|
11-desoxycortisol - sendout
|
$24.64 |
$24.64 |
$24.64 |
$87.50
|
|
17-ketosteroids
|
$24.64 |
$24.64 |
$24.64 |
$55.00
|
|
88334 ap bill cytologic exam each additional site
|
$15.96 |
$15.96 |
$15.96 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$29.40 |
$29.40 |
$29.40 |
$53.95
|
|
Abdominal CT scan (with and without contrast)
|
$554.12 |
$554.12 |
$554.12 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$369.60 |
$369.60 |
$369.60 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$369.60 |
$369.60 |
$369.60 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$707.28 |
$707.28 |
$707.28 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$497.56 |
$497.56 |
$497.56 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$497.56 |
$497.56 |
$497.56 |
$2,050.14
|
|
Abdominal paracentesis w/image guidance
|
$497.84 |
$497.84 |
$497.84 |
$1,651.20
|
|
Abdominal Ultrasound (complete)
|
$250.32 |
$250.32 |
$250.32 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$136.36 |
$136.36 |
$136.36 |
$590.00
|
|
Ablation cardiac vagal inputs atrium
|
$65.80 |
$65.80 |
$65.80 |
$1,960.80
|
|
Abscess drain retroperitoneal surg code
|
$698.32 |
$698.32 |
$698.32 |
$2,957.17
|
|
Acetaminophen level
|
$39.76 |
$39.76 |
$39.76 |
$107.62
|
|
Acetone qualitative
|
$8.96 |
$8.96 |
$8.96 |
$45.65
|
|
Acetylcholine receptor modulating antibody
|
$96.32 |
$96.32 |
$96.32 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2.52 |
$2.52 |
$2.52 |
$216.00
|
|
Acute hepatitis panel
|
$26.60 |
$26.60 |
$26.60 |
$292.00
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$0.84 |
$0.84 |
$0.84 |
$63.48
|
|
Adenosine 3 mg/250 ml bag for osm
|
$1.83 |
$1.83 |
$1.83 |
$255.41
|
|
Adenovirus antibody,serum - quest
|
$11.48 |
$11.48 |
$11.48 |
$63.00
|
|
Adh-sendout
|
$15.12 |
$15.12 |
$15.12 |
$109.28
|
|
Administration immunization 1 vaccine
|
$30.80 |
$30.80 |
$30.80 |
$69.21
|
|
Administration immunization each additional vaccine
|
$28.84 |
$28.84 |
$28.84 |
$47.40
|
|
Administration vaccine hepatitis b
|
$28.84 |
$28.84 |
$28.84 |
$54.40
|
|
Administration vaccine influenza virus
|
$28.84 |
$28.84 |
$28.84 |
$50.43
|
|
Administration vaccine pneumococcal
|
$28.84 |
$28.84 |
$28.84 |
$50.43
|
|
Albumin body fluid quantitative each specimen
|
$15.12 |
$15.12 |
$15.12 |
$46.23
|
|
Albumin (human), 25%, 50ml
|
$26.04 |
$26.04 |
$26.04 |
$244.70
|
|
Albumin (human), 5%, 250 ml
|
$94.09 |
$94.09 |
$94.09 |
$243.59
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$6.16 |
$6.16 |
$6.16 |
$57.00
|
|
Albumin serum plasma or whole blood
|
$4.20 |
$4.20 |
$4.20 |
$40.80
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$21.84 |
$21.84 |
$21.84 |
$93.60
|
|
Alkaline phosphatase
|
$33.04 |
$33.04 |
$33.04 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$11.20 |
$11.20 |
$11.20 |
$48.00
|
|
Allergen egg white ige
|
$5.88 |
$5.88 |
$5.88 |
$38.00
|
|
Alpha-fetoprotein tumor marker
|
$7.00 |
$7.00 |
$7.00 |
$106.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$83.98 |
$83.98 |
$83.98 |
$15,857.45
|
|
Alt/sgpt
|
$4.20 |
$4.20 |
$4.20 |
$47.45
|
|
Aluminum - quest
|
$15.12 |
$15.12 |
$15.12 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1.40 |
$1.40 |
$1.40 |
$39.84
|
|
Amino acid single qual
|
$11.76 |
$11.76 |
$11.76 |
$36.00
|
|
Aminolevulinic acid delta
|
$17.64 |
$17.64 |
$17.64 |
$85.15
|
|
Ammonia
|
$29.40 |
$29.40 |
$29.40 |
$119.70
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$12.88 |
$12.88 |
$12.88 |
$117.75
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$31.11 |
$31.11 |
$31.11 |
$543.85
|
|
