|
Blood typing rbc ag non abo/rh ea
|
$211.98 |
$211.98 |
$211.98 |
$181.74
|
|
Bone Density Scan (DEXA)
|
$3,707.84 |
$3,707.84 |
$3,707.84 |
$395.00
|
|
Bone imaging multiple areas
|
$8,577.71 |
$8,577.71 |
$8,577.71 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$13,552.17 |
$13,552.17 |
$13,552.17 |
$1,151.16
|
|
Boot mlti podous univ xlg
|
$2,876.00 |
$2,876.00 |
$2,876.00 |
$318.36
|
|
(both sides) smear without diff wbc count
|
$708.26 |
$708.26 |
$708.26 |
$33.57
|
|
Bowel imaging
|
$9,702.10 |
$9,702.10 |
$9,702.10 |
$1,186.25
|
|
Brace halo bremer l2830
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$291.75
|
|
Brace m arm board
|
$4,616.00 |
$4,616.00 |
$4,616.00 |
$153.81
|
|
Braf gene
|
$4,117.41 |
$4,117.41 |
$4,117.41 |
$421.20
|
|
Brain image 4+ views
|
$8,925.49 |
$8,925.49 |
$8,925.49 |
$746.61
|
|
Brain image w/flow 4 + views
|
$8,925.49 |
$8,925.49 |
$8,925.49 |
$1,308.00
|
|
Bronchial challenge
|
$2,703.55 |
$2,703.55 |
$2,703.55 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$413.58 |
$413.58 |
$413.58 |
$164.89
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$141.40 |
$141.40 |
$141.40 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$237.17 |
$237.17 |
$237.17 |
$17.13
|
|
Buprenorphine hydrochloride
|
$104.08 |
$104.08 |
$104.08 |
$42.14
|
|
Butorphanol tartrate 1 mg
|
$265.99 |
$265.99 |
$265.99 |
$39.89
|
|
C-1 esterase, cinryze
|
$283.37 |
$283.37 |
$283.37 |
$64.21
|
|
C1 esterase inhibitor func - sendout
|
$1,255.48 |
$1,255.48 |
$1,255.48 |
$106.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$15,039.81 |
$15,039.81 |
$15,039.81 |
$2,910.00
|
|
Calcium 24 hour urine
|
$703.43 |
$703.43 |
$703.43 |
$52.00
|
|
Calprotectin fecal
|
$2,059.71 |
$2,059.71 |
$2,059.71 |
$170.00
|
|
Candida skin test
|
$117.83 |
$117.83 |
$117.83 |
$39.77
|
|
Carbamazepine total therapeutic drug level
|
$1,694.29 |
$1,694.29 |
$1,694.29 |
$113.25
|
|
Carbohydrate urine - sendout
|
$195.70 |
$195.70 |
$195.70 |
$43.51
|
|
Carboplatin 10 mg/ml desensitization
|
$510.82 |
$510.82 |
$510.82 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,235.28 |
$1,235.28 |
$1,235.28 |
$432.25
|
|
Carcinoembryonic ag (cea)
|
$593.44 |
$593.44 |
$593.44 |
$146.90
|
|
Cardiac perf planar mult/ef/wm
|
$29,115.70 |
$29,115.70 |
$29,115.70 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$20,016.33 |
$20,016.33 |
$20,016.33 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$23,557.05 |
$23,557.05 |
$23,557.05 |
$2,792.00
|
|
Caregiver training strategies&tq 1st 30 minutes
|
$130.00 |
$130.00 |
$130.00 |
$129.60
|
|
Caregiver training strategies&tq ea addl 15 min
|
$75.00 |
$75.00 |
$75.00 |
$66.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$27,873.84 |
$27,873.84 |
$27,873.84 |
$1,582.20
|
|
Carotene
|
$1,572.87 |
$1,572.87 |
$1,572.87 |
$46.80
|
|
Catecholamines,fractionated, urine
|
$1,333.61 |
$1,333.61 |
$1,333.61 |
$55.20
|
|
Cath stripping venous s&i
|
$11,347.05 |
$11,347.05 |
$11,347.05 |
$602.40
|
|
Cdna analysis for variants
|
$1,047.15 |
$1,047.15 |
$1,047.15 |
$564.86
|
|
Ceftazidime and avibactam
|
$3,341.27 |
$3,341.27 |
$3,341.27 |
$935.40
|
|
Cell marker study
|
$1,331.34 |
$1,331.34 |
$1,331.34 |
$239.85
|
|
#cf-97variants
|
$2,853.11 |
$2,853.11 |
$2,853.11 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$1,021.68 |
$1,021.68 |
$1,021.68 |
$722.70
|
|
Chg radiologic exam esophagus double contrast
|
$3,667.91 |
$3,667.91 |
$3,667.91 |
$520.80
|
|
Chlamydia trachomatis ag if
|
$819.12 |
$819.12 |
$819.12 |
$30.40
|
|
Chloride 24 hour urine
|
$780.14 |
$780.14 |
$780.14 |
$46.13
|
|
Chloroprocaine hcl injection
|
$427.10 |
$427.10 |
$427.10 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$2,360.25 |
$2,360.25 |
$2,360.25 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$487.03 |
$487.03 |
$487.03 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,314.70 |
$4,314.70 |
$4,314.70 |
$625.60
|
|
Cholesterol
|
