|
Blood typing rh (d)
|
$158.00 |
$158.00 |
$158.00 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$123.00 |
$123.00 |
$123.00 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$4,951.00 |
$4,951.00 |
$4,951.00 |
$1,151.16
|
|
Bone marrow interpretation
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$436.00
|
|
(both sides) smear without diff wbc count
|
$129.00 |
$129.00 |
$129.00 |
$33.57
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$14,491.00 |
$14,491.00 |
$14,491.00 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,257.00 |
$7,257.00 |
$7,257.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$13,226.00 |
$13,226.00 |
$13,226.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$11,138.00 |
$11,138.00 |
$11,138.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$10,204.00 |
$10,204.00 |
$10,204.00 |
$1,949.38
|
|
Brca2 gene full dup/del alys
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$282.88
|
|
Brcassure comprehensive panel-sendout
|
$3,556.00 |
$3,556.00 |
$3,556.00 |
$2,299.75
|
|
Brentuximab vedotin 50 mg intravenous solution
|
$33,252.00 |
$33,252.00 |
$33,252.00 |
$24,425.00
|
|
Bundled special stain group 1 microorganisms
|
$551.00 |
$551.00 |
$551.00 |
$165.10
|
|
Bundled special stain group 2
|
$715.00 |
$715.00 |
$715.00 |
$169.00
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$40.00 |
$40.00 |
$40.00 |
$9.56
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$45.00 |
$45.00 |
$45.00 |
$14.01
|
|
Buprenorphine hydrochloride
|
$154.00 |
$154.00 |
$154.00 |
$47.69
|
|
Butorphanol tartrate 1 mg
|
$154.00 |
$154.00 |
$154.00 |
$46.00
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$51,496.00 |
$51,496.00 |
$51,496.00 |
$30,259.75
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$312.00 |
$312.00 |
$312.00 |
$2,802.31
|
|
Calcium 24 hour urine
|
$315.00 |
$315.00 |
$315.00 |
$51.75
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$194.33 |
$194.33 |
$194.33 |
$55.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$124.00 |
$124.00 |
$124.00 |
$66.17
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$187.00 |
$187.00 |
$187.00 |
$92.91
|
|
Calcium ionized
|
$470.00 |
$470.00 |
$470.00 |
$88.40
|
|
Calculi urinary-sendout
|
$623.00 |
$623.00 |
$623.00 |
$68.05
|
|
Calprotectin fecal
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$169.20
|
|
Carbamazepine total therapeutic drug level
|
$65.00 |
$65.00 |
$65.00 |
$117.74
|
|
Carbohydrate deficient transf - sendout
|
$341.00 |
$341.00 |
$341.00 |
$113.36
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$421.00 |
$421.00 |
$421.00 |
$455.00
|
|
Carboxyhemoglobin quantitative
|
$384.00 |
$384.00 |
$384.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$669.00 |
$669.00 |
$669.00 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$6,156.00 |
$6,156.00 |
$6,156.00 |
$2,752.20
|
|
Carotene
|
$376.00 |
$376.00 |
$376.00 |
$45.00
|
|
Catecholamines,fractionated, urine
|
$482.00 |
$482.00 |
$482.00 |
$55.20
|
|
#celiac hla-dq2
|
$769.00 |
$769.00 |
$769.00 |
$226.28
|
|
#celiac hla-dq8
|
$769.00 |
$769.00 |
$769.00 |
$246.88
|
|
Cftr gene dup/delet variants
|
$4,126.00 |
$4,126.00 |
$4,126.00 |
$870.40
|
|
Cftr gene known fam variants
|
$4,126.00 |
$4,126.00 |
$4,126.00 |
$161.88
|
|
Chest 2 vws w oblique
|
$1,391.00 |
$1,391.00 |
$1,391.00 |
$377.06
|
|
Chest apical lordotic proj
|
$1,678.00 |
$1,678.00 |
$1,678.00 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$12,107.00 |
$12,107.00 |
$12,107.00 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$10,914.00 |
$10,914.00 |
$10,914.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$9,926.00 |
$9,926.00 |
$9,926.00 |
$1,350.03
|
|
Chest X-ray
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$302.90
|
|
Chest X-ray (single view)
|
$1,203.00 |
$1,203.00 |
$1,203.00 |
$246.94
|
|
Chlamydia culture
|
