|
Blood gases o2 saturation direct measurement
|
$260.11 |
$260.11 |
$260.11 |
$226.20
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$335.82 |
$335.82 |
$335.82 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$335.82 |
$335.82 |
$335.82 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$291.18 |
$291.18 |
$291.18 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$387.63 |
$387.63 |
$387.63 |
$38.35
|
|
Blood typing abo
|
$183.91 |
$183.91 |
$183.91 |
$84.75
|
|
Blood typing ag donor ea ag
|
$244.04 |
$244.04 |
$244.04 |
$204.84
|
|
Blood typing patient serum
|
$363.29 |
$363.29 |
$363.29 |
$70.07
|
|
Blood typing rbc ag non abo/rh ea
|
$185.49 |
$185.49 |
$185.49 |
$206.33
|
|
Bone imaging multiple areas
|
$8,449.80 |
$8,449.80 |
$8,449.80 |
$1,194.00
|
|
Bone marrow imaging ltd
|
$4,262.77 |
$4,262.77 |
$4,262.77 |
$811.00
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$591.02 |
$591.02 |
$591.02 |
$91.20
|
|
(both sides) smear without diff wbc count
|
$479.74 |
$479.74 |
$479.74 |
$30.68
|
|
Bowel imaging
|
$6,229.03 |
$6,229.03 |
$6,229.03 |
$1,065.53
|
|
Brain image 4+ views
|
$6,229.03 |
$6,229.03 |
$6,229.03 |
$847.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$11,514.43 |
$11,514.43 |
$11,514.43 |
$2,761.59
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$10,710.93 |
$10,710.93 |
$10,710.93 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$9,588.13 |
$9,588.13 |
$9,588.13 |
$1,875.25
|
|
Brain MRI (with and without contrast)
|
$18,488.39 |
$18,488.39 |
$18,488.39 |
$2,837.12
|
|
Brain MRI (with contrast)
|
$17,921.12 |
$17,921.12 |
$17,921.12 |
$2,264.60
|
|
Brain MRI (without contrast)
|
$10,840.25 |
$10,840.25 |
$10,840.25 |
$1,932.50
|
|
Brcassure comprehensive panel-sendout
|
$3,809.37 |
$3,809.37 |
$3,809.37 |
$2,365.20
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$38,073.00 |
$38,073.00 |
$38,073.00 |
$22,383.57
|
|
Bronchial allergy tests
|
$2,488.97 |
$2,488.97 |
$2,488.97 |
$734.40
|
|
Bronchial challenge
|
$4,692.04 |
$4,692.04 |
$4,692.04 |
$805.90
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$216.01 |
$216.01 |
$216.01 |
$24.08
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$8.72 |
$8.72 |
$8.72 |
$11.72
|
|
Butorphanol tartrate 1 mg
|
$90.50 |
$90.50 |
$90.50 |
$41.79
|
|
C-1 esterase, berinert
|
$10,221.05 |
$10,221.05 |
$10,221.05 |
$7,815.00
|
|
C1 esterase inhibitor func - sendout
|
$372.25 |
$372.25 |
$372.25 |
$96.72
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$49,512.85 |
$49,512.85 |
$49,512.85 |
$26,328.21
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$9,509.50 |
$9,509.50 |
$9,509.50 |
$2,177.05
|
|
Calcium 24 hour urine
|
$289.76 |
$289.76 |
$289.76 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$216.01 |
$216.01 |
$216.01 |
$47.09
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$90.50 |
$90.50 |
$90.50 |
$64.49
|
|
Calcium ionized
|
$372.25 |
$372.25 |
$372.25 |
$89.88
|
|
Calculi urinary-sendout
|
$541.10 |
$541.10 |
$541.10 |
$68.05
|
|
Calculus analysis qual
|
$373.15 |
$373.15 |
$373.15 |
$81.90
|
|
Calprotectin fecal
|
$832.46 |
$832.46 |
$832.46 |
$170.00
|
|
Candida skin test
|
$171.27 |
$171.27 |
$171.27 |
$62.05
|
|
Carbamazepine total therapeutic drug level
|
$591.02 |
$591.02 |
$591.02 |
$122.85
|
|
Carbohydrate urine - sendout
|
$189.97 |
$189.97 |
$189.97 |
$66.64
|
|
Carbon dioxide
|
$318.55 |
$318.55 |
$318.55 |
$42.66
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$109.08 |
$109.08 |
$109.08 |
$460.80
|
|
Carboxyhemoglobin quantitative
|
$102.07 |
$102.07 |
$102.07 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$752.22 |
$752.22 |
$752.22 |
$144.00
|
|
Cardiac perf planar mult/ef/wm
|
$19,523.32 |
$19,523.32 |
$19,523.32 |
$2,895.62
|
|
Cardiac perf planar sgl/ef/wm
|
$8,346.78 |
$8,346.78 |
$8,346.78 |
$2,091.02
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$21,677.43 |
$21,677.43 |