$525.75 |
$525.75 |
$525.75 |
$46.15
|
|
Cholesterol body fluid
|
$653.38 |
$653.38 |
$653.38 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$1,233.81 |
$1,233.81 |
$1,233.81 |
$115.70
|
|
Cholinesterase
|
$728.57 |
$728.57 |
$728.57 |
$38.69
|
|
Cholinesterase challenge
|
$908.31 |
$908.31 |
$908.31 |
$298.60
|
|
Chrom analysis
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$127.86
|
|
Chromosome analysis 5
|
$2,614.80 |
$2,614.80 |
$2,614.80 |
$644.80
|
|
Chromosome analysis 50-100
|
$2,972.99 |
$2,972.99 |
$2,972.99 |
$301.50
|
|
Chromosome count additional
|
$146.04 |
$146.04 |
$146.04 |
$110.00
|
|
Chromosome karyotype study
|
$898.16 |
$898.16 |
$898.16 |
$102.72
|
|
Chromosome study additional
|
$1,197.12 |
$1,197.12 |
$1,197.12 |
$147.03
|
|
Chronic urticaria - sendout
|
$1,679.02 |
$1,679.02 |
$1,679.02 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$585.37 |
$585.37 |
$585.37 |
$123.20
|
|
Cisplatin 1 mg/ml desensitization
|
$52.85 |
$52.85 |
$52.85 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$3,610.82 |
$3,610.82 |
$3,610.82 |
$576.60
|
|
Clot factor xii hageman
|
$1,440.99 |
$1,440.99 |
$1,440.99 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$1,137.64 |
$1,137.64 |
$1,137.64 |
$84.27
|
|
Clotting assay whole blood
|
$1,369.74 |
$1,369.74 |
$1,369.74 |
$105.95
|
|
Cmv pcr-sendout
|
$2,592.43 |
$2,592.43 |
$2,592.43 |
$172.25
|
|
Coagulation factor viia 1,000 mcg/ml inj 1 ml
|
$13.76 |
$13.76 |
$13.76 |
$4.22
|
|
Cold agglutinin titer
|
$298.99 |
$298.99 |
$298.99 |
$49.40
|
|
Colistimethate sodium inj
|
$375.68 |
$375.68 |
$375.68 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$71.00 |
$71.00 |
$71.00 |
$46.88
|
|
Collection of venous blood by venipuncture
|
$202.81 |
$202.81 |
$202.81 |
$21.66
|
|
Compatibility test each unit electronic
|
$1,008.91 |
$1,008.91 |
$1,008.91 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$211.98 |
$211.98 |
$211.98 |
$159.95
|
|
Conivaptan hcl
|
$7,202.97 |
$7,202.97 |
$7,202.97 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,198.95 |
$1,198.95 |
$1,198.95 |
$792.24
|
|
Consultation pathology during surgery cytological exam initial site
|
$360.95 |
$360.95 |
$360.95 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$652.92 |
$652.92 |
$652.92 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,058.49 |
$1,058.49 |
$1,058.49 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$255.54 |
$255.54 |
$255.54 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$1,280.91 |
$1,280.91 |
$1,280.91 |
$176.15
|
|
Coombs indirect qualitative each reagent red cell reference
|
$418.13 |
$418.13 |
$418.13 |
$100.29
|
|
Coombs indirect titer reference
|
$924.74 |
$924.74 |
$924.74 |
$143.40
|
|
Copper intrauterine device
|
$13,264.00 |
$13,264.00 |
$13,264.00 |
$2,304.44
|
|
Cortisol acth stimulation test - sendout
|
$3,498.57 |
$3,498.57 |
$3,498.57 |
$120.13
|
|
Cosyntropin 0.25 mg solution for injection
|
$2,344.34 |
$2,344.34 |
$2,344.34 |
$258.83
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$748.69 |
$748.69 |
$748.69 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$748.69 |
$748.69 |
$748.69 |
$533.10
|
|
C-peptide
|
$648.42 |
$648.42 |
$648.42 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$8,762.20 |
$8,762.20 |
$8,762.20 |
$1,409.85
|
|
C-reactive protein high sensitivity
|
$1,153.57 |
$1,153.57 |
$1,153.57 |
$91.20
|
|
Creatine kinase isoenzymes
|
$591.13 |
$591.13 |
$591.13 |
$49.40
|
|
Crotalidae poly immune fab
|
$25,539.11 |
$25,539.11 |
$25,539.11 |
$6,208.33
|
|
Cryoprecipitate each unit
|
$1,256.70 |
$1,256.70 |
$1,256.70 |
$190.20
|
|
CT angio hrt w/3d image
|
$14,177.35 |
$14,177.35 |
$14,177.35 |
$1,601.60
|
|
CT hrt c+ strux cgen hrt ds
|
$11,341.85 |
$11,341.85 |
$11,341.85 |
$1,217.45
|
|
CT hrt w/3d image
|
$20,982.46 |
$20,982.46 |
$20,982.46 |
$1,477.35
|
|
CT thorax low dose for lung screening without contrast
|
$285.32 |
$285.32 |
$285.32 |
$420.60
|
