|
Brachytx isodose plan simple
|
$1,437.04 |
$1,437.04 |
$1,437.04 |
$817.20
|
|
Braf gene
|
$731.16 |
$731.16 |
$731.16 |
$421.00
|
|
Brain image w/flow 4 + views
|
$1,558.67 |
$1,558.67 |
$1,558.67 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$10,397.18 |
$10,397.18 |
$10,397.18 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$6,060.46 |
$6,060.46 |
$6,060.46 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$11,566.72 |
$11,566.72 |
$11,566.72 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,304.58 |
$7,304.58 |
$7,304.58 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$7,304.58 |
$7,304.58 |
$7,304.58 |
$1,949.38
|
|
Bundled special stain group 1 microorganisms
|
$491.24 |
$491.24 |
$491.24 |
$165.10
|
|
Bundled special stain group 2
|
$701.49 |
$701.49 |
$701.49 |
$169.00
|
|
Bundle his recording
|
$16,183.20 |
$16,183.20 |
$16,183.20 |
$5,410.00
|
|
C-1 esterase, berinert
|
$12,727.31 |
$12,727.31 |
$12,727.31 |
$7,322.76
|
|
Cabazitaxel 10 mg/ml (first dilution) intravenous solution
|
$63,948.07 |
$63,948.07 |
$63,948.07 |
$30,259.75
|
|
Caffeine citrate 20 mg/ml inj for po
|
$397.72 |
$397.72 |
$397.72 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$11,942.37 |
$11,942.37 |
$11,942.37 |
$2,802.31
|
|
Calcium acetate(phosphate binders) 667 mg tablet
|
$11.22 |
$11.22 |
$11.22 |
$1.03
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$60.43 |
$60.43 |
$60.43 |
$55.47
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$127.20 |
$127.20 |
$127.20 |
$92.91
|
|
Calcium ionized
|
$582.95 |
$582.95 |
$582.95 |
$88.40
|
|
Calcium total
|
$477.53 |
$477.53 |
$477.53 |
$48.75
|
|
Calprotectin fecal
|
$210.35 |
$210.35 |
$210.35 |
$169.20
|
|
Candida dna
|
$166.86 |
$166.86 |
$166.86 |
$66.05
|
|
Carbamazepine total therapeutic drug level
|
$612.22 |
$612.22 |
$612.22 |
$117.74
|
|
Carbon dioxide
|
$211.58 |
$211.58 |
$211.58 |
$45.65
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$726.44 |
$726.44 |
$726.44 |
$455.00
|
|
Carboxyhemoglobin quantitative
|
$487.30 |
$487.30 |
$487.30 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$678.73 |
$678.73 |
$678.73 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$5,516.85 |
$5,516.85 |
$5,516.85 |
$2,752.20
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,756.46 |
$2,756.46 |
$2,756.46 |
$1,519.00
|
|
Carfilzomib 10 mg intravenous solution
|
$10,854.58 |
$10,854.58 |
$10,854.58 |
$7,098.70
|
|
Carmustine 100 mg intravenous powder for solution
|
$1,805.10 |
$1,805.10 |
$1,805.10 |
$1,986.00
|
|
Cath stripping venous s&i
|
$1,092.96 |
$1,092.96 |
$1,092.96 |
$682.34
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$3,853.13 |
$3,853.13 |
$3,853.13 |
$634.46
|
|
Ceftazidime and avibactam
|
$2,351.44 |
$2,351.44 |
$2,351.44 |
$995.91
|
|
Cell count body fluid
|
$196.56 |
$196.56 |
$196.56 |
$63.63
|
|
Cetuximab 100 mg/50 ml intravenous solution
|
$4,775.09 |
$4,775.09 |
$4,775.09 |
$3,028.20
|
|
#cf-97variants
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$597.75
|
|
Chemo adm cns w/lmbr punct
|
$908.40 |
$908.40 |
$908.40 |
$742.20
|
|
Chemo ia push tecnique
|
$393.77 |
$393.77 |
$393.77 |
$499.50
|
|
Chest 2 vws w oblique
|
$1,229.42 |
$1,229.42 |
$1,229.42 |
$377.06
|
|
Chlamydia culture
|
$1,154.89 |
$1,154.89 |
$1,154.89 |
$94.90
|
|
Chlamydia type
|
$944.69 |
$944.69 |
$944.69 |
$34.80
|
|
Chloramphenicol sodium injec
|
$122.59 |
$122.59 |
$122.59 |
$120.48
|
|
Chloride
|
$198.57 |
$198.57 |
$198.57 |
$39.05
|
|
Chloride 24 hour urine
|
$152.84 |
$152.84 |
$152.84 |
$46.13
|
|
Chloroprocaine hcl injection
|
$3,392.28 |
$3,392.28 |
$3,392.28 |
$69.08
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$188.95 |
$188.95 |
$188.95 |
$91.92
|
|
Cholangiography and/or pancreatography intraoperative supervision & interpretation
|
$2,372.60 |
$2,372.60 |
$2,372.60 |
$625.60
|
|
Cholesterol
|
$464.27 |
$464.27 |
$464.27 |
$46.15
|
|
Cholesterol body fluid
|
$310.00 |
$310.00 |
$310.00 |
$84.48
|
|
Cholesterol (Lipid) Test
|
$1,074.08 |
$1,074.08 |
