|
17-hydroxypregnenolone
|
$146.16 |
$146.16 |
$146.16 |
$89.25
|
|
3d recon without postprocess indpndt
|
$506.88 |
$506.88 |
$506.88 |
$485.00
|
|
5' nucleotidase - sendout
|
$102.96 |
$102.96 |
$102.96 |
$50.40
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$176.40 |
$176.40 |
$176.40 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$3,343.68 |
$3,343.68 |
$3,343.68 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,733.84 |
$2,733.84 |
$2,733.84 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$2,418.48 |
$2,418.48 |
$2,418.48 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,053.60 |
$4,053.60 |
$4,053.60 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$3,523.68 |
$3,523.68 |
$3,523.68 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$3,130.56 |
$3,130.56 |
$3,130.56 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,107.36 |
$1,107.36 |
$1,107.36 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$1,419.84 |
$1,419.84 |
$1,419.84 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,182.24 |
$1,182.24 |
$1,182.24 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,012.32 |
$1,012.32 |
$1,012.32 |
$1,145.40
|
|
Ablation of upper extremity nerves rf
|
$342.72 |
$342.72 |
$342.72 |
$808.50
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$1.28 |
$1.28 |
$1.28 |
$74.96
|
|
Acetone qualitative
|
$54.00 |
$54.00 |
$54.00 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$167.76 |
$167.76 |
$167.76 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$6.34 |
$6.34 |
$6.34 |
$216.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$293.76 |
$293.76 |
$293.76 |
$345.15
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$54.00 |
$54.00 |
$54.00 |
$41.67
|
|
Acoustic immitance testing
|
$169.20 |
$169.20 |
$169.20 |
$158.50
|
|
Acute hepatitis panel
|
$600.48 |
$600.48 |
$600.48 |
$292.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$6.31 |
$6.31 |
$6.31 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$84.96 |
$84.96 |
$84.96 |
$63.00
|
|
Adh-sendout
|
$133.20 |
$133.20 |
$133.20 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$12.96 |
$12.96 |
$12.96 |
$181.12
|
|
Administration chemotherapy IV infusion each additional hour
|
$90.72 |
$90.72 |
$90.72 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$806.40 |
$806.40 |
$806.40 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$384.48 |
$384.48 |
$384.48 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$123.12 |
$123.12 |
$123.12 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$145.44 |
$145.44 |
$145.44 |
$257.40
|
|
Administration immunization 1 vaccine
|
$66.96 |
$66.96 |
$66.96 |
$69.21
|
|
Administration immunization each additional vaccine
|
$69.84 |
$69.84 |
$69.84 |
$47.40
|
|
Administration vaccine hepatitis b
|
$49.68 |
$49.68 |
$49.68 |
$54.40
|
|
Administration vaccine influenza virus
|
$56.16 |
$56.16 |
$56.16 |
$50.43
|
|
Administration vaccine pneumococcal
|
$49.68 |
$49.68 |
$49.68 |
$50.43
|
|
_afb id by dna probe rflx ast
|
$100.80 |
$100.80 |
$100.80 |
$93.52
|
|
Air conduction bilat
|
$138.96 |
$138.96 |
$138.96 |
$133.00
|
|
Airway resistance by impulse oscillometry 94728
|
$287.28 |
$287.28 |
$287.28 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$29.52 |
$29.52 |
$29.52 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$311.04 |
$311.04 |
$311.04 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$105.12 |
$105.12 |
$105.12 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$66.96 |
$66.96 |
$66.96 |
$40.80
|
|
Alkaline phosphatase
|
$44.64 |
$44.64 |
$44.64 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$22.32 |
$22.32 |
$22.32 |
$48.00
|
|
Allergen egg white ige
|
$91.44 |
$91.44 |
$91.44 |
$38.00
|
|
Allergy injections; 2 or more 95117
|
$59.76 |
$59.76 |
$59.76 |
$43.75
|
|
Allergy injection; single 95115
