|
11-desoxycortisol - sendout
|
$245.00 |
$245.00 |
$245.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$282.00 |
$282.00 |
$282.00 |
$85.15
|
|
5' nucleotidase - sendout
|
$302.00 |
$302.00 |
$302.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$84.00 |
$84.00 |
$84.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$10,643.00 |
$10,643.00 |
$10,643.00 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$120.00 |
$120.00 |
$120.00 |
$52.25
|
|
Abciximab injection
|
$15,802.00 |
$15,802.00 |
$15,802.00 |
$3,012.98
|
|
Abdominal MRI (with and without contrast)
|
$9,384.00 |
$9,384.00 |
$9,384.00 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$7,737.00 |
$7,737.00 |
$7,737.00 |
$2,187.60
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$501.00 |
$501.00 |
$501.00 |
$125.63
|
|
Acetazolamide 500 mg solution for injection
|
$265.00 |
$265.00 |
$265.00 |
$133.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,829.00 |
$2,829.00 |
$2,829.00 |
$323.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$507.00 |
$507.00 |
$507.00 |
$50.70
|
|
Adenovirus ag ia
|
$89.00 |
$89.00 |
$89.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$122.00 |
$122.00 |
$122.00 |
$63.00
|
|
Adh-sendout
|
$233.00 |
$233.00 |
$233.00 |
$109.28
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$956.00 |
$956.00 |
$956.00 |
$308.10
|
|
Administration vaccine hepatitis b
|
$61.00 |
$61.00 |
$61.00 |
$51.35
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$36,043.00 |
$36,043.00 |
$36,043.00 |
$11,874.55
|
|
_afb id by dna probe rflx ast
|
$516.00 |
$516.00 |
$516.00 |
$105.00
|
|
Albumin, human 5 % intravenous solution
|
$1,902.00 |
$1,902.00 |
$1,902.00 |
$248.88
|
|
Aldesleukin injection
|
$4,866.00 |
$4,866.00 |
$4,866.00 |
$6,446.09
|
|
Allergen egg white ige
|
$155.00 |
$155.00 |
$155.00 |
$41.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$15,680.00 |
$15,680.00 |
$15,680.00 |
$3,104.06
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$42.00 |
$42.00 |
$42.00 |
$13.14
|
|
Alpha-fetoprotein amniotic
|
$76.00 |
$76.00 |
$76.00 |
$79.30
|
|
Aluminum - quest
|
$166.00 |
$166.00 |
$166.00 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$530.00 |
$530.00 |
$530.00 |
$196.20
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$350.00 |
$350.00 |
$350.00 |
$42.84
|
|
Aminolevulinic acid delta
|
$64.90 |
$64.90 |
$64.90 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$289.00 |
$289.00 |
$289.00 |
$101.17
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$354.00 |
$354.00 |
$354.00 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$548.00 |
$548.00 |
$548.00 |
$331.80
|
|
Ana ds-dna
|
$487.00 |
$487.00 |
$487.00 |
$65.52
|
|
Anal pressure record
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$955.86
|
|
Anal/urinary muscle study
|
$789.00 |
$789.00 |
$789.00 |
$407.00
|
|
Analysis tumor
|
$115.00 |
$115.00 |
$115.00 |
$240.00
|
|
Antibody bacterium, not elsewhere specified
|
$896.00 |
$896.00 |
$896.00 |
$57.89
|
|
Antibody elution rbc reference
|
$167.00 |
$167.00 |
$167.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$414.00 |
$414.00 |
$414.00 |
$141.74
|
|
Antibody htlv-i
|
$115.00 |
$115.00 |
$115.00 |
$48.75
|
|
Antibody htlv-ii
|
$92.00 |
$92.00 |
$92.00 |
$35.22
|
|
Antibody lymphocytic choriomeningitis
|
$55.00 |
$55.00 |
$55.00 |
$53.96
|
|
Antibody screen rbc
|
$911.00 |
$911.00 |
$911.00 |
$105.00
|
|
Anti-inhibitor
|
$10.00 |
$10.00 |
$10.00 |
$3.75
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$4,163.00 |
$4,163.00 |
$4,163.00 |
$50.88
|
|
Antinuclear antibodies titer
|
$111.00 |
$111.00 |
$111.00 |
$80.25
|
|
Antistreptolysin o screen
|
$266.00 |
$266.00 |
$266.00 |
$59.40
|
|
Antistreptolysin o titer
|
$1,738.00 |
$1,738.00 |
$1,738.00 |
