|
17-ketosteroids
|
$19.80 |
$19.80 |
$19.80 |
$44.00
|
|
3-d radiotherapy plan
|
$6,042.65 |
$6,042.65 |
$6,042.65 |
$4,886.50
|
|
88334 ap bill cytologic exam each additional site
|
$287.10 |
$287.10 |
$287.10 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$5,234.00 |
$5,234.00 |
$5,234.00 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$25.70 |
$25.70 |
$25.70 |
$52.25
|
|
Abdominal MRI (with and without contrast)
|
$20,154.35 |
$20,154.35 |
$20,154.35 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$14,562.70 |
$14,562.70 |
$14,562.70 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$13,999.75 |
$13,999.75 |
$13,999.75 |
$1,972.66
|
|
Ablate arrhythmia add on
|
$5,735.10 |
$5,735.10 |
$5,735.10 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$25,103.40 |
$25,103.40 |
$25,103.40 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$140.00 |
$140.00 |
$140.00 |
$125.63
|
|
Acetaminophen level
|
$2,094.60 |
$2,094.60 |
$2,094.60 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$502.00 |
$502.00 |
$502.00 |
$133.60
|
|
Acetone qualitative
|
$668.00 |
$668.00 |
$668.00 |
$47.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$49.65 |
$49.65 |
$49.65 |
$42.28
|
|
Adenovirus antibody,serum - quest
|
$11.85 |
$11.85 |
$11.85 |
$63.00
|
|
Adh-sendout
|
$17.75 |
$17.75 |
$17.75 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$896.90 |
$896.90 |
$896.90 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$592.75 |
$592.75 |
$592.75 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,195.40 |
$1,195.40 |
$1,195.40 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$637.65 |
$637.65 |
$637.65 |
$440.00
|
|
Administration vaccine hepatitis b
|
$202.10 |
$202.10 |
$202.10 |
$51.35
|
|
Administration vaccine pneumococcal
|
$110.05 |
$110.05 |
$110.05 |
$51.11
|
|
_afb id by dna probe rflx ast
|
$81.65 |
$81.65 |
$81.65 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$23.70 |
$23.70 |
$23.70 |
$38.58
|
|
Albumin, human 5 % intravenous solution
|
$664.00 |
$664.00 |
$664.00 |
$248.88
|
|
Albuterol ipratrop non-comp
|
$23.00 |
$23.00 |
$23.00 |
$22.45
|
|
Albuterol non-comp con
|
$11.00 |
$11.00 |
$11.00 |
$15.00
|
|
Alkaline phosphatase
|
$1,264.95 |
$1,264.95 |
$1,264.95 |
$46.20
|
|
Aluminum - quest
|
$38.10 |
$38.10 |
$38.10 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$605.00 |
$605.00 |
$605.00 |
$437.50
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$480.00 |
$480.00 |
$480.00 |
$36.30
|
|
Amino acid screen, urine
|
$123.50 |
$123.50 |
$123.50 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$45.95 |
$45.95 |
$45.95 |
$42.84
|
|
Aminolevulinic acid delta
|
$31.85 |
$31.85 |
$31.85 |
$87.12
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$220.00 |
$220.00 |
$220.00 |
$202.10
|
|
Amitriptyline (elavil) -sendout
|
$246.25 |
$246.25 |
$246.25 |
$101.17
|
|
Ammonia
|
$992.70 |
$992.70 |
$992.70 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$23.10 |
$23.10 |
$23.10 |
$94.50
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$331.80
|
|
Ana ds-dna
|
$17.30 |
$17.30 |
$17.30 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$53.35 |
$53.35 |
$53.35 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$38.85 |
$38.85 |
$38.85 |
$226.60
|
|
Analysis tumor
|
$352.40 |
$352.40 |
$352.40 |
$240.00
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$606.25 |
$606.25 |
$606.25 |
$411.45
|
|
Antibody elution rbc reference
|
$96.45 |
$96.45 |
$96.45 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$39.25 |
$39.25 |
$39.25 |
$141.74
|
|
Antibody id rbc panel
|
$1,250.50 |
$1,250.50 |
$1,250.50 |
$291.75
|
|
Antibody screen rbc
|
$323.10 |
$323.10 |
$323.10 |
$105.00
|
|
Anti mog serum - sendout
