|
Bacterial meningitis antigen
|
$75.40 |
$75.40 |
$75.40 |
$66.30
|
|
Bacterial vaginosis pcr
|
$221.00 |
$221.00 |
$221.00 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$96.85 |
$96.85 |
$96.85 |
$147.60
|
|
B cells total count
|
$134.55 |
$134.55 |
$134.55 |
$131.30
|
|
Belatacept 250 mg intravenous solution
|
$2,843.40 |
$2,843.40 |
$2,843.40 |
$2,843.40
|
|
Benztropine 1 mg/ml injection solution
|
$114.56 |
$114.56 |
$114.56 |
$102.90
|
|
Beta 2 glycoprotein 1 antibody iga
|
$109.20 |
$109.20 |
$109.20 |
$111.15
|
|
Beta-2 microglobulin
|
$100.75 |
$100.75 |
$100.75 |
$84.00
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$16.10 |
$16.10 |
$16.10 |
$62.45
|
|
B-hexosaminidase ea assay
|
$156.00 |
$156.00 |
$156.00 |
$104.25
|
|
Bilirubin direct
|
$40.95 |
$40.95 |
$40.95 |
$42.90
|
|
Bilirubin total
|
$81.90 |
$81.90 |
$81.90 |
$48.00
|
|
Biotinidase - quest
|
$63.05 |
$63.05 |
$63.05 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$502.45 |
$502.45 |
$502.45 |
$417.95
|
|
Blood Clotting (PT/INR) Test
|
$46.15 |
$46.15 |
$46.15 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$84.50 |
$84.50 |
$84.50 |
$68.25
|
|
Blood Count (CBC) Test
|
$71.50 |
$71.50 |
$71.50 |
$66.75
|
|
Blood Count (CBC) Test (without differential)
|
$59.15 |
$59.15 |
$59.15 |
$52.43
|
|
Blood Culture Test
|
$120.90 |
$120.90 |
$120.90 |
$112.20
|
|
Blood draw capillary 36416
|
$85.80 |
$85.80 |
$85.80 |
$21.85
|
|
Blood gases ph venous
|
$40.30 |
$40.30 |
$40.30 |
$60.00
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$48.10 |
$48.10 |
$48.10 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$33.15 |
$33.15 |
$33.15 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$33.15 |
$33.15 |
$33.15 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$40.30 |
$40.30 |
$40.30 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$33.15 |
$33.15 |
$33.15 |
$34.80
|
|
Blood typing abo
|
$65.65 |
$65.65 |
$65.65 |
$74.75
|
|
Blood typing ag donor ea ag
|
$131.95 |
$131.95 |
$131.95 |
$132.40
|
|
Blood typing patient serum
|
$57.20 |
$57.20 |
$57.20 |
$76.00
|
|
Blood typing rbc ag non abo/rh ea
|
$59.15 |
$59.15 |
$59.15 |
$151.20
|
|
Blood typing rh (d)
|
$57.85 |
$57.85 |
$57.85 |
$52.73
|
|
Blood typing rh phenotype complete reference
|
$115.05 |
$115.05 |
$115.05 |
$78.80
|
|
Bone Density Scan (DEXA)
|
$333.45 |
$333.45 |
$333.45 |
$381.19
|
|
Boot j walker l
|
$117.65 |
$117.65 |
$117.65 |
$267.84
|
|
Boot softgait shrt m
|
$70.85 |
$70.85 |
$70.85 |
$100.80
|
|
Boot walker genesis full shell 3-strap s
|
$124.80 |
$124.80 |
$124.80 |
$179.82
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$133.90 |
$133.90 |
$133.90 |
$107.25
|
|
Borrelia miyamotoi amp prb
|
$157.95 |
$157.95 |
$157.95 |
$95.45
|
|
Brace oths wrist hnd fngr without
|
$27.95 |
$27.95 |
$27.95 |
$120.25
|
|
Brace wrist classic lft sm
|
$44.85 |
$44.85 |
$44.85 |
$67.86
|
|
Braf gene
|
$427.05 |
$427.05 |
$427.05 |
$421.20
|
|
Bronchial challenge
|
$845.00 |
$845.00 |
$845.00 |
$835.20
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Bupivacaine 0.1 % epidural pca - 1 hour dose limit
|
$11.17 |
$11.17 |
$11.17 |
$25.29
|
|
Butorphanol tartrate 1 mg
|
$103.26 |
$103.26 |
$103.26 |
$43.70
|
|
C1 esterase inhibitor func - sendout
|
$211.90 |
$211.90 |
$211.90 |
$129.75
|
|
Calcium 24 hour urine
|
$55.25 |
$55.25 |
$55.25 |
$51.63
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$25.60 |
$25.60 |
$25.60 |
$65.71
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$24.37 |
$24.37 |
$24.37 |
$48.29
|
|
Calcium ionized
|
$104.00 |
$104.00 |
$104.00 |
$82.80
|
|
Calcium total
