|
11-desoxycortisol - sendout
|
$69.00 |
$69.00 |
$69.00 |
$87.50
|
|
17-hydroxypregnenolone
|
$78.00 |
$78.00 |
$78.00 |
$85.15
|
|
17-ketosteroids
|
$26.00 |
$26.00 |
$26.00 |
$44.00
|
|
3-d radiotherapy plan
|
$4,937.00 |
$4,937.00 |
$4,937.00 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$3,601.92 |
$3,601.92 |
$3,601.92 |
$427.34
|
|
5' nucleotidase - sendout
|
$11.00 |
$11.00 |
$11.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$624.24 |
$624.24 |
$624.24 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$82.00 |
$82.00 |
$82.00 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$23,778.59 |
$23,778.59 |
$23,778.59 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$22,055.15 |
$22,055.15 |
$22,055.15 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$22,055.15 |
$22,055.15 |
$22,055.15 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$12,725.57 |
$12,725.57 |
$12,725.57 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$11,044.88 |
$11,044.88 |
$11,044.88 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$10,193.04 |
$10,193.04 |
$10,193.04 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$7,040.99 |
$7,040.99 |
$7,040.99 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$5,358.61 |
$5,358.61 |
$5,358.61 |
$603.33
|
|
Ablate arrhythmia add on
|
$6,816.01 |
$6,816.01 |
$6,816.01 |
$7,417.15
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$317.00 |
$317.00 |
$317.00 |
$125.63
|
|
Acetaminophen level
|
$1,728.97 |
$1,728.97 |
$1,728.97 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$918.00 |
$918.00 |
$918.00 |
$133.60
|
|
Acetone qualitative
|
$849.18 |
$849.18 |
$849.18 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$39.80 |
$39.80 |
$39.80 |
$65.60
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$762.00 |
$762.00 |
$762.00 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$115.80 |
$115.80 |
$115.80 |
$42.28
|
|
Acute hepatitis panel
|
$384.00 |
$384.00 |
$384.00 |
$284.70
|
|
Acute venous thrombus image
|
$3,680.22 |
$3,680.22 |
$3,680.22 |
$873.75
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$82.00 |
$82.00 |
$82.00 |
$50.70
|
|
#acylcarnitineprfl
|
$132.00 |
$132.00 |
$132.00 |
$105.60
|
|
Adenovirus antibody,serum - quest
|
$76.00 |
$76.00 |
$76.00 |
$63.00
|
|
Adh-sendout
|
$34.00 |
$34.00 |
$34.00 |
$109.28
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$758.00 |
$758.00 |
$758.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$410.00 |
$410.00 |
$410.00 |
$440.00
|
|
Administration vaccine influenza virus
|
$198.32 |
$198.32 |
$198.32 |
$49.50
|
|
Administration vaccine pneumococcal
|
$198.32 |
$198.32 |
$198.32 |
$51.11
|
|
Adrenal cortex & medulla img
|
$3,953.07 |
$3,953.07 |
$3,953.07 |
$1,780.19
|
|
_afb id by dna probe rflx ast
|
$235.00 |
$235.00 |
$235.00 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$69.00 |
$69.00 |
$69.00 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$291.00 |
$291.00 |
$291.00 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$13,696.68
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$242.00 |
$242.00 |
$242.00 |
$57.60
|
|
Albuterol ipratrop non-comp
|
$48.40 |
$48.40 |
$48.40 |
$22.45
|
|
Albuterol non-comp con
|
$26.40 |
$26.40 |
$26.40 |
$15.00
|
|
Albuterol non-comp unit
|
$26.40 |
$26.40 |
$26.40 |
$9.59
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$1,252.47 |
$1,252.47 |
$1,252.47 |
$93.60
|
|
Aldesleukin injection
|
$6,471.00 |
$6,471.00 |
$6,471.00 |
$6,446.09
|
|
Alkaline phosphatase
|
$1,159.30 |
$1,159.30 |
$1,159.30 |
$46.20
|
|
Allergen egg white ige
|
$4.00 |
$4.00 |
$4.00 |
$41.00
|
|
