|
11-desoxycortisol - sendout
|
$32.43 |
$32.43 |
$32.43 |
$87.50
|
|
3d ech img cgen car anomal
|
$2,087.25 |
$2,087.25 |
$2,087.25 |
$669.00
|
|
3-d radiotherapy plan
|
$3,880.50 |
$3,880.50 |
$3,880.50 |
$4,886.50
|
|
88334 ap bill cytologic exam each additional site
|
$792.13 |
$792.13 |
$792.13 |
$97.65
|
|
Abciximab injection
|
$18,769.74 |
$18,769.74 |
$18,769.74 |
$3,012.98
|
|
Abdominal CT scan (with and without contrast)
|
$18,188.77 |
$18,188.77 |
$18,188.77 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$18,188.77 |
$18,188.77 |
$18,188.77 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$13,035.55 |
$13,035.55 |
$13,035.55 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$17,725.57 |
$17,725.57 |
$17,725.57 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$17,383.44 |
$17,383.44 |
$17,383.44 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$16,111.27 |
$16,111.27 |
$16,111.27 |
$1,972.66
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$286.00 |
$286.00 |
$286.00 |
$125.63
|
|
Acetaminophen level
|
$925.08 |
$925.08 |
$925.08 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$663.00 |
$663.00 |
$663.00 |
$133.60
|
|
Acetone qualitative
|
$737.00 |
$737.00 |
$737.00 |
$47.45
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$475.00 |
$475.00 |
$475.00 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$28.60 |
$28.60 |
$28.60 |
$42.28
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$1,831.00 |
$1,831.00 |
$1,831.00 |
$50.70
|
|
#acylcarnitineprfl
|
$74.15 |
$74.15 |
$74.15 |
$105.60
|
|
Adenovirus antibody,serum - quest
|
$9.77 |
$9.77 |
$9.77 |
$63.00
|
|
Adh-sendout
|
$24.44 |
$24.44 |
$24.44 |
$109.28
|
|
Administration immunization each additional vaccine
|
$563.23 |
$563.23 |
$563.23 |
$46.23
|
|
Adrenal cortex & medulla img
|
$13,124.19 |
$13,124.19 |
$13,124.19 |
$1,780.19
|
|
_afb org id by sequencing rflx ast-sendout
|
$268.63 |
$268.63 |
$268.63 |
$289.60
|
|
Air conduction bilat
|
$41.00 |
$41.00 |
$41.00 |
$106.50
|
|
Airway resistance by impulse oscillometry 94728
|
$162.66 |
$162.66 |
$162.66 |
$276.66
|
|
Albumin body fluid quantitative each specimen
|
$1,079.27 |
$1,079.27 |
$1,079.27 |
$48.00
|
|
Albumin, human 5 % intravenous solution
|
$386.00 |
$386.00 |
$386.00 |
$248.88
|
|
Albumin serum plasma or whole blood
|
$89.16 |
$89.16 |
$89.16 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$3.30 |
$3.30 |
$3.30 |
$22.45
|
|
Albuterol non-comp con
|
$60.70 |
$60.70 |
$60.70 |
$15.00
|
|
Alkaline phosphatase
|
$1,836.04 |
$1,836.04 |
$1,836.04 |
$46.20
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$15,353.55 |
$15,353.55 |
$15,353.55 |
$3,104.06
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$4,170.10 |
$4,170.10 |
$4,170.10 |
$4,101.14
|
|
Alpha-fetoprotein amniotic
|
$25.49 |
$25.49 |
$25.49 |
$79.30
|
|
Alprostadil for injection
|
$1,262.55 |
$1,262.55 |
$1,262.55 |
$533.06
|
|
Alt/sgpt
|
$2,171.18 |
$2,171.18 |
$2,171.18 |
$49.00
|
|
Amantadine (symmetrel)-sendout
|
$95.00 |
$95.00 |
$95.00 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$36.30
|
|
Amino acid single qual
|
$25.00 |
$25.00 |
$25.00 |
$19.57
|
|
Ammonia
|
$1,909.50 |
$1,909.50 |
$1,909.50 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$95.00 |
$95.00 |
$95.00 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$378.00 |
$378.00 |
$378.00 |
$130.08
|
|
Amphotericin b lipid complex
|
$2,786.00 |
$2,786.00 |
$2,786.00 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$331.80
|
|
Ana ds-dna
|
$14.24 |
$14.24 |
$14.24 |
$65.52
|
|
Anca screen with reflex to titer -quest
|
$68.73 |
$68.73 |
$68.73 |
$109.20
|
|
Anidulafungin injection
|
$2,338.00 |
$2,338.00 |
$2,338.00 |
$209.79
|
|
Antibody elution rbc reference
