|
11-desoxycortisol - sendout
|
$367.79 |
$367.79 |
$367.79 |
$87.50
|
|
17-ketosteroids
|
$716.44 |
$716.44 |
$716.44 |
$44.00
|
|
3d ech img cgen car anomal
|
$4,085.09 |
$4,085.09 |
$4,085.09 |
$669.00
|
|
3-d radiotherapy plan
|
$13,744.45 |
$13,744.45 |
$13,744.45 |
$4,886.50
|
|
5' nucleotidase - sendout
|
$403.81 |
$403.81 |
$403.81 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$313.94 |
$313.94 |
$313.94 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$8,104.56 |
$8,104.56 |
$8,104.56 |
$3,634.61
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$735.76 |
$735.76 |
$735.76 |
$52.25
|
|
Abdominal MRI (with contrast)
|
$7,611.44 |
$7,611.44 |
$7,611.44 |
$2,187.60
|
|
Abdominal paracentesis w/image guidance
|
$17,869.78 |
$17,869.78 |
$17,869.78 |
$1,666.30
|
|
Ablate arrhythmia add on
|
$78,705.20 |
$78,705.20 |
$78,705.20 |
$7,417.15
|
|
Ablate bone tumor(s) perq
|
$14,206.66 |
$14,206.66 |
$14,206.66 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$27,141.92 |
$27,141.92 |
$27,141.92 |
$10,008.58
|
|
Ablation cardiac vagal inputs atrium
|
$12,494.63 |
$12,494.63 |
$12,494.63 |
$3,587.65
|
|
Ablation cryo abd perit om
|
$5,656.62 |
$5,656.62 |
$5,656.62 |
$2,555.80
|
|
Abscess drain retroperitoneal surg code
|
$8,177.71 |
$8,177.71 |
$8,177.71 |
$3,053.18
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$32.93 |
$32.93 |
$32.93 |
$125.63
|
|
Acetaminophen level
|
$1,209.09 |
$1,209.09 |
$1,209.09 |
$117.01
|
|
Acetone qualitative
|
$349.37 |
$349.37 |
$349.37 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$65.60
|
|
Acetylcholinesterase assay
|
$1,030.39 |
$1,030.39 |
$1,030.39 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$3,966.53 |
$3,966.53 |
$3,966.53 |
$323.77
|
|
Acetylcysteine non-comp unit
|
$56.41 |
$56.41 |
$56.41 |
$29.01
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$309.56 |
$309.56 |
$309.56 |
$42.28
|
|
Acute hepatitis panel
|
$1,603.54 |
$1,603.54 |
$1,603.54 |
$284.70
|
|
#acylcarnitineprfl
|
$1,758.10 |
$1,758.10 |
$1,758.10 |
$105.60
|
|
Acylcarnitines qual
|
$1,758.10 |
$1,758.10 |
$1,758.10 |
$35.75
|
|
Adapter b 8 channel 10cm
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$1,638.00
|
|
Adenovirus antibody,serum - quest
|
$676.19 |
$676.19 |
$676.19 |
$63.00
|
|
Adh-sendout
|
$520.03 |
$520.03 |
$520.03 |
$109.28
|
|
Adj gastric band via subq port
|
$7,450.61 |
$7,450.61 |
$7,450.61 |
$1,874.60
|
|
Administration chemotherapy IV infusion each additional hour
|
$1,146.80 |
$1,146.80 |
$1,146.80 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$417.01 |
$417.01 |
$417.01 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$1,806.61 |
$1,806.61 |
$1,806.61 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$1,679.49 |
$1,679.49 |
$1,679.49 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$739.78 |
$739.78 |
$739.78 |
$264.00
|
|
Administration vaccine hepatitis b
|
$164.68 |
$164.68 |
$164.68 |
$51.35
|
|
#afb mycobacteria suscep. #1
|
$855.20 |
$855.20 |
$855.20 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$117.30 |
$117.30 |
$117.30 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$357.42 |
$357.42 |
$357.42 |
$48.00
|
|
Albumin (human), 5%, 250 ml
|
$1,587.43 |
$1,587.43 |
$1,587.43 |
$295.80
|
|
Albumin, human 5 % intravenous solution
|
$1,384.38 |
$1,384.38 |
$1,384.38 |
$248.88
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$151.34 |
$151.34 |
$151.34 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$357.42 |
$357.42 |
$357.42 |
$43.50
|
|
Albuterol ipratrop non-comp
|
$65.35 |
$65.35 |
$65.35 |
$22.45
|
|
Albuterol non-comp con
|
$7.50 |
$7.50 |
$7.50 |
$15.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$93.60
|
|
Alkaline phosphatase
|
$837.19 |
$837.19 |
$837.19 |
$46.20
|
|
Allergen egg white ige
|
$252.76 |
$252.76 |
$252.76 |
$41.00