$1,074.08 |
$115.70
|
|
Chromatography
|
$651.24 |
$651.24 |
$651.24 |
$77.00
|
|
Chromosome analysis 15-20 cell count
|
$5,579.77 |
$5,579.77 |
$5,579.77 |
$433.01
|
|
Cinacalcet 30 mg tablet
|
$108.50 |
$108.50 |
$108.50 |
$53.80
|
|
Cladribine 10 mg/10 ml intravenous solution
|
$2,131.44 |
$2,131.44 |
$2,131.44 |
$496.70
|
|
Cmv pcr-sendout
|
$1,682.44 |
$1,682.44 |
$1,682.44 |
$173.25
|
|
Cocaine 4 % nasal solution
|
$1,308.11 |
$1,308.11 |
$1,308.11 |
$624.58
|
|
Cold agglutinin titer
|
$280.50 |
$280.50 |
$280.50 |
$48.57
|
|
Colistimethate sodium inj
|
$567.03 |
$567.03 |
$567.03 |
$90.35
|
|
Collection of venous blood by venipuncture
|
$91.78 |
$91.78 |
$91.78 |
$22.00
|
|
Compatibility test each unit electronic
|
$209.52 |
$209.52 |
$209.52 |
$180.00
|
|
Compatibility test each unit immediate spin technique
|
$547.32 |
$547.32 |
$547.32 |
$169.52
|
|
Compatibility test incubate
|
$428.32 |
$428.32 |
$428.32 |
$143.65
|
|
Conjugated estrogens 25 mg solution for injection
|
$1,994.86 |
$1,994.86 |
$1,994.86 |
$905.72
|
|
Consultation pathology during surgery
|
$172.74 |
$172.74 |
$172.74 |
$123.75
|
|
Consultation pathology during surgery cytological exam initial site
|
$245.38 |
$245.38 |
$245.38 |
$428.00
|
|
Consultation pathology during surgery frozen section each additional block
|
$822.81 |
$822.81 |
$822.81 |
$112.20
|
|
Consultation pathology during surgery frozen section first tissue block
|
$1,162.60 |
$1,162.60 |
$1,162.60 |
$214.00
|
|
Consultation/report referred slides prepared elsewhere
|
$1,542.80 |
$1,542.80 |
$1,542.80 |
$176.15
|
|
Contrast exam thoracic aorta 75605-26
|
$9,962.41 |
$9,962.41 |
$9,962.41 |
$4,178.00
|
|
Contrast x-ray of wrist
|
$1,892.13 |
$1,892.13 |
$1,892.13 |
$623.50
|
|
Coombs indirect qualitative each reagent red cell reference
|
$391.94 |
$391.94 |
$391.94 |
$94.90
|
|
Coombs indirect titer reference
|
$954.34 |
$954.34 |
$954.34 |
$146.00
|
|
Cosyntropin 0.25 mg solution for injection
|
$1,062.13 |
$1,062.13 |
$1,062.13 |
$249.41
|
|
C-peptide
|
$1,140.93 |
$1,140.93 |
$1,140.93 |
$100.00
|
|
Crbrospnl fld flw imag cistern
|
$2,271.27 |
$2,271.27 |
$2,271.27 |
$1,466.97
|
|
C-reactive protein
|
$491.86 |
$491.86 |
$491.86 |
$63.00
|
|
C-reactive protein high sensitivity
|
$572.40 |
$572.40 |
$572.40 |
$91.65
|
|
Creatine kinase
|
$591.03 |
$591.03 |
$591.03 |
$59.78
|
|
Creatine kinase isoenzymes
|
$443.00 |
$443.00 |
$443.00 |
$46.34
|
|
Creatine kinase mb
|
$442.80 |
$442.80 |
$442.80 |
$111.00
|
|
Creatinine
|
$449.25 |
$449.25 |
$449.25 |
$44.10
|
|
Creatinine clearance urine
|
$761.49 |
$761.49 |
$761.49 |
$87.50
|
|
Crystal identification light microscopy
|
$86.43 |
$86.43 |
$86.43 |
$65.25
|
|
CT 3d report other modality w/workstation
|
$2,280.74 |
$2,280.74 |
$2,280.74 |
$613.47
|
|
CT angio hrt w/3d image
|
$4,385.21 |
$4,385.21 |
$4,385.21 |
$1,588.60
|
|
CT colonography dx w/dye
|
$3,914.29 |
$3,914.29 |
$3,914.29 |
$1,009.98
|
|
CT heart w/evaluation of calcium without contrast
|
$1,571.08 |
$1,571.08 |
$1,571.08 |
$192.00
|
|
CT hrt w/3d image
|
$1,728.30 |
$1,728.30 |
$1,728.30 |
$1,418.60
|
|
CT limited or localized follow-up study
|
$2,740.54 |
$2,740.54 |
$2,740.54 |
$625.63
|
|
CT scan for therapy guide
|
$4,848.42 |
$4,848.42 |
$4,848.42 |
$729.40
|
|
CT thorax low dose for lung screening without contrast
|
$442.48 |
$442.48 |
$442.48 |
$400.20
|
|
Culture afb any source
|
$735.03 |
$735.03 |
$735.03 |
$110.50
|
|
Culture anaerobic additional method definitive id each
|
$205.33 |
$205.33 |
$205.33 |
$77.31
|
|
Culture anaerobic except blood
|
$868.37 |
$868.37 |
$868.37 |
$123.20
|
|
Culture fungi definitive id mold
|
$234.35 |
$234.35 |
$234.35 |
$70.00
|
|
Culture fungi definitive id yeast
|
$234.35 |
$234.35 |
$234.35 |
$80.60
|
|
Culture fungi other (except blood)
|
$748.64 |
$748.64 |
$748.64 |
$105.60
|
|
Culture fungi skin/hair/nail
|
$748.64 |
$748.64 |
$748.64 |
$77.40
|
|
Culture mycobacteria definitive id each isolate
|
$176.32 |
$176.32 |
$176.32 |
$84.75
|
