|
17-ketosteroids
|
$16.33 |
$16.33 |
$16.33 |
$44.00
|
|
5' nucleotidase - sendout
|
$4.89 |
$4.89 |
$4.89 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$355.36 |
$355.36 |
$355.36 |
$97.65
|
|
Abdominal CT scan (with and without contrast)
|
$24,201.21 |
$24,201.21 |
$24,201.21 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$24,286.97 |
$24,286.97 |
$24,286.97 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$21,042.83 |
$21,042.83 |
$21,042.83 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$10,247.00 |
$10,247.00 |
$10,247.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$10,247.00 |
$10,247.00 |
$10,247.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$10,247.00 |
$10,247.00 |
$10,247.00 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$16,164.39 |
$16,164.39 |
$16,164.39 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$5,294.96 |
$5,294.96 |
$5,294.96 |
$603.33
|
|
Ablate arrhythmia add on
|
$69,232.96 |
$69,232.96 |
$69,232.96 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$79,442.99 |
$79,442.99 |
$79,442.99 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$375.38 |
$375.38 |
$375.38 |
$125.63
|
|
Acetaminophen level
|
$1,280.15 |
$1,280.15 |
$1,280.15 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$672.95 |
$672.95 |
$672.95 |
$133.60
|
|
Acetone qualitative
|
$436.59 |
$436.59 |
$436.59 |
$47.45
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,111.03 |
$2,111.03 |
$2,111.03 |
$323.77
|
|
Adenovirus ag ia
|
$42.43 |
$42.43 |
$42.43 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$9.77 |
$9.77 |
$9.77 |
$63.00
|
|
Adh-sendout
|
$24.44 |
$24.44 |
$24.44 |
$109.28
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$625.00 |
$625.00 |
$625.00 |
$264.00
|
|
Administration immunization each additional vaccine
|
$115.23 |
$115.23 |
$115.23 |
$46.23
|
|
Administration vaccine pneumococcal
|
$130.77 |
$130.77 |
$130.77 |
$51.11
|
|
Adrenal cortex & medulla img
|
$21,193.15 |
$21,193.15 |
$21,193.15 |
$1,780.19
|
|
#afb mycobacteria suscep. #1
|
$64.50 |
$64.50 |
$64.50 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$268.63 |
$268.63 |
$268.63 |
$289.60
|
|
Air conduction bilat
|
$42.50 |
$42.50 |
$42.50 |
$106.50
|
|
Airway resistance by impulse oscillometry 94728
|
$1,196.69 |
$1,196.69 |
$1,196.69 |
$276.66
|
|
Albumin serum plasma or whole blood
|
$444.20 |
$444.20 |
$444.20 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$3.75 |
$3.75 |
$3.75 |
$22.45
|
|
Allergen egg white ige
|
$3.26 |
$3.26 |
$3.26 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$6.25 |
$6.25 |
$6.25 |
$26.95
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$9,183.32 |
$9,183.32 |
$9,183.32 |
$3,104.06
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$16,770.63 |
$16,770.63 |
$16,770.63 |
$18,384.03
|
|
Alpha-fetoprotein amniotic
|
$22.28 |
$22.28 |
$22.28 |
$79.30
|
|
Alprostadil for injection
|
$603.56 |
$603.56 |
$603.56 |
$533.06
|
|
Aluminum - quest
|
$15.66 |
$15.66 |
$15.66 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$95.00 |
$95.00 |
$95.00 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$409.76 |
$409.76 |
$409.76 |
$36.30
|
|
Amino acid screen, urine
|
$15.18 |
$15.18 |
$15.18 |
$64.28
|
|
Amino acid single qual
|
$15.18 |
$15.18 |
$15.18 |
$19.57
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$37.33 |
$37.33 |
$37.33 |
$42.84
|
|
Aminolevulinic acid delta
|
$26.23 |
$26.23 |
$26.23 |
$87.12
|
|
Ammonia
|
$863.85 |
$863.85 |
$863.85 |
$120.90
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$287.87 |
$287.87 |
$287.87 |
$130.08
|
|
Ana ds-dna
|
$14.24 |
$14.24 |
$14.24 |
$65.52
|
|
Anal pressure record
|
$2,872.54 |
$2,872.54 |
$2,872.54 |
$955.86
|
|
