|
11-desoxycortisol - sendout
|
$3,039.09 |
$3,039.09 |
$3,039.09 |
$87.50
|
|
17-hydroxypregnenolone
|
$1,327.50 |
$1,327.50 |
$1,327.50 |
$85.15
|
|
17-ketosteroids
|
$1,626.96 |
$1,626.96 |
$1,626.96 |
$44.00
|
|
3-d radiotherapy plan
|
$31,061.25 |
$31,061.25 |
$31,061.25 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$4,618.35 |
$4,618.35 |
$4,618.35 |
$427.34
|
|
5' nucleotidase - sendout
|
$977.59 |
$977.59 |
$977.59 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$245.21 |
$245.21 |
$245.21 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$13,686.40 |
$13,686.40 |
$13,686.40 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$882.65 |
$882.65 |
$882.65 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$38,328.40 |
$38,328.40 |
$38,328.40 |
$3,667.71
|
|
Abdominal MRI (with and without contrast)
|
$24,396.90 |
$24,396.90 |
$24,396.90 |
$2,916.21
|
|
Abdominal MRI (without contrast)
|
$19,509.05 |
$19,509.05 |
$19,509.05 |
$1,972.66
|
|
Abl1 gene
|
$2,736.91 |
$2,736.91 |
$2,736.91 |
$609.93
|
|
Ablate heart dysrhythm focus
|
$141,544.70 |
$141,544.70 |
$141,544.70 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$654.76 |
$654.76 |
$654.76 |
$3,587.65
|
|
Acetaminophen level
|
$1,626.96 |
$1,626.96 |
$1,626.96 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$1,811.04 |
$1,811.04 |
$1,811.04 |
$133.60
|
|
Acetone qualitative
|
$536.53 |
$536.53 |
$536.53 |
$47.45
|
|
Acetylcholinesterase assay
|
$347.20 |
$347.20 |
$347.20 |
$106.70
|
|
Acute hepatitis panel
|
$2,977.24 |
$2,977.24 |
$2,977.24 |
$284.70
|
|
#acylcarnitineprfl
|
$1,322.62 |
$1,322.62 |
$1,322.62 |
$105.60
|
|
Acylcarnitines qual
|
$1,417.01 |
$1,417.01 |
$1,417.01 |
$35.75
|
|
Adenovirus antibody,serum - quest
|
$1,377.41 |
$1,377.41 |
$1,377.41 |
$63.00
|
|
Adh-sendout
|
$3,072.18 |
$3,072.18 |
$3,072.18 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$1,787.50 |
$1,787.50 |
$1,787.50 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$3,830.75 |
$3,830.75 |
$3,830.75 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$3,279.65 |
$3,279.65 |
$3,279.65 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$3,830.75 |
$3,830.75 |
$3,830.75 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$3,830.75 |
$3,830.75 |
$3,830.75 |
$264.00
|
|
Administration vaccine hepatitis b
|
$824.45 |
$824.45 |
$824.45 |
$51.35
|
|
Adrenal cortex & medulla img
|
$14,603.00 |
$14,603.00 |
$14,603.00 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$92.23 |
$92.23 |
$92.23 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$1,680.67 |
$1,680.67 |
$1,680.67 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$2,570.91 |
$2,570.91 |
$2,570.91 |
$289.60
|
|
Airway resistance by impulse oscillometry 94728
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$701.45 |
$701.45 |
$701.45 |
$48.00
|
|
Albumin, human 5 % intravenous solution
|
$1,170.96 |
$1,170.96 |
$1,170.96 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$758.96 |
$758.96 |
$758.96 |
$57.60
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$93.60
|
|
Aldesleukin injection
|
$22,475.04 |
$22,475.04 |
$22,475.04 |
$6,446.09
|
|
Allergen egg white ige
|
$569.63 |
$569.63 |
$569.63 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$2,165.12 |
$2,165.12 |
$2,165.12 |
$26.95
|
|
Alpha-fetoprotein amniotic
|
$923.88 |
$923.88 |
$923.88 |
$79.30
|
|
Alprostadil for injection
|
$2,867.76 |
$2,867.76 |
$2,867.76 |
$533.06
|
|
Aluminum - quest
|
$1,334.01 |
$1,334.01 |
$1,334.01 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$523.04 |
$523.04 |
$523.04 |
$36.30
|
|
Amino acid screen, urine
|
$1,224.97 |
$1,224.97 |
$1,224.97 |
$64.28
|
|
Amino acids quant 2-5
|
$898.92 |
$898.92 |
$898.92 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$403.20 |
$403.20 |
$403.20 |
