|
11-desoxycortisol - sendout
|
$268.80 |
$268.80 |
$268.80 |
$92.04
|
|
3d recon without postprocess indpndt
|
$467.40 |
$467.40 |
$467.40 |
$443.20
|
|
5' nucleotidase - sendout
|
$178.80 |
$178.80 |
$178.80 |
$64.80
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$46.20 |
$46.20 |
$46.20 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$1,707.60 |
$1,707.60 |
$1,707.60 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$1,680.60 |
$1,680.60 |
$1,680.60 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$2,176.20 |
$2,176.20 |
$2,176.20 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$1,270.20 |
$1,270.20 |
$1,270.20 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$2,282.40 |
$2,282.40 |
$2,282.40 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$523.80 |
$523.80 |
$523.80 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$523.80 |
$523.80 |
$523.80 |
$574.53
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$41.82 |
$41.82 |
$41.82 |
$45.63
|
|
Acetaminophen level
|
$35.40 |
$35.40 |
$35.40 |
$117.01
|
|
Acetone qualitative
|
$43.80 |
$43.80 |
$43.80 |
$43.80
|
|
Acetylcysteine non-comp unit
|
$29.01 |
$29.01 |
$29.01 |
$29.01
|
|
Acute hepatitis panel
|
$367.20 |
$367.20 |
$367.20 |
$294.45
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$48.72 |
$48.72 |
$48.72 |
$48.72
|
|
#acylcarnitineprfl
|
$181.20 |
$181.20 |
$181.20 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$39.82 |
$39.82 |
$39.82 |
$97.50
|
|
Adh-sendout
|
$177.00 |
$177.00 |
$177.00 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$639.08 |
$639.08 |
$639.08 |
$163.25
|
|
Administration immunization 1 vaccine
|
$87.00 |
$87.00 |
$87.00 |
$65.00
|
|
Administration immunization each additional vaccine
|
$61.80 |
$61.80 |
$61.80 |
$45.50
|
|
_afb id by dna probe rflx ast
|
$177.60 |
$177.60 |
$177.60 |
$105.00
|
|
Albumin body fluid quantitative each specimen
|
$67.20 |
$67.20 |
$67.20 |
$42.40
|
|
Albumin (human), 5%, 250 ml
|
$465.69 |
$465.69 |
$465.69 |
$253.48
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$66.00 |
$66.00 |
$66.00 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$24.60 |
$24.60 |
$24.60 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$9.18 |
$9.18 |
$9.18 |
$9.18
|
|
Albuterol non-comp unit
|
$9.59 |
$9.59 |
$9.59 |
$7.20
|
|
Alkaline phosphatase
|
$43.80 |
$43.80 |
$43.80 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$51.00 |
$51.00 |
$51.00 |
$56.35
|
|
Allergen egg white ige
|
$119.40 |
$119.40 |
$119.40 |
$41.00
|
|
Alpha-fetoprotein tumor marker
|
$212.40 |
$212.40 |
$212.40 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$134.03 |
$134.03 |
$134.03 |
$189.60
|
|
Alt/sgpt
|
$25.80 |
$25.80 |
$25.80 |
$43.55
|
|
Aluminum - quest
|
$87.00 |
$87.00 |
$87.00 |
$114.40
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$83.95 |
$83.95 |
$83.95 |
$36.30
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$39.73 |
$39.73 |
$39.73 |
$40.47
|
|
Amiodarone 50 mg/ml intravenous solution
|
$104.67 |
$104.67 |
$104.67 |
$15.32
|
|
Ammonia
|
$126.60 |
$126.60 |
$126.60 |
$96.53
|
|
Ampicillin 1 gram solution for injection
|
$154.67 |
$154.67 |
$154.67 |
$30.28
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$66.51 |
$66.51 |
$66.51 |
$37.60
|
|
Amylase
|
$90.00 |
$90.00 |
$90.00 |
$83.20
|
|
Analysis gene f2 20210g>a variant
|
$276.60 |
$276.60 |
$276.60 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$286.20 |
$286.20 |
$286.20 |
$253.11
|
|
Anca screen with reflex to titer -quest
|
$136.80 |
$136.80 |
$136.80 |
$111.20
|
|
Anidulafungin injection
