|
11-desoxycortisol - sendout
|
$91.26 |
$91.26 |
$91.26 |
$92.04
|
|
17-hydroxypregnenolone
|
$70.91 |
$70.91 |
$70.91 |
$102.05
|
|
17-ketosteroids
|
$12.15 |
$12.15 |
$12.15 |
$57.20
|
|
2019-ncov diagnostic p
|
$33.60 |
$33.60 |
$33.60 |
$35.92
|
|
2d tte w or without fol w/con,co
|
$712.32 |
$712.32 |
$712.32 |
$1,165.05
|
|
3d recon without postprocess indpndt
|
$104.16 |
$104.16 |
$104.16 |
$443.20
|
|
5' nucleotidase - sendout
|
$6.61 |
$6.61 |
$6.61 |
$64.80
|
|
88334 ap bill cytologic exam each additional site
|
$28.00 |
$28.00 |
$28.00 |
$93.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$58.46 |
$58.46 |
$58.46 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$680.40 |
$680.40 |
$680.40 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$612.64 |
$612.64 |
$612.64 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$544.32 |
$544.32 |
$544.32 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$926.24 |
$926.24 |
$926.24 |
$2,629.50
|
|
Abdominal MRI (with contrast)
|
$761.04 |
$761.04 |
$761.04 |
$2,042.68
|
|
Abdominal MRI (without contrast)
|
$585.20 |
$585.20 |
$585.20 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$2,162.72 |
$2,162.72 |
$2,162.72 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$282.24 |
$282.24 |
$282.24 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$145.04 |
$145.04 |
$145.04 |
$574.53
|
|
Abd paracentesis/w/o image guide 49082
|
$722.96 |
$722.96 |
$722.96 |
$1,144.26
|
|
Ablation of upper extremity nerves rf
|
$296.80 |
$296.80 |
$296.80 |
$1,435.20
|
|
Abscess drain retroperitoneal surg code
|
$5,468.40 |
$5,468.40 |
$5,468.40 |
$3,053.18
|
|
Acetone qualitative
|
$9.45 |
$9.45 |
$9.45 |
$43.80
|
|
Acetylcholinesterase assay
|
$61.42 |
$61.42 |
$61.42 |
$104.40
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$6.37 |
$6.37 |
$6.37 |
$320.66
|
|
Acute hepatitis panel
|
$138.18 |
$138.18 |
$138.18 |
$294.45
|
|
#acylcarnitineprfl
|
$20.16 |
$20.16 |
$20.16 |
$110.25
|
|
Adapter b 8 channel 10cm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,560.00
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$11.06 |
$11.06 |
$11.06 |
$163.25
|
|
Administration immunization 1 vaccine
|
$48.16 |
$48.16 |
$48.16 |
$65.00
|
|
Administration immunization each additional vaccine
|
$24.64 |
$24.64 |
$24.64 |
$45.50
|
|
Administration vaccine influenza virus
|
$25.20 |
$25.20 |
$25.20 |
$38.25
|
|
Administration vaccine pneumococcal
|
$29.12 |
$29.12 |
$29.12 |
$38.25
|
|
_afb id by dna probe rflx ast
|
$45.47 |
$45.47 |
$45.47 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$34.72 |
$34.72 |
$34.72 |
$38.58
|
|
Albumin body fluid quantitative each specimen
|
$27.17 |
$27.17 |
$27.17 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$73.10 |
$73.10 |
$73.10 |
$277.87
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$26.57 |
$26.57 |
$26.57 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$18.89 |
$18.89 |
$18.89 |
$40.00
|
|
Alkaline phosphatase
|
$18.89 |
$18.89 |
$18.89 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$21.28 |
$21.28 |
$21.28 |
$56.35
|
|
Allergen egg white ige
|
$21.85 |
$21.85 |
$21.85 |
$41.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$1,377.04 |
$1,377.04 |
$1,377.04 |
$1,377.04
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$135.52 |
$135.52 |
$135.52 |
$9,702.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$126.00 |
$126.00 |
$126.00 |
$30,615.48
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$4,704.00 |
$4,704.00 |
$4,704.00 |
$2,715.00
|
|
Alpha-fetoprotein tumor marker
|
$43.11 |
$43.11 |
