|
11-desoxycortisol - sendout
|
$9.37 |
$9.37 |
$9.37 |
$84.56
|
|
17-hydroxypregnenolone
|
$7.30 |
$7.30 |
$7.30 |
$85.15
|
|
17-ketosteroids
|
$10.70 |
$10.70 |
$10.70 |
$46.20
|
|
2vhpv vaccine 3 dose im
|
$218.88 |
$218.88 |
$218.88 |
$148.80
|
|
3d ech img cgen car anomal
|
$847.44 |
$847.44 |
$847.44 |
$532.35
|
|
3d recon without postprocess indpndt
|
$332.28 |
$332.28 |
$332.28 |
$480.00
|
|
5% dextrose and 0.45% saline
|
$47.94 |
$47.94 |
$47.94 |
$48.00
|
|
5' nucleotidase - sendout
|
$3.57 |
$3.57 |
$3.57 |
$46.53
|
|
99381 initial comp preventive med less than 1 year new
|
$36.00 |
$36.00 |
$36.00 |
$135.00
|
|
99382 initial comp preventive med 1 to 4 years new
|
$37.08 |
$37.08 |
$37.08 |
$135.00
|
|
99383 initial comp preventive med 5 to 11 years new
|
$38.16 |
$38.16 |
$38.16 |
$116.00
|
|
99391 periodic comp preventive med less than 1 year est
|
$25.20 |
$25.20 |
$25.20 |
$113.52
|
|
99392 periodic comp preventive med 1 to 4 years est
|
$48.24 |
$48.24 |
$48.24 |
$133.92
|
|
99393 periodic comp preventive med 5 to 11 years est
|
$51.84 |
$51.84 |
$51.84 |
$120.25
|
|
99394 periodic comp preventive med 12 to 17 years est
|
$35.64 |
$35.64 |
$35.64 |
$137.15
|
|
99397 periodic comp preventive med 65+ years est
|
$63.36 |
$63.36 |
$63.36 |
$164.73
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$3.84 |
$3.84 |
$3.84 |
$53.68
|
|
Abdominal CT scan (with and without contrast)
|
$1,742.04 |
$1,742.04 |
$1,742.04 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,891.44 |
$1,891.44 |
$1,891.44 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$1,603.08 |
$1,603.08 |
$1,603.08 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,947.60 |
$1,947.60 |
$1,947.60 |
$3,045.84
|
|
Abdominal MRI (without contrast)
|
$1,545.48 |
$1,545.48 |
$1,545.48 |
$2,047.72
|
|
Abdominal paracentesis w/image guidance
|
$1,224.36 |
$1,224.36 |
$1,224.36 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$509.74 |
$509.74 |
$509.74 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$441.36 |
$441.36 |
$441.36 |
$600.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,067.76 |
$1,067.76 |
$1,067.76 |
$1,145.00
|
|
Abl1 gene
|
$266.81 |
$266.81 |
$266.81 |
$668.85
|
|
Ablation cardiac vagal inputs atrium
|
$1,784.16 |
$1,784.16 |
$1,784.16 |
$2,260.30
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$27.46 |
$27.46 |
$27.46 |
$80.14
|
|
Acetaminophen 120 mg rectal suppository
|
$88.20 |
$88.20 |
$88.20 |
$107.02
|
|
Acetaminophen level
|
$61.20 |
$61.20 |
$61.20 |
$116.80
|
|
Acetazolamide 500 mg solution for injection
|
$86.20 |
$86.20 |
$86.20 |
$113.40
|
|
Acetone qualitative
|
$30.60 |
$30.60 |
$30.60 |
$43.80
|
|
Acetylcholine receptor modulating antibody
|
$3.10 |
$3.10 |
$3.10 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$176.08 |
$176.08 |
$176.08 |
$244.95
|
|
Acute hepatitis panel
|
$218.16 |
$218.16 |
$218.16 |
$281.09
|
|
Acyclovir 400 mg tablet
|
$84.60 |
$84.60 |
$84.60 |
$51.36
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$36.44 |
$36.44 |
$36.44 |
$64.45
|
|
#acylcarnitineprfl
|
$35.64 |
$35.64 |
$35.64 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$21.88 |
$21.88 |
$21.88 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$28.44 |
$28.44 |
$28.44 |
$60.00
|
|
Adh-sendout
|
$16.20 |
$16.20 |
$16.20 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$17.64 |
$17.64 |
$17.64 |
$171.07
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$81.36 |
$81.36 |
$81.36 |
$220.00
|
|
Administration immunization 1 vaccine
|
$31.68 |
$31.68 |
$31.68 |
$66.51
|
|
Administration immunization each additional vaccine
|
$25.56 |
$25.56 |
$25.56 |
$46.23
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$28.80 |
$28.80 |
$28.80 |
$48.00
|
|
_afb id by dna probe rflx ast
|
$5.85 |
$5.85 |