$21,677.43 |
$2,880.48
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$304.84 |
$304.84 |
$304.84 |
$248.00
|
|
Carotene
|
$681.21 |
$681.21 |
$681.21 |
$46.20
|
|
Catecholamines,fractionated, urine
|
$769.49 |
$769.49 |
$769.49 |
$135.88
|
|
Cath stripping venous s&i
|
$2,416.82 |
$2,416.82 |
$2,416.82 |
$682.34
|
|
Cebpa gene full sequence
|
$1,350.69 |
$1,350.69 |
$1,350.69 |
$488.22
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$490.61 |
$490.61 |
$490.61 |
$602.45
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$90.50 |
$90.50 |
$90.50 |
$59.79
|
|
Ceftazidime and avibactam
|
$905.20 |
$905.20 |
$905.20 |
$904.66
|
|
Cell function assay w/stim
|
$332.15 |
$332.15 |
$332.15 |
$318.58
|
|
#cf-97variants
|
$378.03 |
$378.03 |
$378.03 |
$612.26
|
|
Chest 2 vws w oblique
|
$3,406.44 |
$3,406.44 |
$3,406.44 |
$373.60
|
|
Chest X-ray
|
$2,523.02 |
$2,523.02 |
$2,523.02 |
$295.03
|
|
Chest X-ray (single view)
|
$1,841.76 |
$1,841.76 |
$1,841.76 |
$241.20
|
|
Chg pr pul rehab for copd patients
|
$254.24 |
$254.24 |
$254.24 |
$150.00
|
|
Chlamydia culture
|
$424.86 |
$424.86 |
$424.86 |
$92.16
|
|
Chlamydia trachomatis ag if
|
$76.68 |
$76.68 |
$76.68 |
$67.20
|
|
Chlamydia type
|
$435.22 |
$435.22 |
$435.22 |
$34.98
|
|
Chlnggrphy intraop addl s&i
|
$763.39 |
$763.39 |
$763.39 |
$301.40
|
|
Chloride
|
$255.20 |
$255.20 |
$255.20 |
$40.95
|
|
Chloride 24 hour urine
|
$318.55 |
$318.55 |
$318.55 |
$50.40
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$168.51 |
$168.51 |
$168.51 |
$369.74
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$389.99 |
$389.99 |
$389.99 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$4,081.19 |
$4,081.19 |
$4,081.19 |
$602.40
|
|
Cholesterol (Lipid) Test
|
$518.12 |
$518.12 |
$518.12 |
$115.80
|
|
Cholinesterase
|
$299.34 |
$299.34 |
$299.34 |
$39.32
|
|
Chrom analysis
|
$331.98 |
$331.98 |
$331.98 |
$156.00
|
|
Chromatography
|
$47.87 |
$47.87 |
$47.87 |
$81.25
|
|
Chromogenic substrate assay
|
$318.55 |
$318.55 |
$318.55 |
$159.00
|
|
Chromosome analys amniotic
|
$1,537.05 |
$1,537.05 |
$1,537.05 |
$450.00
|
|
Chromosome analysis 15-20 cell count
|
$1,471.81 |
$1,471.81 |
$1,471.81 |
$512.20
|
|
Chromosome analysis 45
|
$2,517.61 |
$2,517.61 |
$2,517.61 |
$380.91
|
|
Chromosome analysis 5
|
$744.51 |
$744.51 |
$744.51 |
$644.80
|
|
Chromosome count additional
|
$122.82 |
$122.82 |
$122.82 |
$92.45
|
|
Chromosome karyotype study
|
$253.27 |
$253.27 |
$253.27 |
$120.00
|
|
Chromosome study additional
|
$577.59 |
$577.59 |
$577.59 |
$152.86
|
|
Cidofovir injection
|
$1,456.74 |
$1,456.74 |
$1,456.74 |
$1,447.81
|
|
C-kit mutation liquid tumor - sendout
|
$2,909.02 |
$2,909.02 |
$2,909.02 |
$659.20
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$165.36 |
$165.36 |
$165.36 |
$586.54
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$987.40 |
$987.40 |
$987.40 |
$83.14
|
|
Clot factor viii reltd antgn
|
$533.46 |
$533.46 |
$533.46 |
$159.06
|
|
Clot factor wght kininogen
|
$305.10 |
$305.10 |
$305.10 |
$157.50
|
|
Clot factor xiii fibrin scrn
|
$518.12 |
$518.12 |
$518.12 |
$57.75
|
|
Clotting assay whole blood
|
$825.11 |
$825.11 |
$825.11 |
$105.95
|
|
#cmvcul-virus inoculation shell
|
$1,043.99 |
$1,043.99 |
$1,043.99 |
$87.75
|
|
Coagulation time activated teg
|
$167.86 |
$167.86 |
$167.86 |
$53.55
|
|
Cold agglutinin screen (arc)
|
$113.23 |
$113.23 |
$113.23 |
$45.00
|
|
Collection blood specimen from completely implantable venous access device
|
$621.54 |
$621.54 |
$621.54 |
$160.00
|
|
Collection blood specimen using established central/peripheral catheter venous nos
|
$621.54 |
$621.54 |
$621.54 |
$155.40
|
|
Collection of venous blood by venipuncture
|
$57.59 |
$57.59 |
$57.59 |
$21.00
|
|
Compatibility test each unit antiglobulin technique
|
$222.80 |
$222.80 |
$222.80 |
$172.00
|
|
Compatibility test each unit immediate spin technique
|
$259.56 |
$259.56 |
$259.56 |
$167.17
|
