|
Compatibility test each unit immediate spin technique
|
$291.19 |
$291.19 |
$291.19 |
$159.95
|
|
Complex uroflowmetry (electronic) 51741
|
$554.40 |
$554.40 |
$554.40 |
$353.50
|
|
Component ankle afo plastic jt mold to pt mdl foot cup
|
$8,438.00 |
$8,438.00 |
$8,438.00 |
$1,000.10
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,013.33 |
$1,013.33 |
$1,013.33 |
$792.24
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,771.74 |
$2,771.74 |
$2,771.74 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$807.54 |
$807.54 |
$807.54 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$924.90 |
$924.90 |
$924.90 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$1,425.43 |
$1,425.43 |
$1,425.43 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$1,198.11 |
$1,198.11 |
$1,198.11 |
$176.15
|
|
Contrast baths charges
|
$563.40 |
$563.40 |
$563.40 |
$77.98
|
|
Contrast exam thoracic aorta 75605-26
|
$11,761.04 |
$11,761.04 |
$11,761.04 |
$3,780.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$250.68 |
$250.68 |
$250.68 |
$100.29
|
|
Coombs indirect titer reference
|
$495.63 |
$495.63 |
$495.63 |
$143.40
|
|
Cortisol acth stimulation test - sendout
|
$3,547.57 |
$3,547.57 |
$3,547.57 |
$120.13
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,401.35 |
$1,401.35 |
$1,401.35 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$206.24 |
$206.24 |
$206.24 |
$57.60
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$743.76 |
$743.76 |
$743.76 |
$569.31
|
|
Covid-19 lab test non-cdc
|
$99.50 |
$99.50 |
$99.50 |
$56.44
|
|
#covid19rsv-rsv
|
$165.83 |
$165.83 |
$165.83 |
$140.80
|
|
C-peptide
|
$599.24 |
$599.24 |
$599.24 |
$100.26
|
|
C-reactive protein high sensitivity
|
$507.29 |
$507.29 |
$507.29 |
$91.20
|
|
Creatine kinase isoenzymes
|
$1,046.61 |
$1,046.61 |
$1,046.61 |
$49.40
|
|
Creatinine clearance urine
|
$991.84 |
$991.84 |
$991.84 |
$85.80
|
|
Crotalidae poly immune fab
|
$44,333.32 |
$44,333.32 |
$44,333.32 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$503.75 |
$503.75 |
$503.75 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$236.56 |
$236.56 |
$236.56 |
$80.85
|
|
Cryptosporidium antigen
|
$579.61 |
$579.61 |
$579.61 |
$58.94
|
|
Csf leakage imaging
|
$8,460.94 |
$8,460.94 |
$8,460.94 |
$1,433.25
|
|
CT colonography dx
|
$6,607.88 |
$6,607.88 |
$6,607.88 |
$770.90
|
|
CT hrt w/3d image
|
$7,090.79 |
$7,090.79 |
$7,090.79 |
$1,477.35
|
|
CT thorax low dose for lung screening without contrast
|
$370.47 |
$370.47 |
$370.47 |
$420.60
|
|
Culture afb any source
|
$812.14 |
$812.14 |
$812.14 |
$107.50
|
|
Culture fungi definitive id mold
|
$672.58 |
$672.58 |
$672.58 |
$70.00
|
|
Culture fungi definitive id yeast
|
$175.66 |
$175.66 |
$175.66 |
$79.00
|
|
Culture fungi other (except blood)
|
$1,056.90 |
$1,056.90 |
$1,056.90 |
$94.90
|
|
Culture mycobacteria definitive id each isolate
|
$638.52 |
$638.52 |
$638.52 |
$88.14
|
|
Cyanocobalamin unsat binding capacity
|
$646.75 |
$646.75 |
$646.75 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$183.17 |
$183.17 |
$183.17 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$506.25 |
$506.25 |
$506.25 |
$85.03
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$435.55 |
$435.55 |
$435.55 |
$150.79
|
|
Cyclosporine 2 hour
|
$701.54 |
$701.54 |
$701.54 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$35.09 |
$35.09 |
$35.09 |
$9.79
|
|
Cyp2c9 gene com variants
|
$1,966.64 |
$1,966.64 |
$1,966.64 |
$275.10
|
|
Cystatin c
|
$557.91 |
$557.91 |
$557.91 |
$82.50
|
|
Cytogenetics 25-99
|
$1,711.64 |
$1,711.64 |
$1,711.64 |
$180.00
|
|
Cytogenom microarray copy nmbr var
|
$20,919.56 |
$20,919.56 |
$20,919.56 |
$1,433.77
|
|
Cytomegalovirus (cmv) antibody igm
|
$200.43 |
$200.43 |
$200.43 |
$101.94
|
|
Cytomegalovirus imm IV /vial
|
$8,674.73 |
$8,674.73 |
$8,674.73 |
$2,635.28
|
|
Cytopathology cellular enhancement technique non-gyn
|
$696.62 |
$696.62 |
$696.62 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$196.61 |
$196.61 |
$196.61 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$875.51 |
