|
Calcium 24 hour urine
|
$70.00 |
$70.00 |
$70.00 |
$52.00
|
|
Calculus analysis qual
|
$165.00 |
$165.00 |
$165.00 |
$29.60
|
|
Calprotectin fecal
|
$159.00 |
$159.00 |
$159.00 |
$170.00
|
|
Carbohydrate urine - sendout
|
$85.00 |
$85.00 |
$85.00 |
$43.51
|
|
Carbon dioxide
|
$196.00 |
$196.00 |
$196.00 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$2,188.00 |
$2,188.00 |
$2,188.00 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$46.00 |
$46.00 |
$46.00 |
$84.73
|
|
Cardiac drug stress test
|
$1,882.00 |
$1,882.00 |
$1,882.00 |
$543.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,034.00 |
$7,034.00 |
$7,034.00 |
$2,792.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$862.00 |
$862.00 |
$862.00 |
$1,582.20
|
|
Carotene
|
$59.00 |
$59.00 |
$59.00 |
$46.80
|
|
Catecholamines,fractionated, urine
|
$167.00 |
$167.00 |
$167.00 |
$55.20
|
|
Cefotaxime sodium injection
|
$149.00 |
$149.00 |
$149.00 |
$40.63
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$614.00 |
$614.00 |
$614.00 |
$51.66
|
|
Ceftazidime and avibactam
|
$3,576.00 |
$3,576.00 |
$3,576.00 |
$935.40
|
|
Cell marker study
|
$202.00 |
$202.00 |
$202.00 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$884.00
|
|
#cf-97variants
|
$92.00 |
$92.00 |
$92.00 |
$612.26
|
|
Chg radiologic exam esophagus double contrast
|
$1,542.00 |
$1,542.00 |
$1,542.00 |
$520.80
|
|
Chlamydia type
|
$194.00 |
$194.00 |
$194.00 |
$34.75
|
|
Chlnggrphy intraop addl s&i
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$280.00
|
|
Cholinesterase
|
$35.00 |
$35.00 |
$35.00 |
$38.69
|
|
Chromogenic substrate assay
|
$246.00 |
$246.00 |
$246.00 |
$183.52
|
|
Chromosome analysis 15-20 cell count
|
$492.00 |
$492.00 |
$492.00 |
$448.80
|
|
Chromosome analysis 5
|
$3,635.00 |
$3,635.00 |
$3,635.00 |
$644.80
|
|
Chromosome analys placenta
|
$2,842.00 |
$2,842.00 |
$2,842.00 |
$642.00
|
|
Chromosome count additional
|
$78.00 |
$78.00 |
$78.00 |
$110.00
|
|
Chromosome karyotype study
|
$102.00 |
$102.00 |
$102.00 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$207.00 |
$207.00 |
$207.00 |
$123.20
|
|
Cidofovir injection
|
$2,275.00 |
$2,275.00 |
$2,275.00 |
$1,099.26
|
|
Cilastatin sodium injection
|
$624.00 |
$624.00 |
$624.00 |
$65.86
|
|
Cine/video x-rays
|
$954.00 |
$954.00 |
$954.00 |
$242.24
|
|
Cisplatin 1 mg/ml desensitization
|
$125.00 |
$125.00 |
$125.00 |
$127.11
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$343.00 |
$343.00 |
$343.00 |
$81.02
|
|
Clot factor xii hageman
|
$640.00 |
$640.00 |
$640.00 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$248.00 |
$248.00 |
$248.00 |
$84.27
|
|
Clotting assay whole blood
|
$646.00 |
$646.00 |
$646.00 |
$105.95
|
|
#cms hgb-sulfhemoglobin
|
$246.00 |
$246.00 |
$246.00 |
$53.30
|
|
Codeine 15 mg/ml inj 2 ml
|
$98.00 |
$98.00 |
$98.00 |
$43.17
|
|
Compatibility test each unit electronic
|
$147.00 |
$147.00 |
$147.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,038.00 |
$1,038.00 |
$1,038.00 |
$159.95
|
|
Consultation pathology during surgery cytological exam initial site
|
$887.00 |
$887.00 |
$887.00 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$799.00 |
$799.00 |
$799.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$165.00 |
$165.00 |
$165.00 |
$235.95
|
|
Contrast exam thoracic aorta
|
$4,404.00 |
$4,404.00 |
$4,404.00 |
$3,648.84
|
|
Contrast x-ray gallbladder
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$276.65
|
|
Coombs indirect titer reference
|
$108.00 |
$108.00 |
$108.00 |
$143.40
|
|
Cortisol acth stimulation test - sendout
|
$11.00 |
$11.00 |
$11.00 |
$120.13
|
|
Cosyntropin 0.25 mg solution for injection
|
$294.00 |
$294.00 |
$294.00 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$883.00 |
$883.00 |
$883.00 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$122.00 |
$122.00 |
$122.00 |
$57.60
