|
Blood smear microscopic w manual differential wbc count
|
$14.60 |
$14.60 |
$14.60 |
$37.44
|
|
Blood typing abo
|
$40.80 |
$40.80 |
$40.80 |
$83.82
|
|
Blood typing ag donor ea ag
|
$89.48 |
$89.48 |
$89.48 |
$166.80
|
|
Blood typing patient serum
|
$21.04 |
$21.04 |
$21.04 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$517.28 |
$517.28 |
$517.28 |
$181.74
|
|
Blood typing rh (d)
|
$17.04 |
$17.04 |
$17.04 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$355.20 |
$355.20 |
$355.20 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$338.00 |
$338.00 |
$338.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$1,151.16
|
|
Bone marrow imaging body
|
$1,641.20 |
$1,641.20 |
$1,641.20 |
$973.73
|
|
Bone marrow imaging ltd
|
$1,388.00 |
$1,388.00 |
$1,388.00 |
$723.00
|
|
Bone marrow interpretation
|
$378.00 |
$378.00 |
$378.00 |
$439.78
|
|
Bone survey-lead poisoning
|
$242.40 |
$242.40 |
$242.40 |
$346.28
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$59.96 |
$59.96 |
$59.96 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$82.36 |
$82.36 |
$82.36 |
$1,683.04
|
|
(both sides) smear without diff wbc count
|
$24.64 |
$24.64 |
$24.64 |
$33.57
|
|
Bowel imaging
|
$1,364.80 |
$1,364.80 |
$1,364.80 |
$1,186.25
|
|
Brachytx isodose complex
|
$1,083.20 |
$1,083.20 |
$1,083.20 |
$1,631.00
|
|
Brachytx isodose intermed
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$1,207.50
|
|
Brachytx isodose plan simple
|
$412.80 |
$412.80 |
$412.80 |
$817.20
|
|
Braf gene
|
$380.00 |
$380.00 |
$380.00 |
$421.20
|
|
Brain image w/flow 4 + views
|
$1,186.40 |
$1,186.40 |
$1,186.40 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,631.60 |
$1,631.60 |
$1,631.60 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$1,631.60 |
$1,631.60 |
$1,631.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,927.04
|
|
Brca1&2 gene full seq alys
|
$620.00 |
$620.00 |
$620.00 |
$770.25
|
|
Brcassure comprehensive panel-sendout
|
$996.00 |
$996.00 |
$996.00 |
$2,287.20
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$6,994.88 |
$6,994.88 |
$6,994.88 |
$24,679.59
|
|
Bronchial valve init insert
|
$7,293.60 |
$7,293.60 |
$7,293.60 |
$7,565.43
|
|
Bronchial valve remov addl
|
$5,125.60 |
$5,125.60 |
$5,125.60 |
$2,040.67
|
|
Bronchial valve remov init
|
$10,522.80 |
$10,522.80 |
$10,522.80 |
$4,341.75
|
|
Bronchoscopy bronch stents
|
$19,176.40 |
$19,176.40 |
$19,176.40 |
$6,104.00
|
|
Bronchoscopy dilate/fx repr
|
$3,376.40 |
$3,376.40 |
$3,376.40 |
$4,380.35
|
|
Bronchoscopy dilate w/stent
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$6,768.75
|
|
Bronchoscopy revise stent
|
$19,176.40 |
$19,176.40 |
$19,176.40 |
$6,311.00
|
|
Bundled special stain group 1 microorganisms
|
$97.20 |
$97.20 |
$97.20 |
$164.89
|
|
Bundled special stain group 2
|
$96.00 |
$96.00 |
$96.00 |
$169.60
|
|
Bundle his recording
|
$3,349.20 |
$3,349.20 |
$3,349.20 |
$5,157.39
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$2,170.52 |
$2,170.52 |
$2,170.52 |
$30.97
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$12.32 |
$12.32 |
$12.32 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$7.88 |
$7.88 |
$7.88 |
$17.13
|
|
Buprenorphine oral 1mg
|
$1.47 |
$1.47 |
$1.47 |
$11.95
|
|
Butorphanol tartrate 1 mg
|
$4.27 |
$4.27 |
$4.27 |
$39.89
|
|
C-1 esterase, berinert
|
$73.76 |
$73.76 |
$73.76 |
$5,694.60
|
|
C1 esterase inhibitor func - sendout
|
$11.52 |
$11.52 |
$11.52 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$256.28 |
$256.28 |
$256.28 |
$18,370.09
|
|
Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er
|
$24.28 |
$24.28 |
$24.28 |
$22.90
|
|
Cadd pump refill
|
$169.60 |
$169.60 |
$169.60 |
$340.33
|
|
Caffeine citrate 20 mg/ml inj for po
