|
17-hydroxypregnenolone
|
$678.00 |
$678.00 |
$678.00 |
$85.15
|
|
17-ketosteroids
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$44.00
|
|
5' nucleotidase - sendout
|
$241.00 |
$241.00 |
$241.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$507.00 |
$507.00 |
$507.00 |
$97.65
|
|
Abciximab injection
|
$7,468.00 |
$7,468.00 |
$7,468.00 |
$3,012.98
|
|
Abdominal CT scan (with and without contrast)
|
$11,809.00 |
$11,809.00 |
$11,809.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$8,990.00 |
$8,990.00 |
$8,990.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$8,152.00 |
$8,152.00 |
$8,152.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$22,658.00 |
$22,658.00 |
$22,658.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$15,356.00 |
$15,356.00 |
$15,356.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$12,878.00 |
$12,878.00 |
$12,878.00 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$14,885.00 |
$14,885.00 |
$14,885.00 |
$759.57
|
|
Abl1 gene
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
$609.93
|
|
Ablate arrhythmia add on
|
$31,364.00 |
$31,364.00 |
$31,364.00 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$40,747.00 |
$40,747.00 |
$40,747.00 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$437.00 |
$437.00 |
$437.00 |
$125.63
|
|
Acetaminophen level
|
$241.00 |
$241.00 |
$241.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$133.60
|
|
Acetone qualitative
|
$974.00 |
$974.00 |
$974.00 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$325.00 |
$325.00 |
$325.00 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,556.00 |
$2,556.00 |
$2,556.00 |
$323.77
|
|
Acute hepatitis panel
|
$947.00 |
$947.00 |
$947.00 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$509.00 |
$509.00 |
$509.00 |
$50.70
|
|
#acylcarnitineprfl
|
$286.00 |
$286.00 |
$286.00 |
$105.60
|
|
Acylcarnitines qual
|
$359.00 |
$359.00 |
$359.00 |
$35.75
|
|
Adenovirus ag ia
|
$239.00 |
$239.00 |
$239.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$172.00 |
$172.00 |
$172.00 |
$63.00
|
|
Adh-sendout
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$972.00 |
$972.00 |
$972.00 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$972.00 |
$972.00 |
$972.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$333.00 |
$333.00 |
$333.00 |
$440.00
|
|
Administration immunization each additional vaccine
|
$76.00 |
$76.00 |
$76.00 |
$46.23
|
|
Adrenal cortex & medulla img
|
$4,428.00 |
$4,428.00 |
$4,428.00 |
$1,780.19
|
|
#afb mycobacteria suscep. #1
|
$305.00 |
$305.00 |
$305.00 |
$38.58
|
|
Air conduction bilat
|
$75.00 |
$75.00 |
$75.00 |
$106.50
|
|
Airway resistance by impulse oscillometry 94728
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$800.00 |
$800.00 |
$800.00 |
$48.00
|
|
Albumin, human 5 % intravenous solution
|
$69.00 |
$69.00 |
$69.00 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$869.00 |
$869.00 |
$869.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$43.50
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$186.00 |
$186.00 |
$186.00 |
$93.60
|
|
Alkaline phosphatase
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$150.00 |
$150.00 |
$150.00 |
$56.35
|
|
Allergen egg white ige
|
$403.00 |
$403.00 |
$403.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$26.95
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$41,790.00 |
$41,790.00 |
$41,790.00 |
$905.18
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$9,380.00 |
$9,380.00 |
$9,380.00 |
$3,025.07
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$591.00 |
$591.00 |
$591.00 |
$189.00
|
|
Alpha-fetoprotein amniotic
