|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$353.00 |
$353.00 |
$353.00 |
$1,683.04
|
|
Bowel imaging
|
$4,483.00 |
$4,483.00 |
$4,483.00 |
$1,186.25
|
|
Braf gene
|
$922.00 |
$922.00 |
$922.00 |
$421.20
|
|
Brain flow imaging only
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$16,617.00 |
$16,617.00 |
$16,617.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$15,173.00 |
$15,173.00 |
$15,173.00 |
$1,927.04
|
|
Brcassure comprehensive panel-sendout
|
$5,474.64 |
$5,474.64 |
$5,474.64 |
$2,287.20
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$52,719.00 |
$52,719.00 |
$52,719.00 |
$24,679.59
|
|
Bundled special stain group 1 microorganisms
|
$997.00 |
$997.00 |
$997.00 |
$164.89
|
|
Bundled special stain group 2
|
$328.00 |
$328.00 |
$328.00 |
$169.60
|
|
Buprenorphine hydrochloride
|
$342.00 |
$342.00 |
$342.00 |
$42.14
|
|
Buprenorphine oral 1mg
|
$31.00 |
$31.00 |
$31.00 |
$11.95
|
|
Butorphanol tartrate 1 mg
|
$31.00 |
$31.00 |
$31.00 |
$39.89
|
|
C-1 esterase, berinert
|
$6,634.00 |
$6,634.00 |
$6,634.00 |
$5,694.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$371.00 |
$371.00 |
$371.00 |
$43.81
|
|
Calcium 24 hour urine
|
$994.00 |
$994.00 |
$994.00 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$210.00 |
$210.00 |
$210.00 |
$59.40
|
|
Calcium ionized
|
$930.00 |
$930.00 |
$930.00 |
$86.35
|
|
Calprotectin fecal
|
$261.00 |
$261.00 |
$261.00 |
$170.00
|
|
Carbamazepine free
|
$213.00 |
$213.00 |
$213.00 |
$66.43
|
|
Carbamazepine free -sendout
|
$61.00 |
$61.00 |
$61.00 |
$47.94
|
|
Carbamazepine total therapeutic drug level
|
$1,857.00 |
$1,857.00 |
$1,857.00 |
$113.25
|
|
Carbon dioxide
|
$590.00 |
$590.00 |
$590.00 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$134.00 |
$134.00 |
$134.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$724.00 |
$724.00 |
$724.00 |
$146.90
|
|
Cardiac perf planar mult/ef/wm
|
$1,851.00 |
$1,851.00 |
$1,851.00 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$1,172.00 |
$1,172.00 |
$1,172.00 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$6,191.00 |
$6,191.00 |
$6,191.00 |
$2,792.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$9,145.00 |
$9,145.00 |
$9,145.00 |
$1,504.08
|
|
Card MRI veloc flow mapping
|
$19,981.00 |
$19,981.00 |
$19,981.00 |
$492.05
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$1,582.20
|
|
Carotene
|
$811.00 |
$811.00 |
$811.00 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$5,698.00 |
$5,698.00 |
$5,698.00 |
$1,067.40
|
|
Cefotaxime sodium injection
|
$8.00 |
$8.00 |
$8.00 |
$40.63
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$869.00 |
$869.00 |
$869.00 |
$634.46
|
|
Ceftazidime and avibactam
|
$1,934.00 |
$1,934.00 |
$1,934.00 |
$935.40
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$8,784.00 |
$8,784.00 |
$8,784.00 |
$3,358.00
|
|
#cf-97variants
|
$220.00 |
$220.00 |
$220.00 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$1,211.00 |
$1,211.00 |
$1,211.00 |
$722.70
|
|
Chest 2 vws w oblique
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$373.20
|
|
Chest apical lordotic proj
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$18,630.00 |
$18,630.00 |
$18,630.00 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$15,529.00 |
$15,529.00 |
$15,529.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$14,112.00 |
$14,112.00 |
$14,112.00 |
$1,350.03
|
|
Chest X-ray
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$294.06
|
|
Chest X-ray (single view)
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$229.08
|
|
Chg radiologic exam esophagus double contrast
|
$862.00 |
