|
11-desoxycortisol - sendout
|
$394.25 |
$394.25 |
$793.77 |
$88.89
|
|
17-hydroxypregnenolone
|
$593.50 |
$593.50 |
$1,190.38 |
$90.90
|
|
17-ketosteroids
|
$265.25 |
$265.25 |
$531.69 |
$55.00
|
|
1 pc ost pouch w filter
|
$3.00 |
$3.00 |
$3.00 |
$6.72
|
|
3d recon without postprocess indpndt
|
$4,515.12 |
$4,515.12 |
$4,515.12 |
$505.05
|
|
5' nucleotidase - sendout
|
$229.25 |
$229.25 |
$457.43 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$133.80 |
$133.80 |
$133.80 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$285.03 |
$285.03 |
$285.03 |
$53.90
|
|
Abciximab injection
|
$2,041.50 |
$2,041.50 |
$2,041.50 |
$2,443.52
|
|
Abdominal CT scan (with and without contrast)
|
$6,853.50 |
$6,853.50 |
$6,853.50 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$6,853.50 |
$6,853.50 |
$6,853.50 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$6,853.50 |
$6,853.50 |
$6,853.50 |
$1,358.76
|
|
Abdominal Ultrasound (complete)
|
$1,822.50 |
$1,822.50 |
$1,822.50 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$3,093.50 |
$3,093.50 |
$3,093.50 |
$581.10
|
|
Ablate heart dysrhythm focus
|
$40,492.66 |
$40,492.66 |
$40,492.66 |
$9,476.33
|
|
Ablation cardiac vagal inputs atrium
|
$540.79 |
$540.79 |
$540.79 |
$2,260.30
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$93.90 |
$93.90 |
$93.90 |
$73.44
|
|
Acetaminophen level
|
$604.78 |
$604.78 |
$604.78 |
$111.00
|
|
Acetazolamide 500 mg solution for injection
|
$153.75 |
$153.75 |
$153.75 |
$122.55
|
|
Acetone qualitative
|
$66.25 |
$66.25 |
$130.63 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$524.88 |
$524.88 |
$524.88 |
$66.28
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$114.62 |
$114.62 |
$114.62 |
$224.98
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$145.52 |
$145.52 |
$145.52 |
$37.70
|
|
Acute hepatitis panel
|
$1,205.00 |
$1,205.00 |
$2,611.31 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$107.00 |
$107.00 |
$107.00 |
$64.15
|
|
#acylcarnitineprfl
|
$608.15 |
$608.15 |
$608.15 |
$118.85
|
|
Adenovirus antibody,serum - quest
|
$646.22 |
$646.22 |
$1,097.25 |
$58.00
|
|
Adh-sendout
|
$247.25 |
$247.25 |
$497.08 |
$114.50
|
|
Administration chemotherapy IV infusion each additional hour
|
$496.17 |
$496.17 |
$496.17 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$472.31 |
$472.31 |
$472.31 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,820.58 |
$1,820.58 |
$1,820.58 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$2,963.69 |
$2,963.69 |
$2,963.69 |
$437.19
|
|
Adrenalin epinephrine inject
|
$25.50 |
$25.50 |
$25.50 |
$192.00
|
|
_afb id by dna probe rflx ast
|
$338.75 |
$338.75 |
$731.88 |
$104.50
|
|
Afo molded to patient plasti
|
$5,226.00 |
$5,226.00 |
$5,226.00 |
$757.77
|
|
Afo sing solid stirrup calf
|
$4,063.00 |
$4,063.00 |
$4,063.00 |
$728.50
|
|
Afo spiral molded to pt plas
|
$3,691.00 |
$3,691.00 |
$3,691.00 |
$1,450.86
|
|
Agalsidase beta 35 mg intravenous solution
|
$20,629.00 |
$20,629.00 |
$20,629.00 |
$14,475.20
|
|
Albumin body fluid quantitative each specimen
|
$53.75 |
$53.75 |
$215.22 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$153.25 |
$153.25 |
$310.94 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$53.75 |
$53.75 |
$288.73 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$604.78 |
$604.78 |
$604.78 |
$94.90
|
|
Aldesleukin injection
|
$4,725.25 |
$4,725.25 |
$12,637.56 |
$9,030.11
|
|
Allergen egg white ige
|
$225.25 |
$225.25 |
$225.25 |
$37.20
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$196.98 |
$196.98 |
$196.98 |
$4,677.40
|
|
Alprostadil for injection
|
$254.30 |
$254.30 |
$254.30 |
$511.84
|
|
Amantadine (symmetrel)-sendout
|
$621.33 |
$621.33 |
$621.33 |
$179.70
|
|
Amifostine
|
$922.95 |
$922.95 |
$3,303.13 |
$2,121.39
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$44.40 |
