|
11-desoxycortisol - sendout
|
$204.12 |
$204.12 |
$204.12 |
$87.50
|
|
17-hydroxypregnenolone
|
$126.36 |
$126.36 |
$126.36 |
$85.15
|
|
17-ketosteroids
|
$143.10 |
$143.10 |
$143.10 |
$44.00
|
|
2d tte w or without fol w/con,co
|
$1,031.85 |
$1,031.85 |
$1,031.85 |
$1,088.36
|
|
3d recon without postprocess indpndt
|
$76.68 |
$76.68 |
$76.68 |
$427.34
|
|
5' nucleotidase - sendout
|
$551.61 |
$551.61 |
$551.61 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$138.15 |
$138.15 |
$138.15 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$47.34 |
$47.34 |
$47.34 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,976.94 |
$1,976.94 |
$1,976.94 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,971.18 |
$1,971.18 |
$1,971.18 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,804.41 |
$1,804.41 |
$1,804.41 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,357.02 |
$1,357.02 |
$1,357.02 |
$2,916.21
|
|
Abdominal MRI (with contrast)
|
$1,155.42 |
$1,155.42 |
$1,155.42 |
$2,187.60
|
|
Abdominal MRI (without contrast)
|
$802.44 |
$802.44 |
$802.44 |
$1,972.66
|
|
Abdominal paracentesis w/image guidance
|
$969.84 |
$969.84 |
$969.84 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$309.60 |
$309.60 |
$309.60 |
$759.57
|
|
Abdominal Ultrasound (limited)
|
$276.93 |
$276.93 |
$276.93 |
$603.33
|
|
Abobotulinumtoxina
|
$406.62 |
$406.62 |
$406.62 |
$602.06
|
|
Abscess drain retroperitoneal surg code
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$3,053.18
|
|
Acetaminophen level
|
$28.44 |
$28.44 |
$28.44 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$138.51 |
$138.51 |
$138.51 |
$133.60
|
|
Acetone qualitative
|
$65.97 |
$65.97 |
$65.97 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$186.21 |
$186.21 |
$186.21 |
$65.60
|
|
Acetylcholinesterase assay
|
$104.40 |
$104.40 |
$104.40 |
$106.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$156.24 |
$156.24 |
$156.24 |
$323.77
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$29.34 |
$29.34 |
$29.34 |
$42.28
|
|
Acute hepatitis panel
|
$252.27 |
$252.27 |
$252.27 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$10.80 |
$10.80 |
$10.80 |
$50.70
|
|
#acylcarnitineprfl
|
$60.93 |
$60.93 |
$60.93 |
$105.60
|
|
Adenosine 3 mg/250 ml bag for osm
|
$117.45 |
$117.45 |
$117.45 |
$219.86
|
|
Adenovirus antibody,serum - quest
|
$27.54 |
$27.54 |
$27.54 |
$63.00
|
|
Adenovirus assay w/optic
|
$176.22 |
$176.22 |
$176.22 |
$30.03
|
|
Adh-sendout
|
$86.31 |
$86.31 |
$86.31 |
$109.28
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$572.49 |
$572.49 |
$572.49 |
$124.70
|
|
Administration chemotherapy IV infusion each additional hour
|
$162.00 |
$162.00 |
$162.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$230.13 |
$230.13 |
$230.13 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$288.00 |
$288.00 |
$288.00 |
$672.03
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$252.00 |
$252.00 |
$252.00 |
$440.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$241.92 |
$241.92 |
$241.92 |
$220.00
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$241.92 |
$241.92 |
$241.92 |
$264.00
|
|
Administration immunization 1 vaccine
|
$56.16 |
$56.16 |
$56.16 |
$70.52
|
|
Administration immunization each additional vaccine
|
$44.28 |
$44.28 |
$44.28 |
$46.23
|
|
Administration vaccine hepatitis b
|
$32.31 |
$32.31 |
$32.31 |
$51.35
|
|
Administration vaccine influenza virus
|
$132.66 |
$132.66 |
$132.66 |
$49.50
|
|
Administration vaccine pneumococcal
|
$52.20 |
$52.20 |
$52.20 |
$51.11
|
|
_afb id by dna probe rflx ast
|
$121.95 |
$121.95 |
$121.95 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$52.29 |
$52.29 |
$52.29 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$212.67 |
$212.67 |
$212.67 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$8,535.96 |
