|
11-desoxycortisol - sendout
|
$27.37 |
$27.37 |
$27.37 |
$84.56
|
|
17-hydroxypregnenolone
|
$37.49 |
$37.49 |
$37.49 |
$87.00
|
|
17-ketosteroids
|
$22.08 |
$22.08 |
$22.08 |
$49.45
|
|
2d tte w or without fol w/con,co
|
$180.32 |
$180.32 |
$180.32 |
$1,137.75
|
|
5' nucleotidase - sendout
|
$19.09 |
$19.09 |
$19.09 |
$46.53
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$20.47 |
$20.47 |
$20.47 |
$53.50
|
|
Abdominal CT scan (with and without contrast)
|
$605.36 |
$605.36 |
$605.36 |
$2,047.50
|
|
Abdominal CT scan (with contrast)
|
$576.61 |
$576.61 |
$576.61 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$549.24 |
$549.24 |
$549.24 |
$1,363.35
|
|
Abdominal MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$3,061.80
|
|
Abdominal MRI (without contrast)
|
$593.63 |
$593.63 |
$593.63 |
$2,048.36
|
|
Abdominal Ultrasound (complete)
|
$99.82 |
$99.82 |
$99.82 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$94.76 |
$94.76 |
$94.76 |
$603.33
|
|
Abl1 gene
|
$280.14 |
$280.14 |
$280.14 |
$682.50
|
|
Ablat 1/+thyr ndul addl prq rf
|
$359.26 |
$359.26 |
$359.26 |
$1,155.50
|
|
Ablate bone tumor(s) cryo perq 20983
|
$13,674.19 |
$13,674.19 |
$13,674.19 |
$8,512.80
|
|
Ablation cryo abd perit om
|
$3,081.08 |
$3,081.08 |
$3,081.08 |
$2,566.58
|
|
Ablation of upper extremity nerves rf
|
$2,427.88 |
$2,427.88 |
$2,427.88 |
$842.40
|
|
Abltj 1/+thyr ndul 1lobe prq
|
$718.75 |
$718.75 |
$718.75 |
$2,974.20
|
|
Acetaminophen level
|
$23.69 |
$23.69 |
$23.69 |
$117.01
|
|
Acetone qualitative
|
$8.05 |
$8.05 |
$8.05 |
$45.50
|
|
Acetylcholine receptor modulating antibody
|
$20.70 |
$20.70 |
$20.70 |
$61.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$562.45 |
$562.45 |
$562.45 |
$252.07
|
|
Acetylcysteine non-comp unit
|
$21.85 |
$21.85 |
$21.85 |
$29.01
|
|
Acute hepatitis panel
|
$79.12 |
$79.12 |
$79.12 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$70.50 |
$70.50 |
$70.50 |
$68.32
|
|
Adenosine 3 mg/250 ml bag for osm
|
$135.10 |
$135.10 |
$135.10 |
$275.73
|
|
Adh-sendout
|
$30.13 |
$30.13 |
$30.13 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$418.88 |
$418.88 |
$418.88 |
$183.76
|
|
Administration immunization 1 vaccine
|
$25.07 |
$25.07 |
$25.07 |
$69.21
|
|
Administration immunization each additional vaccine
|
$14.49 |
$14.49 |
$14.49 |
$47.52
|
|
Administration vaccine hepatitis b
|
$13.34 |
$13.34 |
$13.34 |
$54.60
|
|
Administration vaccine influenza virus
|
$14.95 |
$14.95 |
$14.95 |
$48.35
|
|
Administration vaccine pneumococcal
|
$13.34 |
$13.34 |
$13.34 |
$49.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$198.26 |
$198.26 |
$198.26 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$8.97 |
$8.97 |
$8.97 |
$47.50
|
|
Albumin (human), 25%, 50ml
|
$83.09 |
$83.09 |
$83.09 |
$218.40
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$9.66 |
$9.66 |
$9.66 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$8.51 |
$8.51 |
$8.51 |
$40.00
|
|
Albuterol ipratrop non-comp
|
$3.31 |
$3.31 |
$3.31 |
$5.85
|
|
Albuterol non-comp con
|
$1.67 |
$1.67 |
$1.67 |
$5.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$21.85 |
$21.85 |
$21.85 |
$94.90
|
|
Alkaline phosphatase
|
$8.97 |
$8.97 |
$8.97 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$28.06 |
$28.06 |
$28.06 |
$48.57
|
|
Allergen egg white ige
|
$8.97 |
$8.97 |
$8.97 |
$36.66
|
|
Allergy injections; 2 or more 95117
|
$12.88 |
$12.88 |
$12.88 |
$44.25
|
|
Allergy injection; single 95115
|
$5.75 |
$5.75 |
$5.75 |
$42.75
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$39,409.85 |
$39,409.85 |
$39,409.85 |
$22,984.85
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$342.47 |
$342.47 |
$342.47 |
$858.66
|
|
Allograft umbil cord+amniotic membrane-q4148-cost per sq cm
