|
11-desoxycortisol - sendout
|
$121.60 |
$121.60 |
$121.60 |
$88.89
|
|
17-hydroxypregnenolone
|
$95.20 |
$95.20 |
$95.20 |
$90.90
|
|
3d recon without postprocess indpndt
|
$628.80 |
$628.80 |
$628.80 |
$505.05
|
|
5% dextrose and 0.45% saline
|
$20.00 |
$20.00 |
$20.00 |
$48.00
|
|
5' nucleotidase - sendout
|
$46.40 |
$46.40 |
$46.40 |
$50.05
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$49.60 |
$49.60 |
$49.60 |
$53.90
|
|
Abd/low ext cath 3rd
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$2,417.40
|
|
Abdominal CT scan (with and without contrast)
|
$560.00 |
$560.00 |
$560.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$468.50 |
$468.50 |
$468.50 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$273.50 |
$273.50 |
$273.50 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$706.00 |
$706.00 |
$706.00 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$639.50 |
$639.50 |
$639.50 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$457.00 |
$457.00 |
$457.00 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$2,604.80 |
$2,604.80 |
$2,604.80 |
$1,636.80
|
|
Abdominal Ultrasound (complete)
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$946.40 |
$946.40 |
$946.40 |
$581.10
|
|
Abd paracentesis/w/o image guide 49082
|
$940.80 |
$940.80 |
$940.80 |
$1,145.00
|
|
Acetaminophen 120 mg rectal suppository
|
$57.80 |
$57.80 |
$57.80 |
$75.09
|
|
Acetazolamide 500 mg solution for injection
|
$88.40 |
$88.40 |
$88.40 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$49.60 |
$49.60 |
$49.60 |
$66.28
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$63.00 |
$63.00 |
$63.00 |
$224.98
|
|
Acute hepatitis panel
|
$237.60 |
$237.60 |
$237.60 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$9.60 |
$9.60 |
$9.60 |
$64.15
|
|
#acylcarnitineprfl
|
$84.00 |
$84.00 |
$84.00 |
$118.85
|
|
Adenosine 3 mg/250 ml bag for osm
|
$11.60 |
$11.60 |
$11.60 |
$272.57
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$754.60 |
$754.60 |
$754.60 |
$197.05
|
|
Administration chemotherapy IV infusion each additional hour
|
$283.20 |
$283.20 |
$283.20 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$795.20 |
$795.20 |
$795.20 |
$647.50
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$283.20 |
$283.20 |
$283.20 |
$210.96
|
|
Administration immunization 1 vaccine
|
$205.60 |
$205.60 |
$205.60 |
$67.60
|
|
Administration immunization each additional vaccine
|
$80.00 |
$80.00 |
$80.00 |
$46.89
|
|
Administration vaccine influenza virus
|
$205.60 |
$205.60 |
$205.60 |
$48.73
|
|
Administration vaccine pneumococcal
|
$205.60 |
$205.60 |
$205.60 |
$48.73
|
|
_afb org id by sequencing rflx ast-sendout
|
$480.00 |
$480.00 |
$480.00 |
$293.02
|
|
Albumin body fluid quantitative each specimen
|
$39.20 |
$39.20 |
$39.20 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$145.20 |
$145.20 |
$145.20 |
$235.92
|
|
Albumin (human), 5%, 250 ml
|
$157.40 |
$157.40 |
$157.40 |
$246.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$36.00 |
$36.00 |
$36.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$20.80 |
$20.80 |
$20.80 |
$42.40
|
|
Alkaline phosphatase
|
$25.60 |
$25.60 |
$25.60 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$89.60 |
$89.60 |
$89.60 |
$48.57
|
|
Allergen egg white ige
|
$32.00 |
$32.00 |
$32.00 |
$37.20
|
|
Alpha-fetoprotein tumor marker
|
$69.60 |
$69.60 |
$69.60 |
$103.80
|
|
Alteplase 100 mg infusion from pyxis vial
|
$491.60 |
$491.60 |
$491.60 |
$15,857.45
|
|
Alt/sgpt
|
$26.40 |
$26.40 |
$26.40 |
$47.40
|
|
Aluminum - quest
|
$127.20 |
$127.20 |
$127.20 |
$81.49
|
|
Amino acid screen, urine
|
$68.80 |
$68.80 |
$68.80 |
$77.00
|
|
Aminolevulinic acid delta
|
$68.00 |
$68.00 |
$68.00 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$57.20 |
$57.20 |
$57.20 |
$46.24
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$85.20 |
$85.20 |
$85.20 |
