|
17-ketosteroids
|
$129.98 |
$129.98 |
$129.98 |
$57.20
|
|
5' nucleotidase - sendout
|
$86.81 |
$86.81 |
$86.81 |
$64.80
|
|
88334 ap bill cytologic exam each additional site
|
$10.79 |
$10.79 |
$10.79 |
$93.00
|
|
Abdominal CT scan (with and without contrast)
|
$963.39 |
$963.39 |
$963.39 |
$1,906.80
|
|
Abdominal CT scan (with contrast)
|
$848.61 |
$848.61 |
$848.61 |
$1,608.98
|
|
Abdominal CT scan (without contrast)
|
$776.76 |
$776.76 |
$776.76 |
$1,213.74
|
|
Abdominal MRI (with and without contrast)
|
$1,248.29 |
$1,248.29 |
$1,248.29 |
$2,629.50
|
|
Abdominal MRI (without contrast)
|
$924.95 |
$924.95 |
$924.95 |
$1,789.65
|
|
Abdominal paracentesis w/image guidance
|
$1,668.08 |
$1,668.08 |
$1,668.08 |
$1,637.98
|
|
Abdominal Ultrasound (complete)
|
$469.01 |
$469.01 |
$469.01 |
$732.03
|
|
Abdominal Ultrasound (limited)
|
$227.54 |
$227.54 |
$227.54 |
$574.53
|
|
Abscess drain retroperitoneal surg code
|
$1,587.32 |
$1,587.32 |
$1,587.32 |
$3,053.18
|
|
Acetaminophen level
|
$153.39 |
$153.39 |
$153.39 |
$117.01
|
|
Acetone qualitative
|
$36.99 |
$36.99 |
$36.99 |
$43.80
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1.68 |
$1.68 |
$1.68 |
$320.66
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$126.06 |
$126.06 |
$126.06 |
$45.60
|
|
Acute hepatitis panel
|
$322.85 |
$322.85 |
$322.85 |
$294.45
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.29 |
$0.29 |
$0.29 |
$48.72
|
|
#acylcarnitineprfl
|
$223.80 |
$223.80 |
$223.80 |
$110.25
|
|
Adenosine 3 mg/250 ml bag for osm
|
$2.24 |
$2.24 |
$2.24 |
$97.50
|
|
Adenovirus antibody,serum - quest
|
$231.30 |
$231.30 |
$231.30 |
$63.00
|
|
Adh-sendout
|
$109.16 |
$109.16 |
$109.16 |
$152.10
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$0.65 |
$0.65 |
$0.65 |
$163.25
|
|
Administration chemotherapy IV infusion each additional hour
|
$133.11 |
$133.11 |
$133.11 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$199.67 |
$199.67 |
$199.67 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$263.97 |
$263.97 |
$263.97 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$133.11 |
$133.11 |
$133.11 |
$454.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$85.77 |
$85.77 |
$85.77 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$96.89 |
$96.89 |
$96.89 |
$267.43
|
|
Administration immunization 1 vaccine
|
$43.88 |
$43.88 |
$43.88 |
$65.00
|
|
Administration immunization each additional vaccine
|
$43.89 |
$43.89 |
$43.89 |
$45.50
|
|
Administration vaccine influenza virus
|
$43.88 |
$43.88 |
$43.88 |
$38.25
|
|
Administration vaccine pneumococcal
|
$43.88 |
$43.88 |
$43.88 |
$38.25
|
|
Albumin body fluid quantitative each specimen
|
$42.81 |
$42.81 |
$42.81 |
$42.40
|
|
Albumin (human), 25%, 50ml
|
$123.36 |
$123.36 |
$123.36 |
$277.87
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$71.75 |
$71.75 |
$71.75 |
$60.45
|
|
Albumin serum plasma or whole blood
|
$27.45 |
$27.45 |
$27.45 |
$40.00
|
|
Alkaline phosphatase
|
$27.60 |
$27.60 |
$27.60 |
$43.80
|
|
Allergen alpha lactalbumin ige
|
$152.36 |
$152.36 |
$152.36 |
$56.35
|
|
Allergen egg white ige
|
$127.83 |
$127.83 |
$127.83 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$10.88 |
$10.88 |
$10.88 |
$39.00
|
|
Alpha-fetoprotein tumor marker
|
$80.12 |
$80.12 |
$80.12 |
$110.40
|
|
Alteplase 100 mg infusion from pyxis vial
|
$189.51 |
$189.51 |
$189.51 |
$189.60
|
|
Alt/sgpt
|
$71.16 |
$71.16 |
$71.16 |
$43.55
|
|
Aluminum - quest
|
$75.56 |
$75.56 |
$75.56 |
$114.40
|
|
Amantadine (symmetrel)-sendout
|
$315.47 |
$315.47 |
$315.47 |
$175.50
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$3.08 |
$3.08 |
$3.08 |
$36.30
|
|
Aminolevulinic acid delta
|
$129.15 |
$129.15 |
$129.15 |
$95.80
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$35.52 |