$875.51 |
$875.51 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$332.85 |
$332.85 |
$332.85 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$344.56 |
$344.56 |
$344.56 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$532.74 |
$532.74 |
$532.74 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$523.01 |
$523.01 |
$523.01 |
$203.08
|
|
Cytotoxic antibody screening
|
$1,888.12 |
$1,888.12 |
$1,888.12 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$771.71 |
$771.71 |
$771.71 |
$61.64
|
|
Dactinomycin 0.5 mg intravenous solution
|
$7,117.69 |
$7,117.69 |
$7,117.69 |
$2,281.50
|
|
Dalbavancin 500 mg intravenous solution
|
$9,851.97 |
$9,851.97 |
$9,851.97 |
$3,753.91
|
|
Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln
|
$59,019.58 |
$59,019.58 |
$59,019.58 |
$28,415.40
|
|
Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution
|
$77,576.20 |
$77,576.20 |
$77,576.20 |
$22,284.19
|
|
Dch validity tests
|
$114.71 |
$114.71 |
$114.71 |
$25.00
|
|
Decalcification
|
$418.16 |
$418.16 |
$418.16 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$17,440.06 |
$17,440.06 |
$17,440.06 |
$1,026.60
|
|
Deferoxamine 500 mg solution for injection
|
$312.77 |
$312.77 |
$312.77 |
$112.87
|
|
Degarelix 120 mg subcutaneous solution
|
$8,178.17 |
$8,178.17 |
$8,178.17 |
$1,963.06
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$682.26 |
$682.26 |
$682.26 |
$182.40
|
|
Deodorant ostmy adapt lube 8ml
|
$2.00 |
$2.00 |
$2.00 |
$5.00
|
|
Design mlc device for imrt
|
$54,697.37 |
$54,697.37 |
$54,697.37 |
$1,641.90
|
|
Device intraute mirena
|
$6,384.19 |
$6,384.19 |
$6,384.19 |
$2,289.60
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$3,871.13 |
$3,871.13 |
$3,871.13 |
$465.34
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$1,007.48 |
$1,007.48 |
$1,007.48 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$782.41 |
$782.41 |
$782.41 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,602.42 |
$1,602.42 |
$1,602.42 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$819.21 |
$819.21 |
$819.21 |
$78.03
|
|
Diatrizoate meglumine 18 % urethral solution
|
$106.27 |
$106.27 |
$106.27 |
$122.25
|
|
Dicyclomine injection
|
$260.16 |
$260.16 |
$260.16 |
$210.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$27,640.60 |
$27,640.60 |
$27,640.60 |
$9,684.65
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$701.55 |
$701.55 |
$701.55 |
$308.90
|
|
Dimenhydrinate injection
|
$203.65 |
$203.65 |
$203.65 |
$24.68
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$194.88 |
$194.88 |
$194.88 |
$22.58
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$222.15 |
$222.15 |
$222.15 |
$100.80
|
|
Discography cerv/thor spine
|
$7,576.74 |
$7,576.74 |
$7,576.74 |
$2,360.70
|
|
Dna antibody native/double stranded
|
$656.05 |
$656.05 |
$656.05 |
$101.40
|
|
Dna probe chlamydia
|
$1,068.29 |
$1,068.29 |
$1,068.29 |
$82.20
|
|
Dna probe gc
|
$720.09 |
$720.09 |
$720.09 |
$88.67
|
|
Dolasetron mesylate oral
|
$712.27 |
$712.27 |
$712.27 |
$910.67
|
|
Dornase alfa non-comp unit
|
$920.78 |
$920.78 |
$920.78 |
$500.29
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$72,296.84 |
$72,296.84 |
$72,296.84 |
$33,342.33
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$271.75 |
$271.75 |
$271.75 |
$89.34
|
|
Drug assay caffeine
|
$528.95 |
$528.95 |
$528.95 |
$86.45
|
|
Drug assay voriconazole
|
$497.19 |
$497.19 |
$497.19 |
$96.75
|
|
Drug test def 15-21 classes
|
$17,729.56 |
$17,729.56 |
$17,729.56 |
$142.17
|
|
Drug test def 22+ classes
|
$24,624.37 |
$24,624.37 |
$24,624.37 |
$246.92
|
|
Drug test def 8-14 classes
|
$10,834.71 |
$10,834.71 |
$10,834.71 |
$172.25
|
|
Drvvt confirm - quest
|
$423.61 |
$423.61 |
$423.61 |
$102.30
|
|
Duplex scan bilateral study 93985
|
$1,160.59 |
$1,160.59 |
$1,160.59 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$558.21 |
$558.21 |
$558.21 |
$392.15
|
|
Durvalumab 50 mg/ml intravenous solution
|
$677.62 |
$677.62 |
$677.62 |
$6,529.68
|
|
Dxa bone density axl vrt fx
|
$1,306.57 |
$1,306.57 |
$1,306.57 |
$374.00
|