|
5' nucleotidase - sendout
|
$793.64 |
$793.64 |
$793.64 |
$50.40
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$731.42 |
$731.42 |
$731.42 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$11,881.50 |
$11,881.50 |
$11,881.50 |
$3,569.56
|
|
Abdominal MRI (with and without contrast)
|
$19,179.51 |
$19,179.51 |
$19,179.51 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$17,770.59 |
$17,770.59 |
$17,770.59 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$16,792.26 |
$16,792.26 |
$16,792.26 |
$2,050.14
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$33.59 |
$33.59 |
$33.59 |
$74.96
|
|
Acetaminophen level
|
$19.32 |
$19.32 |
$19.32 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$388.15 |
$388.15 |
$388.15 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$66.28 |
$66.28 |
$66.28 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,508.18 |
$1,508.18 |
$1,508.18 |
$216.00
|
|
Acetylcysteine non-comp unit
|
$294.25 |
$294.25 |
$294.25 |
$31.21
|
|
Acute hepatitis panel
|
$904.02 |
$904.02 |
$904.02 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$710.92 |
$710.92 |
$710.92 |
$63.48
|
|
Adh-sendout
|
$186.67 |
$186.67 |
$186.67 |
$109.28
|
|
Administration vaccine influenza virus
|
$175.78 |
$175.78 |
$175.78 |
$50.43
|
|
#afb mycobacteria suscep. #1
|
$20.47 |
$20.47 |
$20.47 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$234.42 |
$234.42 |
$234.42 |
$315.00
|
|
Albumin body fluid quantitative each specimen
|
$35.60 |
$35.60 |
$35.60 |
$46.23
|
|
Albumin (human), 5%, 250 ml
|
$1,708.17 |
$1,708.17 |
$1,708.17 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$177.43 |
$177.43 |
$177.43 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$578.00 |
$578.00 |
$578.00 |
$40.80
|
|
Albuterol ipratrop non-comp
|
$13.85 |
$13.85 |
$13.85 |
$5.40
|
|
Albuterol non-comp con
|
$1.85 |
$1.85 |
$1.85 |
$6.07
|
|
Albuterol non-comp unit
|
$7.89 |
$7.89 |
$7.89 |
$5.61
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$41.62 |
$41.62 |
$41.62 |
$93.60
|
|
Alkaline phosphatase
|
$693.03 |
$693.03 |
$693.03 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$524.65 |
$524.65 |
$524.65 |
$48.00
|
|
Allergen egg white ige
|
$91.50 |
$91.50 |
$91.50 |
$38.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$270.48 |
$270.48 |
$270.48 |
$175.20
|
|
Alt/sgpt
|
$827.84 |
$827.84 |
$827.84 |
$47.45
|
|
Amifostine
|
$5,427.22 |
$5,427.22 |
$5,427.22 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$876.19 |
$876.19 |
$876.19 |
$39.84
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$27.56 |
$27.56 |
$27.56 |
$37.14
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$101.19 |
$101.19 |
$101.19 |
$45.02
|
|
Ammonia
|
$1,367.22 |
$1,367.22 |
$1,367.22 |
$119.70
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$527.67 |
$527.67 |
$527.67 |
$117.75
|
|
Analysis gene f2 20210g>a variant
|
$129.48 |
$129.48 |
$129.48 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$134.12 |
$134.12 |
$134.12 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$738.43 |
$738.43 |
$738.43 |
$85.80
|
|
Anora (draw only)
|
$137.76 |
$137.76 |
$137.76 |
$33.58
|
|
Antibody elution rbc reference
|
$295.47 |
$295.47 |
$295.47 |
$175.50
|
|
Antibody id rbc panel
|
$449.00 |
$449.00 |
$449.00 |
$274.56
|
|
Antibody screen rbc
|
$295.00 |
$295.00 |
$295.00 |
$100.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$2,743.37 |
$2,743.37 |
$2,743.37 |
$6.10
|
|
Antinuclear antibodies
|
$100.60 |
$100.60 |
$100.60 |
$89.40
|
|
Antistreptolysin o titer
|
$326.22 |
$326.22 |
$326.22 |
$51.45
|
|
Antithrombin iii activity
|
$1,200.24 |
$1,200.24 |
$1,200.24 |
$114.00
|
|
Argatroban nonesrd use 1mg
|
$3.10 |
$3.10 |
$3.10 |
$866.80
|
|
Artery xray each vessel 7577426
|
$5,012.60 |
$5,012.60 |
$5,012.60 |
$1,844.46
|
|
Artery x-rays arms/legs 75716-26
