|
Abdominal X-ray (2 views)
|
$315.79 |
$315.79 |
$315.79 |
$318.20
|
|
Abdominal X-ray (single view)
|
$258.96 |
$258.96 |
$258.96 |
$260.00
|
|
Acute hepatitis panel
|
$265.40 |
$265.40 |
$265.40 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$12.95 |
$12.95 |
$12.95 |
$54.77
|
|
Administration vaccine hepatitis b
|
$73.82 |
$73.82 |
$73.82 |
$53.00
|
|
Administration vaccine influenza virus
|
$73.82 |
$73.82 |
$73.82 |
$51.07
|
|
Administration vaccine pneumococcal
|
$73.82 |
$73.82 |
$73.82 |
$49.68
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$32.81 |
$32.81 |
$32.81 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$73.24 |
$73.24 |
$73.24 |
$43.00
|
|
Allergen egg white ige
|
$32.81 |
$32.81 |
$32.81 |
$38.00
|
|
Alt/sgpt
|
$76.16 |
$76.16 |
$76.16 |
$47.50
|
|
Ammonia
|
$124.79 |
$124.79 |
$124.79 |
$119.70
|
|
Amphotericin b lipid complex
|
$11.37 |
$11.37 |
$11.37 |
$226.80
|
|
Amylase
|
$31.05 |
$31.05 |
$31.05 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$261.30 |
$261.30 |
$261.30 |
$117.01
|
|
Anca screen with reflex to titer -quest
|
$32.22 |
$32.22 |
$32.22 |
$101.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$3,080.85 |
$3,080.85 |
$3,080.85 |
$2,979.43
|
|
Ankle X-ray
|
$218.53 |
$218.53 |
$218.53 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$198.61 |
$198.61 |
$198.61 |
$282.96
|
|
Antinuclear antibodies
|
$31.05 |
$31.05 |
$31.05 |
$90.00
|
|
Antinuclear antibodies titer
|
$34.57 |
$34.57 |
$34.57 |
$80.04
|
|
Antistreptolysin o titer
|
$33.40 |
$33.40 |
$33.40 |
$54.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$7.62 |
$7.62 |
$7.62 |
$46.80
|
|
Ast/sgot
|
$75.58 |
$75.58 |
$75.58 |
$45.90
|
|
Bacterial meningitis antigen
|
$34.57 |
$34.57 |
$34.57 |
$66.30
|
|
#_benzodiazconfur
|
$49.21 |
$49.21 |
$49.21 |
$121.60
|
|
Beta-2 microglobulin
|
$33.98 |
$33.98 |
$33.98 |
$85.20
|
|
Bilirubin direct
|
$90.81 |
$90.81 |
$90.81 |
$51.35
|
|
Bilirubin total
|
$75.58 |
$75.58 |
$75.58 |
$54.60
|
|
Blood Clotting (PT/INR) Test
|
$73.82 |
$73.82 |
$73.82 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$88.47 |
$88.47 |
$88.47 |
$74.00
|
|
Blood Count (CBC) Test
|
$110.73 |
$110.73 |
$110.73 |
$74.75
|
|
Blood Count (CBC) Test (without differential)
|
$82.61 |
$82.61 |
$82.61 |
$62.28
|
|
Blood Culture Test
|
$210.92 |
$210.92 |
$210.92 |
$146.16
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$8.20 |
$8.20 |
$8.20 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$31.64 |
$31.64 |
$31.64 |
$38.35
|
|
Blood typing abo
|
$161.12 |
$161.12 |
$161.12 |
$86.45
|
|
Blood typing ag donor ea ag
|
$446.44 |
$446.44 |
$446.44 |
$207.60
|
|
Blood typing rh (d)
|
$56.24 |
$56.24 |
$56.24 |
$57.60
|
|
Calcium 24 hour urine
|
$32.81 |
$32.81 |
$32.81 |
$53.00
|
|
Calcium ionized
|
$90.23 |
$90.23 |
$90.23 |
$90.00
|
|
Calcium total
|
$77.34 |
$77.34 |
$77.34 |
$50.00
|
|
Carbamazepine free -sendout
|
$33.98 |
$33.98 |
$33.98 |
$49.80
|
|
Carbamazepine total therapeutic drug level
|
$30.47 |
$30.47 |
$30.47 |
$122.85
|
|
Carboxyhemoglobin quantitative
|
$32.81 |
$32.81 |
$32.81 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$33.40 |
$33.40 |
$33.40 |
$145.20
|
|
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit
|
$3.43 |
$3.43 |
$3.43 |
$10,638.62
|
|
Chest 2 vws w oblique
|
$259.54 |
$259.54 |
$259.54 |
$375.60
|
|
Chest apical lordotic proj
|
$214.43 |
$214.43 |
$214.43 |
$310.80
|
|
Chest X-ray
|
$192.17 |
$192.17 |
$192.17 |
$294.06
|
|
Chest X-ray (single view)
|
$159.36 |
$159.36 |
