|
11-desoxycortisol - sendout
|
$757.09 |
$757.09 |
$757.09 |
$88.89
|
|
17-hydroxypregnenolone
|
$1,189.73 |
$1,189.73 |
$1,189.73 |
$90.90
|
|
17-ketosteroids
|
$779.09 |
$779.09 |
$779.09 |
$55.00
|
|
1 pc ost pouch w filter
|
$3.00 |
$3.00 |
$3.00 |
$6.72
|
|
5' nucleotidase - sendout
|
$443.26 |
$443.26 |
$443.26 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$600.60 |
$600.60 |
$600.60 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$92.10 |
$92.10 |
$92.10 |
$53.90
|
|
Abciximab injection
|
$4,083.76 |
$4,083.76 |
$4,083.76 |
$2,443.52
|
|
Abdominal MRI (with and without contrast)
|
$16,354.45 |
$16,354.45 |
$16,354.45 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$14,858.33 |
$14,858.33 |
$14,858.33 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$13,080.03 |
$13,080.03 |
$13,080.03 |
$2,048.36
|
|
Ablation cardiac vagal inputs atrium
|
$540.27 |
$540.27 |
$540.27 |
$2,260.30
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$90.50 |
$90.50 |
$90.50 |
$73.44
|
|
Acetaminophen level
|
$575.66 |
$575.66 |
$575.66 |
$111.00
|
|
Acetazolamide 500 mg solution for injection
|
$231.19 |
$231.19 |
$231.19 |
$122.55
|
|
Acetone qualitative
|
$237.96 |
$237.96 |
$237.96 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$1,069.49 |
$1,069.49 |
$1,069.49 |
$66.28
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$128.36 |
$128.36 |
$128.36 |
$37.70
|
|
Acute hepatitis panel
|
$2,834.21 |
$2,834.21 |
$2,834.21 |
$284.70
|
|
#acylcarnitineprfl
|
$1,260.72 |
$1,260.72 |
$1,260.72 |
$118.85
|
|
Adenovirus antibody,serum - quest
|
$272.48 |
$272.48 |
$272.48 |
$58.00
|
|
Adh-sendout
|
$475.89 |
$475.89 |
$475.89 |
$114.50
|
|
Administration chemotherapy IV infusion each additional hour
|
$2,205.38 |
$2,205.38 |
$2,205.38 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$2,287.72 |
$2,287.72 |
$2,287.72 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$2,543.55 |
$2,543.55 |
$2,543.55 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$740.99 |
$740.99 |
$740.99 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$740.99 |
$740.99 |
$740.99 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$740.99 |
$740.99 |
$740.99 |
$254.40
|
|
Administration immunization each additional vaccine
|
$204.46 |
$204.46 |
$204.46 |
$46.89
|
|
Administration vaccine influenza virus
|
$154.20 |
$154.20 |
$154.20 |
$48.73
|
|
Ado-trastuzumab emtansine 100 mg intravenous solution
|
$13,097.25 |
$13,097.25 |
$13,097.25 |
$11,350.31
|
|
_afb id by dna probe rflx ast
|
$650.21 |
$650.21 |
$650.21 |
$104.50
|
|
Afo tibial fracture rigid
|
$3,681.00 |
$3,681.00 |
$3,681.00 |
$1,514.10
|
|
Albumin body fluid quantitative each specimen
|
$207.23 |
$207.23 |
$207.23 |
$47.45
|
|
Albumin (human), 5%, 250 ml
|
$152.24 |
$152.24 |
$152.24 |
$246.00
|
|
Albumin, human 5 % intravenous solution
|
$166.05 |
$166.05 |
$166.05 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$307.02 |
$307.02 |
$307.02 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$318.55 |
$318.55 |
$318.55 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$575.66 |
$575.66 |
$575.66 |
$94.90
|
|
Aldesleukin injection
|
$12,637.56 |
$12,637.56 |
$12,637.56 |
$9,030.11
|
|
Allergen egg white ige
|
$90.20 |
$90.20 |
$90.20 |
$37.20
|
|
Amantadine (symmetrel)-sendout
|
$581.42 |
$581.42 |
$581.42 |
$179.70
|
|
Amifostine
|
$3,303.13 |
$3,303.13 |
$3,303.13 |
$2,121.39
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$90.50 |
$90.50 |
$90.50 |
$37.33
|
|
Aminolevulinic acid delta
|
$1,112.95 |
$1,112.95 |
$1,112.95 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$90.50 |
$90.50 |
$90.50 |
$46.24
|
|
Amitriptyline (elavil) -sendout
|
$537.29 |
$537.29 |
$537.29 |
$84.56
|
|
Ammonia
|
$596.78 |
$596.78 |
$596.78 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$364.60 |
$364.60 |