|
$48.75 |
$48.75 |
$48.75 |
$44.00
|
|
Calprotectin fecal
|
$195.65 |
$195.65 |
$195.65 |
$176.80
|
|
Candida dna
|
$70.85 |
$70.85 |
$70.85 |
$68.25
|
|
Carbamazepine total therapeutic drug level
|
$115.05 |
$115.05 |
$115.05 |
$112.00
|
|
Carbon dioxide
|
$37.05 |
$37.05 |
$37.05 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,555.08 |
$1,555.08 |
$1,555.08 |
$334.92
|
|
Carboxyhemoglobin quantitative
|
$75.40 |
$75.40 |
$75.40 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$146.90 |
$146.90 |
$146.90 |
$127.40
|
|
Cardiolipin antibody iga
|
$84.50 |
$84.50 |
$84.50 |
$130.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$787.80 |
$787.80 |
$787.80 |
$1,504.08
|
|
Carotene
|
$104.65 |
$104.65 |
$104.65 |
$65.40
|
|
Carotid Artery Ultrasound (Duplex)
|
$404.30 |
$404.30 |
$404.30 |
$1,033.80
|
|
Catheterization collection of specimen single patient all places of service
|
$87.75 |
$87.75 |
$87.75 |
$58.50
|
|
Cdna analysis for variants
|
$547.30 |
$547.30 |
$547.30 |
$609.80
|
|
Cebpa gene full sequence
|
$455.00 |
$455.00 |
$455.00 |
$484.90
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$28.52 |
$28.52 |
$28.52 |
$27.86
|
|
Cefepime 1 gram solution for injection
|
$23.40 |
$23.40 |
$23.40 |
$39.95
|
|
Cefotaxime sodium injection
|
$15.79 |
$15.79 |
$15.79 |
$43.10
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,317.87 |
$1,317.87 |
$1,317.87 |
$660.79
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$46.57 |
$46.57 |
$46.57 |
$46.57
|
|
Ceftazidime and avibactam
|
$2,126.15 |
$2,126.15 |
$2,126.15 |
$904.66
|
|
Ceftriaxone 1 gram solution for injection
|
$29.25 |
$29.25 |
$29.25 |
$54.30
|
|
#celiac hla-dq2
|
$271.70 |
$271.70 |
$271.70 |
$226.87
|
|
Cell count body fluid
|
$57.85 |
$57.85 |
$57.85 |
$56.44
|
|
Cell count w differential body fluid
|
$104.00 |
$104.00 |
$104.00 |
$83.71
|
|
Cell cryopreserve/storage
|
$78.00 |
$78.00 |
$78.00 |
$58.50
|
|
Cftr gene dup/delet variants
|
$744.25 |
$744.25 |
$744.25 |
$870.40
|
|
Change cystostomy tube simple
|
$200.85 |
$200.85 |
$200.85 |
$426.63
|
|
Chest 2 vws w oblique
|
$307.45 |
$307.45 |
$307.45 |
$342.71
|
|
Chest apical lordotic proj
|
$245.70 |
$245.70 |
$245.70 |
$274.10
|
|
Chest CT scan (with and without contrast)
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$1,918.02
|
|
Chest CT scan (with contrast)
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$1,608.98
|
|
Chest CT scan (without contrast)
|
$1,663.35 |
$1,663.35 |
$1,663.35 |
$1,226.40
|
|
Chest X-ray
|
$105.95 |
$105.95 |
$105.95 |
$267.50
|
|
Chest X-ray (single view)
|
$79.30 |
$79.30 |
$79.30 |
$201.60
|
|
Chg pr pul rehab for copd patients
|
$286.65 |
$286.65 |
$286.65 |
$150.40
|
|
Chlamydia type
|
$38.35 |
$38.35 |
$38.35 |
$35.75
|
|
Chloride
|
$40.95 |
$40.95 |
$40.95 |
$37.60
|
|
Chloride 24 hour urine
|
$53.30 |
$53.30 |
$53.30 |
$40.80
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$56.34 |
$56.34 |
$56.34 |
$51.16
|
|
Cholesterol
|
$46.15 |
$46.15 |
$46.15 |
$41.08
|
|
Cholesterol (Lipid) Test
|
$104.65 |
$104.65 |
$104.65 |
$101.43
|
|
Cholinesterase
|
$46.15 |
$46.15 |
$46.15 |
$53.95
|
|
Chrom analysis
|
$87.75 |
$87.75 |
$87.75 |
$162.60
|
|
Chromatography
|
$75.40 |
$75.40 |
$75.40 |
$81.25
|
|
Chromogenic substrate assay
|
$209.95 |
$209.95 |
$209.95 |
$189.00
|
|
Chromosome analysis 15-20 cell count
|
$585.65 |
$585.65 |
$585.65 |
$558.25
|
|
Chromosome count additional
|
$49.40 |
$49.40 |
$49.40 |
$120.90
|
|
Chromosome karyotype study
|
$40.95 |
$40.95 |
$40.95 |
$127.86
|
|
Chylomicron screen, bf - sendout
|
$147.55 |
$147.55 |
$147.55 |
$136.09
|
