|
5' nucleotidase - sendout
|
$105.84 |
$105.84 |
$105.84 |
$50.40
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$91.44 |
$91.44 |
$91.44 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$2,843.28 |
$2,843.28 |
$2,843.28 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,531.52 |
$2,531.52 |
$2,531.52 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,997.28 |
$1,997.28 |
$1,997.28 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,885.12 |
$3,885.12 |
$3,885.12 |
$3,015.94
|
|
Abdominal MRI (without contrast)
|
$2,988.00 |
$2,988.00 |
$2,988.00 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,853.28 |
$1,853.28 |
$1,853.28 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$1,164.24 |
$1,164.24 |
$1,164.24 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,056.24 |
$1,056.24 |
$1,056.24 |
$590.00
|
|
Acetone qualitative
|
$74.88 |
$74.88 |
$74.88 |
$45.65
|
|
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
|
$43.92 |
$43.92 |
$43.92 |
$41.67
|
|
Acute hepatitis panel
|
$456.48 |
$456.48 |
$456.48 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.46 |
$0.46 |
$0.46 |
$63.48
|
|
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
|
$256.32 |
$256.32 |
$256.32 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$727.92 |
$727.92 |
$727.92 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$707.04 |
$707.04 |
$707.04 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$187.20 |
$187.20 |
$187.20 |
$257.40
|
|
Administration immunization 1 vaccine
|
$79.92 |
$79.92 |
$79.92 |
$69.21
|
|
Administration vaccine hepatitis b
|
$49.68 |
$49.68 |
$49.68 |
$54.40
|
|
Administration vaccine influenza virus
|
$43.20 |
$43.20 |
$43.20 |
$50.43
|
|
Administration vaccine pneumococcal
|
$83.52 |
$83.52 |
$83.52 |
$50.43
|
|
_afb id by dna probe rflx ast
|
$97.20 |
$97.20 |
$97.20 |
$93.52
|
|
Afo w/ankle joint, prefab
|
$19.44 |
$19.44 |
$19.44 |
$795.02
|
|
After cataract laser surgery
|
$519.84 |
$519.84 |
$519.84 |
$1,373.11
|
|
Albumin body fluid quantitative each specimen
|
$43.92 |
$43.92 |
$43.92 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$311.04 |
$311.04 |
$311.04 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$90.00 |
$90.00 |
$90.00 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$67.68 |
$67.68 |
$67.68 |
$40.80
|
|
Alginate drsg >16 <=48 sq in
|
$46.80 |
$46.80 |
$46.80 |
$43.72
|
|
Alkaline phosphatase
|
$68.40 |
$68.40 |
$68.40 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$46.80 |
$46.80 |
$46.80 |
$48.00
|
|
Allergen egg white ige
|
$56.88 |
$56.88 |
$56.88 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$50.40 |
$50.40 |
$50.40 |
$24.01
|
|
Allergy injections; 2 or more 95117
|
$141.84 |
$141.84 |
$141.84 |
$43.75
|
|
Allergy injection; single 95115
|
$90.00 |
$90.00 |
$90.00 |
$42.75
|
|
Alpha-fetoprotein tumor marker
|
$217.44 |
$217.44 |
$217.44 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$320.04 |
$320.04 |
$320.04 |
$15,857.45
|
|
Alt/sgpt
|
$87.84 |
$87.84 |
$87.84 |
$47.45
|
|
Aluminum - quest
|
$32.40 |
$32.40 |
$32.40 |
$83.05
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$69.12 |
$69.12 |
$69.12 |
$45.02
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$13.32 |
$13.32 |
$13.32 |
$119.07
|
|
Amiodarone 50 mg/ml intravenous solution
|
$2.59 |
$2.59 |
$2.59 |
$55.86
|
|
Ammonia
|
$130.32 |
$130.32 |
$130.32 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$136.08 |
$136.08 |
$136.08 |
$92.61
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$27.72 |
$27.72 |
$27.72 |
$53.86
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$378.72 |
$378.72 |
$378.72 |
$262.99
|
|
Amylase
|
$118.08 |
$118.08 |
$118.08 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$177.12 |
