|
17-hydroxypregnenolone
|
$228.00 |
$228.00 |
$228.00 |
$85.15
|
|
17-ketosteroids
|
$134.00 |
$134.00 |
$134.00 |
$44.00
|
|
5' nucleotidase - sendout
|
$194.00 |
$194.00 |
$194.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$70.00 |
$70.00 |
$70.00 |
$97.65
|
|
Abciximab injection
|
$14,958.00 |
$14,958.00 |
$14,958.00 |
$3,012.98
|
|
Abdominal MRI (with and without contrast)
|
$12,738.00 |
$12,738.00 |
$12,738.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$1,972.66
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$34.57 |
$34.57 |
$34.57 |
$125.63
|
|
Acetazolamide 500 mg solution for injection
|
$624.00 |
$624.00 |
$624.00 |
$133.60
|
|
Acetylcholine receptor modulating antibody
|
$574.00 |
$574.00 |
$574.00 |
$65.60
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$452.00 |
$452.00 |
$452.00 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$321.00 |
$321.00 |
$321.00 |
$42.28
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$251.00 |
$251.00 |
$251.00 |
$50.70
|
|
Adenovirus ag ia
|
$78.00 |
$78.00 |
$78.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$54.00 |
$54.00 |
$54.00 |
$63.00
|
|
Adh-sendout
|
$243.00 |
$243.00 |
$243.00 |
$109.28
|
|
Administration vaccine influenza virus
|
$298.00 |
$298.00 |
$298.00 |
$49.50
|
|
#afb mycobacteria suscep. #1
|
$165.00 |
$165.00 |
$165.00 |
$38.58
|
|
Albumin, human 25 % intravenous solution
|
$314.00 |
$314.00 |
$314.00 |
$488.08
|
|
Aldesleukin injection
|
$3,544.00 |
$3,544.00 |
$3,544.00 |
$6,446.09
|
|
Allergen egg white ige
|
$85.00 |
$85.00 |
$85.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$384.00 |
$384.00 |
$384.00 |
$26.95
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$75.00 |
$75.00 |
$75.00 |
$189.00
|
|
Aluminum - quest
|
$183.00 |
$183.00 |
$183.00 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$136.00 |
$136.00 |
$136.00 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$624.00 |
$624.00 |
$624.00 |
$36.30
|
|
Amino acid screen, urine
|
$101.00 |
$101.00 |
$101.00 |
$64.28
|
|
Aminolevulinic acid delta
|
$118.00 |
$118.00 |
$118.00 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$107.00 |
$107.00 |
$107.00 |
$101.17
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$332.00 |
$332.00 |
$332.00 |
$130.08
|
|
Ana ds-dna
|
$421.00 |
$421.00 |
$421.00 |
$65.52
|
|
Analysis nerve
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$223.19
|
|
Analysis tumor
|
$102.00 |
$102.00 |
$102.00 |
$240.00
|
|
Anca screen with reflex to titer -quest
|
$344.00 |
$344.00 |
$344.00 |
$109.20
|
|
Antibody htlv/hiv confirm test
|
$109.00 |
$109.00 |
$109.00 |
$141.74
|
|
Antibody htlv-i
|
$256.00 |
$256.00 |
$256.00 |
$48.75
|
|
Antibody htlv-ii
|
$186.00 |
$186.00 |
$186.00 |
$35.22
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$3.12
|
|
Anti-inhibitor
|
$49,687.00 |
$49,687.00 |
$49,687.00 |
$3.75
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$196.00 |
$196.00 |
$196.00 |
$45.82
|
|
Antistreptolysin o screen
|
$78.00 |
$78.00 |
$78.00 |
$59.40
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$5,013.11
|
|
Apheresis plasma
|
$11,506.00 |
$11,506.00 |
$11,506.00 |
$3,411.50
|
|
Apheresis platelets
|
$3,996.00 |
$3,996.00 |
$3,996.00 |
$2,345.00
|
|
Apheresis rbc
|
$6,239.00 |
$6,239.00 |
$6,239.00 |
$3,348.50
|
|
Apheresis wbc
|
$3,827.00 |
$3,827.00 |
$3,827.00 |
$3,342.71
|
|
Appl modality 1/> areas paraffin bath 97018
|
$207.00 |
$207.00 |
$207.00 |
$69.55
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$879.00 |
$879.00 |
$879.00 |
$1,303.25
|
|
Artery xray each vessel 7577426
|
$4,404.00 |
$4,404.00 |
$4,404.00 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$5,892.00 |
$5,892.00 |
