|
5% dextrose and 0.45% saline
|
$123.45 |
$123.45 |
$123.45 |
$48.00
|
|
5' nucleotidase - sendout
|
$130.89 |
$130.89 |
$130.89 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$235.99 |
$235.99 |
$235.99 |
$97.65
|
|
Abd aorta w/runoff s&i
|
$11,906.70 |
$11,906.70 |
$11,906.70 |
$3,569.56
|
|
Abdominal CT scan (with and without contrast)
|
$6,120.56 |
$6,120.56 |
$6,120.56 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$5,594.00 |
$5,594.00 |
$5,594.00 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$3,901.37 |
$3,901.37 |
$3,901.37 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$6,273.48 |
$6,273.48 |
$6,273.48 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$12,686.42 |
$12,686.42 |
$12,686.42 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$4,317.01 |
$4,317.01 |
$4,317.01 |
$2,050.14
|
|
Abdominal Ultrasound (complete)
|
$2,307.86 |
$2,307.86 |
$2,307.86 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,059.33 |
$1,059.33 |
$1,059.33 |
$590.00
|
|
Acetaminophen level
|
$811.07 |
$811.07 |
$811.07 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$573.67 |
$573.67 |
$573.67 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$214.92 |
$214.92 |
$214.92 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$54.04 |
$54.04 |
$54.04 |
$216.00
|
|
Acute hepatitis panel
|
$588.98 |
$588.98 |
$588.98 |
$291.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$2.07 |
$2.07 |
$2.07 |
$63.48
|
|
Adenosine 3 mg/250 ml bag for osm
|
$20.79 |
$20.79 |
$20.79 |
$255.41
|
|
#afb mycobacteria suscep. #1
|
$342.72 |
$342.72 |
$342.72 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$250.96 |
$250.96 |
$250.96 |
$315.00
|
|
Albumin body fluid quantitative each specimen
|
$550.63 |
$550.63 |
$550.63 |
$46.20
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$118.98 |
$118.98 |
$118.98 |
$56.07
|
|
Albumin serum plasma or whole blood
|
$109.07 |
$109.07 |
$109.07 |
$40.45
|
|
Albuterol ipratrop non-comp
|
$51.96 |
$51.96 |
$51.96 |
$5.40
|
|
Albuterol non-comp con
|
$6.24 |
$6.24 |
$6.24 |
$6.07
|
|
Albuterol non-comp unit
|
$6.24 |
$6.24 |
$6.24 |
$5.61
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$1,187.27 |
$1,187.27 |
$1,187.27 |
$93.60
|
|
Alkaline phosphatase
|
$321.26 |
$321.26 |
$321.26 |
$46.40
|
|
Allergen egg white ige
|
$89.24 |
$89.24 |
$89.24 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$349.02 |
$349.02 |
$349.02 |
$105.00
|
|
Alprostadil for injection
|
$686.01 |
$686.01 |
$686.01 |
$519.93
|
|
Alt/sgpt
|
$214.16 |
$214.16 |
$214.16 |
$47.45
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1,588.22 |
$1,588.22 |
$1,588.22 |
$40.28
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$124.80 |
$124.80 |
$124.80 |
$45.02
|
|
Ammonia
|
$305.39 |
$305.39 |
$305.39 |
$119.70
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$1,208.09 |
$1,208.09 |
$1,208.09 |
$117.75
|
|
Analysis gene f5 leiden variant
|
$271.53 |
$271.53 |
$271.53 |
$230.40
|
|
An fluoro guide for cvp
|
$2,479.13 |
$2,479.13 |
$2,479.13 |
$510.17
|
|
Antibody elution rbc reference
|
$965.76 |
$965.76 |
$965.76 |
$175.50
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$396.61 |
$396.61 |
$396.61 |
$218.30
|
|
Antibody id rbc panel
|
$1,421.86 |
$1,421.86 |
$1,421.86 |
$274.83
|
|
Antibody screen rbc
|
$588.98 |
$588.98 |
$588.98 |
$100.00
|
|
Antinuclear antibodies
|
$761.50 |
$761.50 |
$761.50 |
$89.40
|
|
Antistreptolysin o titer
|
$438.26 |
$438.26 |
$438.26 |
$51.45
|
|
Antithrombin iii activity
|
$251.86 |
$251.86 |
$251.86 |
$114.00
|
|
#aptt mix-1:1 incubated
|
$174.98 |
$174.98 |
$174.98 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$795.21 |
$795.21 |
$795.21 |
$148.80
|
|
Artery x-rays arms/legs 75716-26
|
$10,439.00 |
$10,439.00 |
$10,439.00 |
$3,729.00
|
|
Assay acid phosphatase
|
$850.99 |
$850.99 |
$850.99 |
$38.22
|
|
Assay of salicylate