Ampicillin 1 gram solution for injection
|
$7.06 |
$7.06 |
$7.06 |
$56.70
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$23.52 |
$23.52 |
$23.52 |
$53.86
|
|
Amylase
|
$52.64 |
$52.64 |
$52.64 |
$89.04
|
|
Ana ds-dna
|
$22.12 |
$22.12 |
$22.12 |
$56.50
|
|
Analysis gene f2 20210g>a variant
|
$64.68 |
$64.68 |
$64.68 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$64.68 |
$64.68 |
$64.68 |
$230.40
|
|
Analysis nerve
|
$100.24 |
$100.24 |
$100.24 |
$274.49
|
|
Anaplsma phgcytophlm amp prb
|
$118.16 |
$118.16 |
$118.16 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$127.96 |
$127.96 |
$127.96 |
$103.20
|
|
Anidulafungin injection
|
$0.18 |
$0.18 |
$0.18 |
$312.30
|
|
Ankle X-ray
|
$122.36 |
$122.36 |
$122.36 |
$353.60
|
|
Antibody elution rbc reference
|
$53.20 |
$53.20 |
$53.20 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$16.52 |
$16.52 |
$16.52 |
$130.00
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$102.20 |
$102.20 |
$102.20 |
$218.30
|
|
Antibody id rbc panel
|
$35.00 |
$35.00 |
$35.00 |
$274.56
|
|
Antibody influenza virus
|
$21.00 |
$21.00 |
$21.00 |
$53.95
|
|
Antibody screen rbc
|
$21.00 |
$21.00 |
$21.00 |
$100.00
|
|
Antibody tetanus
|
$35.28 |
$35.28 |
$35.28 |
$53.95
|
|
Antihemophilic viii/vwf comp
|
$0.43 |
$0.43 |
$0.43 |
$3.67
|
|
Anti mog serum - sendout
|
$211.68 |
$211.68 |
$211.68 |
$159.00
|
|
Antinuclear antibodies
|
$12.60 |
$12.60 |
$12.60 |
$89.40
|
|
Antinuclear antibodies titer
|
$6.16 |
$6.16 |
$6.16 |
$77.00
|
|
Antiphosphatidylserine antibody
|
$19.60 |
$19.60 |
$19.60 |
$65.97
|
|
Antistreptolysin o titer
|
$5.32 |
$5.32 |
$5.32 |
$51.45
|
|
Antithrombin iii activity
|
$11.48 |
$11.48 |
$11.48 |
$114.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$10.08 |
$10.08 |
$10.08 |
$66.00
|
|
Aquaporin-4 antibody cba each
|
$215.88 |
$215.88 |
$215.88 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$235.20 |
$235.20 |
$235.20 |
$148.80
|
|
Argatroban nonesrd use 1mg
|
$0.70 |
$0.70 |
$0.70 |
$866.80
|
|
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides)
|
$345.52 |
$345.52 |
$345.52 |
$715.37
|
|
Aspir/inj thyroid cyst 60300
|
$303.80 |
$303.80 |
$303.80 |
$850.78
|
|
Assay acid phosphatase
|
$3.64 |
$3.64 |
$3.64 |
$38.22
|
|
Assay alkaline phosphatase
|
$18.76 |
$18.76 |
$18.76 |
$51.60
|
|
Assay of endocrine hormone
|
$36.68 |
$36.68 |
$36.68 |
$143.20
|
|
Assay of lrh hormone
|
$80.08 |
$80.08 |
$80.08 |
$189.50
|
|
Assay of procainamide w/metab
|
$9.80 |
$9.80 |
$9.80 |
$70.50
|
|
Assay of prostaglandin
|
$182.00 |
$182.00 |
$182.00 |
$218.50
|
|
Assay of salicylate
|
$14.28 |
$14.28 |
$14.28 |
$95.00
|
|
Assay of somatostatin
|
$82.32 |
$82.32 |
$82.32 |
$165.00
|
|
Assay of thiocyanate
|
$17.64 |
$17.64 |
$17.64 |
$65.00
|
|
Assay of tyrosine
|
$35.28 |
$35.28 |
$35.28 |
$60.00
|
|
Assay of urine sulfate
|
$70.00 |
$70.00 |
$70.00 |
$29.04
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$50.96 |
$50.96 |
$50.96 |
$292.50
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$8.68 |
$8.68 |
$8.68 |
$49.80
|
|
Ast/sgot
|
$4.20 |
$4.20 |
$4.20 |
$45.65
|
|
Atropine 0.1 mg/ml injection syringe
|
$3.50 |
$3.50 |
$3.50 |
$51.28
|
|
Azithromycin 500 mg intravenous solution
|
$11.20 |
$11.20 |
$11.20 |
$35.06
|
|
Aztreonam 1 gram solution for injection
|
$1.24 |
$1.24 |
$1.24 |
$157.30
|
|
Bacterial meningitis antigen
|
$19.60 |
$19.60 |
$19.60 |
$66.30
|
|
B cells total count
|
$35.28 |
$35.28 |
$35.28 |
$131.30
|
|
Benztropine 1 mg/ml injection solution
|
$24.08 |
$24.08 |
$24.08 |
$103.20
|
|
Beta 2 glycoprotein 1 antibody iga
|
$58.80 |
$58.80 |
$58.80 |
$78.50
|
