|
Carboxyhemoglobin quantitative
|
$296.00 |
$296.00 |
$296.00 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$1,540.48 |
$1,540.48 |
$1,540.48 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$13,954.14 |
$13,954.14 |
$13,954.14 |
$2,626.88
|
|
Carotene
|
$423.34 |
$423.34 |
$423.34 |
$45.24
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$206.60 |
$206.60 |
$206.60 |
$37.70
|
|
Cefotaxime sodium injection
|
$116.26 |
$116.26 |
$116.26 |
$43.10
|
|
Ceftazidime and avibactam
|
$1,084.78 |
$1,084.78 |
$1,084.78 |
$904.66
|
|
Chg radiologic exam esophagus double contrast
|
$793.34 |
$793.34 |
$793.34 |
$511.59
|
|
Chlamydia culture
|
$1,411.92 |
$1,411.92 |
$1,411.92 |
$93.90
|
|
Chlamydia type
|
$15.60 |
$15.60 |
$15.60 |
$34.20
|
|
Chloride
|
$518.37 |
$518.37 |
$518.37 |
$40.95
|
|
Chloride 24 hour urine
|
$655.28 |
$655.28 |
$655.28 |
$49.50
|
|
Chloroprocaine hcl injection
|
$58.01 |
$58.01 |
$58.01 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$2,142.49 |
$2,142.49 |
$2,142.49 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$190.00 |
$190.00 |
$190.00 |
$78.43
|
|
Cholesterol
|
$644.81 |
$644.81 |
$644.81 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$1,376.29 |
$1,376.29 |
$1,376.29 |
$115.80
|
|
Chromatography
|
$420.52 |
$420.52 |
$420.52 |
$81.25
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$21.85 |
$21.85 |
$21.85 |
$34.88
|
|
Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback
|
$465.28 |
$465.28 |
$465.28 |
$55.20
|
|
#cmvcul-virus inoculation shell
|
$54.77 |
$54.77 |
$54.77 |
$100.80
|
|
Cmv pcr-sendout
|
$723.76 |
$723.76 |
$723.76 |
$177.50
|
|
Coagulation time activated teg
|
$543.51 |
$543.51 |
$543.51 |
$53.72
|
|
Cold agglutinin titer
|
$936.84 |
$936.84 |
$936.84 |
$50.00
|
|
Collection of venous blood by venipuncture
|
$104.78 |
$104.78 |
$104.78 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$521.84 |
$521.84 |
$521.84 |
$170.05
|
|
Compatibility test each unit electronic
|
$56.00 |
$56.00 |
$56.00 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$296.17 |
$296.17 |
$296.17 |
$169.52
|
|
Compatibility test incubate
|
$521.84 |
$521.84 |
$521.84 |
$155.40
|
|
Conjugated estrogens 25 mg solution for injection
|
$849.83 |
$849.83 |
$849.83 |
$871.08
|
|
Consultation pathology during surgery cytological exam initial site
|
$131.62 |
$131.62 |
$131.62 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$600.12 |
$600.12 |
$600.12 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$904.02 |
$904.02 |
$904.02 |
$225.96
|
|
Contrast exam abdominl aorta 75625-26
|
$10,078.27 |
$10,078.27 |
$10,078.27 |
$3,458.54
|
|
Coombs indirect qualitative each reagent red cell reference
|
$45.40 |
$45.40 |
$45.40 |
$102.90
|
|
Coombs indirect titer reference
|
$924.25 |
$924.25 |
$924.25 |
$146.40
|
|
Cosyntropin 0.25 mg solution for injection
|
$566.60 |
$566.60 |
$566.60 |
$189.22
|
|
C-peptide
|
$406.57 |
$406.57 |
$406.57 |
$97.30
|
|
C-reactive protein
|
$644.00 |
$644.00 |
$644.00 |
$68.38
|
|
C-reactive protein high sensitivity
|
$284.30 |
$284.30 |
$284.30 |
$85.00
|
|
Creatine kinase
|
$637.82 |
$637.82 |
$637.82 |
$66.30
|
|
Creatinine
|
$584.74 |
$584.74 |
$584.74 |
$44.72
|
|
Creatinine clearance urine
|
$1,258.90 |
$1,258.90 |
$1,258.90 |
$89.50
|
|
Crystal identification light microscopy
|
$175.23 |
$175.23 |
$175.23 |
$62.50
|
|
CT cerebral perf w cont & prcssng
|
$13,000.00 |
$13,000.00 |
$13,000.00 |
$803.40
|
|
CT guidance for needle placement
|
$2,838.69 |
$2,838.69 |
$2,838.69 |
$1,494.00
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$5,778.86 |
$5,778.86 |
$5,778.86 |
$1,178.52
|
|
CT limited or localized follow-up study
|
$2,743.39 |
$2,743.39 |
$2,743.39 |
$642.75
|
|
CT thorax low dose for lung screening without contrast
|
$374.08 |
$374.08 |
$374.08 |
$331.50
|
|
Culture aerobic additional method definitive id each
|
$198.00 |
$198.00 |
$198.00 |
$68.64
|
|
Culture afb any source
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$109.20