$114.96
|
|
Amiodarone 50 mg/ml intravenous solution
|
$27.80 |
$27.80 |
$27.80 |
$55.86
|
|
Ammonia
|
$60.80 |
$60.80 |
$60.80 |
$119.70
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$115.20 |
$115.20 |
$115.20 |
$117.75
|
|
Ampicillin 1 gram solution for injection
|
$26.40 |
$26.40 |
$26.40 |
$58.35
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$25.40 |
$25.40 |
$25.40 |
$54.57
|
|
Amylase
|
$26.40 |
$26.40 |
$26.40 |
$89.04
|
|
Analysis gene f2 20210g>a variant
|
$272.80 |
$272.80 |
$272.80 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$305.60 |
$305.60 |
$305.60 |
$237.60
|
|
Anaplsma phgcytophlm amp prb
|
$162.40 |
$162.40 |
$162.40 |
$82.65
|
|
Anca screen with reflex to titer -quest
|
$75.20 |
$75.20 |
$75.20 |
$99.00
|
|
An fluoro guide for cvp
|
$824.80 |
$824.80 |
$824.80 |
$515.00
|
|
Ankle X-ray
|
$483.20 |
$483.20 |
$483.20 |
$352.80
|
|
Antibody bacterium, not elsewhere specified
|
$53.60 |
$53.60 |
$53.60 |
$57.81
|
|
Antibody elution rbc reference
|
$670.40 |
$670.40 |
$670.40 |
$175.50
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$116.00 |
$116.00 |
$116.00 |
$219.30
|
|
Antibody id rbc panel
|
$1,403.20 |
$1,403.20 |
$1,403.20 |
$290.21
|
|
Antibody screen rbc
|
$208.80 |
$208.80 |
$208.80 |
$106.88
|
|
Antibody tetanus
|
$74.40 |
$74.40 |
$74.40 |
$54.00
|
|
Anti mog serum - sendout
|
$49.60 |
$49.60 |
$49.60 |
$133.50
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$49.60 |
$49.60 |
$49.60 |
$37.58
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$49.60 |
$49.60 |
$49.60 |
$42.00
|
|
Antinuclear antibodies
|
$49.60 |
$49.60 |
$49.60 |
$90.00
|
|
Antinuclear antibodies titer
|
$46.40 |
$46.40 |
$46.40 |
$79.86
|
|
Antistreptolysin o titer
|
$30.40 |
$30.40 |
$30.40 |
$52.50
|
|
Antithrombin iii activity
|
$80.80 |
$80.80 |
$80.80 |
$114.00
|
|
Application finger splntstatic 29130
|
$415.20 |
$415.20 |
$415.20 |
$208.50
|
|
Application long leg splint 29505
|
$458.40 |
$458.40 |
$458.40 |
$338.25
|
|
Application lower leg splint 29515
|
$586.40 |
$586.40 |
$586.40 |
$334.20
|
|
Application multi layer compression below knee (both sides)
|
$492.80 |
$492.80 |
$492.80 |
$370.92
|
|
Application of paste boot 29580
|
$463.20 |
$463.20 |
$463.20 |
$336.00
|
|
Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm
|
$1,904.80 |
$1,904.80 |
$1,904.80 |
$2,109.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$80.80 |
$80.80 |
$80.80 |
$68.00
|
|
Aquaporin-4 antibody cba each
|
$62.40 |
$62.40 |
$62.40 |
$140.84
|
|
Aquatic exercise - group charge
|
$89.60 |
$89.60 |
$89.60 |
$87.15
|
|
Argatroban nonesrd use 1mg
|
$624.80 |
$624.80 |
$624.80 |
$881.10
|
|
Arterial blood draw/perc 36620
|
$1,788.00 |
$1,788.00 |
$1,788.00 |
$485.69
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$608.40
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides)
|
$2,796.80 |
$2,796.80 |
$2,796.80 |
$1,005.42
|
|
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides)
|
$1,244.80 |
$1,244.80 |
$1,244.80 |
$901.60
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$526.40 |
$526.40 |
$526.40 |
$493.50
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$1,048.80 |
$1,048.80 |
$1,048.80 |
$726.66
|
|
Aspirate/inj ganglion cyst 20612
|
$480.80 |
$480.80 |
$480.80 |
$441.30
|
|
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion
|
$2,478.40 |
$2,478.40 |
$2,478.40 |
$1,226.87
|
|
Aspir/inj thyroid cyst 60300
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$865.20
|
|
Assay alkaline phosphatase
|
$34.40 |
$34.40 |
$34.40 |
$42.60
|
|
Assay dir meas fr estradiol
|
$140.00 |
$140.00 |
$140.00 |
$67.62
|
|
Assay of interleukin-6 (il-6)
|
$86.40 |
$86.40 |
$86.40 |
$79.68
|
|
Assay of urine sulfate
|
$22.40 |
$22.40 |
$22.40 |
$28.20
|
|
Ast/sgot
|
$21.60 |
$21.60 |
$21.60 |
$45.60
|
|
Atropine 0.1 mg/ml injection syringe
|
$33.60 |
$33.60 |
$33.60 |
$53.24
|
