|
Blood typing abo
|
$232.75 |
$232.75 |
$232.75 |
$83.82
|
|
Blood typing patient serum
|
$136.25 |
$136.25 |
$136.25 |
$70.29
|
|
Blood typing rh (d)
|
$285.25 |
$285.25 |
$285.25 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$1,096.75 |
$1,096.75 |
$1,096.75 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$3,346.75 |
$3,346.75 |
$3,346.75 |
$1,151.16
|
|
Bone survey-lead poisoning
|
$4,265.25 |
$4,265.25 |
$4,265.25 |
$346.28
|
|
Boot mlti podous univ xlg
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$318.36
|
|
Bowel imaging
|
$2,314.50 |
$2,314.50 |
$2,314.50 |
$1,186.25
|
|
Brace wrist classic lft sm
|
$74.33 |
$74.33 |
$74.33 |
$79.23
|
|
Brain flow imaging only
|
$2,337.75 |
$2,337.75 |
$2,337.75 |
$636.97
|
|
Brain image 4+ views
|
$4,745.25 |
$4,745.25 |
$4,745.25 |
$746.61
|
|
Brain image w/flow 4 + views
|
$7,033.50 |
$7,033.50 |
$7,033.50 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$17,202.50 |
$17,202.50 |
$17,202.50 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$10,973.25 |
$10,973.25 |
$10,973.25 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$9,723.75 |
$9,723.75 |
$9,723.75 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$20,130.50 |
$20,130.50 |
$20,130.50 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$18,069.25 |
$18,069.25 |
$18,069.25 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$18,069.25 |
$18,069.25 |
$18,069.25 |
$1,927.04
|
|
Butorphanol tartrate 1 mg
|
$59.00 |
$59.00 |
$59.00 |
$39.89
|
|
Cabergoline, oral 0.25mg
|
$178.00 |
$178.00 |
$178.00 |
$126.69
|
|
Caffeine citrate 20 mg/ml inj for po
|
$121.00 |
$121.00 |
$121.00 |
$43.81
|
|
Calcium 24 hour urine
|
$929.00 |
$929.00 |
$929.00 |
$52.00
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$110.04 |
$110.04 |
$110.04 |
$92.91
|
|
Calcium ionized
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$86.35
|
|
Calculi urinary-sendout
|
$1,541.50 |
$1,541.50 |
$1,541.50 |
$68.05
|
|
Carbamazepine total therapeutic drug level
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$113.25
|
|
Carbon dioxide
|
$382.25 |
$382.25 |
$382.25 |
$44.82
|
|
Carcinoembryonic ag (cea)
|
$959.75 |
$959.75 |
$959.75 |
$146.90
|
|
Cardiac perf planar mult/ef/wm
|
$16,391.00 |
$16,391.00 |
$16,391.00 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$8,193.00 |
$8,193.00 |
$8,193.00 |
$1,911.62
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$8,193.00 |
$8,193.00 |
$8,193.00 |
$2,792.00
|
|
Carfilzomib 10 mg intravenous solution
|
$23,244.00 |
$23,244.00 |
$23,244.00 |
$3,574.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,731.00 |
$1,731.00 |
$1,731.00 |
$1,582.20
|
|
Carotene
|
$188.00 |
$188.00 |
$188.00 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$5,443.50 |
$5,443.50 |
$5,443.50 |
$1,067.40
|
|
Caspofungin acetate
|
$468.00 |
$468.00 |
$468.00 |
$492.20
|
|
Catecholamines,fractionated, urine
|
$1,217.75 |
$1,217.75 |
$1,217.75 |
$55.20
|
|
Catheterization collection of specimen single patient all places of service
|
$95.00 |
$95.00 |
$95.00 |
$48.75
|
|
Cath stripping venous s&i
|
$1,341.00 |
$1,341.00 |
$1,341.00 |
$602.40
|
|
Ceftazidime and avibactam
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$935.40
|
|
Cell marker study
|
$2,809.00 |
$2,809.00 |
$2,809.00 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$3,479.25 |
$3,479.25 |
$3,479.25 |
$884.00
|
|
#cf-97variants
|
$213.25 |
$213.25 |
$213.25 |
$612.26
|
|
Chest 2 vws w oblique
|
$2,004.75 |
$2,004.75 |
$2,004.75 |
$373.20
|
|
Chest apical lordotic proj
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$288.81
|
|
Chest CT scan (with and without contrast)
|
$19,807.00 |
$19,807.00 |
$19,807.00 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$19,807.00 |
$19,807.00 |
$19,807.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$19,807.00 |
$19,807.00 |
$19,807.00 |
$1,350.03
