|
Bleomycin 15 unit solution for injection
|
$2,577.00 |
$2,577.00 |
$2,577.00 |
$245.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$82.00 |
$82.00 |
$82.00 |
$57.60
|
|
Blood smear microscopic w manual differential wbc count
|
$25.00 |
$25.00 |
$25.00 |
$37.44
|
|
Blood typing rh phenotype complete reference
|
$584.00 |
$584.00 |
$584.00 |
$77.25
|
|
Bone/joint imaging ltd area
|
$7,257.00 |
$7,257.00 |
$7,257.00 |
$1,151.16
|
|
Bone survey-lead poisoning
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$346.28
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$2,577.00 |
$2,577.00 |
$2,577.00 |
$1,683.04
|
|
Bowel imaging
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,186.25
|
|
Brace back epic tslo 456
|
$2,994.00 |
$2,994.00 |
$2,994.00 |
$1,541.40
|
|
Brace back pinnacle tlso 464
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$2,223.92
|
|
Brace knee extender plus 22-30in
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$505.05
|
|
Brain image w/flow 4 + views
|
$5,338.00 |
$5,338.00 |
$5,338.00 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$10,482.00 |
$10,482.00 |
$10,482.00 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$10,241.00 |
$10,241.00 |
$10,241.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$19,890.00 |
$19,890.00 |
$19,890.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$18,280.00 |
$18,280.00 |
$18,280.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$14,590.00 |
$14,590.00 |
$14,590.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$16,822.00 |
$16,822.00 |
$16,822.00 |
$1,927.04
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$10,470.00 |
$10,470.00 |
$10,470.00 |
$24,679.59
|
|
Bronchial challenge
|
$5,844.00 |
$5,844.00 |
$5,844.00 |
$835.20
|
|
Bundle his recording
|
$45,892.00 |
$45,892.00 |
$45,892.00 |
$5,157.39
|
|
Buprenorphine hydrochloride
|
$143.00 |
$143.00 |
$143.00 |
$42.14
|
|
Caffeine citrate 20 mg/ml inj for po
|
$386.00 |
$386.00 |
$386.00 |
$43.81
|
|
Calcium 24 hour urine
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$52.00
|
|
Calprotectin fecal
|
$345.00 |
$345.00 |
$345.00 |
$170.00
|
|
Carbon dioxide
|
$593.00 |
$593.00 |
$593.00 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$747.00 |
$747.00 |
$747.00 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$245.00 |
$245.00 |
$245.00 |
$432.25
|
|
Cardiac perf planar mult/ef/wm
|
$7,292.00 |
$7,292.00 |
$7,292.00 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$6,249.00 |
$6,249.00 |
$6,249.00 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$2,792.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$971.00 |
$971.00 |
$971.00 |
$1,582.20
|
|
Catecholamines,fractionated, urine
|
$190.00 |
$190.00 |
$190.00 |
$55.20
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$634.46
|
|
Ceftazidime and avibactam
|
$3,217.00 |
$3,217.00 |
$3,217.00 |
$935.40
|
|
Cell marker study
|
$251.00 |
$251.00 |
$251.00 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$39,992.00 |
$39,992.00 |
$39,992.00 |
$30,922.02
|
|
Cerebrospinal fld flw imag
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$884.00
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$5,235.00 |
$5,235.00 |
$5,235.00 |
$3,358.00
|
|
#cf-97variants
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$722.70
|
|
Chemo ia push tecnique
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$500.20
|
|
Chlamydia trachomatis ag if
|
$102.00 |
$102.00 |
$102.00 |
$30.40
|
|
Chlnggrphy intraop addl s&i
|
$2,793.00 |
$2,793.00 |
$2,793.00 |
$280.00
|
|
Chloramphenicol sodium injec
|
$224.00 |
$224.00 |
$224.00 |
$122.59
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$257.00 |
$257.00 |
$257.00 |
$89.81
|
|
Cholinesterase challenge
|
$940.00 |
$940.00 |
$940.00 |
$298.60
|
|
Chromatography
|
$742.00 |
$742.00 |
$742.00 |
$80.60
|
|
Chromosome count additional
|
$92.00 |
$92.00 |
$92.00 |
$110.00
|
|
Chromosome karyotype study
|
$121.00 |
$121.00 |
