|
Bone Density Scan (DEXA)
|
$295.10 |
$295.10 |
$295.10 |
$381.19
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$199.55 |
$199.55 |
$199.55 |
$107.25
|
|
Borrelia miyamotoi amp prb
|
$40.95 |
$40.95 |
$40.95 |
$95.45
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,486.90
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$1,802.40
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,741.80
|
|
Brain MRI (with and without contrast)
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,659.03
|
|
Brain MRI (with contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$2,163.67
|
|
Brain MRI (without contrast)
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,790.00
|
|
Bundled special stain group 1 microorganisms
|
$66.95 |
$66.95 |
$66.95 |
$161.46
|
|
Bundled special stain group 2
|
$129.35 |
$129.35 |
$129.35 |
$170.65
|
|
C1 esterase inhibitor func - sendout
|
$128.70 |
$128.70 |
$128.70 |
$129.75
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$27,642.81 |
$27,642.81 |
$27,642.81 |
$355.02
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$4,345.79
|
|
Calcium 24 hour urine
|
$79.30 |
$79.30 |
$79.30 |
$51.63
|
|
Calcium ionized
|
$170.30 |
$170.30 |
$170.30 |
$81.90
|
|
Calcium total
|
$48.75 |
$48.75 |
$48.75 |
$44.00
|
|
Calculi urinary-sendout
|
$135.20 |
$135.20 |
$135.20 |
$107.90
|
|
Calprotectin fecal
|
$416.00 |
$416.00 |
$416.00 |
$176.80
|
|
Candida dna
|
$59.80 |
$59.80 |
$59.80 |
$68.25
|
|
Carbamazepine total therapeutic drug level
|
$162.50 |
$162.50 |
$162.50 |
$112.00
|
|
Carbon dioxide
|
$54.60 |
$54.60 |
$54.60 |
$43.20
|
|
Carboxyhemoglobin quantitative
|
$66.95 |
$66.95 |
$66.95 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$191.75 |
$191.75 |
$191.75 |
$125.45
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$451.10 |
$451.10 |
$451.10 |
$2,576.60
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$153.40 |
$153.40 |
$153.40 |
$258.10
|
|
Cardiolipin antibody iga
|
$134.55 |
$134.55 |
$134.55 |
$130.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$1,461.75
|
|
Carfilzomib 10 mg intravenous solution
|
$9,233.23 |
$9,233.23 |
$9,233.23 |
$97.12
|
|
Carotid Artery Ultrasound (Duplex)
|
$735.80 |
$735.80 |
$735.80 |
$1,036.00
|
|
Catheterization collection of specimen single patient all places of service
|
$105.30 |
$105.30 |
$105.30 |
$58.50
|
|
Ceftazidime and avibactam
|
$921.34 |
$921.34 |
$921.34 |
$904.66
|
|
Cell count body fluid
|
$42.90 |
$42.90 |
$42.90 |
$56.44
|
|
Cell count w differential body fluid
|
$81.25 |
$81.25 |
$81.25 |
$83.71
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$27,636.02 |
$27,636.02 |
$27,636.02 |
$497.40
|
|
Chemo extend IV infus w/pump
|
$634.40 |
$634.40 |
$634.40 |
$521.30
|
|
Chest 2 vws w oblique
|
$254.80 |
$254.80 |
$254.80 |
$337.50
|
|
Chest apical lordotic proj
|
$141.05 |
$141.05 |
$141.05 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$1,313.65 |
$1,313.65 |
$1,313.65 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$1,300.65 |
$1,300.65 |
$1,300.65 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,075.10 |
$1,075.10 |
$1,075.10 |
$1,209.65
|
|
Chest X-ray
|
$156.00 |
$156.00 |
$156.00 |
$268.42
|
|
Chest X-ray (single view)
|
$117.00 |
$117.00 |
$117.00 |
$206.71
|
|
Chg pr pul rehab for copd patients
|
$284.05 |
$284.05 |
$284.05 |
$150.40
|
|
Chg radiologic exam esophagus double contrast
|
$646.10 |
$646.10 |
$646.10 |
$579.55
|
|
Chloride
|
$70.20 |
$70.20 |
$70.20 |
$37.48
|
|
Chloride 24 hour urine
|
$39.65 |
$39.65 |
$39.65 |
$40.80
|
|
Cholesterol
|
$53.30 |
$53.30 |
$53.30 |
$43.55
|
|
Cholesterol (Lipid) Test
|
$140.40 |
$140.40 |
$140.40 |
$102.00
|
|
Chromatography
|
$87.10 |
$87.10 |
$87.10 |
$81.25
|
|
Chromo high res and frag x - sendout
|
$270.40 |
$270.40 |
$270.40 |
$266.50
|
|
Chromosome analysis 15-20 cell count
|