|
|
Culture anaerobic additional method definitive id each
|
$198.00 |
$198.00 |
$198.00 |
$79.00
|
|
Culture anaerobic except blood
|
$1,292.45 |
$1,292.45 |
$1,292.45 |
$120.00
|
|
Culture bact stool aero addl path ea
|
$635.85 |
$635.85 |
$635.85 |
$51.45
|
|
Culture fungi definitive id mold
|
$533.00 |
$533.00 |
$533.00 |
$77.28
|
|
Culture fungi definitive id yeast
|
$72.00 |
$72.00 |
$72.00 |
$79.10
|
|
Culture fungi other (except blood)
|
$1,142.22 |
$1,142.22 |
$1,142.22 |
$108.00
|
|
Culture fungi skin/hair/nail
|
$1,200.24 |
$1,200.24 |
$1,200.24 |
$74.88
|
|
Culture mycobacteria definitive id each isolate
|
$76.45 |
$76.45 |
$76.45 |
$89.70
|
|
Culture quantitative aerobic other source
|
$1,127.53 |
$1,127.53 |
$1,127.53 |
$90.35
|
|
Culture typing added method
|
$234.42 |
$234.42 |
$234.42 |
$38.58
|
|
Culture typing immunologic
|
$22.40 |
$22.40 |
$22.40 |
$44.00
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$22.94 |
$22.94 |
$22.94 |
$133.90
|
|
Culture urine each isolate
|
$1,530.67 |
$1,530.67 |
$1,530.67 |
$57.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$146.90 |
$146.90 |
$146.90 |
$25.20
|
|
Cyclic citrullinated peptide antibody
|
$336.72 |
$336.72 |
$336.72 |
$70.72
|
|
Cyclophosphamide 25 mg capsule
|
$60.84 |
$60.84 |
$60.84 |
$19.49
|
|
Cyclosporine 2 hour
|
$413.60 |
$413.60 |
$413.60 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$28.88 |
$28.88 |
$28.88 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$87.81 |
$87.81 |
$87.81 |
$34.88
|
|
Cystatin c
|
$268.27 |
$268.27 |
$268.27 |
$77.50
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,920.67 |
$1,920.67 |
$1,920.67 |
$542.10
|
|
Cytomegalovirus (cmv) antibody igg
|
$633.00 |
$633.00 |
$633.00 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$633.62 |
$633.62 |
$633.62 |
$97.50
|
|
Cytopathology cellular enhancement technique non-gyn
|
$787.33 |
$787.33 |
$787.33 |
$159.45
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$781.05 |
$781.05 |
$781.05 |
$129.35
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$722.37 |
$722.37 |
$722.37 |
$209.23
|
|
Daptomycin 500 mg/10 ml intravenous solution
|
$2,742.17 |
$2,742.17 |
$2,742.17 |
$168.53
|
|
Decalcification
|
$426.84 |
$426.84 |
$426.84 |
$68.90
|
|
Deferoxamine 500 mg solution for injection
|
$122.45 |
$122.45 |
$122.45 |
$95.85
|
|
Desmopressin 4 mcg/ml injection solution
|
$449.34 |
$449.34 |
$449.34 |
$89.78
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$79.32 |
$79.32 |
$79.32 |
$38.08
|
|
Dextrose 5 % IV bolus
|
$100.36 |
$100.36 |
$100.36 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,583.76 |
$1,583.76 |
$1,583.76 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$713.98 |
$713.98 |
$713.98 |
$79.20
|
|
Diagnostic Mammogram (both breasts)
|
$697.89 |
$697.89 |
$697.89 |
$399.30
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$222.45 |
$222.45 |
$222.45 |
$74.76
|
|
Dicyclomine injection
|
$284.40 |
$284.40 |
$284.40 |
$153.29
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$113.86 |
$113.86 |
$113.86 |
$69.03
|
|
Digoxin immune fab 40 mg intravenous solution
|
$5,971.70 |
$5,971.70 |
$5,971.70 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$528.11 |
$528.11 |
$528.11 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$321.01 |
$321.01 |
$321.01 |
$297.86
|
|
Dimethyl sulfoxide 50% 50 ml
|
$440.55 |
$440.55 |
$440.55 |
$1,258.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$168.46 |
$168.46 |
$168.46 |
$17.75
|
|
Dna antibody native/double stranded
|
$1,167.39 |
$1,167.39 |
$1,167.39 |
$97.50
|
|
Dornase alfa non-comp unit
|
$326.84 |
$326.84 |
$326.84 |
$446.75
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$65.23 |
$65.23 |
$65.23 |
$84.80
|
|
Droperidol 2.5 mg/ml injection solution
|
$12.55 |
$12.55 |
$12.55 |
$31.07
|
|
Drug test def 1-7 classes
|
$209.56 |
$209.56 |
$209.56 |
$250.52
|
|
Ecg external < 48 hours scanning analysis w/report
|
$1,116.94 |
$1,116.94 |
$1,116.94 |
$541.20
|