|
11-desoxycortisol - sendout
|
$498.00 |
$498.00 |
$498.00 |
$92.04
|
|
17-hydroxypregnenolone
|
$269.40 |
$269.40 |
$269.40 |
$102.05
|
|
17-ketosteroids
|
$210.60 |
$210.60 |
$210.60 |
$57.20
|
|
3d recon without postprocess indpndt
|
$561.60 |
$561.60 |
$561.60 |
$443.20
|
|
5' nucleotidase - sendout
|
$232.80 |
$232.80 |
$232.80 |
$64.80
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$33.00 |
$33.00 |
$33.00 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$2,562.60 |
$2,562.60 |
$2,562.60 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$2,134.80 |
$2,134.80 |
$2,134.80 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$4,089.60 |
$4,089.60 |
$4,089.60 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$3,409.20 |
$3,409.20 |
$3,409.20 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$2,726.40 |
$2,726.40 |
$2,726.40 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$5,115.60 |
$5,115.60 |
$5,115.60 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$888.60 |
$888.60 |
$888.60 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$618.60 |
$618.60 |
$618.60 |
$574.53
|
|
Abd paracentesis/w/o image guide 49082
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$1,144.26
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$41.82 |
$41.82 |
$41.82 |
$45.63
|
|
Acetaminophen level
|
$36.00 |
$36.00 |
$36.00 |
$117.01
|
|
Acetone qualitative
|
$141.60 |
$141.60 |
$141.60 |
$43.80
|
|
Acetylcysteine non-comp unit
|
$21.66 |
$21.66 |
$21.66 |
$29.01
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$524.40 |
$524.40 |
$524.40 |
$385.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$54.60 |
$54.60 |
$54.60 |
$45.60
|
|
Acute hepatitis panel
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$294.45
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$64.45 |
$64.45 |
$64.45 |
$48.72
|
|
#acylcarnitineprfl
|
$399.60 |
$399.60 |
$399.60 |
$110.25
|
|
Acylcarnitines qual
|
$249.00 |
$249.00 |
$249.00 |
$45.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$39.82 |
$39.82 |
$39.82 |
$97.50
|
|
Adenovirus ag ia
|
$142.20 |
$142.20 |
$142.20 |
$31.20
|
|
Adh-sendout
|
$303.00 |
$303.00 |
$303.00 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$411.26 |
$411.26 |
$411.26 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$312.00 |
$312.00 |
$312.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$622.80 |
$622.80 |
$622.80 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,244.40 |
$1,244.40 |
$1,244.40 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$557.40 |
$557.40 |
$557.40 |
$454.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$512.40 |
$512.40 |
$512.40 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$512.40 |
$512.40 |
$512.40 |
$267.43
|
|
Administration immunization 1 vaccine
|
$119.40 |
$119.40 |
$119.40 |
$65.00
|
|
Administration immunization each additional vaccine
|
$141.60 |
$141.60 |
$141.60 |
$45.50
|
|
Aep hearing status deter i&r
|
$445.80 |
$445.80 |
$445.80 |
$308.40
|
|
Aep neurodiagnostic i&r
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$570.16
|
|
Aep thrshld est mlt freq i&r
|
$1,003.20 |
$1,003.20 |
$1,003.20 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$231.60 |
$231.60 |
$231.60 |
$105.00
|
|
Air injection into abdomen 49400
|
$1,395.60 |
$1,395.60 |
$1,395.60 |
$525.00
|
|
Albumin body fluid quantitative each specimen
|
$119.40 |
$119.40 |
$119.40 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$481.30 |
$481.30 |
$481.30 |
$277.87
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$251.40 |
$251.40 |
$251.40 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$98.40 |
$98.40 |
$98.40 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$9.18 |
