|
17-ketosteroids
|
$75.00 |
$75.00 |
$75.00 |
$44.00
|
|
3d ech img cgen car anomal
|
$10,930.17 |
$10,930.17 |
$10,930.17 |
$669.00
|
|
88334 ap bill cytologic exam each additional site
|
$0.02 |
$0.02 |
$0.02 |
$97.65
|
|
Abciximab injection
|
$6,880.00 |
$6,880.00 |
$6,880.00 |
$3,012.98
|
|
Ablate arrhythmia add on
|
$33,728.87 |
$33,728.87 |
$33,728.87 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$323.00 |
$323.00 |
$323.00 |
$125.63
|
|
Acetaminophen level
|
$3,063.96 |
$3,063.96 |
$3,063.96 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$380.00 |
$380.00 |
$380.00 |
$133.60
|
|
Acetone qualitative
|
$899.76 |
$899.76 |
$899.76 |
$47.45
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,411.00 |
$2,411.00 |
$2,411.00 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$189.92 |
$189.92 |
$189.92 |
$42.28
|
|
Acute hepatitis panel
|
$2,681.97 |
$2,681.97 |
$2,681.97 |
$284.70
|
|
Adh-sendout
|
$31.37 |
$31.37 |
$31.37 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$471.13 |
$471.13 |
$471.13 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$471.13 |
$471.13 |
$471.13 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,749.74 |
$1,749.74 |
$1,749.74 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$646.23 |
$646.23 |
$646.23 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$563.09 |
$563.09 |
$563.09 |
$264.00
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$225.06 |
$225.06 |
$225.06 |
$48.00
|
|
Administration vaccine influenza virus
|
$206.91 |
$206.91 |
$206.91 |
$49.50
|
|
Administration vaccine pneumococcal
|
$206.91 |
$206.91 |
$206.91 |
$51.11
|
|
Aep thrshld est mlt freq i&r
|
$2,208.00 |
$2,208.00 |
$2,208.00 |
$537.95
|
|
#afb mycobacteria suscep. #1
|
$858.50 |
$858.50 |
$858.50 |
$38.58
|
|
Albumin (human), 25%, 50ml
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$341.00 |
$341.00 |
$341.00 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$107.81 |
$107.81 |
$107.81 |
$57.60
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$2,614.08 |
$2,614.08 |
$2,614.08 |
$93.60
|
|
Alkaline phosphatase
|
$1,441.47 |
$1,441.47 |
$1,441.47 |
$46.20
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$4,170.10 |
$4,170.10 |
$4,170.10 |
$4,101.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$421.13 |
$421.13 |
$421.13 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$123.98 |
$123.98 |
$123.98 |
$99.00
|
|
Alprostadil for injection
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$533.06
|
|
Alt/sgpt
|
$1,840.77 |
$1,840.77 |
$1,840.77 |
$49.00
|
|
Aluminum - quest
|
$239.42 |
$239.42 |
$239.42 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$61.00 |
$61.00 |
$61.00 |
$36.30
|
|
Amino acid single qual
|
$2,740.55 |
$2,740.55 |
$2,740.55 |
$19.57
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$37.40 |
$37.40 |
$37.40 |
$42.84
|
|
Aminolevulinic acid delta
|
$162.47 |
$162.47 |
$162.47 |
$87.12
|
|
Ammonia
|
$1,281.75 |
$1,281.75 |
$1,281.75 |
$120.90
|
|
Ana ds-dna
|
$18.26 |
$18.26 |
$18.26 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1,788.86 |
$1,788.86 |
$1,788.86 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$76.24 |
$76.24 |
$76.24 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$33.43 |
$33.43 |
$33.43 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$235.14 |
$235.14 |
$235.14 |
$109.20
|
|
Antibody elution rbc reference
|
$921.08 |
$921.08 |
$921.08 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$820.87 |
$820.87 |
$820.87 |
$141.74
|
|
Antibody htlv-i
|
$141.10 |
$141.10 |
$141.10 |
$48.75
|
|
Antibody htlv-ii
|
$42.76 |
$42.76 |
$42.76 |
$35.22
|
|
Antibody id rbc panel
|
$706.76 |
