|
17-ketosteroids
|
$122.40 |
$122.40 |
$122.40 |
$57.20
|
|
3d recon without postprocess indpndt
|
$412.80 |
$412.80 |
$412.80 |
$443.20
|
|
5' nucleotidase - sendout
|
$109.20 |
$109.20 |
$109.20 |
$64.80
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$122.40 |
$122.40 |
$122.40 |
$53.95
|
|
Abciximab injection
|
$811.70 |
$811.70 |
$811.70 |
$1,084.06
|
|
Abdominal CT scan (with and without contrast)
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$1,664.40 |
$1,664.40 |
$1,664.40 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$2,187.60 |
$2,187.60 |
$2,187.60 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$1,458.00 |
$1,458.00 |
$1,458.00 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$1,568.40 |
$1,568.40 |
$1,568.40 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$801.00 |
$801.00 |
$801.00 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$580.80 |
$580.80 |
$580.80 |
$574.53
|
|
Abd paracentesis/w/o image guide 49082
|
$1,568.40 |
$1,568.40 |
$1,568.40 |
$1,144.26
|
|
Acetaminophen level
|
$36.00 |
$36.00 |
$36.00 |
$117.01
|
|
Acetone qualitative
|
$101.40 |
$101.40 |
$101.40 |
$43.80
|
|
Acetylcysteine non-comp unit
|
$29.01 |
$29.01 |
$29.01 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$54.60 |
$54.60 |
$54.60 |
$45.60
|
|
Acute hepatitis panel
|
$753.00 |
$753.00 |
$753.00 |
$294.45
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$64.45 |
$64.45 |
$64.45 |
$48.72
|
|
#acylcarnitineprfl
|
$243.00 |
$243.00 |
$243.00 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$43.96 |
$43.96 |
$43.96 |
$97.50
|
|
Adh-sendout
|
$210.60 |
$210.60 |
$210.60 |
$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
|
$192.60 |
$192.60 |
$192.60 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$962.40 |
$962.40 |
$962.40 |
$695.37
|
|
Administration immunization 1 vaccine
|
$150.00 |
$150.00 |
$150.00 |
$65.00
|
|
Administration immunization each additional vaccine
|
$156.60 |
$156.60 |
$156.60 |
$45.50
|
|
_afb id by dna probe rflx ast
|
$168.00 |
$168.00 |
$168.00 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$154.20 |
$154.20 |
$154.20 |
$38.58
|
|
Albumin body fluid quantitative each specimen
|
$86.40 |
$86.40 |
$86.40 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$481.30 |
$481.30 |
$481.30 |
$277.87
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$181.20 |
$181.20 |
$181.20 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$70.20 |
$70.20 |
$70.20 |
$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
|
$70.80 |
$70.80 |
$70.80 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$63.00 |
$63.00 |
$63.00 |
$56.35
|
|
Allergen egg white ige
|
$95.40 |
$95.40 |
$95.40 |
$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
|
$84.60 |
$84.60 |
$84.60 |
$43.55
|
|
Aluminum - quest
|
$155.40 |
$155.40 |
$155.40 |
$114.40
|
|
Aminolevulinic acid delta
|
$52.20 |
$52.20 |
$52.20 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$41.59 |
$41.59 |
$41.59 |
$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
|
$104.67 |
$104.67 |
$104.67 |
$15.32
|
|
Ammonia
|
$195.00 |
$195.00 |
$195.00 |
$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
|
$147.00 |
$147.00 |
$147.00 |
$83.20
|
|
Analysis gene f2 20210g>a variant
|
