|
3d ech img cgen car anomal
|
$22,578.67 |
$22,578.67 |
$22,578.67 |
$669.00
|
|
3d recon without postprocess indpndt
|
$385.00 |
$385.00 |
$385.00 |
$427.34
|
|
88334 ap bill cytologic exam each additional site
|
$906.52 |
$906.52 |
$906.52 |
$97.65
|
|
Abdominal CT scan (with and without contrast)
|
$20,706.46 |
$20,706.46 |
$20,706.46 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$17,956.71 |
$17,956.71 |
$17,956.71 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$16,975.04 |
$16,975.04 |
$16,975.04 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$12,915.95 |
$12,915.95 |
$12,915.95 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$10,792.78 |
$10,792.78 |
$10,792.78 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$6,905.79 |
$6,905.79 |
$6,905.79 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$8,617.57 |
$8,617.57 |
$8,617.57 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$3,217.70 |
$3,217.70 |
$3,217.70 |
$603.33
|
|
Ablate arrhythmia add on
|
$52,180.52 |
$52,180.52 |
$52,180.52 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$57,398.57 |
$57,398.57 |
$57,398.57 |
$10,008.58
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$294.95 |
$294.95 |
$294.95 |
$125.63
|
|
Acetaminophen level
|
$3,365.14 |
$3,365.14 |
$3,365.14 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$397.46 |
$397.46 |
$397.46 |
$133.60
|
|
Acetone qualitative
|
$988.48 |
$988.48 |
$988.48 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$56.34 |
$56.34 |
$56.34 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,527.73 |
$2,527.73 |
$2,527.73 |
$323.77
|
|
#acylcarnitineprfl
|
$67.75 |
$67.75 |
$67.75 |
$105.60
|
|
Adenovirus antibody,serum - quest
|
$10.55 |
$10.55 |
$10.55 |
$63.00
|
|
Adh-sendout
|
$26.40 |
$26.40 |
$26.40 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$640.26 |
$640.26 |
$640.26 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$640.26 |
$640.26 |
$640.26 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$2,377.00 |
$2,377.00 |
$2,377.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$554.68 |
$554.68 |
$554.68 |
$440.00
|
|
Administration vaccine influenza virus
|
$348.15 |
$348.15 |
$348.15 |
$49.50
|
|
Administration vaccine pneumococcal
|
$348.15 |
$348.15 |
$348.15 |
$51.11
|
|
_afb org id by sequencing rflx ast-sendout
|
$290.12 |
$290.12 |
$290.12 |
$289.60
|
|
Air conduction bilat
|
$42.12 |
$42.12 |
$42.12 |
$106.50
|
|
Albumin, human 5 % intravenous solution
|
$737.14 |
$737.14 |
$737.14 |
$248.88
|
|
Albuterol ipratrop non-comp
|
$2.03 |
$2.03 |
$2.03 |
$22.45
|
|
Albuterol non-comp con
|
$1.00 |
$1.00 |
$1.00 |
$15.00
|
|
Allergen alpha lactalbumin ige
|
$3.52 |
$3.52 |
$3.52 |
$56.35
|
|
Allergen specific ige qual multi scrn ea
|
$3.50 |
$3.50 |
$3.50 |
$26.95
|
|
Amantadine (symmetrel)-sendout
|
$34.21 |
$34.21 |
$34.21 |
$196.20
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$25.92 |
$25.92 |
$25.92 |
$42.84
|
|
Aminolevulinic acid delta
|
$27.04 |
$27.04 |
$27.04 |
$87.12
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$269.18 |
$269.18 |
$269.18 |
$202.10
|
|
Amitriptyline (elavil) -sendout
|
$16.46 |
$16.46 |
$16.46 |
$101.17
|
|
Amphetamine confirm urine -sendout
|
$27.19 |
$27.19 |
$27.19 |
$94.50
|
|
Ana ds-dna
|
$15.38 |
$15.38 |
$15.38 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$29.71 |
$29.71 |
$29.71 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$37.02 |
$37.02 |
$37.02 |
$226.60
|
|
Antibody elution rbc reference
|
$221.68 |
$221.68 |
$221.68 |
$176.54
|
|
Antistreptolysin o screen
|
$111.54 |
$111.54 |
$111.54 |
$59.40
|
|
Antithrombin iii activity
|
$20.90 |
$20.90 |
$20.90 |
$115.23
|
|
Antithrombin iii injection
|
$31.63 |
$31.63 |
$31.63 |
$9.32
|
|
Apheresis immunoads slctv
|
$3,981.01 |
$3,981.01 |
$3,981.01 |
