|
11-desoxycortisol - sendout
|
$54.21 |
$54.21 |
$54.21 |
$91.85
|
|
17-hydroxypregnenolone
|
$42.50 |
$42.50 |
$42.50 |
$92.65
|
|
17-ketosteroids
|
$49.28 |
$49.28 |
$49.28 |
$55.00
|
|
2d tte w or without fol w/con,co
|
$738.61 |
$738.61 |
$738.61 |
$1,284.00
|
|
3d recon without postprocess indpndt
|
$314.82 |
$314.82 |
$314.82 |
$508.13
|
|
5' nucleotidase - sendout
|
$60.98 |
$60.98 |
$60.98 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$42.38 |
$42.38 |
$42.38 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$52.47 |
$52.47 |
$52.47 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$806.70 |
$806.70 |
$806.70 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$476.01 |
$476.01 |
$476.01 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,218.82 |
$1,218.82 |
$1,218.82 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,015.58 |
$1,015.58 |
$1,015.58 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$812.35 |
$812.35 |
$812.35 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,496.03 |
$3,496.03 |
$3,496.03 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,913.36 |
$2,913.36 |
$2,913.36 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,330.69 |
$2,330.69 |
$2,330.69 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$879.87 |
$879.87 |
$879.87 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$930.91 |
$930.91 |
$930.91 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$694.09 |
$694.09 |
$694.09 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$270.25 |
$270.25 |
$270.25 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$327.35 |
$327.35 |
$327.35 |
$418.63
|
|
Abdominal X-ray (single view)
|
$149.40 |
$149.40 |
$149.40 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$77.97 |
$77.97 |
$77.97 |
$1,148.40
|
|
Abl1 gene
|
$568.80 |
$568.80 |
$568.80 |
$683.20
|
|
Ablate inf turbinate superf 30801
|
$148.89 |
$148.89 |
$148.89 |
$1,944.80
|
|
Acetylcholine receptor modulating antibody
|
$57.64 |
$57.64 |
$57.64 |
$67.50
|
|
Acute hepatitis panel
|
$154.62 |
$154.62 |
$154.62 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$45.06 |
$45.06 |
$45.06 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.15 |
$0.15 |
$0.15 |
$64.45
|
|
#acylcarnitineprfl
|
$70.84 |
$70.84 |
$70.84 |
$121.55
|
|
Acylcarnitines qual
|
$30.80 |
$30.80 |
$30.80 |
$45.60
|
|
Adapter b 8 channel 10cm
|
$3,965.96 |
$3,965.96 |
$3,965.96 |
$5,109.58
|
|
Adding walker to prev cast
|
$45.27 |
$45.27 |
$45.27 |
$216.00
|
|
Adenovirus antibody,serum - quest
|
$45.08 |
$45.08 |
$45.08 |
$58.00
|
|
Adh-sendout
|
$62.83 |
$62.83 |
$62.83 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$49.19 |
$49.19 |
$49.19 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$111.80 |
$111.80 |
$111.80 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$227.51 |
$227.51 |
$227.51 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$362.85 |
$362.85 |
$362.85 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$171.68 |
$171.68 |
$171.68 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$459.36 |
$459.36 |
$459.36 |
$256.49
|
|
Administration immunization each additional vaccine
|
$23.10 |
$23.10 |
$23.10 |
$47.40
|
|
Administration vaccine hepatitis b
|
$41.58 |
$41.58 |
$41.58 |
$53.00
|
|
Administration vaccine influenza virus
|
$41.58 |
$41.58 |
$41.58 |
$51.07
|
|
Administration vaccine pneumococcal
|
$41.58 |
$41.58 |
$41.58 |
$49.68
|
|
Aep hearing status deter i&r
|
$245.42 |
$245.42 |
$245.42 |
$303.00
|
|
_afb id by dna probe rflx ast
|
$48.76 |
$48.76 |
$48.76 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$231.80 |
$231.80 |
$231.80 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$35.73 |
$35.73 |
