|
11-desoxycortisol - sendout
|
$290.40 |
$290.40 |
$290.40 |
$87.50
|
|
17-hydroxypregnenolone
|
$224.80 |
$224.80 |
$224.80 |
$89.25
|
|
17-ketosteroids
|
$171.20 |
$171.20 |
$171.20 |
$55.00
|
|
3d recon without postprocess indpndt
|
$816.00 |
$816.00 |
$816.00 |
$485.00
|
|
5' nucleotidase - sendout
|
$217.60 |
$217.60 |
$217.60 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$88.00 |
$88.00 |
$88.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$89.60 |
$89.60 |
$89.60 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,149.60 |
$2,149.60 |
$2,149.60 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,221.60 |
$4,221.60 |
$4,221.60 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$3,533.60 |
$3,533.60 |
$3,533.60 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$3,238.40 |
$3,238.40 |
$3,238.40 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$1,296.80 |
$1,296.80 |
$1,296.80 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,115.20 |
$1,115.20 |
$1,115.20 |
$590.00
|
|
Abl1 gene
|
$1,323.20 |
$1,323.20 |
$1,323.20 |
$682.50
|
|
Abscess drain retroperitoneal surg code
|
$1,952.80 |
$1,952.80 |
$1,952.80 |
$2,957.17
|
|
Acetaminophen level
|
$191.20 |
$191.20 |
$191.20 |
$107.62
|
|
Acetone qualitative
|
$80.80 |
$80.80 |
$80.80 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$210.40 |
$210.40 |
$210.40 |
$64.50
|
|
Acetylcholinesterase assay
|
$240.00 |
$240.00 |
$240.00 |
$113.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$67.20 |
$67.20 |
$67.20 |
$41.67
|
|
Acute hepatitis panel
|
$560.80 |
$560.80 |
$560.80 |
$292.00
|
|
#acylcarnitineprfl
|
$377.60 |
$377.60 |
$377.60 |
$125.40
|
|
Adh-sendout
|
$381.60 |
$381.60 |
$381.60 |
$109.28
|
|
Admin ecg contrast agent
|
$495.20 |
$495.20 |
$495.20 |
$119.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$122.40 |
$122.40 |
$122.40 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$109.60 |
$109.60 |
$109.60 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$580.00 |
$580.00 |
$580.00 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$555.20 |
$555.20 |
$555.20 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$114.40 |
$114.40 |
$114.40 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$114.40 |
$114.40 |
$114.40 |
$257.40
|
|
Administration immunization 1 vaccine
|
$60.00 |
$60.00 |
$60.00 |
$69.21
|
|
Administration immunization each additional vaccine
|
$40.80 |
$40.80 |
$40.80 |
$47.40
|
|
Administration vaccine hepatitis b
|
$60.80 |
$60.80 |
$60.80 |
$54.40
|
|
Administration vaccine influenza virus
|
$38.40 |
$38.40 |
$38.40 |
$50.43
|
|
Administration vaccine pneumococcal
|
$57.60 |
$57.60 |
$57.60 |
$50.43
|
|
_afb org id by sequencing rflx ast-sendout
|
$456.00 |
$456.00 |
$456.00 |
$315.00
|
|
Afo molded ankle gauntlet
|
$225.60 |
$225.60 |
$225.60 |
$765.51
|
|
Afo rig ant tib tcf/= custom
|
$4,564.00 |
$4,564.00 |
$4,564.00 |
$1,877.15
|
|
Albumin body fluid quantitative each specimen
|
$224.00 |
$224.00 |
$224.00 |
$46.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$70.40 |
$70.40 |
$70.40 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$176.00 |
$176.00 |
$176.00 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$281.60 |
$281.60 |
$281.60 |
$93.60
|
|
Alkaline phosphatase
|
$168.80 |
$168.80 |
$168.80 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$563.20 |
$563.20 |
$563.20 |
$48.00
|
|
Allergen egg white ige
|
$212.80 |
$212.80 |
$212.80 |
$38.00
|
|
Allergy Skin Testing
|
$52.80 |
$52.80 |
$52.80 |
$47.44
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$922.40 |
$922.40 |
$922.40 |
$874.65
|
|
Alpha-fetoprotein tumor marker
|
$207.20 |
