|
17-hydroxypregnenolone
|
$197.40 |
$197.40 |
$197.40 |
$92.65
|
|
17-ketosteroids
|
$185.40 |
$185.40 |
$185.40 |
$55.00
|
|
2019-ncov diagnostic p
|
$94.80 |
$94.80 |
$94.80 |
$54.50
|
|
2d tte w or without fol w/con,co
|
$2,037.00 |
$2,037.00 |
$2,037.00 |
$1,284.00
|
|
3d recon without postprocess indpndt
|
$571.80 |
$571.80 |
$571.80 |
$508.13
|
|
5' nucleotidase - sendout
|
$141.00 |
$141.00 |
$141.00 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$173.40 |
$173.40 |
$173.40 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$1,382.40 |
$1,382.40 |
$1,382.40 |
$988.00
|
|
Abdominal CT scan (with and without contrast)
|
$1,477.80 |
$1,477.80 |
$1,477.80 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$910.20 |
$910.20 |
$910.20 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$4,350.60 |
$4,350.60 |
$4,350.60 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,653.80 |
$2,653.80 |
$2,653.80 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,128.20 |
$2,128.20 |
$2,128.20 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$528.00 |
$528.00 |
$528.00 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$301.80 |
$301.80 |
$301.80 |
$586.43
|
|
Abdominal X-ray Series (acute, with chest view)
|
$210.60 |
$210.60 |
$210.60 |
$418.63
|
|
Abdominal X-ray (single view)
|
$290.40 |
$290.40 |
$290.40 |
$260.00
|
|
Ablation of upper extremity nerves rf
|
$1,921.20 |
$1,921.20 |
$1,921.20 |
$832.50
|
|
Abscess imaging ltd area
|
$1,017.60 |
$1,017.60 |
$1,017.60 |
$1,098.00
|
|
Abscess imaging whole body
|
$843.60 |
$843.60 |
$843.60 |
$1,457.72
|
|
Absorpt drg <=16 sq in without b
|
$1.80 |
$1.80 |
$1.80 |
$5.60
|
|
Acetazolamide 500 mg solution for injection
|
$70.80 |
$70.80 |
$70.80 |
$122.55
|
|
Acetone qualitative
|
$100.80 |
$100.80 |
$100.80 |
$46.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$121.20 |
$121.20 |
$121.20 |
$218.79
|
|
Acne surgery 10040
|
$89.40 |
$89.40 |
$89.40 |
$265.20
|
|
Acute hepatitis panel
|
$264.00 |
$264.00 |
$264.00 |
$284.95
|
|
Acute venous thrombus image
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$1,426.73
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$64.45
|
|
Adenosine 3 mg/250 ml bag for osm
|
$13.20 |
$13.20 |
$13.20 |
$271.98
|
|
Adenovirus antibody,serum - quest
|
$165.00 |
$165.00 |
$165.00 |
$58.00
|
|
Adh-sendout
|
$201.60 |
$201.60 |
$201.60 |
$118.79
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$1.20 |
$1.20 |
$1.20 |
$193.40
|
|
Administration chemotherapy IV infusion each additional hour
|
$198.00 |
$198.00 |
$198.00 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$576.60 |
$576.60 |
$576.60 |
$668.98
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$131.40 |
$131.40 |
$131.40 |
$212.80
|
|
Administration immunization each additional vaccine
|
$32.40 |
$32.40 |
$32.40 |
$47.40
|
|
Adrenalin epinephrine inject
|
$734.40 |
$734.40 |
$734.40 |
$231.47
|
|
_afb id by dna probe rflx ast
|
$246.60 |
$246.60 |
$246.60 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$630.00 |
$630.00 |
$630.00 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$129.60 |
$129.60 |
$129.60 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$44.40 |
$44.40 |
$44.40 |
$244.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$31.80 |
$31.80 |
$31.80 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$54.60 |
$54.60 |
$54.60 |
$43.00
|
|
Alkaline phosphatase
|
$46.20 |
$46.20 |
$46.20 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$130.20 |
$130.20 |
$130.20 |
$48.57
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$209.40 |
$209.40 |
$209.40 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$91.20 |
$91.20 |