$5.85 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$36.91 |
$36.91 |
$36.91 |
$289.60
|
|
After cataract laser surgery
|
$205.20 |
$205.20 |
$205.20 |
$1,373.11
|
|
Air conduction bilat
|
$115.92 |
$115.92 |
$115.92 |
$122.40
|
|
Albumin body fluid quantitative each specimen
|
$33.48 |
$33.48 |
$33.48 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$282.34 |
$282.34 |
$282.34 |
$219.08
|
|
Albumin (human), 5%, 250 ml
|
$101.90 |
$101.90 |
$101.90 |
$225.47
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$40.68 |
$40.68 |
$40.68 |
$56.07
|
|
Albumin serum plasma or whole blood
|
$29.52 |
$29.52 |
$29.52 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$2.06 |
$2.06 |
$2.06 |
$5.28
|
|
Albuterol non-comp con
|
$7.92 |
$7.92 |
$7.92 |
$5.61
|
|
Albuterol non-comp unit
|
$3.11 |
$3.11 |
$3.11 |
$5.13
|
|
Alkaline phosphatase
|
$36.72 |
$36.72 |
$36.72 |
$46.65
|
|
Allergen alpha lactalbumin ige
|
$14.49 |
$14.49 |
$14.49 |
$46.80
|
|
Allergen egg white ige
|
$180.00 |
$180.00 |
$180.00 |
$33.66
|
|
Allergen specific ige qual multi scrn ea
|
$2.87 |
$2.87 |
$2.87 |
$24.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$20.61 |
$20.61 |
$20.61 |
$158.40
|
|
Alpha-fetoprotein amniotic
|
$4.33 |
$4.33 |
$4.33 |
$97.80
|
|
Alpha-fetoprotein tumor marker
|
$76.68 |
$76.68 |
$76.68 |
$102.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$284.40 |
$284.40 |
$284.40 |
$15,815.36
|
|
Alt/sgpt
|
$47.88 |
$47.88 |
$47.88 |
$47.45
|
|
Aluminum - quest
|
$7.10 |
$7.10 |
$7.10 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$92.16 |
$92.16 |
$92.16 |
$178.10
|
|
Amino acids quant 2-5
|
$5.65 |
$5.65 |
$5.65 |
$137.80
|
|
Aminolevulinic acid delta
|
$5.27 |
$5.27 |
$5.27 |
$74.10
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$48.37 |
$48.37 |
$48.37 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$102.65 |
$102.65 |
$102.65 |
$123.03
|
|
Amitriptyline (elavil) -sendout
|
$12.52 |
$12.52 |
$12.52 |
$89.05
|
|
Ammonia
|
$101.52 |
$101.52 |
$101.52 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$867.24 |
$867.24 |
$867.24 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$82.44 |
$82.44 |
$82.44 |
$93.61
|
|
Amphetamines 5 or more
|
$205.92 |
$205.92 |
$205.92 |
$85.15
|
|
Ampicillin 1 gram solution for injection
|
$33.78 |
$33.78 |
$33.78 |
$61.93
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$32.91 |
$32.91 |
$32.91 |
$54.60
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$473.40 |
$473.40 |
$473.40 |
$262.99
|
|
Amylase
|
$86.76 |
$86.76 |
$86.76 |
$84.50
|
|
Anabolic steroid 1 or 2
|
$119.16 |
$119.16 |
$119.16 |
$80.08
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$22.32 |
$22.32 |
$22.32 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$13.64 |
$13.64 |
$13.64 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$13.68 |
$13.68 |
$13.68 |
$222.30
|
|
Anaplsma phgcytophlm amp prb
|
$10.85 |
$10.85 |
$10.85 |
$76.70
|
|
Anca screen with reflex to titer -quest
|
$4.82 |
$4.82 |
$4.82 |
$102.70
|
|
Androstanediol
|
$103.59 |
$103.59 |
$103.59 |
$103.80
|
|
An fluoro guide for cvp
|
$154.44 |
$154.44 |
$154.44 |
$507.79
|
|
Angiotensin ii
|
$42.84 |
$42.84 |
$42.84 |
$55.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$228.60 |
$228.60 |
$228.60 |
$4,550.62
|
|
Ankle X-ray
|
$494.64 |
$494.64 |
$494.64 |
$353.60
|
|
Annual Physical, Established Patient (age 18-39)
|
$41.40 |
$41.40 |
$41.40 |
$152.00
|
|
Annual Physical, Established Patient (age 40-64)
|
$55.08 |
$55.08 |
$55.08 |
$160.73
|
|
Annual Physical, New Patient (age 18-39)
|
$92.52 |
$92.52 |
$92.52 |
$154.80
|
|
Annual Physical, New Patient (age 40-64)
|
$100.08 |
$100.08 |
$100.08 |
$167.25
|
|
Anodyne therapy charges pt
|
$65.16 |
$65.16 |
$65.16 |
$41.02
|
|
Anora (draw only)
|
$39.24 |
$39.24 |
$39.24 |
$35.00
|
