|
11-desoxycortisol - sendout
|
$53.94 |
$53.94 |
$53.94 |
$91.85
|
|
17-hydroxypregnenolone
|
$42.30 |
$42.30 |
$42.30 |
$92.65
|
|
2d tee w or without fol w/con,in
|
$1,628.93 |
$1,628.93 |
$1,628.93 |
$1,724.25
|
|
2d tte w or without fol w/con,co
|
$791.62 |
$791.62 |
$791.62 |
$1,284.00
|
|
3d recon without postprocess indpndt
|
$348.97 |
$348.97 |
$348.97 |
$508.13
|
|
5' nucleotidase - sendout
|
$60.69 |
$60.69 |
$60.69 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$36.72 |
$36.72 |
$36.72 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$54.53 |
$54.53 |
$54.53 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$789.16 |
$789.16 |
$789.16 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$465.66 |
$465.66 |
$465.66 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,304.71 |
$1,304.71 |
$1,304.71 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,087.15 |
$1,087.15 |
$1,087.15 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$869.59 |
$869.59 |
$869.59 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,328.87 |
$3,328.87 |
$3,328.87 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,774.06 |
$2,774.06 |
$2,774.06 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,219.25 |
$2,219.25 |
$2,219.25 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$122.18 |
$122.18 |
$122.18 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,012.16 |
$1,012.16 |
$1,012.16 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$754.68 |
$754.68 |
$754.68 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$292.23 |
$292.23 |
$292.23 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$353.97 |
$353.97 |
$353.97 |
$418.63
|
|
Abdominal X-ray (single view)
|
$161.55 |
$161.55 |
$161.55 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$84.17 |
$84.17 |
$84.17 |
$1,148.40
|
|
Abl1 gene
|
$663.30 |
$663.30 |
$663.30 |
$683.20
|
|
Ablate inf turbinate submuc 30802
|
$182.16 |
$182.16 |
$182.16 |
$2,060.00
|
|
Ablate inf turbinate superf 30801
|
$160.73 |
$160.73 |
$160.73 |
$1,944.80
|
|
Acetylcholine receptor modulating antibody
|
$59.90 |
$59.90 |
$59.90 |
$67.50
|
|
Acne surgery 10040
|
$50.17 |
$50.17 |
$50.17 |
$265.20
|
|
Acute hepatitis panel
|
$153.86 |
$153.86 |
$153.86 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$1.75 |
$1.75 |
$1.75 |
$54.77
|
|
#acylcarnitineprfl
|
$70.50 |
$70.50 |
$70.50 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$4,929.65 |
$4,929.65 |
$4,929.65 |
$5,109.58
|
|
Adding walker to prev cast
|
$48.87 |
$48.87 |
$48.87 |
$216.00
|
|
Adenovirus antibody,serum - quest
|
$46.85 |
$46.85 |
$46.85 |
$58.00
|
|
Adh-sendout
|
$62.53 |
$62.53 |
$62.53 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$32.65 |
$32.65 |
$32.65 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$74.20 |
$74.20 |
$74.20 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$151.00 |
$151.00 |
$151.00 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$200.58 |
$200.58 |
$200.58 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$94.90 |
$94.90 |
$94.90 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$253.94 |
$253.94 |
$253.94 |
$256.49
|
|
Administration immunization each additional vaccine
|
$21.30 |
$21.30 |
$21.30 |
$47.40
|
|
Administration vaccine hepatitis b
|
$38.34 |
$38.34 |
$38.34 |
$53.00
|
|
Administration vaccine influenza virus
|
$38.34 |
$38.34 |
$38.34 |
$51.07
|
|
Administration vaccine pneumococcal
|
$38.34 |
$38.34 |
$38.34 |
$49.68
|
|
_afb id by dna probe rflx ast
|
$50.15 |
$50.15 |
$50.15 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$238.39 |
$238.39 |
$238.39 |
$300.00
|
|
After cataract laser surgery
|
$448.48 |
$448.48 |
$448.48 |
$1,373.11
|
|
Albumin body fluid quantitative each specimen
