|
11-desoxycortisol - sendout
|
$312.00 |
$312.00 |
$312.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$214.00 |
$214.00 |
$214.00 |
$85.15
|
|
17-ketosteroids
|
$781.00 |
$781.00 |
$781.00 |
$44.00
|
|
3d recon without postprocess indpndt
|
$7,663.00 |
$7,663.00 |
$7,663.00 |
$427.34
|
|
5' nucleotidase - sendout
|
$456.00 |
$456.00 |
$456.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$391.00 |
$391.00 |
$391.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$10,392.00 |
$10,392.00 |
$10,392.00 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$624.00 |
$624.00 |
$624.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$18,649.00 |
$18,649.00 |
$18,649.00 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$15,458.00 |
$15,458.00 |
$15,458.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$13,887.00 |
$13,887.00 |
$13,887.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$12,837.00 |
$12,837.00 |
$12,837.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$16,208.00 |
$16,208.00 |
$16,208.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$15,185.00 |
$15,185.00 |
$15,185.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$5,345.00 |
$5,345.00 |
$5,345.00 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$5,611.00 |
$5,611.00 |
$5,611.00 |
$759.57
|
|
Ablate arrhythmia add on
|
$11,605.00 |
$11,605.00 |
$11,605.00 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$22,686.00 |
$22,686.00 |
$22,686.00 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$450.00 |
$450.00 |
$450.00 |
$125.63
|
|
Acetaminophen level
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$117.01
|
|
Acetone qualitative
|
$542.00 |
$542.00 |
$542.00 |
$47.45
|
|
Acetylcholinesterase assay
|
$363.00 |
$363.00 |
$363.00 |
$106.70
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$92.00 |
$92.00 |
$92.00 |
$42.28
|
|
Acute hepatitis panel
|
$2,662.00 |
$2,662.00 |
$2,662.00 |
$284.70
|
|
#acylcarnitineprfl
|
$17.00 |
$17.00 |
$17.00 |
$105.60
|
|
Acylcarnitines qual
|
$4,775.00 |
$4,775.00 |
$4,775.00 |
$35.75
|
|
Adenovirus ag ia
|
$96.00 |
$96.00 |
$96.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$217.00 |
$217.00 |
$217.00 |
$63.00
|
|
Adh-sendout
|
$312.00 |
$312.00 |
$312.00 |
$109.28
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$206.00 |
$206.00 |
$206.00 |
$264.00
|
|
Administration immunization 1 vaccine
|
$855.00 |
$855.00 |
$855.00 |
$70.52
|
|
Administration immunization each additional vaccine
|
$760.00 |
$760.00 |
$760.00 |
$46.23
|
|
Administration vaccine pneumococcal
|
$793.00 |
$793.00 |
$793.00 |
$51.11
|
|
#afb mycobacteria suscep. #1
|
$393.00 |
$393.00 |
$393.00 |
$38.58
|
|
Aflibercept injection
|
$16,964.50 |
$16,964.50 |
$16,964.50 |
$821.98
|
|
Albumin body fluid quantitative each specimen
|
$126.00 |
$126.00 |
$126.00 |
$48.00
|
|
Albumin, human 25 % intravenous solution
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$488.08
|
|
Albumin, human 5 % intravenous solution
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$406.00 |
$406.00 |
$406.00 |
$43.50
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$63.00 |
$63.00 |
$63.00 |
$93.60
|
|
Alkaline phosphatase
|
$1,163.00 |
$1,163.00 |
$1,163.00 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$4.00 |
$4.00 |
$4.00 |
$56.35
|
|
Allergen egg white ige
|
$479.00 |
$479.00 |
$479.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$338.00 |
$338.00 |
$338.00 |
$26.95
|
|
Alprostadil for injection
|
$11,289.00 |
$11,289.00 |
$11,289.00 |
$533.06
|
|
Alt/sgpt
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$49.00
|
|
Aluminum - quest
|
$254.00 |
$254.00 |
$254.00 |
