|
11-desoxycortisol - sendout
|
$42.42 |
$42.42 |
$42.42 |
$91.85
|
|
17-hydroxypregnenolone
|
$33.26 |
$33.26 |
$33.26 |
$92.65
|
|
17-ketosteroids
|
$38.56 |
$38.56 |
$38.56 |
$55.00
|
|
3d recon without postprocess indpndt
|
$171.01 |
$171.01 |
$171.01 |
$508.13
|
|
5' nucleotidase - sendout
|
$47.72 |
$47.72 |
$47.72 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$40.90 |
$40.90 |
$40.90 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$569.02 |
$569.02 |
$569.02 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$187.11 |
$187.11 |
$187.11 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,396.50 |
$1,396.50 |
$1,396.50 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,117.20 |
$1,117.20 |
$1,117.20 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,145.55 |
$2,145.55 |
$2,145.55 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$1,788.12 |
$1,788.12 |
$1,788.12 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$281.01 |
$281.01 |
$281.01 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$739.88 |
$739.88 |
$739.88 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$557.70 |
$557.70 |
$557.70 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$143.65 |
$143.65 |
$143.65 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$225.12 |
$225.12 |
$225.12 |
$418.63
|
|
Abdominal X-ray (single view)
|
$99.16 |
$99.16 |
$99.16 |
$260.00
|
|
Abl1 gene
|
$437.40 |
$437.40 |
$437.40 |
$683.20
|
|
Abscess drain retroperitoneal surg code
|
$980.31 |
$980.31 |
$980.31 |
$3,050.40
|
|
Acetylcholine receptor modulating antibody
|
$44.93 |
$44.93 |
$44.93 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$31.54 |
$31.54 |
$31.54 |
$38.50
|
|
Acute hepatitis panel
|
$120.98 |
$120.98 |
$120.98 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$3.91 |
$3.91 |
$3.91 |
$54.77
|
|
#acylcarnitineprfl
|
$55.43 |
$55.43 |
$55.43 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$4,262.47 |
$4,262.47 |
$4,262.47 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$35.14 |
$35.14 |
$35.14 |
$58.00
|
|
Adh-sendout
|
$49.16 |
$49.16 |
$49.16 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$21.92 |
$21.92 |
$21.92 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$49.18 |
$49.18 |
$49.18 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$100.32 |
$100.32 |
$100.32 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$122.38 |
$122.38 |
$122.38 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$137.18 |
$137.18 |
$137.18 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$209.38 |
$209.38 |
$209.38 |
$256.49
|
|
Administration immunization each additional vaccine
|
$20.17 |
$20.17 |
$20.17 |
$47.40
|
|
Administration vaccine hepatitis b
|
$57.23 |
$57.23 |
$57.23 |
$53.00
|
|
Administration vaccine influenza virus
|
$57.23 |
$57.23 |
$57.23 |
$51.07
|
|
Administration vaccine pneumococcal
|
$57.23 |
$57.23 |
$57.23 |
$49.68
|
|
_afb org id by sequencing rflx ast-sendout
|
$184.26 |
$184.26 |
$184.26 |
$300.00
|
|
Airway resistance by impulse oscillometry 94728
|
$104.90 |
$104.90 |
$104.90 |
$297.00
|
|
Albumin body fluid quantitative each specimen
|
$27.96 |
$27.96 |
$27.96 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$32.78 |
$32.78 |
$32.78 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$30.37 |
$30.37 |
$30.37 |
$43.00
|
|
Alkaline phosphatase
|
$27.47 |
$27.47 |
$27.47 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$46.08 |
$46.08 |
$46.08 |
$48.57
|
|
Allergen egg white ige
|
$32.26 |
$32.26 |
$32.26 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$33.98 |
$33.98 |
