|
11-desoxycortisol - sendout
|
$1,774.75 |
$1,774.75 |
$1,774.75 |
$84.56
|
|
17-ketosteroids
|
$3,564.93 |
$3,564.93 |
$3,564.93 |
$49.54
|
|
1 pc ost pou w built-in conv
|
$31.00 |
$31.00 |
$31.00 |
$11.05
|
|
2d tee w or without fol w/con,in
|
$8,861.30 |
$8,861.30 |
$8,861.30 |
$1,599.00
|
|
2d tte w or without fol w/con,co
|
$8,861.30 |
$8,861.30 |
$8,861.30 |
$1,155.75
|
|
5% dextrose and 0.45% saline
|
$377.22 |
$377.22 |
$377.22 |
$48.00
|
|
5' nucleotidase - sendout
|
$752.76 |
$752.76 |
$752.76 |
$47.72
|
|
88334 ap bill cytologic exam each additional site
|
$2,369.25 |
$2,369.25 |
$2,369.25 |
$94.50
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$591.58 |
$591.58 |
$591.58 |
$53.95
|
|
Abciximab injection
|
$15,880.83 |
$15,880.83 |
$15,880.83 |
$2,443.52
|
|
Abdominal MRI (with and without contrast)
|
$14,129.29 |
$14,129.29 |
$14,129.29 |
$2,992.50
|
|
Abdominal MRI (with contrast)
|
$10,953.14 |
$10,953.14 |
$10,953.14 |
$2,210.00
|
|
Abdominal MRI (without contrast)
|
$9,732.79 |
$9,732.79 |
$9,732.79 |
$1,979.51
|
|
Ablate arrhythmia add on
|
$20,736.17 |
$20,736.17 |
$20,736.17 |
$6,898.92
|
|
Ablate bone tumor(s) perq
|
$30,842.27 |
$30,842.27 |
$30,842.27 |
$9,350.33
|
|
Ablate heart dysrhythm focus
|
$30,134.65 |
$30,134.65 |
$30,134.65 |
$9,522.05
|
|
Ablation cardiac vagal inputs atrium
|
$9,158.82 |
$9,158.82 |
$9,158.82 |
$2,030.15
|
|
Absorpt drg >16 <=48 without bdr
|
$5.00 |
$5.00 |
$5.00 |
$5.70
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,611.93 |
$2,611.93 |
$2,611.93 |
$232.95
|
|
Acetylcysteine non-comp unit
|
$95.25 |
$95.25 |
$95.25 |
$31.21
|
|
Acute hepatitis panel
|
$1,507.25 |
$1,507.25 |
$1,507.25 |
$284.70
|
|
#acylcarnitineprfl
|
$1,243.17 |
$1,243.17 |
$1,243.17 |
$110.25
|
|
Acylcarnitines qual
|
$1,502.08 |
$1,502.08 |
$1,502.08 |
$45.60
|
|
Adenovirus ag ia
|
$1,404.37 |
$1,404.37 |
$1,404.37 |
$43.55
|
|
Adenovirus antibody,serum - quest
|
$787.06 |
$787.06 |
$787.06 |
$63.00
|
|
Adh-sendout
|
$2,134.84 |
$2,134.84 |
$2,134.84 |
$109.16
|
|
Administration vaccine hepatitis b
|
$227.13 |
$227.13 |
$227.13 |
$51.35
|
|
Administration vaccine influenza virus
|
$140.39 |
$140.39 |
$140.39 |
$48.00
|
|
Administration vaccine pneumococcal
|
$140.39 |
$140.39 |
$140.39 |
$48.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$403.76 |
$403.76 |
$403.76 |
$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
|
$183.48 |
$183.48 |
$183.48 |
$47.45
|
|
Albumin (human), 5%, 250 ml
|
$554.61 |
$554.61 |
$554.61 |
$234.36
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$797.36 |
$797.36 |
$797.36 |
$56.07
|
|
Albuterol ipratrop non-comp
|
$7.33 |
$7.33 |
$7.33 |
$5.19
|
|
Albuterol non-comp con
|
$19.84 |
$19.84 |
$19.84 |
$6.00
|
|
Albuterol non-comp unit
|
$17.24 |
$17.24 |
$17.24 |
$5.40
|
|
Allergen egg white ige
|
$366.94 |
$366.94 |
$366.94 |
$37.05
|
|
Allergen specific ige qual multi scrn ea