$8,535.96 |
$8,535.96 |
$13,696.68
|
|
Albumin body fluid quantitative each specimen
|
$55.62 |
$55.62 |
$55.62 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$290.52 |
$290.52 |
$290.52 |
$295.80
|
|
Albumin, human 25 % intravenous solution
|
$148.87 |
$148.87 |
$148.87 |
$488.08
|
|
Albumin (human), 5%, 250 ml
|
$169.11 |
$169.11 |
$169.11 |
$295.80
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$62.91 |
$62.91 |
$62.91 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$23.40 |
$23.40 |
$23.40 |
$43.50
|
|
Alemtuzumab 12 mg/1.2 ml intravenous solution
|
$33,626.43 |
$33,626.43 |
$33,626.43 |
$8,173.80
|
|
Alkaline phosphatase
|
$11.34 |
$11.34 |
$11.34 |
$46.20
|
|
Allergen egg white ige
|
$50.04 |
$50.04 |
$50.04 |
$41.00
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$273.15 |
$273.15 |
$273.15 |
$2,513.00
|
|
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution
|
$14.76 |
$14.76 |
$14.76 |
$13.14
|
|
Alpha-fetoprotein amniotic
|
$101.34 |
$101.34 |
$101.34 |
$79.30
|
|
Alpha-fetoprotein tumor marker
|
$153.45 |
$153.45 |
$153.45 |
$99.00
|
|
Alteplase 100 mg infusion from pyxis vial
|
$3,069.00 |
$3,069.00 |
$3,069.00 |
$2,600.22
|
|
Alt/sgpt
|
$11.34 |
$11.34 |
$11.34 |
$49.00
|
|
Aluminum - quest
|
$236.79 |
$236.79 |
$236.79 |
$87.00
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$21.87 |
$21.87 |
$21.87 |
$36.30
|
|
Amino acid screen, urine
|
$39.24 |
$39.24 |
$39.24 |
$64.28
|
|
Aminolevulinic acid delta
|
$103.14 |
$103.14 |
$103.14 |
$87.12
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$27.45 |
$27.45 |
$27.45 |
$41.59
|
|
Ammonia
|
$66.96 |
$66.96 |
$66.96 |
$120.90
|
|
Amphetamine confirm urine -sendout
|
$111.69 |
$111.69 |
$111.69 |
$94.50
|
|
Amphetamines 5 or more
|
$21.87 |
$21.87 |
$21.87 |
$101.40
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$130.41 |
$130.41 |
$130.41 |
$130.08
|
|
Ampicillin 1 gram solution for injection
|
$13.39 |
$13.39 |
$13.39 |
$57.76
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$52.65 |
$52.65 |
$52.65 |
$51.93
|
|
Amylase
|
$193.14 |
$193.14 |
$193.14 |
$93.00
|
|
Ana ds-dna
|
$106.38 |
$106.38 |
$106.38 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$236.79 |
$236.79 |
$236.79 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$760.23 |
$760.23 |
$760.23 |
$226.60
|
|
Analysis nerve
|
$87.30 |
$87.30 |
$87.30 |
$223.19
|
|
Anca screen with reflex to titer -quest
|
$56.07 |
$56.07 |
$56.07 |
$109.20
|
|
An cholangiogram percutaneous compl
|
$1,325.07 |
$1,325.07 |
$1,325.07 |
$2,626.65
|
|
An fluoro guide for cvp
|
$271.98 |
$271.98 |
$271.98 |
$484.45
|
|
Anidulafungin injection
|
$4.30 |
$4.30 |
$4.30 |
$209.79
|
|
Ankle X-ray
|
$167.31 |
$167.31 |
$167.31 |
$339.44
|
|
Anora (draw only)
|
$36.36 |
$36.36 |
$36.36 |
$36.00
|
|
Antibody bacterium, not elsewhere specified
|
$28.26 |
$28.26 |
$28.26 |
$57.89
|
|
Antibody elution rbc reference
|
$76.50 |
$76.50 |
$76.50 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$153.54 |
$153.54 |
$153.54 |
$141.74
|
|
Antibody htlv-i
|
$32.76 |
$32.76 |
$32.76 |
$48.75
|
|
Antibody htlv-ii
|
$22.77 |
$22.77 |
$22.77 |
$35.22
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$282.42 |
$282.42 |
$282.42 |
$220.73
|
|
Antibody id rbc panel
|
$58.68 |
$58.68 |
$58.68 |
$291.75
|
|
Antibody influenza virus
|
$142.02 |
$142.02 |
$142.02 |
$53.95
|
|
Antibody screen rbc
|
$124.83 |
$124.83 |
$124.83 |
$105.00
|
|
Antibody tetanus
|
$134.01 |
$134.01 |
$134.01 |
$61.98
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$0.36 |
$0.36 |
$0.36 |
$3.12
|
|
Antihemophilic viii/vwf comp
|
$0.36 |
$0.36 |
$0.36 |
$2.75
|
|
Anti mog serum - sendout
|
$19.98 |
$19.98 |
$19.98 |
$140.62
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$18.45 |
$18.45 |
$18.45 |
$45.82
|
