|
11-desoxycortisol - sendout
|
$1,552.52 |
$1,552.52 |
$1,552.52 |
$84.56
|
|
17-ketosteroids
|
$853.79 |
$853.79 |
$853.79 |
$49.54
|
|
3d ech img cgen car anomal
|
$21,362.62 |
$21,362.62 |
$21,362.62 |
$460.00
|
|
3-d radiotherapy plan
|
$2.30 |
$2.30 |
$2.30 |
$4,937.00
|
|
5% dextrose and 0.45% saline
|
$145.72 |
$145.72 |
$145.72 |
$48.00
|
|
5' nucleotidase - sendout
|
$1,003.88 |
$1,003.88 |
$1,003.88 |
$50.00
|
|
88334 ap bill cytologic exam each additional site
|
$551.96 |
$551.96 |
$551.96 |
$94.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$511.94 |
$511.94 |
$511.94 |
$53.95
|
|
Abciximab injection
|
$13,449.15 |
$13,449.15 |
$13,449.15 |
$2,443.52
|
|
Ablate arrhythmia add on
|
$24,389.31 |
$24,389.31 |
$24,389.31 |
$6,898.92
|
|
Ablate heart dysrhythm focus
|
$35,751.91 |
$35,751.91 |
$35,751.91 |
$9,448.96
|
|
Ablation cardiac vagal inputs atrium
|
$6,714.14 |
$6,714.14 |
$6,714.14 |
$1,963.96
|
|
Absorpt drg >16 <=48 without bdr
|
$5.00 |
$5.00 |
$5.00 |
$5.70
|
|
Acetazolamide 500 mg solution for injection
|
$1,145.80 |
$1,145.80 |
$1,145.80 |
$113.44
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,469.14 |
$2,469.14 |
$2,469.14 |
$229.96
|
|
Acetylcysteine non-comp unit
|
$1,168.68 |
$1,168.68 |
$1,168.68 |
$31.21
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$986.15 |
$986.15 |
$986.15 |
$344.10
|
|
Acute hepatitis panel
|
$3,366.81 |
$3,366.81 |
$3,366.81 |
$284.95
|
|
#acylcarnitineprfl
|
$1,369.07 |
$1,369.07 |
$1,369.07 |
$119.35
|
|
Acylcarnitines qual
|
$1,395.78 |
$1,395.78 |
$1,395.78 |
$45.60
|
|
Adenovirus antibody,serum - quest
|
$596.99 |
$596.99 |
$596.99 |
$63.00
|
|
Adh-sendout
|
$1,810.99 |
$1,810.99 |
$1,810.99 |
$109.28
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$418.08 |
$418.08 |
$418.08 |
$437.19
|
|
Administration vaccine influenza virus
|
$88.32 |
$88.32 |
$88.32 |
$48.35
|
|
_afb id by dna probe rflx ast
|
$617.01 |
$617.01 |
$617.01 |
$95.28
|
|
_afb org id by sequencing rflx ast-sendout
|
$461.44 |
$461.44 |
$461.44 |
$293.02
|
|
Afo molded to patient plasti
|
$1,442.00 |
$1,442.00 |
$1,442.00 |
$757.77
|
|
Afo rig ant tib tcf/= custom
|
$2,732.00 |
$2,732.00 |
$2,732.00 |
$1,845.81
|
|
Albumin body fluid quantitative each specimen
|
$331.84 |
$331.84 |
$331.84 |
$45.65
|
|
Albumin, human 5 % intravenous solution
|
$518.64 |
$518.64 |
$518.64 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$545.30 |
$545.30 |
$545.30 |
$57.20
|
|
Albuterol ipratrop non-comp
|
$37.93 |
$37.93 |
$37.93 |
$5.40
|
|
Albuterol non-comp unit
|
$9.96 |
$9.96 |
$9.96 |
$5.61
|
|
Alcohols biomarkers 3/more
|
$1,619.23 |
$1,619.23 |
$1,619.23 |
$16.24
|
|
Aldesleukin injection
|
$30,347.28 |
$30,347.28 |
$30,347.28 |
$9,030.11
|
|
Allergen egg white ige
|
$670.36 |
$670.36 |
$670.36 |
$37.20
|
|
Allograft 160mg placental salera mini membrane
|
$516.00 |
$516.00 |
$516.00 |
$6,611.20
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$1,897.67 |
$1,897.67 |
$1,897.67 |
$4,677.40
|
|
Alprostadil for injection
|
$950.52 |
$950.52 |
$950.52 |
$519.93
|
|
Aluminum - quest
|
$1,270.69 |
$1,270.69 |
$1,270.69 |
$81.49
|
|
Amifostine
|
$10,877.51 |
$10,877.51 |
$10,877.51 |
$2,121.39
|
|
Amino acid screen, urine
|
$1,799.29 |
$1,799.29 |
$1,799.29 |
$81.90
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$89.56 |
$89.56 |
$89.56 |
$37.33
|
|
Aminolevulinic acid delta
|
$610.34 |
$610.34 |
$610.34 |
$82.93
|
|
Amiodarone 50 mg/ml intravenous solution
|
$1,771.79 |
$1,771.79 |
$1,771.79 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$2,809.87 |
$2,809.87 |
$2,809.87 |
$90.00
|
|
Amphetamine confirm urine -sendout
|
$737.06 |
$737.06 |
$737.06 |
$92.61
|
|
Amphotericin b lipid complex
|
$862.66 |
$862.66 |
$862.66 |
$226.80
|
|
Anabolic steroid 1 or 2
|
$968.86 |
$968.86 |
$968.86 |
$80.08
|
|
Anabolic steroid 3 or more
|
$968.86 |
$968.86 |
$968.86 |
$27.20
|
|
