|
Azathioprine 50 mg tablet
|
$7.75 |
$7.75 |
$7.75 |
$6.76
|
|
Azathioprine parenteral
|
$5,184.82 |
$5,184.82 |
$5,184.82 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$1,464.50 |
$1,464.50 |
$1,464.50 |
$52.69
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$129.25 |
$129.25 |
$129.25 |
$191.55
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$67.00 |
$67.00 |
$67.00 |
$3.00
|
|
Bartonella dna pcr-sendout
|
$3,161.28 |
$3,161.28 |
$3,161.28 |
$196.20
|
|
B cells total count
|
$737.89 |
$737.89 |
$737.89 |
$125.28
|
|
Belt ostomy lg 34-65in
|
$5.00 |
$5.00 |
$5.00 |
$5.20
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$362.34 |
$362.34 |
$362.34 |
$6,720.38
|
|
Benztropine 1 mg/ml injection solution
|
$272.59 |
$272.59 |
$272.59 |
$121.88
|
|
Beta-2 microglobulin
|
$1,326.33 |
$1,326.33 |
$1,326.33 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$139.42 |
$139.42 |
$139.42 |
$75.12
|
|
B-hexosaminidase ea assay
|
$1,774.23 |
$1,774.23 |
$1,774.23 |
$104.25
|
|
Bilirubin direct
|
$740.71 |
$740.71 |
$740.71 |
$49.29
|
|
Biotinidase - quest
|
$797.37 |
$797.37 |
$797.37 |
$72.80
|
|
Bis xtracell fluid analysis
|
$710.06 |
$710.06 |
$710.06 |
$229.14
|
|
Bld prd mix
|
$759.61 |
$759.61 |
$759.61 |
$139.21
|
|
Blink reflex test
|
$284.86 |
$284.86 |
$284.86 |
$225.60
|
|
Blood Clotting (PTT) Test
|
$618.93 |
$618.93 |
$618.93 |
$72.15
|
|
Blood Count (CBC) Test (without differential)
|
$961.72 |
$961.72 |
$961.72 |
$62.28
|
|
Blood count spun microhematocrit
|
$201.67 |
$201.67 |
$201.67 |
$20.40
|
|
Blood Culture Test
|
$1,812.01 |
$1,812.01 |
$1,812.01 |
$144.65
|
|
Blood draw capillary 36416
|
$120.37 |
$120.37 |
$120.37 |
$22.32
|
|
Blood gases ph venous
|
$775.51 |
$775.51 |
$775.51 |
$63.70
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$300.04 |
$300.04 |
$300.04 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$300.04 |
$300.04 |
$300.04 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$233.42 |
$233.42 |
$233.42 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$1,137.90 |
$1,137.90 |
$1,137.90 |
$37.44
|
|
Blood typing abo
|
$473.62 |
$473.62 |
$473.62 |
$83.82
|
|
Blood typing ag donor ea ag
|
$351.09 |
$351.09 |
$351.09 |
$166.80
|
|
Blood typing patient serum
|
$490.16 |
$490.16 |
$490.16 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$576.13 |
$576.13 |
$576.13 |
$181.74
|
|
Blood typing rh (d)
|
$520.98 |
$520.98 |
$520.98 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$2,619.21 |
$2,619.21 |
$2,619.21 |
$77.25
|
|
Boot mlti podous univ xlg
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$318.36
|
|
Brace halo bremer l2830
|
$476.00 |
$476.00 |
$476.00 |
$291.75
|
|
Brace m arm board
|
$4,200.00 |
$4,200.00 |
$4,200.00 |
$153.81
|
|
Braf gene
|
$4,632.96 |
$4,632.96 |
$4,632.96 |
$421.20
|
|
Breath hydrogen test 91065
|
$987.66 |
$987.66 |
$987.66 |
$462.00
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$57,794.80 |
$57,794.80 |
$57,794.80 |
$24,679.59
|
|
Bundled special stain group 1 microorganisms
|
$1,630.82 |
$1,630.82 |
$1,630.82 |
$164.89
|
|
Bundle his recording
|
$32,657.93 |
$32,657.93 |
$32,657.93 |
$5,157.39
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$13.13 |
$13.13 |
$13.13 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$13.13 |
$13.13 |
$13.13 |
$17.13
|
|
Buprenorphine hydrochloride
|
$23.21 |
$23.21 |
$23.21 |
$42.14
|
|
C-1 esterase, cinryze
|
$414.00 |
$414.00 |
$414.00 |
$64.21
|
|
Cadd pump refill
|
$1,097.46 |
$1,097.46 |
$1,097.46 |
$340.33
|
|
Calcium 24 hour urine
|
$862.49 |
$862.49 |
$862.49 |
$52.00
|
|
Calcium ionized
|
$1,084.28 |
$1,084.28 |
$1,084.28 |
$86.35
|
|
Calprotectin fecal
|
$2,272.89 |
$2,272.89 |
$2,272.89 |