|
$285.52 |
$285.52 |
$285.52 |
$4,384.80
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$457.47 |
$457.47 |
$457.47 |
$1,406.19
|
|
Alloskin
|
$2,826.62 |
$2,826.62 |
$2,826.62 |
$582.40
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$110.63 |
$110.63 |
$110.63 |
$175.20
|
|
Alpha-fetoprotein tumor marker
|
$28.98 |
$28.98 |
$28.98 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$7,469.88 |
$7,469.88 |
$7,469.88 |
$15,857.45
|
|
Alt/sgpt
|
$9.20 |
$9.20 |
$9.20 |
$47.30
|
|
Amantadine (symmetrel)-sendout
|
$6.90 |
$6.90 |
$6.90 |
$179.70
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$51.56 |
$51.56 |
$51.56 |
$45.02
|
|
Amiodarone 50 mg/ml intravenous solution
|
$130.11 |
$130.11 |
$130.11 |
$60.61
|
|
Amitriptyline (elavil) -sendout
|
$13.11 |
$13.11 |
$13.11 |
$92.50
|
|
Ammonia
|
$25.07 |
$25.07 |
$25.07 |
$117.00
|
|
Amniocentesisdiagnostic 59000
|
$199.64 |
$199.64 |
$199.64 |
$943.50
|
|
Amniocentesis therapeutic
|
$140.53 |
$140.53 |
$140.53 |
$770.00
|
|
Amp f/th 1/2 jt/phalanx w/neurect local flap
|
$1,489.71 |
$1,489.71 |
$1,489.71 |
$3,839.54
|
|
Amphetamine confirm urine -sendout
|
$11.27 |
$11.27 |
$11.27 |
$93.61
|
|
Amphetamines 5 or more
|
$25.30 |
$25.30 |
$25.30 |
$87.75
|
|
Ampicillin 1 gram solution for injection
|
$50.25 |
$50.25 |
$50.25 |
$62.14
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$54.60 |
$54.60 |
$54.60 |
$55.45
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$73.60 |
$73.60 |
$73.60 |
$262.99
|
|
Amputation toe interphalangeal joint
|
$819.95 |
$819.95 |
$819.95 |
$3,981.06
|
|
Amputation toe metatarsophalangeal joint
|
$1,318.36 |
$1,318.36 |
$1,318.36 |
$3,814.50
|
|
Amylase
|
$11.04 |
$11.04 |
$11.04 |
$85.65
|
|
Analgesics non-opioid 6/more
|
$33.12 |
$33.12 |
$33.12 |
$20.80
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$14.49 |
$14.49 |
$14.49 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$84.64 |
$84.64 |
$84.64 |
$217.80
|
|
Analysis gene f5 leiden variant
|
$105.11 |
$105.11 |
$105.11 |
$223.60
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$58.88 |
$58.88 |
$58.88 |
$411.45
|
|
Anaplsma phgcytophlm amp prb
|
$60.49 |
$60.49 |
$60.49 |
$91.80
|
|
Anca screen with reflex to titer -quest
|
$24.84 |
$24.84 |
$24.84 |
$101.50
|
|
Angiotensin ii
|
$21.62 |
$21.62 |
$21.62 |
$55.00
|
|
Ankle X-ray
|
$75.21 |
$75.21 |
$75.21 |
$356.32
|
|
Antibody bacterium, not elsewhere specified
|
$22.08 |
$22.08 |
$22.08 |
$57.85
|
|
Antibody elution rbc reference
|
$46.69 |
$46.69 |
$46.69 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$33.35 |
$33.35 |
$33.35 |
$126.67
|
|
Antibody htlv-i
|
$14.49 |
$14.49 |
$14.49 |
$48.57
|
|
Antibody htlv-ii
|
$15.18 |
$15.18 |
$15.18 |
$36.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$30.36 |
$30.36 |
$30.36 |
$219.30
|
|
Antibody id rbc panel
|
$92.00 |
$92.00 |
$92.00 |
$277.50
|
|
Antibody screen rbc
|
$19.55 |
$19.55 |
$19.55 |
$105.00
|
|
Antibody tetanus
|
$25.30 |
$25.30 |
$25.30 |
$52.20
|
|
Antidepressant not specified
|
$13.11 |
$13.11 |
$13.11 |
$84.36
|
|
Antidepressants class 6/more
|
$29.21 |
$29.21 |
$29.21 |
$29.68
|
|
Antiepileptics nos 7/more
|
$10.81 |
$10.81 |
$10.81 |
$18.85
|
|
Anti mog serum - sendout
|
$28.29 |
$28.29 |
$28.29 |
$115.80
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$27.60 |
$27.60 |
$27.60 |
$44.31
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$29.21 |
$29.21 |
$29.21 |
$36.60
|
|
Antinuclear antibodies
|
$20.70 |
$20.70 |
$20.70 |
$91.70
|
|
Antinuclear antibodies titer
|
$19.32 |
$19.32 |
$19.32 |
$80.25
|
|
Antipsychotics nos 1-3
|
$10.81 |
$10.81 |
$10.81 |
$153.75
|
|
Antipsychotics nos 7/more
|
$25.30 |
$25.30 |
$25.30 |
$18.85
|
