|
11-desoxycortisol - sendout
|
$299.20 |
$299.20 |
$299.20 |
$91.85
|
|
17-hydroxypregnenolone
|
$233.60 |
$233.60 |
$233.60 |
$92.65
|
|
2nd order venous cath
|
$2,366.40 |
$2,366.40 |
$2,366.40 |
$1,532.04
|
|
5' nucleotidase - sendout
|
$220.00 |
$220.00 |
$220.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$139.20 |
$139.20 |
$139.20 |
$100.10
|
|
Abd aorta w/runoff s&i
|
$5,819.20 |
$5,819.20 |
$5,819.20 |
$3,629.42
|
|
Abd/low ext cath 1st
|
$8,848.80 |
$8,848.80 |
$8,848.80 |
$2,015.85
|
|
Abd/low ext cath 2nd
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$2,016.00
|
|
Abd/low ext cath 3rd
|
$9,196.80 |
$9,196.80 |
$9,196.80 |
$2,475.45
|
|
Abd/low ext cath addl
|
$646.40 |
$646.40 |
$646.40 |
$913.75
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$2,726.40 |
$2,726.40 |
$2,726.40 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,525.60 |
$2,525.60 |
$2,525.60 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,777.60 |
$1,777.60 |
$1,777.60 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$4,186.40 |
$4,186.40 |
$4,186.40 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,280.80 |
$3,280.80 |
$3,280.80 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,910.40 |
$2,910.40 |
$2,910.40 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,636.80 |
$1,636.80 |
$1,636.80 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,298.40 |
$1,298.40 |
$1,298.40 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$383.20 |
$383.20 |
$383.20 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$620.00 |
$620.00 |
$620.00 |
$418.63
|
|
Abdominal X-ray (single view)
|
$314.40 |
$314.40 |
$314.40 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$828.00 |
$828.00 |
$828.00 |
$1,148.40
|
|
Abl1 gene
|
$1,825.60 |
$1,825.60 |
$1,825.60 |
$683.20
|
|
Ablate bone tumor(s) cryo perq 20983
|
$2,321.60 |
$2,321.60 |
$2,321.60 |
$9,290.70
|
|
Ablate heart dysrhythm focus
|
$12,884.00 |
$12,884.00 |
$12,884.00 |
$9,332.05
|
|
Ablation cardiac vagal inputs atrium
|
$2,848.80 |
$2,848.80 |
$2,848.80 |
$2,260.30
|
|
Abscess drain retroperitoneal surg code
|
$4,484.00 |
$4,484.00 |
$4,484.00 |
$3,050.40
|
|
Acetaminophen level
|
$386.40 |
$386.40 |
$386.40 |
$116.80
|
|
Acetone qualitative
|
$70.40 |
$70.40 |
$70.40 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$212.00 |
$212.00 |
$212.00 |
$67.50
|
|
Acetylcholinesterase assay
|
$321.60 |
$321.60 |
$321.60 |
$107.63
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$327.20 |
$327.20 |
$327.20 |
$341.00
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$64.00 |
$64.00 |
$64.00 |
$38.50
|
|
Acute hepatitis panel
|
$545.60 |
$545.60 |
$545.60 |
$284.95
|
|
Acute venous thrombus image
|
$2,230.40 |
$2,230.40 |
$2,230.40 |
$1,426.73
|
|
#acylcarnitineprfl
|
$368.80 |
$368.80 |
$368.80 |
$121.55
|
|
Adenovirus antibody,serum - quest
|
$56.80 |
$56.80 |
$56.80 |
$58.00
|
|
Adh-sendout
|
$422.40 |
$422.40 |
$422.40 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$333.60 |
$333.60 |
$333.60 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$592.80 |
$592.80 |
$592.80 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$592.80 |
$592.80 |
$592.80 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$305.60 |
$305.60 |
$305.60 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$212.80 |
$212.80 |
$212.80 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$333.60 |
$333.60 |
$333.60 |
$256.49
|
|
Administration immunization each additional vaccine
|
$48.80 |
$48.80 |
$48.80 |
$47.40
|
|
Administration vaccine hepatitis b
|
$68.80 |
$68.80 |
$68.80 |
$53.00
|
|
Administration vaccine influenza virus
|
$64.00 |
$64.00 |
$64.00 |
$51.07
|
|
