|
17-hydroxypregnenolone
|
$337.50 |
$337.50 |
$337.50 |
$85.15
|
|
17-ketosteroids
|
$506.50 |
$506.50 |
$506.50 |
$44.00
|
|
3d recon without postprocess indpndt
|
$7,772.25 |
$7,772.25 |
$7,772.25 |
$427.34
|
|
5' nucleotidase - sendout
|
$112.50 |
$112.50 |
$112.50 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$190.75 |
$190.75 |
$190.75 |
$97.65
|
|
Abciximab injection
|
$7,468.00 |
$7,468.00 |
$7,468.00 |
$3,012.98
|
|
Abd aorta w/runoff s&i
|
$11,393.75 |
$11,393.75 |
$11,393.75 |
$3,667.71
|
|
Abdominal CT scan (with and without contrast)
|
$22,631.75 |
$22,631.75 |
$22,631.75 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$19,352.50 |
$19,352.50 |
$19,352.50 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$21,068.00 |
$21,068.00 |
$21,068.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$13,947.50 |
$13,947.50 |
$13,947.50 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$9,220.25 |
$9,220.25 |
$9,220.25 |
$2,187.60
|
|
Abdominal Ultrasound (complete)
|
$5,363.25 |
$5,363.25 |
$5,363.25 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$2,274.75 |
$2,274.75 |
$2,274.75 |
$603.33
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$442.00 |
$442.00 |
$442.00 |
$125.63
|
|
Acetaminophen level
|
$2,212.00 |
$2,212.00 |
$2,212.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$256.00 |
$256.00 |
$256.00 |
$133.60
|
|
Acetone qualitative
|
$778.00 |
$778.00 |
$778.00 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$118.75 |
$118.75 |
$118.75 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$323.77
|
|
Acute hepatitis panel
|
$2,400.75 |
$2,400.75 |
$2,400.75 |
$284.70
|
|
Adenovirus antibody,serum - quest
|
$495.25 |
$495.25 |
$495.25 |
$63.00
|
|
Adh-sendout
|
$632.75 |
$632.75 |
$632.75 |
$109.28
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$899.75 |
$899.75 |
$899.75 |
$440.00
|
|
Administration immunization each additional vaccine
|
$201.00 |
$201.00 |
$201.00 |
$46.23
|
|
Administration vaccine influenza virus
|
$236.50 |
$236.50 |
$236.50 |
$49.50
|
|
Administration vaccine pneumococcal
|
$181.75 |
$181.75 |
$181.75 |
$51.11
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$41.00 |
$41.00 |
$41.00 |
$11,874.55
|
|
#afb mycobacteria suscep. #1
|
$111.75 |
$111.75 |
$111.75 |
$38.58
|
|
Albumin body fluid quantitative each specimen
|
$358.25 |
$358.25 |
$358.25 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$514.50 |
$514.50 |
$514.50 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$18.75 |
$18.75 |
$18.75 |
$43.50
|
|
Aldesleukin injection
|
$7,942.00 |
$7,942.00 |
$7,942.00 |
$6,446.09
|
|
Alkaline phosphatase
|
$262.50 |
$262.50 |
$262.50 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$6.50 |
$6.50 |
$6.50 |
$56.35
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$9,380.00 |
$9,380.00 |
$9,380.00 |
$3,025.07
|
|
Alt/sgpt
|
$1,266.75 |
$1,266.75 |
$1,266.75 |
$49.00
|
|
Aluminum - quest
|
$1,110.25 |
$1,110.25 |
$1,110.25 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$147.00 |
$147.00 |
$147.00 |
$196.20
|
|
Amino acid single qual
|
$750.00 |
$750.00 |
$750.00 |
$19.57
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$80.15 |
$80.15 |
$80.15 |
$42.84
|
|
Aminolevulinic acid delta
|
$432.75 |
$432.75 |
$432.75 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$144.00 |
$144.00 |
$144.00 |
$41.59
|
|
Amitriptyline (elavil) -sendout
|
$121.50 |
$121.50 |
$121.50 |
$101.17
|
|
Ammonia
|
$740.00 |
$740.00 |
$740.00 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$772.50 |
$772.50 |
$772.50 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$230.00 |
$230.00 |
$230.00 |
$130.08
|
|
Amphotericin b lipid complex
|
$227.00 |
$227.00 |
$227.00 |
$270.17
