|
11-desoxycortisol - sendout
|
$54.14 |
$54.14 |
$54.14 |
$87.50
|
|
17-hydroxypregnenolone
|
$76.54 |
$76.54 |
$76.54 |
$85.15
|
|
17-ketosteroids
|
$19.22 |
$19.22 |
$19.22 |
$44.00
|
|
3-d radiotherapy plan
|
$8,943.89 |
$8,943.89 |
$8,943.89 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$6,156.20 |
$6,156.20 |
$6,156.20 |
$427.34
|
|
Abciximab injection
|
$5,959.44 |
$5,959.44 |
$5,959.44 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$12,688.80 |
$12,688.80 |
$12,688.80 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$18,726.68 |
$18,726.68 |
$18,726.68 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$16,183.48 |
$16,183.48 |
$16,183.48 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$15,745.78 |
$15,745.78 |
$15,745.78 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$10,877.61 |
$10,877.61 |
$10,877.61 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$10,844.97 |
$10,844.97 |
$10,844.97 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$9,206.74 |
$9,206.74 |
$9,206.74 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$5,594.29 |
$5,594.29 |
$5,594.29 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,858.03 |
$1,858.03 |
$1,858.03 |
$603.33
|
|
Ablate arrhythmia add on
|
$33,197.82 |
$33,197.82 |
$33,197.82 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$12,748.82 |
$12,748.82 |
$12,748.82 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$251.64 |
$251.64 |
$251.64 |
$125.63
|
|
Acetaminophen level
|
$124.76 |
$124.76 |
$124.76 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$265.68 |
$265.68 |
$265.68 |
$133.60
|
|
Acetone qualitative
|
$136.53 |
$136.53 |
$136.53 |
$47.45
|
|
Acetylcholinesterase assay
|
$43.86 |
$43.86 |
$43.86 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,573.56 |
$1,573.56 |
$1,573.56 |
$323.77
|
|
Acute hepatitis panel
|
$18.83 |
$18.83 |
$18.83 |
$284.70
|
|
Acute venous thrombus image
|
$3,500.88 |
$3,500.88 |
$3,500.88 |
$873.75
|
|
#acylcarnitineprfl
|
$158.90 |
$158.90 |
$158.90 |
$105.60
|
|
Adenovirus antibody,serum - quest
|
$81.21 |
$81.21 |
$81.21 |
$63.00
|
|
Adh-sendout
|
$48.73 |
$48.73 |
$48.73 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$246.76 |
$246.76 |
$246.76 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$465.98 |
$465.98 |
$465.98 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,429.88 |
$1,429.88 |
$1,429.88 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$909.92 |
$909.92 |
$909.92 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$456.06 |
$456.06 |
$456.06 |
$264.00
|
|
#afb mycobacteria suscep. #1
|
$76.51 |
$76.51 |
$76.51 |
$38.58
|
|
Air conduction bilat
|
$74.91 |
$74.91 |
$74.91 |
$106.50
|
|
Airway resistance by impulse oscillometry 94728
|
$1,223.88 |
$1,223.88 |
$1,223.88 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$3.06 |
$3.06 |
$3.06 |
$48.00
|
|
Albumin serum plasma or whole blood
|
$104.75 |
$104.75 |
$104.75 |
$43.50
|
|
Aldesleukin injection
|
$10,795.68 |
$10,795.68 |
$10,795.68 |
$6,446.09
|
|
Alkaline phosphatase
|
$334.27 |
$334.27 |
$334.27 |
$46.20
|
|
Allograft amnioexcel plus 17mm disk
|
$983.16 |
$983.16 |
$983.16 |
$2,959.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$102.42 |
$102.42 |
$102.42 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$490.52 |
$490.52 |
$490.52 |
$905.18
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$202.44 |
$202.44 |
$202.44 |
$189.00
|
|
Aluminum - quest
|
$22.64 |
$22.64 |
$22.64 |
$87.00
|
|
Amino acid screen, urine
|
$22.77 |
$22.77 |
$22.77 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$25.99 |
$25.99 |
$25.99 |
$42.84
|
|
Aminolevulinic acid delta
