|
11-desoxycortisol - sendout
|
$150.00 |
$150.00 |
$150.00 |
$92.04
|
|
17-hydroxypregnenolone
|
$125.00 |
$125.00 |
$125.00 |
$92.30
|
|
3d recon without postprocess indpndt
|
$833.00 |
$833.00 |
$833.00 |
$455.83
|
|
88334 ap bill cytologic exam each additional site
|
$38.00 |
$38.00 |
$38.00 |
$100.75
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$110.00 |
$110.00 |
$110.00 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$4,749.00 |
$4,749.00 |
$4,749.00 |
$3,569.56
|
|
Abdominal CT scan (with and without contrast)
|
$3,839.00 |
$3,839.00 |
$3,839.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$3,275.00 |
$3,275.00 |
$3,275.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$2,713.00 |
$2,713.00 |
$2,713.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$4,856.00 |
$4,856.00 |
$4,856.00 |
$2,713.80
|
|
Abdominal MRI (without contrast)
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$1,883.70
|
|
Abdominal Ultrasound (complete)
|
$1,117.00 |
$1,117.00 |
$1,117.00 |
$745.55
|
|
Abdominal Ultrasound (limited)
|
$788.00 |
$788.00 |
$788.00 |
$604.43
|
|
Acetaminophen level
|
$99.00 |
$99.00 |
$99.00 |
$117.01
|
|
Acetone qualitative
|
$87.00 |
$87.00 |
$87.00 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$169.00 |
$169.00 |
$169.00 |
$93.60
|
|
Acetylcholinesterase assay
|
$249.00 |
$249.00 |
$249.00 |
$92.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$399.38 |
$399.38 |
$399.38 |
$406.77
|
|
Actinotherapy uv light
|
$171.00 |
$171.00 |
$171.00 |
$105.30
|
|
Acute hepatitis panel
|
$196.00 |
$196.00 |
$196.00 |
$306.00
|
|
#acylcarnitineprfl
|
$69.00 |
$69.00 |
$69.00 |
$84.50
|
|
Adenosine 3 mg/250 ml bag for osm
|
$97.50 |
$97.50 |
$97.50 |
$199.72
|
|
Adh-sendout
|
$230.00 |
$230.00 |
$230.00 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$210.75 |
$210.75 |
$210.75 |
$120.00
|
|
Administration chemotherapy IV infusion each additional hour
|
$638.00 |
$638.00 |
$638.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$638.00 |
$638.00 |
$638.00 |
$319.15
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$638.00 |
$638.00 |
$638.00 |
$742.85
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$440.00 |
$440.00 |
$440.00 |
$488.88
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$259.00 |
$259.00 |
$259.00 |
$225.60
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$273.00 |
$273.00 |
$273.00 |
$269.54
|
|
Administration immunization 1 vaccine
|
$104.00 |
$104.00 |
$104.00 |
$65.00
|
|
Administration immunization each additional vaccine
|
$81.00 |
$81.00 |
$81.00 |
$46.23
|
|
Administration immunization first component each vaccine
|
$53.00 |
$53.00 |
$53.00 |
$46.40
|
|
Administration vaccine hepatitis b
|
$93.00 |
$93.00 |
$93.00 |
$38.25
|
|
Administration vaccine influenza virus
|
$80.00 |
$80.00 |
$80.00 |
$37.05
|
|
Administration vaccine pneumococcal
|
$80.00 |
$80.00 |
$80.00 |
$38.25
|
|
Advance care planning each additional 30 min 99498
|
$222.00 |
$222.00 |
$222.00 |
$134.40
|
|
Aep hearing status deter i&r
|
$402.00 |
$402.00 |
$402.00 |
$300.80
|
|
Aep neurodiagnostic i&r
|
$402.00 |
$402.00 |
$402.00 |
$570.16
|
|
Aep thrshld est mlt freq i&r
|
$931.00 |
$931.00 |
$931.00 |
$573.65
|
|
_afb id by dna probe rflx ast
|
$105.00 |
$105.00 |
$105.00 |
$101.40
|
|
Albumin body fluid quantitative each specimen
|
$66.00 |
$66.00 |
$66.00 |
$40.20
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$105.00 |
$105.00 |
$105.00 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$63.00 |
$63.00 |
$63.00 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$59.00 |
$59.00 |
$59.00 |
$78.00
|
|
Alkaline phosphatase
|
$57.00 |
$57.00 |
$57.00 |
$46.20
|
|
Allergen alpha lactalbumin ige
|
$70.00 |
$70.00 |
$70.00 |
$56.35
|
|
Allergen egg white ige
|
$85.00 |
$85.00 |