|
$479.91 |
$479.91 |
$479.91 |
$95.00
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$166.00 |
$166.00 |
$166.00 |
$292.50
|
|
Ast/sgot
|
$111.06 |
$111.06 |
$111.06 |
$45.65
|
|
Azathioprine 50 mg tablet
|
$22.86 |
$22.86 |
$22.86 |
$3.46
|
|
Azithromycin 500 mg intravenous solution
|
$218.25 |
$218.25 |
$218.25 |
$35.08
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$5,831.27 |
$5,831.27 |
$5,831.27 |
$1,800.33
|
|
B cells total count
|
$94.33 |
$94.33 |
$94.33 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$272.29 |
$272.29 |
$272.29 |
$103.20
|
|
Beta-2 microglobulin
|
$335.13 |
$335.13 |
$335.13 |
$85.94
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$11.86 |
$11.86 |
$11.86 |
$64.15
|
|
Bilicheck
|
$53.55 |
$53.55 |
$53.55 |
$28.80
|
|
Bilirubin direct
|
$111.06 |
$111.06 |
$111.06 |
$49.86
|
|
Bilirubin total
|
$192.36 |
$192.36 |
$192.36 |
$52.57
|
|
Bivalirudin
|
$14,715.65 |
$14,715.65 |
$14,715.65 |
$1,019.23
|
|
Blood Clotting (PT/INR) Test
|
$130.89 |
$130.89 |
$130.89 |
$52.80
|
|
Blood Clotting (PTT) Test
|
$150.71 |
$150.71 |
$150.71 |
$73.15
|
|
Blood Count (CBC) Test (without differential)
|
$122.96 |
$122.96 |
$122.96 |
$61.80
|
|
Blood Culture Test
|
$224.00 |
$224.00 |
$224.00 |
$145.60
|
|
Blood gases o2 saturation direct measurement
|
$414.46 |
$414.46 |
$414.46 |
$220.35
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$63.46 |
$63.46 |
$63.46 |
$33.15
|
|
Blood occult peroxidase activity qualitative gastric
|
$63.46 |
$63.46 |
$63.46 |
$34.00
|
|
Blood typing abo
|
$743.00 |
$743.00 |
$743.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$405.00 |
$405.00 |
$405.00 |
$190.80
|
|
Blood typing rbc ag non abo/rh ea
|
$588.98 |
$588.98 |
$588.98 |
$199.50
|
|
Blood typing rh (d)
|
$588.98 |
$588.98 |
$588.98 |
$57.14
|
|
Blood typing rh phenotype complete reference
|
$405.00 |
$405.00 |
$405.00 |
$82.80
|
|
Bone Density Scan (DEXA)
|
$615.31 |
$615.31 |
$615.31 |
$397.28
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$805.13 |
$805.13 |
$805.13 |
$94.80
|
|
Braf gene
|
$2,518.34 |
$2,518.34 |
$2,518.34 |
$427.50
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$16,681.21 |
$16,681.21 |
$16,681.21 |
$2,785.50
|
|
Brain MRA (blood vessel MRI, with contrast)
|
$4,635.60 |
$4,635.60 |
$4,635.60 |
$2,136.60
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$4,093.00 |
$4,093.00 |
$4,093.00 |
$1,902.00
|
|
Brain MRI (with and without contrast)
|
$6,273.48 |
$6,273.48 |
$6,273.48 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$6,500.85 |
$6,500.85 |
$6,500.85 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$6,500.85 |
$6,500.85 |
$6,500.85 |
$1,976.82
|
|
Bundled special stain group 1 microorganisms
|
$680.18 |
$680.18 |
$680.18 |
$160.00
|
|
Bundled special stain group 2
|
$543.36 |
$543.36 |
$543.36 |
$173.40
|
|
Buprenorphine hydrochloride
|
$87.30 |
$87.30 |
$87.30 |
$41.79
|
|
Caffeine citrate 20 mg/ml inj for po
|
$490.56 |
$490.56 |
$490.56 |
$47.78
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$22,286.40 |
$22,286.40 |
$22,286.40 |
$2,111.64
|
|
Calcium 24 hour urine
|
$224.00 |
$224.00 |
$224.00 |
$53.00
|
|
Calcium ionized
|
$289.54 |
$289.54 |
$289.54 |
$89.88
|
|
Calprotectin fecal
|
$97.17 |
$97.17 |
$97.17 |
$169.95
|
|
Carbamazepine total therapeutic drug level
|
$305.39 |
$305.39 |
$305.39 |
$120.25
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$4,132.11 |
$4,132.11 |
$4,132.11 |
$513.08
|
|
Carboxyhemoglobin quantitative
|
$263.75 |
$263.75 |
$263.75 |
$85.00
|
|
Carcinoembryonic ag (cea)
|
$404.55 |
$404.55 |
$404.55 |
$144.00
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,614.16 |
$7,614.16 |
$7,614.16 |
$2,626.88
|
|
Carotid Artery Ultrasound (Duplex)
|
$2,643.71 |
$2,643.71 |
$2,643.71 |
$1,007.40
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$14.55 |
$14.55 |
$14.55 |
$37.70
|