Alpha-fetoprotein amniotic
|
$68.00 |
$68.00 |
$68.00 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$30.42 |
$30.42 |
$30.42 |
$99.00
|
|
Alt/sgpt
|
$838.53 |
$838.53 |
$838.53 |
$49.00
|
|
Aluminum - quest
|
$22.00 |
$22.00 |
$22.00 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$85.00 |
$85.00 |
$85.00 |
$36.30
|
|
Amino acid screen, urine
|
$20.00 |
$20.00 |
$20.00 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$33.00 |
$33.00 |
$33.00 |
$42.84
|
|
Aminolevulinic acid delta
|
$23.00 |
$23.00 |
$23.00 |
$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
|
$14.84 |
$14.84 |
$14.84 |
$101.17
|
|
Ammonia
|
$1,244.49 |
$1,244.49 |
$1,244.49 |
$120.90
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$294.98 |
$294.98 |
$294.98 |
$130.08
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$2,119.00 |
$2,119.00 |
$2,119.00 |
$331.80
|
|
Ana ds-dna
|
$14.00 |
$14.00 |
$14.00 |
$65.52
|
|
Anal pressure record
|
$5,394.58 |
$5,394.58 |
$5,394.58 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$82.00 |
$82.00 |
$82.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$28.00 |
$28.00 |
$28.00 |
$226.60
|
|
Analysis tumor
|
$260.00 |
$260.00 |
$260.00 |
$240.00
|
|
Anca screen with reflex to titer -quest
|
$17.00 |
$17.00 |
$17.00 |
$109.20
|
|
Anora (draw only)
|
$163.71 |
$163.71 |
$163.71 |
$36.00
|
|
Antibody htlv/hiv confirm test
|
$5.00 |
$5.00 |
$5.00 |
$141.74
|
|
Antibody htlv-i
|
$91.00 |
$91.00 |
$91.00 |
$48.75
|
|
Antibody htlv-ii
|
$91.00 |
$91.00 |
$91.00 |
$35.22
|
|
Antibody influenza virus
|
$21.00 |
$21.00 |
$21.00 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$42.00 |
$42.00 |
$42.00 |
$53.96
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$8.00 |
$8.00 |
$8.00 |
$2.75
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$247.00 |
$247.00 |
$247.00 |
$45.82
|
|
Antinuclear antibodies
|
$247.00 |
$247.00 |
$247.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$41.00 |
$41.00 |
$41.00 |
$80.25
|
|
Antiphosphatidylserine antibody
|
$75.00 |
$75.00 |
$75.00 |
$74.20
|
|
Antistreptolysin o titer
|
$247.00 |
$247.00 |
$247.00 |
$57.96
|
|
Antithrombin iii activity
|
$39.00 |
$39.00 |
$39.00 |
$115.23
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,844.00 |
$3,844.00 |
$3,844.00 |
$5,013.11
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$492.47 |
$492.47 |
$492.47 |
$75.98
|
|
#aptt mix-1:1 incubated
|
$184.00 |
$184.00 |
$184.00 |
$157.30
|
|
Artery xray of abdomen 75726-26
|
$21,064.41 |
$21,064.41 |
$21,064.41 |
$4,337.45
|
|
Artery x-rays adrenals
|
$42,079.57 |
$42,079.57 |
$42,079.57 |
$3,706.68
|
|
Artery x-rays chest
|
$21,064.41 |
$21,064.41 |
$21,064.41 |
$2,587.20
|
|
Artery x-rays lung
|
$21,064.41 |
$21,064.41 |
$21,064.41 |
$2,332.57
|
|
Artery xrays of pelvis 75736 26
|
$21,064.41 |
$21,064.41 |
$21,064.41 |
$4,086.49
|
|
Artery x-rays spine
|
$21,064.41 |
$21,064.41 |
$21,064.41 |
$4,306.40
|
|
Assay acid phosphatase
|
$15.00 |
$15.00 |
$15.00 |
$38.22
|
|
Assay blood catecholamines
|
$36.00 |
$36.00 |
$36.00 |
$72.00
|
|
Assay free hydroxyproline
|
$37.00 |
$37.00 |
$37.00 |
$46.15
|
|
Assay of adp & amp
|
$40.00 |
$40.00 |
$40.00 |
$127.40
|
|
Assay of galactose
|
$106.00 |
$106.00 |
$106.00 |
$48.13
|
|
Assay of interleukin-6 (il-6)
|
$59.00 |
$59.00 |
$59.00 |
$77.35
|
|
Assay of lap enzyme
|
$26.00 |
$26.00 |
$26.00 |
$56.25
|
|
Assay of neonatal thyroxine
|
$35.00 |
$35.00 |
$35.00 |
$13.33
|
|
Assay of procainamide w/metab
|
$219.00 |
$219.00 |
$219.00 |
$61.20
|
|
Assay of PSA complexed
|
$163.00 |
$163.00 |
$163.00 |
$64.28
|
|
Assay of sialic acid
|
$26.00 |
$26.00 |
$26.00 |
$60.45
|
