|
Blood typing ag donor ea ag
|
$134.19 |
$134.19 |
$134.19 |
$166.80
|
|
Bone/joint imaging ltd area
|
$8,580.70 |
$8,580.70 |
$8,580.70 |
$1,151.16
|
|
Bone survey-lead poisoning
|
$1,183.63 |
$1,183.63 |
$1,183.63 |
$346.28
|
|
Bowel imaging
|
$4,685.96 |
$4,685.96 |
$4,685.96 |
$1,186.25
|
|
Braf gene
|
$812.92 |
$812.92 |
$812.92 |
$421.20
|
|
Brain image w/flow < 4 views
|
$3,877.36 |
$3,877.36 |
$3,877.36 |
$828.39
|
|
Bundled special stain group 1 microorganisms
|
$1,263.82 |
$1,263.82 |
$1,263.82 |
$164.89
|
|
Bundle his recording
|
$8,673.91 |
$8,673.91 |
$8,673.91 |
$5,157.39
|
|
Buprenorphine hydrochloride
|
$77.31 |
$77.31 |
$77.31 |
$42.14
|
|
C1 esterase inhibitor func - sendout
|
$55.62 |
$55.62 |
$55.62 |
$106.60
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$25,362.42 |
$25,362.42 |
$25,362.42 |
$18,370.09
|
|
Caffeine citrate 20 mg/ml inj for po
|
$151.90 |
$151.90 |
$151.90 |
$43.81
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$10,191.41 |
$10,191.41 |
$10,191.41 |
$2,910.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$60.00 |
$60.00 |
$60.00 |
$59.40
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$128.57 |
$128.57 |
$128.57 |
$92.91
|
|
Calcium ionized
|
$301.86 |
$301.86 |
$301.86 |
$86.35
|
|
Calculi urinary-sendout
|
$16.52 |
$16.52 |
$16.52 |
$68.05
|
|
Calprotectin fecal
|
$90.99 |
$90.99 |
$90.99 |
$170.00
|
|
Candida dna
|
$92.93 |
$92.93 |
$92.93 |
$66.05
|
|
Capecitabine, oral, 50 mg
|
$81.38 |
$81.38 |
$81.38 |
$46.43
|
|
Carbon dioxide
|
$394.15 |
$394.15 |
$394.15 |
$44.82
|
|
Carboplatin 10 mg/ml desensitization
|
$183.37 |
$183.37 |
$183.37 |
$141.98
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$432.25
|
|
Cardiac drug stress test
|
$6,634.16 |
$6,634.16 |
$6,634.16 |
$543.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$8,563.05 |
$8,563.05 |
$8,563.05 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$67.04 |
$67.04 |
$67.04 |
$195.00
|
|
Carfilzomib 10 mg intravenous solution
|
$7,838.04 |
$7,838.04 |
$7,838.04 |
$3,574.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,520.09 |
$1,520.09 |
$1,520.09 |
$1,582.20
|
|
Carotene
|
$12.74 |
$12.74 |
$12.74 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$7,118.50 |
$7,118.50 |
$7,118.50 |
$1,067.40
|
|
Catheterization collection of specimen single patient all places of service
|
$133.11 |
$133.11 |
$133.11 |
$48.75
|
|
Ceftazidime and avibactam
|
$1,777.77 |
$1,777.77 |
$1,777.77 |
$935.40
|
|
#celiac hla-dq2
|
$439.07 |
$439.07 |
$439.07 |
$226.28
|
|
Cerebrospinal fld flw imag
|
$6,103.07 |
$6,103.07 |
$6,103.07 |
$884.00
|
|
#cf-97variants
|
$2,579.58 |
$2,579.58 |
$2,579.58 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$1,035.80 |
$1,035.80 |
$1,035.80 |
$722.70
|
|
Chlamydia culture
|
$263.03 |
$263.03 |
$263.03 |
$94.90
|
|
Chlamydia type
|
$25.81 |
$25.81 |
$25.81 |
$34.75
|
|
Chloride
|
$364.12 |
$364.12 |
$364.12 |
$38.50
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$182.28 |
$182.28 |
$182.28 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,416.98 |
$4,416.98 |
$4,416.98 |
$625.60
|
|
Cholesterol
|
$988.90 |
$988.90 |
$988.90 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$1,961.77 |
$1,961.77 |
$1,961.77 |
$115.70
|
|
Chromatography
|
$16.52 |
$16.52 |
$16.52 |
$80.60
|
|
Chromogenic substrate assay
|
$55.08 |
$55.08 |
$55.08 |
$183.52
|
|
Chromo high res and frag x - sendout
|
$264.33 |
$264.33 |
$264.33 |
$264.25
|
|
Chronic urticaria - sendout
|
$71.11 |
$71.11 |
$71.11 |
$89.70
|
|
Cidofovir injection
|
$3,853.92 |
$3,853.92 |
$3,853.92 |
$1,099.26
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$1,671.99 |
$1,671.99 |
$1,671.99 |
$576.60
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$1,268.37 |
$1,268.37 |
$1,268.37 |
$81.02
|
|
Clot factor xii hageman
|
$171.77 |
$171.77 |