$91.20 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$19,391.40 |
$19,391.40 |
$19,391.40 |
$15,857.45
|
|
Alt/sgpt
|
$46.20 |
$46.20 |
$46.20 |
$47.50
|
|
Aluminum - quest
|
$415.20 |
$415.20 |
$415.20 |
$83.05
|
|
Aminolevulinic acid delta
|
$221.40 |
$221.40 |
$221.40 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$34.80 |
$34.80 |
$34.80 |
$47.06
|
|
Amiodarone 50 mg/ml intravenous solution
|
$137.40 |
$137.40 |
$137.40 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$199.20 |
$199.20 |
$199.20 |
$87.45
|
|
Ammonia
|
$79.20 |
$79.20 |
$79.20 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$196.20 |
$196.20 |
$196.20 |
$93.61
|
|
Ampicillin 1 gram solution for injection
|
$15.60 |
$15.60 |
$15.60 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$31.80 |
$31.80 |
$31.80 |
$54.57
|
|
Amylase
|
$170.40 |
$170.40 |
$170.40 |
$90.00
|
|
Anabolic steroid 1 or 2
|
$246.60 |
$246.60 |
$246.60 |
$80.08
|
|
Ana ds-dna
|
$208.20 |
$208.20 |
$208.20 |
$55.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$199.20 |
$199.20 |
$199.20 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$100.80 |
$100.80 |
$100.80 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$292.20 |
$292.20 |
$292.20 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$285.60 |
$285.60 |
$285.60 |
$101.50
|
|
An fluoro guide for cvp
|
$153.60 |
$153.60 |
$153.60 |
$525.85
|
|
Ankle X-ray
|
$202.80 |
$202.80 |
$202.80 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$201.00 |
$201.00 |
$201.00 |
$282.96
|
|
Anogenital exam child w imag
|
$361.20 |
$361.20 |
$361.20 |
$277.99
|
|
Anora (draw only)
|
$36.60 |
$36.60 |
$36.60 |
$35.00
|
|
Antibody bacterium, not elsewhere specified
|
$270.00 |
$270.00 |
$270.00 |
$57.85
|
|
Antibody elution rbc reference
|
$234.00 |
$234.00 |
$234.00 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$304.80 |
$304.80 |
$304.80 |
$131.56
|
|
Antibody htlv-i
|
$160.20 |
$160.20 |
$160.20 |
$49.53
|
|
Antibody htlv-ii
|
$110.40 |
$110.40 |
$110.40 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$470.40 |
$470.40 |
$470.40 |
$224.00
|
|
Antibody id rbc panel
|
$378.00 |
$378.00 |
$378.00 |
$291.75
|
|
Antibody influenza virus
|
$192.00 |
$192.00 |
$192.00 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$164.40 |
$164.40 |
$164.40 |
$46.58
|
|
Antibody screen rbc
|
$228.60 |
$228.60 |
$228.60 |
$108.55
|
|
Antibody tetanus
|
$197.40 |
$197.40 |
$197.40 |
$54.15
|
|
Antinuclear antibodies
|
$66.00 |
$66.00 |
$66.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$60.60 |
$60.60 |
$60.60 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$219.60 |
$219.60 |
$219.60 |
$67.43
|
|
Antistreptolysin o titer
|
$133.20 |
$133.20 |
$133.20 |
$54.00
|
|
Antithrombin iii activity
|
$331.80 |
$331.80 |
$331.80 |
$115.15
|
|
Application finger splntstatic 29130
|
$199.80 |
$199.80 |
$199.80 |
$208.50
|
|
Application long leg splint 29505
|
$340.80 |
$340.80 |
$340.80 |
$338.25
|
|
Application lower leg splint 29515
|
$421.20 |
$421.20 |
$421.20 |
$340.20
|
|
Application of forearm cast 29075
|
$216.00 |
$216.00 |
$216.00 |
$358.20
|
|
Application of paste boot 29580
|
$122.40 |
$122.40 |
$122.40 |
$340.11
|
|
Application short leg cast 29405
|
$221.40 |
$221.40 |
$221.40 |
$393.98
|
|
Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm
|
$130.80 |
$130.80 |
$130.80 |
$2,164.64
|
|
Appl modality 1/> areas paraffin bath 97018
|
$90.60 |
$90.60 |
$90.60 |
$69.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$71.40 |
$71.40 |
$71.40 |
$75.98
|
|
#aptt mix-1:1 incubated
|
$478.80 |
$478.80 |
$478.80 |
$157.30
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$72.00 |
$72.00 |
$72.00 |
$100.75
|