|
$1.05 |
$1.05 |
$1.05 |
$43.81
|
|
Calaspargase pegol-mknl 750 unit/ml intravenous solution
|
$103.87 |
$103.87 |
$103.87 |
$4,073.73
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,547.28 |
$1,547.28 |
$1,547.28 |
$2,910.00
|
|
Calcium 24 hour urine
|
$25.44 |
$25.44 |
$25.44 |
$52.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$0.90 |
$0.90 |
$0.90 |
$45.30
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$0.14 |
$0.14 |
$0.14 |
$92.91
|
|
Calcium ionized
|
$51.16 |
$51.16 |
$51.16 |
$86.35
|
|
Calcium total
|
$13.08 |
$13.08 |
$13.08 |
$48.75
|
|
Calculi urinary-sendout
|
$22.52 |
$22.52 |
$22.52 |
$68.05
|
|
Calculus analysis qual
|
$10.52 |
$10.52 |
$10.52 |
$29.60
|
|
Calprotectin fecal
|
$56.22 |
$56.22 |
$56.22 |
$170.00
|
|
Candida skin test
|
$26.56 |
$26.56 |
$26.56 |
$39.77
|
|
Carbamazepine total therapeutic drug level
|
$144.72 |
$144.72 |
$144.72 |
$113.25
|
|
Carbohydrate deficient transf - sendout
|
$29.00 |
$29.00 |
$29.00 |
$113.36
|
|
Carbon dioxide
|
$16.36 |
$16.36 |
$16.36 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$171.44 |
$171.44 |
$171.44 |
$141.98
|
|
Carboxyhemoglobin quantitative
|
$31.44 |
$31.44 |
$31.44 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$119.08 |
$119.08 |
$119.08 |
$146.90
|
|
Cardiac MRI w/stress img
|
$563.20 |
$563.20 |
$563.20 |
$1,392.95
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$2,913.20 |
$2,913.20 |
$2,913.20 |
$2,792.00
|
|
Cardiolipin antibody iga
|
$47.52 |
$47.52 |
$47.52 |
$114.40
|
|
Card MRI veloc flow mapping
|
$891.60 |
$891.60 |
$891.60 |
$492.05
|
|
Carfilzomib 10 mg intravenous solution
|
$35.16 |
$35.16 |
$35.16 |
$3,574.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$322.08 |
$322.08 |
$322.08 |
$1,582.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$920.00 |
$920.00 |
$920.00 |
$1,067.40
|
|
Caspofungin acetate
|
$57.68 |
$57.68 |
$57.68 |
$492.20
|
|
Catheterization collection of specimen single patient all places of service
|
$14.00 |
$14.00 |
$14.00 |
$48.75
|
|
Cath stripping venous s&i
|
$479.60 |
$479.60 |
$479.60 |
$602.40
|
|
Ccnd1/igh translocation alys
|
$117.20 |
$117.20 |
$117.20 |
$230.14
|
|
Cdna analysis for variants
|
$170.00 |
$170.00 |
$170.00 |
$564.86
|
|
Cebpa gene full sequence
|
$140.56 |
$140.56 |
$140.56 |
$485.55
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$16.40 |
$16.40 |
$16.40 |
$42.00
|
|
Cefepime 1 gram solution for injection
|
$23.40 |
$23.40 |
$23.40 |
$39.95
|
|
Cefoxitin 1 gram intravenous solution
|
$12.72 |
$12.72 |
$12.72 |
$52.04
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$7.63 |
$7.63 |
$7.63 |
$634.46
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$44.72 |
$44.72 |
$44.72 |
$51.66
|
|
Ceftazidime and avibactam
|
$343.28 |
$343.28 |
$343.28 |
$935.40
|
|
Ceftriaxone 1 gram solution for injection
|
$29.40 |
$29.40 |
$29.40 |
$86.58
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$6.04 |
$6.04 |
$6.04 |
$29.03
|
|
#celiac hla-dq8
|
$79.20 |
$79.20 |
$79.20 |
$246.88
|
|
Cell count body fluid
|
$12.00 |
$12.00 |
$12.00 |
$63.52
|
|
Cell count w differential body fluid
|
$31.48 |
$31.48 |
$31.48 |
$95.55
|
|
Cell marker study
|
$44.00 |
$44.00 |
$44.00 |
$239.85
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$31.00 |
$31.00 |
$31.00 |
$30,922.02
|
|
Cerebrospinal fld flw imag
|
$929.20 |
$929.20 |
$929.20 |
$884.00
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$6.20 |
$6.20 |
$6.20 |
$12,987.71
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$141.88 |
$141.88 |
$141.88 |
$3,358.00
|
|
Chemo adm cns w/lmbr punct
|
$1,912.00 |
$1,912.00 |
$1,912.00 |
$722.70
|
|
Chemo intralesional up to 7 96405
|
$85.60 |
$85.60 |
$85.60 |
$175.20
|