|
Abdominal Ultrasound (complete)
|
$363.00 |
$363.00 |
$363.00 |
$723.75
|
|
Abdominal Ultrasound (limited)
|
$354.00 |
$354.00 |
$354.00 |
$556.40
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$37.50 |
$37.50 |
$37.50 |
$44.40
|
|
Acoustic refl threshold tst
|
$73.00 |
$73.00 |
$73.00 |
$83.79
|
|
Acute hepatitis panel
|
$209.00 |
$209.00 |
$209.00 |
$291.00
|
|
#acylcarnitineprfl
|
$92.00 |
$92.00 |
$92.00 |
$110.25
|
|
Adapt behavior tx phys/qhp
|
$104.50 |
$104.50 |
$104.50 |
$177.99
|
|
Adh-sendout
|
$233.50 |
$233.50 |
$233.50 |
$151.45
|
|
Aep hearing status deter i&r
|
$143.00 |
$143.00 |
$143.00 |
$304.00
|
|
Aep neurodiagnostic i&r
|
$183.00 |
$183.00 |
$183.00 |
$539.63
|
|
Aep thrshld est mlt freq i&r
|
$280.00 |
$280.00 |
$280.00 |
$570.96
|
|
Air conduction bilat
|
$114.50 |
$114.50 |
$114.50 |
$117.00
|
|
Albumin body fluid quantitative each specimen
|
$36.50 |
$36.50 |
$36.50 |
$42.25
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$40.00 |
$40.00 |
$40.00 |
$60.00
|
|
Albumin serum plasma or whole blood
|
$36.50 |
$36.50 |
$36.50 |
$39.60
|
|
Alkaline phosphatase
|
$18.50 |
$18.50 |
$18.50 |
$43.00
|
|
Allergen egg white ige
|
$202.00 |
$202.00 |
$202.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$20.00 |
$20.00 |
$20.00 |
$35.75
|
|
Alpha-fetoprotein tumor marker
|
$99.00 |
$99.00 |
$99.00 |
$102.00
|
|
Aluminum - quest
|
$140.00 |
$140.00 |
$140.00 |
$114.40
|
|
Amantadine (symmetrel)-sendout
|
$72.00 |
$72.00 |
$72.00 |
$169.80
|
|
Amino acid screen, urine
|
$50.50 |
$50.50 |
$50.50 |
$64.28
|
|
Amitriptyline (elavil) -sendout
|
$107.50 |
$107.50 |
$107.50 |
$85.14
|
|
Ammonia
|
$113.50 |
$113.50 |
$113.50 |
$96.53
|
|
Amylase
|
$34.00 |
$34.00 |
$34.00 |
$80.95
|
|
Analysis gene f2 20210g>a variant
|
$221.50 |
$221.50 |
$221.50 |
$242.90
|
|
Analysis gene f5 leiden variant
|
$95.50 |
$95.50 |
$95.50 |
$253.11
|
|
Ankle X-ray
|
$253.00 |
$253.00 |
$253.00 |
$307.20
|
|
Antibody htlv/hiv confirm test
|
$135.00 |
$135.00 |
$135.00 |
$151.40
|
|
Antibody influenza virus
|
$91.00 |
$91.00 |
$91.00 |
$60.45
|
|
Antibody screen rbc
|
$15.50 |
$15.50 |
$15.50 |
$99.99
|
|
Antibody tetanus
|
$43.00 |
$43.00 |
$43.00 |
$61.98
|
|
Antiphosphatidylserine antibody
|
$109.50 |
$109.50 |
$109.50 |
$70.80
|
|
Antistreptolysin o titer
|
$50.50 |
$50.50 |
$50.50 |
$58.50
|
|
Antithrombin iii activity
|
$107.00 |
$107.00 |
$107.00 |
$135.20
|
|
Application short leg cast 29405
|
$331.00 |
$331.00 |
$331.00 |
$388.80
|
|
Appl modality 1/> areas paraffin bath 97018
|
$57.00 |
$57.00 |
$57.00 |
$69.44
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$47.50 |
$47.50 |
$47.50 |
$90.52
|
|
Aquatic exercise - group charge
|
$126.50 |
$126.50 |
$126.50 |
$86.90
|
|
Assay of corticosterone
|
$77.00 |
$77.00 |
$77.00 |
$49.20
|
|
Assay of urine sulfate
|
$29.50 |
$29.50 |
$29.50 |
$31.20
|
|
Assay toxin or antitoxin
|
$63.50 |
$63.50 |
$63.50 |
$63.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$28.00 |
$28.00 |
$28.00 |
$43.55
|
|
Assistive tech assessment, ot
|
$65.50 |
$65.50 |
$65.50 |
$96.08
|
|
Ast/sgot
|
$20.50 |
$20.50 |
$20.50 |
$43.40
|
|
Audiometry air + bone
|
$170.00 |
$170.00 |
$170.00 |
$176.93
|
|
Baclofen eval charges
|
$59.00 |
$59.00 |
$59.00 |
$83.25
|
|
Bacterial vaginosis pcr
|
$179.00 |
$179.00 |
$179.00 |
$312.50
|
|
B cells total count
|
$53.50 |
$53.50 |
$53.50 |
$131.30
|
|
#_benzodiazconfur
|
$42.50 |
$42.50 |
$42.50 |
$93.00
|
|
Beta 2 glycoprotein 1 antibody iga
|
$65.50 |
$65.50 |
$65.50 |
$102.40
|
|