Analysis tumor
|
$109.44 |
$109.44 |
$109.44 |
$240.00
|
|
Antibody htlv-i
|
$20.36 |
$20.36 |
$20.36 |
$48.75
|
|
Antibody htlv-ii
|
$20.36 |
$20.36 |
$20.36 |
$35.22
|
|
Antibody tetanus
|
$7.33 |
$7.33 |
$7.33 |
$61.98
|
|
Antinuclear antibodies titer
|
$3.00 |
$3.00 |
$3.00 |
$80.25
|
|
Antistreptolysin o titer
|
$4.50 |
$4.50 |
$4.50 |
$57.96
|
|
Apheresis plasma
|
$4,197.49 |
$4,197.49 |
$4,197.49 |
$3,411.50
|
|
Artery xray of abdomen 75726-26
|
$22,055.88 |
$22,055.88 |
$22,055.88 |
$4,337.45
|
|
Artery x-rays arms/legs 75716-26
|
$25,508.01 |
$25,508.01 |
$25,508.01 |
$3,844.10
|
|
Artery x-rays lung
|
$4,438.28 |
$4,438.28 |
$4,438.28 |
$2,332.57
|
|
Artery x-rays lungs
|
$24,345.20 |
$24,345.20 |
$24,345.20 |
$3,686.58
|
|
Assay duodenal fluid trypsin
|
$39.72 |
$39.72 |
$39.72 |
$7.92
|
|
Assay free hydroxyproline
|
$28.49 |
$28.49 |
$28.49 |
$46.15
|
|
Assay of adp & amp
|
$24.31 |
$24.31 |
$24.31 |
$127.40
|
|
Assay of breath ethanol
|
$41.50 |
$41.50 |
$41.50 |
$45.76
|
|
Assay of feces porphyrins
|
$205.00 |
$205.00 |
$205.00 |
$168.62
|
|
Assay of interleukin-6 (il-6)
|
$40.43 |
$40.43 |
$40.43 |
$77.35
|
|
Assay of sialic acid
|
$14.99 |
$14.99 |
$14.99 |
$60.45
|
|
Assay of thiocyanate
|
$57.00 |
$57.00 |
$57.00 |
$57.00
|
|
Assay toxin or antitoxin
|
$1,241.24 |
$1,241.24 |
$1,241.24 |
$72.75
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$401.06 |
$401.06 |
$401.06 |
$49.80
|
|
Ast/sgot
|
$724.26 |
$724.26 |
$724.26 |
$45.65
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$924.72
|
|
Autologous blood process
|
$1,107.45 |
$1,107.45 |
$1,107.45 |
$234.27
|
|
Azathioprine 50 mg tablet
|
$15.31 |
$15.31 |
$15.31 |
$6.76
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$3.12 |
$3.12 |
$3.12 |
$3.00
|
|
B cells total count
|
$82.00 |
$82.00 |
$82.00 |
$125.28
|
|
Belt ostomy lg 34-65in
|
$7.86 |
$7.86 |
$7.86 |
$5.20
|
|
Benztropine 1 mg/ml injection solution
|
$102.21 |
$102.21 |
$102.21 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$474.46 |
$474.46 |
$474.46 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$8,224.04 |
$8,224.04 |
$8,224.04 |
$4,905.00
|
|
Bfb train 1st 15min cntct 90912
|
$481.41 |
$481.41 |
$481.41 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$481.41 |
$481.41 |
$481.41 |
$112.00
|
|
Bile acids cholylglycine
|
$9.30 |
$9.30 |
$9.30 |
$53.60
|
|
Bilicheck
|
$80.38 |
$80.38 |
$80.38 |
$25.20
|
|
Biotinidase - quest
|
$51.31 |
$51.31 |
$51.31 |
$72.80
|
|
Blood Count (CBC) Test (without differential)
|
$720.89 |
$720.89 |
$720.89 |
$62.28
|
|
Blood Culture Test
|
$1,010.67 |
$1,010.67 |
$1,010.67 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$2,756.59 |
$2,756.59 |
$2,756.59 |
$220.35
|
|
Blood gases ph venous
|
$192.49 |
$192.49 |
$192.49 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$64.35 |
$64.35 |
$64.35 |
$57.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$390.05 |
$390.05 |
$390.05 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$453.50 |
$453.50 |
$453.50 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$321.10 |
$321.10 |
$321.10 |
$37.44
|
|
Blood typing ag donor ea ag
|
$420.09 |
$420.09 |
$420.09 |
$166.80
|
|
Blood typing patient serum
|
$25.00 |
$25.00 |
$25.00 |
$70.29
|
|
Blood typing rh (d)
|
$324.91 |
$324.91 |
$324.91 |
$56.24
|
|
Bone Density Scan (DEXA)
|
$3,924.03 |
$3,924.03 |
$3,924.03 |
$395.00
|
|
Bone imaging multiple areas
|
$1,508.87 |
$1,508.87 |
$1,508.87 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$7,234.59 |
$7,234.59 |
$7,234.59 |
$1,151.16
|
|
Bone marrow imaging mult
|
$13,704.46 |
$13,704.46 |
$13,704.46 |
$762.31
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$19,288.63 |
$19,288.63 |
$19,288.63 |
$1,683.04
|
