|
11-desoxycortisol - sendout
|
$1,965.38 |
$1,965.38 |
$1,965.38 |
$87.50
|
|
17-hydroxypregnenolone
|
$166.53 |
$166.53 |
$166.53 |
$87.50
|
|
3d recon without postprocess indpndt
|
$2,836.82 |
$2,836.82 |
$2,836.82 |
$427.34
|
|
5' nucleotidase - sendout
|
$451.30 |
$451.30 |
$451.30 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$971.25 |
$971.25 |
$971.25 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$6,587.41 |
$6,587.41 |
$6,587.41 |
$3,615.67
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$564.45 |
$564.45 |
$564.45 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$15,825.25 |
$15,825.25 |
$15,825.25 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$12,758.80 |
$12,758.80 |
$12,758.80 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$9,706.07 |
$9,706.07 |
$9,706.07 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$20,488.72 |
$20,488.72 |
$20,488.72 |
$2,917.20
|
|
Abdominal MRI (with contrast)
|
$14,792.79 |
$14,792.79 |
$14,792.79 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$14,792.79 |
$14,792.79 |
$14,792.79 |
$1,972.66
|
|
Abdominal Ultrasound (complete)
|
$9,150.55 |
$9,150.55 |
$9,150.55 |
$765.00
|
|
Ablate arrhythmia add on
|
$52,182.69 |
$52,182.69 |
$52,182.69 |
$7,417.15
|
|
Ablation cardiac vagal inputs atrium
|
$3,664.63 |
$3,664.63 |
$3,664.63 |
$3,664.63
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$332.26 |
$332.26 |
$332.26 |
$125.63
|
|
Acetazolamide 500 mg solution for injection
|
$63.50 |
$63.50 |
$63.50 |
$133.60
|
|
Acetone qualitative
|
$165.26 |
$165.26 |
$165.26 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$67.50
|
|
Acetylcysteine non-comp unit
|
$102.06 |
$102.06 |
$102.06 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$183.43 |
$183.43 |
$183.43 |
$42.28
|
|
Acute hepatitis panel
|
$4,012.11 |
$4,012.11 |
$4,012.11 |
$285.35
|
|
Acute venous thrombus image
|
$12,353.96 |
$12,353.96 |
$12,353.96 |
$873.75
|
|
Adenovirus ag ia
|
$86.45 |
$86.45 |
$86.45 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$976.33 |
$976.33 |
$976.33 |
$63.00
|
|
Adh-sendout
|
$1,430.17 |
$1,430.17 |
$1,430.17 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$1,615.38 |
$1,615.38 |
$1,615.38 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$2,153.84 |
$2,153.84 |
$2,153.84 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,254.59 |
$1,254.59 |
$1,254.59 |
$440.00
|
|
_afb id by dna probe rflx ast
|
$291.11 |
$291.11 |
$291.11 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$336.89 |
$336.89 |
$336.89 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$195.78 |
$195.78 |
$195.78 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$144.92 |
$144.92 |
$144.92 |
$48.00
|
|
Albumin (human), 5%, 250 ml
|
$145.15 |
$145.15 |
$145.15 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$2,210.17 |
$2,210.17 |
$2,210.17 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$380.11 |
$380.11 |
$380.11 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$980.15 |
$980.15 |
$980.15 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$96.39 |
$96.39 |
$96.39 |
$22.45
|
|
Albuterol non-comp con
|
$40.82 |
$40.82 |
$40.82 |
$15.00
|
|
Aldesleukin injection
|
$10,149.30 |
$10,149.30 |
$10,149.30 |
$6,471.00
|
|
Alkaline phosphatase
|
$1,276.35 |
$1,276.35 |
$1,276.35 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$97.88 |
$97.88 |
$97.88 |
$56.35
|
|
Allergen specific ige qual multi scrn ea
|
$1,127.61 |
$1,127.61 |
$1,127.61 |
$26.95
|
|
Alpha-fetoprotein tumor marker
|
$1,659.00 |
$1,659.00 |
$1,659.00 |
$99.71
|
|
Alprostadil for injection
|
$774.52 |
$774.52 |
$774.52 |
$533.06
|
|
Alt/sgpt
|
$1,159.40 |
$1,159.40 |
$1,159.40 |
$49.00
|
|
Aluminum - quest
|
$891.16 |
$891.16 |
$891.16 |
$88.40
|
|
Amantadine (symmetrel)-sendout
|
$340.70 |
$340.70 |
$340.70 |
$196.20
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$1,731.62 |
