|
_afb id by dna probe rflx ast
|
$38.22 |
$38.22 |
$38.22 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$73.71 |
$73.71 |
$73.71 |
$34.72
|
|
_afb org id by sequencing rflx ast-sendout
|
$378.69 |
$378.69 |
$378.69 |
$300.00
|
|
Aff2 gen aly detc abnl allel
|
$225.42 |
$225.42 |
$225.42 |
$189.06
|
|
Aff2 gen alys charac alleles
|
$452.40 |
$452.40 |
$452.40 |
$379.27
|
|
Afo rig ant tib tcf/= custom
|
$1,200.70 |
$1,200.70 |
$1,200.70 |
$1,843.53
|
|
After cataract laser surgery
|
$721.89 |
$721.89 |
$721.89 |
$1,373.11
|
|
Air conduction bilat
|
$81.12 |
$81.12 |
$81.12 |
$134.00
|
|
Air injection into abdomen 49400
|
$2,454.66 |
$2,454.66 |
$2,454.66 |
$525.60
|
|
Airway resistance by impulse oscillometry 94728
|
$484.38 |
$484.38 |
$484.38 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$91.65 |
$91.65 |
$91.65 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$139.62 |
$139.62 |
$139.62 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$53.82 |
$53.82 |
$53.82 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$36.27 |
$36.27 |
$36.27 |
$96.00
|
|
Alkaline phosphatase
|
$65.91 |
$65.91 |
$65.91 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$33.93 |
$33.93 |
$33.93 |
$48.57
|
|
Allergen egg white ige
|
$37.05 |
$37.05 |
$37.05 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$53.82 |
$53.82 |
$53.82 |
$24.00
|
|
Allergy injections; 2 or more 95117
|
$37.44 |
$37.44 |
$37.44 |
$45.00
|
|
Allergy injection; single 95115
|
$51.48 |
$51.48 |
$51.48 |
$46.80
|
|
Allergy Skin Testing
|
$53.43 |
$53.43 |
$53.43 |
$47.44
|
|
Allg patch or app # of tests 95044
|
$39.00 |
$39.00 |
$39.00 |
$423.37
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$22,121.61 |
$22,121.61 |
$22,121.61 |
$9,900.02
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$18,284.60 |
$18,284.60 |
$18,284.60 |
$858.66
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$1,609.35 |
$1,609.35 |
$1,609.35 |
$5,096.00
|
|
All tstg perq&iq drugs/biol
|
$41.34 |
$41.34 |
$41.34 |
$64.80
|
|
All tstg perq&iq w/venoms
|
$41.34 |
$41.34 |
$41.34 |
$41.34
|
|
Alpha-fetoprotein tumor marker
|
$199.68 |
$199.68 |
$199.68 |
$106.00
|
|
Als 1
|
$892.32 |
$892.32 |
$892.32 |
$853.44
|
|
Als1-emergency
|
$1,288.56 |
$1,288.56 |
$1,288.56 |
$1,103.37
|
|
Als 2
|
$1,288.56 |
$1,288.56 |
$1,288.56 |
$1,288.56
|
|
Alt/sgpt
|
$62.01 |
$62.01 |
$62.01 |
$47.50
|
|
Aluminum - quest
|
$227.76 |
$227.76 |
$227.76 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$1,743.30 |
$1,743.30 |
$1,743.30 |
$411.45
|
|
Ambl bp mntr w/sw a/r
|
$161.46 |
$161.46 |
$161.46 |
$320.45
|
|
Amino acid screen, urine
|
$314.73 |
$314.73 |
$314.73 |
$77.00
|
|
Aminolevulinic acid delta
|
$194.61 |
$194.61 |
$194.61 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$12.13 |
$12.13 |
$12.13 |
$47.06
|
|
Ammonia
|
$249.21 |
$249.21 |
$249.21 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,733.55 |
$1,733.55 |
$1,733.55 |
$942.60
|
|
Amniocentesis therapeutic
|
$453.57 |
$453.57 |
$453.57 |
$791.05
|
|
Amniotic fluid scan
|
$33.15 |
$33.15 |
$33.15 |
$49.01
|
|
Amputation toe metatarsophalangeal joint
|
$3,777.93 |
$3,777.93 |
$3,777.93 |
$3,839.54
|
|
Amylase
|
$132.60 |
$132.60 |
$132.60 |
$90.00
|
|
Ana ds-dna
|
$69.03 |
$69.03 |
$69.03 |
$55.24
|
|
Anal pressure record
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$954.00
|
|
Anal/urinary muscle study
|
$461.37 |
$461.37 |
$461.37 |
$407.00
|
|
Anal/urinary muscle study
|
$671.97 |
$671.97 |
$671.97 |
$602.80
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$340.47 |
$340.47 |
$340.47 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$253.50 |
$253.50 |
$253.50 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$253.11 |
$253.11 |
