|
Buprenorphine and metabolite - sendout
|
$627.40 |
$627.40 |
$627.40 |
$82.82
|
|
Buprenorphine oral 1mg
|
$73.48 |
$73.48 |
$73.48 |
$10.50
|
|
C-1 esterase, berinert
|
$317.90 |
$317.90 |
$317.90 |
$7,466.16
|
|
Caffeine citrate 20 mg/ml inj for po
|
$1,087.31 |
$1,087.31 |
$1,087.31 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$11,995.73 |
$11,995.73 |
$11,995.73 |
$2,111.64
|
|
Calcium 24 hour urine
|
$400.48 |
$400.48 |
$400.48 |
$53.00
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$93.90 |
$93.90 |
$93.90 |
$64.49
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$185.17 |
$185.17 |
$185.17 |
$91.60
|
|
Calcium ionized
|
$487.51 |
$487.51 |
$487.51 |
$90.00
|
|
Calculi urinary-sendout
|
$1,081.43 |
$1,081.43 |
$1,081.43 |
$68.05
|
|
Carbamazepine total therapeutic drug level
|
$1,014.41 |
$1,014.41 |
$1,014.41 |
$120.25
|
|
Carbon dioxide
|
$338.73 |
$338.73 |
$338.73 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$482.50 |
$482.50 |
$482.50 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$472.82 |
$472.82 |
$472.82 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$696.87 |
$696.87 |
$696.87 |
$144.00
|
|
Cardiac MRI w/stress img
|
$2,555.92 |
$2,555.92 |
$2,555.92 |
$1,474.98
|
|
Cardiac perf planar sgl/ef/wm
|
$10,329.69 |
$10,329.69 |
$10,329.69 |
$2,063.70
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$10,329.69 |
$10,329.69 |
$10,329.69 |
$2,626.88
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$3,273.38 |
$3,273.38 |
$3,273.38 |
$1,396.00
|
|
Card MRI veloc flow mapping
|
$4,089.02 |
$4,089.02 |
$4,089.02 |
$600.50
|
|
Carotid Artery Ultrasound (Duplex)
|
$1,587.01 |
$1,587.01 |
$1,587.01 |
$1,018.68
|
|
Catheterization collection of specimen single patient all places of service
|
$131.73 |
$131.73 |
$131.73 |
$40.95
|
|
Cdna analysis for variants
|
$969.10 |
$969.10 |
$969.10 |
$525.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$60.83 |
$60.83 |
$60.83 |
$37.70
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$2,129.22 |
$2,129.22 |
$2,129.22 |
$606.21
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$55.26 |
$55.26 |
$55.26 |
$63.05
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$71.64 |
$71.64 |
$71.64 |
$29.45
|
|
Cell marker study
|
$403.66 |
$403.66 |
$403.66 |
$247.20
|
|
#cf-97variants
|
$825.63 |
$825.63 |
$825.63 |
$622.20
|
|
Chest 2 vws w oblique
|
$801.04 |
$801.04 |
$801.04 |
$377.06
|
|
Chest apical lordotic proj
|
$731.89 |
$731.89 |
$731.89 |
$310.80
|
|
Chest CT scan (with and without contrast)
|
$4,419.07 |
$4,419.07 |
$4,419.07 |
$1,975.00
|
|
Chest CT scan (with contrast)
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,689.00
|
|
Chest CT scan (without contrast)
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,350.03
|
|
Chest X-ray
|
$625.34 |
$625.34 |
$625.34 |
$294.06
|
|
Chest X-ray (single view)
|
$446.80 |
$446.80 |
$446.80 |
$239.04
|
|
Chg radiologic exam esophagus double contrast
|
$879.23 |
$879.23 |
$879.23 |
$511.59
|
|
Chlamydia culture
|
$1,054.97 |
$1,054.97 |
$1,054.97 |
$93.90
|
|
Chlamydia type
|
$38.99 |
$38.99 |
$38.99 |
$34.20
|
|
Chloride
|
$286.99 |
$286.99 |
$286.99 |
$40.95
|
|
Chloride 24 hour urine
|
$258.74 |
$258.74 |
$258.74 |
$49.50
|
|
Chloroprocaine hcl injection
|
$215.73 |
$215.73 |
$215.73 |
$61.51
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$8,945.94 |
$8,945.94 |
$8,945.94 |
$377.85
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$189.14 |
$189.14 |
$189.14 |
$78.43
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,055.39 |
$1,055.39 |
$1,055.39 |
$602.40
|
|
Cholesterol
|
$592.74 |
$592.74 |
$592.74 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$1,048.48 |
$1,048.48 |
$1,048.48 |
$115.80
|
|
Cholinesterase
|
$955.60 |
$955.60 |
$955.60 |
$38.69
|
|
Chromatography
|
$126.42 |
$126.42 |
$126.42 |
$81.25
|
|
Chromosome analysis 15-20 cell count
|
$7,487.69 |
$7,487.69 |
$7,487.69 |
$512.20
|
|
Chromosome karyotype study
|
$154.08 |
$154.08 |
$154.08 |
$119.87
|
|
Chylomicron screen, bf - sendout
|
$1,175.53 |
