|
Assay myeloperoxidase
|
$449.00 |
$449.00 |
$449.00 |
$84.19
|
|
Assay of chloramphenicol
|
$215.00 |
$215.00 |
$215.00 |
$45.60
|
|
Assay of corticosterone
|
$507.00 |
$507.00 |
$507.00 |
$47.10
|
|
Assay of estrogen
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$185.60
|
|
Assay of feces for trypsin
|
$924.00 |
$924.00 |
$924.00 |
$11.76
|
|
Assay of feces porphyrins
|
$503.00 |
$503.00 |
$503.00 |
$168.62
|
|
Assay of lap enzyme
|
$108.00 |
$108.00 |
$108.00 |
$56.25
|
|
Assay of osteocalcin
|
$461.00 |
$461.00 |
$461.00 |
$97.21
|
|
Assay of procainamide w/metab
|
$679.00 |
$679.00 |
$679.00 |
$61.20
|
|
Assay of progesterone
|
$746.00 |
$746.00 |
$746.00 |
$163.20
|
|
Assay of prostaglandin
|
$461.00 |
$461.00 |
$461.00 |
$216.45
|
|
Assay of sialic acid
|
$188.00 |
$188.00 |
$188.00 |
$60.45
|
|
Assay of somatostatin
|
$252.00 |
$252.00 |
$252.00 |
$165.75
|
|
Assay of thiocyanate
|
$144.00 |
$144.00 |
$144.00 |
$57.00
|
|
Assay of tyrosine
|
$87.00 |
$87.00 |
$87.00 |
$56.10
|
|
Assay phosphatidylglycerol
|
$305.00 |
$305.00 |
$305.00 |
$87.20
|
|
Assay toxin or antitoxin
|
$548.00 |
$548.00 |
$548.00 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$4,002.00 |
$4,002.00 |
$4,002.00 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$932.00 |
$932.00 |
$932.00 |
$49.80
|
|
Ast/sgot
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$45.65
|
|
Autologous blood op salvage
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$910.70
|
|
Azathioprine 50 mg tablet
|
$48.00 |
$48.00 |
$48.00 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$442.00 |
$442.00 |
$442.00 |
$52.69
|
|
Bacterial vaginosis pcr
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$298.04
|
|
Bactericidal level serum
|
$805.00 |
$805.00 |
$805.00 |
$82.50
|
|
Bartonella dna pcr-sendout
|
$614.00 |
$614.00 |
$614.00 |
$196.20
|
|
Belt ostomy lg 34-65in
|
$416.00 |
$416.00 |
$416.00 |
$5.20
|
|
#_benzodiazconfur
|
$383.00 |
$383.00 |
$383.00 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$448.00 |
$448.00 |
$448.00 |
$121.88
|
|
Beta-2 microglobulin
|
$188.00 |
$188.00 |
$188.00 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$147.00 |
$147.00 |
$147.00 |
$75.12
|
|
Bevacizumab injection
|
$7,172.46 |
$7,172.46 |
$7,172.46 |
$1,011.80
|
|
B-hexosaminidase ea assay
|
$155.00 |
$155.00 |
$155.00 |
$104.25
|
|
Bile acids cholylglycine
|
$385.00 |
$385.00 |
$385.00 |
$53.60
|
|
Bilicheck
|
$63.00 |
$63.00 |
$63.00 |
$25.20
|
|
Bilirubin direct
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$49.29
|
|
Biotinidase - quest
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$72.80
|
|
Bleomycin 15 unit solution for injection
|
$5,467.00 |
$5,467.00 |
$5,467.00 |
$245.75
|
|
Blood Clotting (PT/INR) Test
|
$897.00 |
$897.00 |
$897.00 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$897.00 |
$897.00 |
$897.00 |
$72.15
|
|
Blood Count (CBC) Test (without differential)
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$62.28
|
|
Blood count spun microhematocrit
|
$118.00 |
$118.00 |
$118.00 |
$20.40
|
|
Blood Culture Test
|
$1,382.00 |
$1,382.00 |
$1,382.00 |
$144.65
|
|
Blood gases ph venous
|
$34.00 |
$34.00 |
$34.00 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$252.00 |
$252.00 |
$252.00 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$897.00 |
$897.00 |
$897.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$178.00 |
$178.00 |
$178.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$87.00 |
$87.00 |
$87.00 |
$37.44
|
|
Blood typing abo
|
$537.00 |
$537.00 |
$537.00 |
$83.82
|
|
Blood typing rbc ag non abo/rh ea
|
$161.00 |
$161.00 |
$161.00 |
$181.74
|
|
Blood typing rh (d)
|
$565.00 |
$565.00 |
$565.00 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$1,103.00 |