$170.00
|
|
Campylobacter antibody
|
$1,463.95 |
$1,463.95 |
$1,463.95 |
$66.61
|
|
Candida skin test
|
$455.16 |
$455.16 |
$455.16 |
$39.77
|
|
Carbamazepine free
|
$1,543.78 |
$1,543.78 |
$1,543.78 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$2,133.76 |
$2,133.76 |
$2,133.76 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$497.17 |
$497.17 |
$497.17 |
$113.36
|
|
Carbohydrate urine - sendout
|
$795.82 |
$795.82 |
$795.82 |
$43.51
|
|
Carboxyhemoglobin quantitative
|
$730.59 |
$730.59 |
$730.59 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$1,713.38 |
$1,713.38 |
$1,713.38 |
$146.90
|
|
Cardiac perf planar mult/ef/wm
|
$4,581.63 |
$4,581.63 |
$4,581.63 |
$2,544.75
|
|
Carmustine 100 mg intravenous powder for solution
|
$2,524.48 |
$2,524.48 |
$2,524.48 |
$1,582.20
|
|
Carotene
|
$1,690.21 |
$1,690.21 |
$1,690.21 |
$46.80
|
|
Catecholamines,fractionated, urine
|
$1,469.92 |
$1,469.92 |
$1,469.92 |
$55.20
|
|
Cath stripping venous s&i
|
$1,628.93 |
$1,628.93 |
$1,628.93 |
$602.40
|
|
Cebpa gene full sequence
|
$1,841.53 |
$1,841.53 |
$1,841.53 |
$485.55
|
|
Ceftazidime and avibactam
|
$2,058.28 |
$2,058.28 |
$2,058.28 |
$935.40
|
|
#celiac hla-dq2
|
$588.01 |
$588.01 |
$588.01 |
$226.28
|
|
#celiac hla-dq8
|
$4,882.19 |
$4,882.19 |
$4,882.19 |
$246.88
|
|
Cell count body fluid
|
$532.00 |
$532.00 |
$532.00 |
$63.52
|
|
Cell enumeration & id
|
$4,810.08 |
$4,810.08 |
$4,810.08 |
$458.24
|
|
Cell function assay w/stim
|
$4,091.11 |
$4,091.11 |
$4,091.11 |
$335.20
|
|
Cell marker study
|
$2,265.67 |
$2,265.67 |
$2,265.67 |
$239.85
|
|
#cf-97variants
|
$21,336.30 |
$21,336.30 |
$21,336.30 |
$612.26
|
|
Cftr gene intron poly t
|
$891.28 |
$891.28 |
$891.28 |
$276.00
|
|
Chemo ia infuse each addl hr
|
$457.61 |
$457.61 |
$457.61 |
$198.51
|
|
Chemo ia infusion up to 1 hr
|
$1,334.22 |
$1,334.22 |
$1,334.22 |
$604.89
|
|
Chemotherapy injection 96542
|
$457.61 |
$457.61 |
$457.61 |
$422.37
|
|
Chg pr pul rehab for copd patients
|
$891.84 |
$891.84 |
$891.84 |
$150.00
|
|
Chlamydia culture
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$94.90
|
|
Chlamydia type
|
$875.53 |
$875.53 |
$875.53 |
$34.75
|
|
Chlnggrphy intraop addl s&i
|
$1,125.87 |
$1,125.87 |
$1,125.87 |
$280.00
|
|
Chloramphenicol sodium injec
|
$484.32 |
$484.32 |
$484.32 |
$122.59
|
|
Chloride
|
$520.40 |
$520.40 |
$520.40 |
$38.50
|
|
Chloride 24 hour urine
|
$1,845.33 |
$1,845.33 |
$1,845.33 |
$46.13
|
|
Chloroprocaine hcl injection
|
$134.04 |
$134.04 |
$134.04 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$526.40 |
$526.40 |
$526.40 |
$333.01
|
|
Cholesterol
|
$862.49 |
$862.49 |
$862.49 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$2,220.78 |
$2,220.78 |
$2,220.78 |
$115.70
|
|
Cholinesterase
|
$1,436.42 |
$1,436.42 |
$1,436.42 |
$38.69
|
|
Chorionic gonadotropin/1000u
|
$719.38 |
$719.38 |
$719.38 |
$348.21
|
|
Chrom analysis
|
$1,172.74 |
$1,172.74 |
$1,172.74 |
$127.86
|
|
Chromatography
|
$2,674.43 |
$2,674.43 |
$2,674.43 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$1,880.55 |
$1,880.55 |
$1,880.55 |
$264.25
|
|
Chromosome analys amniotic
|
$2,752.45 |
$2,752.45 |
$2,752.45 |
$436.00
|
|
Chromosome analys placenta
|
$11,828.43 |
$11,828.43 |
$11,828.43 |
$642.00
|
|
Chromosome count additional
|
$297.50 |
$297.50 |
$297.50 |
$110.00
|
|
Cidofovir injection
|
$10,142.20 |
$10,142.20 |
$10,142.20 |
$1,099.26
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$4,783.32 |
$4,783.32 |
$4,783.32 |
$576.60
|
|
Clofarabine 1 mg/ml intravenous solution
|
$265.59 |
$265.59 |
$265.59 |
$604.88
|
|
Clot factor viii reltd antgn
|
$2,287.51 |
$2,287.51 |
$2,287.51 |
$95.72
|
|
Clot factor xii hageman
|
$2,012.11 |
$2,012.11 |
$2,012.11 |
$125.00
|