$183.60 |
$183.60 |
$183.60 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$367.20 |
$367.20 |
$367.20 |
$253.11
|
|
Anca screen with reflex to titer -quest
|
$365.40 |
$365.40 |
$365.40 |
$111.20
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$39.61 |
$39.61 |
$39.61 |
$44,765.71
|
|
Ankle X-ray
|
$607.20 |
$607.20 |
$607.20 |
$311.92
|
|
Anodyne therapy charges pt
|
$55.20 |
$55.20 |
$55.20 |
$41.02
|
|
Anora (draw only)
|
$46.20 |
$46.20 |
$46.20 |
$36.00
|
|
Antibody
|
$18.00 |
$18.00 |
$18.00 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$33.60 |
$33.60 |
$33.60 |
$57.85
|
|
Antibody elution rbc reference
|
$339.00 |
$339.00 |
$339.00 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$243.00 |
$243.00 |
$243.00 |
$154.85
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$318.60 |
$318.60 |
$318.60 |
$216.24
|
|
Antibody id rbc panel
|
$267.00 |
$267.00 |
$267.00 |
$250.90
|
|
Antibody screen rbc
|
$130.80 |
$130.80 |
$130.80 |
$99.99
|
|
Antibody tetanus
|
$150.00 |
$150.00 |
$150.00 |
$74.53
|
|
Anti-inhibitor
|
$3.67 |
$3.67 |
$3.67 |
$3.44
|
|
Antinuclear antibodies
|
$238.80 |
$238.80 |
$238.80 |
$97.50
|
|
Antinuclear antibodies titer
|
$162.00 |
$162.00 |
$162.00 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$129.00 |
$129.00 |
$129.00 |
$72.15
|
|
Antistreptolysin o titer
|
$179.40 |
$179.40 |
$179.40 |
$58.50
|
|
Antithrombin iii activity
|
$396.60 |
$396.60 |
$396.60 |
$135.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$102.00 |
$102.00 |
$102.00 |
$69.44
|
|
#aptt mix-1:1 incubated
|
$366.00 |
$366.00 |
$366.00 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$113.40 |
$113.40 |
$113.40 |
$90.52
|
|
Aquatic exercise - group charge
|
$117.00 |
$117.00 |
$117.00 |
$86.90
|
|
Arterial blood draw/perc 36620
|
$1,438.20 |
$1,438.20 |
$1,438.20 |
$529.19
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$1,560.60 |
$1,560.60 |
$1,560.60 |
$1,219.50
|
|
Assay of osteocalcin
|
$172.80 |
$172.80 |
$172.80 |
$126.75
|
|
Assay of procainamide w/metab
|
$171.00 |
$171.00 |
$171.00 |
$63.07
|
|
Assay of salicylate
|
$36.00 |
$36.00 |
$36.00 |
$83.85
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$83.40 |
$83.40 |
$83.40 |
$43.55
|
|
Ast/sgot
|
$84.60 |
$84.60 |
$84.60 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$43.85 |
$43.85 |
$43.85 |
$25.04
|
|
Automated diff wbc count
|
$52.20 |
$52.20 |
$52.20 |
$33.80
|
|
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
|
$118.48 |
$118.48 |
$118.48 |
$157.83
|
|
Baclofen eval charges
|
$105.00 |
$105.00 |
$105.00 |
$84.35
|
|
Bacterial meningitis antigen
|
$145.20 |
$145.20 |
$145.20 |
$66.30
|
|
Bacterial vaginosis pcr
|
$399.00 |
$399.00 |
$399.00 |
$314.60
|
|
#bac vag cand-c. albicans naa
|
$104.40 |
$104.40 |
$104.40 |
$132.72
|
|
Bartonella dna pcr-sendout
|
$282.60 |
$282.60 |
$282.60 |
$234.50
|
|
B cells total count
|
$112.80 |
$112.80 |
$112.80 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$121.88 |
$121.88 |
$121.88 |
$92.62
|
|
Beta 2 glycoprotein 1 antibody iga
|
$208.80 |
$208.80 |
$208.80 |
$108.55
|
|
Beta-2 microglobulin
|
$236.40 |
$236.40 |
$236.40 |
$84.00
|
|
Bilirubin direct
|
$77.40 |
$77.40 |
$77.40 |
$42.90
|
|
Bilirubin total
|
$82.20 |
$82.20 |
$82.20 |
$48.00
|
