|
Cholesterol
|
$52.50 |
$52.50 |
$52.50 |
$46.15
|
|
Cholesterol body fluid
|
$62.50 |
$62.50 |
$62.50 |
$75.40
|
|
Cholesterol (Lipid) Test
|
$125.00 |
$125.00 |
$125.00 |
$115.80
|
|
Cholinesterase
|
$300.00 |
$300.00 |
$300.00 |
$40.80
|
|
Chrom analysis
|
$245.00 |
$245.00 |
$245.00 |
$142.00
|
|
Chromatography
|
$57.50 |
$57.50 |
$57.50 |
$77.00
|
|
Chromogenic substrate assay
|
$137.50 |
$137.50 |
$137.50 |
$137.50
|
|
Chromo high res and frag x - sendout
|
$250.00 |
$250.00 |
$250.00 |
$244.40
|
|
Chromosome analys amniotic
|
$635.00 |
$635.00 |
$635.00 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$640.00 |
$640.00 |
$640.00 |
$448.80
|
|
Chromosome analysis 5
|
$455.00 |
$455.00 |
$455.00 |
$644.80
|
|
Chromosome analys placenta
|
$720.00 |
$720.00 |
$720.00 |
$593.05
|
|
Chromosome banding study
|
$235.00 |
$235.00 |
$235.00 |
$195.00
|
|
Chromosome count additional
|
$82.50 |
$82.50 |
$82.50 |
$101.92
|
|
Chromosome karyotype study
|
$100.00 |
$100.00 |
$100.00 |
$110.94
|
|
Chromosome study additional
|
$117.50 |
$117.50 |
$117.50 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$145.00 |
$145.00 |
$145.00 |
$122.85
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$31.31 |
$31.31 |
$31.31 |
$35.65
|
|
Circumcision (newborn)
|
$120.00 |
$120.00 |
$120.00 |
$1,422.04
|
|
C-kit mutation liquid tumor - sendout
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$659.20
|
|
Clamp isol transpolr 5mmx6.5cm transpolar
|
$12,844.00 |
$12,844.00 |
$12,844.00 |
$15,050.75
|
|
Clearance of airways
|
$70.00 |
$70.00 |
$70.00 |
$206.80
|
|
Clearance of airways
|
$337.50 |
$337.50 |
$337.50 |
$666.23
|
|
Clip ligating vesolock lg
|
$5,242.48 |
$5,242.48 |
$5,242.48 |
$4,404.05
|
|
Clot factor xii hageman
|
$170.00 |
$170.00 |
$170.00 |
$126.00
|
|
Clot factor xiii fibrin stab
|
$105.00 |
$105.00 |
$105.00 |
$99.23
|
|
Clotting assay whole blood
|
$172.50 |
$172.50 |
$172.50 |
$101.52
|
|
C motor evoked upr&lwr limbs
|
$785.00 |
$785.00 |
$785.00 |
$1,308.00
|
|
Cmv pcr-sendout
|
$230.00 |
$230.00 |
$230.00 |
$172.25
|
|
Coagulation time activated teg
|
$22.50 |
$22.50 |
$22.50 |
$52.00
|
|
Cold agglutinin titer
|
$50.00 |
$50.00 |
$50.00 |
$50.00
|
|
Collagen dressing <=16 sq in
|
$42.50 |
$42.50 |
$42.50 |
$42.50
|
|
Collagen drsg>16<=48 sq in
|
$60.00 |
$60.00 |
$60.00 |
$24.71
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$12.50 |
$12.50 |
$12.50 |
$52.78
|
|
Collar cerv ascend 172 reg
|
$115.00 |
$115.00 |
$115.00 |
$187.48
|
|
Collar cerv patriot adlt
|
$80.00 |
$80.00 |
$80.00 |
$154.00
|
|
Collection blood specimen from completely implantable venous access device
|
$82.50 |
$82.50 |
$82.50 |
$156.60
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$82.50 |
$82.50 |
$82.50 |
$154.80
|
|
Collection of venous blood by venipuncture
|
$12.50 |
$12.50 |
$12.50 |
$20.40
|
|
Compatibility test each unit antiglobulin technique
|
$142.50 |
$142.50 |
$142.50 |
$165.00
|
|
Compatibility test each unit electronic
|
$67.50 |
$67.50 |
$67.50 |
$176.70
|
|
Compatibility test each unit immediate spin technique
|
$137.50 |
$137.50 |
$137.50 |
$169.52
|
|
Compatibility test incubate
|
$82.50 |
$82.50 |
$82.50 |
$145.60
|
|
Comp cystometrogram/void presssure 51728
|
$775.00 |
$775.00 |
$775.00 |
$958.81
|
|
Comp cystometrogram/void/uret pres 51729
|
$840.00 |
$840.00 |
$840.00 |
$1,104.60
|
|
Complement antigen each component c3
|
$152.50 |
$152.50 |
$152.50 |
$108.80
|
|
Complex cystometrogram 51726
|
$705.00 |
$705.00 |
$705.00 |
$727.35
|
|
Complex uroflowmetry (electronic) 51741
|
$207.50 |
$207.50 |
$207.50 |
$346.71
|
|
Concentration infection agents any type
|
$52.50 |
$52.50 |
$52.50 |
$49.95
|
|
Consultation pathology during surgery cytological exam initial site
