Request Barnes Jewish Hospital Radiology Price Quote

To request a price quotation for Radiology research tests, please fill in all applicable fields. Click “Send” to submit your request.

Note: Quotes are based on CPT codes provided below and reflect the routine time and activities required when that clinical CPT code is billed. Please realize higher fees may apply if either the technical or professional research activities exceed those performed using that clinical CPT code.




Date of Request: PI:
Requester Name PI Email:
Requester Email: IRB #:
Phone: Protocol #:
Campus:

Funding:
Funding Source:

Sponsor Name:
Radiology:
Procedure *
(Nuc Med, US, IR, MRI and Breast require approval prior to receiving price estimate)
CPT Code(s)
(** required)
Location where Service to be performed
* For Radiology protocols outside the normal scope of the CPT Code, please check the Radiology area and submit with the Imaging Acquisition Guidelines (IAG) to contacts below. Price Estimates will not be provided until Compliance receives approval from the following contacts when protocol is outside the normal scope of the CPT code – this may impact turnaround of the price estimate.
Tammie Benzinger/Pam Woodard
benzingert@wustl.edu/woodardp@wustl.edu
(314) 362-5950/(314) 362-2928
Collin Woodside/Joshua Leyba/Lauren Hesterberg
Collin.Woodside@bjc.org/Joshua.Leyba_bjc.org/lauren.hesterberg_bjc.org
Jennifer Heitman/Charity Savary
Jennifer.heitman@bjc.org/charity.savary@bjc.org
Stephanie White
stephanie.white2@bjc.org
(314) 454-7207
*Complete Attached Form
Edward Brewer
edward.brewer@bjc.org
(314) 362-1958
Lisa Gebhart
lisa.gebhart@bjc.org
(314) 362-1322
*Complete Attached Form
Amera Javed / Greg Williams
amera@wustl.edu / greg.wiliams@wustl.edu
(314) 935-3806 / (314) 362-6213
Darcy R. Denner, PhD
drdenner@wustl.edu
(314) 362-2613
 

  An email request will be sent to you and BJC Corporate Compliance when you click Submit.

                       

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