|
11-desoxycortisol - sendout
|
$26.00 |
$26.00 |
$26.00 |
$87.50
|
|
3-d radiotherapy plan
|
$10,412.00 |
$10,412.00 |
$10,412.00 |
$4,886.50
|
|
88334 ap bill cytologic exam each additional site
|
$117.00 |
$117.00 |
$117.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$292.00 |
$292.00 |
$292.00 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$8,961.00 |
$8,961.00 |
$8,961.00 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$5,887.00 |
$5,887.00 |
$5,887.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$5,645.00 |
$5,645.00 |
$5,645.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,157.00 |
$7,157.00 |
$7,157.00 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$9,777.00 |
$9,777.00 |
$9,777.00 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$10,086.00 |
$10,086.00 |
$10,086.00 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$3,604.00 |
$3,604.00 |
$3,604.00 |
$765.00
|
|
Abdominal Ultrasound (limited)
|
$2,081.00 |
$2,081.00 |
$2,081.00 |
$603.33
|
|
Ablate heart dysrhythm focus
|
$57,824.00 |
$57,824.00 |
$57,824.00 |
$10,047.60
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$218.00 |
$218.00 |
$218.00 |
$125.63
|
|
Acetylcholine receptor modulating antibody
|
$1,906.00 |
$1,906.00 |
$1,906.00 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$157.00 |
$157.00 |
$157.00 |
$42.28
|
|
Actigraphy testing
|
$418.00 |
$418.00 |
$418.00 |
$163.80
|
|
Acute hepatitis panel
|
$840.00 |
$840.00 |
$840.00 |
$285.35
|
|
#acylcarnitineprfl
|
$1,531.00 |
$1,531.00 |
$1,531.00 |
$105.60
|
|
Adenovirus antibody,serum - quest
|
$320.00 |
$320.00 |
$320.00 |
$63.00
|
|
Adh-sendout
|
$690.00 |
$690.00 |
$690.00 |
$109.28
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$967.00 |
$967.00 |
$967.00 |
$264.00
|
|
Administration immunization each additional vaccine
|
$224.00 |
$224.00 |
$224.00 |
$46.23
|
|
Adrenal cortex & medulla img
|
$3,601.00 |
$3,601.00 |
$3,601.00 |
$1,780.19
|
|
Albumin body fluid quantitative each specimen
|
$298.00 |
$298.00 |
$298.00 |
$48.00
|
|
Albumin, human 5 % intravenous solution
|
$435.00 |
$435.00 |
$435.00 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$245.00 |
$245.00 |
$245.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$43.00 |
$43.00 |
$43.00 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$130.00 |
$130.00 |
$130.00 |
$22.45
|
|
Aldesleukin injection
|
$15,979.00 |
$15,979.00 |
$15,979.00 |
$6,471.00
|
|
Alkaline phosphatase
|
$43.00 |
$43.00 |
$43.00 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$14.00 |
$14.00 |
$14.00 |
$56.35
|
|
Allergen egg white ige
|
$117.00 |
$117.00 |
$117.00 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$217.00 |
$217.00 |
$217.00 |
$26.95
|
|
Alpha-fetoprotein amniotic
|
$51.00 |
$51.00 |
$51.00 |
$88.74
|
|
Alt/sgpt
|
$43.00 |
$43.00 |
$43.00 |
$49.00
|
|
Aluminum - quest
|
$350.00 |
$350.00 |
$350.00 |
$88.40
|
|
Amantadine (symmetrel)-sendout
|
$124.00 |
$124.00 |
$124.00 |
$196.20
|
|
Amino acid screen, urine
|
$516.00 |
$516.00 |
$516.00 |
$64.28
|
|
Aminolevulinic acid delta
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$322.00 |
$322.00 |
$322.00 |
$101.17
|
|
Ammonia
|
$581.00 |
$581.00 |
$581.00 |
$123.00
|
|
Amphetamine confirm urine -sendout
|
$17.00 |
$17.00 |
$17.00 |
$94.50
|
|
Ana ds-dna
|
$540.00 |
$540.00 |
$540.00 |
$68.06
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$581.00 |
$581.00 |
$581.00 |
$110.98
|
|
Anal pressure record
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$955.86
|
|
Analysis gene f2 20210g>a variant
|
$78.00 |
$78.00 |
$78.00 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$440.00 |
$440.00 |
$440.00 |