$706.76 |
$706.76 |
$291.75
|
|
Antibody tetanus
|
$7.33 |
$7.33 |
$7.33 |
$61.98
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$10.00 |
$10.00 |
$10.00 |
$2.75
|
|
Anti-inhibitor
|
$12.11 |
$12.11 |
$12.11 |
$3.75
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$649.65 |
$649.65 |
$649.65 |
$50.88
|
|
Antinuclear antibodies titer
|
$684.13 |
$684.13 |
$684.13 |
$80.25
|
|
Antistreptolysin o titer
|
$567.01 |
$567.01 |
$567.01 |
$57.96
|
|
Antithrombin iii activity
|
$213.77 |
$213.77 |
$213.77 |
$115.23
|
|
Antithrombin iii injection
|
$29.23 |
$29.23 |
$29.23 |
$9.32
|
|
Apc gene full sequence
|
$7,792.00 |
$7,792.00 |
$7,792.00 |
$1,076.40
|
|
Application multi layer compression below knee (both sides)
|
$1,546.62 |
$1,546.62 |
$1,546.62 |
$397.00
|
|
Application of paste boot 29580
|
$1,546.62 |
$1,546.62 |
$1,546.62 |
$331.74
|
|
Aquaporin-4 antibody elisa
|
$300.00 |
$300.00 |
$300.00 |
$139.59
|
|
Artery x-rays chest
|
$8,939.72 |
$8,939.72 |
$8,939.72 |
$2,587.20
|
|
Artery x-rays lung
|
$8,939.72 |
$8,939.72 |
$8,939.72 |
$2,332.57
|
|
Artery x-rays lungs
|
$20,969.22 |
$20,969.22 |
$20,969.22 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$36,588.73 |
$36,588.73 |
$36,588.73 |
$4,086.49
|
|
Artery x-rays spine
|
$6,484.83 |
$6,484.83 |
$6,484.83 |
$4,306.40
|
|
Assay acid phosphatase
|
$260.80 |
$260.80 |
$260.80 |
$38.22
|
|
Assay of estrogen
|
$891.43 |
$891.43 |
$891.43 |
$185.60
|
|
Assay of interleukin-6 (il-6)
|
$54.00 |
$54.00 |
$54.00 |
$77.35
|
|
Assay of procainamide w/metab
|
$17.30 |
$17.30 |
$17.30 |
$61.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,176.12 |
$1,176.12 |
$1,176.12 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$762.66 |
$762.66 |
$762.66 |
$49.80
|
|
Ast/sgot
|
$1,657.10 |
$1,657.10 |
$1,657.10 |
$45.65
|
|
Azathioprine 50 mg tablet
|
$25.00 |
$25.00 |
$25.00 |
$6.76
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$297.00 |
$297.00 |
$297.00 |
$191.55
|
|
Barrier skin flextend 2.25in floating flang new image
|
$10.72 |
$10.72 |
$10.72 |
$2.40
|
|
B cells total count
|
$434.98 |
$434.98 |
$434.98 |
$125.28
|
|
Belt ostomy lg 34-65in
|
$7.76 |
$7.76 |
$7.76 |
$5.20
|
|
#_benzodiazconfur
|
$46.60 |
$46.60 |
$46.60 |
$99.72
|
|
Beta-2 microglobulin
|
$123.98 |
$123.98 |
$123.98 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$524.00 |
$524.00 |
$524.00 |
$75.12
|
|
Bilirubin direct
|
$1,261.79 |
$1,261.79 |
$1,261.79 |
$49.29
|
|
Bleomycin 15 unit solution for injection
|
$871.00 |
$871.00 |
$871.00 |
$245.75
|
|
Blood Clotting (PT/INR) Test
|
$1,273.77 |
$1,273.77 |
$1,273.77 |
$51.35
|
|
Blood Count (CBC) Test (without differential)
|
$1,279.09 |
$1,279.09 |
$1,279.09 |
$62.28
|
|
Blood Culture Test
|
$3,063.96 |
$3,063.96 |
$3,063.96 |
$144.65
|
|
Blood draw capillary 36416
|
$130.44 |
$130.44 |
$130.44 |
$22.32
|
|
Blood gases ph venous
|
$117.13 |
$117.13 |
$117.13 |
$63.70
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$547.26 |
$547.26 |
$547.26 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$264.87 |
$264.87 |
$264.87 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$314.12 |
$314.12 |
$314.12 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$299.48 |
$299.48 |
$299.48 |
$33.57
|
|
Blood typing ag donor ea ag
|
$185.01 |
$185.01 |
$185.01 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$316.59 |
$316.59 |
$316.59 |
$181.74
|
|
Blood typing rh (d)
|
$359.37 |
$359.37 |
$359.37 |
$56.24
|
|
Bone/joint imaging ltd area
|
$4,309.78 |
$4,309.78 |
$4,309.78 |
$1,151.16
|
|
Boot softgait shrt m
|
$391.83 |
$391.83 |
$391.83 |
$113.72
|
|
Bowel imaging
|
$8,382.64 |
$8,382.64 |
$8,382.64 |
$1,186.25
|