$35.52 |
$35.52 |
$40.47
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.86 |
$0.86 |
$0.86 |
$15.32
|
|
Ammonia
|
$48.83 |
$48.83 |
$48.83 |
$96.53
|
|
Amniotic fluid scan
|
$181.43 |
$181.43 |
$181.43 |
$33.15
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$107.46 |
$107.46 |
$107.46 |
$107.46
|
|
Ampicillin 1 gram solution for injection
|
$7.35 |
$7.35 |
$7.35 |
$30.28
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$9.24 |
$9.24 |
$9.24 |
$37.60
|
|
Amylase
|
$85.65 |
$85.65 |
$85.65 |
$83.20
|
|
Analysis gene f2 20210g>a variant
|
$78.08 |
$78.08 |
$78.08 |
$246.35
|
|
Analysis gene f5 leiden variant
|
$52.58 |
$52.58 |
$52.58 |
$253.11
|
|
An cholangiogram percutaneous compl
|
$1,391.54 |
$1,391.54 |
$1,391.54 |
$2,417.63
|
|
Ankle X-ray
|
$139.32 |
$139.32 |
$139.32 |
$311.92
|
|
Antibody bacterium, not elsewhere specified
|
$10.86 |
$10.86 |
$10.86 |
$57.85
|
|
Antibody elution rbc reference
|
$239.81 |
$239.81 |
$239.81 |
$156.24
|
|
Antibody htlv/hiv confirm test
|
$141.26 |
$141.26 |
$141.26 |
$154.85
|
|
Antibody htlv-i
|
$7.68 |
$7.68 |
$7.68 |
$49.53
|
|
Antibody htlv-ii
|
$11.81 |
$11.81 |
$11.81 |
$46.15
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$185.76 |
$185.76 |
$185.76 |
$216.24
|
|
Antibody id rbc panel
|
$167.00 |
$167.00 |
$167.00 |
$250.90
|
|
Antibody influenza virus
|
$48.14 |
$48.14 |
$48.14 |
$63.33
|
|
Antibody lymphocytic choriomeningitis
|
$53.96 |
$53.96 |
$53.96 |
$57.85
|
|
Antibody screen rbc
|
$118.37 |
$118.37 |
$118.37 |
$99.99
|
|
Anti mog serum - sendout
|
$274.95 |
$274.95 |
$274.95 |
$154.84
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$18.74 |
$18.74 |
$18.74 |
$56.00
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$10.16 |
$10.16 |
$10.16 |
$48.57
|
|
Antinuclear antibodies
|
$68.30 |
$68.30 |
$68.30 |
$97.50
|
|
Antinuclear antibodies titer
|
$105.54 |
$105.54 |
$105.54 |
$78.65
|
|
Antistreptolysin o titer
|
$57.96 |
$57.96 |
$57.96 |
$58.50
|
|
Antithrombin iii activity
|
$19.44 |
$19.44 |
$19.44 |
$135.20
|
|
Apl(pml-rara) quant - sendout
|
$429.53 |
$429.53 |
$429.53 |
$465.60
|
|
Application finger splntstatic 29130
|
$59.42 |
$59.42 |
$59.42 |
$208.16
|
|
Application of paste boot 29580
|
$502.43 |
$502.43 |
$502.43 |
$331.74
|
|
Appl modality 1/> areas paraffin bath 97018
|
$56.54 |
$56.54 |
$56.54 |
$69.44
|
|
Apply forearm splintdynamic 29126
|
$102.02 |
$102.02 |
$102.02 |
$245.40
|
|
Apply of finger splint 29131
|
$59.01 |
$59.01 |
$59.01 |
$177.45
|
|
Aquaporin-4 antibody cba each
|
$10.16 |
$10.16 |
$10.16 |
$113.91
|
|
Aquaporin-4 antibody elisa
|
$244.95 |
$244.95 |
$244.95 |
$138.87
|
|
Aquatic exercise - group charge
|
$33.29 |
$33.29 |
$33.29 |
$86.90
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$388.16 |
$388.16 |
$388.16 |
$543.40
|
|
Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance
|
$388.16 |
$388.16 |
$388.16 |
$451.48
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$395.57 |
$395.57 |
$395.57 |
$687.20
|
|
Assay of galactose
|
$39.83 |
$39.83 |
$39.83 |
$49.21
|
|
Assay of interleukin-6 (il-6)
|
$54.59 |
$54.59 |
$54.59 |
$82.80
|
|
Assay of procainamide w/metab
|
$84.27 |
$84.27 |
$84.27 |
$63.07
|
|
Assay of salicylate
|
$153.39 |
$153.39 |
$153.39 |
$83.85
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$199.26 |
$199.26 |
$199.26 |
$300.80
|
|
Ast/sgot
|
$71.16 |
$71.16 |
$71.16 |
$43.40
|
|
Atropine 0.1 mg/ml injection syringe
|
$2.12 |
$2.12 |
$2.12 |
$25.04
|
|
Augment injectable kit 3.0cc
|
$2,325.60 |
$2,325.60 |
$2,325.60 |
$8,418.60
|
|
Autologous blood process
|
$394.55 |
$394.55 |
$394.55 |
$262.50
|
|
Azacitidine injection
|
$0.96 |
$0.96 |
$0.96 |
$201.43
|
|
Azathioprine 50 mg tablet
|
$0.66 |
$0.66 |
$0.66 |
$2.18
|