|
Clot factor xiii fibrin stab
|
$1,878.69 |
$1,878.69 |
$1,878.69 |
$84.27
|
|
Clotting assay whole blood
|
$1,395.11 |
$1,395.11 |
$1,395.11 |
$105.95
|
|
Cmv pcr-sendout
|
$1,598.84 |
$1,598.84 |
$1,598.84 |
$172.25
|
|
Codeine 15 mg/ml inj 2 ml
|
$266.26 |
$266.26 |
$266.26 |
$43.17
|
|
Cold agglutinin screen (arc)
|
$816.19 |
$816.19 |
$816.19 |
$47.19
|
|
Cold agglutinin titer
|
$1,074.15 |
$1,074.15 |
$1,074.15 |
$49.40
|
|
Colon motility 6 hr study
|
$1,110.48 |
$1,110.48 |
$1,110.48 |
$368.50
|
|
Compatibility test each unit electronic
|
$1,089.62 |
$1,089.62 |
$1,089.62 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,040.49 |
$1,040.49 |
$1,040.49 |
$159.95
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$7,819.00 |
$7,819.00 |
$7,819.00 |
$1,000.10
|
|
Conivaptan hcl
|
$4,185.63 |
$4,185.63 |
$4,185.63 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$982.48 |
$982.48 |
$982.48 |
$792.24
|
|
Consultation pathology during surgery
|
$195.27 |
$195.27 |
$195.27 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$666.83 |
$666.83 |
$666.83 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$2,220.78 |
$2,220.78 |
$2,220.78 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,519.41 |
$2,519.41 |
$2,519.41 |
$210.80
|
|
Contrast baths charges
|
$304.35 |
$304.35 |
$304.35 |
$77.98
|
|
Contrast x-ray gallbladder
|
$3,589.69 |
$3,589.69 |
$3,589.69 |
$276.65
|
|
Contrast x-ray of brain
|
$7,608.00 |
$7,608.00 |
$7,608.00 |
$900.00
|
|
Coombs indirect titer reference
|
$2,641.31 |
$2,641.31 |
$2,641.31 |
$143.40
|
|
Copper intrauterine device
|
$10,015.00 |
$10,015.00 |
$10,015.00 |
$2,304.44
|
|
Cosyntropin 0.25 mg solution for injection
|
$574.36 |
$574.36 |
$574.36 |
$258.83
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$668.25 |
$668.25 |
$668.25 |
$569.31
|
|
#covid19rsv-rsv
|
$139.15 |
$139.15 |
$139.15 |
$140.80
|
|
C-peptide
|
$1,601.84 |
$1,601.84 |
$1,601.84 |
$100.26
|
|
C-reactive protein
|
$1,106.06 |
$1,106.06 |
$1,106.06 |
$61.10
|
|
C-reactive protein high sensitivity
|
$1,106.06 |
$1,106.06 |
$1,106.06 |
$91.20
|
|
C-reactive protein, quantitative
|
$1,005.99 |
$1,005.99 |
$1,005.99 |
$63.07
|
|
Creatine kinase
|
$1,845.33 |
$1,845.33 |
$1,845.33 |
$58.30
|
|
Creatine kinase isoenzymes
|
$2,254.13 |
$2,254.13 |
$2,254.13 |
$49.40
|
|
Creatine kinase mb
|
$1,713.38 |
$1,713.38 |
$1,713.38 |
$105.95
|
|
Creatinine
|
$54.45 |
$54.45 |
$54.45 |
$42.50
|
|
Creatinine clearance urine
|
$1,978.68 |
$1,978.68 |
$1,978.68 |
$85.80
|
|
Crotalidae poly immune fab
|
$42,141.19 |
$42,141.19 |
$42,141.19 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$874.12 |
$874.12 |
$874.12 |
$50.88
|
|
Cryoprecipitate each unit
|
$1,395.15 |
$1,395.15 |
$1,395.15 |
$190.20
|
|
Cryptococcus abs qn - sendout
|
$2,022.16 |
$2,022.16 |
$2,022.16 |
$80.85
|
|
Cryptosporidium antigen
|
$1,049.51 |
$1,049.51 |
$1,049.51 |
$58.94
|
|
Culture afb any source
|
$1,751.09 |
$1,751.09 |
$1,751.09 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$907.50 |
$907.50 |
$907.50 |
$75.29
|
|
Culture fungi definitive id mold
|
$1,256.77 |
$1,256.77 |
$1,256.77 |
$70.00
|
|
Culture fungi definitive id yeast
|
$1,256.77 |
$1,256.77 |
$1,256.77 |
$79.00
|
|
Culture mycobacteria definitive id each isolate
|
$784.08 |
$784.08 |
$784.08 |
$88.14
|
|
Culture quantitative aerobic other source
|
$2,541.10 |
$2,541.10 |
$2,541.10 |
$85.80
|
|
Culture typing added method
|
$2,500.17 |
$2,500.17 |
$2,500.17 |
$34.45
|
|
Culture urine each isolate
|
$907.50 |
$907.50 |
$907.50 |
$46.20
|
|
Cyanocobalamin unsat binding capacity
|
$907.50 |
$907.50 |
$907.50 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$233.88 |
$233.88 |
$233.88 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$1,156.83 |
$1,156.83 |
$1,156.83 |
$85.03
|
|
Cyclosporine 2 hour
|
$1,910.51 |
$1,910.51 |
$1,910.51 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$77.29 |
$77.29 |
$77.29 |
$9.79
|
|
Cyp2c19 gene com variants
