|
Brcassure comprehensive panel-sendout
|
$3,557.00 |
$3,557.00 |
$3,557.00 |
$2,299.75
|
|
Bundled special stain group 1 microorganisms
|
$78.00 |
$78.00 |
$78.00 |
$165.10
|
|
C1 esterase inhibitor func - sendout
|
$800.00 |
$800.00 |
$800.00 |
$103.35
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$891.00 |
$891.00 |
$891.00 |
$2,802.31
|
|
Calcium 24 hour urine
|
$245.00 |
$245.00 |
$245.00 |
$51.75
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$50.00 |
$50.00 |
$50.00 |
$55.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$82.00 |
$82.00 |
$82.00 |
$66.17
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$94.80 |
$94.80 |
$94.80 |
$92.91
|
|
Calcium ionized
|
$261.00 |
$261.00 |
$261.00 |
$88.40
|
|
Calcium total
|
$306.00 |
$306.00 |
$306.00 |
$48.75
|
|
Calculi urinary-sendout
|
$306.00 |
$306.00 |
$306.00 |
$68.05
|
|
Calculus analysis qual
|
$477.00 |
$477.00 |
$477.00 |
$29.60
|
|
Calprotectin fecal
|
$2,951.00 |
$2,951.00 |
$2,951.00 |
$169.20
|
|
Carbamazepine total therapeutic drug level
|
$403.00 |
$403.00 |
$403.00 |
$117.74
|
|
Carbohydrate urine - sendout
|
$211.00 |
$211.00 |
$211.00 |
$43.51
|
|
Carbon dioxide
|
$135.00 |
$135.00 |
$135.00 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$811.00 |
$811.00 |
$811.00 |
$455.00
|
|
Carboxyhemoglobin quantitative
|
$478.00 |
$478.00 |
$478.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$356.00 |
$356.00 |
$356.00 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$5,141.00 |
$5,141.00 |
$5,141.00 |
$2,752.20
|
|
Carotene
|
$356.00 |
$356.00 |
$356.00 |
$45.00
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$126.00 |
$126.00 |
$126.00 |
$39.48
|
|
Cefoxitin 1 gram intravenous solution
|
$118.00 |
$118.00 |
$118.00 |
$71.13
|
|
Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr
|
$25.00 |
$25.00 |
$25.00 |
$71.52
|
|
#celiac hla-dq2
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$226.28
|
|
#celiac hla-dq8
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$246.88
|
|
Cell enumeration & id
|
$2,218.00 |
$2,218.00 |
$2,218.00 |
$458.24
|
|
#cf-97variants
|
$4,169.00 |
$4,169.00 |
$4,169.00 |
$597.75
|
|
Chest 2 vws w oblique
|
$2,136.00 |
$2,136.00 |
$2,136.00 |
$377.06
|
|
Chest CT scan (with and without contrast)
|
$7,325.00 |
$7,325.00 |
$7,325.00 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$6,995.00 |
$6,995.00 |
$6,995.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$6,248.00 |
$6,248.00 |
$6,248.00 |
$1,350.03
|
|
Chest X-ray
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$302.90
|
|
Chest X-ray (single view)
|
$1,063.00 |
$1,063.00 |
$1,063.00 |
$246.94
|
|
Chlamydia culture
|
$704.00 |
$704.00 |
$704.00 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$229.00 |
$229.00 |
$229.00 |
$30.40
|
|
Chlamydia type
|
$19.00 |
$19.00 |
$19.00 |
$34.80
|
|
Chlnggrphy intraop addl s&i
|
$656.00 |
$656.00 |
$656.00 |
$280.00
|
|
Chloride
|
$261.00 |
$261.00 |
$261.00 |
$39.05
|
|
Chloride 24 hour urine
|
$261.00 |
$261.00 |
$261.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$114.00 |
$114.00 |
$114.00 |
$69.08
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$82.00 |
$82.00 |
$82.00 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$625.60
|
|
Cholesterol
|
$352.00 |
$352.00 |
$352.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$778.00 |
$778.00 |
$778.00 |
$115.70
|
|
Cholinesterase
|
$165.00 |
$165.00 |
$165.00 |
$38.68
|
|
Chromatography
|
$419.00 |
$419.00 |
$419.00 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$2,278.00 |
$2,278.00 |
$2,278.00 |
$433.01
|
|
Chromosome karyotype study
|
$258.00 |
$258.00 |
$258.00 |
$102.00
|
|
Chronic urticaria - sendout
|
$593.00 |
$593.00 |
$593.00 |
$89.70
|
|
C-kit mutation liquid tumor - sendout
|
$824.00 |
$824.00 |
$824.00 |
$606.06
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$81.25
