|
Brain image w/flow 4 + views
|
$10,134.74 |
$10,134.74 |
$10,134.74 |
$1,308.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$10,792.78 |
$10,792.78 |
$10,792.78 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$11,282.77 |
$11,282.77 |
$11,282.77 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$9,531.67 |
$9,531.67 |
$9,531.67 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$9,972.86 |
$9,972.86 |
$9,972.86 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$9,192.63 |
$9,192.63 |
$9,192.63 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$8,714.32 |
$8,714.32 |
$8,714.32 |
$1,927.04
|
|
Brca2 dna gene analy full seq analy
|
$50.00 |
$50.00 |
$50.00 |
$222.14
|
|
Brca2 gene full dup/del alys
|
$50.00 |
$50.00 |
$50.00 |
$282.88
|
|
Brcassure comprehensive panel-sendout
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,287.20
|
|
Breath test analysis c-14
|
$1,959.08 |
$1,959.08 |
$1,959.08 |
$197.34
|
|
Breath tst attain/anal c-14
|
$1,856.31 |
$1,856.31 |
$1,856.31 |
$60.43
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$53.22 |
$53.22 |
$53.22 |
$12.78
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$101.90 |
$101.90 |
$101.90 |
$17.13
|
|
C1 esterase inhibitor func - sendout
|
$19.34 |
$19.34 |
$19.34 |
$106.60
|
|
Cadd pump refill
|
$902.32 |
$902.32 |
$902.32 |
$340.33
|
|
Caffeine citrate 20 mg/ml inj for po
|
$693.13 |
$693.13 |
$693.13 |
$43.81
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$44.81 |
$44.81 |
$44.81 |
$59.40
|
|
Calculi urinary-sendout
|
$18.05 |
$18.05 |
$18.05 |
$68.05
|
|
Calprotectin fecal
|
$108.00 |
$108.00 |
$108.00 |
$170.00
|
|
Capecitabine, oral, 50 mg
|
$296.01 |
$296.01 |
$296.01 |
$46.43
|
|
Carbamazepine total therapeutic drug level
|
$2,487.96 |
$2,487.96 |
$2,487.96 |
$113.25
|
|
Carbon dioxide
|
$605.52 |
$605.52 |
$605.52 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$165.87 |
$165.87 |
$165.87 |
$432.25
|
|
Cardiac perf planar mult/ef/wm
|
$37,167.71 |
$37,167.71 |
$37,167.71 |
$2,544.75
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$15,683.22 |
$15,683.22 |
$15,683.22 |
$2,792.00
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$615.42 |
$615.42 |
$615.42 |
$254.80
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$307.73 |
$307.73 |
$307.73 |
$195.00
|
|
Carotene
|
$7.52 |
$7.52 |
$7.52 |
$46.80
|
|
Carotid Artery Ultrasound (Duplex)
|
$6,711.71 |
$6,711.71 |
$6,711.71 |
$1,067.40
|
|
Cath stripping venous s&i
|
$12,650.62 |
$12,650.62 |
$12,650.62 |
$602.40
|
|
Cdna analysis for variants
|
$324.00 |
$324.00 |
$324.00 |
$564.86
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$686.97 |
$686.97 |
$686.97 |
$634.46
|
|
Ceftazidime and avibactam
|
$1,306.03 |
$1,306.03 |
$1,306.03 |
$935.40
|
|
#celiac hla-dq2
|
$112.40 |
$112.40 |
$112.40 |
$226.28
|
|
Cell function assay w/stim
|
$295.75 |
$295.75 |
$295.75 |
$335.20
|
|
Cerebrospinal fld flw imag
|
$8,344.15 |
$8,344.15 |
$8,344.15 |
$884.00
|
|
#cf-97variants
|
$126.00 |
$126.00 |
$126.00 |
$612.26
|
|
Chemo adm cns w/lmbr punct
|
$14,653.35 |
$14,653.35 |
$14,653.35 |
$722.70
|
|
Chest 2 vws w oblique
|
$2,893.23 |
$2,893.23 |
$2,893.23 |
$373.20
|
|
Chest CT scan (with and without contrast)
|
$22,044.02 |
$22,044.02 |
$22,044.02 |
$2,021.80
|
|
Chest CT scan (with contrast)
|
$20,598.83 |
$20,598.83 |
$20,598.83 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$18,549.87 |
$18,549.87 |
$18,549.87 |
$1,350.03
|
|
Chest X-ray
|
$1,386.26 |
$1,386.26 |
$1,386.26 |
$294.06
|
|
Chest X-ray (single view)
|
$1,062.82 |
$1,062.82 |
$1,062.82 |
$229.08
|
|
Chlamydia culture
|
$90.86 |
$90.86 |
$90.86 |
$94.90
|
|
Chloride
|
$605.52 |
$605.52 |
$605.52 |
$38.50
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$3,135.58 |
$3,135.58 |
$3,135.58 |
$333.01
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$133.40 |
$133.40 |
$133.40 |
$89.81
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$6,343.62 |
