|
11-desoxycortisol - sendout
|
$283.00 |
$283.00 |
$283.00 |
$87.50
|
|
17-ketosteroids
|
$113.00 |
$113.00 |
$113.00 |
$44.00
|
|
5' nucleotidase - sendout
|
$231.00 |
$231.00 |
$231.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$87.00 |
$87.00 |
$87.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$68.00 |
$68.00 |
$68.00 |
$52.25
|
|
Abciximab injection
|
$15,081.00 |
$15,081.00 |
$15,081.00 |
$3,012.98
|
|
Abdominal MRI (with and without contrast)
|
$12,963.00 |
$12,963.00 |
$12,963.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$12,963.00 |
$12,963.00 |
$12,963.00 |
$2,187.60
|
|
Ablate arrhythmia add on
|
$12,219.00 |
$12,219.00 |
$12,219.00 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$74,749.00 |
$74,749.00 |
$74,749.00 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$475.00 |
$475.00 |
$475.00 |
$125.63
|
|
Acetaminophen level
|
$1,588.00 |
$1,588.00 |
$1,588.00 |
$117.01
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,670.00 |
$2,670.00 |
$2,670.00 |
$323.77
|
|
Acute venous thrombus image
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$873.75
|
|
Adenovirus ag ia
|
$173.00 |
$173.00 |
$173.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$113.00 |
$113.00 |
$113.00 |
$63.00
|
|
Adh-sendout
|
$397.00 |
$397.00 |
$397.00 |
$109.28
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$252.00 |
$252.00 |
$252.00 |
$308.10
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$252.00 |
$252.00 |
$252.00 |
$264.00
|
|
Administration vaccine hepatitis b
|
$256.00 |
$256.00 |
$256.00 |
$51.35
|
|
Administration vaccine influenza virus
|
$210.00 |
$210.00 |
$210.00 |
$49.50
|
|
Administration vaccine pneumococcal
|
$210.00 |
$210.00 |
$210.00 |
$51.11
|
|
Aep neurodiagnostic i&r
|
$515.00 |
$515.00 |
$515.00 |
$509.00
|
|
Aep thrshld est mlt freq i&r
|
$515.00 |
$515.00 |
$515.00 |
$537.95
|
|
#afb mycobacteria suscep. #1
|
$231.00 |
$231.00 |
$231.00 |
$38.58
|
|
Airway resistance by impulse oscillometry 94728
|
$759.00 |
$759.00 |
$759.00 |
$276.66
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$90.00 |
$90.00 |
$90.00 |
$93.60
|
|
Aldesleukin injection
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$6,446.09
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$3,143.00 |
$3,143.00 |
$3,143.00 |
$8,173.80
|
|
Allergen alpha lactalbumin ige
|
$125.00 |
$125.00 |
$125.00 |
$56.35
|
|
Allergen egg white ige
|
$6.00 |
$6.00 |
$6.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$693.00 |
$693.00 |
$693.00 |
$26.95
|
|
Allograft amnioexcel plus 17mm disk
|
$35,617.00 |
$35,617.00 |
$35,617.00 |
$2,959.72
|
|
Aluminum - quest
|
$211.00 |
$211.00 |
$211.00 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$163.00 |
$163.00 |
$163.00 |
$196.20
|
|
Amino acid single qual
|
$730.00 |
$730.00 |
$730.00 |
$19.57
|
|
Aminolevulinic acid delta
|
$555.00 |
$555.00 |
$555.00 |
$87.12
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$247.00 |
$247.00 |
$247.00 |
$202.10
|
|
Amitriptyline (elavil) -sendout
|
$168.00 |
$168.00 |
$168.00 |
$101.17
|
|
Amphetamine confirm urine -sendout
|
$623.00 |
$623.00 |
$623.00 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$454.00 |
$454.00 |
$454.00 |
$130.08
|
|
Amphotericin b lipid complex
|
$15.05 |
$15.05 |
$15.05 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$2,313.00 |
$2,313.00 |
$2,313.00 |
$331.80
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$90.00 |
$90.00 |
$90.00 |
$110.98
|
|
Analysis gene f5 leiden variant
|
$62.00 |
$62.00 |
$62.00 |
$226.60
|
|
Analysis tumor
|
$121.00 |
$121.00 |
$121.00 |
$240.00
|
|
Anca screen with reflex to titer -quest
|
$318.00 |
$318.00 |
$318.00 |
$109.20
|
|
Androstanediol
|
$1,273.00 |
$1,273.00 |
$1,273.00 |
$98.58
|
|
Angiotensin ii
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$55.00
