|
11-desoxycortisol - sendout
|
$1,546.67 |
$1,546.67 |
$1,546.67 |
$84.56
|
|
17-ketosteroids
|
$3,106.73 |
$3,106.73 |
$3,106.73 |
$51.85
|
|
5% dextrose and 0.45% saline
|
$377.29 |
$377.29 |
$377.29 |
$48.00
|
|
5' nucleotidase - sendout
|
$654.99 |
$654.99 |
$654.99 |
$50.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$516.54 |
$516.54 |
$516.54 |
$53.95
|
|
Abciximab injection
|
$17,392.84 |
$17,392.84 |
$17,392.84 |
$2,443.52
|
|
Abdominal CT scan (with and without contrast)
|
$9,771.14 |
$9,771.14 |
$9,771.14 |
$1,992.00
|
|
Abdominal CT scan (with contrast)
|
$8,427.73 |
$8,427.73 |
$8,427.73 |
$1,669.00
|
|
Abdominal CT scan (without contrast)
|
$7,106.17 |
$7,106.17 |
$7,106.17 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$10,844.07 |
$10,844.07 |
$10,844.07 |
$2,999.67
|
|
Abdominal MRI (with contrast)
|
$7,816.66 |
$7,816.66 |
$7,816.66 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$8,521.13 |
$8,521.13 |
$8,521.13 |
$2,048.36
|
|
Abdominal Ultrasound (complete)
|
$2,497.39 |
$2,497.39 |
$2,497.39 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$1,561.72 |
$1,561.72 |
$1,561.72 |
$590.00
|
|
Ablate arrhythmia add on
|
$19,921.84 |
$19,921.84 |
$19,921.84 |
$6,898.92
|
|
Ablate heart dysrhythm focus
|
$42,359.85 |
$42,359.85 |
$42,359.85 |
$9,448.96
|
|
Absorpt drg >16 <=48 without bdr
|
$5.00 |
$5.00 |
$5.00 |
$5.70
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$105.90 |
$105.90 |
$105.90 |
$75.72
|
|
Acetazolamide 500 mg solution for injection
|
$276.31 |
$276.31 |
$276.31 |
$113.44
|
|
Acetone qualitative
|
$241.16 |
$241.16 |
$241.16 |
$44.70
|
|
Acetylcholine receptor modulating antibody
|
$380.83 |
$380.83 |
$380.83 |
$62.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,718.05 |
$1,718.05 |
$1,718.05 |
$229.96
|
|
Acetylcysteine non-comp unit
|
$98.83 |
$98.83 |
$98.83 |
$31.21
|
|
Aco annual medicare visit (awv), initial g0438aco
|
$152.00 |
$152.00 |
$152.00 |
$243.00
|
|
Aco annual medicare visit (awv), subsq g0439aco
|
$113.00 |
$113.00 |
$113.00 |
$160.69
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$93.34 |
$93.34 |
$93.34 |
$39.70
|
|
Acute hepatitis panel
|
$1,312.97 |
$1,312.97 |
$1,312.97 |
$285.35
|
|
Adenovirus ag ia
|
$1,225.12 |
$1,225.12 |
$1,225.12 |
$43.55
|
|
Adenovirus antibody,serum - quest
|
$3,213.91 |
$3,213.91 |
$3,213.91 |
$63.00
|
|
Adh-sendout
|
$1,859.28 |
$1,859.28 |
$1,859.28 |
$109.28
|
|
Administration immunization each additional vaccine
|
$92.09 |
$92.09 |
$92.09 |
$46.23
|
|
Administration vaccine influenza virus
|
$122.32 |
$122.32 |
$122.32 |
$48.35
|
|
Administration vaccine pneumococcal
|
$122.32 |
$122.32 |
$122.32 |
$48.49
|
|
_afb id by dna probe rflx ast
|
$529.95 |
$529.95 |
$529.95 |
$95.28
|
|
_afb org id by sequencing rflx ast-sendout
|
$529.95 |
$529.95 |
$529.95 |
$295.70
|
|
Afo, walk boot type, cus fab
|
$16,420.67 |
$16,420.67 |
$16,420.67 |
$2,903.60
|
|
Albumin body fluid quantitative each specimen
|
$160.77 |
$160.77 |
$160.77 |
$46.20
|
|
Albumin (human), 5%, 250 ml
|
$554.61 |
$554.61 |
$554.61 |
$239.70
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$693.69 |
$693.69 |
$693.69 |
$57.20
|
|
Albumin serum plasma or whole blood
|
$291.79 |
$291.79 |
$291.79 |
$41.02
|
|
Albuterol ipratrop non-comp
|
$7.34 |
$7.34 |
$7.34 |
$5.40
|
|
Albuterol non-comp unit
|
$18.90 |
$18.90 |
$18.90 |
$5.61
|
|
Alkaline phosphatase
|
$552.28 |
$552.28 |
$552.28 |
$46.80
|
|
Allergen egg white ige
|
$321.55 |
$321.55 |
$321.55 |
$37.20
|
|
Allergen specific ige qual multi scrn ea
|
$464.46 |
$464.46 |
$464.46 |
$23.91
|
|
Alpha-fetoprotein amniotic
|
$643.08 |
$643.08 |
$643.08 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$643.08 |
$643.08 |
$643.08 |
$103.62
|
|
Alt/sgpt
|
$379.60 |
$379.60 |
$379.60 |
$48.80
|
|
Aluminum - quest
|
$924.43 |
$924.43 |