$177.12 |
$177.12 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$342.00 |
$342.00 |
$342.00 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$270.72 |
$270.72 |
$270.72 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$250.56 |
$250.56 |
$250.56 |
$103.20
|
|
An fluoro guide for cvp
|
$627.12 |
$627.12 |
$627.12 |
$515.00
|
|
Ankle X-ray
|
$414.00 |
$414.00 |
$414.00 |
$353.60
|
|
Antibody bacterium, not elsewhere specified
|
$82.08 |
$82.08 |
$82.08 |
$57.81
|
|
Antibody elution rbc reference
|
$216.00 |
$216.00 |
$216.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$112.32 |
$112.32 |
$112.32 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$156.24 |
$156.24 |
$156.24 |
$218.30
|
|
Antibody id rbc panel
|
$453.60 |
$453.60 |
$453.60 |
$274.56
|
|
Antibody influenza virus
|
$131.04 |
$131.04 |
$131.04 |
$53.95
|
|
Antibody screen rbc
|
$85.68 |
$85.68 |
$85.68 |
$100.00
|
|
Antibody tetanus
|
$119.52 |
$119.52 |
$119.52 |
$53.95
|
|
Anti mog serum - sendout
|
$1,035.36 |
$1,035.36 |
$1,035.36 |
$159.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$200.88 |
$200.88 |
$200.88 |
$37.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$51.12 |
$51.12 |
$51.12 |
$40.00
|
|
Antinuclear antibodies
|
$172.08 |
$172.08 |
$172.08 |
$89.40
|
|
Antinuclear antibodies titer
|
$105.84 |
$105.84 |
$105.84 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$54.72 |
$54.72 |
$54.72 |
$65.97
|
|
Antistreptolysin o titer
|
$97.20 |
$97.20 |
$97.20 |
$51.45
|
|
Antithrombin iii activity
|
$131.76 |
$131.76 |
$131.76 |
$114.00
|
|
Application finger splntstatic 29130
|
$307.44 |
$307.44 |
$307.44 |
$208.16
|
|
Application long leg splint 29505
|
$307.44 |
$307.44 |
$307.44 |
$338.25
|
|
Application lower leg splint 29515
|
$373.68 |
$373.68 |
$373.68 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$299.52 |
$299.52 |
$299.52 |
$373.20
|
|
Application of forearm cast 29075
|
$286.56 |
$286.56 |
$286.56 |
$339.30
|
|
Application of long arm cast 29065
|
$286.56 |
$286.56 |
$286.56 |
$395.00
|
|
Application short leg cast 29405
|
$286.56 |
$286.56 |
$286.56 |
$388.80
|
|
Appl modality 1/> areas paraffin bath 97018
|
$71.28 |
$71.28 |
$71.28 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$101.52 |
$101.52 |
$101.52 |
$75.60
|
|
Apply forearm splintdynamic 29126
|
$307.44 |
$307.44 |
$307.44 |
$246.18
|
|
Aquaporin-4 antibody cba each
|
$460.08 |
$460.08 |
$460.08 |
$138.16
|
|
Artery x-rays arm/leg 75710-26
|
$8,398.08 |
$8,398.08 |
$8,398.08 |
$3,480.00
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$608.40
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$766.80 |
$766.80 |
$766.80 |
$889.20
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$318.96 |
$318.96 |
$318.96 |
$465.00
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$715.37
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,021.04 |
$2,021.04 |
$2,021.04 |
$1,226.87
|
|
Assay of interleukin-6 (il-6)
|
$162.72 |
$162.72 |
$162.72 |
$79.97
|
|
Assay of osteocalcin
|
$82.80 |
$82.80 |
$82.80 |
$92.50
|
|
Assay of procainamide w/metab
|
$44.64 |
$44.64 |
$44.64 |
$70.50
|
|
Assay of thiocyanate
|
$20.16 |
$20.16 |
$20.16 |
$65.00
|
|
Assay of urine sulfate
|
$390.24 |
$390.24 |
$390.24 |
$29.04
|
|
Ast/sgot
|
$94.32 |
$94.32 |
$94.32 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$1.04 |
$1.04 |
$1.04 |
$51.28
|
|
Autologous blood process
|
$333.36 |
$333.36 |
$333.36 |
$262.50
|
|
Automated diff wbc count
|
$54.00 |
$54.00 |
$54.00 |
$38.28
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$310.00 |
$310.00 |
$310.00 |
$318.75
|
|
Azithromycin 500 mg intravenous solution
|
$31.68 |
$31.68 |
$31.68 |
$35.06
|
