|
11-desoxycortisol - sendout
|
$513.60 |
$513.60 |
$513.60 |
$92.04
|
|
17-ketosteroids
|
$109.20 |
$109.20 |
$109.20 |
$57.20
|
|
5' nucleotidase - sendout
|
$211.80 |
$211.80 |
$211.80 |
$64.80
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$153.00 |
$153.00 |
$153.00 |
$53.95
|
|
Abciximab injection
|
$621.51 |
$621.51 |
$621.51 |
$1,084.06
|
|
Abdominal CT scan (with and without contrast)
|
$1,906.80 |
$1,906.80 |
$1,906.80 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$2,594.40 |
$2,594.40 |
$2,594.40 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$1,947.00 |
$1,947.00 |
$1,947.00 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$1,297.20 |
$1,297.20 |
$1,297.20 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$2,670.60 |
$2,670.60 |
$2,670.60 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$690.00 |
$690.00 |
$690.00 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$560.40 |
$560.40 |
$560.40 |
$574.53
|
|
Abd paracentesis/w/o image guide 49082
|
$1,712.40 |
$1,712.40 |
$1,712.40 |
$1,144.26
|
|
Abrasion lesion single
|
$374.40 |
$374.40 |
$374.40 |
$340.86
|
|
Acetaminophen level
|
$36.00 |
$36.00 |
$36.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$55.49 |
$55.49 |
$55.49 |
$94.47
|
|
Acetone qualitative
|
$127.80 |
$127.80 |
$127.80 |
$43.80
|
|
Acetylcysteine non-comp unit
|
$29.01 |
$29.01 |
$29.01 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$56.40 |
$56.40 |
$56.40 |
$45.60
|
|
Acute hepatitis panel
|
$406.80 |
$406.80 |
$406.80 |
$294.45
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$48.72 |
$48.72 |
$48.72 |
$48.72
|
|
#acylcarnitineprfl
|
$357.00 |
$357.00 |
$357.00 |
$110.25
|
|
Acylcarnitines qual
|
$42.60 |
$42.60 |
$42.60 |
$45.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$116.84 |
$116.84 |
$116.84 |
$97.50
|
|
Adenovirus antibody,serum - quest
|
$143.40 |
$143.40 |
$143.40 |
$63.00
|
|
Adh-sendout
|
$250.80 |
$250.80 |
$250.80 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$437.94 |
$437.94 |
$437.94 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$318.00 |
$318.00 |
$318.00 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$582.60 |
$582.60 |
$582.60 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$264.60 |
$264.60 |
$264.60 |
$454.00
|
|
Administration immunization 1 vaccine
|
$110.40 |
$110.40 |
$110.40 |
$65.00
|
|
Administration immunization each additional vaccine
|
$130.80 |
$130.80 |
$130.80 |
$45.50
|
|
_afb id by dna probe rflx ast
|
$186.60 |
$186.60 |
$186.60 |
$105.00
|
|
Albumin body fluid quantitative each specimen
|
$49.80 |
$49.80 |
$49.80 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$470.10 |
$470.10 |
$470.10 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$465.69 |
$465.69 |
$465.69 |
$253.48
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$228.00 |
$228.00 |
$228.00 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$88.20 |
$88.20 |
$88.20 |
$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
|
$91.20 |
$91.20 |
$91.20 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$64.80 |
$64.80 |
$64.80 |
$56.35
|
|
Allergen egg white ige
|
$132.60 |
$132.60 |
$132.60 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$151.20 |
$151.20 |
$151.20 |
$39.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$540.60 |
$540.60 |
$540.60 |
$206.70
|
|
Alpha-fetoprotein tumor marker
|
$351.60 |
$351.60 |
$351.60 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$134.03 |
$134.03 |
$134.03 |
$189.60
|
|
Alt/sgpt
|
$104.40 |
$104.40 |
