|
17-hydroxypregnenolone
|
$69.60 |
$69.60 |
$69.60 |
$92.65
|
|
3d recon without postprocess indpndt
|
$616.00 |
$616.00 |
$616.00 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$60.00 |
$60.00 |
$60.00 |
$48.00
|
|
88334 ap bill cytologic exam each additional site
|
$53.60 |
$53.60 |
$53.60 |
$100.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,564.95 |
$1,564.95 |
$1,564.95 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$56.80 |
$56.80 |
$56.80 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,160.80 |
$1,160.80 |
$1,160.80 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$834.40 |
$834.40 |
$834.40 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$2,938.40 |
$2,938.40 |
$2,938.40 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,397.60 |
$2,397.60 |
$2,397.60 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,634.40 |
$3,634.40 |
$3,634.40 |
$2,967.00
|
|
Abdominal MRI (without contrast)
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$2,048.36
|
|
Abdominal Ultrasound (complete)
|
$582.40 |
$582.40 |
$582.40 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$489.60 |
$489.60 |
$489.60 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$216.80 |
$216.80 |
$216.80 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$532.80 |
$532.80 |
$532.80 |
$418.63
|
|
Abdominal X-ray (single view)
|
$174.40 |
$174.40 |
$174.40 |
$260.00
|
|
Acetaminophen level
|
$51.20 |
$51.20 |
$51.20 |
$116.80
|
|
Acetone qualitative
|
$27.20 |
$27.20 |
$27.20 |
$46.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$74.04 |
$74.04 |
$74.04 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$21.50 |
$21.50 |
$21.50 |
$31.21
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$45.60 |
$45.60 |
$45.60 |
$38.50
|
|
Acute hepatitis panel
|
$217.60 |
$217.60 |
$217.60 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$17.19 |
$17.19 |
$17.19 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$28.09 |
$28.09 |
$28.09 |
$64.45
|
|
#acylcarnitineprfl
|
$49.60 |
$49.60 |
$49.60 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$30.12 |
$30.12 |
$30.12 |
$271.98
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$75.49 |
$75.49 |
$75.49 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$162.40 |
$162.40 |
$162.40 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$700.80 |
$700.80 |
$700.80 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$384.00 |
$384.00 |
$384.00 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$280.80 |
$280.80 |
$280.80 |
$256.49
|
|
Administration immunization each additional vaccine
|
$36.00 |
$36.00 |
$36.00 |
$47.40
|
|
Administration immunization intranasal/oral route 1 vaccine
|
$59.20 |
$59.20 |
$59.20 |
$48.00
|
|
Administration immunization intranasal/oral route each additional vaccine
|
$33.60 |
$33.60 |
$33.60 |
$30.24
|
|
_afb id by dna probe rflx ast
|
$100.00 |
$100.00 |
$100.00 |
$104.50
|
|
Albumin body fluid quantitative each specimen
|
$30.40 |
$30.40 |
$30.40 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$109.92 |
$109.92 |
$109.92 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$57.60 |
$57.60 |
$57.60 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$31.20 |
$31.20 |
$31.20 |
$43.00
|
|
Albuterol ipratrop non-comp
|
$2.90 |
$2.90 |
$2.90 |
$5.67
|
|
Albuterol non-comp con
|
$20.05 |
$20.05 |
$20.05 |
$6.07
|
|
Albuterol non-comp unit
|
$3.44 |
$3.44 |
$3.44 |
$5.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$180.80 |
$180.80 |
$180.80 |
$96.00
|
|
Alkaline phosphatase
|
$48.00 |
$48.00 |
$48.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$66.40 |
$66.40 |
$66.40 |
$48.57
|
|
Allergen egg white ige
|
$46.40 |
$46.40 |
$46.40 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$89.60 |
$89.60 |
