|
Bilirubin direct
|
$909.34 |
$909.34 |
$909.34 |
$49.29
|
|
Biopsy of heart lining
|
$5,977.56 |
$5,977.56 |
$5,977.56 |
$3,868.50
|
|
Bld prd mix
|
$703.90 |
$703.90 |
$703.90 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$7,678.90 |
$7,678.90 |
$7,678.90 |
$245.75
|
|
Blood Clotting (PT/INR) Test
|
$759.78 |
$759.78 |
$759.78 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$1,042.26 |
$1,042.26 |
$1,042.26 |
$72.15
|
|
Blood Count (CBC) Test (without differential)
|
$1,111.74 |
$1,111.74 |
$1,111.74 |
$62.28
|
|
Blood count spun microhematocrit
|
$222.05 |
$222.05 |
$222.05 |
$20.40
|
|
Blood Culture Test
|
$1,643.45 |
$1,643.45 |
$1,643.45 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$1,311.13 |
$1,311.13 |
$1,311.13 |
$220.35
|
|
Blood gases ph venous
|
$631.41 |
$631.41 |
$631.41 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$504.51 |
$504.51 |
$504.51 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$504.51 |
$504.51 |
$504.51 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$504.51 |
$504.51 |
$504.51 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$353.46 |
$353.46 |
$353.46 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$244.70 |
$244.70 |
$244.70 |
$37.44
|
|
Blood typing abo
|
$425.96 |
$425.96 |
$425.96 |
$83.82
|
|
Blood typing ag donor ea ag
|
$1,311.13 |
$1,311.13 |
$1,311.13 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$196.37 |
$196.37 |
$196.37 |
$181.74
|
|
Blood typing rh phenotype complete reference
|
$425.96 |
$425.96 |
$425.96 |
$77.25
|
|
Bone marrow interpretation
|
$1,143.47 |
$1,143.47 |
$1,143.47 |
$439.78
|
|
Bone survey-lead poisoning
|
$2,924.24 |
$2,924.24 |
$2,924.24 |
$346.28
|
|
Boot j walker l
|
$449.00 |
$449.00 |
$449.00 |
$291.75
|
|
(both sides) smear without diff wbc count
|
$261.32 |
$261.32 |
$261.32 |
$33.57
|
|
Brachy src nonstrand hdr ir-192
|
$4,954.00 |
$4,954.00 |
$4,954.00 |
$378.98
|
|
Braf gene
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$421.20
|
|
Brain flow imaging only
|
$4,347.19 |
$4,347.19 |
$4,347.19 |
$636.97
|
|
Brain image < 4 views
|
$7,125.86 |
$7,125.86 |
$7,125.86 |
$475.51
|
|
Brain image 4+ views
|
$10,962.01 |
$10,962.01 |
$10,962.01 |
$746.61
|
|
Brain image w/flow < 4 views
|
$9,370.32 |
$9,370.32 |
$9,370.32 |
$828.39
|
|
Brain image w/flow 4 + views
|
$18,643.86 |
$18,643.86 |
$18,643.86 |
$1,308.00
|
|
Bronchial challenge
|
$7,529.20 |
$7,529.20 |
$7,529.20 |
$835.20
|
|
Bundled special stain group 1 microorganisms
|
$770.36 |
$770.36 |
$770.36 |
$164.89
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$22.71 |
$22.71 |
$22.71 |
$12.78
|
|
Buprenorphine and metabolite - sendout
|
$500.00 |
$500.00 |
$500.00 |
$99.72
|
|
Buprenorphine hydrochloride
|
$129.12 |
$129.12 |
$129.12 |
$42.14
|
|
C1 esterase inhibitor func - sendout
|
$320.23 |
$320.23 |
$320.23 |
$106.60
|
|
Calcium 24 hour urine
|
$1,299.06 |
$1,299.06 |
$1,299.06 |
$52.00
|
|
Calculi urinary-sendout
|
$518.12 |
$518.12 |
$518.12 |
$68.05
|
|
Calprotectin fecal
|
$427.47 |
$427.47 |
$427.47 |
$170.00
|
|
Capecitabine, oral, 50 mg
|
$432.46 |
$432.46 |
$432.46 |
$46.43
|
|
Carbamazepine total therapeutic drug level
|
$1,351.91 |
$1,351.91 |
$1,351.91 |
$113.25
|
|
Carbohydrate urine - sendout
|
$351.95 |
$351.95 |
$351.95 |
$43.51
|
|
Carbon dioxide
|
$797.56 |
$797.56 |
$797.56 |
$44.82
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$429.01 |
$429.01 |
$429.01 |
$432.25
|
|
Carboxyhemoglobin quantitative
|
$850.42 |
$850.42 |
$850.42 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$1,190.29 |
$1,190.29 |
$1,190.29 |
$146.90
|
|
Cardiac drug stress test
|
$4,475.13 |
$4,475.13 |
$4,475.13 |
$543.20
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$1,159.31 |
$1,159.31 |
$1,159.31 |
$254.80
|
|
Carotene
|
$2,966.67 |
$2,966.67 |
$2,966.67 |
$46.80
|
|
Catecholamines,fractionated, urine
|