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$331.80
|
|
Amylase
|
$1,423.00 |
$1,423.00 |
$1,423.00 |
$93.00
|
|
Ana ds-dna
|
$1,420.50 |
$1,420.50 |
$1,420.50 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$110.98
|
|
Analysis gene f5 leiden variant
|
$96.25 |
$96.25 |
$96.25 |
$226.60
|
|
Analysis tumor
|
$275.25 |
$275.25 |
$275.25 |
$240.00
|
|
An fluoro guide for cvp
|
$4,021.25 |
$4,021.25 |
$4,021.25 |
$484.45
|
|
Antibody elution rbc reference
|
$723.00 |
$723.00 |
$723.00 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$452.75 |
$452.75 |
$452.75 |
$141.74
|
|
Antibody screen rbc
|
$640.00 |
$640.00 |
$640.00 |
$105.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$21.00 |
$21.00 |
$21.00 |
$2.75
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$261.00 |
$261.00 |
$261.00 |
$45.82
|
|
Antinuclear antibodies
|
$837.00 |
$837.00 |
$837.00 |
$91.70
|
|
Antistreptolysin o screen
|
$309.25 |
$309.25 |
$309.25 |
$59.40
|
|
Antistreptolysin o titer
|
$306.50 |
$306.50 |
$306.50 |
$57.96
|
|
Antithrombin iii activity
|
$217.50 |
$217.50 |
$217.50 |
$115.23
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$13,741.00 |
$13,741.00 |
$13,741.00 |
$5,013.11
|
|
Apheresis plasma
|
$4,347.00 |
$4,347.00 |
$4,347.00 |
$3,411.50
|
|
Apply of finger splint 29131
|
$330.00 |
$330.00 |
$330.00 |
$177.45
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$345.25 |
$345.25 |
$345.25 |
$98.90
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$1,303.25
|
|
Artery xray of abdomen 75726-26
|
$16,026.75 |
$16,026.75 |
$16,026.75 |
$4,337.45
|
|
Artery x-rays adrenal gland
|
$6,782.25 |
$6,782.25 |
$6,782.25 |
$3,320.35
|
|
Artery x-rays adrenals
|
$6,782.25 |
$6,782.25 |
$6,782.25 |
$3,706.68
|
|
Artery x-rays lung
|
$8,951.50 |
$8,951.50 |
$8,951.50 |
$2,332.57
|
|
Artery x-rays lungs
|
$12,486.00 |
$12,486.00 |
$12,486.00 |
$3,686.58
|
|
Artery xrays of pelvis 75736 26
|
$8,143.75 |
$8,143.75 |
$8,143.75 |
$4,086.49
|
|
Assay of feces porphyrins
|
$448.75 |
$448.75 |
$448.75 |
$168.62
|
|
Assay of interleukin-6 (il-6)
|
$63.25 |
$63.25 |
$63.25 |
$77.35
|
|
Assay of lap enzyme
|
$217.50 |
$217.50 |
$217.50 |
$56.25
|
|
Assay of sialic acid
|
$47.00 |
$47.00 |
$47.00 |
$60.45
|
|
Ast/sgot
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$45.65
|
|
Azathioprine 50 mg tablet
|
$33.00 |
$33.00 |
$33.00 |
$6.76
|
|
Azathioprine parenteral
|
$963.00 |
$963.00 |
$963.00 |
$441.40
|
|
Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft
|
$59.11 |
$59.11 |
$59.11 |
$3.00
|
|
#_benzodiazconfur
|
$24.75 |
$24.75 |
$24.75 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$467.00 |
$467.00 |
$467.00 |
$121.88
|
|
Beta-2 microglobulin
|
$245.75 |
$245.75 |
$245.75 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$374.00 |
$374.00 |
$374.00 |
$75.12
|
|
Bevacizumab-bvzr 25 mg/ml intravenous solution
|
$451.00 |
$451.00 |
$451.00 |
$2,567.61
|
|
Bilirubin direct
|
$723.00 |
$723.00 |
$723.00 |
$49.29
|
|
Bilirubin total
|
$740.00 |
$740.00 |
$740.00 |
$51.39
|
|
Bivalirudin
|
$770.28 |
$770.28 |
$770.28 |
$1,246.70
|
|
Bleomycin 15 unit solution for injection
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$245.75
|
|
Blood Clotting (PT/INR) Test
|
$971.25 |
$971.25 |
$971.25 |
$51.35
|
|
Blood Clotting (PTT) Test
|
$972.50 |
$972.50 |
$972.50 |
$72.15
|
|
Blood Count (CBC) Test (without differential)
|
$476.50 |
$476.50 |
$476.50 |
$62.28
|
|
Blood Culture Test
|
$1,888.25 |
$1,888.25 |
$1,888.25 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$1,068.25 |
$1,068.25 |
$1,068.25 |
$220.35
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$173.50 |
$173.50 |
$173.50 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$365.25 |
$365.25 |
$365.25 |
$33.57
|
