|
3-d radiotherapy plan
|
$10,448.00 |
$10,448.00 |
$10,448.00 |
$4,886.50
|
|
88334 ap bill cytologic exam each additional site
|
$2,447.04 |
$2,447.04 |
$2,447.04 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$2,809.58 |
$2,809.58 |
$2,809.58 |
$52.25
|
|
Ablate arrhythmia add on
|
$34,759.97 |
$34,759.97 |
$34,759.97 |
$7,417.15
|
|
Ablate heart dysrhythm focus
|
$15,546.26 |
$15,546.26 |
$15,546.26 |
$10,047.60
|
|
Ablation cardiac vagal inputs atrium
|
$620.06 |
$620.06 |
$620.06 |
$3,664.63
|
|
Abscess drain retroperitoneal surg code
|
$5,864.46 |
$5,864.46 |
$5,864.46 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$155.88 |
$155.88 |
$155.88 |
$125.63
|
|
Acetone qualitative
|
$540.77 |
$540.77 |
$540.77 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$651.60 |
$651.60 |
$651.60 |
$67.50
|
|
Acetylcholinesterase assay
|
$861.00 |
$861.00 |
$861.00 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,170.28 |
$1,170.28 |
$1,170.28 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$88.70 |
$88.70 |
$88.70 |
$42.28
|
|
Acoustic refl threshold tst
|
$227.75 |
$227.75 |
$227.75 |
$83.79
|
|
Acute hepatitis panel
|
$6,374.40 |
$6,374.40 |
$6,374.40 |
$285.35
|
|
#acylcarnitineprfl
|
$1,265.82 |
$1,265.82 |
$1,265.82 |
$105.60
|
|
Adenovirus antibody,serum - quest
|
$383.68 |
$383.68 |
$383.68 |
$63.00
|
|
Adenovirus assay w/optic
|
$990.90 |
$990.90 |
$990.90 |
$30.03
|
|
Adh-sendout
|
$4,016.48 |
$4,016.48 |
$4,016.48 |
$109.28
|
|
#afb mycobacteria suscep. #1
|
$1,203.60 |
$1,203.60 |
$1,203.60 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$289.60
|
|
Airway resistance by impulse oscillometry 94728
|
$934.53 |
$934.53 |
$934.53 |
$279.73
|
|
Albumin (human), 5%, 250 ml
|
$2,717.27 |
$2,717.27 |
$2,717.27 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$184.29 |
$184.29 |
$184.29 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$581.56 |
$581.56 |
$581.56 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$63.78 |
$63.78 |
$63.78 |
$22.45
|
|
Albuterol non-comp con
|
$20.22 |
$20.22 |
$20.22 |
$15.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$407.84 |
$407.84 |
$407.84 |
$93.60
|
|
Alkaline phosphatase
|
$877.62 |
$877.62 |
$877.62 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$500.00 |
$500.00 |
$500.00 |
$56.35
|
|
Allergen egg white ige
|
$500.00 |
$500.00 |
$500.00 |
$41.00
|
|
Alt/sgpt
|
$818.70 |
$818.70 |
$818.70 |
$49.00
|
|
Aluminum - quest
|
$3,027.09 |
$3,027.09 |
$3,027.09 |
$88.40
|
|
Amino acid screen, urine
|
$1,463.69 |
$1,463.69 |
$1,463.69 |
$64.28
|
|
Aminolevulinic acid delta
|
$2,407.76 |
$2,407.76 |
$2,407.76 |
$87.12
|
|
Ammonia
|
$1,197.84 |
$1,197.84 |
$1,197.84 |
$123.00
|
|
Ana ds-dna
|
$2,936.46 |
$2,936.46 |
$2,936.46 |
$68.06
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$5,035.67 |
$5,035.67 |
$5,035.67 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$222.05 |
$222.05 |
$222.05 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$385.19 |
$385.19 |
$385.19 |
$231.11
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$4,579.08 |
$4,579.08 |
$4,579.08 |
$122.20
|
|
An fluoro guide for cvp
|
$2,009.85 |
$2,009.85 |
$2,009.85 |
$484.45
|
|
Angio trnslmnl balloon same artery ini
|
$16,534.64 |
$16,534.64 |
$16,534.64 |
$9,074.63
|
|
Anora (draw only)
|
$119.33 |
$119.33 |
$119.33 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$1,330.77 |
$1,330.77 |
$1,330.77 |
$57.89
|
|
Antibody elution rbc reference
|
$525.66 |
$525.66 |
$525.66 |
$175.50
|
|
Antibody htlv-i
|
$424.46 |
$424.46 |
$424.46 |
$49.53
|
|
Antibody htlv-ii
|
$415.40 |
$415.40 |
$415.40 |
$35.22
|
|
Antibody lymphocytic choriomeningitis
|
$401.79 |
$401.79 |
$401.79 |
$54.57
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$4,810.43 |