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$18,384.03
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$5,639.00 |
$5,639.00 |
$5,639.00 |
$2,513.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$2,498.90 |
$2,498.90 |
$2,498.90 |
$13.14
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,728.31 |
$1,728.31 |
$1,728.31 |
$189.00
|
|
Alpha-fetoprotein tumor marker
|
$1,453.80 |
$1,453.80 |
$1,453.80 |
$99.00
|
|
Alt/sgpt
|
$1,069.03 |
$1,069.03 |
$1,069.03 |
$49.00
|
|
Aluminum - quest
|
$391.23 |
$391.23 |
$391.23 |
$87.00
|
|
Amantadine (symmetrel)-sendout
|
$643.99 |
$643.99 |
$643.99 |
$196.20
|
|
Amino acid single qual
|
$658.48 |
$658.48 |
$658.48 |
$19.57
|
|
Aminolevulinic acid delta
|
$567.92 |
$567.92 |
$567.92 |
$87.12
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$291.49 |
$291.49 |
$291.49 |
$202.10
|
|
Ammonia
|
$619.84 |
$619.84 |
$619.84 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$1,323.40 |
$1,323.40 |
$1,323.40 |
$94.50
|
|
Ana ds-dna
|
$555.44 |
$555.44 |
$555.44 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$932.18 |
$932.18 |
$932.18 |
$110.98
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$292.00 |
$292.00 |
$292.00 |
$338.40
|
|
Analysis gene f2 20210g>a variant
|
$2,052.73 |
$2,052.73 |
$2,052.73 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$2,063.00 |
$2,063.00 |
$2,063.00 |
$226.60
|
|
Analysis tumor
|
$905.21 |
$905.21 |
$905.21 |
$240.00
|
|
Anaplsma phgcytophlm amp prb
|
$579.61 |
$579.61 |
$579.61 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$930.57 |
$930.57 |
$930.57 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$4,761.71 |
$4,761.71 |
$4,761.71 |
$2,626.65
|
|
Angioplasty fem/pop unilat 37224
|
$84,603.83 |
$84,603.83 |
$84,603.83 |
$9,182.45
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$83,016.06 |
$83,016.06 |
$83,016.06 |
$11,524.11
|
|
Angiotensin ii
|
$563.50 |
$563.50 |
$563.50 |
$55.00
|
|
Angio tib/peroneal/init ves/unila 37228
|
$75,178.93 |
$75,178.93 |
$75,178.93 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ini
|
$31,251.65 |
$31,251.65 |
$31,251.65 |
$9,074.63
|
|
Antibody bacterium, not elsewhere specified
|
$146.86 |
$146.86 |
$146.86 |
$57.89
|
|
Antibody elution rbc reference
|
$708.38 |
$708.38 |
$708.38 |
$176.54
|
|
Antibody htlv-i
|
$849.31 |
$849.31 |
$849.31 |
$48.75
|
|
Antibody htlv-ii
|
$849.31 |
$849.31 |
$849.31 |
$35.22
|
|
Antibody id rbc panel
|
$2,228.21 |
$2,228.21 |
$2,228.21 |
$291.75
|
|
Antibody influenza virus
|
$656.87 |
$656.87 |
$656.87 |
$53.95
|
|
Antibody screen rbc
|
$619.84 |
$619.84 |
$619.84 |
$105.00
|
|
Antibody tetanus
|
$1,126.98 |
$1,126.98 |
$1,126.98 |
$61.98
|
|
Antihemophilic viii/vwf comp
|
$35.67 |
$35.67 |
$35.67 |
$2.75
|
|
Anti mog serum - sendout
|
$550.00 |
$550.00 |
$550.00 |
$140.62
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$777.62 |
$777.62 |
$777.62 |
$50.88
|
|
Antinuclear antibodies
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$80.25
|
|
Antistreptolysin o screen
|
$392.85 |
$392.85 |
$392.85 |
$59.40
|
|
Antistreptolysin o titer
|
$742.20 |
$742.20 |
$742.20 |
$57.96
|
|
Antithrombin iii activity
|
$846.84 |
$846.84 |
$846.84 |
$115.23
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,994.88 |
$14,994.88 |
$14,994.88 |
$5,013.11
|
|
Apheresis plasma
|
$7,831.00 |
$7,831.00 |
$7,831.00 |
$3,411.50
|
|
Apl(pml-rara) quant - sendout
|
$280.93 |
$280.93 |
$280.93 |
$465.60
|
|
Apply surf ldr radionuclide
|
$1,455.35 |
$1,455.35 |
$1,455.35 |
$246.25
|
|
#aptt mix-1:1 incubated
|
$1,487.62 |
$1,487.62 |
$1,487.62 |
$157.30
|
|
Aquaporin-4 antibody elisa
|
$3,207.87 |
$3,207.87 |
$3,207.87 |
$139.59
|
|
Artery xray each vessel 7577426
|
$2,631.14 |
$2,631.14 |
$2,631.14 |
$1,752.53
|
|
Artery x-rays adrenal gland
|
$4,044.31 |
$4,044.31 |
$4,044.31 |
$3,320.35
|
