|
11-desoxycortisol - sendout
|
$1,168.59 |
$1,168.59 |
$1,168.59 |
$88.89
|
|
17-hydroxypregnenolone
|
$878.18 |
$878.18 |
$878.18 |
$90.90
|
|
17-ketosteroids
|
$725.61 |
$725.61 |
$725.61 |
$55.00
|
|
1 pc ost pouch w filter
|
$3.00 |
$3.00 |
$3.00 |
$6.72
|
|
5' nucleotidase - sendout
|
$686.68 |
$686.68 |
$686.68 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$208.95 |
$208.95 |
$208.95 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$3,386.88 |
$3,386.88 |
$3,386.88 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$280.85 |
$280.85 |
$280.85 |
$53.90
|
|
Ablate arrhythmia add on
|
$147,333.81 |
$147,333.81 |
$147,333.81 |
$6,828.51
|
|
Ablate heart dysrhythm focus
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$9,476.33
|
|
Ablation cardiac vagal inputs atrium
|
$544.97 |
$544.97 |
$544.97 |
$2,260.30
|
|
Acetaminophen level
|
$650.37 |
$650.37 |
$650.37 |
$111.00
|
|
Acetazolamide 500 mg solution for injection
|
$163.13 |
$163.13 |
$163.13 |
$122.55
|
|
Acetone qualitative
|
$203.35 |
$203.35 |
$203.35 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$543.72 |
$543.72 |
$543.72 |
$66.28
|
|
Acth stimulation panel
|
$1,287.04 |
$1,287.04 |
$1,287.04 |
$218.40
|
|
Acute hepatitis panel
|
$1,107.73 |
$1,107.73 |
$1,107.73 |
$284.70
|
|
#acylcarnitineprfl
|
$967.96 |
$967.96 |
$967.96 |
$118.85
|
|
Adenovirus antibody,serum - quest
|
$1,011.17 |
$1,011.17 |
$1,011.17 |
$58.00
|
|
Adh-sendout
|
$731.23 |
$731.23 |
$731.23 |
$114.50
|
|
_afb id by dna probe rflx ast
|
$1,135.90 |
$1,135.90 |
$1,135.90 |
$104.50
|
|
Albumin body fluid quantitative each specimen
|
$275.73 |
$275.73 |
$275.73 |
$47.45
|
|
Albumin, human 5 % intravenous solution
|
$250.99 |
$250.99 |
$250.99 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$472.18 |
$472.18 |
$472.18 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$275.73 |
$275.73 |
$275.73 |
$42.40
|
|
Albuterol ipratrop non-comp
|
$1.43 |
$1.43 |
$1.43 |
$5.28
|
|
Albuterol non-comp con
|
$1.64 |
$1.64 |
$1.64 |
$6.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$704.88 |
$704.88 |
$704.88 |
$94.90
|
|
Aldesleukin injection
|
$12,637.56 |
$12,637.56 |
$12,637.56 |
$9,030.11
|
|
Allergen egg white ige
|
$55.72 |
$55.72 |
$55.72 |
$37.20
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$608.86 |
$608.86 |
$608.86 |
$1,777.39
|
|
Alprostadil for injection
|
$415.06 |
$415.06 |
$415.06 |
$511.84
|
|
Amantadine (symmetrel)-sendout
|
$891.26 |
$891.26 |
$891.26 |
$179.70
|
|
Amifostine
|
$3,303.13 |
$3,303.13 |
$3,303.13 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$81.00 |
$81.00 |
$81.00 |
$40.40
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$104.22 |
$104.22 |
$104.22 |
$37.33
|
|
Aminolevulinic acid delta
|
$1,718.71 |
$1,718.71 |
$1,718.71 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$1,266.09 |
$1,266.09 |
$1,266.09 |
$84.56
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$11,720.49 |
$11,720.49 |
$11,720.49 |
$8,941.39
|
|
Ammonia
|
$483.28 |
$483.28 |
$483.28 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$399.76 |
$399.76 |
$399.76 |
$93.61
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$187.00 |
$187.00 |
$187.00 |
$519.03
|
|
Anabolic steroid 1 or 2
|
$664.42 |
$664.42 |
$664.42 |
$80.08
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$649.15 |
$649.15 |
$649.15 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$400.87 |
$400.87 |
$400.87 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$393.23 |
$393.23 |
$393.23 |
$237.60
|
|
Analysis tumor
|
$674.18 |
$674.18 |
$674.18 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$3,838.63 |
$3,838.63 |
$3,838.63 |
$375.00
|
|
Anidulafungin injection
|
$407.50 |
$407.50 |
$407.50 |
$312.30
|
|
Antibody elution rbc reference
|
$544.51 |
