|
Crystal identification light microscopy
|
$159.50 |
$159.50 |
$319.41 |
$65.50
|
|
Csf leakage imaging
|
$5,202.49 |
$5,202.49 |
$5,202.49 |
$1,564.11
|
|
CT angio hrt w/3d image
|
$1,804.42 |
$1,804.42 |
$1,804.42 |
$1,424.40
|
|
CT guid parench tis ablat
|
$7,036.99 |
$7,036.99 |
$7,036.99 |
$1,282.50
|
|
CT hrt w/3d image
|
$2,743.41 |
$2,743.41 |
$2,743.41 |
$1,350.03
|
|
Ctlso a-p-l control molded
|
$17,533.00 |
$17,533.00 |
$17,533.00 |
$3,746.69
|
|
CT neck soft tissue w/contrast
|
$4,287.75 |
$4,287.75 |
$4,287.75 |
$1,603.55
|
|
CT thoracic spine w/contrast
|
$3,684.50 |
$3,684.50 |
$3,684.50 |
$1,655.85
|
|
CT thoracic spine without contrast
|
$3,684.50 |
$3,684.50 |
$3,684.50 |
$1,430.20
|
|
CT t-spine w /wo contrast
|
$3,684.50 |
$3,684.50 |
$3,684.50 |
$1,968.47
|
|
Cuffs adj lock with active con
|
$7,033.00 |
$7,033.00 |
$7,033.00 |
$1,472.80
|
|
Culture afb any source
|
$239.25 |
$239.25 |
$588.57 |
$110.60
|
|
Culture anaerobic additional method definitive id each
|
$258.75 |
$258.75 |
$562.11 |
$84.76
|
|
Culture anaerobic except blood
|
$157.50 |
$157.50 |
$457.43 |
$120.54
|
|
Culture fungi definitive id mold
|
$258.75 |
$258.75 |
$562.11 |
$80.00
|
|
Culture fungi definitive id yeast
|
$258.75 |
$258.75 |
$562.11 |
$79.50
|
|
Culture mycobacteria definitive id each isolate
|
$258.75 |
$258.75 |
$562.11 |
$100.00
|
|
Culture mycoplasma any source
|
$547.50 |
$547.50 |
$1,096.26 |
$81.62
|
|
Culture typing nucleic acid probe amplified per culture/isolate each organism
|
$263.48 |
$263.48 |
$263.48 |
$138.40
|
|
Culture urine each isolate
|
$284.75 |
$284.75 |
$562.11 |
$54.78
|
|
Cyanocobalamin unsat binding capacity
|
$364.75 |
$364.75 |
$729.76 |
$58.65
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$81.25 |
$81.25 |
$84.65 |
$25.16
|
|
Cyclic citrullinated peptide antibody
|
$544.15 |
$544.15 |
$544.15 |
$72.15
|
|
Cyclosporine 250 mg/5 ml intravenous solution
|
$118.25 |
$118.25 |
$165.00 |
$140.78
|
|
Cyclosporine 2 hour
|
$673.75 |
$673.75 |
$1,511.89 |
$129.48
|
|
Cyclosporine modified 25 mg capsule
|
$3.58 |
$3.58 |
$3.58 |
$7.48
|
|
Cystatin c
|
$264.19 |
$264.19 |
$264.19 |
$76.48
|
|
Cystine urine quantitative
|
$388.50 |
$388.50 |
$388.50 |
$100.70
|
|
Cytarabine liposome inj
|
$8,907.50 |
$8,907.50 |
$8,907.50 |
$4,529.43
|
|
Cytogenetics 25-99
|
$361.43 |
$361.43 |
$361.43 |
$189.80
|
|
Cytomegalovirus (cmv) antibody igg
|
$198.85 |
$198.85 |
$198.85 |
$95.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$838.25 |
$838.25 |
$1,681.64 |
$100.00
|
|
Cytopath c/v index add-on
|
$252.47 |
$252.47 |
$252.47 |
$35.57
|
|
Cytopathology cellular enhancement technique non-gyn
|
$262.50 |
$262.50 |
$570.09 |
