|
17-ketosteroids
|
$43.50 |
$43.50 |
$43.50 |
$44.00
|
|
5' nucleotidase - sendout
|
$7.00 |
$7.00 |
$7.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$17.00 |
$17.00 |
$17.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$6,145.00 |
$6,145.00 |
$6,145.00 |
$3,634.61
|
|
Abciximab injection
|
$4,122.00 |
$4,122.00 |
$4,122.00 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$17,459.00 |
$17,459.00 |
$17,459.00 |
$3,667.71
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$140.00 |
$140.00 |
$140.00 |
$125.63
|
|
Acetaminophen level
|
$86.50 |
$86.50 |
$86.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$69.00 |
$69.00 |
$69.00 |
$133.60
|
|
Acetylcholine receptor modulating antibody
|
$55.75 |
$55.75 |
$55.75 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$729.00 |
$729.00 |
$729.00 |
$323.77
|
|
Acute hepatitis panel
|
$387.50 |
$387.50 |
$387.50 |
$284.70
|
|
Adh-sendout
|
$28.25 |
$28.25 |
$28.25 |
$109.28
|
|
Administration vaccine hepatitis b
|
$174.50 |
$174.50 |
$174.50 |
$51.35
|
|
Administration vaccine influenza virus
|
$95.50 |
$95.50 |
$95.50 |
$49.50
|
|
Administration vaccine pneumococcal
|
$84.25 |
$84.25 |
$84.25 |
$51.11
|
|
_afb id by dna probe rflx ast
|
$80.25 |
$80.25 |
$80.25 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$35.25 |
$35.25 |
$35.25 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$75.00 |
$75.00 |
$75.00 |
$289.60
|
|
Albumin (human), 5%, 250 ml
|
$540.00 |
$540.00 |
$540.00 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$6.50 |
$6.50 |
$6.50 |
$57.60
|
|
Albuterol ipratrop non-comp
|
$49.25 |
$49.25 |
$49.25 |
$22.45
|
|
Albuterol non-comp con
|
$135.00 |
$135.00 |
$135.00 |
$15.00
|
|
Allergen egg white ige
|
$139.00 |
$139.00 |
$139.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$46.25 |
$46.25 |
$46.25 |
$26.95
|
|
Allograft amnioexcel plus 17mm disk
|
$184.50 |
$184.50 |
$184.50 |
$2,959.72
|
|
Aluminum - quest
|
$118.00 |
$118.00 |
$118.00 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$366.00 |
$366.00 |
$366.00 |
$36.30
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$395.00 |
$395.00 |
$395.00 |
$42.84
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$43.00 |
$43.00 |
$43.00 |
$41.59
|
|
Amitriptyline (elavil) -sendout
|
$9.25 |
$9.25 |
$9.25 |
$101.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$176.00 |
$176.00 |
$176.00 |
$331.80
|
|
Ana ds-dna
|
$16.50 |
$16.50 |
$16.50 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$304.25 |
$304.25 |
$304.25 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$30.25 |
$30.25 |
$30.25 |
$226.60
|
|
Analysis nerve
|
$455.50 |
$455.50 |
$455.50 |
$223.19
|
|
Analysis tumor
|
$992.50 |
$992.50 |
$992.50 |
$240.00
|
|
Anaplsma phgcytophlm amp prb
|
$162.75 |
$162.75 |
$162.75 |
$95.45
|
|
An fluoro guide for cvp
|
$531.00 |
$531.00 |
$531.00 |
$484.45
|
|
Antibody bacterium, not elsewhere specified
|
$59.75 |
$59.75 |
$59.75 |
$57.89
|
|
Antibody htlv/hiv confirm test
|
$46.00 |
$46.00 |
$46.00 |
$141.74
|
|
Antibody htlv-i
|
$23.75 |
$23.75 |
$23.75 |
$48.75
|
|
Antibody htlv-ii
|
$23.75 |
$23.75 |
$23.75 |
$35.22
|
|
Antibody influenza virus
|
$17.25 |
$17.25 |
$17.25 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$29.25 |
$29.25 |
$29.25 |
$50.88
|
|
Antinuclear antibodies
|
$100.00 |
$100.00 |
$100.00 |
$91.70
|
|
Antistreptolysin o titer
|
$34.00 |
$34.00 |
$34.00 |
$57.96
|
|
Antithrombin iii activity
|
$48.00 |
$48.00 |
$48.00 |
$115.23
|
|
#aptt mix-1:1 incubated
|
$162.75 |
$162.75 |
$162.75 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$53.25 |
$53.25 |
$53.25 |
$139.59
|
|
Arterial blood draw/perc 36620
|
$1,091.25 |
$1,091.25 |