|
$893.95 |
$893.95 |
$893.95 |
$176.54
|
|
Antibody tetanus
|
$9.00 |
$9.00 |
$9.00 |
$61.98
|
|
Antidepressant not specified
|
$14.99 |
$14.99 |
$14.99 |
$89.50
|
|
Antihemophilic viii/vwf comp
|
$14.35 |
$14.35 |
$14.35 |
$2.75
|
|
Anti-inhibitor
|
$6.83 |
$6.83 |
$6.83 |
$3.75
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$11,231.00 |
$11,231.00 |
$11,231.00 |
$5,013.11
|
|
Antithymocyte globuln rabbit
|
$3,500.00 |
$3,500.00 |
$3,500.00 |
$1,679.21
|
|
Apheresis immunoads slctv
|
$6,610.55 |
$6,610.55 |
$6,610.55 |
$5,544.24
|
|
Apl(pml-rara) quant - sendout
|
$276.00 |
$276.00 |
$276.00 |
$465.60
|
|
Aqaprn-4 antb flo cytmtry ea
|
$408.75 |
$408.75 |
$408.75 |
$231.66
|
|
Artery x-rays adrenals
|
$18,877.01 |
$18,877.01 |
$18,877.01 |
$3,706.68
|
|
Artery x-rays chest
|
$7,219.03 |
$7,219.03 |
$7,219.03 |
$2,587.20
|
|
Artery x-rays spine
|
$5,344.20 |
$5,344.20 |
$5,344.20 |
$4,306.40
|
|
Assay acid phosphatase
|
$30.73 |
$30.73 |
$30.73 |
$38.22
|
|
Assay blood catecholamines
|
$24.15 |
$24.15 |
$24.15 |
$72.00
|
|
Assay myeloperoxidase
|
$16.10 |
$16.10 |
$16.10 |
$84.19
|
|
Assay of adp & amp
|
$34.71 |
$34.71 |
$34.71 |
$127.40
|
|
Assay of breath ethanol
|
$99.00 |
$99.00 |
$99.00 |
$45.76
|
|
Assay of feces for trypsin
|
$6.45 |
$6.45 |
$6.45 |
$11.76
|
|
Assay of glutathione
|
$39.00 |
$39.00 |
$39.00 |
$69.55
|
|
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 pregnanediol
|
$140.06 |
$140.06 |
$140.06 |
$28.36
|
|
Assay of progesterone
|
$67.45 |
$67.45 |
$67.45 |
$163.20
|
|
Assay of somatostatin
|
$44.96 |
$44.96 |
$44.96 |
$165.75
|
|
Assay phosphatidylglycerol
|
$87.20 |
$87.20 |
$87.20 |
$87.20
|
|
Assay toxin or antitoxin
|
$186.75 |
$186.75 |
$186.75 |
$72.75
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$41.15 |
$41.15 |
$41.15 |
$49.80
|
|
Ast/sgot
|
$2,171.18 |
$2,171.18 |
$2,171.18 |
$45.65
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$42,194.29 |
$42,194.29 |
$42,194.29 |
$31,208.35
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$989.00 |
$989.00 |
$989.00 |
$924.72
|
|
Azacitidine injection
|
$258.40 |
$258.40 |
$258.40 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$20.00 |
$20.00 |
$20.00 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$919.00 |
$919.00 |
$919.00 |
$52.69
|
|
Bactericidal level serum
|
$140.07 |
$140.07 |
$140.07 |
$82.50
|
|
#bac vag cand-c. albicans naa
|
$205.05 |
$205.05 |
$205.05 |
$112.80
|
|
Barrier skin flextend 2.25in floating flang new image
|
$24.77 |
$24.77 |
$24.77 |
$2.40
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$36.92 |
$36.92 |
$36.92 |
$30.00
|
|
Bartonella dna pcr-sendout
|
$196.20 |
$196.20 |
$196.20 |
$196.20
|
|
B cells total count
|
$25.00 |
$25.00 |
$25.00 |
$125.28
|
|
Benztropine 1 mg/ml injection solution
|
$378.00 |
$378.00 |
$378.00 |
$121.88
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$389.00 |
$389.00 |
$389.00 |
$75.12
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$4,905.00 |
$4,905.00 |
$4,905.00 |
$4,905.00
|
|
Bfb train 1st 15min cntct 90912
|
$344.85 |
$344.85 |
$344.85 |
$173.55
|
|
Bfb train ea addl 15 min 90913
|
$272.25 |
$272.25 |
$272.25 |
$112.00
|
|
Bilirubin direct
|
$961.87 |
$961.87 |
$961.87 |
$49.29
|
|
Bivalirudin
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$1,246.70
|
|
Bleomycin 15 unit solution for injection
|
$7,873.00 |
$7,873.00 |
$7,873.00 |
$245.75
|
|
Blood Count (CBC) Test (without differential)
|
$41.15 |
$41.15 |
$41.15 |
$62.28
|
|
Blood Culture Test
|
$2,345.13 |
$2,345.13 |
$2,345.13 |
$144.65
|
|
Blood draw capillary 36416
|
$12.00 |
$12.00 |
$12.00 |
$22.32
|
|
Blood gases o2 saturation direct measurement
|
$2,681.86 |
$2,681.86 |
$2,681.86 |
$220.35
|