Beta-2 microglobulin
|
$67.00 |
$67.00 |
$67.00 |
$84.00
|
|
Bilirubin direct
|
$19.00 |
$19.00 |
$19.00 |
$42.90
|
|
Bilirubin total
|
$20.50 |
$20.50 |
$20.50 |
$47.17
|
|
Blood Clotting (PT/INR) Test
|
$21.50 |
$21.50 |
$21.50 |
$42.39
|
|
Blood Clotting (PTT) Test
|
$27.00 |
$27.00 |
$27.00 |
$65.60
|
|
Blood Count (CBC) Test
|
$25.00 |
$25.00 |
$25.00 |
$59.58
|
|
Blood Count (CBC) Test (without differential)
|
$17.00 |
$17.00 |
$17.00 |
$52.43
|
|
Blood count spun microhematocrit
|
$12.50 |
$12.50 |
$12.50 |
$20.15
|
|
Blood Culture Test
|
$124.50 |
$124.50 |
$124.50 |
$112.20
|
|
Blood draw capillary 36416
|
$22.00 |
$22.00 |
$22.00 |
$20.80
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$20.00 |
$20.00 |
$20.00 |
$57.60
|
|
Blood occult peroxidase activity qualitative gastric
|
$24.00 |
$24.00 |
$24.00 |
$31.20
|
|
Blood smear microscopic w manual differential wbc count
|
$31.50 |
$31.50 |
$31.50 |
$34.34
|
|
Blood typing abo
|
$21.50 |
$21.50 |
$21.50 |
$72.00
|
|
Blood typing ag donor ea ag
|
$74.50 |
$74.50 |
$74.50 |
$134.40
|
|
Blood typing rh (d)
|
$28.00 |
$28.00 |
$28.00 |
$52.73
|
|
Bone Density Scan (DEXA)
|
$268.50 |
$268.50 |
$268.50 |
$381.19
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$68.50 |
$68.50 |
$68.50 |
$101.25
|
|
Brain MRI (with and without contrast)
|
$2,209.00 |
$2,209.00 |
$2,209.00 |
$2,650.00
|
|
Brain MRI (with contrast)
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$2,002.00
|
|
Brain MRI (without contrast)
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,765.28
|
|
Calcium 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$50.90
|
|
Calcium ionized
|
$47.50 |
$47.50 |
$47.50 |
$80.40
|
|
Calcium total
|
$21.50 |
$21.50 |
$21.50 |
$39.98
|
|
Calprotectin fecal
|
$245.50 |
$245.50 |
$245.50 |
$170.95
|
|
Carbamazepine total therapeutic drug level
|
$85.50 |
$85.50 |
$85.50 |
$108.81
|
|
Carbohydrate deficient transf - sendout
|
$140.00 |
$140.00 |
$140.00 |
$118.80
|
|
Cardiolipin antibody iga
|
$133.50 |
$133.50 |
$133.50 |
$122.58
|
|
Carotene
|
$28.00 |
$28.00 |
$28.00 |
$65.40
|
|
Cell count body fluid
|
$47.00 |
$47.00 |
$47.00 |
$56.44
|
|
#cf-97variants
|
$870.00 |
$870.00 |
$870.00 |
$723.91
|
|
Chest CT scan (with and without contrast)
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$1,858.35
|
|
Chest CT scan (with contrast)
|
$977.00 |
$977.00 |
$977.00 |
$1,562.34
|
|
Chest CT scan (without contrast)
|
$744.50 |
$744.50 |
$744.50 |
$1,151.00
|
|
Chest X-ray (single view)
|
$105.00 |
$105.00 |
$105.00 |
$188.40
|
|
Chlamydia culture
|
$128.00 |
$128.00 |
$128.00 |
$96.51
|
|
Cholesterol
|
$20.50 |
$20.50 |
$20.50 |
$40.95
|
|
Cholesterol (Lipid) Test
|
$65.00 |
$65.00 |
$65.00 |
$101.43
|
|
Chromogenic substrate assay
|
$15.00 |
$15.00 |
$15.00 |
$184.60
|
|
Chromo high res and frag x - sendout
|
$312.00 |
$312.00 |
$312.00 |
$269.00
|
|
Chromosome analysis 50-100
|
$523.50 |
$523.50 |
$523.50 |
$256.56
|
|
Chromosome karyotype study
|
$798.00 |
$798.00 |
$798.00 |
$120.60
|
|
Clot factor xii hageman
|
$158.00 |
$158.00 |
$158.00 |
$125.00
|
|
Clot factor xiii fibrin stab
|
$125.50 |
$125.50 |
$125.50 |
$84.27
|
|
Cold agglutinin screen (arc)
|
$59.50 |
$59.50 |
$59.50 |
$48.57
|
|
Collection of venous blood by venipuncture
|
$29.00 |
$29.00 |
$29.00 |
$20.00
|
|
Complement antigen each component c3
|
$58.00 |
$58.00 |
$58.00 |
$103.80
|
|
Comprehensive hearing test
|
$307.00 |
$307.00 |
$307.00 |
$232.80
|
|
Conditioning play audiometry 92582
|
$290.50 |
$290.50 |
$290.50 |
$176.93
|