$104.40 |
$43.55
|
|
Aluminum - quest
|
$200.40 |
$200.40 |
$200.40 |
$114.40
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$44.00 |
$44.00 |
$44.00 |
$36.30
|
|
Amino acid screen, urine
|
$258.60 |
$258.60 |
$258.60 |
$64.28
|
|
Aminolevulinic acid delta
|
$192.00 |
$192.00 |
$192.00 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$40.47 |
$40.47 |
$40.47 |
$40.47
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$264.58 |
$264.58 |
$264.58 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$269.76 |
$269.76 |
$269.76 |
$15.32
|
|
Ammonia
|
$246.00 |
$246.00 |
$246.00 |
$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
|
$182.40 |
$182.40 |
$182.40 |
$83.20
|
|
Ana ds-dna
|
$186.60 |
$186.60 |
$186.60 |
$69.03
|
|
Analysis gene f2 20210g>a variant
|
$228.00 |
$228.00 |
$228.00 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$454.80 |
$454.80 |
$454.80 |
$253.11
|
|
Analysis tumor
|
$762.00 |
$762.00 |
$762.00 |
$248.80
|
|
Anca screen with reflex to titer -quest
|
$456.60 |
$456.60 |
$456.60 |
$111.20
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$1,444.89 |
$1,444.89 |
$1,444.89 |
$44,765.71
|
|
Ankle X-ray
|
$580.80 |
$580.80 |
$580.80 |
$311.92
|
|
Anora (draw only)
|
$21.60 |
$21.60 |
$21.60 |
$36.00
|
|
Antibody
|
$21.60 |
$21.60 |
$21.60 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$125.40 |
$125.40 |
$125.40 |
$57.85
|
|
Antibody elution rbc reference
|
$169.20 |
$169.20 |
$169.20 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$178.80 |
$178.80 |
$178.80 |
$154.85
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$574.80 |
$574.80 |
$574.80 |
$216.24
|
|
Antibody id rbc panel
|
$327.00 |
$327.00 |
$327.00 |
$250.90
|
|
Antibody influenza virus
|
$144.00 |
$144.00 |
$144.00 |
$63.33
|
|
Antibody screen rbc
|
$152.40 |
$152.40 |
$152.40 |
$99.99
|
|
Antibody tetanus
|
$174.00 |
$174.00 |
$174.00 |
$74.53
|
|
Antinuclear antibodies
|
$298.20 |
$298.20 |
$298.20 |
$97.50
|
|
Antinuclear antibodies titer
|
$204.00 |
$204.00 |
$204.00 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$251.40 |
$251.40 |
$251.40 |
$72.15
|
|
Antistreptolysin o titer
|
$225.00 |
$225.00 |
$225.00 |
$58.50
|
|
Antithrombin iii activity
|
$495.00 |
$495.00 |
$495.00 |
$135.20
|
|
Application finger splntstatic 29130
|
$183.60 |
$183.60 |
$183.60 |
$208.16
|
|
Application long leg splint 29505
|
$193.20 |
$193.20 |
$193.20 |
$325.60
|
|
Application lower leg splint 29515
|
$193.20 |
$193.20 |
$193.20 |
$345.60
|
|
Application multi layer compression below knee (both sides)
|
$968.40 |
$968.40 |
$968.40 |
$384.80
|
|
Application of paste boot 29580
|
$561.00 |
$561.00 |
$561.00 |
$331.74
|
|
Appl modality 1/> areas paraffin bath 97018
|
$79.80 |
$79.80 |
$79.80 |
$69.44
|
|
Apply forearm splintdynamic 29126
|
$202.20 |
$202.20 |
$202.20 |
$245.40
|
|
Apply of finger splint 29131
|
$183.60 |
$183.60 |
$183.60 |
$177.45
|
|
#aptt mix-1:1 incubated
|
$97.20 |
$97.20 |
$97.20 |
$157.30
|
|
Arterial blood draw/perc 36620
|
$691.20 |
$691.20 |
$691.20 |
$529.19
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$872.40 |
$872.40 |
$872.40 |
$687.20
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$1,219.50
|
|
Assay acid phosphatase
|
$93.60 |
$93.60 |
$93.60 |
$38.81
|
|
Assay blood catecholamines
|
$365.40 |
$365.40 |
$365.40 |
$72.00
|
|
Assay of androsterone
|
$153.00 |
$153.00 |
$153.00 |
$64.80
|
|
Assay of breath ethanol
|
$88.20 |
$88.20 |
$88.20 |
$45.76
|
|
Assay of etiocholanolone
|
$172.20 |
$172.20 |
$172.20 |
$34.94
|