$159.45
|
|
Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review
|
$245.55 |
$245.55 |
$245.55 |
$92.40
|
|
Cytopathology cervical/vaginal thin layer manual screening
|
$255.00 |
$255.00 |
$557.38 |
$86.86
|
|
Cytopathology concentration technique smears & interpretation
|
$1,250.65 |
$1,250.65 |
$1,250.65 |
$131.36
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$1,047.59 |
$1,047.59 |
$1,047.59 |
$124.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$20.25 |
$20.25 |
$44.41 |
$68.51
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$631.43 |
$631.43 |
$631.43 |
$189.67
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$764.14 |
$764.14 |
$764.14 |
$209.92
|
|
Cytopath smear other source
|
$110.75 |
$110.75 |
$241.15 |
$91.20
|
|
Cytopath smear other source
|
$1,077.75 |
$1,077.75 |
$1,077.75 |
$140.07
|
|
Cytopath smear oth prep screen & interp
|
$863.58 |
$863.58 |
$863.58 |
$96.20
|
|
Cytopath tbs c/v manual
|
$729.76 |
$729.76 |
$729.76 |
$59.28
|
|
Cytopath tbs c/v redo
|
$729.76 |
$729.76 |
$729.76 |
$84.80
|
|
Cytp urine 3-5 probes cmptr
|
$1,685.45 |
$1,685.45 |
$1,685.45 |
$664.80
|
|
Dacarbazine 100 mg intravenous solution
|
$86.91 |
$86.91 |
$86.91 |
$62.70
|
|
Dactinomycin 0.5 mg intravenous solution
|
$4,293.52 |
$4,293.52 |
$4,293.52 |
$3,047.85
|
|
Dalbavancin 500 mg intravenous solution
|
$5,382.58 |
$5,382.58 |
$5,382.58 |
$3,480.87
|
|
Dalteparin sodium
|
$117.40 |
$117.40 |
$117.40 |
$469.55
|
|
Dch pulmonary stress test
|
$5,624.38 |
$5,624.38 |
$5,624.38 |
$963.30
|
|
Decalcification
|
$457.43 |
$457.43 |
$457.43 |
$68.90
|
|
Decitabine 50 mg intravenous solution
|
$5,733.00 |
$5,733.00 |
$5,733.00 |
$1,073.52
|
|
Deferoxamine 500 mg solution for injection
|
$108.75 |
$108.75 |
$150.75 |
$95.85
|
|
Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device
|
$1,050.63 |
$1,050.63 |
$1,050.63 |
$182.40
|
|
Design mlc device for imrt
|
$2,967.41 |
$2,967.41 |
$2,967.41 |
$1,739.10
|
|
Desmopressin 4 mcg/ml injection solution
|
$15.88 |
$15.88 |
$15.88 |
$93.84
|
|
Device intraute mirena
|
$3,855.95 |
$3,855.95 |
$3,855.95 |
$2,125.00
|
|
Dexamethasone 4 mg tablet
|
$1.98 |
$1.98 |
$1.98 |
$6.00
|
|
Dexrazoxane hcl 250 mg intravenous solution
|
$374.00 |
$374.00 |
$374.00 |
$884.80
|
|
Dextrose 5 % and 0.9 % sodium chloride intravenous solution
|
$86.00 |
$86.00 |
$86.00 |
$36.00
|
|
Dextrose 5 % IV bolus
|
$127.85 |
$127.85 |
$127.85 |
$48.00
|
|
Dhea-s (dehydroepiand sulfate)
|
$760.75 |
$760.75 |
$1,521.95 |
$111.60
|
|
Diabetes (HbA1c) Test
|
$123.50 |
$123.50 |
$392.90 |
$79.20
|
|
Diab manage trn ind/group
|
$442.02 |
$442.02 |
$442.02 |
$54.99
|
|
Dicyclomine injection
|
$146.50 |
$146.50 |
