|
11-desoxycortisol - sendout
|
$41.36 |
$41.36 |
$41.36 |
$91.85
|
|
17-hydroxypregnenolone
|
$32.43 |
$32.43 |
$32.43 |
$92.65
|
|
17-ketosteroids
|
$37.60 |
$37.60 |
$37.60 |
$55.00
|
|
3d recon without postprocess indpndt
|
$89.94 |
$89.94 |
$89.94 |
$508.13
|
|
5' nucleotidase - sendout
|
$46.53 |
$46.53 |
$46.53 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$25.99 |
$25.99 |
$25.99 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$471.23 |
$471.23 |
$471.23 |
$3,629.42
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$322.46 |
$322.46 |
$322.46 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$187.98 |
$187.98 |
$187.98 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$933.57 |
$933.57 |
$933.57 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$778.23 |
$778.23 |
$778.23 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$622.38 |
$622.38 |
$622.38 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$983.10 |
$983.10 |
$983.10 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$819.25 |
$819.25 |
$819.25 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$655.40 |
$655.40 |
$655.40 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$343.55 |
$343.55 |
$343.55 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$356.66 |
$356.66 |
$356.66 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$266.11 |
$266.11 |
$266.11 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$121.37 |
$121.37 |
$121.37 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$175.96 |
$175.96 |
$175.96 |
$418.63
|
|
Abdominal X-ray (single view)
|
$66.78 |
$66.78 |
$66.78 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$190.96 |
$190.96 |
$190.96 |
$1,148.40
|
|
Abl1 gene
|
$403.20 |
$403.20 |
$403.20 |
$683.20
|
|
Ablate bone tumor(s) perq
|
$3,710.92 |
$3,710.92 |
$3,710.92 |
$9,511.44
|
|
Ablate pulm tumor perq rf
|
$4,165.46 |
$4,165.46 |
$4,165.46 |
$7,243.60
|
|
Abscess drain retroperitoneal surg code
|
$900.91 |
$900.91 |
$900.91 |
$3,050.40
|
|
Acetylcholine receptor modulating antibody
|
$28.55 |
$28.55 |
$28.55 |
$67.50
|
|
Acute hepatitis panel
|
$56.40 |
$56.40 |
$56.40 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$0.54 |
$0.54 |
$0.54 |
$54.77
|
|
#acylcarnitineprfl
|
$54.05 |
$54.05 |
$54.05 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$11,061.52 |
$11,061.52 |
$11,061.52 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$22.33 |
$22.33 |
$22.33 |
$58.00
|
|
Adh-sendout
|
$47.94 |
$47.94 |
$47.94 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$7.07 |
$7.07 |
$7.07 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$15.54 |
$15.54 |
$15.54 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$31.56 |
$31.56 |
$31.56 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$67.61 |
$67.61 |
$67.61 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$75.76 |
$75.76 |
$75.76 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$195.41 |
$195.41 |
$195.41 |
$256.49
|
|
Administration immunization each additional vaccine
|
$10.53 |
$10.53 |
$10.53 |
$47.40
|
|
Administration vaccine hepatitis b
|
$21.06 |
$21.06 |
$21.06 |
$53.00
|
|
Administration vaccine influenza virus
|
$21.06 |
$21.06 |
$21.06 |
$51.07
|
|
Administration vaccine pneumococcal
|
$21.06 |
$21.06 |
$21.06 |
$49.68
|
|
Adrenalin epinephrine inject
|
$0.01 |
$0.01 |
$0.01 |
$231.47
|
|
Aep hearing status deter i&r
|
$107.48 |
$107.48 |
$107.48 |
$303.00
|
|
_afb id by dna probe rflx ast
|
$34.53 |
$34.53 |
$34.53 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$29.80 |
$29.80 |
$29.80 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$164.13 |
$164.13 |
$164.13 |
$300.00
|
|
Airway resistance by impulse oscillometry 94728
|
$99.97 |
$99.97 |
