|
Benztropine 1 mg/ml injection solution
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$118.00
|
|
Beta-2 microglobulin
|
$378.00 |
$378.00 |
$378.00 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$420.00 |
$420.00 |
$420.00 |
$70.37
|
|
B-hexosaminidase ea assay
|
$849.00 |
$849.00 |
$849.00 |
$104.25
|
|
Bilirubin direct
|
$261.00 |
$261.00 |
$261.00 |
$49.31
|
|
Biotinidase - quest
|
$681.00 |
$681.00 |
$681.00 |
$73.50
|
|
Blood Culture Test
|
$215.00 |
$215.00 |
$215.00 |
$145.60
|
|
Blood draw capillary 36416
|
$154.00 |
$154.00 |
$154.00 |
$22.40
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$141.00 |
$141.00 |
$141.00 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$168.00 |
$168.00 |
$168.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$106.00 |
$106.00 |
$106.00 |
$37.05
|
|
Blood typing abo
|
$204.00 |
$204.00 |
$204.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$309.00 |
$309.00 |
$309.00 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$309.00 |
$309.00 |
$309.00 |
$181.74
|
|
Blood typing rh (d)
|
$224.00 |
$224.00 |
$224.00 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$211.00 |
$211.00 |
$211.00 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$3,474.00 |
$3,474.00 |
$3,474.00 |
$1,151.16
|
|
Bone marrow interpretation
|
$957.00 |
$957.00 |
$957.00 |
$436.00
|
|
Bone survey-lead poisoning
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$370.18
|
|
(both sides) smear without diff wbc count
|
$98.00 |
$98.00 |
$98.00 |
$33.57
|
|
Braf gene
|
$810.00 |
$810.00 |
$810.00 |
$421.00
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$7,673.00 |
$7,673.00 |
$7,673.00 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$7,673.00 |
$7,673.00 |
$7,673.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,214.00 |
$7,214.00 |
$7,214.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$1,949.38
|
|
Brcassure comprehensive panel-sendout
|
$4,404.00 |
$4,404.00 |
$4,404.00 |
$2,299.75
|
|
Buprenorphine hydrochloride
|
$258.00 |
$258.00 |
$258.00 |
$47.69
|
|
Butorphanol tartrate 1 mg
|
$258.00 |
$258.00 |
$258.00 |
$46.00
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$650.00 |
$650.00 |
$650.00 |
$2,802.31
|
|
Calcium 24 hour urine
|
$259.00 |
$259.00 |
$259.00 |
$51.75
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$158.00 |
$158.00 |
$158.00 |
$55.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$46.00 |
$46.00 |
$46.00 |
$66.17
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$99.00 |
$99.00 |
$99.00 |
$92.91
|
|
Calcium ionized
|
$276.00 |
$276.00 |
$276.00 |
$88.40
|
|
Calculi urinary-sendout
|
$564.00 |
$564.00 |
$564.00 |
$68.05
|
|
Calprotectin fecal
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$169.20
|
|
Campylobacter antibody
|
$529.00 |
$529.00 |
$529.00 |
$75.00
|
|
Candida dna
|
$343.00 |
$343.00 |
$343.00 |
$66.05
|
|
Carbamazepine free
|
$119.00 |
$119.00 |
$119.00 |
$66.43
|
|
Carbon dioxide
|
$193.00 |
$193.00 |
$193.00 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$964.00 |
$964.00 |
$964.00 |
$455.00
|
|
Carcinoembryonic ag (cea)
|
$429.00 |
$429.00 |
$429.00 |
$146.25
|
|
Carotene
|
$256.00 |
$256.00 |
$256.00 |
$45.00
|
|
Catheterization collection of specimen single patient all places of service
|
$14.00 |
$14.00 |
$14.00 |
$42.60
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$87.00 |
$87.00 |
$87.00 |
$39.48
|
|
Ceftazidime and avibactam
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$995.91
|
|
#celiac hla-dq2
|
$788.00 |
$788.00 |
$788.00 |
$226.28
|
|
#celiac hla-dq8
|
$831.00 |
$831.00 |
$831.00 |
$246.88
|
|
Cell marker study
|
$996.00 |
$996.00 |
$996.00 |
$234.58
|
|
#cf-97variants
