|
Consultation pathology during surgery frozen section each additional block
|
$691.00 |
$691.00 |
$691.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$704.00 |
$704.00 |
$704.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$1,682.00 |
$1,682.00 |
$1,682.00 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$483.00 |
$483.00 |
$483.00 |
$176.15
|
|
Contrast exam abdominl aorta 75625-26
|
$7,111.00 |
$7,111.00 |
$7,111.00 |
$3,458.54
|
|
Contrast exam thoracic aorta 75605-26
|
$17,055.00 |
$17,055.00 |
$17,055.00 |
$4,178.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$378.00 |
$378.00 |
$378.00 |
$94.90
|
|
Coombs indirect titer reference
|
$839.00 |
$839.00 |
$839.00 |
$146.00
|
|
Cortisol total am
|
$324.00 |
$324.00 |
$324.00 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$592.00 |
$592.00 |
$592.00 |
$249.41
|
|
Covid-19 lab test non-cdc
|
$90.00 |
$90.00 |
$90.00 |
$58.32
|
|
C-peptide
|
$408.00 |
$408.00 |
$408.00 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$5,273.00 |
$5,273.00 |
$5,273.00 |
$1,466.97
|
|
C-reactive protein
|
$280.00 |
$280.00 |
$280.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$179.00 |
$179.00 |
$179.00 |
$91.65
|
|
Creatine kinase
|
$391.00 |
$391.00 |
$391.00 |
$59.78
|
|
Creatine kinase isoenzymes
|
$261.00 |
$261.00 |
$261.00 |
$46.34
|
|
Creatine kinase mb
|
$259.00 |
$259.00 |
$259.00 |
$111.00
|
|
Creatinine
|
$228.00 |
$228.00 |
$228.00 |
$44.10
|
|
Creatinine clearance urine
|
$753.00 |
$753.00 |
$753.00 |
$87.50
|
|
Crotalidae poly immune fab
|
$16,871.00 |
$16,871.00 |
$16,871.00 |
$5,654.46
|
|
Cryofibrinogen qualitative - sendout
|
$151.00 |
$151.00 |
$151.00 |
$50.88
|
|
Cryptococcus abs qn - sendout
|
$219.00 |
$219.00 |
$219.00 |
$70.00
|
|
Crystal identification light microscopy
|
$168.00 |
$168.00 |
$168.00 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$5,446.00 |
$5,446.00 |
$5,446.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$5,913.00 |
$5,913.00 |
$5,913.00 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$4,808.00 |
$4,808.00 |
$4,808.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$10,180.00 |
$10,180.00 |
$10,180.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$5,486.00 |
$5,486.00 |
$5,486.00 |
$1,955.80
|
|
CT Angiogram of the Head
|
$5,360.00 |
$5,360.00 |
$5,360.00 |
$2,021.40
|
|
CT angio hrt w/3d image
|
$714.00 |
$714.00 |
$714.00 |
$1,588.60
|
|
CT angio pelvis
|
$4,736.00 |
$4,736.00 |
$4,736.00 |
$1,775.28
|
|
CT heart w/evaluation of calcium without contrast
|
$176.00 |
$176.00 |
$176.00 |
$192.00
|
|
CT hrt w/3d image
|
$714.00 |
$714.00 |
$714.00 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$855.00 |
$855.00 |
$855.00 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$4,362.00 |
$4,362.00 |
$4,362.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$4,240.00 |
$4,240.00 |
$4,240.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$5,466.00 |
$5,466.00 |
$5,466.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$4,380.00 |
$4,380.00 |
$4,380.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$2,844.00 |
$2,844.00 |
$2,844.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$7,729.00 |
$7,729.00 |
$7,729.00 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$7,056.00 |
$7,056.00 |
$7,056.00 |
$2,847.65
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$5,977.00 |
$5,977.00 |
$5,977.00 |
$2,284.15
|
|
CT thoracic spine w/contrast
|
$4,190.00 |
$4,190.00 |
$4,190.00 |
$1,732.50
|
|
CT thoracic spine without contrast
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$1,443.00
|
|
CT thorax low dose for lung screening without contrast
|
$183.00 |
$183.00 |
$183.00 |
$400.20
|
|
Culture afb any source
|
$294.00 |
$294.00 |
$294.00 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$397.00 |
$397.00 |
$397.00 |
$77.31
|
|
Culture anaerobic except blood
|
$343.00 |
$343.00 |
$343.00 |
$123.20
|
|
Culture bact stool aero addl path ea
|
$107.00 |
