7,585.21 |
$7,585.21 |
$1,817.40
|
|
CT neck soft tissue w/contrast
|
$4,549.48 |
$4,549.48 |
$4,549.48 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$3,460.00 |
$3,460.00 |
$3,460.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$5,559.94 |
$5,559.94 |
$5,559.94 |
$1,959.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$4,336.59 |
$4,336.59 |
$4,336.59 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,413.61 |
$3,413.61 |
$3,413.61 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$10,434.61 |
$10,434.61 |
$10,434.61 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$8,828.07 |
$8,828.07 |
$8,828.07 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$7,772.27 |
$7,772.27 |
$7,772.27 |
$2,284.15
|
|
CT thoracic spine without contrast
|
$6,014.58 |
$6,014.58 |
$6,014.58 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$442.48 |
$442.48 |
$442.48 |
$400.20
|
|
CT t-spine w /wo contrast
|
$7,023.34 |
$7,023.34 |
$7,023.34 |
$2,030.60
|
|
Culture aerobic additional method definitive id each
|
$130.58 |
$130.58 |
$130.58 |
$63.75
|
|
Culture afb any source
|
$735.18 |
$735.18 |
$735.18 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$205.41 |
$205.41 |
$205.41 |
$77.31
|
|
Culture anaerobic except blood
|
$868.37 |
$868.37 |
$868.37 |
$123.20
|
|
Culture fungi definitive id mold
|
$234.59 |
$234.59 |
$234.59 |
$70.00
|
|
Culture fungi definitive id yeast
|
$234.59 |
$234.59 |
$234.59 |
$80.60
|
|
Culture fungi other (except blood)
|
$735.03 |
$735.03 |
$735.03 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$735.18 |
$735.18 |
$735.18 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$176.22 |
$176.22 |
$176.22 |
$84.75
|
|
Culture quantitative aerobic other source
|
$668.52 |
$668.52 |
$668.52 |
$87.02
|
|
Culture typing immunologic
|
$170.24 |
$170.24 |
$170.24 |
$41.60
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$73.79 |
$73.79 |
$73.79 |
$28.00
|
|
Cyclic citrullinated peptide antibody
|
$635.28 |
$635.28 |
$635.28 |
$80.05
|
|
Cyclosporine 2 hour
|
$945.82 |
$945.82 |
$945.82 |
$121.80
|
|
Cystatin c
|
$441.72 |
$441.72 |
$441.72 |
$82.26
|
|
Cystogram >= 3 views supervision & interpretation
|
$2,388.47 |
$2,388.47 |
$2,388.47 |
$539.55
|
|
Cytomegalovirus (cmv) antibody igg
|
$577.30 |
$577.30 |
$577.30 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$862.00 |
$862.00 |
$862.00 |
$96.80
|
|
Cytopathology cellular enhancement technique non-gyn
|
$1,219.68 |
$1,219.68 |
$1,219.68 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$73.44 |
$73.44 |
$73.44 |
$90.75
|
|
Cytopathology concentration technique smears & interpretation
|
$376.01 |
$376.01 |
$376.01 |
$142.94
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$609.77 |
$609.77 |
$609.77 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$609.84 |
$609.84 |
$609.84 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$609.84 |
$609.84 |
$609.84 |
$205.00
|
|
Cytopath smear other source
|
$322.50 |
$322.50 |
$322.50 |
$85.80
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$439.73 |
$439.73 |
$439.73 |
$362.16
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$638.04 |
$638.04 |
$638.04 |
$300.73
|