|
$39.05 |
$39.05 |
$39.05 |
$140.62
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$39.05 |
$39.05 |
$39.05 |
$45.82
|
|
Antinuclear antibodies titer
|
$9.00 |
$9.00 |
$9.00 |
$80.25
|
|
Antistreptolysin o titer
|
$798.50 |
$798.50 |
$798.50 |
$57.96
|
|
Antithrombin iii activity
|
$26.35 |
$26.35 |
$26.35 |
$115.23
|
|
Apheresis plasma
|
$8,815.75 |
$8,815.75 |
$8,815.75 |
$3,411.50
|
|
Apheresis platelets
|
$8,815.75 |
$8,815.75 |
$8,815.75 |
$2,345.00
|
|
Apheresis rbc
|
$8,815.75 |
$8,815.75 |
$8,815.75 |
$3,348.50
|
|
Apheresis wbc
|
$8,815.75 |
$8,815.75 |
$8,815.75 |
$3,342.71
|
|
Application finger splntstatic 29130
|
$880.00 |
$880.00 |
$880.00 |
$216.80
|
|
Appl modality 1/> areas paraffin bath 97018
|
$223.30 |
$223.30 |
$223.30 |
$69.55
|
|
Apply forearm splintdynamic 29126
|
$1,294.05 |
$1,294.05 |
$1,294.05 |
$263.10
|
|
Apply of finger splint 29131
|
$1,114.75 |
$1,114.75 |
$1,114.75 |
$177.45
|
|
Arterial blood draw/perc 36620
|
$202.40 |
$202.40 |
$202.40 |
$505.60
|
|
Artery x-rays adrenals
|
$31,808.20 |
$31,808.20 |
$31,808.20 |
$3,706.68
|
|
Artery x-rays lungs
|
$29,834.10 |
$29,834.10 |
$29,834.10 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$27,870.90 |
$27,870.90 |
$27,870.90 |
$4,086.49
|
|
Assay acid phosphatase
|
$15.95 |
$15.95 |
$15.95 |
$38.22
|
|
Assay of osteocalcin
|
$96.70 |
$96.70 |
$96.70 |
$97.21
|
|
Assay of procainamide w/metab
|
$172.25 |
$172.25 |
$172.25 |
$61.20
|
|
Assay of salicylate
|
$2,094.60 |
$2,094.60 |
$2,094.60 |
$105.95
|
|
Assay of somatostatin
|
$59.25 |
$59.25 |
$59.25 |
$165.75
|
|
Assay phosphatidylglycerol
|
$10.50 |
$10.50 |
$10.50 |
$87.20
|
|
Assay toxin or antitoxin
|
$145.25 |
$145.25 |
$145.25 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,477.30 |
$1,477.30 |
$1,477.30 |
$312.00
|
|
Ast/sgot
|
$1,480.90 |
$1,480.90 |
$1,480.90 |
$45.65
|
|
Azacitidine injection
|
$2,900.00 |
$2,900.00 |
$2,900.00 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$46.00 |
$46.00 |
$46.00 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$471.00 |
$471.00 |
$471.00 |
$52.69
|
|
Baclofen eval charges
|
$2,611.45 |
$2,611.45 |
$2,611.45 |
$86.14
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$17.00 |
$17.00 |
$17.00 |
$3.00
|
|
B cells total count
|
$386.35 |
$386.35 |
$386.35 |
$125.28
|
|
Belimumab 120 mg intravenous solution
|
$8,434.00 |
$8,434.00 |
$8,434.00 |
$4,691.99
|
|
Benztropine 1 mg/ml injection solution
|
$370.00 |
$370.00 |
$370.00 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$220.00 |
$220.00 |
$220.00 |
$75.12
|
|
Bilirubin direct
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$49.29
|
|
Biotinidase - quest
|
$25.25 |
$25.25 |
$25.25 |
$72.80
|
|
Bivalirudin
|
$4,503.00 |
$4,503.00 |
$4,503.00 |
$1,246.70
|
|
Bld prd mix
|
$39.90 |
$39.90 |
$39.90 |
$139.21
|
|
Blink reflex test
|
$366.60 |
$366.60 |
$366.60 |
$225.60
|
|
Blood Culture Test
|
$3,172.50 |
$3,172.50 |
$3,172.50 |
$144.65
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$323.10 |
$323.10 |
$323.10 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$12.30 |
$12.30 |
$12.30 |
$37.44
|
|
Blood typing abo
|
$611.75 |
$611.75 |
$611.75 |
$83.82
|
|
Blood typing ag donor ea ag
|
$20.55 |
$20.55 |
$20.55 |
$166.80
|
|
Blood typing rh (d)
|
$775.40 |
$775.40 |
$775.40 |
$56.24
|
|
Blood typing rh phenotype complete reference
|
$39.25 |
$39.25 |
$39.25 |
$77.25
|
|
Bone/joint imaging ltd area
|
$18,358.50 |
$18,358.50 |
$18,358.50 |
$1,151.16
|
|
Bone marrow imaging ltd
|
$2,498.90 |
$2,498.90 |
$2,498.90 |
$723.00
|
|
Bone marrow interpretation
|
$259.75 |
$259.75 |
$259.75 |
$439.78
|
|
Bone survey-lead poisoning
|
$4,070.00 |
$4,070.00 |
$4,070.00 |
$346.28
|
