|
Consultation pathology during surgery frozen section first tissue block
|
$1,540.42 |
$1,540.42 |
$1,540.42 |
$224.87
|
|
Consultation/report referred slides prepared elsewhere
|
$980.73 |
$980.73 |
$980.73 |
$176.15
|
|
Coombs indirect qualitative each reagent red cell reference
|
$68.14 |
$68.14 |
$68.14 |
$102.90
|
|
Coombs indirect titer reference
|
$570.19 |
$570.19 |
$570.19 |
$155.40
|
|
Copper cu 64 dotatate diag
|
$4,904.13 |
$4,904.13 |
$4,904.13 |
$2,293.68
|
|
Cortisol acth stimulation test - sendout
|
$761.45 |
$761.45 |
$761.45 |
$146.25
|
|
Cortisol total am
|
$746.53 |
$746.53 |
$746.53 |
$121.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$399.37 |
$399.37 |
$399.37 |
$189.02
|
|
Counseling smoke cess interm >10mins
|
$346.32 |
$346.32 |
$346.32 |
$54.12
|
|
Covid-19 lab test non-cdc
|
$73.65 |
$73.65 |
$73.65 |
$81.00
|
|
C-peptide
|
$299.50 |
$299.50 |
$299.50 |
$93.60
|
|
C-reactive protein
|
$1,055.74 |
$1,055.74 |
$1,055.74 |
$68.38
|
|
C-reactive protein high sensitivity
|
$859.48 |
$859.48 |
$859.48 |
$85.00
|
|
Creatine kinase
|
$1,050.15 |
$1,050.15 |
$1,050.15 |
$65.60
|
|
Creatine kinase isoenzymes
|
$344.08 |
$344.08 |
$344.08 |
$54.60
|
|
Creatine kinase mb
|
$826.70 |
$826.70 |
$826.70 |
$113.63
|
|
Creatinine clearance urine
|
$777.74 |
$777.74 |
$777.74 |
$89.28
|
|
#creutz-prot.,western blot
|
$1,309.26 |
$1,309.26 |
$1,309.26 |
$163.50
|
|
Crotalidae poly immune fab
|
$10,352.41 |
$10,352.41 |
$10,352.41 |
$5,760.00
|
|
Cryopreservation embryo(s)
|
$2,185.76 |
$2,185.76 |
$2,185.76 |
$966.69
|
|
Cryptococcus abs qn - sendout
|
$1,011.17 |
$1,011.17 |
$1,011.17 |
$89.70
|
|
Crystal identification light microscopy
|
$222.86 |
$222.86 |
$222.86 |
$65.50
|
|
CT cerebral perf w cont & prcssng
|
$716.80 |
$716.80 |
$716.80 |
$1,040.00
|
|
CT guid parench tis ablat
|
$7,689.07 |
$7,689.07 |
$7,689.07 |
$1,282.50
|
|
Culture afb any source
|
$909.52 |
$909.52 |
$909.52 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$869.54 |
$869.54 |
$869.54 |
$84.76
|
|
Culture anaerobic except blood
|
$680.45 |
$680.45 |
$680.45 |
$120.54
|
|
Culture fungi definitive id mold
|
$869.54 |
$869.54 |
$869.54 |
$80.00
|
|
Culture fungi definitive id yeast
|
$869.54 |
$869.54 |
$869.54 |
$79.50
|
|
Culture mycobacteria definitive id each isolate
|
$789.21 |
$789.21 |
$789.21 |
$100.00
|
|
Culture mycoplasma any source
|
$1,497.52 |
$1,497.52 |
$1,497.52 |
$81.62
|
|
Culture type pulse field gel
|
$869.54 |
$869.54 |
$869.54 |
$38.58
|
|
Culture typing added method
|
$122.30 |
$122.30 |
$122.30 |
$38.70
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$25.42 |
$25.42 |
$25.42 |
$138.40
|
|
Culture urine each isolate
|
$869.54 |
$869.54 |
$869.54 |
$54.78
|
|
Cyanocobalamin unsat binding capacity
|
$1,130.98 |
$1,130.98 |
$1,130.98 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$97.00 |
$97.00 |
$97.00 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$848.21 |
$848.21 |
$848.21 |
$72.15
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$149.73 |
$149.73 |
$149.73 |
$140.78
|
|
Cyclosporine 2 hour
|
$1,229.77 |
$1,229.77 |
$1,229.77 |
$129.48
|
|
Cystatin c
|
$72.50 |
$72.50 |
$72.50 |
$76.48
|
|
Cytarabine 20 mg/ml injection solution
|
$132.00 |
$132.00 |
$132.00 |
$90.00
|
|
Cytogenetics 25-99
|
$446.89 |
$446.89 |
$446.89 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$311.94 |
$311.94 |
$311.94 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$950.55 |
$950.55 |
$950.55 |
$100.00
|
|
Cytopathology cellular enhancement technique non-gyn
|
$597.22 |
$597.22 |
$597.22 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$222.76 |
$222.76 |
$222.76 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$193.88 |
$193.88 |
$193.88 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$1,852.36 |
$1,852.36 |
$1,852.36 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,561.35 |
$1,561.35 |
$1,561.35 |
$124.00
