|
3d recon without postprocess indpndt
|
$5,566.97 |
$5,566.97 |
$5,566.97 |
$427.34
|
|
5' nucleotidase - sendout
|
$10.15 |
$10.15 |
$10.15 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$167.72 |
$167.72 |
$167.72 |
$97.65
|
|
Abciximab injection
|
$6,742.19 |
$6,742.19 |
$6,742.19 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$15,631.47 |
$15,631.47 |
$15,631.47 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$3,970.45 |
$3,970.45 |
$3,970.45 |
$2,049.00
|
|
Abdominal MRI (with contrast)
|
$10,717.55 |
$10,717.55 |
$10,717.55 |
$2,187.60
|
|
Abdominal Ultrasound (complete)
|
$3,557.96 |
$3,557.96 |
$3,557.96 |
$759.57
|
|
Ablate arrhythmia add on
|
$17,887.82 |
$17,887.82 |
$17,887.82 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$41,731.20 |
$41,731.20 |
$41,731.20 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$253.89 |
$253.89 |
$253.89 |
$125.63
|
|
Acetaminophen level
|
$2,586.76 |
$2,586.76 |
$2,586.76 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$476.32 |
$476.32 |
$476.32 |
$133.60
|
|
Acetone qualitative
|
$274.97 |
$274.97 |
$274.97 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$55.84 |
$55.84 |
$55.84 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$716.10 |
$716.10 |
$716.10 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$71.80 |
$71.80 |
$71.80 |
$42.28
|
|
Acute hepatitis panel
|
$27.54 |
$27.54 |
$27.54 |
$284.70
|
|
Adenovirus antibody,serum - quest
|
$18.85 |
$18.85 |
$18.85 |
$63.00
|
|
Adh-sendout
|
$46.66 |
$46.66 |
$46.66 |
$109.28
|
|
_afb id by dna probe rflx ast
|
$68.53 |
$68.53 |
$68.53 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$17.66 |
$17.66 |
$17.66 |
$38.58
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$16.52 |
$16.52 |
$16.52 |
$57.60
|
|
Albuterol ipratrop non-comp
|
$26.04 |
$26.04 |
$26.04 |
$22.45
|
|
Albuterol non-comp con
|
$4.88 |
$4.88 |
$4.88 |
$15.00
|
|
Albuterol non-comp unit
|
$33.64 |
$33.64 |
$33.64 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$2,161.94 |
$2,161.94 |
$2,161.94 |
$93.60
|
|
Aldesleukin injection
|
$11,304.07 |
$11,304.07 |
$11,304.07 |
$6,446.09
|
|
Allergen egg white ige
|
$6.37 |
$6.37 |
$6.37 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$6.37 |
$6.37 |
$6.37 |
$26.95
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$347.76 |
$347.76 |
$347.76 |
$189.00
|
|
Alt/sgpt
|
$1,302.64 |
$1,302.64 |
$1,302.64 |
$49.00
|
|
Aluminum - quest
|
$118.10 |
$118.10 |
$118.10 |
$87.00
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,656.99 |
$1,656.99 |
$1,656.99 |
$437.50
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$53.17 |
$53.17 |
$53.17 |
$36.30
|
|
Aminolevulinic acid delta
|
$32.99 |
$32.99 |
$32.99 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$27.81 |
$27.81 |
$27.81 |
$101.17
|
|
Ammonia
|
$683.86 |
$683.86 |
$683.86 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$744.39 |
$744.39 |
$744.39 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$208.32 |
$208.32 |
$208.32 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,657.88 |
$1,657.88 |
$1,657.88 |
$331.80
|
|
Ana ds-dna
|
$26.62 |
$26.62 |
$26.62 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$2,586.76 |
$2,586.76 |
$2,586.76 |
$110.98
|
|
Anaplsma phgcytophlm amp prb
|
$162.65 |
$162.65 |
$162.65 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$25.22 |
$25.22 |
$25.22 |
$109.20
|
|
An fluoro guide for cvp
|
$9,063.58 |
$9,063.58 |
$9,063.58 |
$484.45
|
|
Anodyne therapy charges pt
|
$315.92 |
$315.92 |
$315.92 |
$41.02
|
|
Antibody bacterium, not elsewhere specified
|
$59.67 |
$59.67 |
$59.67 |
$57.89
|
|
Antibody htlv-i
|
$37.96 |
$37.96 |
$37.96 |
$48.75
|
|
Antibody htlv-ii
|
$37.96 |
$37.96 |
