|
11-desoxycortisol - sendout
|
$45.56 |
$45.56 |
$45.56 |
$87.50
|
|
17-hydroxypregnenolone
|
$42.60 |
$42.60 |
$42.60 |
$85.15
|
|
17-ketosteroids
|
$8.68 |
$8.68 |
$17.65 |
$44.00
|
|
3d ech img cgen car anomal
|
$1,697.20 |
$1,697.20 |
$1,697.20 |
$669.00
|
|
3d recon without postprocess indpndt
|
$131.60 |
$131.60 |
$131.60 |
$427.34
|
|
5' nucleotidase - sendout
|
$4.72 |
$4.72 |
$5.50 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$37.00 |
$37.00 |
$37.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$5.21 |
$5.21 |
$37.50 |
$52.25
|
|
Abciximab injection
|
$5,942.00 |
$5,942.00 |
$5,942.00 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$4,804.00 |
$4,804.00 |
$15,949.85 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$2,627.20 |
$2,627.20 |
$2,627.20 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$2,518.40 |
$2,518.40 |
$2,518.40 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,774.80 |
$1,774.80 |
$1,774.80 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$972.00 |
$972.00 |
$9,226.05 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$8,877.15 |
$8,877.15 |
$8,877.15 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$972.00 |
$972.00 |
$7,352.00 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$1,721.20 |
$1,721.20 |
$1,721.20 |
$603.33
|
|
Abl1 gene
|
$166.80 |
$166.80 |
$166.80 |
$609.93
|
|
Ablate arrhythmia add on
|
$3,897.40 |
$3,897.40 |
$3,897.40 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$28,680.20 |
$28,680.20 |
$28,680.20 |
$10,008.58
|
|
Acetazolamide 500 mg solution for injection
|
$12.96 |
$12.96 |
$309.00 |
$133.60
|
|
Acetone qualitative
|
$71.76 |
$71.76 |
$71.76 |
$47.45
|
|
Acetylcholinesterase assay
|
$40.80 |
$40.80 |
$45.80 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$0.68 |
$0.68 |
$0.68 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$21.28 |
$21.28 |
$21.28 |
$29.01
|
|
Acute hepatitis panel
|
$365.71 |
$365.71 |
$365.71 |
$284.70
|
|
Acute venous thrombus image
|
$14,509.95 |
$14,509.95 |
$14,509.95 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.04 |
$0.04 |
$0.04 |
$50.70
|
|
#acylcarnitineprfl
|
$28.14 |
$28.14 |
$28.14 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.42 |
$2.42 |
$2.42 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$31.60 |
$31.60 |
$31.60 |
$63.00
|
|
Adh-sendout
|
$26.45 |
$26.45 |
$26.45 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$3.27 |
$3.27 |
$3.27 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$1,252.70 |
$1,252.70 |
$1,252.70 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$425.10 |
$425.10 |
$425.10 |
$672.03
|
|
Adrenal cortex & medulla img
|
$11,098.95 |
$11,098.95 |
$11,098.95 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$34.17 |
$34.17 |
$34.17 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$7.70 |
$7.70 |
$7.70 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$121.15 |
$121.15 |
$121.15 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$4.80 |
$4.80 |
$4.80 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$44.90 |
$44.90 |
$44.90 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$291.00 |
$291.00 |
$291.00 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$134.62 |
$134.62 |
$549.00 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$72.36 |
$72.36 |
$462.00 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$31.32 |
$31.32 |
$31.32 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$45.56 |
$45.56 |
$45.56 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$4.45 |
$4.45 |
$4.45 |
$22.45
|
|
Alkaline phosphatase
|
$96.82 |
$96.82 |
$96.82 |
$46.20
|
|
Allergen egg white ige
|
$18.00 |
$18.00 |
