|
11-desoxycortisol - sendout
|
$1,110.92 |
$1,110.92 |
$1,110.92 |
$84.56
|
|
17-ketosteroids
|
$846.42 |
$846.42 |
$846.42 |
$49.54
|
|
1pc ost pch drain hgh output
|
$309.00 |
$309.00 |
$309.00 |
$8.40
|
|
1 pc ost pou w built-in conv
|
$60.00 |
$60.00 |
$60.00 |
$11.05
|
|
2d tee w or without fol w/con,in
|
$6,528.04 |
$6,528.04 |
$6,528.04 |
$1,599.00
|
|
5' nucleotidase - sendout
|
$905.75 |
$905.75 |
$905.75 |
$48.60
|
|
88334 ap bill cytologic exam each additional site
|
$123.43 |
$123.43 |
$123.43 |
$94.50
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$227.65 |
$227.65 |
$227.65 |
$53.95
|
|
Abciximab injection
|
$12,736.86 |
$12,736.86 |
$12,736.86 |
$2,443.52
|
|
Abd aorta w/runoff s&i
|
$5,030.37 |
$5,030.37 |
$5,030.37 |
$3,526.50
|
|
Abd/low ext cath addl
|
$885.21 |
$885.21 |
$885.21 |
$964.70
|
|
Abdominal MRI (with and without contrast)
|
$17,223.98 |
$17,223.98 |
$17,223.98 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$10,672.81 |
$10,672.81 |
$10,672.81 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$11,709.41 |
$11,709.41 |
$11,709.41 |
$1,993.50
|
|
Ablate arrhythmia add on
|
$25,642.11 |
$25,642.11 |
$25,642.11 |
$6,913.20
|
|
Ablate bone tumor(s) perq
|
$50,138.61 |
$50,138.61 |
$50,138.61 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$40,545.17 |
$40,545.17 |
$40,545.17 |
$9,522.05
|
|
Abscess drain retroperitoneal surg code
|
$6,159.52 |
$6,159.52 |
$6,159.52 |
$2,903.45
|
|
Absorpt drg >16 <=48 without bdr
|
$3.00 |
$3.00 |
$3.00 |
$5.70
|
|
Acetylcholine receptor modulating antibody
|
$56.22 |
$56.22 |
$56.22 |
$62.50
|
|
Acetylcholinesterase assay
|
$841.62 |
$841.62 |
$841.62 |
$112.00
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,525.45 |
$2,525.45 |
$2,525.45 |
$243.01
|
|
Acetylcysteine non-comp unit
|
$269.76 |
$269.76 |
$269.76 |
$31.21
|
|
#acylcarnitineprfl
|
$692.52 |
$692.52 |
$692.52 |
$110.25
|
|
Acylcarnitines qual
|
$97.64 |
$97.64 |
$97.64 |
$45.60
|
|
Adalimumab injection
|
$15,225.38 |
$15,225.38 |
$15,225.38 |
$6,853.40
|
|
Adenovirus antibody,serum - quest
|
$458.47 |
$458.47 |
$458.47 |
$63.00
|
|
Adh-sendout
|
$2,508.81 |
$2,508.81 |
$2,508.81 |
$109.28
|
|
Administration vaccine hepatitis b
|
$148.49 |
$148.49 |
$148.49 |
$51.35
|
|
Administration vaccine influenza virus
|
$148.49 |
$148.49 |
$148.49 |
$48.35
|
|
Administration vaccine pneumococcal
|
$148.49 |
$148.49 |
$148.49 |
$48.00
|
|
_afb id by dna probe rflx ast
|
$517.78 |
$517.78 |
$517.78 |
$93.52
|
|
_afb org id by sequencing rflx ast-sendout
|
$498.82 |
$498.82 |
$498.82 |
$295.94
|
|
Afo molded to patient plasti
|
$4,199.00 |
$4,199.00 |
$4,199.00 |
$757.77
|
|
Afo rig ant tib tcf/= custom
|
$7,956.00 |
$7,956.00 |
$7,956.00 |
$1,843.53
|
|
Albumin, human 5 % intravenous solution
|
$1,321.94 |
$1,321.94 |
$1,321.94 |
$296.32
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$1,498.88 |
$1,498.88 |
$1,498.88 |
$57.20
|
|
Albuterol ipratrop non-comp
|
$77.62 |
$77.62 |
$77.62 |
$5.40
|
|
Albuterol non-comp con
|
$29.56 |
$29.56 |
$29.56 |
$6.00
|
|
Aldesleukin injection
|
$30,233.70 |
$30,233.70 |
$30,233.70 |
$9,030.11
|
|
Allergen egg white ige
|
$355.88 |
$355.88 |
$355.88 |
$37.05
|
|
Allergen specific ige qual multi scrn ea
|
$1,282.46 |
$1,282.46 |
$1,282.46 |
$24.00
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$5,526.00 |
$5,526.00 |
$5,526.00 |
$676.69
|
|
Alpha-fetoprotein amniotic
|
$1,149.39 |
$1,149.39 |
$1,149.39 |
$89.04
|
|
Aluminum - quest
|
$1,128.55 |
$1,128.55 |
$1,128.55 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$540.23 |
$540.23 |
$540.23 |
$174.75
|
|
Amifostine
|
$10,301.40 |
$10,301.40 |
$10,301.40 |
$2,121.39
|
|
Aminolevulinic acid delta
|
$897.72 |
$897.72 |
$897.72 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$56.11 |
$56.11 |
$56.11 |
$89.05
|
|
Amniotic fluid scan
|
$1,285.67 |