$37.96 |
$35.22
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$6.51 |
$6.51 |
$6.51 |
$3.12
|
|
Anti-inhibitor
|
$5.70 |
$5.70 |
$5.70 |
$3.75
|
|
Antinuclear antibodies titer
|
$99.63 |
$99.63 |
$99.63 |
$80.25
|
|
Antistreptolysin o screen
|
$51.84 |
$51.84 |
$51.84 |
$59.40
|
|
Antistreptolysin o titer
|
$64.31 |
$64.31 |
$64.31 |
$57.96
|
|
Antithrombin iii activity
|
$51.84 |
$51.84 |
$51.84 |
$115.23
|
|
Antithrombin iii injection
|
$29.02 |
$29.02 |
$29.02 |
$9.32
|
|
Apheresis plasma
|
$3,696.28 |
$3,696.28 |
$3,696.28 |
$3,411.50
|
|
Apply forearm splintdynamic 29126
|
$293.18 |
$293.18 |
$293.18 |
$263.10
|
|
#aptt mix-1:1 incubated
|
$162.65 |
$162.65 |
$162.65 |
$157.30
|
|
Argatroban nonesrd (auromed)
|
$1,586.81 |
$1,586.81 |
$1,586.81 |
$1.49
|
|
Artery xray each vessel 7577426
|
$5,439.51 |
$5,439.51 |
$5,439.51 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$19,992.79 |
$19,992.79 |
$19,992.79 |
$4,337.45
|
|
Artery x-rays arms/legs 75716-26
|
$23,521.54 |
$23,521.54 |
$23,521.54 |
$3,844.10
|
|
Artery x-rays lungs
|
$15,713.11 |
$15,713.11 |
$15,713.11 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$22,423.94 |
$22,423.94 |
$22,423.94 |
$4,086.49
|
|
Artery x-rays spine
|
$20,014.03 |
$20,014.03 |
$20,014.03 |
$4,306.40
|
|
Assay alkaline phosphatase
|
$988.85 |
$988.85 |
$988.85 |
$33.57
|
|
Assay of glutathione
|
$71.60 |
$71.60 |
$71.60 |
$69.55
|
|
Assay of interleukin-6 (il-6)
|
$222.16 |
$222.16 |
$222.16 |
$77.35
|
|
Assay of osteocalcin
|
$138.35 |
$138.35 |
$138.35 |
$97.21
|
|
Assay of procainamide w/metab
|
$77.65 |
$77.65 |
$77.65 |
$61.20
|
|
Assay of salicylate
|
$1,502.82 |
$1,502.82 |
$1,502.82 |
$105.95
|
|
Assay of sialic acid
|
$27.81 |
$27.81 |
$27.81 |
$60.45
|
|
Assay of somatostatin
|
$263.90 |
$263.90 |
$263.90 |
$165.75
|
|
Assay toxin or antitoxin
|
$94.72 |
$94.72 |
$94.72 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,222.90 |
$1,222.90 |
$1,222.90 |
$312.00
|
|
Ast/sgot
|
$661.28 |
$661.28 |
$661.28 |
$45.65
|
|
Autologous blood process
|
$49.21 |
$49.21 |
$49.21 |
$234.27
|
|
Azacitidine injection
|
$3,551.21 |
$3,551.21 |
$3,551.21 |
$912.29
|
|
Azathioprine 50 mg tablet
|
$22.79 |
$22.79 |
$22.79 |
$6.76
|
|
Azathioprine parenteral
|
$1,627.50 |
$1,627.50 |
$1,627.50 |
$441.40
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$520.80 |
$520.80 |
$520.80 |
$191.55
|
|
Barrier film 28ml spray no stng cavilon
|
$59.00 |
$59.00 |
$59.00 |
$21.33
|
|
Barrier skin flextend 2.25in floating flang new image
|
$26.00 |
$26.00 |
$26.00 |
$2.40
|
|
Barrier skn ft cx ff red 2.25 ctf new image w/tape
|
$30.00 |
$30.00 |
$30.00 |
$30.00
|
|
Bartonella dna pcr-sendout
|
$308.18 |
$308.18 |
$308.18 |
$196.20
|
|
B cells total count
|
$32.72 |
$32.72 |
$32.72 |
$125.28
|
|
Bcg live 50 mg intravesical suspension
|
$945.04 |
$945.04 |
$945.04 |
$517.26
|
|
Bendamustine 100 mg intravenous powder for solution
|
$9,784.53 |
$9,784.53 |
$9,784.53 |
$3,101.94
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$96.57 |
$96.57 |
$96.57 |
$6,720.38
|
|
Benztropine 1 mg/ml injection solution
|
$682.47 |
$682.47 |
$682.47 |
$121.88
|
|
Beta-2 microglobulin
|
$143.96 |
$143.96 |
$143.96 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$69.44 |
$69.44 |
$69.44 |
$75.12
|
|
B-hexosaminidase ea assay
|
$78.19 |
$78.19 |
$78.19 |
$104.25
|
|
Bilirubin direct
|
$169.88 |
$169.88 |
$169.88 |
$49.29
|
|
Bivalirudin
|
$4,745.79 |
$4,745.79 |
$4,745.79 |
$1,246.70
|
|
Blood gases ph venous
|
$703.89 |
$703.89 |
$703.89 |
$63.70
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$19.60 |
$19.60 |
$19.60 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$236.52 |
$236.52 |
$236.52 |
$33.57
|