|
|
Clot factor viii reltd antgn
|
$934.00 |
$934.00 |
$934.00 |
$95.72
|
|
Clot factor xii hageman
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$50.41
|
|
Clot factor xiii fibrin stab
|
$317.00 |
$317.00 |
$317.00 |
$84.27
|
|
#cmvcul-virus inoculation shell
|
$478.00 |
$478.00 |
$478.00 |
$102.57
|
|
Cmv pcr-sendout
|
$2,372.00 |
$2,372.00 |
$2,372.00 |
$173.25
|
|
Cold agglutinin titer
|
$414.00 |
$414.00 |
$414.00 |
$48.57
|
|
Collection of venous blood by venipuncture
|
$81.00 |
$81.00 |
$81.00 |
$22.00
|
|
Compatibility test each unit antiglobulin technique
|
$592.00 |
$592.00 |
$592.00 |
$173.25
|
|
Compatibility test each unit immediate spin technique
|
$592.00 |
$592.00 |
$592.00 |
$169.52
|
|
Compatibility test incubate
|
$592.00 |
$592.00 |
$592.00 |
$143.65
|
|
Computed tomographic angiography head and neck with contrast
|
$9,962.00 |
$9,962.00 |
$9,962.00 |
$2,313.35
|
|
Consultation pathology during surgery cytological exam initial site
|
$89.00 |
$89.00 |
$89.00 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$36.00 |
$36.00 |
$36.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$105.00 |
$105.00 |
$105.00 |
$214.00
|
|
Coombs indirect qualitative each reagent red cell reference
|
$22.00 |
$22.00 |
$22.00 |
$94.90
|
|
Coombs indirect titer reference
|
$13.00 |
$13.00 |
$13.00 |
$146.00
|
|
Cortisol acth stimulation test - sendout
|
$620.00 |
$620.00 |
$620.00 |
$123.73
|
|
Cortisol total am
|
$477.00 |
$477.00 |
$477.00 |
$122.20
|
|
Cosyntropin 0.25 mg solution for injection
|
$758.00 |
$758.00 |
$758.00 |
$249.41
|
|
#coxa-coxsackie a serotype a16
|
$424.00 |
$424.00 |
$424.00 |
$65.36
|
|
C-peptide
|
$396.00 |
$396.00 |
$396.00 |
$100.00
|
|
C-reactive protein
|
$181.00 |
$181.00 |
$181.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$161.00 |
$161.00 |
$161.00 |
$91.65
|
|
Creatine kinase
|
$229.00 |
$229.00 |
$229.00 |
$59.78
|
|
Creatine kinase isoenzymes
|
$380.00 |
$380.00 |
$380.00 |
$46.34
|
|
Creatine kinase mb
|
$341.00 |
$341.00 |
$341.00 |
$111.00
|
|
Creatine - sendout
|
$146.00 |
$146.00 |
$146.00 |
$39.00
|
|
Creatinine
|
$308.00 |
$308.00 |
$308.00 |
$44.10
|
|
Creatinine clearance urine
|
$483.00 |
$483.00 |
$483.00 |
$87.50
|
|
Cryptococcus abs qn - sendout
|
$585.00 |
$585.00 |
$585.00 |
$70.00
|
|
Crystal identification light microscopy
|
$194.00 |
$194.00 |
$194.00 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$4,697.00 |
$4,697.00 |
$4,697.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$5,819.00 |
$5,819.00 |
$5,819.00 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$4,981.00 |
$4,981.00 |
$4,981.00 |
$1,908.00
|
|
CT Angiogram of Abdomen and Pelvis
|
$3,000.00 |
$3,000.00 |
$3,000.00 |
$2,839.85
|
|
CT Angiogram of the Chest (for blood clot)
|
$6,049.00 |
$6,049.00 |
$6,049.00 |
$1,955.80
|
|
CT Angiogram of the Head
|
$4,981.00 |
$4,981.00 |
$4,981.00 |
$2,021.40
|
|
CT cerebral perf w cont & prcssng
|
$3,563.00 |
$3,563.00 |
$3,563.00 |
$803.40
|
|
CT limited or localized follow-up study
|
$2,482.00 |
$2,482.00 |
$2,482.00 |
$625.63
|
|
CT neck soft tissue w/contrast
|
$5,979.00 |
$5,979.00 |
$5,979.00 |
$1,667.00
|
|
CT neck soft tissue without contrast
|
$5,075.00 |
$5,075.00 |
$5,075.00 |
$1,332.50
|
|
CT neck soft tissue without & w/contrast
|
$6,129.00 |
$6,129.00 |
$6,129.00 |
$1,959.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$5,441.00 |
$5,441.00 |
$5,441.00 |
$1,686.75
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$4,798.00 |
$4,798.00 |
$4,798.00 |
$1,543.83
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$4,891.00 |
$4,891.00 |
$4,891.00 |
$1,351.20
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$12,372.00 |
$12,372.00 |
$12,372.00 |
$3,301.80
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$11,341.00 |
$11,341.00 |
$11,341.00 |
$2,847.65
|