$1,731.62 |
$1,731.62 |
$36.30
|
|
Amino acid screen, urine
|
$734.79 |
$734.79 |
$734.79 |
$64.28
|
|
Aminolevulinic acid delta
|
$1,737.82 |
$1,737.82 |
$1,737.82 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$137.21 |
$137.21 |
$137.21 |
$41.59
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$112.49 |
$112.49 |
$112.49 |
$202.10
|
|
Ammonia
|
$1,456.87 |
$1,456.87 |
$1,456.87 |
$123.00
|
|
Amphetamine confirm urine -sendout
|
$288.58 |
$288.58 |
$288.58 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$18.14 |
$18.14 |
$18.14 |
$130.08
|
|
Ana ds-dna
|
$1,058.97 |
$1,058.97 |
$1,058.97 |
$68.06
|
|
Anal/urinary muscle study
|
$2,265.99 |
$2,265.99 |
$2,265.99 |
$407.00
|
|
Analysis gene f2 20210g>a variant
|
$441.13 |
$441.13 |
$441.13 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$734.79 |
$734.79 |
$734.79 |
$231.11
|
|
Angio trnslmnl balloon same artery ini
|
$34,289.05 |
$34,289.05 |
$34,289.05 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ini
|
$28,245.48 |
$28,245.48 |
$28,245.48 |
$8,707.59
|
|
Antibody bacterium, not elsewhere specified
|
$3,047.23 |
$3,047.23 |
$3,047.23 |
$57.89
|
|
Antibody elution rbc reference
|
$1,903.09 |
$1,903.09 |
$1,903.09 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$2,231.08 |
$2,231.08 |
$2,231.08 |
$141.74
|
|
Antibody htlv-i
|
$2,703.99 |
$2,703.99 |
$2,703.99 |
$49.53
|
|
Antibody id rbc panel
|
$2,773.90 |
$2,773.90 |
$2,773.90 |
$291.75
|
|
Antibody screen rbc
|
$1,025.92 |
$1,025.92 |
$1,025.92 |
$105.00
|
|
Anti mog serum - sendout
|
$837.77 |
$837.77 |
$837.77 |
$142.29
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$1,791.21 |
$1,791.21 |
$1,791.21 |
$45.82
|
|
Antinuclear antibodies titer
|
$1,628.50 |
$1,628.50 |
$1,628.50 |
$80.25
|
|
Antistreptolysin o screen
|
$1,310.68 |
$1,310.68 |
$1,310.68 |
$59.40
|
|
Antithrombin iii injection
|
$4,000.75 |
$4,000.75 |
$4,000.75 |
$9.72
|
|
Apheresis immunoads slctv
|
$16,445.80 |
$16,445.80 |
$16,445.80 |
$5,517.54
|
|
Apply intrcav radiat compl
|
$33,660.95 |
$33,660.95 |
$33,660.95 |
$1,717.51
|
|
Apply intrcav radiat interm
|
$34,338.59 |
$34,338.59 |
$34,338.59 |
$1,338.48
|
|
Apply intrcav radiat simple
|
$32,310.75 |
$32,310.75 |
$32,310.75 |
$1,001.00
|
|
Artery x-rays adrenals
|
$7,023.55 |
$7,023.55 |
$7,023.55 |
$3,686.08
|
|
Artery x-rays chest
|
$13,214.51 |
$13,214.51 |
$13,214.51 |
$2,539.71
|
|
Artery x-rays lung
|
$13,214.51 |
$13,214.51 |
$13,214.51 |
$2,921.88
|
|
Artery x-rays lungs
|
$13,214.51 |
$13,214.51 |
$13,214.51 |
$3,682.95
|
|
Artery x-rays spine
|
$18,254.18 |
$18,254.18 |
$18,254.18 |
$4,306.40
|
|
Assay acid phosphatase
|
$1,309.40 |
$1,309.40 |
$1,309.40 |
$38.22
|
|
Assay of cathepsin-d
|
$1,003.03 |
$1,003.03 |
$1,003.03 |
$19.87
|
|
Assay of estrogen
|
$4,931.24 |
$4,931.24 |
$4,931.24 |
$185.60
|
|
Assay of interleukin-6 (il-6)
|
$76.28 |
$76.28 |
$76.28 |
$77.35
|
|
Assay of lrh hormone
|
$1,755.62 |
$1,755.62 |
$1,755.62 |
$210.60
|
|
Assay of procainamide w/metab
|
$744.97 |
$744.97 |
$744.97 |
$61.20
|
|
Assay of progesterone
|
$4,931.24 |
$4,931.24 |
$4,931.24 |
$180.75
|
|
Assay of tyrosine
|
$385.19 |
$385.19 |
$385.19 |
$56.10
|
|
Assay toxin or antitoxin
|
$1,074.22 |
$1,074.22 |
$1,074.22 |
$72.75
|
|
Ast/sgot
|
$1,153.04 |
$1,153.04 |
$1,153.04 |
$46.20
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$31,266.65 |
$31,266.65 |
$31,266.65 |
$29,310.93
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$1,166.40 |
$1,166.40 |
$1,166.40 |
$222.15
|
|
Azathioprine 50 mg tablet
|
$34.02 |
$34.02 |
$34.02 |
$6.76
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$476.28 |
$476.28 |
$476.28 |
$191.55
|
|
Bactericidal level serum
|
$1,003.03 |
$1,003.03 |
$1,003.03 |
$82.50
|
|
Barrier skin flat ctf 2.75in
|
$59.00 |
$59.00 |
$59.00 |
$0.44
|
|
Barrier skin flextend 2.25in floating flang new image
|
$75.50 |
$75.50 |
$75.50 |
$2.40
|
