|
Blm gene
|
$607.00 |
$607.00 |
$607.00 |
$108.96
|
|
Blood Culture Test
|
$606.00 |
$606.00 |
$606.00 |
$145.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$189.00 |
$189.00 |
$189.00 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$307.00 |
$307.00 |
$307.00 |
$37.05
|
|
Blood typing abo
|
$293.00 |
$293.00 |
$293.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$439.00 |
$439.00 |
$439.00 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$473.00 |
$473.00 |
$473.00 |
$181.74
|
|
Blood typing rh (d)
|
$280.00 |
$280.00 |
$280.00 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$292.00 |
$292.00 |
$292.00 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$395.00
|
|
Bone imaging multiple areas
|
$4,949.00 |
$4,949.00 |
$4,949.00 |
$1,210.00
|
|
Bowel imaging
|
$4,577.00 |
$4,577.00 |
$4,577.00 |
$1,200.00
|
|
Brain image 4+ views
|
$1,333.00 |
$1,333.00 |
$1,333.00 |
$767.00
|
|
Brain image w/flow 4 + views
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$11,523.00 |
$11,523.00 |
$11,523.00 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$9,345.00 |
$9,345.00 |
$9,345.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,847.00 |
$7,847.00 |
$7,847.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$11,245.00 |
$11,245.00 |
$11,245.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$9,419.00 |
$9,419.00 |
$9,419.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$7,847.00 |
$7,847.00 |
$7,847.00 |
$1,949.38
|
|
Brca2 dna gene analy known fam var
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$487.83
|
|
Bundled special stain group 1 microorganisms
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$165.10
|
|
Butorphanol tartrate 1 mg
|
$240.00 |
$240.00 |
$240.00 |
$46.00
|
|
C1 esterase inhibitor func - sendout
|
$212.00 |
$212.00 |
$212.00 |
$103.35
|
|
Cabergoline, oral 0.25mg
|
$302.00 |
$302.00 |
$302.00 |
$48.18
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$1,819.00 |
$1,819.00 |
$1,819.00 |
$2,802.31
|
|
Calcium 24 hour urine
|
$351.00 |
$351.00 |
$351.00 |
$51.75
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$194.00 |
$194.00 |
$194.00 |
$55.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$357.00 |
$357.00 |
$357.00 |
$66.17
|
|
Calcium total
|
$254.00 |
$254.00 |
$254.00 |
$48.75
|
|
Calculi urinary-sendout
|
$285.00 |
$285.00 |
$285.00 |
$68.05
|
|
Calprotectin fecal
|
$662.00 |
$662.00 |
$662.00 |
$169.20
|
|
Campylobacter antibody
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$75.00
|
|
Candida dna
|
$389.00 |
$389.00 |
$389.00 |
$66.05
|
|
Capecitabine, oral, 50 mg
|
$49.00 |
$49.00 |
$49.00 |
$50.86
|
|
Carbamazepine free
|
$707.00 |
$707.00 |
$707.00 |
$66.43
|
|
Carbamazepine total therapeutic drug level
|
$784.00 |
$784.00 |
$784.00 |
$117.74
|
|
Carbohydrate deficient transf - sendout
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$113.36
|
|
Carbohydrate urine - sendout
|
$307.00 |
$307.00 |
$307.00 |
$43.51
|
|
Carbon dioxide
|
$530.00 |
$530.00 |
$530.00 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$2,705.00 |
$2,705.00 |
$2,705.00 |
$455.00
|
|
Carboxyhemoglobin quantitative
|
$707.00 |
$707.00 |
$707.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$926.00 |
$926.00 |
$926.00 |
$146.25
|
|
Cardiac perf planar mult/ef/wm
|
$4,018.00 |
$4,018.00 |
$4,018.00 |
$2,544.75
|
|
Cardiac perf planar sgl/ef/wm
|
$4,018.00 |
$4,018.00 |
$4,018.00 |
$1,961.32
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$6,002.00 |
$6,002.00 |
$6,002.00 |
$2,752.20
|
|
Carmustine 100 mg intravenous powder for solution
|
$4,653.00 |
$4,653.00 |
$4,653.00 |
$1,986.00
|
|
Carotene
|
$200.00 |
$200.00 |
$200.00 |
$45.00
|
|
Cdna analysis for variants
|
$6,572.00 |
$6,572.00 |
$6,572.00 |
$547.30
|
|
Cebpa gene full sequence
|
$647.00 |
$647.00 |
$647.00 |
$484.90
|
|
Cefotaxime sodium injection
