|
11-desoxycortisol - sendout
|
$285.60 |
$285.60 |
$285.60 |
$87.50
|
|
17-hydroxypregnenolone
|
$223.20 |
$223.20 |
$223.20 |
$89.25
|
|
24 hr ambulatory b/p monitor
|
$427.20 |
$427.20 |
$427.20 |
$313.04
|
|
3d recon without postprocess indpndt
|
$959.20 |
$959.20 |
$959.20 |
$485.00
|
|
5' nucleotidase - sendout
|
$217.60 |
$217.60 |
$217.60 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$120.80 |
$120.80 |
$120.80 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$5,603.20 |
$5,603.20 |
$5,603.20 |
$3,569.56
|
|
Abdominal CT scan (with and without contrast)
|
$3,193.60 |
$3,193.60 |
$3,193.60 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,757.60 |
$2,757.60 |
$2,757.60 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$2,646.40 |
$2,646.40 |
$2,646.40 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$5,116.80 |
$5,116.80 |
$5,116.80 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$4,444.00 |
$4,444.00 |
$4,444.00 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$3,542.40 |
$3,542.40 |
$3,542.40 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$2,292.80 |
$2,292.80 |
$2,292.80 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$906.40 |
$906.40 |
$906.40 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,684.80 |
$1,684.80 |
$1,684.80 |
$590.00
|
|
Abd paracentesis/w/o image guide 49082
|
$2,688.80 |
$2,688.80 |
$2,688.80 |
$1,145.40
|
|
Abl1 gene
|
$1,568.00 |
$1,568.00 |
$1,568.00 |
$682.50
|
|
Ablation cryo pq chest wall tumor(s) w/guid
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$441.09
|
|
Ablation of upper extremity nerves rf
|
$1,494.40 |
$1,494.40 |
$1,494.40 |
$808.50
|
|
Acetaminophen level
|
$362.40 |
$362.40 |
$362.40 |
$107.62
|
|
Acetone qualitative
|
$197.60 |
$197.60 |
$197.60 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$210.40 |
$210.40 |
$210.40 |
$64.50
|
|
Acetylcholinesterase assay
|
$374.40 |
$374.40 |
$374.40 |
$113.00
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$735.20 |
$735.20 |
$735.20 |
$345.15
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$123.20 |
$123.20 |
$123.20 |
$41.67
|
|
Acoustic immitance testing
|
$419.20 |
$419.20 |
$419.20 |
$158.50
|
|
Acute hepatitis panel
|
$521.60 |
$521.60 |
$521.60 |
$292.00
|
|
#acylcarnitineprfl
|
$351.20 |
$351.20 |
$351.20 |
$125.40
|
|
Adenovirus antibody,serum - quest
|
$65.60 |
$65.60 |
$65.60 |
$63.00
|
|
Adh-sendout
|
$436.00 |
$436.00 |
$436.00 |
$109.28
|
|
Admin ecg contrast agent
|
$335.20 |
$335.20 |
$335.20 |
$119.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$183.20 |
$183.20 |
$183.20 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$183.20 |
$183.20 |
$183.20 |
$294.00
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$889.60 |
$889.60 |
$889.60 |
$657.12
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$675.20 |
$675.20 |
$675.20 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$538.40 |
$538.40 |
$538.40 |
$211.09
|
|
Administration immunization 1 vaccine
|
$120.80 |
$120.80 |
$120.80 |
$69.21
|
|
Administration immunization each additional vaccine
|
$60.80 |
$60.80 |
$60.80 |
$47.40
|
|
Administration vaccine hepatitis b
|
$66.40 |
$66.40 |
$66.40 |
$54.40
|
|
Administration vaccine influenza virus
|
$127.20 |
$127.20 |
$127.20 |
$50.43
|
|
Administration vaccine pneumococcal
|
$132.00 |
$132.00 |
$132.00 |
$50.43
|
|
Aep hearing status deter i&r
|
$261.60 |
$261.60 |
$261.60 |
$305.73
|
|
Aep neurodiagnostic i&r
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$576.80
|
|
Aep thrshld est mlt freq i&r
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$605.15
|
|
_afb org id by sequencing rflx ast-sendout
|
$493.60 |
$493.60 |
$493.60 |
$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
|
|
After cataract laser surgery