$99.97 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$27.26 |
$27.26 |
$27.26 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$56.37 |
$56.37 |
$56.37 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$31.96 |
$31.96 |
$31.96 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$29.61 |
$29.61 |
$29.61 |
$43.00
|
|
Alkaline phosphatase
|
$26.79 |
$26.79 |
$26.79 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$29.28 |
$29.28 |
$29.28 |
$48.57
|
|
Allergen egg white ige
|
$20.50 |
$20.50 |
$20.50 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$21.59 |
$21.59 |
$21.59 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$424.70 |
$424.70 |
$424.70 |
$9,900.02
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$438.09 |
$438.09 |
$438.09 |
$858.66
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$8,849.62 |
$8,849.62 |
$8,849.62 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$91.18 |
$91.18 |
$91.18 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$23.97 |
$23.97 |
$23.97 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$23.97 |
$23.97 |
$23.97 |
$106.00
|
|
Alt/sgpt
|
$27.73 |
$27.73 |
$27.73 |
$47.50
|
|
Aluminum - quest
|
$36.19 |
$36.19 |
$36.19 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$87.89 |
$87.89 |
$87.89 |
$179.70
|
|
Aminolevulinic acid delta
|
$35.25 |
$35.25 |
$35.25 |
$87.12
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1.20 |
$1.20 |
$1.20 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$31.96 |
$31.96 |
$31.96 |
$87.45
|
|
Ammonia
|
$54.05 |
$54.05 |
$54.05 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$254.45 |
$254.45 |
$254.45 |
$942.60
|
|
Amniocentesis therapeutic
|
$561.81 |
$561.81 |
$561.81 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$73.32 |
$73.32 |
$73.32 |
$93.61
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$0.16 |
$0.16 |
$0.16 |
$54.57
|
|
Amylase
|
$160.27 |
$160.27 |
$160.27 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$78.02 |
$78.02 |
$78.02 |
$117.01
|
|
Anal pressure record
|
$423.20 |
$423.20 |
$423.20 |
$954.00
|
|
Analysis gene f2 20210g>a variant
|
$88.70 |
$88.70 |
$88.70 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$99.01 |
$99.01 |
$99.01 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$20.13 |
$20.13 |
$20.13 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$255.89 |
$255.89 |
$255.89 |
$2,480.94
|
|
An fluoro guide for cvp
|
$206.70 |
$206.70 |
$206.70 |
$525.85
|
|
Angiotensin ii
|
$41.83 |
$41.83 |
$41.83 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,974.73 |
$2,974.73 |
$2,974.73 |
$2,979.43
|
|
Ankle X-ray
|
$102.82 |
$102.82 |
$102.82 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$94.34 |
$94.34 |
$94.34 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$56.00 |
$56.00 |
$56.00 |
$57.85
|
|
Antibody elution rbc reference
|
$133.59 |
$133.59 |
$133.59 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$184.10 |
$184.10 |
$184.10 |
$131.56
|
|
Antibody htlv-i
|
$10.25 |
$10.25 |
$10.25 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$87.47 |
$87.47 |
$87.47 |
$224.00
|
|
Antibody id rbc panel
|
$349.00 |
$349.00 |
$349.00 |
$291.75
|
|
Antibody influenza virus
|
$24.89 |
$24.89 |
$24.89 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$22.69 |
$22.69 |
$22.69 |
$46.58
|
|
Antibody screen rbc
|
$52.21 |
$52.21 |
$52.21 |
$108.55
|
|
Antibody tetanus
|
$23.06 |
$23.06 |
$23.06 |
$54.15
|
|
Antidepressant not specified
|
$32.90 |
$32.90 |
$32.90 |
$72.14
|
|
Anti mog serum - sendout
|
$306.34 |
$306.34 |
$306.34 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$20.86 |
$20.86 |
$20.86 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$22.69 |
$22.69 |
$22.69 |
$42.00
|