$862.00 |
$862.00 |
$520.80
|
|
Chlamydia culture
|
$227.00 |
$227.00 |
$227.00 |
$94.90
|
|
Chlamydia type
|
$16.71 |
$16.71 |
$16.71 |
$34.75
|
|
Chlnggrphy intraop addl s&i
|
$866.00 |
$866.00 |
$866.00 |
$280.00
|
|
Chloride
|
$291.00 |
$291.00 |
$291.00 |
$38.50
|
|
Chloride 24 hour urine
|
$291.00 |
$291.00 |
$291.00 |
$46.13
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$129.00 |
$129.00 |
$129.00 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$3,264.00 |
$3,264.00 |
$3,264.00 |
$625.60
|
|
Cholesterol
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$994.00 |
$994.00 |
$994.00 |
$115.70
|
|
Cholinesterase
|
$633.00 |
$633.00 |
$633.00 |
$38.69
|
|
Chromo high res and frag x - sendout
|
$434.00 |
$434.00 |
$434.00 |
$264.25
|
|
Cidofovir injection
|
$5,615.00 |
$5,615.00 |
$5,615.00 |
$1,099.26
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$4,709.00 |
$4,709.00 |
$4,709.00 |
$576.60
|
|
Clofarabine 1 mg/ml intravenous solution
|
$21,932.00 |
$21,932.00 |
$21,932.00 |
$604.88
|
|
Clot factor xii hageman
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$356.00 |
$356.00 |
$356.00 |
$47.30
|
|
#cmvcul-virus inoculation shell
|
$301.00 |
$301.00 |
$301.00 |
$102.57
|
|
Cmv pcr-sendout
|
$287.00 |
$287.00 |
$287.00 |
$172.25
|
|
Cold agglutinin titer
|
$1,171.00 |
$1,171.00 |
$1,171.00 |
$49.40
|
|
Colistimethate sodium inj
|
$451.00 |
$451.00 |
$451.00 |
$84.22
|
|
Collection of venous blood by venipuncture
|
$19.00 |
$19.00 |
$19.00 |
$21.66
|
|
Compatibility test each unit antiglobulin technique
|
$530.00 |
$530.00 |
$530.00 |
$165.00
|
|
Compatibility test each unit electronic
|
$998.00 |
$998.00 |
$998.00 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$998.00 |
$998.00 |
$998.00 |
$159.95
|
|
Compatibility test incubate
|
$633.00 |
$633.00 |
$633.00 |
$143.64
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$792.24
|
|
Consultation pathology during surgery
|
$335.00 |
$335.00 |
$335.00 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$349.00 |
$349.00 |
$349.00 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$836.00 |
$836.00 |
$836.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$210.80
|
|
Contrast exam thoracic aorta 75605-26
|
$14,449.00 |
$14,449.00 |
$14,449.00 |
$3,780.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$251.00 |
$251.00 |
$251.00 |
$100.29
|
|
Coombs indirect titer reference
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$143.40
|
|
Cortisol total am
|
$762.00 |
$762.00 |
$762.00 |
$122.00
|
|
C-peptide
|
$447.00 |
$447.00 |
$447.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$4,406.00 |
$4,406.00 |
$4,406.00 |
$1,409.85
|
|
C-reactive protein
|
$462.00 |
$462.00 |
$462.00 |
$61.10
|
|
C-reactive protein high sensitivity
|
$328.00 |
$328.00 |
$328.00 |
$91.20
|
|
Creatine kinase
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$58.30
|
|
Creatine kinase isoenzymes
|
$40.17 |
$40.17 |
$40.17 |
$49.40
|
|
Creatinine
|
$642.00 |
$642.00 |
$642.00 |
$42.50
|
|
Creatinine clearance urine
|
$930.00 |
$930.00 |
$930.00 |
$85.80
|
|
Critical care 30-74 minutes
|
$12,787.00 |
$12,787.00 |
$12,787.00 |
$2,595.34
|
|
Critical care each additional 30 minutes
|
$6,383.00 |
$6,383.00 |
$6,383.00 |
$756.00
|
|
Crystal identification light microscopy
|
$510.00 |
$510.00 |
$510.00 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$4,518.00 |
$4,518.00 |
$4,518.00 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$18,197.00 |
$18,197.00 |
$18,197.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$18,197.00 |
$18,197.00 |
$18,197.00 |
$2,092.73
|
