|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$373.44 |
$373.44 |
$373.44 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$893.10 |
$893.10 |
$893.10 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$29.60 |
$29.60 |
$29.60 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$298.40 |
$298.40 |
$298.40 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$37.44
|
|
Blood typing rbc ag non abo/rh ea
|
$214.12 |
$214.12 |
$214.12 |
$181.74
|
|
Bone imaging multiple areas
|
$10,589.48 |
$10,589.48 |
$10,589.48 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$7,369.66 |
$7,369.66 |
$7,369.66 |
$1,151.16
|
|
Bone marrow imaging body
|
$9,648.87 |
$9,648.87 |
$9,648.87 |
$973.73
|
|
Bone survey-lead poisoning
|
$3,715.17 |
$3,715.17 |
$3,715.17 |
$346.28
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$227.19 |
$227.19 |
$227.19 |
$1,683.04
|
|
Bowel imaging
|
$9,130.15 |
$9,130.15 |
$9,130.15 |
$1,186.25
|
|
Brace ank air stirrup univ
|
$188.64 |
$188.64 |
$188.64 |
$56.65
|
|
Brace back pinnacle tlso 464
|
$1,236.16 |
$1,236.16 |
$1,236.16 |
$2,223.92
|
|
Brace fx hum ovr shldr lg
|
$3,815.15 |
$3,815.15 |
$3,815.15 |
$2,528.66
|
|
Brain image w/flow < 4 views
|
$9,278.14 |
$9,278.14 |
$9,278.14 |
$828.39
|
|
Brain image w/flow 4 + views
|
$13,132.53 |
$13,132.53 |
$13,132.53 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$25,470.41 |
$25,470.41 |
$25,470.41 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$23,157.09 |
$23,157.09 |
$23,157.09 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$21,049.31 |
$21,049.31 |
$21,049.31 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$25,236.40 |
$25,236.40 |
$25,236.40 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$6,701.23 |
$6,701.23 |
$6,701.23 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$20,124.30 |
$20,124.30 |
$20,124.30 |
$1,927.04
|
|
Breath recording infant
|
$917.54 |
$917.54 |
$917.54 |
$1,077.10
|
|
Bronchial challenge
|
$2,683.79 |
$2,683.79 |
$2,683.79 |
$835.20
|
|
Buprenorphine oral 1mg
|
$25.94 |
$25.94 |
$25.94 |
$11.95
|
|
C-1 esterase, berinert
|
$7,815.00 |
$7,815.00 |
$7,815.00 |
$5,694.60
|
|
Cadd pump refill
|
$4,332.59 |
$4,332.59 |
$4,332.59 |
$340.33
|
|
Caffeine citrate 20 mg/ml inj for po
|
$489.00 |
$489.00 |
$489.00 |
$43.81
|
|
Calcium 24 hour urine
|
$1,124.95 |
$1,124.95 |
$1,124.95 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$124.25 |
$124.25 |
$124.25 |
$59.40
|
|
Calcium total
|
$1,124.95 |
$1,124.95 |
$1,124.95 |
$48.75
|
|
Calculi urinary-sendout
|
$12.22 |
$12.22 |
$12.22 |
$68.05
|
|
Calculus analysis qual
|
$371.99 |
$371.99 |
$371.99 |
$29.60
|
|
Calprotectin fecal
|
$23.98 |
$23.98 |
$23.98 |
$170.00
|
|
Campylobacter antibody
|
$1,291.05 |
$1,291.05 |
$1,291.05 |
$66.61
|
|
Candida dna
|
$20.00 |
$20.00 |
$20.00 |
$66.05
|
|
Candida skin test
|
$1,843.81 |
$1,843.81 |
$1,843.81 |
$39.77
|
|
Carbohydrate urine - sendout
|
$76.31 |
$76.31 |
$76.31 |
$43.51
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$909.05 |
$909.05 |
$909.05 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$115.39 |
$115.39 |
$115.39 |
$84.73
|
|
Cardiac perf planar mult/ef/wm
|
$20,255.25 |
$20,255.25 |
$20,255.25 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$12,278.66 |
$12,278.66 |
$12,278.66 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$26,867.21 |
$26,867.21 |
$26,867.21 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$397.74 |
$397.74 |
$397.74 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$376.63 |
$376.63 |
$376.63 |
$195.00
|
|
Cath stripping venous s&i
|
$1,618.18 |
$1,618.18 |
$1,618.18 |
$602.40
|
|
Cdna analysis for variants
|
$300.00 |
$300.00 |
$300.00 |
$564.86
|
|
Ceftazidime and avibactam
|
$1,567.28 |
$1,567.28 |
$1,567.28 |
$935.40
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$82.19 |
$82.19 |