$159.36 |
$236.60
|
|
Chimerism anal no cell selec
|
$365.00 |
$365.00 |
$365.00 |
$393.74
|
|
Chloride
|
$46.87 |
$46.87 |
$46.87 |
$42.63
|
|
Chloride 24 hour urine
|
$10.55 |
$10.55 |
$10.55 |
$50.88
|
|
Cholesterol
|
$32.22 |
$32.22 |
$32.22 |
$45.76
|
|
Cholesterol body fluid
|
$32.22 |
$32.22 |
$32.22 |
$89.28
|
|
Cholesterol (Lipid) Test
|
$181.04 |
$181.04 |
$181.04 |
$115.80
|
|
Chromosome analys placenta
|
$331.61 |
$331.61 |
$331.61 |
$572.99
|
|
Clot factor xii hageman
|
$44.53 |
$44.53 |
$44.53 |
$138.40
|
|
Collarbone (Clavicle) X-ray (both sides)
|
$187.48 |
$187.48 |
$187.48 |
$303.73
|
|
Compatibility test each unit electronic
|
$213.85 |
$213.85 |
$213.85 |
$171.00
|
|
Complement antigen each component c3
|
$31.05 |
$31.05 |
$31.05 |
$110.00
|
|
Consultation with family
|
$65.62 |
$65.62 |
$65.62 |
$135.79
|
|
Cortisol total am
|
$33.98 |
$33.98 |
$33.98 |
$121.20
|
|
#covid19rsv-rsv
|
$123.62 |
$123.62 |
$123.62 |
$145.60
|
|
C-peptide
|
$36.91 |
$36.91 |
$36.91 |
$93.60
|
|
C-reactive protein
|
$66.79 |
$66.79 |
$66.79 |
$69.36
|
|
Creatine kinase
|
$123.03 |
$123.03 |
$123.03 |
$66.30
|
|
Creatine kinase mb
|
$38.67 |
$38.67 |
$38.67 |
$113.63
|
|
Creatinine
|
$66.79 |
$66.79 |
$66.79 |
$46.20
|
|
Culture aerobic additional method definitive id each
|
$41.01 |
$41.01 |
$41.01 |
$72.00
|
|
Culture anaerobic except blood
|
$217.36 |
$217.36 |
$217.36 |
$121.22
|
|
Culture bact stool aero addl path ea
|
$16.99 |
$16.99 |
$16.99 |
$52.50
|
|
Culture body fluid
|
$159.95 |
$159.95 |
$159.95 |
$126.75
|
|
Culture screening strep group a
|
$11.72 |
$11.72 |
$11.72 |
$84.60
|
|
Culture urine each isolate
|
$14.65 |
$14.65 |
$14.65 |
$55.50
|
|
Cyclic citrullinated peptide antibody
|
$34.57 |
$34.57 |
$34.57 |
$72.36
|
|
Cyclosporine 2 hour
|
$33.98 |
$33.98 |
$33.98 |
$130.40
|
|
Cytomegalovirus (cmv) antibody igg
|
$35.15 |
$35.15 |
$35.15 |
$96.00
|
|
Cytomegalovirus (cmv) antibody igm
|
$35.74 |
$35.74 |
$35.74 |
$100.00
|
|
Cytopathology fna adequacy evaluation each separate additional episode same site
|
$27.54 |
$27.54 |
$27.54 |
$68.06
|
|
Cytopathology fna adequacy evaluation first episode each site
|
$213.85 |
$213.85 |
$213.85 |
$191.66
|
|
Deamidated gliadin antibody iga
|
$34.57 |
$34.57 |
$34.57 |
$43.35
|
|
Dhea-s (dehydroepiand sulfate)
|
$39.25 |
$39.25 |
$39.25 |
$112.00
|
|
Diabetes (HbA1c) Test
|
$103.70 |
$103.70 |
$103.70 |
$79.30
|
|
Digoxin total therapeutic drug level
|
$31.05 |
$31.05 |
$31.05 |
$102.07
|
|
Dna antibody native/double stranded
|
$24.61 |
$24.61 |
$24.61 |
$100.00
|
|
Drug of abuse screen urine
|
$31.64 |
$31.64 |
$31.64 |
$67.89
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$109.56 |
$109.56 |
$109.56 |
$278.85
|
|
EKG (Tracing Only)
|
$268.92 |
$268.92 |
$268.92 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$198.61 |
$198.61 |
$198.61 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$215.60 |
$215.60 |
$215.60 |
$364.20
|
|
Electroconvulsive therapy 90870
|
$800.28 |
$800.28 |
$800.28 |
$1,235.00
|
|
Electrolyte panel
|
$130.65 |
$130.65 |
$130.65 |
$79.30
|
|
Epstein barr nuclear antigen antibody
|
$26.95 |
$26.95 |
$26.95 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$32.22 |
$32.22 |
$32.22 |
$85.50
|
|
Estradiol total
|
$49.21 |
$49.21 |
$49.21 |
$152.10
|
|
Estrogens total-sendout
|
$38.67 |
$38.67 |
$38.67 |
$97.50
|
|
Evaluation psychiatric diagnostic
|
$205.06 |
$205.06 |
$205.06 |
$318.24
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$72.65 |
$72.65 |
$72.65 |
$109.00
|