|
Consultation pathology during surgery cytological exam initial site
|
$2,190.10 |
$2,190.10 |
$2,190.10 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,474.99 |
$1,474.99 |
$1,474.99 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,965.71 |
$2,965.71 |
$2,965.71 |
$210.80
|
|
Consult comp w/report rfrd material
|
$313.30 |
$313.30 |
$313.30 |
$345.71
|
|
Coombs indirect qualitative each reagent red cell reference
|
$844.58 |
$844.58 |
$844.58 |
$100.29
|
|
Coombs indirect titer reference
|
$130.00 |
$130.00 |
$130.00 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$867.46 |
$867.46 |
$867.46 |
$258.83
|
|
#covid19rsv-rsv
|
$250.00 |
$250.00 |
$250.00 |
$140.80
|
|
C-peptide
|
$53.24 |
$53.24 |
$53.24 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$5,259.87 |
$5,259.87 |
$5,259.87 |
$1,409.85
|
|
C-reactive protein
|
$879.67 |
$879.67 |
$879.67 |
$61.10
|
|
Creatine kinase isoenzymes
|
$3.64 |
$3.64 |
$3.64 |
$49.40
|
|
Creatine kinase mb
|
$1,919.06 |
$1,919.06 |
$1,919.06 |
$105.95
|
|
Creatinine clearance urine
|
$883.30 |
$883.30 |
$883.30 |
$85.80
|
|
Crotalidae poly immune fab
|
$26,513.28 |
$26,513.28 |
$26,513.28 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$28.75 |
$28.75 |
$28.75 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$10.75 |
$10.75 |
$10.75 |
$80.85
|
|
Cryptosporidium antigen
|
$9.99 |
$9.99 |
$9.99 |
$58.94
|
|
Crystal identification light microscopy
|
$408.98 |
$408.98 |
$408.98 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$11,129.54 |
$11,129.54 |
$11,129.54 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$4,045.50 |
$4,045.50 |
$4,045.50 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$22,929.60 |
$22,929.60 |
$22,929.60 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$24,559.06 |
$24,559.06 |
$24,559.06 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$38,639.19 |
$38,639.19 |
$38,639.19 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$24,559.06 |
$24,559.06 |
$24,559.06 |
$2,017.89
|
|
CT Angiogram of the Head
|
$24,559.06 |
$24,559.06 |
$24,559.06 |
$2,041.78
|
|
CT angio pelvis
|
$22,766.66 |
$22,766.66 |
$22,766.66 |
$1,778.40
|
|
CT guid parench tis ablat
|
$9,385.19 |
$9,385.19 |
$9,385.19 |
$1,282.50
|
|
CT thorax low dose for lung screening without contrast
|
$9,971.32 |
$9,971.32 |
$9,971.32 |
$420.60
|
|
Culture anaerobic except blood
|
$2,467.19 |
$2,467.19 |
$2,467.19 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$254.10 |
$254.10 |
$254.10 |
$52.50
|
|
Culture mycoplasma any source
|
$18.06 |
$18.06 |
$18.06 |
$90.37
|
|
Culture urine each isolate
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$46.20
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$7.56 |
$7.56 |
$7.56 |
$26.73
|
|
Cyclic citrullinated peptide antibody
|
$45.98 |
$45.98 |
$45.98 |
$85.03
|
|
Cyclophosphamide 25 mg capsule
|
$62.58 |
$62.58 |
$62.58 |
$22.51
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$150.79
|
|
Cyclosporine 2 hour
|
$100.43 |
$100.43 |
$100.43 |
$119.40
|
|
Cyclosporine modified 25 mg capsule
|
$12.73 |
$12.73 |
$12.73 |
$9.79
|
|
Cyclosporine oral 100 mg
|
$43.84 |
$43.84 |
$43.84 |
$42.97
|
|
Cystatin c
|
$131.89 |
$131.89 |
$131.89 |
$82.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$7,065.19 |
$7,065.19 |
$7,065.19 |
$527.50
|
|
Cytarabine 20 mg/ml injection solution
|
$201.47 |
$201.47 |
$201.47 |
$66.95
|
|
Cytogenetics 25-99
|
$126.00 |
$126.00 |
$126.00 |
$180.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$71.39 |
$71.39 |
$71.39 |
$101.94
|
|
Cytomegalovirus dfa
|
$401.72 |
$401.72 |
$401.72 |
$51.20
|
|
Cytopath c/v index add-on
|
$940.17 |
$940.17 |
$940.17 |
$29.60
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$537.24 |
$537.24 |
$537.24 |
$75.60
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$803.44 |
$803.44 |
$803.44 |
$185.00
|
|
Cytopath smear other source
|
$27.00 |
$27.00 |
$27.00 |
$85.80
|