$42.84
|
|
Aminolevulinic acid delta
|
$1,224.97 |
$1,224.97 |
$1,224.97 |
$87.12
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$217.06 |
$217.06 |
$217.06 |
$202.10
|
|
Ammonia
|
$1,246.12 |
$1,246.12 |
$1,246.12 |
$120.90
|
|
Amniotic fluid scan
|
$1,974.70 |
$1,974.70 |
$1,974.70 |
$33.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$1,129.52 |
$1,129.52 |
$1,129.52 |
$130.08
|
|
Ana ds-dna
|
$1,406.70 |
$1,406.70 |
$1,406.70 |
$65.52
|
|
Anal pressure record
|
$5,593.50 |
$5,593.50 |
$5,593.50 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$927.68 |
$927.68 |
$927.68 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$927.68 |
$927.68 |
$927.68 |
$226.60
|
|
Analysis nerve
|
$4,391.54 |
$4,391.54 |
$4,391.54 |
$223.19
|
|
Analysis tumor
|
$2,807.98 |
$2,807.98 |
$2,807.98 |
$240.00
|
|
An fluoro guide for cvp
|
$5,882.80 |
$5,882.80 |
$5,882.80 |
$484.45
|
|
Angiotensin ii
|
$621.16 |
$621.16 |
$621.16 |
$55.00
|
|
Anidulafungin injection
|
$7,200.48 |
$7,200.48 |
$7,200.48 |
$209.79
|
|
Antibody elution rbc reference
|
$1,227.14 |
$1,227.14 |
$1,227.14 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$1,322.62 |
$1,322.62 |
$1,322.62 |
$141.74
|
|
Antibody id rbc panel
|
$1,659.35 |
$1,659.35 |
$1,659.35 |
$291.75
|
|
Antibody screen rbc
|
$690.06 |
$690.06 |
$690.06 |
$105.00
|
|
Antibody tetanus
|
$903.81 |
$903.81 |
$903.81 |
$61.98
|
|
Anti-inhibitor
|
$22.96 |
$22.96 |
$22.96 |
$3.75
|
|
Anti mog serum - sendout
|
$2,081.03 |
$2,081.03 |
$2,081.03 |
$140.62
|
|
Antinuclear antibodies titer
|
$1,478.86 |
$1,478.86 |
$1,478.86 |
$80.25
|
|
Antistreptolysin o titer
|
$822.43 |
$822.43 |
$822.43 |
$57.96
|
|
Antithrombin iii activity
|
$1,209.78 |
$1,209.78 |
$1,209.78 |
$115.23
|
|
Antithrombin iii injection
|
$33,428.08 |
$33,428.08 |
$33,428.08 |
$9.32
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$11,176.48 |
$11,176.48 |
$11,176.48 |
$5,013.11
|
|
Antithymocyte globuln rabbit
|
$10,031.28 |
$10,031.28 |
$10,031.28 |
$1,679.21
|
|
Apheresis plasma
|
$8,191.50 |
$8,191.50 |
$8,191.50 |
$3,411.50
|
|
Application finger splntstatic 29130
|
$1,696.75 |
$1,696.75 |
$1,696.75 |
$216.80
|
|
Apply interstit radiat compl
|
$34,814.00 |
$34,814.00 |
$34,814.00 |
$2,877.50
|
|
#aptt mix-1:1 incubated
|
$2,165.12 |
$2,165.12 |
$2,165.12 |
$157.30
|
|
Artery x-rays lung
|
$24,197.25 |
$24,197.25 |
$24,197.25 |
$2,332.57
|
|
Assay acid phosphatase
|
$1,067.64 |
$1,067.64 |
$1,067.64 |
$38.22
|
|
Assay blood catecholamines
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$72.00
|
|
Assay free hydroxyproline
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$46.15
|
|
Assay of chloramphenicol
|
$196.39 |
$196.39 |
$196.39 |
$45.60
|
|
Assay of glutathione
|
$353.17 |
$353.17 |
$353.17 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$404.71 |
$404.71 |
$404.71 |
$77.35
|
|
Assay of lap enzyme
|
$1,599.29 |
$1,599.29 |
$1,599.29 |
$56.25
|
|
Assay of neonatal thyroxine
|
$107.42 |
$107.42 |
$107.42 |
$13.33
|
|
Assay of osteocalcin
|
$416.10 |
$416.10 |
$416.10 |
$97.21
|
|
Assay of procainamide w/metab
|
$1,305.26 |
$1,305.26 |
$1,305.26 |
$61.20
|
|
Assay of prostaglandin
|
$1,931.84 |
$1,931.84 |
$1,931.84 |
$216.45
|
|
Assay of salicylate
|
$1,675.24 |
$1,675.24 |
$1,675.24 |
$105.95
|
|
Assay of sialic acid
|
$1,979.04 |
$1,979.04 |
$1,979.04 |
$60.45
|
|
Assay of somatostatin
|
$2,219.91 |
$2,219.91 |
$2,219.91 |
$165.75
|
|
Assay of thiocyanate
|
$1,633.47 |
$1,633.47 |
$1,633.47 |
$57.00
|
|
Assay of tyrosine
|
$288.07 |
$288.07 |
$288.07 |
$56.10
|
|
Assay phosphatidylglycerol
|
$2,726.06 |
$2,726.06 |
$2,726.06 |
$87.20
|
|
Assay toxin or antitoxin
|
$1,406.70 |
$1,406.70 |
$1,406.70 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,972.30 |
$1,972.30 |
$1,972.30 |
$312.00
|
