|
Brcassure comprehensive panel-sendout
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,287.20
|
|
Bronchial challenge
|
$2,242.74 |
$2,242.74 |
$2,242.74 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$1,288.41 |
$1,288.41 |
$1,288.41 |
$164.89
|
|
Bundled special stain group 2
|
$333.88 |
$333.88 |
$333.88 |
$169.60
|
|
Bundle his recording
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$5,157.39
|
|
C1 esterase inhibitor func - sendout
|
$27.95 |
$27.95 |
$27.95 |
$106.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$137.00 |
$137.00 |
$137.00 |
$43.81
|
|
Calcium 24 hour urine
|
$1,251.14 |
$1,251.14 |
$1,251.14 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$32.78 |
$32.78 |
$32.78 |
$59.40
|
|
Calcium ionized
|
$324.76 |
$324.76 |
$324.76 |
$86.35
|
|
Calcium total
|
$1,240.49 |
$1,240.49 |
$1,240.49 |
$48.75
|
|
Calculi urinary-sendout
|
$12.05 |
$12.05 |
$12.05 |
$68.05
|
|
Calprotectin fecal
|
$225.83 |
$225.83 |
$225.83 |
$170.00
|
|
Campylobacter antibody
|
$568.63 |
$568.63 |
$568.63 |
$66.61
|
|
Carbamazepine total therapeutic drug level
|
$2,265.36 |
$2,265.36 |
$2,265.36 |
$113.25
|
|
Carbohydrate urine - sendout
|
$68.39 |
$68.39 |
$68.39 |
$43.51
|
|
Carbon dioxide
|
$89.78 |
$89.78 |
$89.78 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$219.00 |
$219.00 |
$219.00 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$432.25
|
|
Carcinoembryonic ag (cea)
|
$782.63 |
$782.63 |
$782.63 |
$146.90
|
|
Cardiac drug stress test
|
$2,272.38 |
$2,272.38 |
$2,272.38 |
$543.20
|
|
Carotene
|
$9.64 |
$9.64 |
$9.64 |
$46.80
|
|
Catheterization collection of specimen single patient all places of service
|
$38.60 |
$38.60 |
$38.60 |
$48.75
|
|
Cath stripping venous s&i
|
$13,258.23 |
$13,258.23 |
$13,258.23 |
$602.40
|
|
Cdna analysis for variants
|
$241.56 |
$241.56 |
$241.56 |
$564.86
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$629.00 |
$629.00 |
$629.00 |
$634.46
|
|
#celiac hla-dq2
|
$34.20 |
$34.20 |
$34.20 |
$226.28
|
|
#celiac hla-dq8
|
$686.20 |
$686.20 |
$686.20 |
$246.88
|
|
Cell count w differential body fluid
|
$1,461.44 |
$1,461.44 |
$1,461.44 |
$95.55
|
|
Cell marker study
|
$1,930.36 |
$1,930.36 |
$1,930.36 |
$239.85
|
|
#cf-97variants
|
$73.16 |
$73.16 |
$73.16 |
$612.26
|
|
Chg pr pul rehab for copd patients
|
$460.35 |
$460.35 |
$460.35 |
$150.00
|
|
Chg radiologic exam esophagus double contrast
|
$3,479.70 |
$3,479.70 |
$3,479.70 |
$520.80
|
|
Chlnggrphy intraop addl s&i
|
$1,267.21 |
$1,267.21 |
$1,267.21 |
$280.00
|
|
Chloramphenicol sodium injec
|
$399.00 |
$399.00 |
$399.00 |
$122.59
|
|
Chloride
|
$551.03 |
$551.03 |
$551.03 |
$38.50
|
|
Chloride 24 hour urine
|
$525.75 |
$525.75 |
$525.75 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$1,449.00 |
$1,449.00 |
$1,449.00 |
$333.01
|
|
Cholesterol
|
$1,456.11 |
$1,456.11 |
$1,456.11 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$2,636.71 |
$2,636.71 |
$2,636.71 |
$115.70
|
|
Cholinesterase
|
$74.81 |
$74.81 |
$74.81 |
$38.69
|
|
Chromogenic substrate assay
|
$247.50 |
$247.50 |
$247.50 |
$183.52
|
|
Chromosome analysis 15-20 cell count
|
$159.32 |
$159.32 |
$159.32 |
$448.80
|
|
Chromosome analysis 45
|
$2,118.49 |
$2,118.49 |
$2,118.49 |
$367.29
|
|
Chromosome analysis 5
|
$159.32 |
$159.32 |
$159.32 |
$644.80
|
|
Cilastatin sodium injection
|
$469.00 |
$469.00 |
$469.00 |
$65.86
|
|
Cisplatin 1 mg/ml desensitization
|
$195.00 |
$195.00 |
$195.00 |
$127.11
|
|
Clostridium toxin a w/optic
|
$2,582.14 |
$2,582.14 |
$2,582.14 |
$17.60
|
|
Clot factor viii reltd antgn
|
$692.90 |
$692.90 |
$692.90 |
$95.72
|
|
Clot factor xii hageman
|
$286.45 |
$286.45 |
$286.45 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$43.00 |
$43.00 |
$43.00 |
$84.27
|
|