$1,103.00 |
$1,103.00 |
$77.25
|
|
Bone imaging multiple areas
|
$2,852.00 |
$2,852.00 |
$2,852.00 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$4,275.00 |
$4,275.00 |
$4,275.00 |
$1,151.16
|
|
Bowel imaging
|
$6,322.00 |
$6,322.00 |
$6,322.00 |
$1,186.25
|
|
Brain flow imaging only
|
$4,396.00 |
$4,396.00 |
$4,396.00 |
$636.97
|
|
Brain image w/flow 4 + views
|
$7,223.00 |
$7,223.00 |
$7,223.00 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$17,034.00 |
$17,034.00 |
$17,034.00 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$11,354.00 |
$11,354.00 |
$11,354.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$11,354.00 |
$11,354.00 |
$11,354.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$19,019.00 |
$19,019.00 |
$19,019.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$14,260.00 |
$14,260.00 |
$14,260.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$11,264.00 |
$11,264.00 |
$11,264.00 |
$1,927.04
|
|
Bundled special stain group 1 microorganisms
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$164.89
|
|
Bundle his recording
|
$28,228.00 |
$28,228.00 |
$28,228.00 |
$5,157.39
|
|
Cabergoline, oral 0.25mg
|
$199.00 |
$199.00 |
$199.00 |
$126.69
|
|
Caffeine citrate 20 mg/ml inj for po
|
$538.00 |
$538.00 |
$538.00 |
$43.81
|
|
Calcium 24 hour urine
|
$73.00 |
$73.00 |
$73.00 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$794.00 |
$794.00 |
$794.00 |
$59.40
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$212.00 |
$212.00 |
$212.00 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$85.00 |
$85.00 |
$85.00 |
$92.91
|
|
Calcium ionized
|
$240.00 |
$240.00 |
$240.00 |
$86.35
|
|
Calcium total
|
$73.00 |
$73.00 |
$73.00 |
$48.75
|
|
Calprotectin fecal
|
$262.00 |
$262.00 |
$262.00 |
$170.00
|
|
Campylobacter antibody
|
$320.00 |
$320.00 |
$320.00 |
$66.61
|
|
Capecitabine, oral, 50 mg
|
$50.00 |
$50.00 |
$50.00 |
$46.43
|
|
Carbamazepine total therapeutic drug level
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$113.25
|
|
Carbohydrate urine - sendout
|
$74.00 |
$74.00 |
$74.00 |
$43.51
|
|
Carbon dioxide
|
$114.00 |
$114.00 |
$114.00 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$58.00 |
$58.00 |
$58.00 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$230.00 |
$230.00 |
$230.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$223.00 |
$223.00 |
$223.00 |
$146.90
|
|
Cardiac drug stress test
|
$3,959.00 |
$3,959.00 |
$3,959.00 |
$543.20
|
|
Cardiac perf planar mult/ef/wm
|
$13,817.00 |
$13,817.00 |
$13,817.00 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$9,209.00 |
$9,209.00 |
$9,209.00 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$9,061.00 |
$9,061.00 |
$9,061.00 |
$2,792.00
|
|
Carmustine 100 mg intravenous powder for solution
|
$40,101.00 |
$40,101.00 |
$40,101.00 |
$1,582.20
|
|
Carotene
|
$128.00 |
$128.00 |
$128.00 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$7,828.00 |
$7,828.00 |
$7,828.00 |
$1,067.40
|
|
Catheterization collection of specimen single patient all places of service
|
$80.00 |
$80.00 |
$80.00 |
$48.75
|
|
Cdp-sot 6 cond w/i&r mct&adt
|
$319.00 |
$319.00 |
$319.00 |
$152.54
|
|
Ceftazidime and avibactam
|
$1,339.00 |
$1,339.00 |
$1,339.00 |
$935.40
|
|
#celiac hla-dq2
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$226.28
|
|
#celiac hla-dq8
|
$1,433.00 |
$1,433.00 |
$1,433.00 |
$246.88
|
|
Cell count body fluid
|
$1,001.00 |
$1,001.00 |
$1,001.00 |
$63.52
|
|
Cell count w differential body fluid
|
$56.00 |
$56.00 |
$56.00 |
$95.55
|
|
Cell marker study
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$884.00
|
|
#cf-97variants
|
$223.00 |
$223.00 |
$223.00 |
$612.26
|
|
Chest 2 vws w oblique
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$373.20
|