|
$282.00 |
$282.00 |
$282.00 |
$43.10
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$2,371.00 |
$2,371.00 |
$2,371.00 |
$634.46
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$414.00 |
$414.00 |
$414.00 |
$27.18
|
|
#celiac hla-dq2
|
$1,688.00 |
$1,688.00 |
$1,688.00 |
$226.28
|
|
#celiac hla-dq8
|
$193.00 |
$193.00 |
$193.00 |
$246.88
|
|
Cell function assay w/stim
|
$393.00 |
$393.00 |
$393.00 |
$331.65
|
|
Cell marker study
|
$330.00 |
$330.00 |
$330.00 |
$234.58
|
|
Cerebrospinal fld flw imag
|
$1,914.00 |
$1,914.00 |
$1,914.00 |
$895.95
|
|
#cf-97variants
|
$3,928.00 |
$3,928.00 |
$3,928.00 |
$597.75
|
|
Chest 2 vws w oblique
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$377.06
|
|
Chest apical lordotic proj
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$303.21
|
|
Chest CT scan (with and without contrast)
|
$10,549.00 |
$10,549.00 |
$10,549.00 |
$2,014.50
|
|
Chest CT scan (with contrast)
|
$8,396.00 |
$8,396.00 |
$8,396.00 |
$1,701.60
|
|
Chest CT scan (without contrast)
|
$6,673.00 |
$6,673.00 |
$6,673.00 |
$1,350.03
|
|
Chest X-ray
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$302.90
|
|
Chest X-ray (single view)
|
$811.00 |
$811.00 |
$811.00 |
$246.94
|
|
Chlamydia culture
|
$1,471.00 |
$1,471.00 |
$1,471.00 |
$94.90
|
|
Chlamydia type
|
$61.00 |
$61.00 |
$61.00 |
$34.80
|
|
Chloride
|
$221.00 |
$221.00 |
$221.00 |
$39.05
|
|
Chloride 24 hour urine
|
$148.00 |
$148.00 |
$148.00 |
$46.13
|
|
Chloroprocaine hcl injection
|
$738.00 |
$738.00 |
$738.00 |
$69.08
|
|
Chlorothiazide sodium 500 mg intravenous solution
|
$7,800.00 |
$7,800.00 |
$7,800.00 |
$355.99
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$625.60
|
|
Cholesterol
|
$542.00 |
$542.00 |
$542.00 |
$46.15
|
|
Cholesterol (Lipid) Test
|
$584.00 |
$584.00 |
$584.00 |
$115.70
|
|
Cholinesterase
|
$382.00 |
$382.00 |
$382.00 |
$38.68
|
|
Chromatography
|
$404.00 |
$404.00 |
$404.00 |
$77.00
|
|
Chromo high res and frag x - sendout
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$261.30
|
|
Chromosome analys placenta
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$660.00
|
|
Chromosome study additional
|
$475.00 |
$475.00 |
$475.00 |
$147.03
|
|
Chylomicron screen, bf - sendout
|
$439.00 |
$439.00 |
$439.00 |
$123.20
|
|
Cidofovir injection
|
$18,696.00 |
$18,696.00 |
$18,696.00 |
$1,352.09
|
|
Cilastatin sodium injection
|
$947.00 |
$947.00 |
$947.00 |
$87.44
|
|
C-kit mutation liquid tumor - sendout
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$606.06
|
|
Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution
|
$3,977.00 |
$3,977.00 |
$3,977.00 |
$81.25
|
|
Clot factor wght kininogen
|
$274.00 |
$274.00 |
$274.00 |
$134.81
|
|
Clot factor xii hageman
|
$962.00 |
$962.00 |
$962.00 |
$125.00
|
|
Clot factor xiii fibrin scrn
|
$255.00 |
$255.00 |
$255.00 |
$50.41
|
|
Clotting assay whole blood
|
$1,239.00 |
$1,239.00 |
$1,239.00 |
$105.95
|
|
#cms hgb-sulfhemoglobin
|
$24.00 |
$24.00 |
$24.00 |
$53.30
|
|
Cmv pcr-sendout
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$173.25
|
|
Cold agglutinin screen (arc)
|
$493.00 |
$493.00 |
$493.00 |
$47.19
|
|
Cold agglutinin titer
|
$493.00 |
$493.00 |
$493.00 |
$48.57
|
|
Colistimethate sodium inj
|
$1,729.00 |
$1,729.00 |
$1,729.00 |
$90.35
|
|
Compatibility test each unit immediate spin technique
|
$557.00 |
$557.00 |
$557.00 |
$169.52
|
|
Compatibility test incubate
|
$518.00 |
$518.00 |
$518.00 |
$143.65
|
|
Computed tomographic angiography head and neck with contrast
|
$16,650.00 |
$16,650.00 |
$16,650.00 |
$2,313.35
|
|
Conjugated estrogens 25 mg solution for injection
|
$2,903.00 |
$2,903.00 |
$2,903.00 |
$905.72
|
|
Connect omega .5mm
|
$12,624.00 |
$12,624.00 |
$12,624.00 |
$1,185.42
|
|
Consultation pathology during surgery cytological exam initial site
|
$351.00 |
$351.00 |
$351.00 |
$428.00
|