$87.00
|
|
Amino acid single qual
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$19.57
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$57.50 |
$57.50 |
$57.50 |
$42.84
|
|
Aminolevulinic acid delta
|
$371.00 |
$371.00 |
$371.00 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$877.00 |
$877.00 |
$877.00 |
$101.17
|
|
Ammonia
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$120.90
|
|
Amniotic fluid scan
|
$114.00 |
$114.00 |
$114.00 |
$33.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$604.00 |
$604.00 |
$604.00 |
$130.08
|
|
Amphotericin b lipid complex
|
$3,541.00 |
$3,541.00 |
$3,541.00 |
$270.17
|
|
Ana ds-dna
|
$217.00 |
$217.00 |
$217.00 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$135.00 |
$135.00 |
$135.00 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$226.60
|
|
Anidulafungin injection
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$209.79
|
|
Anodyne therapy charges pt
|
$264.00 |
$264.00 |
$264.00 |
$41.02
|
|
Anora (draw only)
|
$38.00 |
$38.00 |
$38.00 |
$36.00
|
|
Antibody elution rbc reference
|
$564.00 |
$564.00 |
$564.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$568.00 |
$568.00 |
$568.00 |
$141.74
|
|
Antibody htlv-i
|
$468.00 |
$468.00 |
$468.00 |
$48.75
|
|
Antibody lymphocytic choriomeningitis
|
$541.00 |
$541.00 |
$541.00 |
$53.96
|
|
Antibody screen rbc
|
$136.00 |
$136.00 |
$136.00 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$12.00 |
$12.00 |
$12.00 |
$2.75
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$50.88
|
|
Antinuclear antibodies
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$316.00 |
$316.00 |
$316.00 |
$80.25
|
|
Antistreptolysin o screen
|
$316.00 |
$316.00 |
$316.00 |
$59.40
|
|
Antistreptolysin o titer
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$57.96
|
|
Antithrombin iii activity
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$115.23
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$6,562.00 |
$6,562.00 |
$6,562.00 |
$5,013.11
|
|
Apheresis wbc
|
$18,157.00 |
$18,157.00 |
$18,157.00 |
$3,342.71
|
|
Artery xray of abdomen 75726-26
|
$18,649.00 |
$18,649.00 |
$18,649.00 |
$4,337.45
|
|
Artery x-rays lungs
|
$18,649.00 |
$18,649.00 |
$18,649.00 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$18,649.00 |
$18,649.00 |
$18,649.00 |
$4,086.49
|
|
Assay acid phosphatase
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$38.22
|
|
Assay blood catecholamines
|
$266.00 |
$266.00 |
$266.00 |
$72.00
|
|
Assay free hydroxyproline
|
$378.00 |
$378.00 |
$378.00 |
$46.15
|
|
Assay of adp & amp
|
$808.00 |
$808.00 |
$808.00 |
$127.40
|
|
Assay of blood lipoprotein
|
$516.00 |
$516.00 |
$516.00 |
$27.20
|
|
Assay of chloramphenicol
|
$165.00 |
$165.00 |
$165.00 |
$45.60
|
|
Assay of estrogen
|
$994.00 |
$994.00 |
$994.00 |
$185.60
|
|
Assay of feces porphyrins
|
$827.00 |
$827.00 |
$827.00 |
$168.62
|
|
Assay of fluoride
|
$246.00 |
$246.00 |
$246.00 |
$96.85
|
|
Assay of glucosidase
|
$924.00 |
$924.00 |
$924.00 |
$143.24
|
|
Assay of lap enzyme
|
$286.00 |
$286.00 |
$286.00 |
$56.25
|
|
Assay of methemalbumin
|
$312.00 |
$312.00 |
$312.00 |
$27.20
|
|
Assay of neonatal thyroxine
|
$189.00 |
$189.00 |
$189.00 |
$13.33
|
|
Assay of osteocalcin
|
$744.00 |
$744.00 |
$744.00 |
$97.21
|
|
Assay of pregnanetriol
|
$203.00 |
$203.00 |
$203.00 |
$52.80
|
|
Assay of procainamide w/metab
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$61.20
|
|
Assay of progesterone
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$163.20
|
|
Assay of prostaglandin
|
$550.00 |
$550.00 |
$550.00 |
$216.45
|
|
Assay of salicylate
|
$135.00 |
$135.00 |
$135.00 |
$105.95
|