$581.10 |
$581.10 |
$581.10 |
$560.30
|
|
Chronic urticaria - sendout
|
$52.00 |
$52.00 |
$52.00 |
$100.00
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$617.17 |
$617.17 |
$617.17 |
$355.41
|
|
Clearance of airways
|
$59.15 |
$59.15 |
$59.15 |
$208.00
|
|
Co2 monitor per day
|
$81.25 |
$81.25 |
$81.25 |
$450.60
|
|
Collection blood specimen from completely implantable venous access device
|
$3,271.83 |
$3,271.83 |
$3,271.83 |
$155.40
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$928.20 |
$928.20 |
$928.20 |
$175.80
|
|
Collection of venous blood by venipuncture
|
$635.05 |
$635.05 |
$635.05 |
$20.70
|
|
Colonoscopy (diagnostic)
|
$5,510.84 |
$5,510.84 |
$5,510.84 |
$1,500.00
|
|
Colonoscopy submucous njx
|
$6,622.69 |
$6,622.69 |
$6,622.69 |
$2,063.25
|
|
Colonoscopy (with biopsy)
|
$5,976.11 |
$5,976.11 |
$5,976.11 |
$2,074.50
|
|
Colonoscopy (with polyp removal)
|
$6,017.71 |
$6,017.71 |
$6,017.71 |
$2,074.50
|
|
Compatibility test each unit antiglobulin technique
|
$105.95 |
$105.95 |
$105.95 |
$165.00
|
|
Compatibility test each unit immediate spin technique
|
$114.40 |
$114.40 |
$114.40 |
$156.24
|
|
Compatibility test incubate
|
$66.95 |
$66.95 |
$66.95 |
$140.00
|
|
Complement antigen each component c3
|
$240.50 |
$240.50 |
$240.50 |
$112.45
|
|
Computed tomographic angiography head and neck with contrast
|
$2,060.50 |
$2,060.50 |
$2,060.50 |
$2,544.75
|
|
Concentration infection agents any type
|
$45.50 |
$45.50 |
$45.50 |
$48.10
|
|
Consultation/report referred material w/preparation of slides
|
$7,351.64 |
$7,351.64 |
$7,351.64 |
$230.32
|
|
Coombs direct
|
$117.00 |
$117.00 |
$117.00 |
$71.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$26.65 |
$26.65 |
$26.65 |
$76.70
|
|
Cortisol total am
|
$166.40 |
$166.40 |
$166.40 |
$118.40
|
|
Counseling smoke cess interm >10mins
|
$66.30 |
$66.30 |
$66.30 |
$57.85
|
|
#covid19rsv-rsv
|
$137.15 |
$137.15 |
$137.15 |
$140.80
|
|
C-peptide
|
$173.55 |
$173.55 |
$173.55 |
$115.05
|
|
C-reactive protein
|
$82.55 |
$82.55 |
$82.55 |
$56.40
|
|
C-reactive protein high sensitivity
|
$14.30 |
$14.30 |
$14.30 |
$91.65
|
|
Creatine kinase
|
$74.75 |
$74.75 |
$74.75 |
$55.00
|
|
Creatine kinase mb
|
$115.05 |
$115.05 |
$115.05 |
$105.60
|
|
Creatinine
|
$53.30 |
$53.30 |
$53.30 |
$40.00
|
|
Creatinine 24 hour urine
|
$120.25 |
$120.25 |
$120.25 |
$55.25
|
|
Creatinine clearance urine
|
$105.30 |
$105.30 |
$105.30 |
$73.86
|
|
#creutz-prot.,western blot
|
$130.65 |
$130.65 |
$130.65 |
$173.45
|
|
Critical care 30-74 minutes
|
$804.05 |
$804.05 |
$804.05 |
$2,540.23
|
|
Crotalidae poly immune fab
|
$6,236.10 |
$6,236.10 |
$6,236.10 |
$3,996.74
|
|
Crystal identification light microscopy
|
$16.25 |
$16.25 |
$16.25 |
$56.44
|
|
CT 3d report other modality w/workstation
|
$612.95 |
$612.95 |
$612.95 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$1,403.35 |
$1,403.35 |
$1,403.35 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$2,328.95 |
$2,328.95 |
$2,328.95 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$2,385.50 |
$2,385.50 |
$2,385.50 |
$1,965.60
|
|
Cta neck without &/or w/contrast
|
$1,403.35 |
$1,403.35 |
$1,403.35 |
$1,890.85
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,949.05 |
$2,949.05 |
$2,949.05 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$2,148.25 |
$2,148.25 |
$2,148.25 |
$1,784.90
|
|
CT Angiogram of the Head
|
$1,403.35 |
$1,403.35 |
$1,403.35 |
$1,972.80
|
|
CT angio hrt w/3d image
|
$2,257.45 |
$2,257.45 |
$2,257.45 |
$1,618.00
|
|
CT angio pelvis
|
$1,403.35 |
$1,403.35 |
$1,403.35 |
$1,837.80
|
|
CT heart w/evaluation of calcium without contrast
|
$171.60 |
$171.60 |
$171.60 |
$192.00
|
|
CT limited or localized follow-up study
|
$587.60 |
$587.60 |
$587.60 |
$642.75
|
|
CT lower extremity w/contrast (both sides)
|
$1,900.60 |
$1,900.60 |
$1,900.60 |
$1,585.18
|