$207.20 |
$207.20 |
$106.00
|
|
Alt/sgpt
|
$159.20 |
$159.20 |
$159.20 |
$47.45
|
|
Alys cplx sp/pn npgt w/prgrm
|
$230.40 |
$230.40 |
$230.40 |
$434.00
|
|
Amino acid screen, urine
|
$778.40 |
$778.40 |
$778.40 |
$102.00
|
|
Aminolevulinic acid delta
|
$94.40 |
$94.40 |
$94.40 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$160.00 |
$160.00 |
$160.00 |
$87.45
|
|
Ammonia
|
$256.80 |
$256.80 |
$256.80 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$731.20 |
$731.20 |
$731.20 |
$942.60
|
|
Amphetamines 5 or more
|
$168.00 |
$168.00 |
$168.00 |
$82.96
|
|
Amylase
|
$270.40 |
$270.40 |
$270.40 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$220.00 |
$220.00 |
$220.00 |
$80.08
|
|
Analysis gene f2 20210g>a variant
|
$642.40 |
$642.40 |
$642.40 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$439.20 |
$439.20 |
$439.20 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$51.20 |
$51.20 |
$51.20 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$225.60 |
$225.60 |
$225.60 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,207.20 |
$3,207.20 |
$3,207.20 |
$2,626.65
|
|
Androstanediol
|
$140.00 |
$140.00 |
$140.00 |
$120.60
|
|
An fluoro guide for cvp
|
$673.60 |
$673.60 |
$673.60 |
$515.00
|
|
Ankle X-ray
|
$741.60 |
$741.60 |
$741.60 |
$353.60
|
|
Anora (draw only)
|
$48.80 |
$48.80 |
$48.80 |
$33.58
|
|
Antibody bacterium, not elsewhere specified
|
$207.20 |
$207.20 |
$207.20 |
$57.81
|
|
Antibody elution rbc reference
|
$144.00 |
$144.00 |
$144.00 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$506.40 |
$506.40 |
$506.40 |
$130.00
|
|
Antibody htlv-i
|
$212.00 |
$212.00 |
$212.00 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$325.60 |
$325.60 |
$325.60 |
$218.30
|
|
Antibody id rbc panel
|
$302.40 |
$302.40 |
$302.40 |
$274.56
|
|
Antibody influenza virus
|
$286.40 |
$286.40 |
$286.40 |
$53.95
|
|
Antibody screen rbc
|
$106.40 |
$106.40 |
$106.40 |
$100.00
|
|
Antibody tetanus
|
$185.60 |
$185.60 |
$185.60 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$36.00 |
$36.00 |
$36.00 |
$37.05
|
|
Antinuclear antibodies
|
$138.40 |
$138.40 |
$138.40 |
$89.40
|
|
Antinuclear antibodies titer
|
$80.80 |
$80.80 |
$80.80 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$406.40 |
$406.40 |
$406.40 |
$65.97
|
|
Antithrombin iii activity
|
$369.60 |
$369.60 |
$369.60 |
$114.00
|
|
Aortic dysfunction/dilation
|
$8,192.80 |
$8,192.80 |
$8,192.80 |
$1,008.00
|
|
Application finger splntstatic 29130
|
$152.80 |
$152.80 |
$152.80 |
$208.16
|
|
Application long leg splint 29505
|
$203.20 |
$203.20 |
$203.20 |
$338.25
|
|
Application lower leg splint 29515
|
$203.20 |
$203.20 |
$203.20 |
$330.48
|
|
Application multi layer compression below knee (both sides)
|
$528.00 |
$528.00 |
$528.00 |
$373.20
|
|
Application of forearm cast 29075
|
$347.20 |
$347.20 |
$347.20 |
$339.30
|
|
Application of long arm cast 29065
|
$347.20 |
$347.20 |
$347.20 |
$395.00
|
|
Application of long leg cast
|
$538.40 |
$538.40 |
$538.40 |
$426.00
|
|
Application of long leg cast 29345
|
$410.40 |
$410.40 |
$410.40 |
$455.00
|
|
Application of paste boot 29580
|
$432.80 |
$432.80 |
$432.80 |
$331.74
|
|
Application short leg cast 29405
|
$396.00 |
$396.00 |
$396.00 |
$388.80
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$2,702.40 |
$2,702.40 |
$2,702.40 |
$2,164.64
|
|
Applicator tag rfid localizer 12gx7cm
|
$410.40 |
$410.40 |
$410.40 |
$744.90
|
|
Appl modality 1/> areas paraffin bath 97018
|
$70.40 |
$70.40 |
$70.40 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$70.40 |
$70.40 |
$70.40 |
$75.60
|
|
Appl multlay comprs arm/hand
|
$337.60 |
$337.60 |
$337.60 |
$292.60
|