$107.00 |
$107.00 |
$52.80
|
|
Culture fungi definitive id mold
|
$151.00 |
$151.00 |
$151.00 |
$70.00
|
|
Culture fungi definitive id yeast
|
$259.00 |
$259.00 |
$259.00 |
$80.60
|
|
Culture fungi skin/hair/nail
|
$168.00 |
$168.00 |
$168.00 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$686.00 |
$686.00 |
$686.00 |
$84.75
|
|
Culture quantitative aerobic other source
|
$343.00 |
$343.00 |
$343.00 |
$87.02
|
|
Culture typing added method
|
$23.00 |
$23.00 |
$23.00 |
$34.45
|
|
Culture urine each isolate
|
$151.00 |
$151.00 |
$151.00 |
$46.20
|
|
Cyanocobalamin unsat binding capacity
|
$480.00 |
$480.00 |
$480.00 |
$60.00
|
|
Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution
|
$178.00 |
$178.00 |
$178.00 |
$28.00
|
|
Cyclic citrullinated peptide antibody
|
$206.00 |
$206.00 |
$206.00 |
$80.05
|
|
Cyclosporine 2 hour
|
$343.00 |
$343.00 |
$343.00 |
$121.80
|
|
Cyclosporine modified 25 mg capsule
|
$43.00 |
$43.00 |
$43.00 |
$7.48
|
|
Cyclosporine oral 100 mg
|
$107.00 |
$107.00 |
$107.00 |
$34.00
|
|
Cyp2c19 gene com variants
|
$874.00 |
$874.00 |
$874.00 |
$567.75
|
|
Cyp2d6 gene com variants
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$537.50
|
|
Cystatin c
|
$215.00 |
$215.00 |
$215.00 |
$82.26
|
|
Cystic fibrosis cftr
|
$4,266.00 |
$4,266.00 |
$4,266.00 |
$1,041.95
|
|
Cystogram >= 3 views supervision & interpretation
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$539.55
|
|
Cytogenetics 25-99
|
$681.00 |
$681.00 |
$681.00 |
$180.32
|
|
Cytomegalovirus (cmv) antibody igg
|
$293.00 |
$293.00 |
$293.00 |
$101.25
|
|
Cytomegalovirus (cmv) antibody igm
|
$429.00 |
$429.00 |
$429.00 |
$96.80
|
|
Cytopath c/v index add-on
|
$462.00 |
$462.00 |
$462.00 |
$29.60
|
|
Cytopath fl nongyn filter
|
$467.00 |
$467.00 |
$467.00 |
$73.70
|
|
Cytopathology cellular enhancement technique non-gyn
|
$535.00 |
$535.00 |
$535.00 |
$163.43
|
|
Cytopathology concentration technique smears & interpretation
|
$460.00 |
$460.00 |
$460.00 |
$142.94
|
|
Cytopathology fluids/washings/brushings smears with interpretation
|
$447.00 |
$447.00 |
$447.00 |
$124.80
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$424.00 |
$424.00 |
$424.00 |
$73.45
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$596.00 |
$596.00 |
$596.00 |
$185.00
|
|
Cytopathology fna adequacy evaluation first episode each site interp/rpt
|
$535.00 |
$535.00 |
$535.00 |
$205.00
|
|
Cytopath smear other source
|
$274.00 |
$274.00 |
$274.00 |
$85.80
|
|
Cytopath smear oth prep screen & interp
|
$319.00 |
$319.00 |
$319.00 |
$95.89
|
|
Cytopath tbs c/v manual
|
$89.00 |
$89.00 |
$89.00 |
$57.94
|
|
Decalcification
|
$273.00 |
$273.00 |
$273.00 |
$73.60
|
|
Deferoxamine 500 mg solution for injection
|
$306.00 |
$306.00 |
$306.00 |
$96.41
|
|
Desmopressin 4 mcg/ml injection solution
|
$178.00 |
$178.00 |
$178.00 |
$116.22
|
|
Dextrose 5 % and lactated ringers intravenous solution
|
$403.00 |
$403.00 |
$403.00 |
$61.49
|
|
Dextrose 5 % IV bolus
|
$447.00 |
$447.00 |
$447.00 |
$48.58
|
|
Dhea-s (dehydroepiand sulfate)
|
$582.00 |
$582.00 |
$582.00 |
$107.50
|
|
Diabetes (HbA1c) Test
|
$300.00 |
$300.00 |
$300.00 |
$78.03
|
|
Diab manage trn ind/group
|
$139.00 |
$139.00 |
$139.00 |
$58.08
|
|
Diatrizoate meglumine 18 % urethral solution
|
$254.00 |
$254.00 |
$254.00 |
$122.25
|
|
Diazepam 5 mg/ml injection solution (wrapper)
|
$258.00 |
$258.00 |
$258.00 |
$73.22
|
|
Dicyclomine injection
|
$261.00 |
$261.00 |
$261.00 |
$202.91
|
|
Digoxin immune fab 40 mg intravenous solution
|
$8,395.00 |
$8,395.00 |
$8,395.00 |
$10,388.97
|
|
Digoxin total therapeutic drug level
|
$261.00 |
$261.00 |
$261.00 |
$102.00
|
|
Dihydroergotamine 0.05 mg/ml IV syringe - cnr
|
$1,293.00 |
$1,293.00 |
$1,293.00 |
$309.20
|
|
Diphenhydramine 50 mg/ml injection (wrapper)
|
$178.00 |
$178.00 |
$178.00 |
$24.70
|
|
Dna antibody native/double stranded
|
$674.00 |
$674.00 |
$674.00 |
$102.60
|
|
Dna gardnerella
|
$343.00 |
$343.00 |
$343.00 |
$67.68
|