Administration vaccine pneumococcal
|
$75.20 |
$75.20 |
$75.20 |
$49.68
|
|
Aep hearing status deter i&r
|
$756.80 |
$756.80 |
$756.80 |
$303.00
|
|
Aep neurodiagnostic i&r
|
$1,177.60 |
$1,177.60 |
$1,177.60 |
$583.80
|
|
Aep thrshld est mlt freq i&r
|
$1,177.60 |
$1,177.60 |
$1,177.60 |
$635.00
|
|
_afb id by dna probe rflx ast
|
$243.20 |
$243.20 |
$243.20 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$523.20 |
$523.20 |
$523.20 |
$300.00
|
|
Airway resistance by impulse oscillometry 94728
|
$272.80 |
$272.80 |
$272.80 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$225.60 |
$225.60 |
$225.60 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$70.40 |
$70.40 |
$70.40 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$176.00 |
$176.00 |
$176.00 |
$43.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$369.60 |
$369.60 |
$369.60 |
$96.00
|
|
Alkaline phosphatase
|
$94.40 |
$94.40 |
$94.40 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$588.00 |
$588.00 |
$588.00 |
$48.57
|
|
Allergen egg white ige
|
$246.40 |
$246.40 |
$246.40 |
$38.00
|
|
Allergy Skin Testing
|
$55.20 |
$55.20 |
$55.20 |
$47.44
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$987.20 |
$987.20 |
$987.20 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$587.20 |
$587.20 |
$587.20 |
$4,677.40
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$931.20 |
$931.20 |
$931.20 |
$1,225.35
|
|
Alpha-fetoprotein amniotic
|
$206.40 |
$206.40 |
$206.40 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$268.00 |
$268.00 |
$268.00 |
$106.00
|
|
Alt/sgpt
|
$158.40 |
$158.40 |
$158.40 |
$47.50
|
|
Aluminum - quest
|
$212.00 |
$212.00 |
$212.00 |
$83.05
|
|
Amino acid screen, urine
|
$812.80 |
$812.80 |
$812.80 |
$77.00
|
|
Amino acids quant 2-5
|
$315.20 |
$315.20 |
$315.20 |
$112.00
|
|
Aminolevulinic acid delta
|
$332.80 |
$332.80 |
$332.80 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$191.20 |
$191.20 |
$191.20 |
$87.45
|
|
Ammonia
|
$171.20 |
$171.20 |
$171.20 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$942.60
|
|
Amniotic fluid scan
|
$216.00 |
$216.00 |
$216.00 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$356.00 |
$356.00 |
$356.00 |
$93.61
|
|
Amphetamines 5 or more
|
$340.80 |
$340.80 |
$340.80 |
$90.48
|
|
Amylase
|
$311.20 |
$311.20 |
$311.20 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$214.40 |
$214.40 |
$214.40 |
$80.08
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$433.60 |
$433.60 |
$433.60 |
$320.40
|
|
Analysis gene f2 20210g>a variant
|
$911.20 |
$911.20 |
$911.20 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$892.00 |
$892.00 |
$892.00 |
$249.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$759.20 |
$759.20 |
$759.20 |
$122.20
|
|
Anaplsma phgcytophlm amp prb
|
$54.40 |
$54.40 |
$54.40 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$335.20 |
$335.20 |
$335.20 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$3,123.20 |
$3,123.20 |
$3,123.20 |
$2,480.94
|
|
An fluoro guide for cvp
|
$546.40 |
$546.40 |
$546.40 |
$525.85
|
|
Angio trnslmnl balloon same vein ini
|
$10,717.60 |
$10,717.60 |
$10,717.60 |
$8,359.11
|
|
Ankle X-ray
|
$752.00 |
$752.00 |
$752.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$692.80 |
$692.80 |
$692.80 |
$282.96
|
|
Anora (draw only)
|
$76.80 |
$76.80 |
$76.80 |
$35.00
|
|
Anoscopy remove fb 46608
|
$1,840.00 |
$1,840.00 |
$1,840.00 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$396.80 |
$396.80 |
$396.80 |
$57.85
|
|
Antibody elution rbc reference
|
$404.00 |
$404.00 |
$404.00 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$568.00 |
$568.00 |
$568.00 |
$131.56
|
|
Antibody htlv-i
|
$236.80 |
$236.80 |
$236.80 |
$49.53
|
