|
11-desoxycortisol - sendout
|
$154.70 |
$154.70 |
$154.70 |
$88.89
|
|
17-hydroxypregnenolone
|
$161.00 |
$161.00 |
$161.00 |
$90.90
|
|
17-ketosteroids
|
$67.20 |
$67.20 |
$67.20 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$1,848.70 |
$1,848.70 |
$1,848.70 |
$1,665.35
|
|
2d tte w or without fol w/con,co
|
$1,997.10 |
$1,997.10 |
$1,997.10 |
$1,278.75
|
|
3d recon without postprocess indpndt
|
$865.20 |
$865.20 |
$865.20 |
$505.05
|
|
5' nucleotidase - sendout
|
$73.50 |
$73.50 |
$73.50 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$53.90 |
$53.90 |
$53.90 |
$53.90
|
|
Abd aorta w/runoff s&i
|
$4,862.90 |
$4,862.90 |
$4,862.90 |
$3,587.50
|
|
Abdominal CT scan (with and without contrast)
|
$3,658.90 |
$3,658.90 |
$3,658.90 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$3,201.10 |
$3,201.10 |
$3,201.10 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$2,576.00 |
$2,576.00 |
$2,576.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,385.50 |
$4,385.50 |
$4,385.50 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,770.20 |
$3,770.20 |
$3,770.20 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$3,700.20 |
$3,700.20 |
$3,700.20 |
$2,048.36
|
|
Abdominal Ultrasound (complete)
|
$1,772.40 |
$1,772.40 |
$1,772.40 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$545.30 |
$545.30 |
$545.30 |
$581.10
|
|
Abl1 gene
|
$803.60 |
$803.60 |
$803.60 |
$683.20
|
|
Ablat 1/+thyr ndul addl prq rf
|
$3,192.00 |
$3,192.00 |
$3,192.00 |
$1,155.50
|
|
Ablate arrhythmia add on
|
$17,618.30 |
$17,618.30 |
$17,618.30 |
$6,828.51
|
|
Ablate pulm tumor perq rf
|
$4,677.40 |
$4,677.40 |
$4,677.40 |
$7,243.60
|
|
Ablation cardiac vagal inputs atrium
|
$37,655.10 |
$37,655.10 |
$37,655.10 |
$2,260.30
|
|
Ablation cryo abd perit om
|
$10,561.60 |
$10,561.60 |
$10,561.60 |
$2,312.80
|
|
Ablation cryo adrenal tumor
|
$12,087.60 |
$12,087.60 |
$12,087.60 |
$6,948.75
|
|
Ablation cryo retro lymph node
|
$23,921.80 |
$23,921.80 |
$23,921.80 |
$826.80
|
|
Ablation of upper extremity nerves rf
|
$47,961.20 |
$47,961.20 |
$47,961.20 |
$832.50
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$3,546.90 |
$3,546.90 |
$3,546.90 |
$2,884.00
|
|
Abortion (mpr)
|
$606.90 |
$606.90 |
$606.90 |
$587.60
|
|
Access thoracic lymph duct
|
$346.50 |
$346.50 |
$346.50 |
$828.80
|
|
Acetaminophen level
|
$189.70 |
$189.70 |
$189.70 |
$111.00
|
|
Acetone qualitative
|
$82.60 |
$82.60 |
$82.60 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$358.40 |
$358.40 |
$358.40 |
$66.28
|
|
Acoustic immitance testing
|
$305.90 |
$305.90 |
$305.90 |
$157.30
|
|
Acute hepatitis panel
|
$323.40 |
$323.40 |
$323.40 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$235.02 |
$235.02 |
$235.02 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$85.22 |
$85.22 |
$85.22 |
$64.15
|
|
Adenosine 3 mg/250 ml bag for osm
|
$104.82 |
$104.82 |
$104.82 |
$272.57
|
|
Adenovirus ag ia
|
$78.40 |
$78.40 |
$78.40 |
$53.95
|
|
Adh-sendout
|
$172.90 |
$172.90 |
$172.90 |
$114.50
|
|
Adj gastric band via subq port
|
$22,791.30 |
$22,791.30 |
$22,791.30 |
$1,609.80
|
|
Adjustment gastric band
|
$498.40 |
$498.40 |
$498.40 |
$207.40
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$487.72 |
$487.72 |
$487.72 |
$197.05
|
|
Administration rsv monoclonal ab seasonal dose im w/counseling
|
$75.60 |
$75.60 |
$75.60 |
$42.00
|
|
Administration vaccine influenza virus
|
$48.30 |
$48.30 |
$48.30 |
$48.73
|
|
Administration vaccine pneumococcal
|
$62.30 |
$62.30 |
$62.30 |
$48.73
|
|
Administration vaccine rsv monoclonal ab seasonal dose im
|
$65.80 |
$65.80 |
$65.80 |
$41.45
|
|
Adrenal cortex & medulla img
|
$3,778.60 |
$3,778.60 |
$3,778.60 |
$1,951.60
|
|
Aep thrshld est mlt freq i&r
|
$888.30 |
$888.30 |
$888.30 |
$664.50
|
|
_afb id by dna probe rflx ast
|
$162.40 |
$162.40 |