$9.18 |
$9.18 |
$9.18
|
|
Alkaline phosphatase
|
$100.80 |
$100.80 |
$100.80 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$63.00 |
$63.00 |
$63.00 |
$56.35
|
|
Allergen egg white ige
|
$147.60 |
$147.60 |
$147.60 |
$41.00
|
|
Alpha-fetoprotein amniotic
|
$185.40 |
$185.40 |
$185.40 |
$94.25
|
|
Alpha-fetoprotein tumor marker
|
$390.00 |
$390.00 |
$390.00 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$134.03 |
$134.03 |
$134.03 |
$189.60
|
|
Alt/sgpt
|
$117.00 |
$117.00 |
$117.00 |
$43.55
|
|
Aluminum - quest
|
$196.20 |
$196.20 |
$196.20 |
$114.40
|
|
Amino acid screen, urine
|
$270.00 |
$270.00 |
$270.00 |
$64.28
|
|
Amino acids quant 2-5
|
$277.80 |
$277.80 |
$277.80 |
$148.20
|
|
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
|
$42.92 |
$42.92 |
$42.92 |
$15.32
|
|
Ammonia
|
$269.40 |
$269.40 |
$269.40 |
$96.53
|
|
Ampicillin 1 gram solution for injection
|
$45.53 |
$45.53 |
$45.53 |
$30.28
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$66.51 |
$66.51 |
$66.51 |
$37.60
|
|
Amylase
|
$204.60 |
$204.60 |
$204.60 |
$83.20
|
|
Ana ds-dna
|
$241.80 |
$241.80 |
$241.80 |
$69.03
|
|
Analysis gene f2 20210g>a variant
|
$236.40 |
$236.40 |
$236.40 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$474.60 |
$474.60 |
$474.60 |
$253.11
|
|
Analysis tumor
|
$592.20 |
$592.20 |
$592.20 |
$248.80
|
|
Anca screen with reflex to titer -quest
|
$504.00 |
$504.00 |
$504.00 |
$111.20
|
|
An cholangiogram percutaneous compl
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$2,417.63
|
|
Ankle arthroscopy/surgery
|
$3,857.40 |
$3,857.40 |
$3,857.40 |
$3,594.44
|
|
Ankle X-ray
|
$591.60 |
$591.60 |
$591.60 |
$311.92
|
|
Anodyne therapy charges pt
|
$78.00 |
$78.00 |
$78.00 |
$41.02
|
|
Anora (draw only)
|
$70.20 |
$70.20 |
$70.20 |
$36.00
|
|
Antibody
|
$31.80 |
$31.80 |
$31.80 |
$29.40
|
|
Antibody bacterium, not elsewhere specified
|
$129.60 |
$129.60 |
$129.60 |
$57.85
|
|
Antibody elution rbc reference
|
$314.40 |
$314.40 |
$314.40 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$252.00 |
$252.00 |
$252.00 |
$154.85
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$593.40 |
$593.40 |
$593.40 |
$216.24
|
|
Antibody id rbc panel
|
$349.80 |
$349.80 |
$349.80 |
$250.90
|
|
Antibody influenza virus
|
$173.40 |
$173.40 |
$173.40 |
$63.33
|
|
Antibody screen rbc
|
$234.00 |
$234.00 |
$234.00 |
$99.99
|
|
Antibody tetanus
|
$198.00 |
$198.00 |
$198.00 |
$74.53
|
|
Antinuclear antibodies
|
$330.00 |
$330.00 |
$330.00 |
$97.50
|
|
Antinuclear antibodies titer
|
$227.40 |
$227.40 |
$227.40 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$415.20 |
$415.20 |
$415.20 |
$72.15
|
|
Antistreptolysin o titer
|
$247.80 |
$247.80 |
$247.80 |
$58.50
|
|
Antithrombin iii activity
|
$546.60 |
$546.60 |
$546.60 |
$135.20
|
|
Application finger splntstatic 29130
|
$258.60 |
$258.60 |
$258.60 |
$208.16
|
|
Application multi layer compression below knee (both sides)
|
$889.20 |
$889.20 |
$889.20 |
$384.80
|
|
Application of paste boot 29580
|
$652.80 |
$652.80 |
$652.80 |
$331.74
|
|
Appl modality 1/> areas paraffin bath 97018
|
$114.60 |
$114.60 |
$114.60 |
$69.44
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$120.60 |
$120.60 |
$120.60 |
$71.50
|
|
#aptt mix-1:1 incubated
|
$418.80 |
$418.80 |
$418.80 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$86.40 |
$86.40 |
$86.40 |
$90.52
|
|
Aquatic exercise - group charge
|
$111.00 |
$111.00 |
$111.00 |
$86.90
|
|
Arterial blood draw/perc 36620
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$529.19
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,024.80 |
$1,024.80 |
$1,024.80 |
$543.40
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$687.20
|