$5,544.24
|
|
Apheresis plasma
|
$4,643.45 |
$4,643.45 |
$4,643.45 |
$3,411.50
|
|
Apheresis rbc
|
$4,643.45 |
$4,643.45 |
$4,643.45 |
$3,348.50
|
|
Apheresis wbc
|
$4,299.49 |
$4,299.49 |
$4,299.49 |
$3,342.71
|
|
#aptt mix-1:1 incubated
|
$115.00 |
$115.00 |
$115.00 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$685.20 |
$685.20 |
$685.20 |
$114.20
|
|
Aquaporin-4 antibody elisa
|
$300.00 |
$300.00 |
$300.00 |
$139.59
|
|
Artery xray each vessel 7577426
|
$4,947.71 |
$4,947.71 |
$4,947.71 |
$1,752.53
|
|
Artery xray of abdomen 75726-26
|
$11,985.26 |
$11,985.26 |
$11,985.26 |
$4,337.45
|
|
Artery x-rays adrenals
|
$11,766.60 |
$11,766.60 |
$11,766.60 |
$3,706.68
|
|
Artery x-rays lung
|
$11,488.61 |
$11,488.61 |
$11,488.61 |
$2,332.57
|
|
Artery x-rays lungs
|
$12,707.93 |
$12,707.93 |
$12,707.93 |
$3,686.58
|
|
Assay of breath ethanol
|
$24.57 |
$24.57 |
$24.57 |
$45.76
|
|
Assay of fluoride
|
$93.50 |
$93.50 |
$93.50 |
$96.85
|
|
Assay of interleukin-6 (il-6)
|
$54.00 |
$54.00 |
$54.00 |
$77.35
|
|
Assay of lrh hormone
|
$196.29 |
$196.29 |
$196.29 |
$210.60
|
|
Assay of procainamide w/metab
|
$41.35 |
$41.35 |
$41.35 |
$61.20
|
|
Assay of urine sulfate
|
$10.49 |
$10.49 |
$10.49 |
$31.35
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$36,932.40 |
$36,932.40 |
$36,932.40 |
$31,208.35
|
|
Autoimmune rheumatoid arthr anl 12 mrk ia
|
$90.00 |
$90.00 |
$90.00 |
$924.72
|
|
Azathioprine 50 mg tablet
|
$26.13 |
$26.13 |
$26.13 |
$6.76
|
|
Azithromycin 500 mg intravenous solution
|
$429.08 |
$429.08 |
$429.08 |
$52.69
|
|
#bac vag cand-c. albicans naa
|
$410.00 |
$410.00 |
$410.00 |
$112.80
|
|
B cells total count
|
$16.88 |
$16.88 |
$16.88 |
$125.28
|
|
Belt ostomy lg 34-65in
|
$8.12 |
$8.12 |
$8.12 |
$5.20
|
|
#_benzodiazconfur
|
$12.46 |
$12.46 |
$12.46 |
$99.72
|
|
Benztropine 1 mg/ml injection solution
|
$1,074.08 |
$1,074.08 |
$1,074.08 |
$121.88
|
|
Beta-2 microglobulin
|
$85.94 |
$85.94 |
$85.94 |
$84.66
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$550.11 |
$550.11 |
$550.11 |
$75.12
|
|
Bilirubin direct
|
$1,385.18 |
$1,385.18 |
$1,385.18 |
$49.29
|
|
Bleomycin 15 unit solution for injection
|
$246.42 |
$246.42 |
$246.42 |
$245.75
|
|
Blood Culture Test
|
$3,365.14 |
$3,365.14 |
$3,365.14 |
$144.65
|
|
Blood gases o2 saturation direct measurement
|
$4,101.70 |
$4,101.70 |
$4,101.70 |
$220.35
|
|
Blood gases ph venous
|
$509.21 |
$509.21 |
$509.21 |
$63.70
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$291.40 |
$291.40 |
$291.40 |
$33.57
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$345.84 |
$345.84 |
$345.84 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$328.52 |
$328.52 |
$328.52 |
$33.57
|
|
Blood typing ag donor ea ag
|
$1,885.40 |
$1,885.40 |
$1,885.40 |
$166.80
|
|
Blood typing patient serum
|
$189.70 |
$189.70 |
$189.70 |
$70.29
|
|
Blood typing rbc ag non abo/rh ea
|
$62.37 |
$62.37 |
$62.37 |
$181.74
|
|
Bone Density Scan (DEXA)
|
$1,759.74 |
$1,759.74 |
$1,759.74 |
$395.00
|
|
Bone marrow imaging body
|
$7,423.68 |
$7,423.68 |
$7,423.68 |
$973.73
|
|
Bone marrow imaging ltd
|
$4,075.29 |
$4,075.29 |
$4,075.29 |
$723.00
|
|
Bone marrow imaging mult
|
$5,749.50 |
$5,749.50 |
$5,749.50 |
$762.31
|
|
Bone survey-lead poisoning
|
$6,403.09 |
$6,403.09 |
$6,403.09 |
$346.28
|
|
Boot walker genesis mid-calf full shell s
|
$353.39 |
$353.39 |
$353.39 |
$135.85
|
|
(both sides) smear without diff wbc count
|
$27.50 |
$27.50 |
$27.50 |
$33.57
|
|
Bowel imaging
|
$9,376.11 |
$9,376.11 |
$9,376.11 |
$1,186.25
|
|
Brace back vista 464 tlso
|
$1,193.95 |
$1,193.95 |
$1,193.95 |
$1,541.40
|
|
Brace halo bremer l2830
|
$1,026.04 |
$1,026.04 |
$1,026.04 |
$291.75
|
|
Brace kafo dbl upright cust
|
$5,875.18 |
$5,875.18 |
$5,875.18 |
$3,966.59
|
|
Braf gene
|
$50.00 |
$50.00 |
$50.00 |
$421.20
|