$1,285.67 |
$1,285.67 |
$49.01
|
|
Amphotericin b lipid complex
|
$64.71 |
$64.71 |
$64.71 |
$226.80
|
|
Ana ds-dna
|
$602.75 |
$602.75 |
$602.75 |
$56.50
|
|
Analysis gene f2 20210g>a variant
|
$2,109.65 |
$2,109.65 |
$2,109.65 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$2,109.65 |
$2,109.65 |
$2,109.65 |
$236.00
|
|
Anastrozole 1 mg
|
$9.01 |
$9.01 |
$9.01 |
$22.40
|
|
Anca screen with reflex to titer -quest
|
$1,481.23 |
$1,481.23 |
$1,481.23 |
$101.50
|
|
Angioplasty fem/pop unilat 37224
|
$24,505.28 |
$24,505.28 |
$24,505.28 |
$8,916.37
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$24,578.74 |
$24,578.74 |
$24,578.74 |
$10,173.90
|
|
Angio tib/peroneal/init ves/unila 37228
|
$39,853.45 |
$39,853.45 |
$39,853.45 |
$10,413.45
|
|
Angio trnslmnl balloon same vein ea addl
|
$10,007.44 |
$10,007.44 |
$10,007.44 |
$4,438.34
|
|
Anidulafungin injection
|
$1,316.81 |
$1,316.81 |
$1,316.81 |
$312.30
|
|
Anterior thoracic extension
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$503.00
|
|
Antibody htlv/hiv confirm test
|
$1,553.38 |
$1,553.38 |
$1,553.38 |
$130.00
|
|
Antibody htlv-i
|
$245.28 |
$245.28 |
$245.28 |
$49.53
|
|
Antibody htlv-ii
|
$245.28 |
$245.28 |
$245.28 |
$42.76
|
|
Antibody tetanus
|
$298.18 |
$298.18 |
$298.18 |
$48.57
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$10,849.37 |
$10,849.37 |
$10,849.37 |
$6.57
|
|
Anti-inhibitor
|
$45.63 |
$45.63 |
$45.63 |
$8.33
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$66.06 |
$66.06 |
$66.06 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$66.06 |
$66.06 |
$66.06 |
$39.00
|
|
Antinuclear antibodies titer
|
$838.41 |
$838.41 |
$838.41 |
$75.60
|
|
Antipsychotics nos 1-3
|
$99.39 |
$99.39 |
$99.39 |
$153.45
|
|
Antistreptolysin o screen
|
$509.78 |
$509.78 |
$509.78 |
$59.40
|
|
Antistreptolysin o titer
|
$1,801.84 |
$1,801.84 |
$1,801.84 |
$52.50
|
|
Antithrombin iii activity
|
$1,051.62 |
$1,051.62 |
$1,051.62 |
$114.00
|
|
Antithrombin iii injection
|
$41.79 |
$41.79 |
$41.79 |
$12.34
|
|
Anti-thymocyte glob (equine)(1:1000) intradermal test dose
|
$15,266.83 |
$15,266.83 |
$15,266.83 |
$7,704.70
|
|
Apheresis immunoads slctv
|
$19,924.64 |
$19,924.64 |
$19,924.64 |
$5,544.24
|
|
Apheresis platelets
|
$1,959.35 |
$1,959.35 |
$1,959.35 |
$2,115.55
|
|
Application finger splntstatic 29130
|
$195.99 |
$195.99 |
$195.99 |
$204.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$142.14 |
$142.14 |
$142.14 |
$66.00
|
|
#aptt mix-1:1 incubated
|
$1,139.78 |
$1,139.78 |
$1,139.78 |
$147.66
|
|
Aqaprn-4 antb flo cytmtry ea
|
$1,309.71 |
$1,309.71 |
$1,309.71 |
$231.66
|
|
Aquaporin-4 antibody elisa
|
$2,694.74 |
$2,694.74 |
$2,694.74 |
$148.85
|
|
Arformoterol non-comp unit
|
$357.12 |
$357.12 |
$357.12 |
$25.00
|
|
Art bypass femoral-femoral 35661
|
$17,957.93 |
$17,957.93 |
$17,957.93 |
$5,291.20
|
|
Arterial blood draw/perc 36620
|
$4,183.70 |
$4,183.70 |
$4,183.70 |
$462.39
|
|
Artery x-rays arms/legs 75716-26
|
$5,856.35 |
$5,856.35 |
$5,856.35 |
$3,724.63
|
|
Artery x-rays chest
|
$5,587.23 |
$5,587.23 |
$5,587.23 |
$2,628.15
|
|
Artery x-rays lung
|
$5,111.97 |
$5,111.97 |
$5,111.97 |
$3,158.72
|
|
Artery x-rays spine
|
$10,706.36 |
$10,706.36 |
$10,706.36 |
$4,294.50
|
|
Assay acid phosphatase
|
$577.11 |
$577.11 |
$577.11 |
$38.22
|
|
Assay blood catecholamines
|
$1,696.03 |
$1,696.03 |
$1,696.03 |
$130.00
|
|
Assay of adp & amp
|
$1,481.23 |
$1,481.23 |
$1,481.23 |
$162.18
|
|
Assay of chloramphenicol
|
$306.18 |
$306.18 |
$306.18 |
$70.56
|
|
Assay of estrogen
|
$1,835.52 |
$1,835.52 |
$1,835.52 |
$185.60
|
|
Assay of feces for trypsin
|
$1,115.74 |
$1,115.74 |
$1,115.74 |
$13.70
|
|
Assay of interleukin-6 (il-6)
|
$932.99 |
$932.99 |
$932.99 |
$77.35
|
|
Assay of lap enzyme
|
$722.97 |
$722.97 |
$722.97 |
$70.00
|
|
Assay of neonatal thyroxine
|
$900.93 |
$900.93 |
$900.93 |
$17.72
|