Clotting assay whole blood
|
$1,252.47 |
$1,252.47 |
$1,252.47 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$64.15 |
$64.15 |
$64.15 |
$102.57
|
|
Coagulation time activated teg
|
$270.19 |
$270.19 |
$270.19 |
$50.05
|
|
Cold agglutinin screen (arc)
|
$641.54 |
$641.54 |
$641.54 |
$47.19
|
|
Colistimethate sodium inj
|
$243.00 |
$243.00 |
$243.00 |
$84.22
|
|
Collar cerv 18.25x3.5in serp firm density sm
|
$330.23 |
$330.23 |
$330.23 |
$46.88
|
|
Compatibility test each unit antiglobulin technique
|
$627.20 |
$627.20 |
$627.20 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$929.04 |
$929.04 |
$929.04 |
$159.95
|
|
Complement fixation each
|
$132.53 |
$132.53 |
$132.53 |
$25.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$792.24
|
|
Consultation pathology during surgery frozen section each additional block
|
$662.84 |
$662.84 |
$662.84 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,104.73 |
$1,104.73 |
$1,104.73 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$749.35 |
$749.35 |
$749.35 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$173.03 |
$173.03 |
$173.03 |
$176.15
|
|
Contrast exam thoracic aorta
|
$36,588.73 |
$36,588.73 |
$36,588.73 |
$3,648.84
|
|
Contrast exam thoracic aorta 75605-26
|
$20,969.22 |
$20,969.22 |
$20,969.22 |
$3,780.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$255.55 |
$255.55 |
$255.55 |
$100.29
|
|
Cortisol acth stimulation test - sendout
|
$1,212.09 |
$1,212.09 |
$1,212.09 |
$120.13
|
|
Cortisol total am
|
$818.57 |
$818.57 |
$818.57 |
$122.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$258.83
|
|
Counseling smoke cess interm >10mins
|
$134.70 |
$134.70 |
$134.70 |
$57.60
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$250.00 |
$140.80
|
|
C-peptide
|
$126.11 |
$126.11 |
$126.11 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$8,374.65 |
$8,374.65 |
$8,374.65 |
$1,409.85
|
|
Creatine kinase isoenzymes
|
$5.30 |
$5.30 |
$5.30 |
$49.40
|
|
Creatine kinase mb
|
$1,152.65 |
$1,152.65 |
$1,152.65 |
$105.95
|
|
Creatinine
|
$1,000.91 |
$1,000.91 |
$1,000.91 |
$42.50
|
|
Creatinine clearance urine
|
$1,414.85 |
$1,414.85 |
$1,414.85 |
$85.80
|
|
#creutz-prot.,western blot
|
$3,575.07 |
$3,575.07 |
$3,575.07 |
$179.28
|
|
Critical care 30-74 minutes
|
$7,808.72 |
$7,808.72 |
$7,808.72 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$958.72 |
$958.72 |
$958.72 |
$756.00
|
|
Crotalidae poly immune fab
|
$17,582.00 |
$17,582.00 |
$17,582.00 |
$6,208.33
|
|
Cryptococcus abs qn - sendout
|
$18.73 |
$18.73 |
$18.73 |
$80.85
|
|
CT guid parench tis ablat
|
$10,742.89 |
$10,742.89 |
$10,742.89 |
$1,282.50
|
|
Culture aerobic additional method definitive id each
|
$1,521.33 |
$1,521.33 |
$1,521.33 |
$62.65
|
|
Culture afb any source
|
$1,052.82 |
$1,052.82 |
$1,052.82 |
$107.50
|
|
Culture anaerobic additional method definitive id each
|
$290.16 |
$290.16 |
$290.16 |
$75.29
|
|
Culture anaerobic except blood
|
$319.44 |
$319.44 |
$319.44 |
$120.00
|
|
Culture fungi definitive id yeast
|
$509.77 |
$509.77 |
$509.77 |
$79.00
|
|
Culture fungi other (except blood)
|
$870.47 |
$870.47 |
$870.47 |
$94.90
|
|
Culture quantitative aerobic other source
|
$870.47 |
$870.47 |
$870.47 |
$85.80
|
|
Culture urine each isolate
|
$1,079.44 |
$1,079.44 |
$1,079.44 |
$46.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$453.20 |
$453.20 |
$453.20 |
$85.03
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$428.00 |
$428.00 |
$428.00 |
$150.79
|
|
Cyclosporine 2 hour
|
$239.42 |
$239.42 |
$239.42 |
$119.40
|
|
Cyp2c19 gene com variants
|
$2,659.32 |
$2,659.32 |
$2,659.32 |
$553.00
|
|
Cystatin c
|
$799.50 |
$799.50 |
$799.50 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$5,681.92 |
$5,681.92 |
$5,681.92 |
$527.50
|