$82.19 |
$29.03
|
|
#celiac hla-dq8
|
$134.07 |
$134.07 |
$134.07 |
$246.88
|
|
Cell marker study
|
$76.48 |
$76.48 |
$76.48 |
$239.85
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$2,352.00 |
$2,352.00 |
$2,352.00 |
$3,358.00
|
|
Chest CT scan (with and without contrast)
|
$18,866.43 |
$18,866.43 |
$18,866.43 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$15,468.49 |
$15,468.49 |
$15,468.49 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$16,554.72 |
$16,554.72 |
$16,554.72 |
$1,350.03
|
|
Chg radiologic exam esophagus double contrast
|
$3,463.35 |
$3,463.35 |
$3,463.35 |
$520.80
|
|
Chlamydia trachomatis ag if
|
$8.42 |
$8.42 |
$8.42 |
$30.40
|
|
Chlnggrphy intraop addl s&i
|
$1,255.08 |
$1,255.08 |
$1,255.08 |
$280.00
|
|
Chloramphenicol sodium injec
|
$94.00 |
$94.00 |
$94.00 |
$122.59
|
|
Chloride
|
$1,124.95 |
$1,124.95 |
$1,124.95 |
$38.50
|
|
Chloride 24 hour urine
|
$1,302.37 |
$1,302.37 |
$1,302.37 |
$46.13
|
|
Chloroprocaine hcl injection
|
$125.01 |
$125.01 |
$125.01 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$300.00 |
$300.00 |
$300.00 |
$333.01
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$5,725.34 |
$5,725.34 |
$5,725.34 |
$625.60
|
|
Chrom analysis
|
$427.50 |
$427.50 |
$427.50 |
$127.86
|
|
Chromo high res and frag x - sendout
|
$97.59 |
$97.59 |
$97.59 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$350.00 |
$350.00 |
$350.00 |
$448.80
|
|
Chromosome analysis 5
|
$1,534.63 |
$1,534.63 |
$1,534.63 |
$644.80
|
|
Chromosome count additional
|
$142.02 |
$142.02 |
$142.02 |
$110.00
|
|
Chronic urticaria - sendout
|
$75.00 |
$75.00 |
$75.00 |
$89.70
|
|
Chylomicron screen, bf - sendout
|
$67.64 |
$67.64 |
$67.64 |
$123.20
|
|
Cidofovir injection
|
$2,358.08 |
$2,358.08 |
$2,358.08 |
$1,099.26
|
|
Cine/video x-rays add-on
|
$716.17 |
$716.17 |
$716.17 |
$213.15
|
|
Cisplatin 1 mg/ml desensitization
|
$45.00 |
$45.00 |
$45.00 |
$127.11
|
|
Clot factor xii hageman
|
$115.20 |
$115.20 |
$115.20 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$10.00 |
$10.00 |
$10.00 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$99.23 |
$99.23 |
$99.23 |
$84.27
|
|
C motor evoked lwr limbs
|
$889.91 |
$889.91 |
$889.91 |
$621.00
|
|
C motor evoked uppr limbs
|
$889.91 |
$889.91 |
$889.91 |
$780.00
|
|
Coagulation time activated teg
|
$1,067.34 |
$1,067.34 |
$1,067.34 |
$50.05
|
|
Colistimethate sodium inj
|
$135.00 |
$135.00 |
$135.00 |
$84.22
|
|
Compatibility test each unit electronic
|
$1,716.14 |
$1,716.14 |
$1,716.14 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,180.95 |
$1,180.95 |
$1,180.95 |
$159.95
|
|
Compatibility test incubate
|
$117.37 |
$117.37 |
$117.37 |
$143.64
|
|
Complement fixation each
|
$9.95 |
$9.95 |
$9.95 |
$25.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$792.24
|
|
Connect omega .5mm
|
$605.04 |
$605.04 |
$605.04 |
$747.50
|
|
Consultation pathology during surgery
|
$155.68 |
$155.68 |
$155.68 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,041.40 |
$2,041.40 |
$2,041.40 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,246.38 |
$1,246.38 |
$1,246.38 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,894.03 |
$2,894.03 |
$2,894.03 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$1,353.74 |
$1,353.74 |
$1,353.74 |
$235.95
|
|
Contrast exam thoracic aorta
|
$793.76 |
$793.76 |
$793.76 |
$3,648.84
|
|
Contrast x-ray gallbladder
|
$2,171.74 |
$2,171.74 |
$2,171.74 |
$276.65
|
|
Coombs indirect qualitative each reagent red cell reference
|
$729.75 |
$729.75 |
$729.75 |
$100.29
|
|
Coombs indirect titer reference
|
$961.59 |
$961.59 |
$961.59 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$645.00 |
$645.00 |
$645.00 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$471.28 |
$471.28 |
$471.28 |
$110.00
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$250.00 |
$140.80
|