|
Cytopath tbs c/v manual
|
$77.44 |
$77.44 |
$77.44 |
$57.94
|
|
Cytp urine 3-5 probes cmptr
|
$500.00 |
$500.00 |
$500.00 |
$690.00
|
|
Dch pulmonary stress test
|
$3,162.94 |
$3,162.94 |
$3,162.94 |
$964.41
|
|
Decalcification
|
$523.93 |
$523.93 |
$523.93 |
$75.38
|
|
Decitabine 50 mg intravenous solution
|
$9,763.66 |
$9,763.66 |
$9,763.66 |
$1,026.60
|
|
Deferoxamine 500 mg solution for injection
|
$395.39 |
$395.39 |
$395.39 |
$112.87
|
|
Desmopressin 4 mcg/ml injection solution
|
$324.57 |
$324.57 |
$324.57 |
$172.46
|
|
Desoxycorticosterone
|
$65.50 |
$65.50 |
$65.50 |
$109.28
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$392.04 |
$392.04 |
$392.04 |
$222.30
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$537.74 |
$537.74 |
$537.74 |
$465.34
|
|
Dextran 40 infusion
|
$193.58 |
$193.58 |
$193.58 |
$173.97
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$8.57 |
$8.57 |
$8.57 |
$43.65
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$15.27 |
$15.27 |
$15.27 |
$68.25
|
|
Dextrose 5 % IV bolus
|
$85.13 |
$85.13 |
$85.13 |
$68.25
|
|
Dhea-s (dehydroepiand sulfate)
|
$19.36 |
$19.36 |
$19.36 |
$107.50
|
|
Diab manage trn ind/group
|
$84.40 |
$84.40 |
$84.40 |
$49.50
|
|
Diagnostic Mammogram (both breasts)
|
$1,119.25 |
$1,119.25 |
$1,119.25 |
$403.32
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$145.34 |
$145.34 |
$145.34 |
$67.89
|
|
Dicyclomine injection
|
$293.62 |
$293.62 |
$293.62 |
$210.00
|
|
Diffusing capacity
|
$529.98 |
$529.98 |
$529.98 |
$357.50
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$69.81 |
$69.81 |
$69.81 |
$53.00
|
|
Digoxin immune fab 40 mg intravenous solution
|
$4,971.91 |
$4,971.91 |
$4,971.91 |
$9,684.65
|
|
Digoxin total therapeutic drug level
|
$1,038.18 |
$1,038.18 |
$1,038.18 |
$99.35
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$295.00 |
$295.00 |
$295.00 |
$308.90
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$48.48 |
$48.48 |
$48.48 |
$22.58
|
|
Disability dlco
|
$389.62 |
$389.62 |
$389.62 |
$302.40
|
|
Disaccharidases
|
$65.00 |
$65.00 |
$65.00 |
$224.58
|
|
Dna antibody native/double stranded
|
$66.55 |
$66.55 |
$66.55 |
$101.40
|
|
Dna probe chlamydia
|
$4.50 |
$4.50 |
$4.50 |
$82.20
|
|
Docetaxel 20 mg/ml intravenous solution (wrapper)
|
$2,387.79 |
$2,387.79 |
$2,387.79 |
$712.02
|
|
Doppler echo complete
|
$9,148.81 |
$9,148.81 |
$9,148.81 |
$644.00
|
|
Dornase alfa non-comp unit
|
$454.46 |
$454.46 |
$454.46 |
$500.29
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$575.89 |
$575.89 |
$575.89 |
$232.80
|
|
Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension
|
$5,069.89 |
$5,069.89 |
$5,069.89 |
$2,469.31
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$81.95 |
$81.95 |
$81.95 |
$89.34
|
|
Dronabinol 2.5mg oral
|
$66.45 |
$66.45 |
$66.45 |
$10.17
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$6,179.60 |
$6,179.60 |
$6,179.60 |
$327.39
|
|
Drug assay caffeine
|
$151.25 |
$151.25 |
$151.25 |
$86.45
|
|
Drug of abuse screen urine
|
$98.01 |
$98.01 |
$98.01 |
$63.75
|
|
Drug test def 1-7 classes
|
$2,214.30 |
$2,214.30 |
$2,214.30 |
$263.86
|
|
Drug test def 8-14 classes
|
$13.85 |
$13.85 |
$13.85 |
$172.25
|
|
Drug test prsmv instrmnt
|
$44.96 |
$44.96 |
$44.96 |
$78.65
|
|
Drvvt confirm - quest
|
$121.00 |
$121.00 |
$121.00 |
$102.30
|
|
Duplex scan bilateral study 93985
|
$10,297.10 |
$10,297.10 |
$10,297.10 |
$690.95
|
|
Duplex scan unilateral study 93986
|
$9,586.83 |
$9,586.83 |
$9,586.83 |
$392.15
|
|
Ecg 12 lead tracing only
|
$1,195.48 |
$1,195.48 |
$1,195.48 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$485.21 |
$485.21 |
$485.21 |
$129.83
|
|
Echocardiogram (Heart Ultrasound)
|
$24,387.55 |
$24,387.55 |
$24,387.55 |
$2,049.45
|
|
Echocardiography doppler color flow mapping
|
$7,620.58 |
$7,620.58 |
$7,620.58 |
$461.61
|
|
Echocardiography transthoracic 2d followup/limited
|
$7,620.58 |
$7,620.58 |
$7,620.58 |
$773.30
|