$5,892.00 |
$4,337.45
|
|
Artery x-rays adrenals
|
$6,549.00 |
$6,549.00 |
$6,549.00 |
$3,706.68
|
|
Artery xrays of pelvis 75736 26
|
$6,783.00 |
$6,783.00 |
$6,783.00 |
$4,086.49
|
|
Artery x-rays spine
|
$8,522.00 |
$8,522.00 |
$8,522.00 |
$4,306.40
|
|
Assay blood catecholamines
|
$427.00 |
$427.00 |
$427.00 |
$72.00
|
|
Assay of glucosidase
|
$499.00 |
$499.00 |
$499.00 |
$143.24
|
|
Assay of interleukin-6 (il-6)
|
$54.00 |
$54.00 |
$54.00 |
$77.35
|
|
Assay of lap enzyme
|
$70.00 |
$70.00 |
$70.00 |
$56.25
|
|
Assay of methemalbumin
|
$136.00 |
$136.00 |
$136.00 |
$27.20
|
|
Assay of procainamide w/metab
|
$841.00 |
$841.00 |
$841.00 |
$61.20
|
|
Assay of sialic acid
|
$96.00 |
$96.00 |
$96.00 |
$60.45
|
|
Assay of thiocyanate
|
$127.00 |
$127.00 |
$127.00 |
$57.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$312.00
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$42,881.00 |
$42,881.00 |
$42,881.00 |
$31,208.35
|
|
Autolog prp not diab ulcer
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$2,164.64
|
|
Azathioprine 50 mg tablet
|
$31.00 |
$31.00 |
$31.00 |
$6.76
|
|
Azathioprine parenteral
|
$834.00 |
$834.00 |
$834.00 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$576.00 |
$576.00 |
$576.00 |
$52.69
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$12,924.00 |
$12,924.00 |
$12,924.00 |
$920.45
|
|
Barrier film 28ml spray no stng cavilon
|
$223.00 |
$223.00 |
$223.00 |
$21.33
|
|
Belimumab 120 mg intravenous solution
|
$22,244.00 |
$22,244.00 |
$22,244.00 |
$4,691.99
|
|
Belt ostomy lg 34-65in
|
$237.00 |
$237.00 |
$237.00 |
$5.20
|
|
#_benzodiazconfur
|
$135.00 |
$135.00 |
$135.00 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$624.00 |
$624.00 |
$624.00 |
$121.88
|
|
Beta 2 glycoprotein 1 antibody iga
|
$326.00 |
$326.00 |
$326.00 |
$97.21
|
|
Bile acids cholylglycine
|
$127.00 |
$127.00 |
$127.00 |
$53.60
|
|
Bld prd mix
|
$499.00 |
$499.00 |
$499.00 |
$139.21
|
|
Bleomycin 15 unit solution for injection
|
$946.00 |
$946.00 |
$946.00 |
$245.75
|
|
Blood smear microscopic w manual differential wbc count
|
$78.00 |
$78.00 |
$78.00 |
$37.44
|
|
Blood typing patient serum
|
$124.00 |
$124.00 |
$124.00 |
$70.29
|
|
Bone Density Scan (DEXA)
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$395.00
|
|
Bone imaging multiple areas
|
$10,710.00 |
$10,710.00 |
$10,710.00 |
$1,147.57
|
|
Bone/joint imaging ltd area
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,151.16
|
|
Bone marrow imaging mult
|
$1,778.00 |
$1,778.00 |
$1,778.00 |
$762.31
|
|
(both sides) smear without diff wbc count
|
$669.00 |
$669.00 |
$669.00 |
$33.57
|
|
Bowel imaging
|
$3,589.00 |
$3,589.00 |
$3,589.00 |
$1,186.25
|
|
Brain flow imaging only
|
$2,519.00 |
$2,519.00 |
$2,519.00 |
$636.97
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$12,738.00 |
$12,738.00 |
$12,738.00 |
$2,622.87
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$1,998.00
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$12,738.00 |
$12,738.00 |
$12,738.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$2,224.96
|
|
Brain MRI (without contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$1,927.04
|
|
Bundled special stain group 1 microorganisms
|
$446.00 |
$446.00 |
$446.00 |
$164.89
|
|
Bundled special stain group 2
|
$446.00 |
$446.00 |
$446.00 |
$169.60
|
|
Buprenorphine hydrochloride
|
$87.00 |
$87.00 |
$87.00 |
$42.14
|
|
Butorphanol tartrate 1 mg
|
$197.00 |
$197.00 |
$197.00 |
$39.89
|
|
C1 esterase inhibitor func - sendout
|
$190.00 |
$190.00 |
$190.00 |
$106.60
|
|
Cabergoline, oral 0.25mg
|
$609.00 |
$609.00 |
$609.00 |
$126.69
|
|
Caffeine citrate 20 mg/ml inj for po
|
$419.00 |
$419.00 |
$419.00 |
$43.81
|
