|
Bleomycin 15 unit solution for injection
|
$200.00 |
$200.00 |
$200.00 |
$245.75
|
|
Blood Culture Test
|
$397.70 |
$397.70 |
$397.70 |
$144.65
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$91.70 |
$91.70 |
$91.70 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$627.75 |
$627.75 |
$627.75 |
$37.44
|
|
Blood typing abo
|
$169.45 |
$169.45 |
$169.45 |
$83.82
|
|
Blood typing ag donor ea ag
|
$34.30 |
$34.30 |
$34.30 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$136.50 |
$136.50 |
$136.50 |
$181.74
|
|
Blood typing rh phenotype complete reference
|
$206.35 |
$206.35 |
$206.35 |
$77.25
|
|
Bone/joint imaging ltd area
|
$11,347.95 |
$11,347.95 |
$11,347.95 |
$1,151.16
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$18.00 |
$18.00 |
$18.00 |
$98.57
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$7,406.00 |
$7,406.00 |
$7,406.00 |
$1,683.04
|
|
Bowel imaging
|
$9,635.85 |
$9,635.85 |
$9,635.85 |
$1,186.25
|
|
Brace afo lg left 6607
|
$428.00 |
$428.00 |
$428.00 |
$401.11
|
|
Braf gene
|
$947.15 |
$947.15 |
$947.15 |
$421.20
|
|
Brain image w/flow 4 + views
|
$4,183.15 |
$4,183.15 |
$4,183.15 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$5,273.65 |
$5,273.65 |
$5,273.65 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,637.30 |
$3,637.30 |
$3,637.30 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$5,273.65 |
$5,273.65 |
$5,273.65 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$3,902.35 |
$3,902.35 |
$3,902.35 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$3,637.30 |
$3,637.30 |
$3,637.30 |
$1,927.04
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$42,327.75 |
$42,327.75 |
$42,327.75 |
$24,679.59
|
|
Bronchial challenge
|
$1,393.35 |
$1,393.35 |
$1,393.35 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$39.60 |
$39.60 |
$39.60 |
$164.89
|
|
Bundled special stain group 2
|
$39.60 |
$39.60 |
$39.60 |
$169.60
|
|
Bundle his recording
|
$4,210.45 |
$4,210.45 |
$4,210.45 |
$5,157.39
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$32.95 |
$32.95 |
$32.95 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$44.55 |
$44.55 |
$44.55 |
$17.13
|
|
Buprenorphine and metabolite - sendout
|
$42.75 |
$42.75 |
$42.75 |
$99.72
|
|
Buprenorphine hydrochloride
|
$48.00 |
$48.00 |
$48.00 |
$42.14
|
|
Cabergoline, oral 0.25mg
|
$126.50 |
$126.50 |
$126.50 |
$126.69
|
|
Calcium 24 hour urine
|
$5.70 |
$5.70 |
$5.70 |
$52.00
|
|
Calculi urinary-sendout
|
$35.90 |
$35.90 |
$35.90 |
$68.05
|
|
Calprotectin fecal
|
$116.00 |
$116.00 |
$116.00 |
$170.00
|
|
Carbamazepine total therapeutic drug level
|
$368.45 |
$368.45 |
$368.45 |
$113.25
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$826.00 |
$826.00 |
$826.00 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$66.55 |
$66.55 |
$66.55 |
$84.73
|
|
Cardiac drug stress test
|
$314.00 |
$314.00 |
$314.00 |
$543.20
|
|
Carfilzomib 10 mg intravenous solution
|
$7,815.00 |
$7,815.00 |
$7,815.00 |
$3,574.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$11,505.00 |
$11,505.00 |
$11,505.00 |
$1,582.20
|
|
Carotene
|
$10.15 |
$10.15 |
$10.15 |
$46.80
|
|
Cath stripping venous s&i
|
$15,425.45 |
$15,425.45 |
$15,425.45 |
$602.40
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$489.00 |
$489.00 |
$489.00 |
$634.46
|
|
Ceftazidime and avibactam
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$935.40
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$6,785.00 |
$6,785.00 |
$6,785.00 |
$3,358.00
|
|
#cf-97variants
|
$136.10 |
$136.10 |
$136.10 |
$612.26
|
|
Chg radiologic exam esophagus double contrast
|
$1,379.60 |
$1,379.60 |
$1,379.60 |
$520.80
|
|
Chlamydia type
|
$30.10 |
$30.10 |
$30.10 |
$34.75
|
|
Chloroprocaine hcl injection
|
$137.90 |
$137.90 |
$137.90 |
$78.26
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$234.00 |
$234.00 |
$234.00 |
$333.01
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,799.30 |
$4,799.30 |
