|
Bowel imaging
|
$2,957.00 |
$2,957.00 |
$2,957.00 |
$1,200.00
|
|
Braf gene
|
$732.00 |
$732.00 |
$732.00 |
$421.00
|
|
Brain image w/flow 4 + views
|
$3,594.00 |
$3,594.00 |
$3,594.00 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$4,044.00 |
$4,044.00 |
$4,044.00 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$3,914.00 |
$3,914.00 |
$3,914.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,914.00 |
$3,914.00 |
$3,914.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$8,058.00 |
$8,058.00 |
$8,058.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$1,949.38
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$67,876.00 |
$67,876.00 |
$67,876.00 |
$24,425.00
|
|
Bundled special stain group 1 microorganisms
|
$413.00 |
$413.00 |
$413.00 |
$165.10
|
|
Bundled special stain group 2
|
$378.00 |
$378.00 |
$378.00 |
$169.00
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$44.00 |
$44.00 |
$44.00 |
$9.56
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$58.00 |
$58.00 |
$58.00 |
$14.01
|
|
C1 esterase inhibitor func - sendout
|
$391.00 |
$391.00 |
$391.00 |
$103.35
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$95,948.00 |
$95,948.00 |
$95,948.00 |
$30,259.75
|
|
Cabergoline, oral 0.25mg
|
$275.00 |
$275.00 |
$275.00 |
$48.18
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$17,559.00 |
$17,559.00 |
$17,559.00 |
$2,802.31
|
|
Calcium 24 hour urine
|
$243.00 |
$243.00 |
$243.00 |
$51.75
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$317.00 |
$317.00 |
$317.00 |
$55.47
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$459.00 |
$459.00 |
$459.00 |
$92.91
|
|
Calcium ionized
|
$755.00 |
$755.00 |
$755.00 |
$88.40
|
|
Calprotectin fecal
|
$704.00 |
$704.00 |
$704.00 |
$169.20
|
|
Candida dna
|
$463.00 |
$463.00 |
$463.00 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$603.00 |
$603.00 |
$603.00 |
$117.74
|
|
Carbon dioxide
|
$199.00 |
$199.00 |
$199.00 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,465.00 |
$1,465.00 |
$1,465.00 |
$455.00
|
|
Carboxyhemoglobin quantitative
|
$477.00 |
$477.00 |
$477.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$781.00 |
$781.00 |
$781.00 |
$146.25
|
|
Cardiac MRI w/stress img
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$1,392.95
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,174.00 |
$7,174.00 |
$7,174.00 |
$2,752.20
|
|
Cardiac shunt imaging
|
$3,087.00 |
$3,087.00 |
$3,087.00 |
$860.63
|
|
Carmustine 100 mg intravenous powder for solution
|
$3,078.00 |
$3,078.00 |
$3,078.00 |
$1,986.00
|
|
Carotid Artery Ultrasound (Duplex)
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$1,068.06
|
|
Cath stripping venous s&i
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$682.34
|
|
Ceftazidime and avibactam
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$995.91
|
|
#celiac hla-dq2
|
$672.00 |
$672.00 |
$672.00 |
$226.28
|
|
Cemiplimab-rwlc 50 mg/ml intravenous solution
|
$62,699.00 |
$62,699.00 |
$62,699.00 |
$26,086.63
|
|
#cf-97variants
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$597.75
|
|
Chg radiologic exam esophagus double contrast
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$548.90
|
|
Chlamydia culture
|
$603.00 |
$603.00 |
$603.00 |
$94.90
|
|
Chlamydia type
|
$165.00 |
$165.00 |
$165.00 |
$34.80
|
|
Chloramphenicol sodium injec
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$120.48
|
|
Chloride
|
$199.00 |
$199.00 |
$199.00 |
$39.05
|
|
Chloride 24 hour urine
|
$212.00 |
$212.00 |
$212.00 |
$46.13
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$420.00 |
$420.00 |
$420.00 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$625.60
|
|
Cholesterol
|
$199.00 |
$199.00 |
$199.00 |
$46.15
|
|
Cholesterol body fluid
|
$335.00 |
$335.00 |
$335.00 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$580.00 |
$580.00 |
$580.00 |
$115.70
|
|
Cholinesterase
|