|
$37.90 |
$37.90 |
$37.90 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$42.12 |
$42.12 |
$42.12 |
$41.59
|
|
Amitriptyline (elavil) -sendout
|
$21.45 |
$21.45 |
$21.45 |
$101.17
|
|
Ammonia
|
$387.23 |
$387.23 |
$387.23 |
$120.90
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$213.84 |
$213.84 |
$213.84 |
$130.08
|
|
Amphotericin b lipid complex
|
$1,293.84 |
$1,293.84 |
$1,293.84 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,487.16 |
$1,487.16 |
$1,487.16 |
$331.80
|
|
Ana ds-dna
|
$20.57 |
$20.57 |
$20.57 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$124.76 |
$124.76 |
$124.76 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$32.38 |
$32.38 |
$32.38 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$40.35 |
$40.35 |
$40.35 |
$226.60
|
|
Analysis nerve
|
$87.64 |
$87.64 |
$87.64 |
$223.19
|
|
Analysis tumor
|
$20.28 |
$20.28 |
$20.28 |
$240.00
|
|
Anca screen with reflex to titer -quest
|
$88.28 |
$88.28 |
$88.28 |
$109.20
|
|
Angiotensin ii
|
$109.46 |
$109.46 |
$109.46 |
$55.00
|
|
Anidulafungin injection
|
$711.72 |
$711.72 |
$711.72 |
$209.79
|
|
Antibody bacterium, not elsewhere specified
|
$24.74 |
$24.74 |
$24.74 |
$57.89
|
|
Antibody htlv-i
|
$30.60 |
$30.60 |
$30.60 |
$48.75
|
|
Antibody lymphocytic choriomeningitis
|
$78.49 |
$78.49 |
$78.49 |
$53.96
|
|
Antibody tetanus
|
$10.59 |
$10.59 |
$10.59 |
$61.98
|
|
Antistreptolysin o screen
|
$131.82 |
$131.82 |
$131.82 |
$59.40
|
|
Antistreptolysin o titer
|
$5.30 |
$5.30 |
$5.30 |
$57.96
|
|
Antithrombin iii injection
|
$9.72 |
$9.72 |
$9.72 |
$9.32
|
|
Apheresis plasma
|
$4,598.17 |
$4,598.17 |
$4,598.17 |
$3,411.50
|
|
Apheresis platelets
|
$4,598.17 |
$4,598.17 |
$4,598.17 |
$2,345.00
|
|
Apheresis rbc
|
$4,598.17 |
$4,598.17 |
$4,598.17 |
$3,348.50
|
|
Apheresis wbc
|
$4,598.17 |
$4,598.17 |
$4,598.17 |
$3,342.71
|
|
#aptt mix-1:1 incubated
|
$235.40 |
$235.40 |
$235.40 |
$157.30
|
|
Artery xray each vessel 7577426
|
$6,139.38 |
$6,139.38 |
$6,139.38 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$4,689.96 |
$4,689.96 |
$4,689.96 |
$4,337.45
|
|
Artery x-rays arms/legs 75716-26
|
$4,935.78 |
$4,935.78 |
$4,935.78 |
$3,844.10
|
|
Artery x-rays lung
|
$10,561.08 |
$10,561.08 |
$10,561.08 |
$2,332.57
|
|
Artery x-rays lungs
|
$4,937.82 |
$4,937.82 |
$4,937.82 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$5,359.08 |
$5,359.08 |
$5,359.08 |
$4,086.49
|
|
Assay alkaline phosphatase
|
$6.60 |
$6.60 |
$6.60 |
$33.57
|
|
Assay myeloperoxidase
|
$18.95 |
$18.95 |
$18.95 |
$84.19
|
|
Assay of adp & amp
|
$21.88 |
$21.88 |
$21.88 |
$127.40
|
|
Assay of blood lipoprotein
|
$88.86 |
$88.86 |
$88.86 |
$27.20
|
|
Assay of breath ethanol
|
$114.17 |
$114.17 |
$114.17 |
$45.76
|
|
Assay of feces porphyrins
|
$9.70 |
$9.70 |
$9.70 |
$168.62
|
|
Assay of glutathione
|
$45.90 |
$45.90 |
$45.90 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$58.85 |
$58.85 |
$58.85 |
$77.35
|
|
Assay of lrh hormone
|
$276.60 |
$276.60 |
$276.60 |
$210.60
|
|
Assay of thiocyanate
|
$67.09 |
$67.09 |
$67.09 |
$57.00
|
|
Assay phosphatidylglycerol
|
$47.08 |
$47.08 |
$47.08 |
$87.20
|
|
Assay toxin or antitoxin
|
$22.07 |
$22.07 |
$22.07 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$787.64 |
$787.64 |
$787.64 |
$312.00
|
|
Ast/sgot
|
$145.95 |
$145.95 |
$145.95 |
$45.65
|
|
Autologous blood process
|
$448.35 |
$448.35 |
$448.35 |
$234.27
|
|
Azacitidine injection
|
$2,304.72 |
$2,304.72 |
$2,304.72 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$12.96 |
$12.96 |
$12.96 |
$6.76
|
|
Azathioprine parenteral
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$226.80 |
$226.80 |
$226.80 |
$52.69
|
