|
5% dextrose and 0.45% saline
|
$34.29 |
$34.29 |
$34.29 |
$48.00
|
|
Abd aorta w/runoff s&i
|
$5,808.07 |
$5,808.07 |
$5,808.07 |
$3,569.56
|
|
Abdominal MRI (with and without contrast)
|
$11,442.13 |
$11,442.13 |
$11,442.13 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$9,636.33 |
$9,636.33 |
$9,636.33 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$8,129.77 |
$8,129.77 |
$8,129.77 |
$2,050.14
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$411.63 |
$411.63 |
$411.63 |
$74.96
|
|
Acetazolamide 500 mg solution for injection
|
$1,755.68 |
$1,755.68 |
$1,755.68 |
$122.55
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,110.74 |
$2,110.74 |
$2,110.74 |
$216.00
|
|
Acetylcysteine non-comp unit
|
$94.52 |
$94.52 |
$94.52 |
$31.21
|
|
Acute hepatitis panel
|
$2,830.34 |
$2,830.34 |
$2,830.34 |
$291.00
|
|
Administration vaccine influenza virus
|
$344.47 |
$344.47 |
$344.47 |
$50.43
|
|
#afb mycobacteria suscep. #1
|
$20.29 |
$20.29 |
$20.29 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$320.12 |
$320.12 |
$320.12 |
$315.00
|
|
Albumin body fluid quantitative each specimen
|
$464.66 |
$464.66 |
$464.66 |
$46.20
|
|
Albumin (human), 5%, 250 ml
|
$696.46 |
$696.46 |
$696.46 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$575.12 |
$575.12 |
$575.12 |
$56.07
|
|
Albumin serum plasma or whole blood
|
$536.14 |
$536.14 |
$536.14 |
$40.45
|
|
Albuterol ipratrop non-comp
|
$38.61 |
$38.61 |
$38.61 |
$5.40
|
|
Albuterol non-comp unit
|
$17.76 |
$17.76 |
$17.76 |
$5.61
|
|
Allergen egg white ige
|
$88.00 |
$88.00 |
$88.00 |
$38.00
|
|
Alprostadil for injection
|
$3,248.65 |
$3,248.65 |
$3,248.65 |
$519.93
|
|
Aluminum - quest
|
$994.33 |
$994.33 |
$994.33 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1,688.19 |
$1,688.19 |
$1,688.19 |
$40.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$54.00 |
$54.00 |
$54.00 |
$37.14
|
|
Amitriptyline (elavil) -sendout
|
$1,017.08 |
$1,017.08 |
$1,017.08 |
$87.45
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$841.99 |
$841.99 |
$841.99 |
$117.75
|
|
Analysis gene f2 20210g>a variant
|
$568.65 |
$568.65 |
$568.65 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$490.68 |
$490.68 |
$490.68 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$961.43 |
$961.43 |
$961.43 |
$85.80
|
|
Anastrozole 1 mg
|
$222.45 |
$222.45 |
$222.45 |
$22.40
|
|
An fluoro guide for cvp
|
$2,512.94 |
$2,512.94 |
$2,512.94 |
$510.17
|
|
Antibody elution rbc reference
|
$1,264.06 |
$1,264.06 |
$1,264.06 |
$175.50
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$1,449.28 |
$1,449.28 |
$1,449.28 |
$218.30
|
|
Antibody id rbc panel
|
$1,556.51 |
$1,556.51 |
$1,556.51 |
$274.83
|
|
Antibody screen rbc
|
$841.61 |
$841.61 |
$841.61 |
$100.00
|
|
Antinuclear antibodies
|
$1,605.25 |
$1,605.25 |
$1,605.25 |
$89.40
|
|
Antistreptolysin o titer
|
$805.88 |
$805.88 |
$805.88 |
$51.45
|
|
Antithrombin iii activity
|
$2,732.84 |
$2,732.84 |
$2,732.84 |
$114.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$132.00 |
$132.00 |
$132.00 |
$75.60
|
|
#aptt mix-1:1 incubated
|
$147.66 |
$147.66 |
$147.66 |
$157.30
|
|
Aquatic exercise - group charge
|
$175.00 |
$175.00 |
$175.00 |
$85.80
|
|
Artery xray each vessel 7577426
|
$5,249.64 |
$5,249.64 |
$5,249.64 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$5,249.64 |
$5,249.64 |
$5,249.64 |
$4,446.00
|
|
Artery x-rays arms/legs 75716-26
|
$5,664.89 |
$5,664.89 |
$5,664.89 |
$3,729.00
|
|
Artery xrays of pelvis 75736 26
|
$5,249.64 |
$5,249.64 |
$5,249.64 |
$4,134.14
|
|
Assay acid phosphatase
|
$718.14 |
$718.14 |
$718.14 |
$38.22
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$324.00 |
$324.00 |
$324.00 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$363.89 |
$363.89 |
$363.89 |
$49.80
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$1,496.38 |
$1,496.38 |
$1,496.38 |
$186.60
|
|
Azathioprine 50 mg tablet
|
$43.34 |
$43.34 |
$43.34 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$128.71 |
