|
11-desoxycortisol - sendout
|
$257.40 |
$257.40 |
$257.40 |
$91.85
|
|
17-hydroxypregnenolone
|
$129.60 |
$129.60 |
$129.60 |
$92.65
|
|
2d tee w or without fol w/con,in
|
$852.60 |
$852.60 |
$852.60 |
$1,724.25
|
|
3d recon without postprocess indpndt
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$508.13
|
|
5% dextrose and 0.45% saline
|
$74.20 |
$74.20 |
$74.20 |
$48.00
|
|
5% dextrose with potassium
|
$81.60 |
$81.60 |
$81.60 |
$85.20
|
|
5' nucleotidase - sendout
|
$123.00 |
$123.00 |
$123.00 |
$50.05
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$1,823.40 |
$1,823.40 |
$1,823.40 |
$3,138.72
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$204.00 |
$204.00 |
$204.00 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,379.40 |
$1,379.40 |
$1,379.40 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$855.60 |
$855.60 |
$855.60 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,082.40 |
$1,082.40 |
$1,082.40 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$957.60 |
$957.60 |
$957.60 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$847.80 |
$847.80 |
$847.80 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$2,563.20 |
$2,563.20 |
$2,563.20 |
$2,967.00
|
|
Abdominal MRI (without contrast)
|
$1,705.20 |
$1,705.20 |
$1,705.20 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,008.20 |
$2,008.20 |
$2,008.20 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$658.20 |
$658.20 |
$658.20 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$291.00 |
$291.00 |
$291.00 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$149.40 |
$149.40 |
$149.40 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$175.80 |
$175.80 |
$175.80 |
$418.63
|
|
Abdominal X-ray (single view)
|
$100.20 |
$100.20 |
$100.20 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$1,148.40
|
|
Abl1 gene
|
$1,282.20 |
$1,282.20 |
$1,282.20 |
$683.20
|
|
Ablation cryo abd perit om
|
$128.40 |
$128.40 |
$128.40 |
$2,312.80
|
|
Ablation of upper extremity nerves rf
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$832.50
|
|
Abobotulinumtoxina
|
$64.60 |
$64.60 |
$64.60 |
$1,541.21
|
|
Absorpt drg >16<=48 in w/bdr
|
$0.60 |
$0.60 |
$0.60 |
$5.99
|
|
Absorpt drg <=16 sq in w/bdr
|
$13.80 |
$13.80 |
$13.80 |
$13.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$0.80 |
$0.80 |
$0.80 |
$72.74
|
|
Acetazolamide 500 mg solution for injection
|
$128.80 |
$128.80 |
$128.80 |
$122.55
|
|
Acetone qualitative
|
$33.00 |
$33.00 |
$33.00 |
$46.80
|
|
Acetylcholine receptor modulating antibody
|
$108.00 |
$108.00 |
$108.00 |
$67.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$483.60 |
$483.60 |
$483.60 |
$218.79
|
|
Acetylcysteine non-comp unit
|
$53.00 |
$53.00 |
$53.00 |
$31.21
|
|
Acute hepatitis panel
|
$291.00 |
$291.00 |
$291.00 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$13.80 |
$13.80 |
$13.80 |
$54.77
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$315.00 |
$315.00 |
$315.00 |
$64.45
|
|
#acylcarnitineprfl
|
$316.80 |
$316.80 |
$316.80 |
$121.55
|
|
Adenosine 3 mg/250 ml bag for osm
|
$124.20 |
$124.20 |
$124.20 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$161.40 |
$161.40 |
$161.40 |
$58.00
|
|
Adj gastric band via subq port
|
$109.80 |
$109.80 |
$109.80 |
$1,666.86
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$400.00 |
$400.00 |
$400.00 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$147.60 |
$147.60 |
$147.60 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$646.80 |
$646.80 |
$646.80 |
$668.98
|
|
Administration immunization each additional vaccine
|
$12.00 |
$12.00 |
$12.00 |
$47.40
|
|
Administration vaccine hepatitis b
|
$12.00 |
$12.00 |
$12.00 |
$53.00
|
|
Administration vaccine influenza virus
|
$12.00 |
$12.00 |
$12.00 |
$51.07
|
|
Administration vaccine pneumococcal