$362.00 |
$362.00 |
$362.00 |
$38.68
|
|
Chromatography
|
$652.00 |
$652.00 |
$652.00 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$405.00 |
$405.00 |
$405.00 |
$261.30
|
|
Chromosome analysis 15-20 cell count
|
$3,102.00 |
$3,102.00 |
$3,102.00 |
$433.01
|
|
Chromosome karyotype study
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$102.00
|
|
Cidofovir injection
|
$13,309.00 |
$13,309.00 |
$13,309.00 |
$1,352.09
|
|
Cine/video x-rays
|
$499.00 |
$499.00 |
$499.00 |
$229.44
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$7,686.00 |
$7,686.00 |
$7,686.00 |
$496.70
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$2,812.00 |
$2,812.00 |
$2,812.00 |
$81.25
|
|
Clot factor xii hageman
|
$772.00 |
$772.00 |
$772.00 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$817.00 |
$817.00 |
$817.00 |
$84.27
|
|
Cmv pcr-sendout
|
$953.00 |
$953.00 |
$953.00 |
$173.25
|
|
Cocaine 4 % nasal solution
|
$1,691.00 |
$1,691.00 |
$1,691.00 |
$624.58
|
|
Cold agglutinin titer
|
$277.00 |
$277.00 |
$277.00 |
$48.57
|
|
Colistimethate sodium inj
|
$764.00 |
$764.00 |
$764.00 |
$90.35
|
|
Collagen imp urinary 2.5 ml
|
$17,588.00 |
$17,588.00 |
$17,588.00 |
$1,949.63
|
|
Collection of venous blood by venipuncture
|
$9.00 |
$9.00 |
$9.00 |
$22.00
|
|
Compatibility test each unit electronic
|
$232.00 |
$232.00 |
$232.00 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$491.00 |
$491.00 |
$491.00 |
$169.52
|
|
Compatibility test incubate
|
$330.00 |
$330.00 |
$330.00 |
$143.65
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,584.00 |
$2,584.00 |
$2,584.00 |
$905.72
|
|
Connector tis 2x10mm
|
$20,690.00 |
$20,690.00 |
$20,690.00 |
$3,862.15
|
|
Consultation pathology during surgery
|
$142.00 |
$142.00 |
$142.00 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$612.00 |
$612.00 |
$612.00 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$377.00 |
$377.00 |
$377.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$612.00 |
$612.00 |
$612.00 |
$214.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$926.00 |
$926.00 |
$926.00 |
$94.90
|
|
Coombs indirect titer reference
|
$346.00 |
$346.00 |
$346.00 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$11,736.00 |
$11,736.00 |
$11,736.00 |
$2,083.80
|
|
Cosyntropin 0.25 mg solution for injection
|
$2,453.00 |
$2,453.00 |
$2,453.00 |
$249.41
|
|
C-peptide
|
$713.00 |
$713.00 |
$713.00 |
$100.00
|
|
Cr-51 sodium chromate
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$2,646.78
|
|
Crbrospnl fld flw imag cistern
|
$3,731.00 |
$3,731.00 |
$3,731.00 |
$1,466.97
|
|
C-reactive protein
|
$457.00 |
$457.00 |
$457.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$574.00 |
$574.00 |
$574.00 |
$91.65
|
|
Creatine kinase mb
|
$443.00 |
$443.00 |
$443.00 |
$111.00
|
|
Creatinine clearance urine
|
$693.00 |
$693.00 |
$693.00 |
$87.50
|
|
Cromolyn sodium noncomp unit
|
$147.00 |
$147.00 |
$147.00 |
$8.93
|
|
Cryofibrinogen qualitative - sendout
|
$241.00 |
$241.00 |
$241.00 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$359.00 |
$359.00 |
$359.00 |
$70.00
|
|
Crystal identification light microscopy
|
$457.00 |
$457.00 |
$457.00 |
$65.25
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$1,085.05
|
|
CT heart w/evaluation of calcium without contrast
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$192.00
|
|
CT hrt c+ strux cgen hrt ds
|
$8,972.00 |
$8,972.00 |
$8,972.00 |
$1,217.45
|
|
CT hrt w/3d image
|
$8,972.00 |
$8,972.00 |
$8,972.00 |
$1,418.60
|
|
CT thorax low dose for lung screening without contrast
|
$281.00 |
$281.00 |
$281.00 |
$400.20
|
|
Culture afb any source
|
$763.00 |
$763.00 |
$763.00 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$469.00 |
$469.00 |
$469.00 |
$77.31
|
|
Culture anaerobic except blood
|
$740.00 |
$740.00 |
$740.00 |
$123.20
|
|
Culture fungi definitive id mold
|
$645.00 |
$645.00 |
$645.00 |
$70.00
|