$121.00 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$288.00 |
$288.00 |
$288.00 |
$123.20
|
|
Cisplatin 1 mg/ml desensitization
|
$353.00 |
$353.00 |
$353.00 |
$127.11
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$448.00 |
$448.00 |
$448.00 |
$61.26
|
|
Clot factor viii reltd antgn
|
$271.00 |
$271.00 |
$271.00 |
$95.72
|
|
Clotting assay whole blood
|
$96.00 |
$96.00 |
$96.00 |
$105.95
|
|
#cms hgb-sulfhemoglobin
|
$355.00 |
$355.00 |
$355.00 |
$53.30
|
|
Co2 monitor per day
|
$302.00 |
$302.00 |
$302.00 |
$388.85
|
|
Codeine 15 mg/ml inj 2 ml
|
$79.00 |
$79.00 |
$79.00 |
$43.17
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$134.00 |
$134.00 |
$134.00 |
$46.88
|
|
Collection of venous blood by venipuncture
|
$45.00 |
$45.00 |
$45.00 |
$21.66
|
|
Compatibility test each unit electronic
|
$690.00 |
$690.00 |
$690.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$845.00 |
$845.00 |
$845.00 |
$159.95
|
|
Compatibility test incubate
|
$531.00 |
$531.00 |
$531.00 |
$143.64
|
|
Consultation pathology during surgery frozen section each additional block
|
$510.00 |
$510.00 |
$510.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$922.00 |
$922.00 |
$922.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$203.00 |
$203.00 |
$203.00 |
$235.95
|
|
Consult comp w/report rfrd material
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$345.71
|
|
Contrast x-ray gallbladder
|
$3,169.00 |
$3,169.00 |
$3,169.00 |
$276.65
|
|
Coombs indirect titer reference
|
$302.00 |
$302.00 |
$302.00 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$783.00 |
$783.00 |
$783.00 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$111.00 |
$111.00 |
$111.00 |
$57.60
|
|
Covid-19 lab test non-cdc
|
$50.00 |
$50.00 |
$50.00 |
$56.44
|
|
C-peptide
|
$437.00 |
$437.00 |
$437.00 |
$100.26
|
|
Cr-51 sodium chromate
|
$41.00 |
$41.00 |
$41.00 |
$2,646.78
|
|
Crbrospnl fld flw imag cistern
|
$3,290.00 |
$3,290.00 |
$3,290.00 |
$1,409.85
|
|
Creatine kinase isoenzymes
|
$1,837.00 |
$1,837.00 |
$1,837.00 |
$49.40
|
|
Crotalidae poly immune fab
|
$14,939.00 |
$14,939.00 |
$14,939.00 |
$6,208.33
|
|
CT heart w/evaluation of calcium without contrast
|
$10,582.00 |
$10,582.00 |
$10,582.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$10,582.00 |
$10,582.00 |
$10,582.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$10,582.00 |
$10,582.00 |
$10,582.00 |
$1,477.35
|
|
Culture bact stool aero addl path ea
|
$207.00 |
$207.00 |
$207.00 |
$52.50
|
|
Culture fungi skin/hair/nail
|
$211.00 |
$211.00 |
$211.00 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$330.00 |
$330.00 |
$330.00 |
$88.14
|
|
Culture mycoplasma any source
|
$1,091.00 |
$1,091.00 |
$1,091.00 |
$90.37
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$160.00 |
$160.00 |
$160.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$330.00 |
$330.00 |
$330.00 |
$85.03
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$420.00 |
$420.00 |
$420.00 |
$150.79
|
|
Cyclosporine modified 25 mg capsule
|
$56.00 |
$56.00 |
$56.00 |
$9.79
|
|
Cystatin c
|
$160.00 |
$160.00 |
$160.00 |
$82.50
|
|
Cystine urine quantitative
|
$68.00 |
$68.00 |
$68.00 |
$103.35
|
|
Cytomegalovirus (cmv) antibody igg
|
$121.00 |
$121.00 |
$121.00 |
$101.25
|
|
Cytopath fl nongyn filter
|
$75.00 |
$75.00 |
$75.00 |
$66.61
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$25.00 |
$25.00 |
$25.00 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$32.00 |
$32.00 |
$32.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$105.00 |
$105.00 |
$105.00 |
$203.08
|
|
Cytopath smear other source
|
$41.00 |
$41.00 |
$41.00 |
$85.80
|
|
Cytopath smear other source
|
$48.00 |
$48.00 |
$48.00 |
$135.27
|
|
Cytopath smear oth prep screen & interp
|
$48.00 |
$48.00 |
$48.00 |
$95.00
|
|
Dacarbazine 100 mg intravenous solution
|
$220.00 |
$220.00 |
$220.00 |
$61.64
|
|
Dactinomycin 0.5 mg intravenous solution
|
$5,581.00 |
$5,581.00 |
$5,581.00 |
$2,281.50
|