$1,091.25 |
$505.60
|
|
Artery xray each vessel 7577426
|
$5,934.25 |
$5,934.25 |
$5,934.25 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$20,376.75 |
$20,376.75 |
$20,376.75 |
$4,337.45
|
|
Artery x-rays arms/legs 75716-26
|
$15,959.00 |
$15,959.00 |
$15,959.00 |
$3,844.10
|
|
Artery x-rays chest
|
$13,174.25 |
$13,174.25 |
$13,174.25 |
$2,587.20
|
|
Artery xrays of pelvis 75736 26
|
$20,376.75 |
$20,376.75 |
$20,376.75 |
$4,086.49
|
|
Assay free hydroxyproline
|
$33.00 |
$33.00 |
$33.00 |
$46.15
|
|
Assay of feces porphyrins
|
$227.00 |
$227.00 |
$227.00 |
$168.62
|
|
Assay of glutathione
|
$71.50 |
$71.50 |
$71.50 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$80.00 |
$80.00 |
$80.00 |
$77.35
|
|
Assay of osteocalcin
|
$138.25 |
$138.25 |
$138.25 |
$97.21
|
|
Assay of procainamide w/metab
|
$17.25 |
$17.25 |
$17.25 |
$61.20
|
|
Assay of quinine
|
$109.75 |
$109.75 |
$109.75 |
$17.23
|
|
Assay of salicylate
|
$86.50 |
$86.50 |
$86.50 |
$105.95
|
|
Assay of thiocyanate
|
$53.75 |
$53.75 |
$53.75 |
$57.00
|
|
Autologous blood process
|
$64.75 |
$64.75 |
$64.75 |
$234.27
|
|
Azathioprine 50 mg tablet
|
$24.00 |
$24.00 |
$24.00 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$190.00 |
$190.00 |
$190.00 |
$52.69
|
|
Bacterial meningitis antigen
|
$10.50 |
$10.50 |
$10.50 |
$68.40
|
|
Bacterial vaginosis pcr
|
$325.00 |
$325.00 |
$325.00 |
$298.04
|
|
Bartonella dna pcr-sendout
|
$162.75 |
$162.75 |
$162.75 |
$196.20
|
|
#_benzodiazconfur
|
$129.75 |
$129.75 |
$129.75 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$176.25 |
$176.25 |
$176.25 |
$121.88
|
|
Beta-2 microglobulin
|
$144.25 |
$144.25 |
$144.25 |
$84.66
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$4,120.00 |
$4,120.00 |
$4,120.00 |
$4,905.00
|
|
Bivalirudin
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$1,246.70
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$271.50 |
$271.50 |
$271.50 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$20.25 |
$20.25 |
$20.25 |
$33.57
|
|
Bone/joint imaging ltd area
|
$4,327.75 |
$4,327.75 |
$4,327.75 |
$1,151.16
|
|
Bone marrow interpretation
|
$3,079.25 |
$3,079.25 |
$3,079.25 |
$439.78
|
|
Braf gene
|
$812.25 |
$812.25 |
$812.25 |
$421.20
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$8,844.50 |
$8,844.50 |
$8,844.50 |
$2,622.87
|
|
Bundled special stain group 1 microorganisms
|
$198.00 |
$198.00 |
$198.00 |
$164.89
|
|
Butorphanol tartrate 1 mg
|
$262.00 |
$262.00 |
$262.00 |
$39.89
|
|
C1 esterase inhibitor func - sendout
|
$27.50 |
$27.50 |
$27.50 |
$106.60
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$2,910.00 |
$2,910.00 |
$2,910.00 |
$2,910.00
|
|
Calcium 24 hour urine
|
$67.75 |
$67.75 |
$67.75 |
$52.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$36.00 |
$36.00 |
$36.00 |
$59.40
|
|
Calculi urinary-sendout
|
$15.50 |
$15.50 |
$15.50 |
$68.05
|
|
Calprotectin fecal
|
$91.00 |
$91.00 |
$91.00 |
$170.00
|
|
Candida dna
|
$93.00 |
$93.00 |
$93.00 |
$66.05
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$752.00 |
$752.00 |
$752.00 |
$432.25
|
|
Carcinoembryonic ag (cea)
|
$167.75 |
$167.75 |
$167.75 |
$146.90
|
|
Cardiac drug stress test
|
$4,930.25 |
$4,930.25 |
$4,930.25 |
$543.20
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,513.00 |
$7,513.00 |
$7,513.00 |
$2,792.00
|
|
Cardioversion elective electrical conversion arrhythmia external
|
$2,458.00 |
$2,458.00 |
$2,458.00 |
$1,504.08
|
|
Carotene
|
$16.50 |
$16.50 |
$16.50 |
$46.80
|
|
Cefotaxime sodium injection
|
$665.00 |
$665.00 |
$665.00 |
$40.63
|
|
Ceftazidime and avibactam
|
$900.00 |
$900.00 |
$900.00 |
$935.40
|
|
#celiac hla-dq2
|
$439.00 |
$439.00 |
$439.00 |
$226.28
|