|
$49.68 |
$49.68 |
$49.68 |
$42.75
|
|
Alpha-fetoprotein tumor marker
|
$97.20 |
$97.20 |
$97.20 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$319.97 |
$319.97 |
$319.97 |
$15,857.45
|
|
Alt/sgpt
|
$92.88 |
$92.88 |
$92.88 |
$47.45
|
|
Aluminum - quest
|
$32.40 |
$32.40 |
$32.40 |
$83.05
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$13.30 |
$13.30 |
$13.30 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.59 |
$2.59 |
$2.59 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$43.20 |
$43.20 |
$43.20 |
$87.45
|
|
Ammonia
|
$182.88 |
$182.88 |
$182.88 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$940.32 |
$940.32 |
$940.32 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$36.00 |
$36.00 |
$36.00 |
$92.61
|
|
Ampicillin 1 gram solution for injection
|
$12.96 |
$12.96 |
$12.96 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$27.58 |
$27.58 |
$27.58 |
$53.86
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$378.72 |
$378.72 |
$378.72 |
$262.99
|
|
Amylase
|
$126.72 |
$126.72 |
$126.72 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$498.24 |
$498.24 |
$498.24 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$169.92 |
$169.92 |
$169.92 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$270.72 |
$270.72 |
$270.72 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$195.12 |
$195.12 |
$195.12 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,811.68 |
$3,811.68 |
$3,811.68 |
$2,626.65
|
|
An fluoro guide for cvp
|
$984.24 |
$984.24 |
$984.24 |
$515.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$32.40 |
$32.40 |
$32.40 |
$3,080.85
|
|
Ankle X-ray
|
$515.52 |
$515.52 |
$515.52 |
$353.60
|
|
Anora (draw only)
|
$48.96 |
$48.96 |
$48.96 |
$33.58
|
|
Antibody bacterium, not elsewhere specified
|
$78.48 |
$78.48 |
$78.48 |
$57.81
|
|
Antibody elution rbc reference
|
$246.24 |
$246.24 |
$246.24 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$108.00 |
$108.00 |
$108.00 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$152.64 |
$152.64 |
$152.64 |
$218.30
|
|
Antibody id rbc panel
|
$453.60 |
$453.60 |
$453.60 |
$274.56
|
|
Antibody influenza virus
|
$126.72 |
$126.72 |
$126.72 |
$53.95
|
|
Antibody screen rbc
|
$101.52 |
$101.52 |
$101.52 |
$100.00
|
|
Antibody tetanus
|
$115.92 |
$115.92 |
$115.92 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$195.12 |
$195.12 |
$195.12 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$48.96 |
$48.96 |
$48.96 |
$40.00
|
|
Antinuclear antibodies
|
$131.76 |
$131.76 |
$131.76 |
$89.40
|
|
Antinuclear antibodies titer
|
$117.36 |
$117.36 |
$117.36 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$52.56 |
$52.56 |
$52.56 |
$65.97
|
|
Antipsychotics nos 1-3
|
$105.12 |
$105.12 |
$105.12 |
$142.42
|
|
Antistreptolysin o titer
|
$54.00 |
$54.00 |
$54.00 |
$51.45
|
|
Antithrombin iii activity
|
$128.16 |
$128.16 |
$128.16 |
$114.00
|
|
Application finger splntstatic 29130
|
$200.88 |
$200.88 |
$200.88 |
$208.16
|
|
Application long leg splint 29505
|
$430.56 |
$430.56 |
$430.56 |
$338.25
|
|
Application lower leg splint 29515
|
$430.56 |
$430.56 |
$430.56 |
$330.48
|
|
Application of forearm cast 29075
|
$749.52 |
$749.52 |
$749.52 |
$339.30
|
|
Application of long arm cast 29065
|
$749.52 |
$749.52 |
$749.52 |
$395.00
|
|
Application of long leg cast 29345
|
$749.52 |
$749.52 |
$749.52 |
$455.00
|
|
Application of paste boot 29580
|
$430.56 |
$430.56 |
$430.56 |
$331.74
|
|
Application short leg cast 29405
|
$749.52 |
$749.52 |
$749.52 |
$388.80
|
|
Applicator tag rfid localizer 12gx7cm
|
$540.00 |
$540.00 |
$540.00 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$126.72 |
$126.72 |
$126.72 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$162.72 |
$162.72 |
$162.72 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$190.08 |
$190.08 |
$190.08 |
$246.18
|