$85.00 |
$39.00
|
|
Alpha-fetoprotein amniotic
|
$122.00 |
$122.00 |
$122.00 |
$94.25
|
|
Alpha-fetoprotein tumor marker
|
$92.00 |
$92.00 |
$92.00 |
$103.80
|
|
Alteplase 100 mg infusion from pyxis vial
|
$36,081.48 |
$36,081.48 |
$36,081.48 |
$543.20
|
|
Alt/sgpt
|
$22.00 |
$22.00 |
$22.00 |
$43.55
|
|
Aluminum - quest
|
$158.00 |
$158.00 |
$158.00 |
$121.25
|
|
Amino acid screen, urine
|
$146.00 |
$146.00 |
$146.00 |
$64.28
|
|
Aminolevulinic acid delta
|
$172.00 |
$172.00 |
$172.00 |
$101.40
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$346.50 |
$346.50 |
$346.50 |
$150.15
|
|
Amiodarone 50 mg/ml intravenous solution
|
$15.01 |
$15.01 |
$15.01 |
$42.80
|
|
Ammonia
|
$164.00 |
$164.00 |
$164.00 |
$96.53
|
|
Ampicillin 1 gram solution for injection
|
$53.29 |
$53.29 |
$53.29 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$29.67 |
$29.67 |
$29.67 |
$33.32
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$706.00 |
$706.00 |
$706.00 |
$340.20
|
|
Amylase
|
$128.00 |
$128.00 |
$128.00 |
$81.25
|
|
Ana ds-dna
|
$125.00 |
$125.00 |
$125.00 |
$69.03
|
|
Anal/urinary muscle study
|
$424.00 |
$424.00 |
$424.00 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$468.00 |
$468.00 |
$468.00 |
$253.24
|
|
Analysis gene f5 leiden variant
|
$432.00 |
$432.00 |
$432.00 |
$253.11
|
|
Analysis tumor
|
$159.00 |
$159.00 |
$159.00 |
$237.89
|
|
Anaplsma phgcytophlm amp prb
|
$172.00 |
$172.00 |
$172.00 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$158.00 |
$158.00 |
$158.00 |
$101.50
|
|
An fluoro guide for cvp
|
$714.00 |
$714.00 |
$714.00 |
$520.20
|
|
Ankle X-ray
|
$597.00 |
$597.00 |
$597.00 |
$312.74
|
|
Anoscopy remove fb 46608
|
$550.00 |
$550.00 |
$550.00 |
$1,313.97
|
|
Antibody bacterium, not elsewhere specified
|
$76.00 |
$76.00 |
$76.00 |
$61.45
|
|
Antibody elution rbc reference
|
$336.00 |
$336.00 |
$336.00 |
$166.40
|
|
Antibody htlv/hiv confirm test
|
$218.00 |
$218.00 |
$218.00 |
$154.85
|
|
Antibody htlv-i
|
$100.00 |
$100.00 |
$100.00 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$480.00 |
$480.00 |
$480.00 |
$184.80
|
|
Antibody id rbc panel
|
$327.00 |
$327.00 |
$327.00 |
$271.70
|
|
Antibody influenza virus
|
$120.00 |
$120.00 |
$120.00 |
$63.33
|
|
Antibody screen rbc
|
$184.00 |
$184.00 |
$184.00 |
$99.99
|
|
Anti mog serum - sendout
|
$687.00 |
$687.00 |
$687.00 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$66.00 |
$66.00 |
$66.00 |
$60.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$138.00 |
$138.00 |
$138.00 |
$48.57
|
|
Antinuclear antibodies
|
$145.00 |
$145.00 |
$145.00 |
$98.25
|
|
Antinuclear antibodies titer
|
$46.00 |
$46.00 |
$46.00 |
$74.75
|
|
Antiphosphatidylserine antibody
|
$129.00 |
$129.00 |
$129.00 |
$79.20
|
|
Antistreptolysin o titer
|
$102.00 |
$102.00 |
$102.00 |
$53.00
|
|
Antithrombin iii activity
|
$144.00 |
$144.00 |
$144.00 |
$125.40
|
|
Apheresis plasma
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$3,411.50
|
|
Apheresis platelets
|
$2,678.00 |
$2,678.00 |
$2,678.00 |
$2,692.30
|
|
Apheresis rbc
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$3,146.15
|
|
Apheresis wbc
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$2,692.30
|
|
Apl(pml-rara) quant - sendout
|
$534.00 |
$534.00 |
$534.00 |
$503.20
|
|
Application finger splntstatic 29130
|
$371.00 |
$371.00 |
$371.00 |
$216.80
|
|
Application long leg splint 29505
|
$291.00 |
$291.00 |
$291.00 |
$370.00
|
|
Application lower leg splint 29515
|
$255.00 |
$255.00 |
$255.00 |
$363.20
|
|
Appl modality 1/> areas paraffin bath 97018
|
$68.00 |
$68.00 |
$68.00 |
$72.40
|
|
Apply hand/wrist cast 29085
|
$315.00 |
$315.00 |
$315.00 |
$279.40
|
|
#aptt mix-1:1 incubated
|
$115.00 |
$115.00 |
$115.00 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$397.00 |
$397.00 |
$397.00 |
$231.66
|