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$597.75
|
|
Cftr gene known fam variants
|
$769.00 |
$769.00 |
$769.00 |
$161.88
|
|
Chest 2 vws w oblique
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$377.06
|
|
Chest apical lordotic proj
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$5,416.00 |
$5,416.00 |
$5,416.00 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$4,606.00 |
$4,606.00 |
$4,606.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$4,506.00 |
$4,506.00 |
$4,506.00 |
$1,350.03
|
|
Chest X-ray
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$302.90
|
|
Chest X-ray (single view)
|
$772.00 |
$772.00 |
$772.00 |
$246.94
|
|
Chlamydia culture
|
$261.00 |
$261.00 |
$261.00 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$215.00 |
$215.00 |
$215.00 |
$30.40
|
|
Chlnggrphy intraop addl s&i
|
$772.00 |
$772.00 |
$772.00 |
$280.00
|
|
Chloramphenicol sodium injec
|
$329.00 |
$329.00 |
$329.00 |
$120.48
|
|
Chloride
|
$324.00 |
$324.00 |
$324.00 |
$39.05
|
|
Chloride 24 hour urine
|
$380.00 |
$380.00 |
$380.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$96.00 |
$96.00 |
$96.00 |
$69.08
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$429.00 |
$429.00 |
$429.00 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$1,747.00 |
$1,747.00 |
$1,747.00 |
$625.60
|
|
Cholesterol
|
$129.00 |
$129.00 |
$129.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$529.00 |
$529.00 |
$529.00 |
$115.70
|
|
Cholinesterase
|
$190.00 |
$190.00 |
$190.00 |
$38.68
|
|
Chrom analysis
|
$681.00 |
$681.00 |
$681.00 |
$128.25
|
|
Chromatography
|
$917.00 |
$917.00 |
$917.00 |
$77.00
|
|
Chromogenic substrate assay
|
$816.00 |
$816.00 |
$816.00 |
$177.45
|
|
Chromo high res and frag x - sendout
|
$652.00 |
$652.00 |
$652.00 |
$261.30
|
|
Chromosome study additional
|
$424.00 |
$424.00 |
$424.00 |
$147.03
|
|
Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback
|
$919.00 |
$919.00 |
$919.00 |
$45.27
|
|
C-kit mutation liquid tumor - sendout
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$606.06
|
|
Clot factor fletcher fact
|
$86.00 |
$86.00 |
$86.00 |
$88.20
|
|
Clot factor viii reltd antgn
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$95.72
|
|
Clot factor wght kininogen
|
$86.00 |
$86.00 |
$86.00 |
$134.81
|
|
Clot factor xii hageman
|
$863.00 |
$863.00 |
$863.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$27.00 |
$27.00 |
$27.00 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$627.00 |
$627.00 |
$627.00 |
$84.27
|
|
#cmvcul-virus inoculation shell
|
$528.00 |
$528.00 |
$528.00 |
$102.57
|
|
Cmv pcr-sendout
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$173.25
|
|
Coagulation time activated teg
|
$175.00 |
$175.00 |
$175.00 |
$50.05
|
|
Cold agglutinin screen (arc)
|
$233.00 |
$233.00 |
$233.00 |
$47.19
|
|
Cold agglutinin titer
|
$467.00 |
$467.00 |
$467.00 |
$48.57
|
|
Collagen imp urinary 2.5 ml
|
$8,687.00 |
$8,687.00 |
$8,687.00 |
$1,949.63
|
|
Collection of venous blood by venipuncture
|
$82.00 |
$82.00 |
$82.00 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$647.00 |
$647.00 |
$647.00 |
$173.25
|
|
Compatibility test each unit electronic
|
$610.00 |
$610.00 |
$610.00 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$647.00 |
$647.00 |
$647.00 |
$169.52
|
|
Compatibility test incubate
|
$647.00 |
$647.00 |
$647.00 |
$143.65
|
|
Computed tomographic angiography head and neck with contrast
|
$12,186.00 |
$12,186.00 |
$12,186.00 |
$2,313.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$905.72
|
|
Connect omega .5mm
|
$11,999.00 |
$11,999.00 |
$11,999.00 |
$1,185.42
|
|
Consultation pathology during surgery cytological exam initial site
|
$98.00 |
$98.00 |
$98.00 |
$428.00
|