$18.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$10.91 |
$10.91 |
$10.91 |
$26.95
|
|
Allograft amnioexcel plus 17mm disk
|
$8,667.87 |
$8,667.87 |
$8,667.87 |
$2,959.72
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$26,841.00 |
$26,841.00 |
$26,841.00 |
$18,384.03
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$4,668.54 |
$4,668.54 |
$4,668.54 |
$905.18
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$302.00 |
$302.00 |
$2,513.00 |
$2,513.00
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$5,538.22 |
$5,538.22 |
$5,538.22 |
$4,101.14
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$845.60 |
$845.60 |
$845.60 |
$3,025.07
|
|
Alloskin
|
$4,094.96 |
$4,094.96 |
$4,094.96 |
$759.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$5.88 |
$5.88 |
$5.88 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$28.61 |
$28.61 |
$82.70 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$194.16 |
$194.16 |
$194.16 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$340.88 |
$340.88 |
$340.88 |
$2,600.22
|
|
Alt/sgpt
|
$91.12 |
$91.12 |
$91.12 |
$49.00
|
|
Aluminum - quest
|
$20.95 |
$20.95 |
$20.95 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$107.36 |
$107.36 |
$107.36 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$10.54 |
$10.54 |
$10.54 |
$36.30
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$1.96 |
$1.96 |
$1.96 |
$42.84
|
|
Aminolevulinic acid delta
|
$16.93 |
$16.93 |
$16.93 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$17.51 |
$17.51 |
$17.51 |
$41.59
|
|
Amiodarone 50 mg/ml intravenous solution
|
$21.92 |
$21.92 |
$21.92 |
$47.44
|
|
Amitriptyline (elavil) -sendout
|
$102.40 |
$102.40 |
$102.40 |
$101.17
|
|
Ammonia
|
$51.82 |
$51.82 |
$51.82 |
$120.90
|
|
Amniotic fluid scan
|
$9.67 |
$9.67 |
$9.67 |
$33.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$63.16 |
$63.16 |
$63.16 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$75.21 |
$75.21 |
$75.21 |
$331.80
|
|
Ampicillin 1 gram solution for injection
|
$3.84 |
$3.84 |
$3.84 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$3.44 |
$3.44 |
$3.44 |
$51.93
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$166.40 |
$166.40 |
$166.40 |
$312.00
|
|
Amylase
|
$81.44 |
$81.44 |
$81.44 |
$93.00
|
|
Ana ds-dna
|
$6.44 |
$6.44 |
$15.45 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$42.40 |
$42.40 |
$1,659.70 |
$110.98
|
|
Anal pressure record
|
$2,679.25 |
$2,679.25 |
$2,679.25 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$38.60 |
$38.60 |
$158.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$28.65 |
$28.65 |
$158.00 |
$226.60
|
|
Anca screen with reflex to titer -quest
|
$21.49 |
$21.49 |
$302.65 |
$109.20
|
|
Androstanediol
|
$115.10 |
$115.10 |
$115.10 |
$98.58
|
|
An fluoro guide for cvp
|
$506.40 |
$506.40 |
$506.40 |
$484.45
|
|
Anidulafungin injection
|
$3.08 |
$3.08 |
$3.08 |
$209.79
|
|
Ankle X-ray
|
$967.20 |
$967.20 |
$967.20 |
$339.44
|
|
Anora (draw only)
|
$16.20 |
$16.20 |
$16.20 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$93.36 |
$93.36 |
$93.36 |
$57.89
|
|
Antibody elution rbc reference
|
$96.96 |
$96.96 |
$3,038.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$41.01 |
$41.01 |
$41.01 |
$141.74
|
|
Antibody htlv-i
|
$22.42 |
$22.42 |
$22.42 |
$48.75
|
|
Antibody htlv-ii
|
$50.40 |
$50.40 |
$50.40 |
$35.22
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$171.72 |
$171.72 |
$171.72 |
$220.73
|
|
Antibody id rbc panel
|
$105.20 |
$105.20 |
$1,518.00 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$5.60 |
$5.60 |
$5.60 |
$53.96
|
|
Antibody screen rbc
|
$98.99 |
$98.99 |
$1,103.00 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.80 |
$1.80 |
$1.80 |
$3.12
|