$33.98 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$483.58 |
$483.58 |
$483.58 |
$9,900.02
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$2,215.48 |
$2,215.48 |
$2,215.48 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$93.51 |
$93.51 |
$93.51 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$24.58 |
$24.58 |
$24.58 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$24.58 |
$24.58 |
$24.58 |
$106.00
|
|
Als 1
|
$883.92 |
$883.92 |
$883.92 |
$853.44
|
|
Als1-emergency
|
$960.04 |
$960.04 |
$960.04 |
$1,103.37
|
|
Als 2
|
$1,304.13 |
$1,304.13 |
$1,304.13 |
$1,288.56
|
|
Alt/sgpt
|
$28.44 |
$28.44 |
$28.44 |
$47.50
|
|
Aluminum - quest
|
$37.11 |
$37.11 |
$37.11 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$156.17 |
$156.17 |
$156.17 |
$179.70
|
|
Aminolevulinic acid delta
|
$36.15 |
$36.15 |
$36.15 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$32.78 |
$32.78 |
$32.78 |
$87.45
|
|
Ammonia
|
$55.43 |
$55.43 |
$55.43 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$268.09 |
$268.09 |
$268.09 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$40.01 |
$40.01 |
$40.01 |
$93.61
|
|
Amylase
|
$164.36 |
$164.36 |
$164.36 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$74.23 |
$74.23 |
$74.23 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$96.23 |
$96.23 |
$96.23 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$107.41 |
$107.41 |
$107.41 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$31.68 |
$31.68 |
$31.68 |
$101.50
|
|
An cholangiogram percutaneous compl
|
$211.24 |
$211.24 |
$211.24 |
$2,480.94
|
|
An fluoro guide for cvp
|
$217.62 |
$217.62 |
$217.62 |
$525.85
|
|
Angiotensin ii
|
$42.90 |
$42.90 |
$42.90 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$2,987.62 |
$2,987.62 |
$2,987.62 |
$2,979.43
|
|
Ankle X-ray
|
$130.78 |
$130.78 |
$130.78 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$121.67 |
$121.67 |
$121.67 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$88.13 |
$88.13 |
$88.13 |
$57.85
|
|
Antibody elution rbc reference
|
$210.24 |
$210.24 |
$210.24 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$289.73 |
$289.73 |
$289.73 |
$131.56
|
|
Antibody htlv-i
|
$16.13 |
$16.13 |
$16.13 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$137.66 |
$137.66 |
$137.66 |
$224.00
|
|
Antibody id rbc panel
|
$576.83 |
$576.83 |
$576.83 |
$291.75
|
|
Antibody influenza virus
|
$39.17 |
$39.17 |
$39.17 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$35.71 |
$35.71 |
$35.71 |
$46.58
|
|
Antibody screen rbc
|
$86.30 |
$86.30 |
$86.30 |
$108.55
|
|
Antibody tetanus
|
$36.29 |
$36.29 |
$36.29 |
$54.15
|
|
Antidepressant not specified
|
$33.74 |
$33.74 |
$33.74 |
$72.14
|
|
Antidepressants class 3-5
|
$46.75 |
$46.75 |
$46.75 |
$72.14
|
|
Anti mog serum - sendout
|
$482.11 |
$482.11 |
$482.11 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$31.10 |
$31.10 |
$31.10 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$35.71 |
$35.71 |
$35.71 |
$42.00
|
|
Antinuclear antibodies
|
$30.53 |
$30.53 |
$30.53 |
$90.00
|
|
Antinuclear antibodies titer
|
$66.24 |
$66.24 |
$66.24 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$32.83 |
$32.83 |
$32.83 |
$67.43
|
|
Antipsychotics nos 1-3
|
$25.06 |
$25.06 |
$25.06 |
$136.61
|
|
Antistreptolysin o titer
|
$32.83 |
$32.83 |
$32.83 |
$54.00
|
|
Antithrombin iii activity
|
$30.37 |
$30.37 |
$30.37 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$240.11 |
$240.11 |
$240.11 |
$394.55
|
|
Application of paste boot 29580
|
$185.44 |
$185.44 |
$185.44 |
$340.11
|
|
Appl modality 1/> areas paraffin bath 97018
|
$26.75 |
$26.75 |
$26.75 |
$69.00
|
