|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$12,297.00 |
$12,297.00 |
$12,297.00 |
$1,683.04
|
|
Bowel imaging
|
$11,839.80 |
$11,839.80 |
$11,839.80 |
$1,186.25
|
|
Braf gene
|
$568.30 |
$568.30 |
$568.30 |
$421.20
|
|
Brain image w/flow 4 + views
|
$14,460.60 |
$14,460.60 |
$14,460.60 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$20,154.35 |
$20,154.35 |
$20,154.35 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$13,999.75 |
$13,999.75 |
$13,999.75 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$20,154.35 |
$20,154.35 |
$20,154.35 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$14,562.70 |
$14,562.70 |
$14,562.70 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$13,999.75 |
$13,999.75 |
$13,999.75 |
$1,927.04
|
|
Bronchial challenge
|
$4,697.25 |
$4,697.25 |
$4,697.25 |
$835.20
|
|
Bundle his recording
|
$17,392.80 |
$17,392.80 |
$17,392.80 |
$5,157.39
|
|
Buprenorphine and metabolite - sendout
|
$150.09 |
$150.09 |
$150.09 |
$99.72
|
|
C1 esterase inhibitor func - sendout
|
$23.45 |
$23.45 |
$23.45 |
$106.60
|
|
Caffeine citrate 20 mg/ml inj for po
|
$381.00 |
$381.00 |
$381.00 |
$43.81
|
|
Calcium 24 hour urine
|
$63.30 |
$63.30 |
$63.30 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$368.05 |
$368.05 |
$368.05 |
$59.40
|
|
Calculi urinary-sendout
|
$57.85 |
$57.85 |
$57.85 |
$68.05
|
|
Calprotectin fecal
|
$121.30 |
$121.30 |
$121.30 |
$170.00
|
|
Candida skin test
|
$377.75 |
$377.75 |
$377.75 |
$39.77
|
|
Capecitabine, oral, 50 mg
|
$60.00 |
$60.00 |
$60.00 |
$46.43
|
|
Carbamazepine total therapeutic drug level
|
$2,304.90 |
$2,304.90 |
$2,304.90 |
$113.25
|
|
Carbohydrate urine - sendout
|
$58.15 |
$58.15 |
$58.15 |
$43.51
|
|
Carboxyhemoglobin quantitative
|
$39.90 |
$39.90 |
$39.90 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$599.25 |
$599.25 |
$599.25 |
$146.90
|
|
Cardiac MRI w/stress img
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$1,392.95
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$25,796.95 |
$25,796.95 |
$25,796.95 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,134.70 |
$1,134.70 |
$1,134.70 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$160.20 |
$160.20 |
$160.20 |
$195.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$3,834.55 |
$3,834.55 |
$3,834.55 |
$1,504.08
|
|
Card MRI veloc flow mapping
|
$108.00 |
$108.00 |
$108.00 |
$492.05
|
|
Carotene
|
$17.55 |
$17.55 |
$17.55 |
$46.80
|
|
Cath stripping venous s&i
|
$318.15 |
$318.15 |
$318.15 |
$602.40
|
|
#cbg+cort-cbg
|
$40.50 |
$40.50 |
$40.50 |
$66.55
|
|
Ceftazidime and avibactam
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$935.40
|
|
Cell function assay w/stim
|
$146.75 |
$146.75 |
$146.75 |
$335.20
|
|
Cell marker study
|
$487.40 |
$487.40 |
$487.40 |
$239.85
|
|
#cf-97variants
|
$163.80 |
$163.80 |
$163.80 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$2,238.35 |
$2,238.35 |
$2,238.35 |
$722.70
|
|
Chg radiologic exam esophagus double contrast
|
$997.50 |
$997.50 |
$997.50 |
$520.80
|
|
Chlamydia culture
|
$13.35 |
$13.35 |
$13.35 |
$94.90
|
|
Chlamydia type
|
$22.75 |
$22.75 |
$22.75 |
$34.75
|
|
Chloride
|
$19.30 |
$19.30 |
$19.30 |
$38.50
|
|
Chloride 24 hour urine
|
$170.70 |
$170.70 |
$170.70 |
$46.13
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$171.00 |
$171.00 |
$171.00 |
$333.01
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$15,212.55 |
$15,212.55 |
$15,212.55 |
$625.60
|
|
Cholesterol
|
$459.10 |
$459.10 |
$459.10 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$2,568.20 |
$2,568.20 |
$2,568.20 |
$115.70
|
|
Cholinesterase
|
$70.75 |
$70.75 |
$70.75 |
$38.69
|
|
Cholinesterase challenge
|
$8,613.05 |
$8,613.05 |
$8,613.05 |
$298.60
|
|
Chromatography
|
$58.50 |
$58.50 |
$58.50 |
$80.60
|
|
Chromogenic substrate assay
|
$165.00 |
$165.00 |
$165.00 |
$183.52
|
|
Chromosome analysis 5