$162.40 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$22.40 |
$22.40 |
$22.40 |
$34.74
|
|
_afb org id by sequencing rflx ast-sendout
|
$331.10 |
$331.10 |
$331.10 |
$293.02
|
|
Ag detect nos ia single
|
$74.90 |
$74.90 |
$74.90 |
$74.79
|
|
Air conduction bilat
|
$44.80 |
$44.80 |
$44.80 |
$130.86
|
|
Albumin body fluid quantitative each specimen
|
$51.80 |
$51.80 |
$51.80 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$64.40 |
$64.40 |
$64.40 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$61.60 |
$61.60 |
$61.60 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$189.70 |
$189.70 |
$189.70 |
$94.90
|
|
Alkaline phosphatase
|
$43.40 |
$43.40 |
$43.40 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$137.20 |
$137.20 |
$137.20 |
$48.57
|
|
Allergen egg white ige
|
$395.50 |
$395.50 |
$395.50 |
$37.20
|
|
Allergen specific ige qual multi scrn ea
|
$29.40 |
$29.40 |
$29.40 |
$24.00
|
|
Allergy injection; single 95115
|
$54.60 |
$54.60 |
$54.60 |
$45.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$193.20 |
$193.20 |
$193.20 |
$189.15
|
|
Alpha-fetoprotein amniotic
|
$144.90 |
$144.90 |
$144.90 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$175.00 |
$175.00 |
$175.00 |
$103.80
|
|
Als1-emergency
|
$2,253.30 |
$2,253.30 |
$2,253.30 |
$1,103.37
|
|
Als 2
|
$2,981.30 |
$2,981.30 |
$2,981.30 |
$1,288.56
|
|
Alteplase 100 mg infusion from pyxis vial
|
$1,845.90 |
$1,845.90 |
$1,845.90 |
$15,857.45
|
|
Alt/sgpt
|
$64.40 |
$64.40 |
$64.40 |
$47.40
|
|
Aluminum - quest
|
$74.20 |
$74.20 |
$74.20 |
$81.49
|
|
Alys cplx sp/pn npgt w/prgrm
|
$211.40 |
$211.40 |
$211.40 |
$411.45
|
|
Amantadine (symmetrel)-sendout
|
$328.30 |
$328.30 |
$328.30 |
$179.70
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$66.32 |
$66.32 |
$66.32 |
$40.40
|
|
Amino acids quant 2-5
|
$43.40 |
$43.40 |
$43.40 |
$113.60
|
|
Amiodarone 50 mg/ml intravenous solution
|
$15.40 |
$15.40 |
$15.40 |
$55.86
|
|
Ammonia
|
$130.90 |
$130.90 |
$130.90 |
$119.70
|
|
Amniocentesis therapeutic
|
$607.60 |
$607.60 |
$607.60 |
$791.05
|
|
Amniotic fluid scan
|
$231.70 |
$231.70 |
$231.70 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$207.20 |
$207.20 |
$207.20 |
$93.61
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,007.82 |
$1,007.82 |
$1,007.82 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$236.77 |
$236.77 |
$236.77 |
$58.35
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$37.62 |
$37.62 |
$37.62 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$299.60 |
$299.60 |
$299.60 |
$262.99
|
|
Amputation toe interphalangeal joint
|
$7,468.30 |
$7,468.30 |
$7,468.30 |
$4,196.50
|
|
Amylase
|
$86.10 |
$86.10 |
$86.10 |
$89.04
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$108.50 |
$108.50 |
$108.50 |
$117.01
|
|
Anal/urinary muscle study
|
$617.40 |
$617.40 |
$617.40 |
$587.40
|
|
Analysis gene f2 20210g>a variant
|
$240.10 |
$240.10 |
$240.10 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$266.00 |
$266.00 |
$266.00 |
$237.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$494.90 |
$494.90 |
$494.90 |
$375.00
|
|
Anaplsma phgcytophlm amp prb
|
$81.20 |
$81.20 |
$81.20 |
$82.65
|
|
Anca screen with reflex to titer -quest
|
$298.90 |
$298.90 |
$298.90 |
$99.00
|
|
Androstanediol
|
$196.70 |
$196.70 |
$196.70 |
$131.04
|
|
An fluoro guide for cvp
|
$899.50 |
$899.50 |
$899.50 |
$515.00
|
|
Angiotensin ii
|
$43.40 |
$43.40 |
$43.40 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,773.80 |
$1,773.80 |
$1,773.80 |
$2,792.09
|
|
Angio trnslmnl balloon same artery ea addl
|
$3,962.70 |
$3,962.70 |
$3,962.70 |
$4,560.40
|
|
Ankle X-ray
|
$331.10 |
$331.10 |
$331.10 |
$352.80
|
|
Anodyne therapy charges pt
|
$25.20 |
$25.20 |
$25.20 |
$42.00
|
|
Anoscopy and biopsy
|
$2,254.70 |
$2,254.70 |
$2,254.70 |
$1,670.25
|