$4,799.30 |
$625.60
|
|
Cholesterol
|
$500.15 |
$500.15 |
$500.15 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$768.10 |
$768.10 |
$768.10 |
$115.70
|
|
Cholinesterase
|
$8.85 |
$8.85 |
$8.85 |
$38.69
|
|
Chromatography
|
$11.65 |
$11.65 |
$11.65 |
$80.60
|
|
Chromosome analysis 15-20 cell count
|
$403.05 |
$403.05 |
$403.05 |
$448.80
|
|
Chromosome analysis 20-25
|
$235.20 |
$235.20 |
$235.20 |
$277.09
|
|
Chylomicron screen, bf - sendout
|
$29.60 |
$29.60 |
$29.60 |
$123.20
|
|
Cidofovir injection
|
$6,090.00 |
$6,090.00 |
$6,090.00 |
$1,099.26
|
|
Cine/video x-rays
|
$336.45 |
$336.45 |
$336.45 |
$242.24
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$687.00 |
$687.00 |
$687.00 |
$45.27
|
|
Cisplatin 1 mg/ml desensitization
|
$16.00 |
$16.00 |
$16.00 |
$127.11
|
|
C-kit mutation liquid tumor - sendout
|
$640.75 |
$640.75 |
$640.75 |
$640.41
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$6,937.00 |
$6,937.00 |
$6,937.00 |
$576.60
|
|
C motor evoked lwr limbs
|
$1,966.35 |
$1,966.35 |
$1,966.35 |
$621.00
|
|
C motor evoked uppr limbs
|
$1,966.35 |
$1,966.35 |
$1,966.35 |
$780.00
|
|
C motor evoked upr&lwr limbs
|
$3,927.65 |
$3,927.65 |
$3,927.65 |
$1,273.61
|
|
Cmv pcr-sendout
|
$87.70 |
$87.70 |
$87.70 |
$172.25
|
|
Cold agglutinin titer
|
$6.35 |
$6.35 |
$6.35 |
$49.40
|
|
Colistimethate sodium inj
|
$262.00 |
$262.00 |
$262.00 |
$84.22
|
|
Collar cerv adlt perfit ace extric
|
$334.00 |
$334.00 |
$334.00 |
$29.25
|
|
Compatibility test each unit antiglobulin technique
|
$878.80 |
$878.80 |
$878.80 |
$165.00
|
|
Compatibility test each unit electronic
|
$878.80 |
$878.80 |
$878.80 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$138.00 |
$138.00 |
$138.00 |
$159.95
|
|
Compatibility test incubate
|
$878.80 |
$878.80 |
$878.80 |
$143.64
|
|
Conjugated estrogens 25 mg solution for injection
|
$977.00 |
$977.00 |
$977.00 |
$792.24
|
|
Consultation pathology during surgery
|
$165.75 |
$165.75 |
$165.75 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$26.95 |
$26.95 |
$26.95 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$66.60 |
$66.60 |
$66.60 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$66.60 |
$66.60 |
$66.60 |
$210.80
|
|
Consultation/report referred material w/preparation of slides
|
$552.15 |
$552.15 |
$552.15 |
$235.95
|
|
Consultation/report referred slides prepared elsewhere
|
$165.75 |
$165.75 |
$165.75 |
$176.15
|
|
Consult comp w/report rfrd material
|
$257.05 |
$257.05 |
$257.05 |
$345.71
|
|
Contrast exam abdominl aorta 75625-26
|
$16,038.50 |
$16,038.50 |
$16,038.50 |
$3,389.09
|
|
Contrast exam thoracic aorta 75605-26
|
$8,167.00 |
$8,167.00 |
$8,167.00 |
$3,780.00
|
|
Contrast x-ray of ankle
|
$2,247.15 |
$2,247.15 |
$2,247.15 |
$566.28
|
|
Coombs indirect qualitative each reagent red cell reference
|
$90.20 |
$90.20 |
$90.20 |
$100.29
|
|
Cosyntropin 0.25 mg solution for injection
|
$141.00 |
$141.00 |
$141.00 |
$258.83
|
|
C-peptide
|
$9.65 |
$9.65 |
$9.65 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$3,585.15 |
$3,585.15 |
$3,585.15 |
$1,409.85
|
|
C-reactive protein high sensitivity
|
$359.50 |
$359.50 |
$359.50 |
$91.20
|
|
Creatine kinase isoenzymes
|
$7.60 |
$7.60 |
$7.60 |
$49.40
|
|
Creatinine
|
$266.35 |
$266.35 |
$266.35 |
$42.50
|
|
Creatinine clearance urine
|
$375.55 |
$375.55 |
$375.55 |
$85.80
|
|
Crotalidae poly immune fab
|
$12,654.00 |
$12,654.00 |
$12,654.00 |
$6,208.33
|
|
Crystal identification light microscopy
|
$306.00 |
$306.00 |
$306.00 |
$58.50
|
|
CT 3d report other modality w/workstation
|
$973.20 |
$973.20 |
$973.20 |
$613.47
|
|
CT angio hrt w/3d image
|
$2,949.30 |
$2,949.30 |
$2,949.30 |
$1,601.60
|
|
CT heart w/evaluation of calcium without contrast
|
$2,116.05 |
$2,116.05 |
$2,116.05 |
$192.00
|
|
CT hrt w/3d image
|
$2,549.50 |
$2,549.50 |
$2,549.50 |
$1,477.35
|
|
CT t-spine w /wo contrast
|
$13,991.15 |
$13,991.15 |
$13,991.15 |
$2,030.60
|