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$1,373.11
|
|
Air conduction bilat
|
$206.40 |
$206.40 |
$206.40 |
$133.00
|
|
Airway resistance by impulse oscillometry 94728
|
$659.20 |
$659.20 |
$659.20 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$260.80 |
$260.80 |
$260.80 |
$46.23
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$82.40 |
$82.40 |
$82.40 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$169.60 |
$169.60 |
$169.60 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$419.20 |
$419.20 |
$419.20 |
$93.60
|
|
Alkaline phosphatase
|
$128.80 |
$128.80 |
$128.80 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$566.40 |
$566.40 |
$566.40 |
$48.00
|
|
Allergen egg white ige
|
$231.20 |
$231.20 |
$231.20 |
$38.00
|
|
Allergy Skin Testing
|
$62.40 |
$62.40 |
$62.40 |
$47.44
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$950.40 |
$950.40 |
$950.40 |
$874.65
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$644.80 |
$644.80 |
$644.80 |
$4,677.40
|
|
Alpha-fetoprotein amniotic
|
$198.40 |
$198.40 |
$198.40 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$388.00 |
$388.00 |
$388.00 |
$106.00
|
|
Alt/sgpt
|
$152.80 |
$152.80 |
$152.80 |
$47.45
|
|
Aluminum - quest
|
$216.00 |
$216.00 |
$216.00 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$830.40 |
$830.40 |
$830.40 |
$434.00
|
|
Amino acid screen, urine
|
$897.60 |
$897.60 |
$897.60 |
$102.00
|
|
Amino acids quant 2-5
|
$323.20 |
$323.20 |
$323.20 |
$104.00
|
|
Aminolevulinic acid delta
|
$336.80 |
$336.80 |
$336.80 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$181.60 |
$181.60 |
$181.60 |
$87.45
|
|
Ammonia
|
$238.40 |
$238.40 |
$238.40 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$731.20 |
$731.20 |
$731.20 |
$942.60
|
|
Amniotic fluid scan
|
$252.80 |
$252.80 |
$252.80 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$367.20 |
$367.20 |
$367.20 |
$92.61
|
|
Amphetamines 5 or more
|
$321.60 |
$321.60 |
$321.60 |
$82.96
|
|
Amylase
|
$291.20 |
$291.20 |
$291.20 |
$89.04
|
|
Anabolic steroid 1 or 2
|
$217.60 |
$217.60 |
$217.60 |
$80.08
|
|
Analysis gene f2 20210g>a variant
|
$827.20 |
$827.20 |
$827.20 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$994.40 |
$994.40 |
$994.40 |
$230.40
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$861.60 |
$861.60 |
$861.60 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$50.40 |
$50.40 |
$50.40 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$371.20 |
$371.20 |
$371.20 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$3,120.80 |
$3,120.80 |
$3,120.80 |
$2,626.65
|
|
An fluoro guide for cvp
|
$1,139.20 |
$1,139.20 |
$1,139.20 |
$515.00
|
|
Ankle X-ray
|
$983.20 |
$983.20 |
$983.20 |
$353.60
|
|
Anl sp inf pmp w/mdreprg&fil
|
$1,505.60 |
$1,505.60 |
$1,505.60 |
$627.94
|
|
Anora (draw only)
|
$100.80 |
$100.80 |
$100.80 |
$33.58
|
|
Antibody bacterium, not elsewhere specified
|
$408.80 |
$408.80 |
$408.80 |
$57.81
|
|
Antibody elution rbc reference
|
$262.40 |
$262.40 |
$262.40 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$649.60 |
$649.60 |
$649.60 |
$130.00
|
|
Antibody htlv-i
|
$260.80 |
$260.80 |
$260.80 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,566.40 |
$1,566.40 |
$1,566.40 |
$218.30
|
|
Antibody id rbc panel
|
$328.80 |
$328.80 |
$328.80 |
$274.56
|
|
Antibody influenza virus
|
$338.40 |
$338.40 |
$338.40 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$56.80 |
$56.80 |
$56.80 |
$48.57
|
|
Antibody screen rbc
|
$207.20 |
$207.20 |
$207.20 |
$100.00
|
|
Antibody tetanus
|
$232.00 |
$232.00 |
$232.00 |
$53.95
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$37.60 |
$37.60 |
$37.60 |
$37.05
|
|
Antinuclear antibodies
|
$266.40 |
$266.40 |
$266.40 |
$89.40
|
|
Antinuclear antibodies titer
|
$201.60 |
$201.60 |
$201.60 |
$77.00
|