$35.73 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$41.89 |
$41.89 |
$41.89 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$38.81 |
$38.81 |
$38.81 |
$43.00
|
|
Alkaline phosphatase
|
$35.11 |
$35.11 |
$35.11 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$59.12 |
$59.12 |
$59.12 |
$48.57
|
|
Allergen egg white ige
|
$41.38 |
$41.38 |
$41.38 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$43.60 |
$43.60 |
$43.60 |
$24.00
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,061.36 |
$2,061.36 |
$2,061.36 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$119.50 |
$119.50 |
$119.50 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$31.42 |
$31.42 |
$31.42 |
$106.00
|
|
Alt/sgpt
|
$36.34 |
$36.34 |
$36.34 |
$47.50
|
|
Aluminum - quest
|
$47.43 |
$47.43 |
$47.43 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$199.58 |
$199.58 |
$199.58 |
$179.70
|
|
Aminolevulinic acid delta
|
$46.20 |
$46.20 |
$46.20 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$41.89 |
$41.89 |
$41.89 |
$87.45
|
|
Ammonia
|
$70.84 |
$70.84 |
$70.84 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$757.21 |
$757.21 |
$757.21 |
$942.60
|
|
Amniocentesis therapeutic
|
$991.18 |
$991.18 |
$991.18 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$51.13 |
$51.13 |
$51.13 |
$93.61
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$0.39 |
$0.39 |
$0.39 |
$54.57
|
|
Amputation toe metatarsophalangeal joint
|
$410.95 |
$410.95 |
$410.95 |
$3,839.54
|
|
Amylase
|
$210.06 |
$210.06 |
$210.06 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$94.86 |
$94.86 |
$94.86 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$125.14 |
$125.14 |
$125.14 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$139.67 |
$139.67 |
$139.67 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$40.64 |
$40.64 |
$40.64 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$795.50 |
$795.50 |
$795.50 |
$2,480.94
|
|
An fluoro guide for cvp
|
$441.56 |
$441.56 |
$441.56 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$3,676.69 |
$3,676.69 |
$3,676.69 |
$2,979.43
|
|
Ankle X-ray
|
$312.74 |
$312.74 |
$312.74 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$175.96 |
$175.96 |
$175.96 |
$282.96
|
|
Anodyne therapy charges pt
|
$30.58 |
$30.58 |
$30.58 |
$42.00
|
|
Anoscopy remove fb 46608
|
$89.03 |
$89.03 |
$89.03 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$113.07 |
$113.07 |
$113.07 |
$57.85
|
|
Antibody elution rbc reference
|
$254.22 |
$254.22 |
$254.22 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$371.72 |
$371.72 |
$371.72 |
$131.56
|
|
Antibody htlv-i
|
$20.69 |
$20.69 |
$20.69 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$176.62 |
$176.62 |
$176.62 |
$224.00
|
|
Antibody id rbc panel
|
$632.56 |
$632.56 |
$632.56 |
$291.75
|
|
Antibody influenza virus
|
$50.25 |
$50.25 |
$50.25 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$45.82 |
$45.82 |
$45.82 |
$46.58
|
|
Antibody screen rbc
|
$103.08 |
$103.08 |
$103.08 |
$108.55
|
|
Antibody tetanus
|
$46.56 |
$46.56 |
$46.56 |
$54.15
|
|
Anti mog serum - sendout
|
$618.54 |
$618.54 |
$618.54 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$39.91 |
$39.91 |
$39.91 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$45.82 |
$45.82 |
$45.82 |
$42.00
|
|
Antinuclear antibodies
|
$39.17 |
$39.17 |
$39.17 |
$90.00
|
|
Antinuclear antibodies titer
|
$84.98 |
$84.98 |
$84.98 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$42.12 |
$42.12 |
$42.12 |
$67.43
|
|
Antistreptolysin o titer
|
$42.12 |
$42.12 |
$42.12 |
$54.00
|
|
Antithrombin iii activity
|
$39.25 |
$39.25 |
$39.25 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$299.14 |
$299.14 |
$299.14 |
$394.55
|