$1,175.53 |
$1,175.53 |
$124.15
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$629.19 |
$629.19 |
$629.19 |
$569.55
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$363.98 |
$363.98 |
$363.98 |
$81.90
|
|
Clot factor viii reltd antgn
|
$450.34 |
$450.34 |
$450.34 |
$158.20
|
|
#cmvcul-virus inoculation shell
|
$682.52 |
$682.52 |
$682.52 |
$100.80
|
|
Coagulation time activated teg
|
$1,019.68 |
$1,019.68 |
$1,019.68 |
$53.72
|
|
Cocaine 4 % nasal solution
|
$733.37 |
$733.37 |
$733.37 |
$629.41
|
|
Cold agglutinin titer
|
$538.07 |
$538.07 |
$538.07 |
$50.00
|
|
Compatibility test each unit electronic
|
$162.92 |
$162.92 |
$162.92 |
$172.26
|
|
Compatibility test each unit immediate spin technique
|
$448.67 |
$448.67 |
$448.67 |
$169.52
|
|
Compatibility test incubate
|
$651.68 |
$651.68 |
$651.68 |
$155.40
|
|
Conivaptan hcl
|
$555.39 |
$555.39 |
$555.39 |
$1,625.08
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,386.34 |
$2,386.34 |
$2,386.34 |
$871.08
|
|
Consultation pathology during surgery cytological exam initial site
|
$179.37 |
$179.37 |
$179.37 |
$441.95
|
|
Consultation pathology during surgery frozen section each additional block
|
$404.58 |
$404.58 |
$404.58 |
$113.68
|
|
Consultation pathology during surgery frozen section first tissue block
|
$404.58 |
$404.58 |
$404.58 |
$225.96
|
|
Contrast exam thoracic aorta 75605-26
|
$6,121.00 |
$6,121.00 |
$6,121.00 |
$3,728.24
|
|
Coombs indirect qualitative each reagent red cell reference
|
$239.33 |
$239.33 |
$239.33 |
$102.90
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,551.86 |
$1,551.86 |
$1,551.86 |
$189.22
|
|
Counseling smoke cess interm >10mins
|
$90.80 |
$90.80 |
$90.80 |
$55.90
|
|
C-peptide
|
$1,276.08 |
$1,276.08 |
$1,276.08 |
$97.30
|
|
Crbrospnl fld flw imag cistern
|
$4,086.60 |
$4,086.60 |
$4,086.60 |
$1,240.80
|
|
C-reactive protein high sensitivity
|
$371.06 |
$371.06 |
$371.06 |
$85.00
|
|
Creatine kinase
|
$286.99 |
$286.99 |
$286.99 |
$66.30
|
|
Creatine kinase isoenzymes
|
$646.87 |
$646.87 |
$646.87 |
$56.80
|
|
Creatine kinase mb
|
$388.72 |
$388.72 |
$388.72 |
$114.00
|
|
Creatinine
|
$268.72 |
$268.72 |
$268.72 |
$44.72
|
|
Creatinine clearance urine
|
$367.53 |
$367.53 |
$367.53 |
$89.50
|
|
Crotalidae poly immune fab
|
$15,320.09 |
$15,320.09 |
$15,320.09 |
$5,590.35
|
|
Cryptococcus abs qn - sendout
|
$476.33 |
$476.33 |
$476.33 |
$89.70
|
|
Crystal identification light microscopy
|
$538.07 |
$538.07 |
$538.07 |
$62.50
|
|
CT 3d report other modality w/workstation
|
$1,093.59 |
$1,093.59 |
$1,093.59 |
$613.47
|
|
Cta abdomen without & /or w/contrast
|
$5,249.65 |
$5,249.65 |
$5,249.65 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$7,187.65 |
$7,187.65 |
$7,187.65 |
$1,940.00
|
|
Cta neck without &/or w/contrast
|
$4,473.31 |
$4,473.31 |
$4,473.31 |
$1,931.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$5,247.87 |
$5,247.87 |
$5,247.87 |
$2,849.55
|
|
CT Angiogram of the Chest (for blood clot)
|
$4,473.31 |
$4,473.31 |
$4,473.31 |
$1,940.00
|
|
CT Angiogram of the Head
|
$4,473.31 |
$4,473.31 |
$4,473.31 |
$1,996.80
|
|
CT angio hrt w/3d image
|
$2,782.04 |
$2,782.04 |
$2,782.04 |
$1,500.38
|
|
CT angio pelvis
|
$4,473.31 |
$4,473.31 |
$4,473.31 |
$1,837.80
|
|
CT guidance for needle placement
|
$2,734.52 |
$2,734.52 |
$2,734.52 |
$1,494.00
|
|
CT limited or localized follow-up study
|
$1,940.11 |
$1,940.11 |
$1,940.11 |
$642.75
|
|
CT neck soft tissue w/contrast
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,652.00
|
|
CT neck soft tissue without contrast
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,327.95
|
|
CT neck soft tissue without & w/contrast
|
$4,419.07 |
$4,419.07 |
$4,419.07 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$4,085.67 |
$4,085.67 |
$4,085.67 |
$1,728.18
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$3,895.85 |
$3,895.85 |
$3,895.85 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$3,250.31 |
$3,250.31 |
$3,250.31 |
$1,360.00
|
|
CT scan for localization
|
$6,725.77 |
$6,725.77 |
$6,725.77 |
$1,205.14
|