|
|
Chest X-ray
|
$1,699.00 |
$1,699.00 |
$1,699.00 |
$294.06
|
|
Chest X-ray (single view)
|
$1,485.25 |
$1,485.25 |
$1,485.25 |
$229.08
|
|
Chg radiologic exam esophagus double contrast
|
$935.00 |
$935.00 |
$935.00 |
$520.80
|
|
Chlamydia culture
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$94.90
|
|
Chloramphenicol sodium injec
|
$56.00 |
$56.00 |
$56.00 |
$122.59
|
|
Chloride
|
$182.25 |
$182.25 |
$182.25 |
$38.50
|
|
Chloride 24 hour urine
|
$182.25 |
$182.25 |
$182.25 |
$46.13
|
|
Chloroprocaine hcl injection
|
$246.21 |
$246.21 |
$246.21 |
$78.26
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$239.00 |
$239.00 |
$239.00 |
$89.81
|
|
Cholesterol
|
$944.25 |
$944.25 |
$944.25 |
$46.15
|
|
Cholesterol body fluid
|
$655.50 |
$655.50 |
$655.50 |
$92.80
|
|
Cholesterol (Lipid) Test
|
$2,954.00 |
$2,954.00 |
$2,954.00 |
$115.70
|
|
Chrom analysis
|
$292.25 |
$292.25 |
$292.25 |
$127.86
|
|
Chromatography
|
$151.75 |
$151.75 |
$151.75 |
$80.60
|
|
Chromosome analysis 20-25
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$277.09
|
|
Chromosome analysis 5
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$644.80
|
|
Chromosome count additional
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$110.00
|
|
Chromosome karyotype study
|
$275.25 |
$275.25 |
$275.25 |
$102.72
|
|
Chylomicron screen, bf - sendout
|
$869.75 |
$869.75 |
$869.75 |
$123.20
|
|
Cisplatin 1 mg/ml desensitization
|
$297.00 |
$297.00 |
$297.00 |
$127.11
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$7,380.00 |
$7,380.00 |
$7,380.00 |
$576.60
|
|
Clofarabine 1 mg/ml intravenous solution
|
$13,732.00 |
$13,732.00 |
$13,732.00 |
$604.88
|
|
Clot factor xii hageman
|
$558.25 |
$558.25 |
$558.25 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$1,351.50 |
$1,351.50 |
$1,351.50 |
$47.30
|
|
Cmv pcr-sendout
|
$1,484.00 |
$1,484.00 |
$1,484.00 |
$172.25
|
|
Coagulation time activated teg
|
$276.00 |
$276.00 |
$276.00 |
$50.05
|
|
Codeine 15 mg/ml inj 2 ml
|
$31.00 |
$31.00 |
$31.00 |
$43.17
|
|
Cold agglutinin titer
|
$562.25 |
$562.25 |
$562.25 |
$49.40
|
|
Colistimethate sodium inj
|
$437.00 |
$437.00 |
$437.00 |
$84.22
|
|
Collection of venous blood by venipuncture
|
$151.25 |
$151.25 |
$151.25 |
$21.66
|
|
Compatibility test each unit electronic
|
$137.25 |
$137.25 |
$137.25 |
$167.17
|
|
Compatibility test incubate
|
$285.25 |
$285.25 |
$285.25 |
$143.64
|
|
Concentration infection agents any type
|
$496.25 |
$496.25 |
$496.25 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,740.00 |
$2,740.00 |
$2,740.00 |
$792.24
|
|
Consultation pathology during surgery
|
$268.25 |
$268.25 |
$268.25 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$304.50 |
$304.50 |
$304.50 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,520.50 |
$1,520.50 |
$1,520.50 |
$112.20
|
|
Consultation/report referred slides prepared elsewhere
|
$1,982.25 |
$1,982.25 |
$1,982.25 |
$176.15
|
|
Contrast baths charges
|
$63.00 |
$63.00 |
$63.00 |
$77.98
|
|
Contrast exam thoracic aorta 75605-26
|
$7,827.25 |
$7,827.25 |
$7,827.25 |
$3,780.00
|
|
Contrast x-ray gallbladder
|
$1,367.75 |
$1,367.75 |
$1,367.75 |
$276.65
|
|
Contrast x-ray of brain
|
$3,879.25 |
$3,879.25 |
$3,879.25 |
$900.00
|
|
Coombs direct
|
$697.75 |
$697.75 |
$697.75 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$1,001.75 |
$1,001.75 |
$1,001.75 |
$100.29
|
|
Cosyntropin 0.25 mg solution for injection
|
$725.00 |
$725.00 |
$725.00 |
$258.83
|
|
Covid-19 lab test non-cdc
|
$54.50 |
$54.50 |
$54.50 |
$56.44
|
|
C-peptide
|
$1,423.00 |
$1,423.00 |
$1,423.00 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$7,625.50 |
$7,625.50 |
$7,625.50 |
$1,409.85
|
|
C-reactive protein
|
$307.50 |
$307.50 |
$307.50 |
$61.10
|
|
C-reactive protein high sensitivity
|
$655.50 |
$655.50 |
$655.50 |
$91.20
|
|
Creatine kinase
|
$1,462.75 |
$1,462.75 |
$1,462.75 |
$58.30
|