$3,211.37 |
$3,211.37 |
$3,211.37 |
$55.20
|
|
Cath stripping venous s&i
|
$8,449.43 |
$8,449.43 |
$8,449.43 |
$602.40
|
|
Cell marker study
|
$4,004.39 |
$4,004.39 |
$4,004.39 |
$239.85
|
|
Cerebrospinal fld flw imag
|
$5,324.29 |
$5,324.29 |
$5,324.29 |
$884.00
|
|
#cf-97variants
|
$385.19 |
$385.19 |
$385.19 |
$612.26
|
|
Chg pr pul rehab for copd patients
|
$315.65 |
$315.65 |
$315.65 |
$150.00
|
|
Chlamydia culture
|
$1,877.58 |
$1,877.58 |
$1,877.58 |
$94.90
|
|
Chlamydia type
|
$500.00 |
$500.00 |
$500.00 |
$34.75
|
|
Chlnggrphy intraop addl s&i
|
$2,009.85 |
$2,009.85 |
$2,009.85 |
$280.00
|
|
Chloride
|
$540.77 |
$540.77 |
$540.77 |
$38.50
|
|
Chloride 24 hour urine
|
$1,676.68 |
$1,676.68 |
$1,676.68 |
$46.13
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$3,540.80 |
$3,540.80 |
$3,540.80 |
$625.60
|
|
Cholesterol
|
$729.58 |
$729.58 |
$729.58 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$1,806.59 |
$1,806.59 |
$1,806.59 |
$115.70
|
|
Cholinesterase
|
$2,744.63 |
$2,744.63 |
$2,744.63 |
$38.69
|
|
Chromatography
|
$2,225.01 |
$2,225.01 |
$2,225.01 |
$80.60
|
|
Chromogenic substrate assay
|
$285.49 |
$285.49 |
$285.49 |
$183.52
|
|
Chromosome analysis 15-20 cell count
|
$1,254.90 |
$1,254.90 |
$1,254.90 |
$448.80
|
|
Chromosome analys placenta
|
$13,535.78 |
$13,535.78 |
$13,535.78 |
$642.00
|
|
Cidofovir injection
|
$3,166.15 |
$3,166.15 |
$3,166.15 |
$1,099.26
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$912.43 |
$912.43 |
$912.43 |
$576.60
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$131.63 |
$131.63 |
$131.63 |
$81.02
|
|
Closure paravalvlr leak pq
|
$124,242.25 |
$124,242.25 |
$124,242.25 |
$7,723.17
|
|
Clot factor xii hageman
|
$1,620.78 |
$1,620.78 |
$1,620.78 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$791.51 |
$791.51 |
$791.51 |
$84.27
|
|
Cmv pcr-sendout
|
$320.23 |
$320.23 |
$320.23 |
$172.25
|
|
Coagulation time activated teg
|
$759.78 |
$759.78 |
$759.78 |
$50.05
|
|
Cocaine 4 % nasal solution
|
$609.17 |
$609.17 |
$609.17 |
$781.82
|
|
Cold agglutinin titer
|
$184.29 |
$184.29 |
$184.29 |
$49.40
|
|
Colistimethate sodium inj
|
$74.82 |
$74.82 |
$74.82 |
$84.22
|
|
Compatibility test each unit electronic
|
$554.35 |
$554.35 |
$554.35 |
$167.17
|
|
Compatibility test each unit immediate spin technique
|
$554.35 |
$554.35 |
$554.35 |
$159.95
|
|
Compatibility test incubate
|
$554.35 |
$554.35 |
$554.35 |
$143.64
|
|
Conivaptan hcl
|
$11,328.64 |
$11,328.64 |
$11,328.64 |
$438.57
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,073.35 |
$2,073.35 |
$2,073.35 |
$792.24
|
|
Connect omega .5mm
|
$3,489.00 |
$3,489.00 |
$3,489.00 |
$747.50
|
|
Connector tis 2x10mm
|
$10,031.00 |
$10,031.00 |
$10,031.00 |
$2,988.26
|
|
Consultation pathology during surgery
|
$990.90 |
$990.90 |
$990.90 |
$112.45
|
|
Consultation pathology during surgery cytological exam initial site
|
$2,447.04 |
$2,447.04 |
$2,447.04 |
$402.05
|
|
Consultation pathology during surgery frozen section each additional block
|
$1,643.45 |
$1,643.45 |
$1,643.45 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,867.00 |
$1,867.00 |
$1,867.00 |
$210.80
|
|
Coombs indirect qualitative each reagent red cell reference
|
$734.12 |
$734.12 |
$734.12 |
$100.29
|
|
Coombs indirect titer reference
|
$1,980.29 |
$1,980.29 |
$1,980.29 |
$143.40
|
|
Coronary thrombolysis/iv infusion 92977
|
$3,969.66 |
$3,969.66 |
$3,969.66 |
$484.37
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose
|
$865.40 |
$865.40 |
$865.40 |
$569.31
|
|
Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose
|
$865.40 |
$865.40 |
$865.40 |
$533.10
|
|
Covid-19 lab test non-cdc
|
$97.01 |
$97.01 |
$97.01 |
$56.44
|
|
#covid19rsv-rsv
|
$1,188.77 |
$1,188.77 |
$1,188.77 |
$140.80
|
|
C-peptide
|
$197.88 |
$197.88 |
$197.88 |
$100.26
|
|
Crbrospnl fld flw imag cistern
|
$8,032.09 |
$8,032.09 |
$8,032.09 |
$1,409.85
|
