Medical Procedure Costs

00955172901

INSULIN GLARGINE 100 UNIT/ML VIAL

Prescription Drug - Generic

$11

—

00955290002

INSULIN GLARGINE MAX SOLO U300

Prescription Drug - Generic

$37

—

00955390003

INSULIN GLARGINE SOLOSTAR U300

Prescription Drug - Generic

$37

—

0095U

Test for markers of eosinophilic inflammation of esophagus

Pathology/Laboratory

$772

—

0096U

Test for detection of high-risk human papillomavirus in male urine

Pathology/Laboratory

$35

—

00990795309

LACTATED RINGERS INJECTION

Prescription Drug - Generic

$0

—

00998040815

ISOPTO TEARS 0.5% EYE DROPS

Prescription Drug - Generic

$2

—

0101U

Gene sequence analysis panel of 15 genes associated with hereditary colon

Pathology/Laboratory

$1,744

—

0102U

Gene sequence analysis panel of 17 genes associated with hereditary breast

Pathology/Laboratory

$1,304

—

0103U

Gene sequence analysis panel of 24 genes associated with hereditary ovarian

Pathology/Laboratory

$1,744

—

0105U

Measurement of tumor necrosis factor receptor 1A, receptor superfamily 2

Pathology/Laboratory

$950

—

0106U

Evaluation of gastric emptying by measurement of radiolabeled carbon dioxide in

Pathology/Laboratory

$874

—

0107U

Antigen test for detection of Clostridium difficile toxin in stool

Pathology/Laboratory

$16

—

0108U

Computer-assisted digital imaging of esophagus specimen slides to evaluate risk

Pathology/Laboratory

$4,950

—

0109U

DNA test for detection of 4 Aspergillus species

Pathology/Laboratory

$143

—

0110U

Monitoring of anti-cancer drugs in patient blood, serum, or plasma

Pathology/Laboratory

$27

—

0111U

Gene analysis (KRAS and NRAS) in prostate tumor tissue

Pathology/Laboratory

$682

—

0112U

Gene analysis for detection of infectious agent and drug resistance gene

Pathology/Laboratory

$356

—

0113U

Measurement of PCA3 gene in urine and prostate-specific antigen (PSA) in serum

Pathology/Laboratory

$760

—

0114U

Gene analysis (VIM and CCNA1 methylation) in esophageal cells to evaluate

Pathology/Laboratory

$1,938

—

0115U

Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral

Pathology/Laboratory

$275

—

0116U

Analysis of 35 or more drugs in mouth fluid to evaluate risk of prescription

Pathology/Laboratory

$247

—

0117U

Analysis of 11 biochemical substances in urine to evaluate likelihood of

Pathology/Laboratory

$841

—

0118U

Measurement of transplant donor cell-free DNA in transplant recipient plasma

Pathology/Laboratory

$2,753

—

0119U

Measurement of ceramides for assessment of heart disease risk

Pathology/Laboratory

$84

—

0120U

mRNA, gene expression profiling of 58 genes in tissue sample for B-cell

Pathology/Laboratory

$2,510

—

0121U

Blood test for sickle cells using VCAM-1

Pathology/Laboratory

$509

—

0122U

Blood test for sickle cells using P-Selectin

Pathology/Laboratory

$526

—

0123U

Test for fragility of red blood cells

Pathology/Laboratory

$358

—

0129U

Gene analysis of genes associated with hereditary breast cancer and related

Pathology/Laboratory

$1,304

—

0130U

Targeted mRNA sequence analysis of genes associated with hereditary colon

Pathology/Laboratory

$585

—

0133U

Targeted mRNA sequence analysis of 11 genes associated with hereditary prostate

Pathology/Laboratory

$690

—

0134U

Targeted mRNA sequence analysis of 18 genes associated with hereditary pan

Pathology/Laboratory

$748

—

0136U

mRNA gene analysis (ataxia telangiectasia mutated)

Pathology/Laboratory

$407

—

0137U

mRNA gene analysis (partner and localizer of BRCA2)

Pathology/Laboratory

$283

—

0138U

mRNA gene analysis (BRCA1, DNA repair associated and BRCA2, DNA repair

Pathology/Laboratory

$468

—

0140U

Amplifed DNA probe detection of fungus in blood culture specimen

Pathology/Laboratory

$157

—

0141U

Amplifed DNA probe detection of 20 gram-positive bacterial targets, 4

Pathology/Laboratory

$157

—

0142U

Amplifed DNA probe detection of 20 gram-positive bacterial targets, 6

Pathology/Laboratory

$157

—

0152U

Cell-free DNA sequencing of disease-causing organisms in plasma specimen, with

Pathology/Laboratory

$2,126

—

0153U

mRNA gene expression profiling of 101 genes in breast growth tissue specimen

Pathology/Laboratory

$3,159

—

0154U

RNA gene analysis for detection of fibroblast growth factor receptor 3 gene

Pathology/Laboratory

$482

—

0155U

DNA analysis for detection of PIK3CA gene mutation in breast growth tissue

Pathology/Laboratory

$275

—

0156U

Gene analysis copy number sequence analysis

Pathology/Laboratory

$1,740

—

0157U

mRNA gene analysis of APC regulator of WNT signaling pathway

Pathology/Laboratory

$283

—

0158U

mRNA gene analysis of mutL homolog 1

Pathology/Laboratory

$283

—

0159U

mRNA gene analysis of mutS homolog 2

Pathology/Laboratory

$283

—

0160U

mRNA gene analysis of mutS homolog 6

Pathology/Laboratory

$283

—

0161U

mRNA gene analysis of PMS1 homolog 2, mismatch repair system component

Pathology/Laboratory

$283

—

0162U

Targeted mRNA sequence analysis for genes associated with hereditary colon

Pathology/Laboratory

$487

—

My Cost List