|
$12,475.12 |
$12,475.12 |
$12,475.12 |
$3,729.00
|
|
Assay of osteocalcin
|
$1,757.76 |
$1,757.76 |
$1,757.76 |
$92.50
|
|
Assay of salicylate
|
$19.32 |
$19.32 |
$19.32 |
$95.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$500.89 |
$500.89 |
$500.89 |
$49.80
|
|
Ast/sgot
|
$819.49 |
$819.49 |
$819.49 |
$45.65
|
|
Azathioprine 50 mg tablet
|
$23.55 |
$23.55 |
$23.55 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$369.19 |
$369.19 |
$369.19 |
$35.06
|
|
Barrier film 28ml spray no stng cavilon
|
$138.00 |
$138.00 |
$138.00 |
$19.50
|
|
B cells total count
|
$502.26 |
$502.26 |
$502.26 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$101.19 |
$101.19 |
$101.19 |
$103.20
|
|
Beta-2 microglobulin
|
$1,380.49 |
$1,380.49 |
$1,380.49 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$232.72 |
$232.72 |
$232.72 |
$64.15
|
|
Bilirubin direct
|
$673.47 |
$673.47 |
$673.47 |
$50.00
|
|
Bivalirudin
|
$6,104.31 |
$6,104.31 |
$6,104.31 |
$1,033.55
|
|
Blood Culture Test
|
$1,786.40 |
$1,786.40 |
$1,786.40 |
$145.80
|
|
Blood gases o2 saturation direct measurement
|
$989.26 |
$989.26 |
$989.26 |
$220.35
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$324.14 |
$324.14 |
$324.14 |
$33.57
|
|
Blood smear microscopic w manual differential wbc count
|
$328.32 |
$328.32 |
$328.32 |
$38.61
|
|
Blood typing abo
|
$391.00 |
$391.00 |
$391.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$328.00 |
$328.00 |
$328.00 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$173.96 |
$173.96 |
$173.96 |
$199.50
|
|
Blood typing rh (d)
|
$441.00 |
$441.00 |
$441.00 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$368.86 |
$368.86 |
$368.86 |
$82.80
|
|
Bone/joint imaging ltd area
|
$3,618.37 |
$3,618.37 |
$3,618.37 |
$1,013.50
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$547.00 |
$547.00 |
$547.00 |
$94.80
|
|
Bowel imaging
|
$4,159.90 |
$4,159.90 |
$4,159.90 |
$1,065.00
|
|
Braf gene
|
$647.43 |
$647.43 |
$647.43 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$17,770.59 |
$17,770.59 |
$17,770.59 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$16,799.80 |
$16,799.80 |
$16,799.80 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$15,092.29 |
$15,092.29 |
$15,092.29 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$17,027.88 |
$17,027.88 |
$17,027.88 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$16,907.82 |
$16,907.82 |
$16,907.82 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$16,901.07 |
$16,901.07 |
$16,901.07 |
$1,977.27
|
|
Bundled special stain group 1 microorganisms
|
$721.00 |
$721.00 |
$721.00 |
$160.80
|
|
Bundled special stain group 2
|
$843.00 |
$843.00 |
$843.00 |
$173.46
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$14.68 |
$14.68 |
$14.68 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$23.74 |
$23.74 |
$23.74 |
$14.27
|
|
Butorphanol tartrate 1 mg
|
$230.22 |
$230.22 |
$230.22 |
$39.09
|
|
C1 esterase inhibitor func - sendout
|
$188.62 |
$188.62 |
$188.62 |
$96.72
|
|
Caffeine citrate 20 mg/ml inj for po
|
$69.17 |
$69.17 |
$69.17 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$10,675.31 |
$10,675.31 |
$10,675.31 |
$2,111.64
|
|
Calcium 24 hour urine
|
$542.82 |
$542.82 |
$542.82 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$22.90 |
$22.90 |
$22.90 |
$45.49
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$118.53 |
$118.53 |
$118.53 |
$64.49
|
|
Calcium ionized
|
$1,121.99 |
$1,121.99 |
$1,121.99 |
$90.00
|
|
Calprotectin fecal
|
$1,085.64 |
$1,085.64 |
$1,085.64 |
$169.95
|
|
Capecitabine, oral, 50 mg
|
$97.31 |
$97.31 |
$97.31 |
$59.42
|
|
Carbamazepine total therapeutic drug level
|
$563.73 |
$563.73 |
$563.73 |
$120.25
|
|
Carbon dioxide
|
$631.56 |
$631.56 |
$631.56 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$765.58 |
$765.58 |
$765.58 |
$513.08
|