|
$35.55 |
$35.55 |
$35.55 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$34.33 |
$34.33 |
$34.33 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$38.62 |
$38.62 |
$38.62 |
$43.00
|
|
Alkaline phosphatase
|
$34.94 |
$34.94 |
$34.94 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$61.44 |
$61.44 |
$61.44 |
$48.57
|
|
Allergen egg white ige
|
$43.01 |
$43.01 |
$43.01 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$45.31 |
$45.31 |
$45.31 |
$24.00
|
|
Allergy Skin Testing
|
$117.77 |
$117.77 |
$117.77 |
$47.44
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,562.25 |
$2,562.25 |
$2,562.25 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$118.92 |
$118.92 |
$118.92 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$31.26 |
$31.26 |
$31.26 |
$106.00
|
|
Alt/sgpt
|
$36.17 |
$36.17 |
$36.17 |
$47.50
|
|
Aluminum - quest
|
$47.20 |
$47.20 |
$47.20 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$198.61 |
$198.61 |
$198.61 |
$179.70
|
|
Aminolevulinic acid delta
|
$45.98 |
$45.98 |
$45.98 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$41.68 |
$41.68 |
$41.68 |
$87.45
|
|
Ammonia
|
$70.50 |
$70.50 |
$70.50 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$536.14 |
$536.14 |
$536.14 |
$942.60
|
|
Amniocentesis therapeutic
|
$701.80 |
$701.80 |
$701.80 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$50.88 |
$50.88 |
$50.88 |
$93.61
|
|
Amputate metacarpal bone 26910
|
$828.62 |
$828.62 |
$828.62 |
$3,839.54
|
|
Amputation toe metatarsophalangeal joint
|
$443.63 |
$443.63 |
$443.63 |
$3,839.54
|
|
Amylase
|
$209.03 |
$209.03 |
$209.03 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$94.40 |
$94.40 |
$94.40 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$145.93 |
$145.93 |
$145.93 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$162.88 |
$162.88 |
$162.88 |
$249.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$134.27 |
$134.27 |
$134.27 |
$375.00
|
|
Anca screen with reflex to titer -quest
|
$42.24 |
$42.24 |
$42.24 |
$101.50
|
|
An fluoro guide for cvp
|
$477.47 |
$477.47 |
$477.47 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$3,664.60 |
$3,664.60 |
$3,664.60 |
$2,979.43
|
|
Ankle X-ray
|
$338.18 |
$338.18 |
$338.18 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$190.27 |
$190.27 |
$190.27 |
$282.96
|
|
Anl sp inf pmp w/mdreprg&fil
|
$293.13 |
$293.13 |
$293.13 |
$630.96
|
|
Anodyne therapy charges pt
|
$25.87 |
$25.87 |
$25.87 |
$42.00
|
|
Anoscopy remove fb 46608
|
$96.11 |
$96.11 |
$96.11 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$117.50 |
$117.50 |
$117.50 |
$57.85
|
|
Antibody elution rbc reference
|
$264.19 |
$264.19 |
$264.19 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$386.30 |
$386.30 |
$386.30 |
$131.56
|
|
Antibody htlv-i
|
$21.50 |
$21.50 |
$21.50 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$183.55 |
$183.55 |
$183.55 |
$224.00
|
|
Antibody id rbc panel
|
$468.85 |
$468.85 |
$468.85 |
$291.75
|
|
Antibody influenza virus
|
$52.22 |
$52.22 |
$52.22 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$47.62 |
$47.62 |
$47.62 |
$46.58
|
|
Antibody screen rbc
|
$76.40 |
$76.40 |
$76.40 |
$108.55
|
|
Antibody tetanus
|
$48.38 |
$48.38 |
$48.38 |
$54.15
|
|
Antidepressants class 3-5
|
$59.46 |
$59.46 |
$59.46 |
$72.14
|
|
Anti mog serum - sendout
|
$642.82 |
$642.82 |
$642.82 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$41.47 |
$41.47 |
$41.47 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$47.62 |
$47.62 |
$47.62 |
$42.00
|
|
Antinuclear antibodies
|
$40.70 |
$40.70 |
$40.70 |
$90.00
|
|
Antinuclear antibodies titer
|
$88.32 |
$88.32 |
$88.32 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$43.78 |
$43.78 |
$43.78 |
$67.43
|