|
11-desoxycortisol - sendout
|
$97.50 |
$97.50 |
$97.50 |
$92.04
|
|
Abdominal CT scan (with and without contrast)
|
$2,499.25 |
$2,499.25 |
$2,499.25 |
$2,010.00
|
|
Abdominal CT scan (with contrast)
|
$2,132.65 |
$2,132.65 |
$2,132.65 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$1,768.00 |
$1,768.00 |
$1,768.00 |
$1,331.40
|
|
Abdominal Ultrasound (complete)
|
$282.75 |
$282.75 |
$282.75 |
$740.00
|
|
Abdominal Ultrasound (limited)
|
$198.25 |
$198.25 |
$198.25 |
$603.33
|
|
Acetaminophen level
|
$136.50 |
$136.50 |
$136.50 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$153.56 |
$153.56 |
$153.56 |
$129.02
|
|
Acetone qualitative
|
$52.00 |
$52.00 |
$52.00 |
$50.05
|
|
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 |
$399.38
|
|
Acute hepatitis panel
|
$286.00 |
$286.00 |
$286.00 |
$310.20
|
|
#acylcarnitineprfl
|
$16.90 |
$16.90 |
$16.90 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$14.62 |
$14.62 |
$14.62 |
$97.58
|
|
Adh-sendout
|
$149.50 |
$149.50 |
$149.50 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$136.99 |
$136.99 |
$136.99 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$414.70 |
$414.70 |
$414.70 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$414.70 |
$414.70 |
$414.70 |
$740.00
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$328.90 |
$328.90 |
$328.90 |
$464.40
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$168.35 |
$168.35 |
$168.35 |
$225.60
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$177.45 |
$177.45 |
$177.45 |
$267.43
|
|
Administration immunization 1 vaccine
|
$70.20 |
$70.20 |
$70.20 |
$67.60
|
|
Administration immunization each additional vaccine
|
$52.65 |
$52.65 |
$52.65 |
$46.23
|
|
Administration immunization first component each vaccine
|
$36.40 |
$36.40 |
$36.40 |
$46.00
|
|
Administration vaccine influenza virus
|
$54.60 |
$54.60 |
$54.60 |
$38.25
|
|
Administration vaccine pneumococcal
|
$54.60 |
$54.60 |
$54.60 |
$38.25
|
|
Advance care planning each additional 30 min 99498
|
$144.30 |
$144.30 |
$144.30 |
$134.40
|
|
Albumin body fluid quantitative each specimen
|
$42.90 |
$42.90 |
$42.90 |
$42.90
|
|
Albumin (human), 25%, 50ml
|
$438.75 |
$438.75 |
$438.75 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$75.40 |
$75.40 |
$75.40 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$32.50 |
$32.50 |
$32.50 |
$40.95
|
|
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 |
$124.20
|
|
Alt/sgpt
|
$37.05 |
$37.05 |
$37.05 |
$44.68
|
|
Aluminum - quest
|
$102.70 |
$102.70 |
$102.70 |
$121.25
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$69.71 |
$69.71 |
$69.71 |
$44.00
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$225.22 |
$225.22 |
$225.22 |
$202.10
|
|
Amiodarone 50 mg/ml intravenous solution
|
$9.76 |
$9.76 |
$9.76 |
$50.85
|
|
Ammonia
|
$106.60 |
$106.60 |
$106.60 |
$96.53
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$234.00 |
$234.00 |
$234.00 |
$130.08
|
|
Ampicillin 1 gram solution for injection
|
$34.64 |
$34.64 |
$34.64 |
$77.40
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$73.12 |
$73.12 |
$73.12 |
$45.20
|
|
Amylase
|
$83.20 |
$83.20 |
$83.20 |
$87.20
|
|
Ana ds-dna
|
$81.25 |
$81.25 |
$81.25 |
$69.03
|
|
Analysis gene f2 20210g>a variant
|
$304.20 |
$304.20 |
$304.20 |
$253.24
