|
11-desoxycortisol - sendout
|
$97.50 |
$97.50 |
$97.50 |
$92.04
|
|
2d tee w or without fol w/con,in
|
$2,969.20 |
$2,969.20 |
$2,969.20 |
$1,724.25
|
|
3-d radiotherapy plan
|
$3,913.00 |
$3,913.00 |
$3,913.00 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$541.45 |
$541.45 |
$541.45 |
$455.83
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$71.50 |
$71.50 |
$71.50 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$3,086.85 |
$3,086.85 |
$3,086.85 |
$3,569.56
|
|
Abdominal CT scan (with and without contrast)
|
$2,495.35 |
$2,495.35 |
$2,495.35 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$2,128.75 |
$2,128.75 |
$2,128.75 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,763.45 |
$1,763.45 |
$1,763.45 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$3,156.40 |
$3,156.40 |
$3,156.40 |
$2,713.80
|
|
Abdominal MRI (without contrast)
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,883.70
|
|
Abdominal Ultrasound (complete)
|
$726.05 |
$726.05 |
$726.05 |
$740.00
|
|
Abdominal Ultrasound (limited)
|
$512.20 |
$512.20 |
$512.20 |
$604.43
|
|
Acetaminophen level
|
$136.50 |
$136.50 |
$136.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$153.56 |
$153.56 |
$153.56 |
$130.00
|
|
Acetylcholine receptor modulating antibody
|
$109.85 |
$109.85 |
$109.85 |
$93.60
|
|
Acetylcholinesterase assay
|
$161.85 |
$161.85 |
$161.85 |
$92.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$536.30 |
$536.30 |
$536.30 |
$406.77
|
|
Actinotherapy uv light
|
$111.15 |
$111.15 |
$111.15 |
$110.50
|
|
Acute hepatitis panel
|
$294.45 |
$294.45 |
$294.45 |
$306.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$102.37 |
$102.37 |
$102.37 |
$63.47
|
|
#acylcarnitineprfl
|
$16.90 |
$16.90 |
$16.90 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$14.62 |
$14.62 |
$14.62 |
$116.84
|
|
Adh-sendout
|
$149.50 |
$149.50 |
$149.50 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$242.87 |
$242.87 |
$242.87 |
$146.59
|
|
Administration chemotherapy IV infusion each additional hour
|
$414.70 |
$414.70 |
$414.70 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$414.70 |
$414.70 |
$414.70 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$414.70 |
$414.70 |
$414.70 |
$728.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$286.00 |
$286.00 |
$286.00 |
$455.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$168.35 |
$168.35 |
$168.35 |
$223.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$177.45 |
$177.45 |
$177.45 |
$267.43
|
|
Administration immunization 1 vaccine
|
$67.60 |
$67.60 |
$67.60 |
$66.51
|
|
Administration immunization each additional vaccine
|
$52.65 |
$52.65 |
$52.65 |
$46.23
|
|
Administration immunization first component each vaccine
|
$34.45 |
$34.45 |
$34.45 |
$46.00
|
|
Administration vaccine hepatitis b
|
$60.45 |
$60.45 |
$60.45 |
$38.25
|
|
Administration vaccine influenza virus
|
$52.00 |
$52.00 |
$52.00 |
$38.25
|
|
Administration vaccine pneumococcal
|
$52.00 |
$52.00 |
$52.00 |
$38.25
|
|
Advance care planning each additional 30 min 99498
|
$144.30 |
$144.30 |
$144.30 |
$134.40
|
|
Aep hearing status deter i&r
|
$261.30 |
$261.30 |
$261.30 |
$304.00
|
|
Aep neurodiagnostic i&r
|
$261.30 |
$261.30 |
$261.30 |
$571.55
|
|
Aep thrshld est mlt freq i&r
|
$605.15 |
$605.15 |
$605.15 |
$573.65
|
|
Albumin body fluid quantitative each specimen
|
$42.90 |
$42.90 |
$42.90 |
$42.25
|
|
Albumin (human), 25%, 50ml
|
$228.15 |
$228.15 |
$228.15 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$68.25 |
$68.25 |
$68.25 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$40.95 |
$40.95 |
$40.95 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$103.35 |
$103.35 |
$103.35 |
$78.00
|
|
Alkaline phosphatase
|
$37.05 |
$37.05 |
$37.05 |
$47.40
|
|