|
$188.00 |
$188.00 |
$188.00 |
$79.30
|
|
Alprostadil for injection
|
$11,832.00 |
$11,832.00 |
$11,832.00 |
$533.06
|
|
Alt/sgpt
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$49.00
|
|
Aluminum - quest
|
$477.00 |
$477.00 |
$477.00 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$437.50
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$402.00 |
$402.00 |
$402.00 |
$36.30
|
|
Amino acid screen, urine
|
$184.00 |
$184.00 |
$184.00 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$287.53 |
$287.53 |
$287.53 |
$42.84
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$205.02 |
$205.02 |
$205.02 |
$202.10
|
|
Amitriptyline (elavil) -sendout
|
$219.00 |
$219.00 |
$219.00 |
$101.17
|
|
Ammonia
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$120.90
|
|
Amniotic fluid scan
|
$73.00 |
$73.00 |
$73.00 |
$33.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$893.00 |
$893.00 |
$893.00 |
$130.08
|
|
Ana ds-dna
|
$420.00 |
$420.00 |
$420.00 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$81.00 |
$81.00 |
$81.00 |
$110.98
|
|
Anal pressure record
|
$2,052.00 |
$2,052.00 |
$2,052.00 |
$955.86
|
|
Anal/urinary muscle study
|
$879.00 |
$879.00 |
$879.00 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$635.00 |
$635.00 |
$635.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$245.00 |
$245.00 |
$245.00 |
$226.60
|
|
Analysis tumor
|
$468.00 |
$468.00 |
$468.00 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$411.45
|
|
Androstanediol
|
$315.00 |
$315.00 |
$315.00 |
$98.58
|
|
Anora (draw only)
|
$106.00 |
$106.00 |
$106.00 |
$36.00
|
|
Antibody
|
$210.00 |
$210.00 |
$210.00 |
$27.41
|
|
Antibody elution rbc reference
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$325.00 |
$325.00 |
$325.00 |
$141.74
|
|
Antibody htlv-i
|
$230.00 |
$230.00 |
$230.00 |
$48.75
|
|
Antibody htlv-ii
|
$230.00 |
$230.00 |
$230.00 |
$35.22
|
|
Antibody tetanus
|
$359.00 |
$359.00 |
$359.00 |
$61.98
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$1.45 |
$1.45 |
$1.45 |
$2.75
|
|
Antinuclear antibodies titer
|
$155.00 |
$155.00 |
$155.00 |
$80.25
|
|
Antistreptolysin o screen
|
$1,234.00 |
$1,234.00 |
$1,234.00 |
$59.40
|
|
Antistreptolysin o titer
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$57.96
|
|
Antithrombin iii activity
|
$130.00 |
$130.00 |
$130.00 |
$115.23
|
|
Antithrombin iii injection
|
$19.00 |
$19.00 |
$19.00 |
$9.32
|
|
Apheresis plasma
|
$4,242.00 |
$4,242.00 |
$4,242.00 |
$3,411.50
|
|
#aptt mix-1:1 incubated
|
$586.00 |
$586.00 |
$586.00 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$305.00 |
$305.00 |
$305.00 |
$139.59
|
|
Argatroban nonesrd (accord)
|
$38.00 |
$38.00 |
$38.00 |
$4.20
|
|
Argatroban nonesrd (auromed)
|
$38.00 |
$38.00 |
$38.00 |
$1.49
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$6,350.00 |
$6,350.00 |
$6,350.00 |
$1,303.25
|
|
Artery xray each vessel 7577426
|
$6,780.00 |
$6,780.00 |
$6,780.00 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$9,948.00 |
$9,948.00 |
$9,948.00 |
$4,337.45
|
|
Artery x-rays adrenals
|
$22,120.00 |
$22,120.00 |
$22,120.00 |
$3,706.68
|
|
Artery x-rays chest
|
$6,277.00 |
$6,277.00 |
$6,277.00 |
$2,587.20
|
|
Artery x-rays lung
|
$6,277.00 |
$6,277.00 |
$6,277.00 |
$2,332.57
|
|
Artery x-rays lungs
|
$11,235.00 |
$11,235.00 |
$11,235.00 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$11,982.00 |
$11,982.00 |
$11,982.00 |
$4,086.49
|
|
Artery x-rays spine
|
$17,691.00 |
$17,691.00 |
$17,691.00 |
$4,306.40
|
|
Assay acid phosphatase
|
$99.00 |
$99.00 |
$99.00 |
$38.22
|
|
Assay free hydroxyproline
|
$508.00 |
$508.00 |
$508.00 |
$46.15
|