$544.51 |
$544.51 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$1,302.27 |
$1,302.27 |
$1,302.27 |
$131.28
|
|
Antibody id rbc panel
|
$1,190.84 |
$1,190.84 |
$1,190.84 |
$290.21
|
|
Antibody lymphocytic choriomeningitis
|
$1,001.96 |
$1,001.96 |
$1,001.96 |
$46.20
|
|
Antibody tetanus
|
$380.27 |
$380.27 |
$380.27 |
$54.00
|
|
Antinuclear antibodies titer
|
$224.28 |
$224.28 |
$224.28 |
$79.86
|
|
Antistreptolysin o titer
|
$810.36 |
$810.36 |
$810.36 |
$52.50
|
|
Antithrombin iii activity
|
$809.67 |
$809.67 |
$809.67 |
$114.00
|
|
Antithrombin iii injection
|
$12.50 |
$12.50 |
$12.50 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$11,652.55 |
$11,652.55 |
$11,652.55 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$3,572.59 |
$3,572.59 |
$3,572.59 |
$1,958.74
|
|
Apheresis platelets
|
$2,167.75 |
$2,167.75 |
$2,167.75 |
$2,195.00
|
|
Apheresis rbc
|
$7,229.41 |
$7,229.41 |
$7,229.41 |
$3,290.80
|
|
Apheresis wbc
|
$7,229.41 |
$7,229.41 |
$7,229.41 |
$3,347.60
|
|
Apl(pml-rara) quant - sendout
|
$2,089.82 |
$2,089.82 |
$2,089.82 |
$500.80
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$691.60 |
$691.60 |
$691.60 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$417.52 |
$417.52 |
$417.52 |
$157.30
|
|
Aqmbf pet rest & rx stress
|
$16,377.06 |
$16,377.06 |
$16,377.06 |
$974.40
|
|
Aquaporin-4 antibody elisa
|
$1,954.00 |
$1,954.00 |
$1,954.00 |
$150.00
|
|
Argatroban esrd dialysis 1mg
|
$386.40 |
$386.40 |
$386.40 |
$934.80
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$19,513.55 |
$19,513.55 |
$19,513.55 |
$1,342.85
|
|
Artery x-rays chest
|
$16,485.15 |
$16,485.15 |
$16,485.15 |
$2,785.15
|
|
Assay acid phosphatase
|
$623.95 |
$623.95 |
$623.95 |
$38.22
|
|
Assay of corticosterone
|
$579.39 |
$579.39 |
$579.39 |
$55.20
|
|
Assay of feces porphyrins
|
$900.60 |
$900.60 |
$900.60 |
$136.50
|
|
Assay of osteocalcin
|
$1,416.51 |
$1,416.51 |
$1,416.51 |
$92.50
|
|
Assay of procainamide
|
$725.61 |
$725.61 |
$725.61 |
$114.91
|
|
Assay of procainamide w/metab
|
$725.61 |
$725.61 |
$725.61 |
$70.50
|
|
Assay of progesterone
|
$1,249.65 |
$1,249.65 |
$1,249.65 |
$285.19
|
|
Assay of sialic acid
|
$1,547.09 |
$1,547.09 |
$1,547.09 |
$92.50
|
|
Assay of thiocyanate
|
$291.11 |
$291.11 |
$291.11 |
$72.60
|
|
Assay phosphatidylglycerol
|
$1,538.99 |
$1,538.99 |
$1,538.99 |
$134.16
|
|
Assay toxin or antitoxin
|
$742.36 |
$742.36 |
$742.36 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$579.39 |
$579.39 |
$579.39 |
$300.00
|
|
Autologous blood process
|
$1,089.55 |
$1,089.55 |
$1,089.55 |
$266.75
|
|
Avelumab 20 mg/ml intravenous solution
|
$5,423.11 |
$5,423.11 |
$5,423.11 |
$3,721.71
|
|
Azathioprine 50 mg tablet
|
$5.31 |
$5.31 |
$5.31 |
$3.25
|
|
Azathioprine parenteral
|
$125.06 |
$125.06 |
$125.06 |
$441.40
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$280.00 |
$280.00 |
$280.00 |
$161.17
|
|
Bacterial meningitis antigen
|
$452.87 |
$452.87 |
$452.87 |
$66.30
|
|
Bacterial vaginosis pcr
|
$317.09 |
$317.09 |
$317.09 |
$287.04
|
|
Benztropine 1 mg/ml injection solution
|
$600.14 |
$600.14 |
$600.14 |
$106.46
|
|
Beta-2 microglobulin
|
$1,222.88 |
$1,222.88 |
$1,222.88 |
$84.75
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$77.00 |
$77.00 |
$77.00 |
$65.00
|
|
Bilicheck
|
$96.70 |
$96.70 |
$96.70 |
$27.00
|
|
Bivalirudin
|
$469.32 |
$469.32 |
$469.32 |
$1,038.91
|
|
Bld prd mix
|
$400.71 |
$400.71 |
$400.71 |
$140.25
|
|
Bleomycin 15 unit solution for injection
|
$194.33 |
$194.33 |
$194.33 |
$225.00
|
|
Blood count spun microhematocrit
|
$125.32 |
$125.32 |
$125.32 |
$25.00
|
|
Blood gases o2 saturation direct measurement
|
$2,574.62 |
$2,574.62 |
$2,574.62 |
$226.20
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$215.16 |
$215.16 |
$215.16 |
$32.50
|