|
$962.00 |
$962.00 |
$962.00 |
$644.80
|
|
Clot factor xii hageman
|
$69.15 |
$69.15 |
$69.15 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$69.15 |
$69.15 |
$69.15 |
$47.30
|
|
Cmv pcr-sendout
|
$404.05 |
$404.05 |
$404.05 |
$172.25
|
|
Cold agglutinin titer
|
$326.85 |
$326.85 |
$326.85 |
$49.40
|
|
Colistimethate sodium inj
|
$1,630.00 |
$1,630.00 |
$1,630.00 |
$84.22
|
|
Collar cerv ascend 172 reg
|
$115.00 |
$115.00 |
$115.00 |
$174.01
|
|
Compatibility test each unit antiglobulin technique
|
$2,671.65 |
$2,671.65 |
$2,671.65 |
$165.00
|
|
Compatibility test each unit electronic
|
$61.95 |
$61.95 |
$61.95 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$2,205.20 |
$2,205.20 |
$2,205.20 |
$159.95
|
|
Compatibility test incubate
|
$69.50 |
$69.50 |
$69.50 |
$143.64
|
|
Conjugated estrogens 25 mg solution for injection
|
$935.00 |
$935.00 |
$935.00 |
$792.24
|
|
Consultation pathology during surgery
|
$268.45 |
$268.45 |
$268.45 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$1,468.40 |
$1,468.40 |
$1,468.40 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$450.05 |
$450.05 |
$450.05 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$3,357.35 |
$3,357.35 |
$3,357.35 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$629.75 |
$629.75 |
$629.75 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$530.10 |
$530.10 |
$530.10 |
$176.15
|
|
Consult comp w/report rfrd material
|
$690.45 |
$690.45 |
$690.45 |
$345.71
|
|
Coombs indirect qualitative each reagent red cell reference
|
$18.55 |
$18.55 |
$18.55 |
$100.29
|
|
Coombs indirect titer reference
|
$626.25 |
$626.25 |
$626.25 |
$143.40
|
|
Cortisol acth stimulation test - sendout
|
$137.20 |
$137.20 |
$137.20 |
$120.13
|
|
Cosyntropin 0.25 mg solution for injection
|
$346.00 |
$346.00 |
$346.00 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$612.60 |
$612.60 |
$612.60 |
$110.00
|
|
Covid-19 lab test non-cdc
|
$62.20 |
$62.20 |
$62.20 |
$56.44
|
|
#covid19rsv-rsv
|
$2,304.90 |
$2,304.90 |
$2,304.90 |
$140.80
|
|
C-peptide
|
$198.00 |
$198.00 |
$198.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$12,015.20 |
$12,015.20 |
$12,015.20 |
$1,409.85
|
|
C-reactive protein high sensitivity
|
$21.85 |
$21.85 |
$21.85 |
$91.20
|
|
C-reactive protein, quantitative
|
$43.45 |
$43.45 |
$43.45 |
$63.07
|
|
Creatine kinase
|
$1,546.25 |
$1,546.25 |
$1,546.25 |
$58.30
|
|
Creatine kinase isoenzymes
|
$20.10 |
$20.10 |
$20.10 |
$49.40
|
|
Creatinine
|
$21.55 |
$21.55 |
$21.55 |
$42.50
|
|
Creatinine clearance urine
|
$1,205.15 |
$1,205.15 |
$1,205.15 |
$85.80
|
|
Crotalidae poly immune fab
|
$12,924.00 |
$12,924.00 |
$12,924.00 |
$6,208.33
|
|
Cryptococcus abs qn - sendout
|
$22.75 |
$22.75 |
$22.75 |
$80.85
|
|
Cryptosporidium antigen
|
$1,152.45 |
$1,152.45 |
$1,152.45 |
$58.94
|
|
Crystal identification light microscopy
|
$1,626.25 |
$1,626.25 |
$1,626.25 |
$58.50
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$16,806.95 |
$16,806.95 |
$16,806.95 |
$2,092.73
|
|
CT angio hrt w/3d image
|
$25,572.10 |
$25,572.10 |
$25,572.10 |
$1,601.60
|
|
CT guidance for needle placement
|
$13,659.80 |
$13,659.80 |
$13,659.80 |
$1,506.04
|
|
CT guid parench tis ablat
|
$11,739.55 |
$11,739.55 |
$11,739.55 |
$1,282.50
|
|
CT hrt c+ strux cgen hrt ds
|
$14,078.25 |
$14,078.25 |
$14,078.25 |
$1,217.45
|
|
CT limited or localized follow-up study
|
$2,036.95 |
$2,036.95 |
$2,036.95 |
$630.50
|
|
CT thorax low dose for lung screening without contrast
|
$461.45 |
$461.45 |
$461.45 |
$420.60
|
|
Culture fungi other (except blood)
|
$2,399.05 |
$2,399.05 |
$2,399.05 |
$94.90
|
|
Culture fungi skin/hair/nail
|
$2,399.05 |
$2,399.05 |
$2,399.05 |
$76.05
|
|
Culture mycobacteria definitive id each isolate
|
$59.50 |
$59.50 |
$59.50 |
$88.14
|
|
Culture quantitative aerobic other source
|
$42.00 |
$42.00 |
$42.00 |
$85.80
|