|
$1,548.54 |
$1,548.54 |
$1,548.54 |
$553.00
|
|
Cystatin c
|
$1,339.43 |
$1,339.43 |
$1,339.43 |
$82.50
|
|
Cytomegalovirus (cmv) antibody igm
|
$1,304.62 |
$1,304.62 |
$1,304.62 |
$101.94
|
|
Cytomegalovirus imm IV /vial
|
$7,913.42 |
$7,913.42 |
$7,913.42 |
$2,635.28
|
|
Cytopathology cellular enhancement technique non-gyn
|
$908.88 |
$908.88 |
$908.88 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$962.59 |
$962.59 |
$962.59 |
$91.53
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$1,575.68 |
$1,575.68 |
$1,575.68 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$1,206.03 |
$1,206.03 |
$1,206.03 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,485.85 |
$1,485.85 |
$1,485.85 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$345.71 |
$345.71 |
$345.71 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$829.22 |
$829.22 |
$829.22 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$1,723.51 |
$1,723.51 |
$1,723.51 |
$203.08
|
|
Cytopath smear oth prep screen & interp
|
$1,381.46 |
$1,381.46 |
$1,381.46 |
$95.00
|
|
Cytopath tbs c/v manual
|
$708.86 |
$708.86 |
$708.86 |
$57.94
|
|
Cytotoxic antibody screening
|
$3,754.34 |
$3,754.34 |
$3,754.34 |
$157.60
|
|
Dactinomycin 0.5 mg intravenous solution
|
$9,253.19 |
$9,253.19 |
$9,253.19 |
$2,281.50
|
|
Dalbavancin 500 mg intravenous solution
|
$10,706.98 |
$10,706.98 |
$10,706.98 |
$3,753.91
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$47,093.98 |
$47,093.98 |
$47,093.98 |
$28,415.40
|
|
Decalcification
|
$685.67 |
$685.67 |
$685.67 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$302.16 |
$302.16 |
$302.16 |
$1,026.60
|
|
Deferoxamine 500 mg solution for injection
|
$427.74 |
$427.74 |
$427.74 |
$112.87
|
|
Degarelix 120 mg subcutaneous solution
|
$12,678.09 |
$12,678.09 |
$12,678.09 |
$1,963.06
|
|
Desoxycorticosterone
|
$599.52 |
$599.52 |
$599.52 |
$109.28
|
|
Dexamethasone 4 mg tablet
|
$16.94 |
$16.94 |
$16.94 |
$5.17
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$293.91 |
$293.91 |
$293.91 |
$43.65
|
|
Dextrose 5 % IV bolus
|
$243.97 |
$243.97 |
$243.97 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,878.69 |
$1,878.69 |
$1,878.69 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$1,194.52 |
$1,194.52 |
$1,194.52 |
$78.03
|
|
Diab manage trn ind/group
|
$145.27 |
$145.27 |
$145.27 |
$49.50
|
|
Dicyclomine injection
|
$482.97 |
$482.97 |
$482.97 |
$210.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$25,387.77 |
$25,387.77 |
$25,387.77 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$972.69 |
$972.69 |
$972.69 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$500.68 |
$500.68 |
$500.68 |
$308.90
|
|
Dimenhydrinate injection
|
$359.13 |
$359.13 |
$359.13 |
$24.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$252.26 |
$252.26 |
$252.26 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$288.61 |
$288.61 |
$288.61 |
$100.80
|
|
Dna antibody native/double stranded
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$101.40
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$2,546.69 |
$2,546.69 |
$2,546.69 |
$98.43
|
|
Dornase alfa non-comp unit
|
$22.08 |
$22.08 |
$22.08 |
$500.29
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$104.00 |
$104.00 |
$104.00 |
$2,458.05
|
|
Droperidol 2.5 mg/ml injection solution
|
$321.14 |
$321.14 |
$321.14 |
$33.99
|
|
Drsg wnd hyalomatrix 10x10cm -cost per sq cm
|
$130.00 |
$130.00 |
$130.00 |
$280.18
|
|
Drug assay caffeine
|
$1,713.38 |
$1,713.38 |
$1,713.38 |
$86.45
|
|
Drug assay posaconazole
|
$1,240.36 |
$1,240.36 |
$1,240.36 |
$96.39
|
|
Drug assay voriconazole
|
$1,754.61 |
$1,754.61 |
$1,754.61 |
$96.75
|
|
Drug of abuse screen urine
|
$3,651.38 |
$3,651.38 |
$3,651.38 |
$63.75
|
|
Drug test def 1-7 classes
|
$1,521.05 |
$1,521.05 |
$1,521.05 |
$263.86
|
|
Drug test def 22+ classes
|
$3,017.66 |
$3,017.66 |
$3,017.66 |
$246.92
|
|
Drug test def 8-14 classes
|
$1,521.05 |
$1,521.05 |
$1,521.05 |
$172.25
|