$57.96
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$38,436.16 |
$38,436.16 |
$38,436.16 |
$5,013.11
|
|
Apheresis plasma
|
$9,394.00 |
$9,394.00 |
$9,394.00 |
$3,411.50
|
|
Apheresis platelets
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$2,345.00
|
|
Apheresis wbc
|
$989.00 |
$989.00 |
$989.00 |
$3,342.71
|
|
Application finger splntstatic 29130
|
$317.00 |
$317.00 |
$317.00 |
$216.80
|
|
Appl modality 1/> areas paraffin bath 97018
|
$558.00 |
$558.00 |
$558.00 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$739.00 |
$739.00 |
$739.00 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$774.00 |
$774.00 |
$774.00 |
$339.69
|
|
Apply forearm splintdynamic 29126
|
$317.00 |
$317.00 |
$317.00 |
$263.10
|
|
Apply of finger splint 29131
|
$317.00 |
$317.00 |
$317.00 |
$177.45
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,838.00 |
$1,838.00 |
$1,838.00 |
$1,303.25
|
|
Artery x-rays adrenals
|
$16,728.00 |
$16,728.00 |
$16,728.00 |
$3,706.68
|
|
Artery x-rays chest
|
$16,728.00 |
$16,728.00 |
$16,728.00 |
$2,587.20
|
|
Artery x-rays lung
|
$6,922.00 |
$6,922.00 |
$6,922.00 |
$2,332.57
|
|
Artery xrays of pelvis 75736 26
|
$9,486.00 |
$9,486.00 |
$9,486.00 |
$4,086.49
|
|
Artery x-rays spine
|
$6,148.00 |
$6,148.00 |
$6,148.00 |
$4,306.40
|
|
Assay acid phosphatase
|
$258.00 |
$258.00 |
$258.00 |
$38.22
|
|
Assay blood catecholamines
|
$395.00 |
$395.00 |
$395.00 |
$72.00
|
|
Assay free hydroxyproline
|
$112.00 |
$112.00 |
$112.00 |
$46.15
|
|
Assay of adp & amp
|
$642.00 |
$642.00 |
$642.00 |
$127.40
|
|
Assay of blood lipoprotein
|
$26.40 |
$26.40 |
$26.40 |
$27.20
|
|
Assay of chloramphenicol
|
$109.00 |
$109.00 |
$109.00 |
$45.60
|
|
Assay of estrogen
|
$296.00 |
$296.00 |
$296.00 |
$185.60
|
|
Assay of feces for trypsin
|
$153.00 |
$153.00 |
$153.00 |
$11.76
|
|
Assay of galactose
|
$559.00 |
$559.00 |
$559.00 |
$48.13
|
|
Assay of interleukin-6 (il-6)
|
$61.60 |
$61.60 |
$61.60 |
$77.35
|
|
Assay of lap enzyme
|
$30.80 |
$30.80 |
$30.80 |
$56.25
|
|
Assay of osteocalcin
|
$591.00 |
$591.00 |
$591.00 |
$97.21
|
|
Assay of phenylketones
|
$131.00 |
$131.00 |
$131.00 |
$4.38
|
|
Assay of procainamide w/metab
|
$610.00 |
$610.00 |
$610.00 |
$61.20
|
|
Assay of progesterone
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$163.20
|
|
Assay of sialic acid
|
$228.00 |
$228.00 |
$228.00 |
$60.45
|
|
Assay of thiocyanate
|
$155.00 |
$155.00 |
$155.00 |
$57.00
|
|
Assay of urine sulfate
|
$81.00 |
$81.00 |
$81.00 |
$31.35
|
|
Assay of urine urobilinogen
|
$222.00 |
$222.00 |
$222.00 |
$10.51
|
|
Assay phosphatidylglycerol
|
$440.00 |
$440.00 |
$440.00 |
$87.20
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$2,680.00 |
$2,680.00 |
$2,680.00 |
$312.00
|
|
Autologous blood op salvage
|
$816.90 |
$816.90 |
$816.90 |
$910.70
|
|
Autologous blood process
|
$509.00 |
$509.00 |
$509.00 |
$234.27
|
|
Azacitidine injection
|
$5,903.00 |
$5,903.00 |
$5,903.00 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$45.00 |
$45.00 |
$45.00 |
$6.76
|
|
Bactericidal level serum
|
$826.00 |
$826.00 |
$826.00 |
$82.50
|
|
Barrier film 1.0ml wipe
|
$9.00 |
$9.00 |
$9.00 |
$12.00
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$51.00 |
$51.00 |
$51.00 |
$3.00
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$231.00 |
$231.00 |
$231.00 |
$6,720.38
|
|
Benztropine 1 mg/ml injection solution
|
$493.00 |
$493.00 |
$493.00 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$75.12
|
|
B-hexosaminidase ea assay
|
$617.00 |
$617.00 |
$617.00 |
$104.25
|
|
Biotinidase - quest
|
$366.00 |
$366.00 |
$366.00 |
$72.80
|
|
Bld exchange truj oth thn nb
|
$6,534.00 |
$6,534.00 |
$6,534.00 |
$740.24
|
|
Bleomycin 15 unit solution for injection
|
$2,152.00 |
$2,152.00 |
$2,152.00 |
$245.75
|
