|
11-desoxycortisol - sendout
|
$497.49 |
$497.49 |
$497.49 |
$88.89
|
|
17-hydroxypregnenolone
|
$744.68 |
$744.68 |
$744.68 |
$90.90
|
|
17-ketosteroids
|
$330.63 |
$330.63 |
$330.63 |
$55.00
|
|
3d recon without postprocess indpndt
|
$3,961.30 |
$3,961.30 |
$3,961.30 |
$505.05
|
|
5' nucleotidase - sendout
|
$290.46 |
$290.46 |
$290.46 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$94.26 |
$94.26 |
$94.26 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$182.30 |
$182.30 |
$182.30 |
$53.90
|
|
Abdominal CT scan (with and without contrast)
|
$9,166.68 |
$9,166.68 |
$9,166.68 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$6,136.96 |
$6,136.96 |
$6,136.96 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$5,844.28 |
$5,844.28 |
$5,844.28 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,287.42 |
$7,287.42 |
$7,287.42 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$6,052.45 |
$6,052.45 |
$6,052.45 |
$2,048.36
|
|
Abdominal Ultrasound (complete)
|
$2,330.07 |
$2,330.07 |
$2,330.07 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$2,497.71 |
$2,497.71 |
$2,497.71 |
$581.10
|
|
Acetazolamide 500 mg solution for injection
|
$418.00 |
$418.00 |
$418.00 |
$122.55
|
|
Acetone qualitative
|
$214.75 |
$214.75 |
$214.75 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$203.30 |
$203.30 |
$203.30 |
$66.28
|
|
Acute hepatitis panel
|
$1,640.81 |
$1,640.81 |
$1,640.81 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$153.00 |
$153.00 |
$153.00 |
$64.15
|
|
#acylcarnitineprfl
|
$417.15 |
$417.15 |
$417.15 |
$118.85
|
|
Adenosine 3 mg/250 ml bag for osm
|
$6.85 |
$6.85 |
$6.85 |
$272.57
|
|
Adenovirus antibody,serum - quest
|
$1,211.29 |
$1,211.29 |
$1,211.29 |
$58.00
|
|
Adh-sendout
|
$313.64 |
$313.64 |
$313.64 |
$114.50
|
|
Administration chemotherapy IV infusion each additional hour
|
$298.13 |
$298.13 |
$298.13 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$298.13 |
$298.13 |
$298.13 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$598.80 |
$598.80 |
$598.80 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$286.61 |
$286.61 |
$286.61 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$250.78 |
$250.78 |
$250.78 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$250.78 |
$250.78 |
$250.78 |
$254.40
|
|
Administration vaccine hepatitis b
|
$68.92 |
$68.92 |
$68.92 |
$51.80
|
|
_afb id by dna probe rflx ast
|
$621.09 |
$621.09 |
$621.09 |
$104.50
|
|
Albumin body fluid quantitative each specimen
|
$134.43 |
$134.43 |
$134.43 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$191.57 |
$191.57 |
$191.57 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$182.30 |
$182.30 |
$182.30 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$340.72 |
$340.72 |
$340.72 |
$94.90
|
|
Allergen egg white ige
|
$11.38 |
$11.38 |
$11.38 |
$37.20
|
|
Allergy Skin Testing
|
$14.47 |
$14.47 |
$14.47 |
$47.44
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$283.00 |
$283.00 |
$283.00 |
$4,677.40
|
|
Amantadine (symmetrel)-sendout
|
$601.01 |
$601.01 |
$601.01 |
$179.70
|
|
Aminolevulinic acid delta
|
$724.60 |
$724.60 |
$724.60 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$16.86 |
$16.86 |
$16.86 |
$46.24
|
|
Amitriptyline (elavil) -sendout
|
$1,898.81 |
$1,898.81 |
$1,898.81 |
$84.56
|
|
Ammonia
|
$466.60 |
$466.60 |
$466.60 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$190.04 |
$190.04 |
$190.04 |
$93.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$201.75 |
$201.75 |
$201.75 |
$117.75
|
|
Anabolic steroid 1 or 2
|
$366.16 |
$366.16 |
$366.16 |
$80.08
|
|
Analysis gene f2 20210g>a variant
|
$160.68 |
$160.68 |
$160.68 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$148.30 |
$148.30 |
$148.30 |
$237.60
|
|
Anca screen with reflex to titer -quest