|
$209.79 |
$209.79 |
$209.79 |
$209.79
|
|
Ankle X-ray
|
$562.80 |
$562.80 |
$562.80 |
$311.92
|
|
Anora (draw only)
|
$49.20 |
$49.20 |
$49.20 |
$36.00
|
|
Antibody
|
$27.60 |
$27.60 |
$27.60 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$46.20 |
$46.20 |
$46.20 |
$57.85
|
|
Antibody htlv/hiv confirm test
|
$187.20 |
$187.20 |
$187.20 |
$154.85
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$289.20 |
$289.20 |
$289.20 |
$216.24
|
|
Antibody id rbc panel
|
$234.60 |
$234.60 |
$234.60 |
$250.90
|
|
Antibody screen rbc
|
$107.40 |
$107.40 |
$107.40 |
$99.99
|
|
Antibody tetanus
|
$42.00 |
$42.00 |
$42.00 |
$74.53
|
|
Antinuclear antibodies
|
$165.60 |
$165.60 |
$165.60 |
$97.50
|
|
Antinuclear antibodies titer
|
$157.80 |
$157.80 |
$157.80 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$68.40 |
$68.40 |
$68.40 |
$72.15
|
|
Antistreptolysin o titer
|
$61.20 |
$61.20 |
$61.20 |
$58.50
|
|
Antithrombin iii activity
|
$360.00 |
$360.00 |
$360.00 |
$135.20
|
|
Application of paste boot 29580
|
$518.40 |
$518.40 |
$518.40 |
$331.74
|
|
#aptt mix-1:1 incubated
|
$82.80 |
$82.80 |
$82.80 |
$157.30
|
|
Aquatic exercise - group charge
|
$73.80 |
$73.80 |
$73.80 |
$86.90
|
|
Arterial blood draw/perc 36620
|
$225.00 |
$225.00 |
$225.00 |
$529.19
|
|
Assay of salicylate
|
$35.40 |
$35.40 |
$35.40 |
$83.85
|
|
Assay toxin or antitoxin
|
$71.40 |
$71.40 |
$71.40 |
$70.92
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$336.60 |
$336.60 |
$336.60 |
$300.80
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$31.80 |
$31.80 |
$31.80 |
$43.55
|
|
Ast/sgot
|
$34.20 |
$34.20 |
$34.20 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$43.01 |
$43.01 |
$43.01 |
$25.04
|
|
Automated diff wbc count
|
$37.80 |
$37.80 |
$37.80 |
$33.80
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$534.60 |
$534.60 |
$534.60 |
$356.00
|
|
Azathioprine 50 mg tablet
|
$2.03 |
$2.03 |
$2.03 |
$2.18
|
|
Azithromycin 500 mg intravenous solution
|
$65.10 |
$65.10 |
$65.10 |
$22.94
|
|
Aztreonam 1 gram solution for injection
|
$300.19 |
$300.19 |
$300.19 |
$157.83
|
|
Bacterial meningitis antigen
|
$67.20 |
$67.20 |
$67.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$448.20 |
$448.20 |
$448.20 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$105.60 |
$105.60 |
$105.60 |
$132.72
|
|
Bausch health Ultrasound surg
|
$599.40 |
$599.40 |
$599.40 |
$1,170.40
|
|
B cells total count
|
$160.80 |
$160.80 |
$160.80 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$121.88 |
$121.88 |
$121.88 |
$92.62
|
|
Beta 2 glycoprotein 1 antibody iga
|
$240.00 |
$240.00 |
$240.00 |
$108.55
|
|
Beta-2 microglobulin
|
$64.80 |
$64.80 |
$64.80 |
$84.00
|
|
Bilirubin direct
|
$26.40 |
$26.40 |
$26.40 |
$42.90
|
|
Bilirubin total
|
$75.60 |
$75.60 |
$75.60 |
$48.00
|
|
Binder abdominal lg 12 x 62-74
|
$131.40 |
$131.40 |
$131.40 |
$74.73
|
|
Biotinidase - quest
|
$66.60 |
$66.60 |
$66.60 |
$88.00
|
|
Bladder irrigate/lavage/instill 51700
|
$331.80 |
$331.80 |
$331.80 |
$420.80
|
|
Blood Clotting (PT/INR) Test
|
$30.60 |
$30.60 |
$30.60 |
$45.00
|
|
Blood Clotting (PTT) Test
|
$58.80 |
$58.80 |
$58.80 |
$67.35
|
|
Blood Count (CBC) Test
|
$48.00 |
$48.00 |
$48.00 |
$66.30
|
|
Blood Count (CBC) Test (without differential)
|
$42.00 |
$42.00 |
$42.00 |
$52.43
|
|
Blood Culture Test
|
$145.80 |
$145.80 |
$145.80 |
$112.20
|
|
Blood draw capillary 36416
|
$20.40 |
$20.40 |
$20.40 |
$20.80
|
|
Blood gases o2 saturation direct measurement
|
$198.00 |
$198.00 |
$198.00 |
$210.35
|
|
Blood gases ph venous
|
$79.20 |
$79.20 |
$79.20 |
$54.60
|