$6,343.62 |
$6,343.62 |
$625.60
|
|
Cholinesterase
|
$97.10 |
$97.10 |
$97.10 |
$38.69
|
|
Chromatography
|
$10.53 |
$10.53 |
$10.53 |
$80.60
|
|
Chromo high res and frag x - sendout
|
$97.59 |
$97.59 |
$97.59 |
$264.25
|
|
Chromosome analysis 15-20 cell count
|
$101.00 |
$101.00 |
$101.00 |
$448.80
|
|
Cisplatin 1 mg/ml desensitization
|
$48.95 |
$48.95 |
$48.95 |
$127.11
|
|
Clot factor xii hageman
|
$98.46 |
$98.46 |
$98.46 |
$125.00
|
|
#cmvcul-virus inoculation shell
|
$1.99 |
$1.99 |
$1.99 |
$102.57
|
|
Cmv pcr-sendout
|
$78.20 |
$78.20 |
$78.20 |
$172.25
|
|
Coagulation time activated teg
|
$296.78 |
$296.78 |
$296.78 |
$50.05
|
|
Cold agglutinin titer
|
$4.40 |
$4.40 |
$4.40 |
$49.40
|
|
Colistimethate sodium inj
|
$778.00 |
$778.00 |
$778.00 |
$84.22
|
|
Collar cerv adlt perfit ace extric
|
$531.29 |
$531.29 |
$531.29 |
$29.25
|
|
Compatibility test each unit electronic
|
$954.04 |
$954.04 |
$954.04 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$1,020.79 |
$1,020.79 |
$1,020.79 |
$159.95
|
|
Compatibility test incubate
|
$502.45 |
$502.45 |
$502.45 |
$143.64
|
|
Concentration infection agents any type
|
$149.08 |
$149.08 |
$149.08 |
$50.70
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,258.36 |
$1,258.36 |
$1,258.36 |
$792.24
|
|
Consultation pathology during surgery
|
$161.00 |
$161.00 |
$161.00 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,116.40 |
$2,116.40 |
$2,116.40 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,293.05 |
$1,293.05 |
$1,293.05 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$3,001.93 |
$3,001.93 |
$3,001.93 |
$210.80
|
|
Contrast exam thoracic aorta 75605-26
|
$22,108.03 |
$22,108.03 |
$22,108.03 |
$3,780.00
|
|
Controler lvad heartmate 3 includes ebb
|
$29,622.78 |
$29,622.78 |
$29,622.78 |
$11,723.40
|
|
Coombs indirect titer reference
|
$140.40 |
$140.40 |
$140.40 |
$143.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,567.80 |
$1,567.80 |
$1,567.80 |
$258.83
|
|
Covid-19 lab test non-cdc
|
$51.30 |
$51.30 |
$51.30 |
$56.44
|
|
#covid19rsv-rsv
|
$70.00 |
$70.00 |
$70.00 |
$140.80
|
|
C-peptide
|
$75.09 |
$75.09 |
$75.09 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$8,674.07 |
$8,674.07 |
$8,674.07 |
$1,409.85
|
|
C-reactive protein
|
$903.51 |
$903.51 |
$903.51 |
$61.10
|
|
C-reactive protein high sensitivity
|
$6.92 |
$6.92 |
$6.92 |
$91.20
|
|
Creatine kinase isoenzymes
|
$3.05 |
$3.05 |
$3.05 |
$49.40
|
|
Creatine kinase mb
|
$24.28 |
$24.28 |
$24.28 |
$105.95
|
|
Creatinine
|
$1,099.77 |
$1,099.77 |
$1,099.77 |
$42.50
|
|
Creatinine clearance urine
|
$1,553.95 |
$1,553.95 |
$1,553.95 |
$85.80
|
|
#creutz-prot.,western blot
|
$454.15 |
$454.15 |
$454.15 |
$179.28
|
|
Crotalidae poly immune fab
|
$12,620.34 |
$12,620.34 |
$12,620.34 |
$6,208.33
|
|
Cryofibrinogen qualitative - sendout
|
$1.88 |
$1.88 |
$1.88 |
$50.88
|
|
Cta abdomen without & /or w/contrast
|
$20,411.03 |
$20,411.03 |
$20,411.03 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$41,864.14 |
$41,864.14 |
$41,864.14 |
$2,092.73
|
|
Cta neck without &/or w/contrast
|
$16,565.53 |
$16,565.53 |
$16,565.53 |
$1,944.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$20,411.03 |
$20,411.03 |
$20,411.03 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$27,186.27 |
$27,186.27 |
$27,186.27 |
$2,017.89
|
|
CT Angiogram of the Head
|
$22,181.90 |
$22,181.90 |
$22,181.90 |
$2,041.78
|
|
CT angio hrt w/3d image
|
$22,500.30 |
$22,500.30 |
$22,500.30 |
$1,601.60
|
|
CT angio pelvis
|
$20,534.23 |
$20,534.23 |
$20,534.23 |
$1,778.40
|
|
CT guidance for needle placement
|
$14,343.89 |
$14,343.89 |
$14,343.89 |
$1,506.04
|
|
CT heart w/evaluation of calcium without contrast
|
$10,761.13 |
$10,761.13 |
$10,761.13 |
$192.00
|
|
CT hrt w/3d image
|
$22,963.33 |
$22,963.33 |
$22,963.33 |
$1,477.35
|
|
CT limited or localized follow-up study
|
$6,417.08 |
$6,417.08 |
$6,417.08 |
$630.50
|