$154.14 |
$150.91
|
|
Diffusing capacity
|
$1,371.56 |
$1,371.56 |
$1,371.56 |
$335.20
|
|
Digoxin 250 mcg/ml (0.25 mg/ml) injection solution
|
$84.51 |
$84.51 |
$84.51 |
$65.84
|
|
Digoxin immune fab 40 mg intravenous solution
|
$2,560.75 |
$2,560.75 |
$13,308.26 |
$10,079.82
|
|
Digoxin total therapeutic drug level
|
$161.25 |
$161.25 |
$588.57 |
$102.07
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$471.67 |
$471.67 |
$471.67 |
$297.86
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$82.00 |
$82.00 |
$82.03 |
$18.35
|
|
Diphtheria-tetanus toxoids 0.5 ml (peds)
|
$115.50 |
$115.50 |
$145.25 |
$98.56
|
|
Disaccharidases
|
$110.37 |
$110.37 |
$110.37 |
$224.31
|
|
Discography cerv/thor spine
|
$6,563.25 |
$6,563.25 |
$6,563.25 |
$2,481.50
|
|
Dmd dup/delet analysis
|
$4,424.67 |
$4,424.67 |
$4,424.67 |
$418.50
|
|
Dna antibody native/double stranded
|
$171.50 |
$171.50 |
$345.86 |
$100.00
|
|
Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution
|
$316.50 |
$316.50 |
$316.50 |
$98.29
|
|
Dolasetron mesylate oral
|
$112.99 |
$112.99 |
$112.99 |
$156.80
|
|
Dopamine 40 mg/ml intravenous solution (wrapper)
|
$83.19 |
$83.19 |
$83.19 |
$67.28
|
|
Doppler echo complete
|
$1,698.30 |
$1,698.30 |
$1,698.30 |
$558.00
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$1,792.75 |
$1,792.75 |
$1,792.75 |
$679.64
|
|
Dornase alfa non-comp unit
|
$107.24 |
$107.24 |
$107.24 |
$386.42
|
|
Dostarlimab-gxly 50 mg/ml intravenous solution
|
$38,324.51 |
$38,324.51 |
$38,324.51 |
$23,613.78
|
|
Doxorubicin 2 mg/ml intravenous solution (wrapper)
|
$81.45 |
$81.45 |
$81.45 |
$450.14
|
|
Doxycycline hyclate 100 mg intravenous powder for solution
|
$105.71 |
$105.71 |
$105.71 |
$84.80
|
|
Dpyd gene common variants
|
$1,123.73 |
$1,123.73 |
$1,123.73 |
$423.60
|
|
Droperidol 2.5 mg/ml injection solution
|
$88.14 |
$88.14 |
$88.14 |
$31.26
|
|
Drop lock retainer each
|
$338.00 |
$338.00 |
$338.00 |
$63.89
|
|
Drug assay caffeine
|
$510.86 |
$510.86 |
$510.86 |
$81.61
|
|
Drug assay voriconazole
|
$385.38 |
$385.38 |
$385.38 |
$96.75
|
|
Drug of abuse screen urine
|
$877.88 |
$877.88 |
$877.88 |
$64.50
|
|
Drug screen quant tiagabine
|
$1,413.54 |
$1,413.54 |
$1,413.54 |
$107.59
|
|
Drug test def 15-21 classes
|
$5,748.22 |
$5,748.22 |
$5,748.22 |
$316.00
|
|
Drug test def 1-7 classes
|
$2,088.59 |
$2,088.59 |
$2,088.59 |
$263.25
|
|
Drug test def 22+ classes
|
$7,578.05 |
$7,578.05 |
$7,578.05 |
$423.00
|
|
Drug test def 8-14 classes
|
$3,918.42 |
$3,918.42 |
$3,918.42 |
$289.80
|
|
Drug test prsmv instrmnt
|
$1,777.97 |
$1,777.97 |
$1,777.97 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$1,777.97 |
$1,777.97 |
$1,777.97 |
$280.95
|