$453.00 |
$453.00 |
$453.00 |
$94.90
|
|
Chlamydia trachomatis ag if
|
$286.00 |
$286.00 |
$286.00 |
$30.40
|
|
Chloramphenicol sodium injec
|
$124.00 |
$124.00 |
$124.00 |
$120.48
|
|
Chloride
|
$261.00 |
$261.00 |
$261.00 |
$39.05
|
|
Chloride 24 hour urine
|
$261.00 |
$261.00 |
$261.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$124.00 |
$124.00 |
$124.00 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$196.00 |
$196.00 |
$196.00 |
$355.99
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$124.00 |
$124.00 |
$124.00 |
$91.92
|
|
Cholesterol
|
$269.00 |
$269.00 |
$269.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$492.00 |
$492.00 |
$492.00 |
$115.70
|
|
Cholinesterase
|
$341.00 |
$341.00 |
$341.00 |
$38.68
|
|
Chromatography
|
$193.00 |
$193.00 |
$193.00 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$1,153.00 |
$1,153.00 |
$1,153.00 |
$261.30
|
|
Chromosome analysis 50-100
|
$2,138.00 |
$2,138.00 |
$2,138.00 |
$434.40
|
|
Chromosome study additional
|
$339.00 |
$339.00 |
$339.00 |
$147.03
|
|
Cilastatin sodium injection
|
$207.00 |
$207.00 |
$207.00 |
$87.44
|
|
Clot factor xii hageman
|
$863.00 |
$863.00 |
$863.00 |
$125.00
|
|
Cmv pcr-sendout
|
$1,507.00 |
$1,507.00 |
$1,507.00 |
$173.25
|
|
Coagulation time activated teg
|
$637.00 |
$637.00 |
$637.00 |
$50.05
|
|
Cold agglutinin titer
|
$337.00 |
$337.00 |
$337.00 |
$48.57
|
|
Colistimethate sodium inj
|
$320.00 |
$320.00 |
$320.00 |
$90.35
|
|
Compatibility test each unit antiglobulin technique
|
$345.00 |
$345.00 |
$345.00 |
$173.25
|
|
Compatibility test each unit electronic
|
$402.00 |
$402.00 |
$402.00 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$345.00 |
$345.00 |
$345.00 |
$169.52
|
|
Compatibility test incubate
|
$345.00 |
$345.00 |
$345.00 |
$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
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$905.72
|
|
Consultation pathology during surgery
|
$545.00 |
$545.00 |
$545.00 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$509.00 |
$509.00 |
$509.00 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$368.00 |
$368.00 |
$368.00 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,898.00 |
$1,898.00 |
$1,898.00 |
$214.00
|
|
Consultation/report referred material w/preparation of slides
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$239.85
|
|
Consultation/report referred slides prepared elsewhere
|
$368.00 |
$368.00 |
$368.00 |
$176.15
|
|
Coombs indirect qualitative each reagent red cell reference
|
$121.00 |
$121.00 |
$121.00 |
$94.90
|
|
Coombs indirect titer reference
|
$172.00 |
$172.00 |
$172.00 |
$146.00
|
|
Copper cu 64 dotatate diag
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$2,083.80
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$249.41
|
|
Covid-19 lab test non-cdc
|
$77.00 |
$77.00 |
$77.00 |
$58.32
|
|
C-peptide
|
$382.00 |
$382.00 |
$382.00 |
$100.00
|
|
C-reactive protein
|
$279.00 |
$279.00 |
$279.00 |
$63.00
|
|
C-reactive protein high sensitivity
|
$391.00 |
$391.00 |
$391.00 |
$91.65
|
|
Creatine kinase
|
$349.00 |
$349.00 |
$349.00 |
$59.78
|
|
Creatine kinase isoenzymes
|
$981.00 |
$981.00 |
$981.00 |
$46.34
|
|
Creatine kinase mb
|
$475.00 |
$475.00 |
$475.00 |
$111.00
|
|
Creatinine
|
$261.00 |
$261.00 |
$261.00 |
$44.10
|
|
Creatinine clearance urine
|
$485.00 |
$485.00 |
$485.00 |
$87.50
|
|
Crotalidae poly immune fab
|
$14,428.00 |
$14,428.00 |
$14,428.00 |
$5,654.46
|
|
Cryofibrinogen qualitative - sendout
|
$156.00 |
$156.00 |
$156.00 |
$50.88
|
|
Crystal identification light microscopy
|
$216.00 |
$216.00 |
$216.00 |
$65.25
|
|
Cta abdomen without & /or w/contrast
|
$6,426.00 |
$6,426.00 |
$6,426.00 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$6,975.00 |
$6,975.00 |
$6,975.00 |
$2,080.00
|
|
Cta neck without &/or w/contrast
|
$5,669.00 |
$5,669.00 |
$5,669.00 |
$1,908.00
|