$4,810.43 |
$4,810.43 |
$3.12
|
|
Anti mog serum - sendout
|
$962.50 |
$962.50 |
$962.50 |
$142.29
|
|
Antinuclear antibodies
|
$249.23 |
$249.23 |
$249.23 |
$91.85
|
|
Antistreptolysin o screen
|
$670.68 |
$670.68 |
$670.68 |
$59.40
|
|
Antistreptolysin o titer
|
$222.05 |
$222.05 |
$222.05 |
$57.96
|
|
Antithrombin iii activity
|
$6,519.42 |
$6,519.42 |
$6,519.42 |
$120.00
|
|
Apheresis immunoads slctv
|
$22,323.00 |
$22,323.00 |
$22,323.00 |
$5,517.54
|
|
Apheresis plasma
|
$3,374.23 |
$3,374.23 |
$3,374.23 |
$3,411.50
|
|
Apheresis rbc
|
$3,374.23 |
$3,374.23 |
$3,374.23 |
$3,348.50
|
|
Apply interstit radiat compl
|
$11,218.21 |
$11,218.21 |
$11,218.21 |
$2,877.50
|
|
Apply intrcav radiat compl
|
$16,457.99 |
$16,457.99 |
$16,457.99 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$14,159.04 |
$14,159.04 |
$14,159.04 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$11,242.75 |
$11,242.75 |
$11,242.75 |
$1,001.00
|
|
Apply surf ldr radionuclide
|
$7,571.48 |
$7,571.48 |
$7,571.48 |
$251.55
|
|
#aptt mix-1:1 incubated
|
$1,052.84 |
$1,052.84 |
$1,052.84 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$1,024.10 |
$1,024.10 |
$1,024.10 |
$114.60
|
|
Artery xray each vessel 7577426
|
$7,051.68 |
$7,051.68 |
$7,051.68 |
$1,752.53
|
|
Artery x-rays adrenals
|
$7,928.66 |
$7,928.66 |
$7,928.66 |
$3,686.08
|
|
Artery x-rays chest
|
$7,961.57 |
$7,961.57 |
$7,961.57 |
$2,539.71
|
|
Artery xrays of pelvis 75736 26
|
$17,602.25 |
$17,602.25 |
$17,602.25 |
$4,086.49
|
|
Artery x-rays spine
|
$8,823.58 |
$8,823.58 |
$8,823.58 |
$4,306.40
|
|
Art pressure waveform analys
|
$2,070.26 |
$2,070.26 |
$2,070.26 |
$36.00
|
|
Assay acid phosphatase
|
$131.40 |
$131.40 |
$131.40 |
$38.22
|
|
Assay blood catecholamines
|
$3,211.37 |
$3,211.37 |
$3,211.37 |
$72.00
|
|
Assay of endocrine hormone
|
$601.18 |
$601.18 |
$601.18 |
$98.30
|
|
Assay of estrogen
|
$998.45 |
$998.45 |
$998.45 |
$185.60
|
|
Assay of glucosidase
|
$435.03 |
$435.03 |
$435.03 |
$158.73
|
|
Assay of interleukin-6 (il-6)
|
$111.78 |
$111.78 |
$111.78 |
$77.35
|
|
Assay of lap enzyme
|
$3,241.58 |
$3,241.58 |
$3,241.58 |
$56.25
|
|
Assay of neonatal thyroxine
|
$320.23 |
$320.23 |
$320.23 |
$13.33
|
|
Assay of procainamide w/metab
|
$868.55 |
$868.55 |
$868.55 |
$61.20
|
|
Assay of progesterone
|
$998.45 |
$998.45 |
$998.45 |
$180.75
|
|
Assay of salicylate
|
$930.48 |
$930.48 |
$930.48 |
$107.25
|
|
Assay of thiocyanate
|
$243.19 |
$243.19 |
$243.19 |
$57.00
|
|
Assay of tyrosine
|
$2,617.74 |
$2,617.74 |
$2,617.74 |
$56.10
|
|
Assay of urine urobilinogen
|
$2,950.05 |
$2,950.05 |
$2,950.05 |
$10.51
|
|
Assay phosphatidylglycerol
|
$1,791.48 |
$1,791.48 |
$1,791.48 |
$87.20
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$1,570.95 |
$1,570.95 |
$1,570.95 |
$49.88
|
|
Ast/sgot
|
$818.70 |
$818.70 |
$818.70 |
$46.20
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$948.25 |
$948.25 |
$948.25 |
$222.15
|
|
Autologous blood process
|
$1,023.25 |
$1,023.25 |
$1,023.25 |
$239.80
|
|
Azathioprine 50 mg tablet
|
$45.42 |
$45.42 |
$45.42 |
$6.76
|
|
Baclofen 2,000 mcg/ml intrathecal solution (wrapper)
|
$3,637.73 |
$3,637.73 |
$3,637.73 |
$1,019.23
|
|
Bactericidal level serum
|
$2,320.15 |
$2,320.15 |
$2,320.15 |
$82.50
|
|
B cells total count
|
$500.00 |
$500.00 |
$500.00 |
$126.10
|
|
Bckdhb gene
|
$222.05 |
$222.05 |
$222.05 |
$113.99
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$14,180.84 |
$14,180.84 |
$14,180.84 |
$5,713.08
|
|
Benztropine 1 mg/ml injection solution
|
$244.47 |
$244.47 |
$244.47 |
$121.88
|
|
Beta-2 microglobulin
|
$116.31 |
$116.31 |
$116.31 |
$84.75
|
|
Bevacizumab 25 mg/ml intravenous solution
|
$25,918.28 |
$25,918.28 |
$25,918.28 |
$4,747.32
|
|
Bilicheck
|
$909.34 |
$909.34 |
$909.34 |
$25.20
|