|
$27.82 |
$27.82 |
$27.82 |
$99.00
|
|
An fluoro guide for cvp
|
$887.08 |
$887.08 |
$887.08 |
$515.00
|
|
Anodyne therapy charges pt
|
$158.97 |
$158.97 |
$158.97 |
$42.00
|
|
Antibody htlv/hiv confirm test
|
$548.46 |
$548.46 |
$548.46 |
$131.28
|
|
Antibody lymphocytic choriomeningitis
|
$1,382.76 |
$1,382.76 |
$1,382.76 |
$46.20
|
|
Antibody screen rbc
|
$161.40 |
$161.40 |
$161.40 |
$106.88
|
|
Antibody tetanus
|
$182.30 |
$182.30 |
$182.30 |
$54.00
|
|
Antinuclear antibodies titer
|
$525.29 |
$525.29 |
$525.29 |
$79.86
|
|
Antistreptolysin o titer
|
$245.67 |
$245.67 |
$245.67 |
$52.50
|
|
Antithrombin iii activity
|
$786.41 |
$786.41 |
$786.41 |
$114.00
|
|
Apl(pml-rara) quant - sendout
|
$3,144.09 |
$3,144.09 |
$3,144.09 |
$500.80
|
|
#aptt mix-1:1 incubated
|
$73.00 |
$73.00 |
$73.00 |
$157.30
|
|
Arformoterol non-comp unit
|
$16.72 |
$16.72 |
$16.72 |
$24.24
|
|
Argatroban esrd dialysis 1mg
|
$101.60 |
$101.60 |
$101.60 |
$934.80
|
|
Argatroban nonesrd use 1mg
|
$101.60 |
$101.60 |
$101.60 |
$881.10
|
|
Asp & inj bone cyst
|
$960.00 |
$960.00 |
$960.00 |
$1,044.00
|
|
Assay acid phosphatase
|
$154.50 |
$154.50 |
$154.50 |
$38.22
|
|
Assay of corticosterone
|
$278.10 |
$278.10 |
$278.10 |
$55.20
|
|
Assay of feces porphyrins
|
$868.30 |
$868.30 |
$868.30 |
$136.50
|
|
Assay of osteocalcin
|
$599.45 |
$599.45 |
$599.45 |
$92.50
|
|
Assay of procainamide
|
$571.66 |
$571.66 |
$571.66 |
$114.91
|
|
Assay of procainamide w/metab
|
$571.66 |
$571.66 |
$571.66 |
$70.50
|
|
Assay of sialic acid
|
$651.99 |
$651.99 |
$651.99 |
$92.50
|
|
Assay of thiocyanate
|
$366.88 |
$366.88 |
$366.88 |
$72.60
|
|
Assay phosphatidylglycerol
|
$644.28 |
$644.28 |
$644.28 |
$134.16
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,372.36 |
$1,372.36 |
$1,372.36 |
$300.00
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$36,215.31 |
$36,215.31 |
$36,215.31 |
$22,528.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$23.58 |
$23.58 |
$23.58 |
$53.24
|
|
Automated diff wbc count
|
$647.35 |
$647.35 |
$647.35 |
$36.30
|
|
Avelumab 20 mg/ml intravenous solution
|
$6,578.78 |
$6,578.78 |
$6,578.78 |
$3,721.71
|
|
Azathioprine 50 mg tablet
|
$8.02 |
$8.02 |
$8.02 |
$3.25
|
|
Azathioprine parenteral
|
$30.00 |
$30.00 |
$30.00 |
$441.40
|
|
Azithromycin 500 mg intravenous solution
|
$161.32 |
$161.32 |
$161.32 |
$36.36
|
|
Aztreonam 1 gram solution for injection
|
$75.51 |
$75.51 |
$75.51 |
$157.30
|
|
Baclofen eval charges
|
$120.04 |
$120.04 |
$120.04 |
$87.50
|
|
Bacterial meningitis antigen
|
$455.78 |
$455.78 |
$455.78 |
$66.30
|
|
Bacterial vaginosis pcr
|
$629.43 |
$629.43 |
$629.43 |
$287.04
|
|
Benztropine 1 mg/ml injection solution
|
$832.42 |
$832.42 |
$832.42 |
$106.46
|
|
Beta-2 microglobulin
|
$525.29 |
$525.29 |
$525.29 |
$84.75
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$12.95 |
$12.95 |
$12.95 |
$65.00
|
|
Blood Clotting (PT/INR) Test
|
$341.44 |
$341.44 |
$341.44 |
$53.30
|
|
Blood Clotting (PTT) Test
|
$341.44 |
$341.44 |
$341.44 |
$73.80
|
|
Blood Count (CBC) Test (without differential)
|
$543.84 |
$543.84 |
$543.84 |
$61.80
|
|
Blood count spun microhematocrit
|
$55.62 |
$55.62 |
$55.62 |
$25.00
|
|
Blood gases o2 saturation direct measurement
|
$685.98 |
$685.98 |
$685.98 |
$226.20
|
|
Blood gases ph venous
|
$474.32 |
$474.32 |
$474.32 |
$64.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$129.78 |
$129.78 |
$129.78 |
$32.50
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$129.78 |
$129.78 |
$129.78 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$151.40 |
$151.40 |
$151.40 |
$34.65
|
|
Blood smear microscopic w manual differential wbc count
|
$227.12 |
$227.12 |
$227.12 |
$38.35
|
|
Blood typing abo
|
$310.70 |
$310.70 |
$310.70 |
$84.75
|