Allergen alpha lactalbumin ige
|
$45.50 |
$45.50 |
$45.50 |
$56.35
|
|
Allergen egg white ige
|
$55.25 |
$55.25 |
$55.25 |
$41.00
|
|
Alpha-fetoprotein amniotic
|
$79.30 |
$79.30 |
$79.30 |
$102.49
|
|
Alpha-fetoprotein tumor marker
|
$87.10 |
$87.10 |
$87.10 |
$116.35
|
|
Alteplase 100 mg infusion from pyxis vial
|
$518.16 |
$518.16 |
$518.16 |
$630.01
|
|
Alt/sgpt
|
$37.05 |
$37.05 |
$37.05 |
$44.40
|
|
Aluminum - quest
|
$102.70 |
$102.70 |
$102.70 |
$121.25
|
|
Amino acid screen, urine
|
$94.90 |
$94.90 |
$94.90 |
$64.28
|
|
Aminolevulinic acid delta
|
$111.80 |
$111.80 |
$111.80 |
$101.40
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$107.20 |
$107.20 |
$107.20 |
$48.29
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$225.22 |
$225.22 |
$225.22 |
$195.19
|
|
Amiodarone 50 mg/ml intravenous solution
|
$9.76 |
$9.76 |
$9.76 |
$42.80
|
|
Ammonia
|
$106.60 |
$106.60 |
$106.60 |
$96.53
|
|
Ampicillin 1 gram solution for injection
|
$34.64 |
$34.64 |
$34.64 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$37.60 |
$37.60 |
$37.60 |
$37.60
|
|
Amylase
|
$83.20 |
$83.20 |
$83.20 |
$83.20
|
|
Ana ds-dna
|
$81.25 |
$81.25 |
$81.25 |
$69.03
|
|
Anal/urinary muscle study
|
$275.60 |
$275.60 |
$275.60 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$304.20 |
$304.20 |
$304.20 |
$253.50
|
|
Analysis gene f5 leiden variant
|
$280.80 |
$280.80 |
$280.80 |
$253.24
|
|
Anaplsma phgcytophlm amp prb
|
$154.05 |
$154.05 |
$154.05 |
$105.00
|
|
An fluoro guide for cvp
|
$464.10 |
$464.10 |
$464.10 |
$520.20
|
|
Ankle X-ray
|
$388.05 |
$388.05 |
$388.05 |
$325.59
|
|
Anora (draw only)
|
$13.00 |
$13.00 |
$13.00 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$49.40 |
$49.40 |
$49.40 |
$61.45
|
|
Antibody elution rbc reference
|
$218.40 |
$218.40 |
$218.40 |
$164.80
|
|
Antibody htlv/hiv confirm test
|
$141.70 |
$141.70 |
$141.70 |
$154.85
|
|
Antibody htlv-i
|
$65.00 |
$65.00 |
$65.00 |
$50.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$312.00 |
$312.00 |
$312.00 |
$220.73
|
|
Antibody id rbc panel
|
$212.55 |
$212.55 |
$212.55 |
$265.05
|
|
Antibody influenza virus
|
$78.00 |
$78.00 |
$78.00 |
$63.33
|
|
Antibody screen rbc
|
$119.60 |
$119.60 |
$119.60 |
$99.99
|
|
Anti mog serum - sendout
|
$446.55 |
$446.55 |
$446.55 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$92.30 |
$92.30 |
$92.30 |
$60.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$89.70 |
$89.70 |
$89.70 |
$48.57
|
|
Antinuclear antibodies
|
$94.25 |
$94.25 |
$94.25 |
$98.25
|
|
Antinuclear antibodies titer
|
$85.15 |
$85.15 |
$85.15 |
$76.70
|
|
Antiphosphatidylserine antibody
|
$83.85 |
$83.85 |
$83.85 |
$80.25
|
|
Antistreptolysin o titer
|
$66.30 |
$66.30 |
$66.30 |
$58.50
|
|
Antithrombin iii activity
|
$93.60 |
$93.60 |
$93.60 |
$135.20
|
|
Apheresis plasma
|
$2,574.00 |
$2,574.00 |
$2,574.00 |
$3,411.50
|
|
Apheresis platelets
|
$1,740.70 |
$1,740.70 |
$1,740.70 |
$2,692.30
|
|
Apheresis rbc
|
$2,657.20 |
$2,657.20 |
$2,657.20 |
$3,146.15
|
|
Apheresis wbc
|
$2,657.20 |
$2,657.20 |
$2,657.20 |
$2,692.30
|
|
Application finger splntstatic 29130
|
$241.15 |
$241.15 |
$241.15 |
$208.50
|
|
Application long leg splint 29505
|
$222.95 |
$222.95 |
$222.95 |
$338.25
|
|
Application lower leg splint 29515
|
$195.00 |
$195.00 |
$195.00 |
$354.00
|
|
Application of forearm cast 29075
|
$218.40 |
$218.40 |
$218.40 |
$375.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$44.20 |
$44.20 |
$44.20 |
$71.50
|
|
Apply interstit radiat compl
|
$1,386.45 |
$1,386.45 |
$1,386.45 |
$2,877.50
|
|
Aqaprn-4 antb flo cytmtry ea
|
$258.05 |
$258.05 |
$258.05 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$261.30 |
$261.30 |
$261.30 |
$128.10
|
|
Aquaporin-4 antibody elisa
|
$115.05 |
$115.05 |
$115.05 |
$151.45
|