$89.60 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$227.50 |
$227.50 |
$227.50 |
$15,857.45
|
|
Alt/sgpt
|
$36.80 |
$36.80 |
$36.80 |
$47.50
|
|
Amantadine (symmetrel)-sendout
|
$80.80 |
$80.80 |
$80.80 |
$179.70
|
|
Amino acids quant 2-5
|
$113.60 |
$113.60 |
$113.60 |
$112.00
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$155.04 |
$155.04 |
$155.04 |
$108.13
|
|
Amiodarone 50 mg/ml intravenous solution
|
$31.28 |
$31.28 |
$31.28 |
$55.86
|
|
Ammonia
|
$68.80 |
$68.80 |
$68.80 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$75.20 |
$75.20 |
$75.20 |
$93.61
|
|
Amphetamines 5 or more
|
$57.60 |
$57.60 |
$57.60 |
$90.48
|
|
Ampicillin 1 gram solution for injection
|
$27.85 |
$27.85 |
$27.85 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$29.55 |
$29.55 |
$29.55 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$496.00 |
$496.00 |
$496.00 |
$262.99
|
|
Amylase
|
$76.80 |
$76.80 |
$76.80 |
$90.00
|
|
Analysis gene f2 20210g>a variant
|
$192.00 |
$192.00 |
$192.00 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$192.00 |
$192.00 |
$192.00 |
$249.60
|
|
Anastrozole 1 mg
|
$2.98 |
$2.98 |
$2.98 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$105.60 |
$105.60 |
$105.60 |
$101.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$428.36 |
$428.36 |
$428.36 |
$2,979.43
|
|
Ankle X-ray
|
$220.00 |
$220.00 |
$220.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$212.00 |
$212.00 |
$212.00 |
$282.96
|
|
Anora (draw only)
|
$15.20 |
$15.20 |
$15.20 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$30.40 |
$30.40 |
$30.40 |
$57.85
|
|
Antibody elution rbc reference
|
$157.60 |
$157.60 |
$157.60 |
$177.29
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$123.20 |
$123.20 |
$123.20 |
$224.00
|
|
Antibody id rbc panel
|
$304.00 |
$304.00 |
$304.00 |
$291.75
|
|
Antibody screen rbc
|
$97.60 |
$97.60 |
$97.60 |
$108.55
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$52.80 |
$52.80 |
$52.80 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$66.40 |
$66.40 |
$66.40 |
$42.00
|
|
Antinuclear antibodies
|
$72.80 |
$72.80 |
$72.80 |
$90.00
|
|
Antinuclear antibodies titer
|
$72.80 |
$72.80 |
$72.80 |
$80.04
|
|
Antistreptolysin o titer
|
$64.80 |
$64.80 |
$64.80 |
$54.00
|
|
Antithrombin iii activity
|
$120.00 |
$120.00 |
$120.00 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$461.60 |
$461.60 |
$461.60 |
$394.55
|
|
Application finger splntstatic 29130
|
$271.20 |
$271.20 |
$271.20 |
$208.50
|
|
Application long leg splint 29505
|
$405.60 |
$405.60 |
$405.60 |
$338.25
|
|
Application lower leg splint 29515
|
$372.80 |
$372.80 |
$372.80 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$303.20 |
$303.20 |
$303.20 |
$375.06
|
|
Application of forearm cast 29075
|
$336.00 |
$336.00 |
$336.00 |
$358.20
|
|
Application short leg cast 29405
|
$352.80 |
$352.80 |
$352.80 |
$393.98
|
|
Appl modality 1/> areas paraffin bath 97018
|
$49.60 |
$49.60 |
$49.60 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$88.80 |
$88.80 |
$88.80 |
$75.98
|
|
Appl multlay comprs arm/hand
|
$220.00 |
$220.00 |
$220.00 |
$289.60
|
|
Apply hand/wrist cast 29085
|
$262.40 |
$262.40 |
$262.40 |
$271.80
|
|
Aquatic exercise - group charge
|
$86.40 |
$86.40 |
$86.40 |
$87.45
|
|
Arm CT Scan (with contrast, both arms)
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$1,687.88
|
|
Arm CT Scan (without contrast, both arms)
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$1,380.00
|
|
Arm or Leg Ultrasound (limited, left side)
|
$424.00 |
$424.00 |
$424.00 |
$426.00
|
|
Assay myeloperoxidase
|
$169.60 |
$169.60 |
$169.60 |
$97.41
|
|
Assay of interleukin-6 (il-6)
|
$100.00 |
$100.00 |
$100.00 |
$79.00
|
|
Assay of salicylate
|
$175.20 |
$175.20 |
$175.20 |
$96.50
|
|
Assay of tyrosine
|
$56.00 |
$56.00 |
$56.00 |
$56.10
|