|
|
Covid-19 lab test non-cdc
|
$50.00 |
$50.00 |
$50.00 |
$56.44
|
|
C-peptide
|
$325.00 |
$325.00 |
$325.00 |
$100.26
|
|
Cr-51 sodium chromate
|
$32.00 |
$32.00 |
$32.00 |
$2,646.78
|
|
Crbrospnl fld flw imag cistern
|
$2,053.00 |
$2,053.00 |
$2,053.00 |
$1,409.85
|
|
Creatine - sendout
|
$85.00 |
$85.00 |
$85.00 |
$40.59
|
|
Crotalidae poly immune fab
|
$28,274.00 |
$28,274.00 |
$28,274.00 |
$6,208.33
|
|
Cryptococcus abs qn - sendout
|
$70.00 |
$70.00 |
$70.00 |
$80.85
|
|
CT 3d report other modality w/workstation
|
$1,222.00 |
$1,222.00 |
$1,222.00 |
$613.47
|
|
CT angio hrt w/3d image
|
$21,145.00 |
$21,145.00 |
$21,145.00 |
$1,601.60
|
|
CT guidance for needle placement
|
$11,004.00 |
$11,004.00 |
$11,004.00 |
$1,506.04
|
|
CT guid parench tis ablat
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$1,282.50
|
|
CT heart w/evaluation of calcium without contrast
|
$15,067.00 |
$15,067.00 |
$15,067.00 |
$192.00
|
|
Culture fungi skin/hair/nail
|
$167.00 |
$167.00 |
$167.00 |
$76.05
|
|
Cyanocobalamin unsat binding capacity
|
$50.00 |
$50.00 |
$50.00 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$128.00 |
$128.00 |
$128.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$64.00 |
$64.00 |
$64.00 |
$85.03
|
|
Cyclophosphamide 1 gram intravenous powder for solution
|
$686.00 |
$686.00 |
$686.00 |
$779.37
|
|
Cyclophosphamide 25 mg capsule
|
$65.00 |
$65.00 |
$65.00 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$253.00 |
$253.00 |
$253.00 |
$150.79
|
|
Cystatin c
|
$57.00 |
$57.00 |
$57.00 |
$82.50
|
|
Cystine urine quantitative
|
$55.00 |
$55.00 |
$55.00 |
$103.35
|
|
Cytarabine 20 mg/ml injection solution
|
$210.00 |
$210.00 |
$210.00 |
$66.95
|
|
Cytomegalovirus (cmv) antibody igg
|
$150.00 |
$150.00 |
$150.00 |
$101.25
|
|
Cytopath fl nongyn filter
|
$158.00 |
$158.00 |
$158.00 |
$66.61
|
|
Cytopathology cellular enhancement technique non-gyn
|
$66.00 |
$66.00 |
$66.00 |
$163.43
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$299.00 |
$299.00 |
$299.00 |
$84.50
|
|
Cytopathology concentration technique smears & interpretation
|
$469.00 |
$469.00 |
$469.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$380.00 |
$380.00 |
$380.00 |
$122.40
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$140.00 |
$140.00 |
$140.00 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$380.00 |
$380.00 |
$380.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$380.00 |
$380.00 |
$380.00 |
$203.08
|
|
Cytopath smear other source
|
$391.00 |
$391.00 |
$391.00 |
$85.80
|
|
Cytopath smear other source
|
$532.00 |
$532.00 |
$532.00 |
$135.27
|
|
Cytotoxic antibody screening
|
$107.00 |
$107.00 |
$107.00 |
$157.60
|
|
Dacarbazine 100 mg intravenous solution
|
$125.00 |
$125.00 |
$125.00 |
$61.64
|
|
Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe
|
$92.00 |
$92.00 |
$92.00 |
$5,500.25
|
|
Daunorubicin 5 mg/ml intravenous solution
|
$624.00 |
$624.00 |
$624.00 |
$194.08
|
|
Deamidated gliadin antibody iga
|
$341.00 |
$341.00 |
$341.00 |
$44.20
|
|
Decalcification
|
$266.00 |
$266.00 |
$266.00 |
$75.38
|
|
Deferoxamine 500 mg solution for injection
|
$474.00 |
$474.00 |
$474.00 |
$112.87
|
|
Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution
|
$11,838.00 |
$11,838.00 |
$11,838.00 |
$7,737.00
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$222.30
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,663.00 |
$1,663.00 |
$1,663.00 |
$465.34
|
|
Dextran 40 infusion
|
$328.00 |
$328.00 |
$328.00 |
$173.97
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$137.39 |
$137.39 |
$137.39 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$328.00 |
$328.00 |
$328.00 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$161.00 |
$161.00 |
$161.00 |
$107.50
|
|
Diagnostic Mammogram (both breasts)
|
$1,861.00 |
$1,861.00 |
$1,861.00 |
$403.32
|