$44.40 |
$44.40 |
$40.40
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$90.22 |
$90.22 |
$90.22 |
$37.33
|
|
Aminolevulinic acid delta
|
$576.00 |
$576.00 |
$1,156.01 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$15.50 |
$15.50 |
$15.50 |
$46.24
|
|
Amitriptyline (elavil) -sendout
|
$803.27 |
$803.27 |
$803.27 |
$84.56
|
|
Amivantamab-vmjw 50 mg/ml intravenous solution
|
$11,720.49 |
$11,720.49 |
$11,720.49 |
$8,941.39
|
|
Ammonia
|
$199.00 |
$199.00 |
$376.52 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$256.04 |
$256.04 |
$256.04 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$105.75 |
$105.75 |
$105.75 |
$117.75
|
|
Anabolic steroid 1 or 2
|
$427.11 |
$427.11 |
$427.11 |
$80.08
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$879.87 |
$879.87 |
$879.87 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$1,464.00 |
$1,464.00 |
$3,454.79 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$1,464.00 |
$1,464.00 |
$3,454.79 |
$237.60
|
|
Analysis tumor
|
$431.10 |
$431.10 |
$431.10 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$1,877.58 |
$1,877.58 |
$1,877.58 |
$375.00
|
|
Anca screen with reflex to titer -quest
|
$275.50 |
$275.50 |
$275.50 |
$99.00
|
|
Antibody elution rbc reference
|
$356.44 |
$356.44 |
$356.44 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$438.25 |
$438.25 |
$879.94 |
$131.28
|
|
Antibody lymphocytic choriomeningitis
|
$646.22 |
$646.22 |
$1,629.25 |
$46.20
|
|
Antibody screen rbc
|
$352.21 |
$352.21 |
$352.21 |
$106.88
|
|
Antibody tetanus
|
$243.78 |
$243.78 |
$243.78 |
$54.00
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.50 |
$1.50 |
$1.50 |
$6.10
|
|
Antinuclear antibodies titer
|
$953.99 |
$953.99 |
$953.99 |
$79.86
|
|
Antistreptolysin o titer
|
$334.20 |
$334.20 |
$334.20 |
$52.50
|
|
Antithrombin iii activity
|
$567.00 |
$567.00 |
$1,239.01 |
$114.00
|
|
Antithrombin iii injection
|
$11.45 |
$11.45 |
$11.45 |
$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
|
|
Apl(pml-rara) quant - sendout
|
$2,230.50 |
$2,230.50 |
$5,263.90 |
$500.80
|
|
Application finger splntstatic 29130
|
$398.34 |
$398.34 |
$398.34 |
$208.50
|
|
Apply forearm splintdynamic 29126
|
$1,332.53 |
$1,332.53 |
$1,332.53 |
$248.95
|
|
Apply interstit radiat compl
|
$143,102.08 |
$143,102.08 |
$143,102.08 |
$2,877.50
|
|
Apply intrcav radiat interm
|
$143,102.08 |
$143,102.08 |
$143,102.08 |
$1,368.40
|
|
Apply intrcav radiat simple
|
$143,102.08 |
$143,102.08 |
$143,102.08 |
$1,207.44
|
|
Apply rem fixation device
|
$4,598.76 |
$4,598.76 |
$4,598.76 |
$2,021.04
|
|
App mdlty 1+hubbrd tnk ea 15
|
$476.85 |
$476.85 |
$476.85 |
$138.25
|
|
#aptt mix-1:1 incubated
|
$86.91 |
$86.91 |
$86.91 |
$157.30
|
|
Aqmbf pet rest & rx stress
|
$4,574.81 |
$4,574.81 |
$4,574.81 |
$974.40
|
|
Aquaporin-4 antibody elisa
|
$3,213.66 |
$3,213.66 |
$3,213.66 |
$150.00
|
|
Arformoterol non-comp unit
|
$7.78 |
$7.78 |
$7.78 |
$24.24
|
|
Aripiprazole injection
|
$96.75 |
$96.75 |
$96.75 |
$118.52
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$1,448.20 |
$1,448.20 |
$1,448.20 |
$1,342.85
|
|
Artery x-rays adrenals
|
$58,002.36 |
$58,002.36 |
$58,002.36 |
$3,764.59
|
|
Artery x-rays spine
|
$16,999.65 |
$16,999.65 |
$16,999.65 |
$4,500.95
|
|
Assay acid phosphatase
|
$119.50 |
$119.50 |
$242.73 |
$38.22
|
|
Assay of corticosterone
|
$370.71 |
$370.71 |
$370.71 |
$55.20
|
|
Assay of feces porphyrins
|
$688.75 |
$688.75 |
$1,380.21 |
$136.50
|
|
Assay of interleukin-6 (il-6)
|
$671.84 |
$671.84 |
$671.84 |
$79.68
|
|
Assay of osteocalcin
|
$476.25 |
$476.25 |
$952.95 |
$92.50
|
|
Assay of procainamide
|
$533.75 |
$533.75 |
$1,074.03 |
$114.91
|
|
Assay of procainamide w/metab
|
$533.75 |
$533.75 |
$1,074.03 |
$70.50
|
|
Assay of sialic acid
|
$522.00 |
$522.00 |
$1,044.41 |
$92.50
|