$924.43 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$306.65 |
$306.65 |
$306.65 |
$173.16
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$236.73 |
$236.73 |
$236.73 |
$40.28
|
|
Amino acid screen, urine
|
$946.76 |
$946.76 |
$946.76 |
$81.90
|
|
Aminolevulinic acid delta
|
$625.21 |
$625.21 |
$625.21 |
$84.00
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$213.49 |
$213.49 |
$213.49 |
$45.02
|
|
Amitriptyline (elavil) -sendout
|
$966.12 |
$966.12 |
$966.12 |
$89.05
|
|
Ammonia
|
$468.92 |
$468.92 |
$468.92 |
$118.83
|
|
Amniotic fluid scan
|
$716.01 |
$716.01 |
$716.01 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$282.86 |
$282.86 |
$282.86 |
$92.61
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$339.54 |
$339.54 |
$339.54 |
$117.75
|
|
Amphotericin b lipid complex
|
$5,042.69 |
$5,042.69 |
$5,042.69 |
$226.80
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,867.10 |
$1,867.10 |
$1,867.10 |
$558.95
|
|
Ana ds-dna
|
$1,062.86 |
$1,062.86 |
$1,062.86 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1,137.29 |
$1,137.29 |
$1,137.29 |
$106.70
|
|
Analysis gene f2 20210g>a variant
|
$1,073.28 |
$1,073.28 |
$1,073.28 |
$221.50
|
|
Analysis gene f5 leiden variant
|
$1,073.28 |
$1,073.28 |
$1,073.28 |
$236.00
|
|
Anastrozole 1 mg
|
$96.29 |
$96.29 |
$96.29 |
$22.40
|
|
Anora (draw only)
|
$235.20 |
$235.20 |
$235.20 |
$33.83
|
|
Anterior thoracic extension
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$503.00
|
|
Antibody elution rbc reference
|
$446.59 |
$446.59 |
$446.59 |
$175.50
|
|
Antibody htlv/hiv confirm test
|
$1,475.21 |
$1,475.21 |
$1,475.21 |
$130.00
|
|
Antibody id rbc panel
|
$1,512.43 |
$1,512.43 |
$1,512.43 |
$271.70
|
|
Antibody screen rbc
|
$379.60 |
$379.60 |
$379.60 |
$100.00
|
|
Anti mog serum - sendout
|
$854.07 |
$854.07 |
$854.07 |
$161.40
|
|
Antinuclear antibodies titer
|
$1,530.30 |
$1,530.30 |
$1,530.30 |
$74.75
|
|
Antipsychotics nos 1-3
|
$473.38 |
$473.38 |
$473.38 |
$153.45
|
|
Antistreptolysin o screen
|
$727.94 |
$727.94 |
$727.94 |
$59.40
|
|
Antistreptolysin o titer
|
$727.94 |
$727.94 |
$727.94 |
$51.45
|
|
Antithrombin iii activity
|
$2,524.69 |
$2,524.69 |
$2,524.69 |
$114.00
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$15,498.81 |
$15,498.81 |
$15,498.81 |
$7,544.81
|
|
Apheresis platelets
|
$2,115.55 |
$2,115.55 |
$2,115.55 |
$2,115.55
|
|
Apheresis rbc
|
$7,262.64 |
$7,262.64 |
$7,262.64 |
$3,146.15
|
|
Apheresis wbc
|
$7,262.64 |
$7,262.64 |
$7,262.64 |
$2,961.82
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$294.11 |
$294.11 |
$294.11 |
$75.98
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,227.53 |
$1,227.53 |
$1,227.53 |
$231.66
|
|
Arformoterol non-comp unit
|
$77.33 |
$77.33 |
$77.33 |
$25.00
|
|
Argatroban esrd dialysis 1mg
|
$3,395.64 |
$3,395.64 |
$3,395.64 |
$934.80
|
|
Arterial blood draw/perc 36620
|
$4,026.10 |
$4,026.10 |
$4,026.10 |
$475.30
|
|
Artery xray each vessel 7577426
|
$7,754.84 |
$7,754.84 |
$7,754.84 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$7,754.84 |
$7,754.84 |
$7,754.84 |
$4,337.45
|
|
Artery x-rays lung
|
$8,622.19 |
$8,622.19 |
$8,622.19 |
$3,150.00
|
|
Artery x-rays lung
|
$12,081.18 |
$12,081.18 |
$12,081.18 |
$2,427.50
|
|
Artery xrays of pelvis 75736 26
|
$7,754.84 |
$7,754.84 |
$7,754.84 |
$4,080.20
|
|
Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right
|
$1,585.11 |
$1,585.11 |
$1,585.11 |
$588.53
|
|
Assay acid phosphatase
|
$285.83 |
$285.83 |
$285.83 |
$38.22
|
|
Assay of adp & amp
|
$1,381.43 |
$1,381.43 |
$1,381.43 |
$162.18
|
|
Assay of cathepsin-d
|
$872.33 |
$872.33 |
$872.33 |
$26.75
|
|
Assay of corticosterone
|
$497.19 |
$497.19 |
$497.19 |
$56.80
|
|
Assay of estrogen
|
$2,143.60 |
$2,143.60 |
$2,143.60 |
$185.60
|
|
Assay of glutathione
|
$208.40 |
$208.40 |
$208.40 |
$74.80
|
|
Assay of interleukin-6 (il-6)
|
$232.24 |
$232.24 |
$232.24 |
$80.00
|