$364.60 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$89.75 |
$89.75 |
$89.75 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$193.12 |
$193.12 |
$193.12 |
$519.03
|
|
Anabolic steroid 1 or 2
|
$431.75 |
$431.75 |
$431.75 |
$80.08
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$303.21 |
$303.21 |
$303.21 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$188.05 |
$188.05 |
$188.05 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$172.71 |
$172.71 |
$172.71 |
$237.60
|
|
Analysis tumor
|
$439.44 |
$439.44 |
$439.44 |
$248.80
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$970.38 |
$970.38 |
$970.38 |
$375.00
|
|
Antibody elution rbc reference
|
$370.46 |
$370.46 |
$370.46 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$842.41 |
$842.41 |
$842.41 |
$131.28
|
|
Antibody lymphocytic choriomeningitis
|
$1,358.46 |
$1,358.46 |
$1,358.46 |
$46.20
|
|
Antibody tetanus
|
$247.56 |
$247.56 |
$247.56 |
$54.00
|
|
Antinuclear antibodies titer
|
$460.54 |
$460.54 |
$460.54 |
$79.86
|
|
Antistreptolysin o titer
|
$550.71 |
$550.71 |
$550.71 |
$52.50
|
|
Antithrombin iii activity
|
$1,216.58 |
$1,216.58 |
$1,216.58 |
$114.00
|
|
Apl(pml-rara) quant - sendout
|
$3,774.48 |
$3,774.48 |
$3,774.48 |
$500.80
|
|
Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion
|
$962.06 |
$962.06 |
$962.06 |
$943.40
|
|
#aptt mix-1:1 incubated
|
$81.04 |
$81.04 |
$81.04 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$1,269.79 |
$1,269.79 |
$1,269.79 |
$150.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$273.36 |
$273.36 |
$273.36 |
$100.00
|
|
Aripiprazole injection
|
$90.50 |
$90.50 |
$90.50 |
$118.52
|
|
Artery x-rays adrenals
|
$37,145.13 |
$37,145.13 |
$37,145.13 |
$3,764.59
|
|
Artery x-rays spine
|
$13,016.13 |
$13,016.13 |
$13,016.13 |
$4,500.95
|
|
Assay acid phosphatase
|
$567.99 |
$567.99 |
$567.99 |
$38.22
|
|
Assay of corticosterone
|
$489.33 |
$489.33 |
$489.33 |
$55.20
|
|
Assay of feces porphyrins
|
$1,322.13 |
$1,322.13 |
$1,322.13 |
$136.50
|
|
Assay of osteocalcin
|
$915.31 |
$915.31 |
$915.31 |
$92.50
|
|
Assay of procainamide
|
$1,018.94 |
$1,018.94 |
$1,018.94 |
$114.91
|
|
Assay of procainamide w/metab
|
$1,018.94 |
$1,018.94 |
$1,018.94 |
$70.50
|
|
Assay of sialic acid
|
$1,001.67 |
$1,001.67 |
$1,001.67 |
$92.50
|
|
Assay of thiocyanate
|
$552.64 |
$552.64 |
$552.64 |
$72.60
|
|
Assay phosphatidylglycerol
|
$997.83 |
$997.83 |
$997.83 |
$134.16
|
|
Assay toxin or antitoxin
|
$439.44 |
$439.44 |
$439.44 |
$76.76
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$678.99 |
$678.99 |
$678.99 |
$300.00
|
|
Automated diff wbc count
|
$387.63 |
$387.63 |
$387.63 |
$36.30
|
|
Azathioprine 50 mg tablet
|
$2.62 |
$2.62 |
$2.62 |
$3.25
|
|
Azathioprine parenteral
|
$565.13 |
$565.13 |
$565.13 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$179.90 |
$179.90 |
$179.90 |
$36.36
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$123.30 |
$123.30 |
$123.30 |
$161.17
|
|
Baclofen eval charges
|
$317.44 |
$317.44 |
$317.44 |
$87.50
|
|
Bacterial meningitis antigen
|
$220.65 |
$220.65 |
$220.65 |
$66.30
|
|
Bacterial vaginosis pcr
|
$1,166.09 |
$1,166.09 |
$1,166.09 |
$287.04
|
|
#_benzodiazconfur
|
$364.60 |
$364.60 |
$364.60 |
$117.15
|
|
Benztropine 1 mg/ml injection solution
|
$249.21 |
$249.21 |
$249.21 |
$106.46
|
|
Beta-2 microglobulin
|
$792.51 |
$792.51 |
$792.51 |
$84.75
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$256.84 |
$256.84 |
$256.84 |
$65.00
|
|
Bld prd mix
|
$101.46 |
$101.46 |
$101.46 |
$140.25
|
|
Blood Clotting (PT/INR) Test
|
$318.55 |
$318.55 |
$318.55 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$356.92 |
$356.92 |
$356.92 |
$73.80
|
|
Blood Count (CBC) Test (without differential)
|
$387.63 |
$387.63 |
$387.63 |
$61.80
|
|
Blood count spun microhematocrit
|
$76.74 |
$76.74 |
$76.74 |
$25.00
|