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$931.84 |
$931.84 |
$931.84 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$1,133.76 |
$1,133.76 |
$1,133.76 |
$209.92
|
|
Cytopath smear other source
|
$1,685.21 |
$1,685.21 |
$1,685.21 |
$140.07
|
|
Cytopath smear oth prep screen & interp
|
$1,348.20 |
$1,348.20 |
$1,348.20 |
$96.20
|
|
Cytopath tbs c/v manual
|
$1,128.16 |
$1,128.16 |
$1,128.16 |
$59.28
|
|
Cytopath tbs c/v redo
|
$1,140.70 |
$1,140.70 |
$1,140.70 |
$84.80
|
|
Dacarbazine 100 mg intravenous solution
|
$19.32 |
$19.32 |
$19.32 |
$62.70
|
|
Dch pulmonary stress test
|
$6,498.76 |
$6,498.76 |
$6,498.76 |
$963.30
|
|
Decalcification
|
$149.08 |
$149.08 |
$149.08 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$157.47 |
$157.47 |
$157.47 |
$1,073.52
|
|
Deferoxamine 500 mg solution for injection
|
$141.20 |
$141.20 |
$141.20 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$662.83 |
$662.83 |
$662.83 |
$182.40
|
|
Deodorant ostmy adapt lube 8ml
|
$3.00 |
$3.00 |
$3.00 |
$1.98
|
|
Design mlc device for imrt
|
$2,873.05 |
$2,873.05 |
$2,873.05 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$159.39 |
$159.39 |
$159.39 |
$93.84
|
|
Dexa bone density study >=1 sites appendicular skeleton (peripheral)
|
$913.61 |
$913.61 |
$913.61 |
$227.15
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$1,644.20 |
$1,644.20 |
$1,644.20 |
$884.80
|
|
Dhea-s (dehydroepiand sulfate)
|
$1,076.38 |
$1,076.38 |
$1,076.38 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$810.36 |
$810.36 |
$810.36 |
$79.20
|
|
Diagnostic Mammogram (both breasts)
|
$938.06 |
$938.06 |
$938.06 |
$413.50
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$98.44 |
$98.44 |
$98.44 |
$77.25
|
|
Dicyclomine injection
|
$107.22 |
$107.22 |
$107.22 |
$150.91
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$3.44 |
$3.44 |
$3.44 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$13,308.26 |
$13,308.26 |
$13,308.26 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$853.82 |
$853.82 |
$853.82 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$168.03 |
$168.03 |
$168.03 |
$297.86
|
|
Dimenhydrinate injection
|
$116.08 |
$116.08 |
$116.08 |
$30.48
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$96.03 |
$96.03 |
$96.03 |
$18.35
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$148.87 |
$148.87 |
$148.87 |
$98.56
|
|
Disaccharidases
|
$214.71 |
$214.71 |
$214.71 |
$224.31
|
|
Dmd dup/delet analysis
|
$1,456.29 |
$1,456.29 |
$1,456.29 |
$418.50
|
|
Dna antibody native/double stranded
|
$303.61 |
$303.61 |
$303.61 |
$100.00
|
|
Doripenem 50 mg/ml inj 10 ml
|
$220.91 |
$220.91 |
$220.91 |
$73.80
|
|
Dornase alfa non-comp unit
|
$302.75 |
$302.75 |
$302.75 |
$386.42
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$38,324.51 |
$38,324.51 |
$38,324.51 |
$23,613.78
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$110.31 |
$110.31 |
$110.31 |
$84.80
|
|
Dpyd gene common variants
|
$512.86 |
$512.86 |
$512.86 |
$423.60
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$5,857.52
|
|
Droperidol 2.5 mg/ml injection solution
|
$98.60 |
$98.60 |
$98.60 |
$31.26
|
|
Drug assay caffeine
|
$718.21 |
$718.21 |
$718.21 |
$81.61
|
|
Drug assay rufinamide
|
$320.24 |
$320.24 |
$320.24 |
$85.80
|
|
Drug assay voriconazole
|
$141.51 |
$141.51 |
$141.51 |
$96.75
|
|
Drug of abuse screen urine
|
$1,098.43 |
$1,098.43 |
$1,098.43 |
$64.50
|
|
Drug screen quant tiagabine
|
$762.47 |
$762.47 |
$762.47 |
$107.59
|
|
Drug test def 15-21 classes
|
$8,443.46 |
$8,443.46 |
$8,443.46 |
$316.00
|
|
Drug test def 1-7 classes
|
$3,127.21 |
$3,127.21 |
$3,127.21 |
$263.25
|
|
Drug test def 22+ classes
|
$12,196.50 |
$12,196.50 |
$12,196.50 |
$423.00
|
|
Drug test def 8-14 classes
|
$5,160.31 |
$5,160.31 |
$5,160.31 |
$289.80
|
|
Drug test prsmv instrmnt
|
$1,098.43 |
$1,098.43 |
$1,098.43 |
$83.20
|
|
Drvvt confirm - quest
|
$494.46 |
$494.46 |
$494.46 |
$109.20
|