$43.11 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$149.96 |
$149.96 |
$149.96 |
$189.60
|
|
Alt/sgpt
|
$17.23 |
$17.23 |
$17.23 |
$43.55
|
|
Amino acid screen, urine
|
$25.20 |
$25.20 |
$25.20 |
$64.28
|
|
Aminolevulinic acid delta
|
$23.70 |
$23.70 |
$23.70 |
$95.80
|
|
Ammonia
|
$33.07 |
$33.07 |
$33.07 |
$96.53
|
|
Amniotic fluid scan
|
$33.07 |
$33.07 |
$33.07 |
$33.15
|
|
Amylase
|
$16.54 |
$16.54 |
$16.54 |
$83.20
|
|
Ana ds-dna
|
$14.16 |
$14.16 |
$14.16 |
$69.03
|
|
Analysis gene f2 20210g>a variant
|
$142.80 |
$142.80 |
$142.80 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$143.36 |
$143.36 |
$143.36 |
$253.11
|
|
Anca screen with reflex to titer -quest
|
$17.92 |
$17.92 |
$17.92 |
$111.20
|
|
An cholangiogram percutaneous compl
|
$897.12 |
$897.12 |
$897.12 |
$2,417.63
|
|
Androstanediol
|
$161.14 |
$161.14 |
$161.14 |
$115.10
|
|
Ankle X-ray
|
$91.84 |
$91.84 |
$91.84 |
$311.92
|
|
Anora (draw only)
|
$8.27 |
$8.27 |
$8.27 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$15.12 |
$15.12 |
$15.12 |
$57.85
|
|
Antibody elution rbc reference
|
$73.92 |
$73.92 |
$73.92 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$43.55 |
$43.55 |
$43.55 |
$154.85
|
|
Antibody htlv-i
|
$10.64 |
$10.64 |
$10.64 |
$49.53
|
|
Antibody htlv-ii
|
$16.80 |
$16.80 |
$16.80 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$184.80 |
$184.80 |
$184.80 |
$216.24
|
|
Antibody id rbc panel
|
$101.57 |
$101.57 |
$101.57 |
$250.90
|
|
Antibody screen rbc
|
$14.00 |
$14.00 |
$14.00 |
$99.99
|
|
Antibody tetanus
|
$17.92 |
$17.92 |
$17.92 |
$74.53
|
|
Antinuclear antibodies
|
$46.48 |
$46.48 |
$46.48 |
$97.50
|
|
Antinuclear antibodies titer
|
$30.70 |
$30.70 |
$30.70 |
$78.65
|
|
Antiphosphatidylserine antibody
|
$19.04 |
$19.04 |
$19.04 |
$72.15
|
|
Antistreptolysin o screen
|
$33.66 |
$33.66 |
$33.66 |
$57.20
|
|
Antistreptolysin o titer
|
$33.66 |
$33.66 |
$33.66 |
$58.50
|
|
Antithrombin iii activity
|
$24.80 |
$24.80 |
$24.80 |
$135.20
|
|
Aortic dysfunction/dilation
|
$386.96 |
$386.96 |
$386.96 |
$587.08
|
|
Aortic dysfunction/dilation
|
$1,036.56 |
$1,036.56 |
$1,036.56 |
$1,863.26
|
|
Apc gene dup/delet variants
|
$42.56 |
$42.56 |
$42.56 |
$468.75
|
|
Apc gene full sequence
|
$460.88 |
$460.88 |
$460.88 |
$1,560.00
|
|
Applicator tag rfid localizer 12gx7cm
|
$3,428.88 |
$3,428.88 |
$3,428.88 |
$470.25
|
|
Appl modality 1/> areas paraffin bath 97018
|
$70.00 |
$70.00 |
$70.00 |
$69.44
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$52.64 |
$52.64 |
$52.64 |
$71.50
|
|
Aquatic exercise - group charge
|
$31.92 |
$31.92 |
$31.92 |
$86.90
|
|
Ascenda two piece catheter
|
$12,544.00 |
$12,544.00 |
$12,544.00 |
$28,797.60
|
|
Aspa gene
|
$56.00 |
$56.00 |
$56.00 |
$127.86
|
|
Aspir/inj thyroid cyst 60300
|
$478.80 |
$478.80 |
$478.80 |
$833.29
|
|
Assay acid phosphatase
|
$5.38 |
$5.38 |
$5.38 |
$38.81
|
|
Assay blood catecholamines
|
$71.68 |
$71.68 |
$71.68 |
$72.00
|
|
Assay of adp & amp
|
$17.92 |
$17.92 |
$17.92 |
$169.65
|
|
Assay of chloramphenicol
|
$17.40 |
$17.40 |
$17.40 |
$78.00
|
|
Assay of estrogen
|
$155.90 |
$155.90 |
$155.90 |
$185.60
|
|
Assay of feces for trypsin
|
$11.76 |
$11.76 |
$11.76 |
$22.40
|
|
Assay of glutathione
|
$18.48 |
$18.48 |
$18.48 |
$69.55
|
|
Assay of osteocalcin
|
$16.80 |
$16.80 |
$16.80 |
$126.75
|
|
Assay of pregnanediol
|
$79.52 |
$79.52 |
$79.52 |
$51.94
|
|
Assay of pregnanetriol
|
$99.79 |
$99.79 |
$99.79 |
$55.77
|
|
Assay of procainamide w/metab
|
$58.46 |
$58.46 |
$58.46 |
$63.07
|
|
Assay of progesterone
|
$96.85 |
$96.85 |
$96.85 |
$285.19
|
|
Assay of prostaglandin
|
$176.40 |
$176.40 |
$176.40 |
$186.20
|