|
|
Anora (draw only)
|
$384.00 |
$384.00 |
$384.00 |
$36.00
|
|
Antibody elution rbc reference
|
$143.00 |
$143.00 |
$143.00 |
$176.54
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$63.00 |
$63.00 |
$63.00 |
$45.82
|
|
Antinuclear antibodies titer
|
$91.00 |
$91.00 |
$91.00 |
$80.25
|
|
Antistreptolysin o screen
|
$62.00 |
$62.00 |
$62.00 |
$59.40
|
|
Apheresis plasma
|
$13,292.00 |
$13,292.00 |
$13,292.00 |
$3,411.50
|
|
Apheresis platelets
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$2,345.00
|
|
Apheresis rbc
|
$6,944.00 |
$6,944.00 |
$6,944.00 |
$3,348.50
|
|
Apheresis wbc
|
$6,944.00 |
$6,944.00 |
$6,944.00 |
$3,342.71
|
|
Application finger splntstatic 29130
|
$880.00 |
$880.00 |
$880.00 |
$216.80
|
|
Apply forearm splintdynamic 29126
|
$880.00 |
$880.00 |
$880.00 |
$263.10
|
|
Apply of finger splint 29131
|
$880.00 |
$880.00 |
$880.00 |
$177.45
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$575.80 |
$575.80 |
$575.80 |
$943.40
|
|
Aripiprazole injection
|
$374.00 |
$374.00 |
$374.00 |
$118.52
|
|
Artery x-rays adrenals
|
$3,596.00 |
$3,596.00 |
$3,596.00 |
$3,706.68
|
|
Artery x-rays lung
|
$8,769.00 |
$8,769.00 |
$8,769.00 |
$2,332.57
|
|
Assay acid phosphatase
|
$65.00 |
$65.00 |
$65.00 |
$38.22
|
|
Assay blood catecholamines
|
$211.00 |
$211.00 |
$211.00 |
$72.00
|
|
Assay of adp & amp
|
$227.00 |
$227.00 |
$227.00 |
$127.40
|
|
Assay of cathepsin-d
|
$922.00 |
$922.00 |
$922.00 |
$19.87
|
|
Assay of estrogen
|
$1,689.00 |
$1,689.00 |
$1,689.00 |
$185.60
|
|
Assay of feces for trypsin
|
$609.00 |
$609.00 |
$609.00 |
$11.76
|
|
Assay of glucosidase
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$143.24
|
|
Assay of interleukin-6 (il-6)
|
$52.00 |
$52.00 |
$52.00 |
$77.35
|
|
Assay of lap enzyme
|
$72.00 |
$72.00 |
$72.00 |
$56.25
|
|
Assay of methemalbumin
|
$457.00 |
$457.00 |
$457.00 |
$27.20
|
|
Assay of osteocalcin
|
$835.00 |
$835.00 |
$835.00 |
$97.21
|
|
Assay of pregnanediol
|
$341.00 |
$341.00 |
$341.00 |
$28.36
|
|
Assay of procainamide w/metab
|
$248.00 |
$248.00 |
$248.00 |
$61.20
|
|
Assay of prostaglandin
|
$768.00 |
$768.00 |
$768.00 |
$216.45
|
|
Assay of salicylate
|
$130.00 |
$130.00 |
$130.00 |
$105.95
|
|
Assay of sialic acid
|
$404.00 |
$404.00 |
$404.00 |
$60.45
|
|
Assay of thiocyanate
|
$122.00 |
$122.00 |
$122.00 |
$57.00
|
|
Assay of urine urobilinogen
|
$361.00 |
$361.00 |
$361.00 |
$10.51
|
|
Assay toxin or antitoxin
|
$537.00 |
$537.00 |
$537.00 |
$72.75
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$25,237.15 |
$25,237.15 |
$25,237.15 |
$31,208.35
|
|
Azacitidine injection
|
$117.28 |
$117.28 |
$117.28 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$43.00 |
$43.00 |
$43.00 |
$6.76
|
|
Azathioprine parenteral
|
$689.00 |
$689.00 |
$689.00 |
$441.40
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$689.00 |
$689.00 |
$689.00 |
$191.55
|
|
Bacterial meningitis antigen
|
$334.00 |
$334.00 |
$334.00 |
$68.40
|
|
Bactericidal level serum
|
$377.00 |
$377.00 |
$377.00 |
$82.50
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$12.00 |
$12.00 |
$12.00 |
$3.00
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$25.00 |
$25.00 |
$25.00 |
$30.00
|
|
Belt ostomy lg 34-65in
|
$38.00 |
$38.00 |
$38.00 |
$5.20
|
|
Bendamustine 100 mg intravenous powder for solution
|
$19,679.00 |
$19,679.00 |
$19,679.00 |
$3,101.94
|
|
#_benzodiazconfur
|
$329.00 |
$329.00 |
$329.00 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$469.00 |
$469.00 |
$469.00 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$406.00 |
$406.00 |
$406.00 |
$75.12
|
|
Bevacizumab-awwb 25 mg/ml intravenous solution
|
$24,226.00 |
$24,226.00 |
$24,226.00 |
$3,871.35
|
|
Bld exchange truj oth thn nb
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$740.24
|