$253.11 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$107.64 |
$107.64 |
$107.64 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$1,692.21 |
$1,692.21 |
$1,692.21 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$47.97 |
$47.97 |
$47.97 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$152.49 |
$152.49 |
$152.49 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$1,991.34 |
$1,991.34 |
$1,991.34 |
$2,480.94
|
|
An fluoro guide for cvp
|
$469.17 |
$469.17 |
$469.17 |
$525.85
|
|
Angio balloon ctrl dialysis seg add-on
|
$5,341.83 |
$5,341.83 |
$5,341.83 |
$5,728.50
|
|
Angioplasty fem/pop unilat 37224
|
$8,013.72 |
$8,013.72 |
$8,013.72 |
$8,600.40
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$11,524.11 |
$11,524.11 |
$11,524.11 |
$9,765.79
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$5,370.69 |
$5,370.69 |
$5,370.69 |
$5,950.50
|
|
Angio tib/peroneal/init ves/unila 37228
|
$10,233.99 |
$10,233.99 |
$10,233.99 |
$10,413.45
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,655.86 |
$3,655.86 |
$3,655.86 |
$4,560.40
|
|
Angio trnslmnl balloon same artery ini
|
$5,341.83 |
$5,341.83 |
$5,341.83 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$3,660.93 |
$3,660.93 |
$3,660.93 |
$4,350.00
|
|
Angio trnslmnl balloon same vein ini
|
$5,350.02 |
$5,350.02 |
$5,350.02 |
$8,359.11
|
|
Ankle X-ray
|
$261.30 |
$261.30 |
$261.30 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$197.73 |
$197.73 |
$197.73 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$591.24 |
$591.24 |
$591.24 |
$630.96
|
|
Anogenital exam child w imag
|
$106.86 |
$106.86 |
$106.86 |
$277.99
|
|
Anora (draw only)
|
$8.58 |
$8.58 |
$8.58 |
$35.00
|
|
Anoscopy remove fb 46608
|
$1,054.95 |
$1,054.95 |
$1,054.95 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$55.38 |
$55.38 |
$55.38 |
$57.85
|
|
Antibody elution rbc reference
|
$231.27 |
$231.27 |
$231.27 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$166.92 |
$166.92 |
$166.92 |
$131.56
|
|
Antibody htlv-i
|
$49.53 |
$49.53 |
$49.53 |
$49.53
|
|
Antibody htlv-ii
|
$49.53 |
$49.53 |
$49.53 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$249.99 |
$249.99 |
$249.99 |
$224.00
|
|
Antibody id rbc panel
|
$460.59 |
$460.59 |
$460.59 |
$291.75
|
|
Antibody influenza virus
|
$119.34 |
$119.34 |
$119.34 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$118.17 |
$118.17 |
$118.17 |
$46.58
|
|
Antibody screen rbc
|
$246.87 |
$246.87 |
$246.87 |
$108.55
|
|
Antibody tetanus
|
$109.98 |
$109.98 |
$109.98 |
$54.15
|
|
Anti mog serum - sendout
|
$16.38 |
$16.38 |
$16.38 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$22.23 |
$22.23 |
$22.23 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$22.23 |
$22.23 |
$22.23 |
$42.00
|
|
Antinuclear antibodies
|
$175.89 |
$175.89 |
$175.89 |
$90.00
|
|
Antinuclear antibodies titer
|
$101.79 |
$101.79 |
$101.79 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$84.63 |
$84.63 |
$84.63 |
$67.43
|
|
Antistreptolysin o screen
|
$72.93 |
$72.93 |
$72.93 |
$58.56
|
|
Antistreptolysin o titer
|
$88.14 |
$88.14 |
$88.14 |
$54.00
|
|
Antithrombin iii activity
|
$207.09 |
$207.09 |
$207.09 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$268.32 |
$268.32 |
$268.32 |
$394.55
|
|
Apheresis plasma
|
$3,510.00 |
$3,510.00 |
$3,510.00 |
$3,226.34
|
|
Apheresis platelets
|
$7,534.80 |
$7,534.80 |
$7,534.80 |
$2,195.00
|
|
Apheresis rbc
|
$7,470.06 |
$7,470.06 |
$7,470.06 |
$3,290.80
|
|
Apheresis wbc
|
$7,470.06 |
$7,470.06 |
$7,470.06 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$1,038.18 |
$1,038.18 |
$1,038.18 |
$513.00
|
|
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$2,114.00
|
|
App high cost ss f/n/g/h/f >100sq cm addl 100sq cm
|
$498.81 |
$498.81 |
$498.81 |
$852.00
|