|
$12.00 |
$12.00 |
$12.00 |
$49.68
|
|
Adrenalin epinephrine inject
|
$85.80 |
$85.80 |
$85.80 |
$231.47
|
|
Afamelanotide implant, 1 mg
|
$6,529.20 |
$6,529.20 |
$6,529.20 |
$78,638.30
|
|
_afb id by dna probe rflx ast
|
$111.60 |
$111.60 |
$111.60 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$1,939.20 |
$1,939.20 |
$1,939.20 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$28.20 |
$28.20 |
$28.20 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$797.40 |
$797.40 |
$797.40 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$474.40 |
$474.40 |
$474.40 |
$252.77
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$31.20 |
$31.20 |
$31.20 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$30.00 |
$30.00 |
$30.00 |
$43.00
|
|
Albuterol ipratrop non-comp
|
$1.60 |
$1.60 |
$1.60 |
$5.67
|
|
Albuterol non-comp con
|
$0.80 |
$0.80 |
$0.80 |
$6.07
|
|
Albuterol non-comp unit
|
$8.20 |
$8.20 |
$8.20 |
$5.40
|
|
Alginate drsg >16 <=48 sq in
|
$105.00 |
$105.00 |
$105.00 |
$43.72
|
|
Alkaline phosphatase
|
$33.00 |
$33.00 |
$33.00 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$66.60 |
$66.60 |
$66.60 |
$48.57
|
|
Allergen egg white ige
|
$66.60 |
$66.60 |
$66.60 |
$38.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,509.60 |
$1,509.60 |
$1,509.60 |
$198.60
|
|
Alpha-fetoprotein amniotic
|
$203.40 |
$203.40 |
$203.40 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$83.40 |
$83.40 |
$83.40 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$194.40 |
$194.40 |
$194.40 |
$15,857.45
|
|
Alt/sgpt
|
$33.60 |
$33.60 |
$33.60 |
$47.50
|
|
Aluminum - quest
|
$316.20 |
$316.20 |
$316.20 |
$83.05
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$10.20 |
$10.20 |
$10.20 |
$37.33
|
|
Aminolevulinic acid delta
|
$192.60 |
$192.60 |
$192.60 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$7.80 |
$7.80 |
$7.80 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$110.40 |
$110.40 |
$110.40 |
$55.86
|
|
Ammonia
|
$91.20 |
$91.20 |
$91.20 |
$119.70
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$5,701.20 |
$5,701.20 |
$5,701.20 |
$3,786.00
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$165.60 |
$165.60 |
$165.60 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$76.20 |
$76.20 |
$76.20 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$45.40 |
$45.40 |
$45.40 |
$54.57
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$356.40 |
$356.40 |
$356.40 |
$262.99
|
|
Amylase
|
$52.80 |
$52.80 |
$52.80 |
$90.00
|
|
Analysis gene f2 20210g>a variant
|
$1,601.40 |
$1,601.40 |
$1,601.40 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$1,251.60 |
$1,251.60 |
$1,251.60 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$201.00 |
$201.00 |
$201.00 |
$85.80
|
|
Anastrozole 1 mg
|
$51.00 |
$51.00 |
$51.00 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$94.80 |
$94.80 |
$94.80 |
$101.50
|
|
Androstanediol
|
$491.40 |
$491.40 |
$491.40 |
$131.04
|
|
An fluoro guide for cvp
|
$684.60 |
$684.60 |
$684.60 |
$525.85
|
|
Angiotensin ii
|
$284.40 |
$284.40 |
$284.40 |
$55.44
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$22,037.40 |
$22,037.40 |
$22,037.40 |
$2,979.43
|
|
Ankle X-ray
|
$108.00 |
$108.00 |
$108.00 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$100.20 |
$100.20 |
$100.20 |
$282.96
|
|
Anora (draw only)
|
$3.00 |
$3.00 |
$3.00 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$80.40 |
$80.40 |
$80.40 |
$57.85
|
|
Antibody elution rbc reference
|
$115.20 |
$115.20 |
$115.20 |
$177.29
|
|
Antibody htlv-i
|
$141.00 |
$141.00 |
$141.00 |
$49.53
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$75.00 |
$75.00 |
$75.00 |
$224.00
|
|
Antibody id rbc panel
|
$133.20 |
$133.20 |
$133.20 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$156.00 |
$156.00 |
$156.00 |
$46.58
|
