|
11-desoxycortisol - sendout
|
$29.75 |
$29.75 |
$29.75 |
$87.50
|
|
17-ketosteroids
|
$16.33 |
$16.33 |
$16.33 |
$44.00
|
|
5' nucleotidase - sendout
|
$4.89 |
$4.89 |
$4.89 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$937.75 |
$937.75 |
$937.75 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,124.60 |
$3,124.60 |
$3,124.60 |
$3,634.61
|
|
Abciximab injection
|
$1,168.28 |
$1,168.28 |
$1,168.28 |
$3,012.98
|
|
Abdominal MRI (with and without contrast)
|
$19,013.16 |
$19,013.16 |
$19,013.16 |
$2,916.21
|
|
Abdominal MRI (without contrast)
|
$17,373.43 |
$17,373.43 |
$17,373.43 |
$1,972.66
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$44.01 |
$44.01 |
$44.01 |
$125.63
|
|
Acetaminophen level
|
$2,451.46 |
$2,451.46 |
$2,451.46 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$488.90 |
$488.90 |
$488.90 |
$133.60
|
|
Acetone qualitative
|
$724.79 |
$724.79 |
$724.79 |
$47.45
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$976.43 |
$976.43 |
$976.43 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$36.30 |
$36.30 |
$36.30 |
$42.28
|
|
Acute hepatitis panel
|
$156.09 |
$156.09 |
$156.09 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$38.50 |
$38.50 |
$38.50 |
$50.70
|
|
#acylcarnitineprfl
|
$67.75 |
$67.75 |
$67.75 |
$105.60
|
|
Adh-sendout
|
$24.44 |
$24.44 |
$24.44 |
$109.28
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$480.37 |
$480.37 |
$480.37 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$480.37 |
$480.37 |
$480.37 |
$264.00
|
|
Administration immunization each additional vaccine
|
$731.90 |
$731.90 |
$731.90 |
$46.23
|
|
_afb id by dna probe rflx ast
|
$244.42 |
$244.42 |
$244.42 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$81.45 |
$81.45 |
$81.45 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$203.63 |
$203.63 |
$203.63 |
$289.60
|
|
Albumin (human), 5%, 250 ml
|
$688.32 |
$688.32 |
$688.32 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$37.51 |
$37.51 |
$37.51 |
$57.60
|
|
Albuterol ipratrop non-comp
|
$3.31 |
$3.31 |
$3.31 |
$22.45
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$2,214.30 |
$2,214.30 |
$2,214.30 |
$93.60
|
|
Allergen specific ige qual multi scrn ea
|
$56.50 |
$56.50 |
$56.50 |
$26.95
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$13,784.08 |
$13,784.08 |
$13,784.08 |
$18,384.03
|
|
Alpha-fetoprotein amniotic
|
$22.28 |
$22.28 |
$22.28 |
$79.30
|
|
Alt/sgpt
|
$1,436.27 |
$1,436.27 |
$1,436.27 |
$49.00
|
|
Aluminum - quest
|
$13.32 |
$13.32 |
$13.32 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$75.99 |
$75.99 |
$75.99 |
$36.30
|
|
Amino acid screen, urine
|
$12.00 |
$12.00 |
$12.00 |
$64.28
|
|
Amino acid single qual
|
$45.25 |
$45.25 |
$45.25 |
$19.57
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$60.02 |
$60.02 |
$60.02 |
$42.84
|
|
Aminolevulinic acid delta
|
$26.23 |
$26.23 |
$26.23 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$112.79 |
$112.79 |
$112.79 |
$41.59
|
|
Amitriptyline (elavil) -sendout
|
$8.00 |
$8.00 |
$8.00 |
$101.17
|
|
Amphetamine confirm urine -sendout
|
$14.70 |
$14.70 |
$14.70 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$351.04 |
$351.04 |
$351.04 |
$130.08
|
|
Amphotericin b lipid complex
|
$894.60 |
$894.60 |
$894.60 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$426.68 |
$426.68 |
$426.68 |
$331.80
|
|
Ana ds-dna
|
$14.24 |
$14.24 |
$14.24 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$27.51 |
$27.51 |
$27.51 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$34.28 |
$34.28 |
$34.28 |
$226.60
|
|
Anodyne therapy charges pt
|
$251.68 |
$251.68 |