|
|
Analysis gene f5 leiden variant
|
$280.80 |
$280.80 |
$280.80 |
$263.90
|
|
Anaplsma phgcytophlm amp prb
|
$154.05 |
$154.05 |
$154.05 |
$105.00
|
|
Anca screen with reflex to titer -quest
|
$102.70 |
$102.70 |
$102.70 |
$112.45
|
|
Ankle X-ray
|
$267.15 |
$267.15 |
$267.15 |
$330.00
|
|
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 htlv/hiv confirm test
|
$141.70 |
$141.70 |
$141.70 |
$161.40
|
|
Antibody htlv-i
|
$65.00 |
$65.00 |
$65.00 |
$50.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$312.00 |
$312.00 |
$312.00 |
$227.00
|
|
Antibody id rbc panel
|
$212.55 |
$212.55 |
$212.55 |
$265.05
|
|
Antibody influenza virus
|
$78.00 |
$78.00 |
$78.00 |
$63.70
|
|
Antibody screen rbc
|
$108.55 |
$108.55 |
$108.55 |
$102.60
|
|
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
|
$104.00 |
$104.00 |
$104.00 |
$48.57
|
|
Antinuclear antibodies
|
$84.50 |
$84.50 |
$84.50 |
$98.25
|
|
Antinuclear antibodies titer
|
$76.70 |
$76.70 |
$76.70 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$83.85 |
$83.85 |
$83.85 |
$82.55
|
|
Antistreptolysin o screen
|
$55.25 |
$55.25 |
$55.25 |
$57.20
|
|
Antistreptolysin o titer
|
$66.30 |
$66.30 |
$66.30 |
$60.00
|
|
Antithrombin iii activity
|
$135.20 |
$135.20 |
$135.20 |
$135.20
|
|
Application finger splntstatic 29130
|
$116.35 |
$116.35 |
$116.35 |
$208.50
|
|
Application long leg splint 29505
|
$189.80 |
$189.80 |
$189.80 |
$338.25
|
|
Application lower leg splint 29515
|
$188.50 |
$188.50 |
$188.50 |
$354.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$71.50 |
$71.50 |
$71.50 |
$75.98
|
|
#aptt mix-1:1 incubated
|
$145.60 |
$145.60 |
$145.60 |
$157.30
|
|
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
|
|
Aquatic exercise - group charge
|
$100.10 |
$100.10 |
$100.10 |
$91.87
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$145.60 |
$145.60 |
$145.60 |
$567.78
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$239.20 |
$239.20 |
$239.20 |
$882.70
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$175.50 |
$175.50 |
$175.50 |
$704.48
|
|
Assay of adp & amp
|
$127.40 |
$127.40 |
$127.40 |
$169.65
|
|
Assay of feces porphyrins
|
$176.80 |
$176.80 |
$176.80 |
$175.50
|
|
Assay of galactose
|
$11.05 |
$11.05 |
$11.05 |
$48.13
|
|
Assay of interleukin-6 (il-6)
|
$123.50 |
$123.50 |
$123.50 |
$87.60
|
|
Assay of leflunomide
|
$150.80 |
$150.80 |
$150.80 |
$112.70
|
|
Assay of osteocalcin
|
$102.70 |
$102.70 |
$102.70 |
$133.90
|
|
Assay of prostaglandin
|
$289.25 |
$289.25 |
$289.25 |
$180.75
|
|
Assay of salicylate
|
$63.05 |
$63.05 |
$63.05 |
$100.80
|
|
Assay of thiocyanate
|
$59.80 |
$59.80 |
$59.80 |
$52.00
|
|
Assay of urine sulfate
|
$36.40 |
$36.40 |
$36.40 |
$34.87
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$280.15 |
$280.15 |
$280.15 |
$312.00
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$44.20 |
$44.20 |
$44.20 |
$44.20
|
|
Ast/sgot
|
$37.05 |
$37.05 |
$37.05 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$27.91 |
$27.91 |
$27.91 |
$38.58
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$127.40 |
$127.40 |
$127.40 |
$222.15
|
|
Avulsion nail plate partial/complete simple single nail plate
|
$175.50 |
$175.50 |
$175.50 |
$356.00
|
|
Azithromycin 500 mg intravenous solution
|
$65.01 |
$65.01 |
$65.01 |
$30.22
|
