|
17-hydroxypregnenolone
|
$102.44 |
$102.44 |
$102.44 |
$85.15
|
|
17-ketosteroids
|
$120.64 |
$120.64 |
$120.64 |
$44.00
|
|
3d recon without postprocess indpndt
|
$605.93 |
$605.93 |
$605.93 |
$427.34
|
|
5' nucleotidase - sendout
|
$154.96 |
$154.96 |
$154.96 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$172.51 |
$172.51 |
$172.51 |
$97.65
|
|
Abdominal CT scan (with and without contrast)
|
$1,706.77 |
$1,706.77 |
$1,706.77 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,511.71 |
$1,511.71 |
$1,511.71 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,316.71 |
$1,316.71 |
$1,316.71 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,122.51 |
$2,122.51 |
$2,122.51 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$2,291.84 |
$2,291.84 |
$2,291.84 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$1,789.65 |
$1,789.65 |
$1,789.65 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$1,036.62 |
$1,036.62 |
$1,036.62 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$719.16 |
$719.16 |
$719.16 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$619.97 |
$619.97 |
$619.97 |
$603.33
|
|
Abd paracentesis/w/o image guide 49082
|
$738.27 |
$738.27 |
$738.27 |
$1,170.28
|
|
Acetaminophen level
|
$155.03 |
$155.03 |
$155.03 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$75.08 |
$75.08 |
$75.08 |
$133.60
|
|
Acetone qualitative
|
$32.37 |
$32.37 |
$32.37 |
$47.45
|
|
Acetylcholinesterase assay
|
$160.68 |
$160.68 |
$160.68 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$94.48 |
$94.48 |
$94.48 |
$323.77
|
|
Acute hepatitis panel
|
$428.74 |
$428.74 |
$428.74 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$36.40 |
$36.40 |
$36.40 |
$50.70
|
|
Adapter b 8 channel 10cm
|
$5,887.64 |
$5,887.64 |
$5,887.64 |
$1,638.00
|
|
Adenosine 3 mg/250 ml bag for osm
|
$36.17 |
$36.17 |
$36.17 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$101.66 |
$101.66 |
$101.66 |
$63.00
|
|
Adh-sendout
|
$322.27 |
$322.27 |
$322.27 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$79.63 |
$79.63 |
$79.63 |
$124.70
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$184.73 |
$184.73 |
$184.73 |
$220.00
|
|
Administration immunization 1 vaccine
|
$184.73 |
$184.73 |
$184.73 |
$70.52
|
|
Administration immunization each additional vaccine
|
$41.21 |
$41.21 |
$41.21 |
$46.23
|
|
Administration vaccine influenza virus
|
$8.39 |
$8.39 |
$8.39 |
$49.50
|
|
Administration vaccine pneumococcal
|
$12.48 |
$12.48 |
$12.48 |
$51.11
|
|
_afb id by dna probe rflx ast
|
$33.35 |
$33.35 |
$33.35 |
$105.00
|
|
Albumin body fluid quantitative each specimen
|
$46.74 |
$46.74 |
$46.74 |
$48.00
|
|
Albumin, human 25 % intravenous solution
|
$261.17 |
$261.17 |
$261.17 |
$488.08
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$63.31 |
$63.31 |
$63.31 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$46.80 |
$46.80 |
$46.80 |
$43.50
|
|
Alkaline phosphatase
|
$48.82 |
$48.82 |
$48.82 |
$46.20
|
|
Allergen egg white ige
|
$65.13 |
$65.13 |
$65.13 |
$41.00
|
|
Alpha-fetoprotein tumor marker
|
$158.08 |
$158.08 |
$158.08 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$8,580.35 |
$8,580.35 |
$8,580.35 |
$2,600.22
|
|
Alt/sgpt
|
$50.05 |
$50.05 |
$50.05 |
$49.00
|
|
Aluminum - quest
|
$115.05 |
$115.05 |
$115.05 |
$87.00
|
|
Amino acids quant 2-5
|
$155.03 |
$155.03 |
$155.03 |
$141.00
|
|
Aminolevulinic acid delta
|
$143.26 |
$143.26 |
$143.26 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$37.58 |
$37.58 |
$37.58 |
$41.59
|
|
Amiodarone 50 mg/ml intravenous solution
|
$4.55 |
$4.55 |
$4.55 |
$47.44
|
|
Ammonia
|
$135.98 |
$135.98 |
$135.98 |
$120.90
|
|
Ampicillin 1 gram solution for injection