$251.68 |
$41.02
|
|
Anora (draw only)
|
$35.00 |
$35.00 |
$35.00 |
$36.00
|
|
Antibody htlv/hiv confirm test
|
$263.78 |
$263.78 |
$263.78 |
$141.74
|
|
Antibody htlv-i
|
$25.00 |
$25.00 |
$25.00 |
$48.75
|
|
Antibody htlv-ii
|
$25.00 |
$25.00 |
$25.00 |
$35.22
|
|
Antibody lymphocytic choriomeningitis
|
$25.25 |
$25.25 |
$25.25 |
$53.96
|
|
Antibody tetanus
|
$25.25 |
$25.25 |
$25.25 |
$61.98
|
|
Antinuclear antibodies titer
|
$48.40 |
$48.40 |
$48.40 |
$80.25
|
|
Antistreptolysin o screen
|
$84.70 |
$84.70 |
$84.70 |
$59.40
|
|
Antithrombin iii activity
|
$81.07 |
$81.07 |
$81.07 |
$115.23
|
|
Apheresis plasma
|
$10,170.05 |
$10,170.05 |
$10,170.05 |
$3,411.50
|
|
Apl(pml-rara) quant - sendout
|
$276.00 |
$276.00 |
$276.00 |
$465.60
|
|
Aquaporin-4 antibody elisa
|
$300.00 |
$300.00 |
$300.00 |
$139.59
|
|
Aripiprazole injection
|
$169.85 |
$169.85 |
$169.85 |
$118.52
|
|
Artery xray of abdomen 75726-26
|
$10,481.02 |
$10,481.02 |
$10,481.02 |
$4,337.45
|
|
Artery x-rays adrenals
|
$30,366.16 |
$30,366.16 |
$30,366.16 |
$3,706.68
|
|
Artery x-rays chest
|
$13,935.57 |
$13,935.57 |
$13,935.57 |
$2,587.20
|
|
Artery x-rays lungs
|
$26,789.40 |
$26,789.40 |
$26,789.40 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$21,431.52 |
$21,431.52 |
$21,431.52 |
$4,086.49
|
|
Artery x-rays spine
|
$16,967.83 |
$16,967.83 |
$16,967.83 |
$4,306.40
|
|
Assay acid phosphatase
|
$12.10 |
$12.10 |
$12.10 |
$38.22
|
|
Assay blood catecholamines
|
$24.50 |
$24.50 |
$24.50 |
$72.00
|
|
Assay duodenal fluid trypsin
|
$84.75 |
$84.75 |
$84.75 |
$7.92
|
|
Assay of adp & amp
|
$28.51 |
$28.51 |
$28.51 |
$127.40
|
|
Assay of chloramphenicol
|
$30.80 |
$30.80 |
$30.80 |
$45.60
|
|
Assay of corticosterone
|
$49.50 |
$49.50 |
$49.50 |
$47.10
|
|
Assay of interleukin-6 (il-6)
|
$54.00 |
$54.00 |
$54.00 |
$77.35
|
|
Assay of lap enzyme
|
$64.00 |
$64.00 |
$64.00 |
$56.25
|
|
Assay of procainamide w/metab
|
$32.67 |
$32.67 |
$32.67 |
$61.20
|
|
Assay of progesterone
|
$38.30 |
$38.30 |
$38.30 |
$163.20
|
|
Assay of sialic acid
|
$14.99 |
$14.99 |
$14.99 |
$60.45
|
|
Assay of thiocyanate
|
$57.00 |
$57.00 |
$57.00 |
$57.00
|
|
Assay of tyrosine
|
$59.80 |
$59.80 |
$59.80 |
$56.10
|
|
Assay of urine sulfate
|
$6.23 |
$6.23 |
$6.23 |
$31.35
|
|
Assay of urine urobilinogen
|
$4.26 |
$4.26 |
$4.26 |
$10.51
|
|
Assay phosphatidylglycerol
|
$8.64 |
$8.64 |
$8.64 |
$87.20
|
|
Ast/sgot
|
$869.99 |
$869.99 |
$869.99 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$44.89 |
$44.89 |
$44.89 |
$43.01
|
|
Azacitidine injection
|
$2,166.03 |
$2,166.03 |
$2,166.03 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$35.06 |
$35.06 |
$35.06 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$463.47 |
$463.47 |
$463.47 |
$52.69
|
|
Bacterial vaginosis pcr
|
$130.00 |
$130.00 |
$130.00 |
$298.04
|
|
Bactericidal level serum
|
$81.07 |
$81.07 |
$81.07 |
$82.50
|
|
Barrier film 28ml spray no stng cavilon
|
$41.79 |
$41.79 |
$41.79 |
$21.33
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$14.07 |
$14.07 |
$14.07 |
$3.00
|
|
Bartonella dna pcr-sendout
|
$199.58 |
$199.58 |
$199.58 |
$196.20
|
|
Benztropine 1 mg/ml injection solution
|
$202.51 |
$202.51 |
$202.51 |
$121.88
|
|
Beta-2 microglobulin
|
$64.13 |
$64.13 |
$64.13 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$468.63 |
$468.63 |
$468.63 |
$75.12
|
|
Bilirubin direct
|
$779.24 |
$779.24 |
$779.24 |
$49.29
|
|
Binder abdominal lg 12 x 62-74
|
$453.76 |
$453.76 |
$453.76 |
$38.52
|
|
Biotinidase - quest
|
$64.40 |
$64.40 |
$64.40 |
$72.80
|
|
Bivalirudin
|
$4,805.50 |
$4,805.50 |
$4,805.50 |
$1,246.70
|
