|
11-desoxycortisol - sendout
|
$1,139.88 |
$1,139.88 |
$1,139.88 |
$87.50
|
|
17-ketosteroids
|
$582.98 |
$582.98 |
$582.98 |
$55.00
|
|
1pc ost pch drain hgh output
|
$148.00 |
$148.00 |
$148.00 |
$8.40
|
|
3d ech img cgen car anomal
|
$702.98 |
$702.98 |
$702.98 |
$460.00
|
|
5% dextrose and 0.45% saline
|
$120.49 |
$120.49 |
$120.49 |
$48.00
|
|
5' nucleotidase - sendout
|
$285.36 |
$285.36 |
$285.36 |
$50.40
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$11,238.11 |
$11,238.11 |
$11,238.11 |
$3,128.29
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$228.60 |
$228.60 |
$228.60 |
$53.95
|
|
Abciximab injection
|
$17,039.34 |
$17,039.34 |
$17,039.34 |
$2,443.52
|
|
Abdominal MRI (with and without contrast)
|
$13,565.69 |
$13,565.69 |
$13,565.69 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$7,235.79 |
$7,235.79 |
$7,235.79 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$7,765.61 |
$7,765.61 |
$7,765.61 |
$2,050.14
|
|
Ablate heart dysrhythm focus
|
$33,603.01 |
$33,603.01 |
$33,603.01 |
$9,522.05
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$40.88 |
$40.88 |
$40.88 |
$74.96
|
|
Acetaminophen level
|
$661.23 |
$661.23 |
$661.23 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$839.02 |
$839.02 |
$839.02 |
$122.55
|
|
Acetylcholinesterase assay
|
$540.02 |
$540.02 |
$540.02 |
$113.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,255.56 |
$1,255.56 |
$1,255.56 |
$216.00
|
|
Acetylcysteine non-comp unit
|
$125.83 |
$125.83 |
$125.83 |
$31.21
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$813.12 |
$813.12 |
$813.12 |
$63.48
|
|
Adalimumab injection
|
$17,814.67 |
$17,814.67 |
$17,814.67 |
$6,853.40
|
|
Adenovirus antibody,serum - quest
|
$679.64 |
$679.64 |
$679.64 |
$63.00
|
|
Adh-sendout
|
$2,608.08 |
$2,608.08 |
$2,608.08 |
$109.28
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$151.16 |
$151.16 |
$151.16 |
$294.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$785.47 |
$785.47 |
$785.47 |
$211.09
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$785.47 |
$785.47 |
$785.47 |
$257.40
|
|
Administration vaccine hepatitis b
|
$35.26 |
$35.26 |
$35.26 |
$54.40
|
|
Administration vaccine influenza virus
|
$94.04 |
$94.04 |
$94.04 |
$50.43
|
|
_afb id by dna probe rflx ast
|
$572.25 |
$572.25 |
$572.25 |
$93.52
|
|
#afb mycobacteria suscep. #1
|
$406.56 |
$406.56 |
$406.56 |
$35.51
|
|
_afb org id by sequencing rflx ast-sendout
|
$406.56 |
$406.56 |
$406.56 |
$315.00
|
|
Afo molded to patient plasti
|
$2,357.00 |
$2,357.00 |
$2,357.00 |
$710.45
|
|
Albumin body fluid quantitative each specimen
|
$285.36 |
$285.36 |
$285.36 |
$46.20
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$538.52 |
$538.52 |
$538.52 |
$56.07
|
|
Albuterol ipratrop non-comp
|
$44.90 |
$44.90 |
$44.90 |
$5.40
|
|
Albuterol non-comp unit
|
$34.30 |
$34.30 |
$34.30 |
$5.61
|
|
Aldesleukin injection
|
$28,549.42 |
$28,549.42 |
$28,549.42 |
$9,030.11
|
|
Allergen egg white ige
|
$302.23 |
$302.23 |
$302.23 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$2,288.97 |
$2,288.97 |
$2,288.97 |
$24.01
|
|
Alpha-fetoprotein amniotic
|
$767.09 |
$767.09 |
$767.09 |
$96.20
|
|
Alpha-fetoprotein tumor marker
|
$708.78 |
$708.78 |
$708.78 |
$105.00
|
|
Alprostadil for injection
|
$835.00 |
$835.00 |
$835.00 |
$519.93
|
|
Aluminum - quest
|
$1,181.30 |
$1,181.30 |
$1,181.30 |
$83.05
|
|
Amifostine
|
$10,632.85 |
$10,632.85 |
$10,632.85 |
$2,121.39
|
|
Amino acid screen, urine
|
$777.83 |
$777.83 |
$777.83 |
$102.00
|
|
Aminolevulinic acid delta
|
$796.24 |
$796.24 |
$796.24 |
$85.15
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$93.96 |
$93.96 |
$93.96 |
$119.07
|
|
Amitriptyline (elavil) -sendout
|
$1,233.47 |
$1,233.47 |
$1,233.47 |
$87.45
|
|