|
$67.50 |
$67.50 |
$67.50 |
$447.33
|
|
Consultation pathology during surgery frozen section each additional block
|
$160.00 |
$160.00 |
$160.00 |
$110.51
|
|
Consultation pathology during surgery frozen section first tissue block
|
$230.00 |
$230.00 |
$230.00 |
$223.86
|
|
Consultation/report referred material w/preparation of slides
|
$372.50 |
$372.50 |
$372.50 |
$231.75
|
|
Contact layer >16<= 48 sq in
|
$45.00 |
$45.00 |
$45.00 |
$35.15
|
|
Contrast exam abdominl aorta 75625-26
|
$2,590.00 |
$2,590.00 |
$2,590.00 |
$3,480.00
|
|
Contrast exam thoracic aorta 75605-26
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$3,663.60
|
|
Contrast x-ray of brain
|
$915.00 |
$915.00 |
$915.00 |
$934.93
|
|
Contrast x-ray of hip
|
$965.00 |
$965.00 |
$965.00 |
$768.00
|
|
Contrast x-ray of knee joint
|
$965.00 |
$965.00 |
$965.00 |
$719.40
|
|
Contrast x-ray of wrist
|
$655.00 |
$655.00 |
$655.00 |
$623.50
|
|
Controller infinity pt dbs
|
$2,801.86 |
$2,801.86 |
$2,801.86 |
$4,624.54
|
|
Conversion ext bil drg cath
|
$1,955.00 |
$1,955.00 |
$1,955.00 |
$4,176.15
|
|
Convert nephrostomy catheter
|
$3,635.00 |
$3,635.00 |
$3,635.00 |
$2,780.38
|
|
Coombs direct
|
$67.50 |
$67.50 |
$67.50 |
$72.78
|
|
Coombs indirect titer reference
|
$130.00 |
$130.00 |
$130.00 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$2,293.68
|
|
Core ndl bx lng/med perq
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$2,684.50
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$5,320.00 |
$5,320.00 |
$5,320.00 |
$8,280.00
|
|
Cortisol acth stimulation test - sendout
|
$200.00 |
$200.00 |
$200.00 |
$146.25
|
|
Cortisol total am
|
$117.50 |
$117.50 |
$117.50 |
$117.81
|
|
Coveredge 32 lead kit 40cm 48
|
$2,570.00 |
$2,570.00 |
$2,570.00 |
$3,657.50
|
|
Cover wrist
|
$225.00 |
$225.00 |
$225.00 |
$230.64
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.50 |
$42.50 |
$42.50 |
$49.13
|
|
#coxa-coxsackie a serotype a16
|
$60.00 |
$60.00 |
$60.00 |
$60.00
|
|
C-peptide
|
$87.50 |
$87.50 |
$87.50 |
$90.50
|
|
Cptr-asst dir ms px
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$361.60
|
|
Crbrospnl fld flw imag cistern
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,192.80
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$77.50 |
$77.50 |
$77.50 |
$79.72
|
|
C-reactive protein, quantitative
|
$57.50 |
$57.50 |
$57.50 |
$62.50
|
|
Creatine kinase
|
$62.50 |
$62.50 |
$62.50 |
$64.35
|
|
Creatine kinase isoenzymes
|
$57.50 |
$57.50 |
$57.50 |
$49.02
|
|
Creatine kinase mb
|
$130.00 |
$130.00 |
$130.00 |
$114.00
|
|
Creatinine
|
$37.50 |
$37.50 |
$37.50 |
$44.40
|
|
Creatinine 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$55.25
|
|
Creatinine clearance urine
|
$80.00 |
$80.00 |
$80.00 |
$87.50
|
|
#creutz-prot.,western blot
|
$400.00 |
$400.00 |
$400.00 |
$156.60
|
|
Critical care 30-74 minutes
|
$945.00 |
$945.00 |
$945.00 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$312.50 |
$312.50 |
$312.50 |
$740.43
|
|
Crizanlizumab-tmca 10 mg/ml intravenous solution
|
$271.28 |
$271.28 |
$271.28 |
$4,374.26
|
|
Cryo fib comp path redu each
|
$370.00 |
$370.00 |
$370.00 |
$371.30
|
|
Cryofibrinogen qualitative - sendout
|
$52.50 |
$52.50 |
$52.50 |
$52.50
|
|
Cryoprecipitate each unit
|
$75.00 |
$75.00 |
$75.00 |
$144.78
|
|
Cryopreserve testicular tiss
|
$60.00 |
$60.00 |
$60.00 |
$71.65
|
|
Crystal identification light microscopy
|
$55.00 |
$55.00 |
$55.00 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$312.50 |
$312.50 |
$312.50 |
$614.05
|
|
Cta abdomen without & /or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,075.53
|
|
Cta neck without &/or w/contrast
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$1,940.00
|