$128.71 |
$128.71 |
$35.08
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$4,064.20 |
$4,064.20 |
$4,064.20 |
$1,800.33
|
|
B cells total count
|
$94.33 |
$94.33 |
$94.33 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$361.44 |
$361.44 |
$361.44 |
$103.20
|
|
Beta-2 microglobulin
|
$1,202.31 |
$1,202.31 |
$1,202.31 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$76.06 |
$76.06 |
$76.06 |
$64.15
|
|
Bivalirudin
|
$10,256.36 |
$10,256.36 |
$10,256.36 |
$1,019.23
|
|
Blood Culture Test
|
$633.65 |
$633.65 |
$633.65 |
$145.60
|
|
Blood occult feces colorectal neoplasm screening qualitative
|
$279.43 |
$279.43 |
$279.43 |
$33.57
|
|
Blood split unit
|
$27.56 |
$27.56 |
$27.56 |
$250.00
|
|
Blood typing abo
|
$716.00 |
$716.00 |
$716.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$448.42 |
$448.42 |
$448.42 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$1,439.56 |
$1,439.56 |
$1,439.56 |
$199.50
|
|
Blood typing rh (d)
|
$549.15 |
$549.15 |
$549.15 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$549.15 |
$549.15 |
$549.15 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$462.18 |
$462.18 |
$462.18 |
$397.28
|
|
Bone/joint imaging ltd area
|
$3,218.19 |
$3,218.19 |
$3,218.19 |
$1,013.50
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$1,631.26 |
$1,631.26 |
$1,631.26 |
$94.80
|
|
Bowel imaging
|
$2,333.99 |
$2,333.99 |
$2,333.99 |
$1,065.00
|
|
Brace kafo dbl upright cust
|
$5,006.00 |
$5,006.00 |
$5,006.00 |
$3,609.22
|
|
Braf gene
|
$2,125.21 |
$2,125.21 |
$2,125.21 |
$427.50
|
|
Brain image w/flow 4 + views
|
$3,470.82 |
$3,470.82 |
$3,470.82 |
$1,332.80
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$11,518.81 |
$11,518.81 |
$11,518.81 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$8,949.20 |
$8,949.20 |
$8,949.20 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$8,845.46 |
$8,845.46 |
$8,845.46 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$13,118.60 |
$13,118.60 |
$13,118.60 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$8,862.00 |
$8,862.00 |
$8,862.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$8,331.24 |
$8,331.24 |
$8,331.24 |
$1,976.82
|
|
Bundled special stain group 1 microorganisms
|
$422.42 |
$422.42 |
$422.42 |
$160.00
|
|
Bundled special stain group 2
|
$334.00 |
$334.00 |
$334.00 |
$173.40
|
|
C1 esterase inhibitor func - sendout
|
$1,621.50 |
$1,621.50 |
$1,621.50 |
$96.72
|
|
Caffeine citrate 20 mg/ml inj for po
|
$341.90 |
$341.90 |
$341.90 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$13,147.08 |
$13,147.08 |
$13,147.08 |
$2,111.64
|
|
Calcium 24 hour urine
|
$500.39 |
$500.39 |
$500.39 |
$53.00
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$328.51 |
$328.51 |
$328.51 |
$45.49
|
|
Calcium ionized
|
$851.36 |
$851.36 |
$851.36 |
$89.88
|
|
Calprotectin fecal
|
$152.53 |
$152.53 |
$152.53 |
$169.95
|
|
Carbamazepine total therapeutic drug level
|
$601.14 |
$601.14 |
$601.14 |
$120.25
|
|
Carbon dioxide
|
$640.13 |
$640.13 |
$640.13 |
$44.00
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$1,705.11 |
$1,705.11 |
$1,705.11 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$1,017.08 |
$1,017.08 |
$1,017.08 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$1,140.59 |
$1,140.59 |
$1,140.59 |
$144.00
|
|
Cardiac MRI w/stress img
|
$2,306.46 |
$2,306.46 |
$2,306.46 |
$1,474.98
|
|
Cardiac rehabilitation op phase 2 w/continous ecg monitoring
|
$492.64 |
$492.64 |
$492.64 |
$244.00
|
|
Cardiac rehabilitation op phase 2 without continous ecg monitoring
|
$675.00 |
$675.00 |
$675.00 |
$196.50
|
|
Carotene
|
$734.40 |
$734.40 |
$734.40 |
$45.24
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$34.30 |
$34.30 |
$34.30 |
$37.70
|
|
Ceftazidime and avibactam
|
$1,537.92 |
$1,537.92 |
$1,537.92 |
$904.66
|
|
Chest apical lordotic proj
|
$717.03 |
$717.03 |
$717.03 |
$310.80
|
|
Chlamydia culture
|
$2,271.42 |
$2,271.42 |
$2,271.42 |
$93.90
|