$171.77 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$12.74 |
$12.74 |
$12.74 |
$47.30
|
|
Clot factor xiii fibrin stab
|
$75.71 |
$75.71 |
$75.71 |
$84.27
|
|
Cmv pcr-sendout
|
$139.05 |
$139.05 |
$139.05 |
$172.25
|
|
Cold agglutinin screen (arc)
|
$37.42 |
$37.42 |
$37.42 |
$47.19
|
|
Cold agglutinin titer
|
$7.51 |
$7.51 |
$7.51 |
$49.40
|
|
Colistimethate sodium inj
|
$482.83 |
$482.83 |
$482.83 |
$84.22
|
|
Compatibility test incubate
|
$108.00 |
$108.00 |
$108.00 |
$143.64
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,606.17 |
$2,606.17 |
$2,606.17 |
$792.24
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,370.60 |
$2,370.60 |
$2,370.60 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,395.85 |
$1,395.85 |
$1,395.85 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$2,370.60 |
$2,370.60 |
$2,370.60 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$2,619.32 |
$2,619.32 |
$2,619.32 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$270.00 |
$270.00 |
$270.00 |
$176.15
|
|
Contrast baths charges
|
$180.03 |
$180.03 |
$180.03 |
$77.98
|
|
Contrast exam abdominl aorta 75625-26
|
$653.07 |
$653.07 |
$653.07 |
$3,389.09
|
|
Contrast x-ray of hip
|
$4,784.51 |
$4,784.51 |
$4,784.51 |
$770.88
|
|
Coombs indirect qualitative each reagent red cell reference
|
$26.51 |
$26.51 |
$26.51 |
$100.29
|
|
Coombs indirect titer reference
|
$24.03 |
$24.03 |
$24.03 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,013.39 |
$1,013.39 |
$1,013.39 |
$258.83
|
|
Co-treatment - group 15 mins, st
|
$208.65 |
$208.65 |
$208.65 |
$110.00
|
|
Counseling smoke cess interm >10mins
|
$294.25 |
$294.25 |
$294.25 |
$57.60
|
|
Covid-19 lab test non-cdc
|
$64.31 |
$64.31 |
$64.31 |
$56.44
|
|
C-peptide
|
$170.59 |
$170.59 |
$170.59 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$3,670.21 |
$3,670.21 |
$3,670.21 |
$1,409.85
|
|
C-reactive protein
|
$29.70 |
$29.70 |
$29.70 |
$61.10
|
|
C-reactive protein high sensitivity
|
$353.48 |
$353.48 |
$353.48 |
$91.20
|
|
Creatine kinase isoenzymes
|
$4.91 |
$4.91 |
$4.91 |
$49.40
|
|
Creatine kinase mb
|
$853.63 |
$853.63 |
$853.63 |
$105.95
|
|
Creatinine
|
$270.59 |
$270.59 |
$270.59 |
$42.50
|
|
Creatinine clearance urine
|
$1,122.71 |
$1,122.71 |
$1,122.71 |
$85.80
|
|
Crotalidae poly immune fab
|
$13,879.32 |
$13,879.32 |
$13,879.32 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$65.56 |
$65.56 |
$65.56 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$35.32 |
$35.32 |
$35.32 |
$80.85
|
|
CT 3d report other modality w/workstation
|
$5,567.13 |
$5,567.13 |
$5,567.13 |
$613.47
|
|
CT angio pelvis
|
$7,824.70 |
$7,824.70 |
$7,824.70 |
$1,778.40
|
|
CT guidance for needle placement
|
$7,484.86 |
$7,484.86 |
$7,484.86 |
$1,506.04
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$7,202.03 |
$7,202.03 |
$7,202.03 |
$1,058.40
|
|
CT limited or localized follow-up study
|
$3,238.89 |
$3,238.89 |
$3,238.89 |
$630.50
|
|
CT thorax low dose for lung screening without contrast
|
$3,263.55 |
$3,263.55 |
$3,263.55 |
$420.60
|
|
Culture anaerobic additional method definitive id each
|
$31.00 |
$31.00 |
$31.00 |
$75.29
|
|
Culture bact stool aero addl path ea
|
$43.74 |
$43.74 |
$43.74 |
$52.50
|
|
Culture fungi definitive id mold
|
$64.31 |
$64.31 |
$64.31 |
$70.00
|
|
Culture fungi skin/hair/nail
|
$35.75 |
$35.75 |
$35.75 |
$76.05
|
|
Culture quantitative aerobic other source
|
$12.74 |
$12.74 |
$12.74 |
$85.80
|
|
Culture typing added method
|
$35.86 |
$35.86 |
$35.86 |
$34.45
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$162.65 |
$162.65 |
$162.65 |
$101.45
|
|
Culture urine each isolate
|
$27.54 |
$27.54 |
$27.54 |
$46.20
|
|
Cyanocobalamin unsat binding capacity
|
$16.52 |
$16.52 |
$16.52 |
$60.75
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$11.94 |
$11.94 |
$11.94 |
$26.73
|