|
$19.66 |
$19.66 |
$19.66 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$17.61 |
$17.61 |
$17.61 |
$51.93
|
|
Amylase
|
$61.04 |
$61.04 |
$61.04 |
$93.00
|
|
Ana ds-dna
|
$154.96 |
$154.96 |
$154.96 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$200.01 |
$200.01 |
$200.01 |
$110.98
|
|
Analysis gene f2 20210g>a variant
|
$253.24 |
$253.24 |
$253.24 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$253.24 |
$253.24 |
$253.24 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$78.59 |
$78.59 |
$78.59 |
$95.45
|
|
An cholangiogram percutaneous compl
|
$319.67 |
$319.67 |
$319.67 |
$2,626.65
|
|
An fluoro guide for cvp
|
$686.34 |
$686.34 |
$686.34 |
$484.45
|
|
Ankle X-ray
|
$268.19 |
$268.19 |
$268.19 |
$339.44
|
|
Antibody bacterium, not elsewhere specified
|
$77.55 |
$77.55 |
$77.55 |
$57.89
|
|
Antibody elution rbc reference
|
$141.05 |
$141.05 |
$141.05 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$200.14 |
$200.14 |
$200.14 |
$141.74
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$254.35 |
$254.35 |
$254.35 |
$220.73
|
|
Antibody id rbc panel
|
$195.46 |
$195.46 |
$195.46 |
$291.75
|
|
Antibody influenza virus
|
$67.54 |
$67.54 |
$67.54 |
$53.95
|
|
Antibody screen rbc
|
$112.84 |
$112.84 |
$112.84 |
$105.00
|
|
Antibody tetanus
|
$116.48 |
$116.48 |
$116.48 |
$61.98
|
|
Antidepressant not specified
|
$254.93 |
$254.93 |
$254.93 |
$89.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$27.04 |
$27.04 |
$27.04 |
$50.88
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$26.98 |
$26.98 |
$26.98 |
$45.82
|
|
Antinuclear antibodies
|
$113.82 |
$113.82 |
$113.82 |
$91.70
|
|
Antinuclear antibodies titer
|
$58.63 |
$58.63 |
$58.63 |
$80.25
|
|
Antistreptolysin o screen
|
$63.12 |
$63.12 |
$63.12 |
$59.40
|
|
Antistreptolysin o titer
|
$82.42 |
$82.42 |
$82.42 |
$57.96
|
|
Antithrombin iii activity
|
$247.91 |
$247.91 |
$247.91 |
$115.23
|
|
Apl(pml-rara) quant - sendout
|
$585.65 |
$585.65 |
$585.65 |
$465.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$44.20 |
$44.20 |
$44.20 |
$69.55
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$54.93 |
$54.93 |
$54.93 |
$75.98
|
|
#aptt mix-1:1 incubated
|
$82.36 |
$82.36 |
$82.36 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$106.99 |
$106.99 |
$106.99 |
$98.90
|
|
Aquatic exercise - group charge
|
$91.46 |
$91.46 |
$91.46 |
$87.60
|
|
Ascenda two piece catheter
|
$26,361.92 |
$26,361.92 |
$26,361.92 |
$22,538.68
|
|
Assay acid phosphatase
|
$69.68 |
$69.68 |
$69.68 |
$38.22
|
|
Assay blood catecholamines
|
$206.64 |
$206.64 |
$206.64 |
$72.00
|
|
Assay dir meas fr estradiol
|
$62.60 |
$62.60 |
$62.60 |
$76.80
|
|
Assay of adp & amp
|
$162.18 |
$162.18 |
$162.18 |
$127.40
|
|
Assay of breath ethanol
|
$26.91 |
$26.91 |
$26.91 |
$45.76
|
|
Assay of corticosterone
|
$173.36 |
$173.36 |
$173.36 |
$47.10
|
|
Assay of estrogen
|
$606.71 |
$606.71 |
$606.71 |
$185.60
|
|
Assay of lrh hormone
|
$452.21 |
$452.21 |
$452.21 |
$210.60
|
|
Assay of osteocalcin
|
$142.22 |
$142.22 |
$142.22 |
$97.21
|
|
Assay of procainamide w/metab
|
$157.89 |
$157.89 |
$157.89 |
$61.20
|
|
Assay of salicylate
|
$155.03 |
$155.03 |
$155.03 |
$105.95
|
|
Assay toxin or antitoxin
|
$77.55 |
$77.55 |
$77.55 |
$72.75
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$348.27 |
$348.27 |
$348.27 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$40.24 |
$40.24 |
$40.24 |
$49.80
|
|
Ast/sgot
|
$48.69 |
$48.69 |
$48.69 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$38.58 |
$38.58 |
$38.58 |
$43.01
|
|
Autologous blood process
|
$78.07 |
$78.07 |
$78.07 |
$234.27
|
|
Automated diff wbc count
|
$31.01 |
$31.01 |
$31.01 |
$34.39
|