$231.11
|
|
Antibody htlv/hiv confirm test
|
$245.00 |
$245.00 |
$245.00 |
$141.74
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$7,200.00 |
$7,200.00 |
$7,200.00 |
$3.12
|
|
Anti mog serum - sendout
|
$660.00 |
$660.00 |
$660.00 |
$142.29
|
|
Antinuclear antibodies
|
$58.00 |
$58.00 |
$58.00 |
$91.85
|
|
Antistreptolysin o screen
|
$298.00 |
$298.00 |
$298.00 |
$59.40
|
|
Antistreptolysin o titer
|
$103.00 |
$103.00 |
$103.00 |
$57.96
|
|
Antithrombin iii activity
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$120.00
|
|
Antithrombin iii injection
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$9.72
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$3,552.00 |
$3,552.00 |
$3,552.00 |
$5,013.11
|
|
Apheresis plasma
|
$13,026.00 |
$13,026.00 |
$13,026.00 |
$3,411.50
|
|
Apheresis rbc
|
$13,026.00 |
$13,026.00 |
$13,026.00 |
$3,348.50
|
|
Apheresis wbc
|
$13,026.00 |
$13,026.00 |
$13,026.00 |
$3,342.71
|
|
Apply interstit radiat compl
|
$37,287.00 |
$37,287.00 |
$37,287.00 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$36,087.00 |
$36,087.00 |
$36,087.00 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$36,087.00 |
$36,087.00 |
$36,087.00 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$36,087.00 |
$36,087.00 |
$36,087.00 |
$1,001.00
|
|
#aptt mix-1:1 incubated
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$128.00 |
$128.00 |
$128.00 |
$114.60
|
|
Artery x-rays lung
|
$9,872.00 |
$9,872.00 |
$9,872.00 |
$2,332.57
|
|
Artery x-rays spine
|
$17,038.00 |
$17,038.00 |
$17,038.00 |
$4,306.40
|
|
Assay of breath ethanol
|
$2,090.00 |
$2,090.00 |
$2,090.00 |
$45.76
|
|
Assay of feces for trypsin
|
$152.00 |
$152.00 |
$152.00 |
$12.88
|
|
Assay of fluoride
|
$57.00 |
$57.00 |
$57.00 |
$96.85
|
|
Assay of interleukin-6 (il-6)
|
$77.00 |
$77.00 |
$77.00 |
$77.35
|
|
Assay of osteocalcin
|
$272.00 |
$272.00 |
$272.00 |
$97.21
|
|
Assay of procainamide w/metab
|
$183.00 |
$183.00 |
$183.00 |
$61.20
|
|
Ast/sgot
|
$43.00 |
$43.00 |
$43.00 |
$46.20
|
|
#bac vag cand-c. albicans naa
|
$91.00 |
$91.00 |
$91.00 |
$113.78
|
|
Barrier skin flat ctf 2.75in
|
$62.00 |
$62.00 |
$62.00 |
$0.44
|
|
B cells total count
|
$28.00 |
$28.00 |
$28.00 |
$126.10
|
|
#_benzodiazconfur
|
$516.00 |
$516.00 |
$516.00 |
$99.72
|
|
Beta-2 microglobulin
|
$284.00 |
$284.00 |
$284.00 |
$84.75
|
|
B-hexosaminidase ea assay
|
$562.00 |
$562.00 |
$562.00 |
$104.25
|
|
Bilicheck
|
$128.00 |
$128.00 |
$128.00 |
$25.20
|
|
Bilirubin direct
|
$43.00 |
$43.00 |
$43.00 |
$49.31
|
|
Bilirubin total
|
$43.00 |
$43.00 |
$43.00 |
$51.50
|
|
Bld exchange truj oth thn nb
|
$2,787.00 |
$2,787.00 |
$2,787.00 |
$740.24
|
|
Bld prd mix
|
$840.00 |
$840.00 |
$840.00 |
$139.21
|
|
Blood Clotting (PT/INR) Test
|
$156.00 |
$156.00 |
$156.00 |
$52.00
|
|
Blood Clotting (PTT) Test
|
$217.00 |
$217.00 |
$217.00 |
$72.15
|
|
Blood Count (CBC) Test (without differential)
|
$185.00 |
$185.00 |
$185.00 |
$62.28
|
|
Blood Culture Test
|
$425.00 |
$425.00 |
$425.00 |
$144.65
|
|
Blood smear microscopic w manual differential wbc count
|
$156.00 |
$156.00 |
$156.00 |
$37.44
|
|
Blood typing patient serum
|
$222.00 |
$222.00 |
$222.00 |
$70.29
|
|
Blood typing rh phenotype complete reference
|
$658.00 |
$658.00 |
$658.00 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$3,522.00 |
$3,522.00 |
$3,522.00 |
$1,151.16
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$589.00 |
$589.00 |
$589.00 |
$98.57
|
|
Brachy src nonstrand hdr ir-192
|
$500.00 |
$500.00 |
$500.00 |
$374.19
|
|
Brachytx isodose complex
|
$3,952.00 |
$3,952.00 |
$3,952.00 |
$1,631.00
|
|
Brachytx isodose intermed
|
$3,447.00 |
$3,447.00 |
$3,447.00 |
$1,207.50
|