Amphetamine confirm urine -sendout
|
$240.88 |
$240.88 |
$240.88 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$390.04 |
$390.04 |
$390.04 |
$117.75
|
|
Amphotericin b lipid complex
|
$4,962.83 |
$4,962.83 |
$4,962.83 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$3,585.31 |
$3,585.31 |
$3,585.31 |
$543.85
|
|
Ana ds-dna
|
$975.73 |
$975.73 |
$975.73 |
$56.50
|
|
Analysis gene f2 20210g>a variant
|
$1,739.74 |
$1,739.74 |
$1,739.74 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,739.74 |
$1,739.74 |
$1,739.74 |
$230.40
|
|
Analysis tumor
|
$70.57 |
$70.57 |
$70.57 |
$237.89
|
|
Anastrozole 1 mg
|
$69.01 |
$69.01 |
$69.01 |
$22.40
|
|
Anora (draw only)
|
$168.76 |
$168.76 |
$168.76 |
$33.58
|
|
Anterior thoracic extension
|
$1,427.00 |
$1,427.00 |
$1,427.00 |
$496.80
|
|
Antibody
|
$2,038.89 |
$2,038.89 |
$2,038.89 |
$36.60
|
|
Antibody elution rbc reference
|
$504.74 |
$504.74 |
$504.74 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$1,271.83 |
$1,271.83 |
$1,271.83 |
$130.00
|
|
Antibody id rbc panel
|
$1,210.45 |
$1,210.45 |
$1,210.45 |
$274.83
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$26.08 |
$26.08 |
$26.08 |
$6.10
|
|
Anti mog serum - sendout
|
$800.80 |
$800.80 |
$800.80 |
$159.00
|
|
Antinuclear antibodies titer
|
$629.00 |
$629.00 |
$629.00 |
$76.70
|
|
Antistreptolysin o screen
|
$616.73 |
$616.73 |
$616.73 |
$62.00
|
|
Antistreptolysin o titer
|
$690.38 |
$690.38 |
$690.38 |
$51.45
|
|
Antithrombin iii activity
|
$2,525.22 |
$2,525.22 |
$2,525.22 |
$114.00
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,580.64 |
$14,580.64 |
$14,580.64 |
$7,704.70
|
|
Antithymocyte globuln rabbit
|
$5,714.79 |
$5,714.79 |
$5,714.79 |
$2,111.00
|
|
Apheresis plasma
|
$9,286.91 |
$9,286.91 |
$9,286.91 |
$3,188.50
|
|
Apheresis platelets
|
$1,389.18 |
$1,389.18 |
$1,389.18 |
$2,042.95
|
|
Apheresis rbc
|
$4,769.41 |
$4,769.41 |
$4,769.41 |
$3,146.15
|
|
Apheresis wbc
|
$4,769.41 |
$4,769.41 |
$4,769.41 |
$2,968.80
|
|
Application finger splntstatic 29130
|
$425.74 |
$425.74 |
$425.74 |
$208.16
|
|
Apply intrcav radiat interm
|
$927.98 |
$927.98 |
$927.98 |
$1,521.98
|
|
App mdlty 1+hubbrd tnk ea 15
|
$414.40 |
$414.40 |
$414.40 |
$141.39
|
|
#aptt mix-1:1 incubated
|
$455.64 |
$455.64 |
$455.64 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$598.33 |
$598.33 |
$598.33 |
$148.80
|
|
Artery x-rays adrenal gland
|
$6,930.74 |
$6,930.74 |
$6,930.74 |
$3,439.84
|
|
Artery x-rays adrenals
|
$6,930.74 |
$6,930.74 |
$6,930.74 |
$3,764.59
|
|
Artery x-rays lung
|
$1,905.42 |
$1,905.42 |
$1,905.42 |
$2,451.75
|
|
Assay acid phosphatase
|
$432.63 |
$432.63 |
$432.63 |
$38.22
|
|
Assay alkaline phosphatase
|
$517.01 |
$517.01 |
$517.01 |
$51.60
|
|
Assay blood catecholamines
|
$1,794.97 |
$1,794.97 |
$1,794.97 |
$148.00
|
|
Assay free hydroxyproline
|
$1,661.50 |
$1,661.50 |
$1,661.50 |
$57.60
|
|
Assay of adp & amp
|
$1,468.21 |
$1,468.21 |
$1,468.21 |
$169.65
|
|
Assay of breath ethanol
|
$741.00 |
$741.00 |
$741.00 |
$47.30
|
|
Assay of cathepsin-d
|
$905.15 |
$905.15 |
$905.15 |
$45.60
|
|
Assay of estrogen
|
$721.06 |
$721.06 |
$721.06 |
$208.74
|
|
Assay of feces for trypsin
|
$1,569.44 |
$1,569.44 |
$1,569.44 |
$22.40
|
|
Assay of interleukin-6 (il-6)
|
$228.60 |
$228.60 |
$228.60 |
$79.97
|
|
Assay of lap enzyme
|
$647.42 |
$647.42 |
$647.42 |
$73.50
|
|
Assay of pregnanetriol
|
$1,053.96 |
$1,053.96 |
$1,053.96 |
$85.85
|
|
Assay of procainamide
|
$860.66 |
$860.66 |
$860.66 |
$114.91
|
|
Assay of procainamide w/metab
|
$860.66 |
$860.66 |
$860.66 |
$70.50
|
|
Assay of progesterone
|
$725.67 |
$725.67 |
$725.67 |
$285.19
|
|
Assay of salicylate
|
$661.23 |
$661.23 |
$661.23 |
$95.00
|
|
Assay of sialic acid
|
$717.98 |
$717.98 |
$717.98 |
$92.50
|