Ana ds-dna
|
$540.29 |
$540.29 |
$540.29 |
$56.50
|
|
Analgesics non-opioid 3-5
|
$2,769.83 |
$2,769.83 |
$2,769.83 |
$14.70
|
|
Analgesics non-opioid 6/more
|
$2,769.83 |
$2,769.83 |
$2,769.83 |
$16.24
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1,790.97 |
$1,790.97 |
$1,790.97 |
$106.70
|
|
Anal pressure record
|
$4,466.11 |
$4,466.11 |
$4,466.11 |
$834.90
|
|
Analysis gene f2 20210g>a variant
|
$692.03 |
$692.03 |
$692.03 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$692.03 |
$692.03 |
$692.03 |
$236.00
|
|
Angio trnslmnl balloon same vein ini
|
$13,389.66 |
$13,389.66 |
$13,389.66 |
$8,359.11
|
|
Anterior thoracic extension
|
$794.00 |
$794.00 |
$794.00 |
$503.00
|
|
Antibody elution rbc reference
|
$506.95 |
$506.95 |
$506.95 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$1,382.41 |
$1,382.41 |
$1,382.41 |
$128.40
|
|
Antibody id rbc panel
|
$2,594.75 |
$2,594.75 |
$2,594.75 |
$269.00
|
|
Antidepressant tricyclic 3-5
|
$3,977.15 |
$3,977.15 |
$3,977.15 |
$23.20
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$26.65 |
$26.65 |
$26.65 |
$6.10
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$46.32 |
$46.32 |
$46.32 |
$37.58
|
|
Antinuclear antibodies titer
|
$920.50 |
$920.50 |
$920.50 |
$74.40
|
|
Antipsychotics nos 1-3
|
$483.58 |
$483.58 |
$483.58 |
$153.45
|
|
Antipsychotics nos 4-6
|
$483.58 |
$483.58 |
$483.58 |
$36.00
|
|
Antipsychotics nos 7/more
|
$483.58 |
$483.58 |
$483.58 |
$16.24
|
|
Antistreptolysin o titer
|
$1,265.68 |
$1,265.68 |
$1,265.68 |
$51.45
|
|
Antithrombin iii activity
|
$1,167.31 |
$1,167.31 |
$1,167.31 |
$114.00
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$14,528.34 |
$14,528.34 |
$14,528.34 |
$7,544.81
|
|
Apheresis platelets
|
$2,383.36 |
$2,383.36 |
$2,383.36 |
$2,115.55
|
|
Apl(pml-rara) quant - sendout
|
$4,329.03 |
$4,329.03 |
$4,329.03 |
$465.60
|
|
Application of paste boot 29580
|
$381.43 |
$381.43 |
$381.43 |
$323.25
|
|
Apply intrcav radiat simple
|
$5.97 |
$5.97 |
$5.97 |
$1,203.12
|
|
Apply surf ldr radionuclide
|
$5.68 |
$5.68 |
$5.68 |
$251.55
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$282.84 |
$282.84 |
$282.84 |
$100.00
|
|
Arsenic trioxide 2 mg/ml intravenous solution
|
$8,175.58 |
$8,175.58 |
$8,175.58 |
$1,391.86
|
|
Artery xray of abdomen 75726-26
|
$14,403.74 |
$14,403.74 |
$14,403.74 |
$4,324.80
|
|
Artery x-rays adrenal gland
|
$5,866.37 |
$5,866.37 |
$5,866.37 |
$3,320.35
|
|
Artery x-rays adrenals
|
$5,545.91 |
$5,545.91 |
$5,545.91 |
$3,729.00
|
|
Artery x-rays lung
|
$4,133.75 |
$4,133.75 |
$4,133.75 |
$2,427.50
|
|
Artery xrays of pelvis 75736 26
|
$14,403.74 |
$14,403.74 |
$14,403.74 |
$4,078.28
|
|
Artery x-rays spine
|
$14,403.74 |
$14,403.74 |
$14,403.74 |
$4,294.50
|
|
Assay acid phosphatase
|
$695.38 |
$695.38 |
$695.38 |
$38.22
|
|
Assay blood catecholamines
|
$1,889.36 |
$1,889.36 |
$1,889.36 |
$130.00
|
|
Assay free hydroxyproline
|
$2,441.32 |
$2,441.32 |
$2,441.32 |
$57.60
|
|
Assay of adp & amp
|
$1,594.20 |
$1,594.20 |
$1,594.20 |
$162.18
|
|
Assay of corticosterone
|
$1,003.88 |
$1,003.88 |
$1,003.88 |
$56.80
|
|
Assay of feces porphyrins
|
$2,169.52 |
$2,169.52 |
$2,169.52 |
$158.00
|
|
Assay of interleukin-6 (il-6)
|
$1,210.66 |
$1,210.66 |
$1,210.66 |
$79.97
|
|
Assay of osteocalcin
|
$837.12 |
$837.12 |
$837.12 |
$92.50
|
|
Assay of procainamide
|
$563.65 |
$563.65 |
$563.65 |
$82.80
|
|
Assay of thiocyanate
|
$933.83 |
$933.83 |
$933.83 |
$62.72
|
|
Assay phosphatidylglycerol
|
$2,169.52 |
$2,169.52 |
$2,169.52 |
$134.16
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$1,228.36 |
$1,228.36 |
$1,228.36 |
$288.60
|
|
Atezolizumab 60 mg/ml intravenous solution (wrapper)
|
$63,053.74 |
$63,053.74 |
$63,053.74 |
$23,178.72
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$1,008.89 |
$1,008.89 |
$1,008.89 |
$186.60
|
|
Autologous blood process
|
$335.34 |
$335.34 |
$335.34 |
$253.80
|