|
$535.00 |
$535.00 |
$535.00 |
$24.00
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$1,681.00 |
$1,681.00 |
$1,681.00 |
$5,401.92
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,174.58 |
$1,174.58 |
$1,174.58 |
$175.20
|
|
Alpha-fetoprotein amniotic
|
$737.34 |
$737.34 |
$737.34 |
$89.04
|
|
Aluminum - quest
|
$1,057.99 |
$1,057.99 |
$1,057.99 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$353.22 |
$353.22 |
$353.22 |
$174.75
|
|
Amino acid screen, urine
|
$1,087.14 |
$1,087.14 |
$1,087.14 |
$81.90
|
|
Aminolevulinic acid delta
|
$720.20 |
$720.20 |
$720.20 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$2,263.44 |
$2,263.44 |
$2,263.44 |
$87.45
|
|
Amniotic fluid scan
|
$821.36 |
$821.36 |
$821.36 |
$49.01
|
|
Ana ds-dna
|
$1,219.16 |
$1,219.16 |
$1,219.16 |
$56.50
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$1,286.06 |
$1,286.06 |
$1,286.06 |
$106.40
|
|
Analysis gene f2 20210g>a variant
|
$1,232.90 |
$1,232.90 |
$1,232.90 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,232.90 |
$1,232.90 |
$1,232.90 |
$230.40
|
|
Anastrozole 1 mg
|
$92.79 |
$92.79 |
$92.79 |
$22.40
|
|
An cholangiogram percutaneous compl
|
$7,251.20 |
$7,251.20 |
$7,251.20 |
$2,494.35
|
|
Angio balloon ctrl dialysis seg add-on
|
$13,682.93 |
$13,682.93 |
$13,682.93 |
$5,341.83
|
|
Anterior thoracic extension
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$503.00
|
|
Antibody elution rbc reference
|
$514.42 |
$514.42 |
$514.42 |
$173.60
|
|
Antibody htlv/hiv confirm test
|
$1,692.45 |
$1,692.45 |
$1,692.45 |
$130.00
|
|
Antibody id rbc panel
|
$1,735.31 |
$1,735.31 |
$1,735.31 |
$265.05
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$929.35 |
$929.35 |
$929.35 |
$39.00
|
|
Antinuclear antibodies titer
|
$1,754.17 |
$1,754.17 |
$1,754.17 |
$75.60
|
|
Antistreptolysin o screen
|
$836.78 |
$836.78 |
$836.78 |
$59.40
|
|
Antistreptolysin o titer
|
$836.78 |
$836.78 |
$836.78 |
$52.11
|
|
Antithrombin iii activity
|
$2,899.63 |
$2,899.63 |
$2,899.63 |
$114.00
|
|
Apheresis platelets
|
$2,264.08 |
$2,264.08 |
$2,264.08 |
$2,115.55
|
|
Apheresis rbc
|
$7,772.91 |
$7,772.91 |
$7,772.91 |
$3,146.15
|
|
Apheresis wbc
|
$7,772.91 |
$7,772.91 |
$7,772.91 |
$2,961.82
|
|
Application multi layer compression below knee (both sides)
|
$672.34 |
$672.34 |
$672.34 |
$360.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$394.08 |
$394.08 |
$394.08 |
$75.98
|
|
#aptt mix-1:1 incubated
|
$1,584.42 |
$1,584.42 |
$1,584.42 |
$152.75
|
|
Arformoterol non-comp unit
|
$74.52 |
$74.52 |
$74.52 |
$25.00
|
|
Argatroban esrd dialysis 1mg
|
$1,553.64 |
$1,553.64 |
$1,553.64 |
$934.80
|
|
Artery xray each vessel 7577426
|
$7,512.63 |
$7,512.63 |
$7,512.63 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$7,512.63 |
$7,512.63 |
$7,512.63 |
$4,294.50
|
|
Artery x-rays lung
|
$7,650.32 |
$7,650.32 |
$7,650.32 |
$3,158.72
|
|
Artery xrays of pelvis 75736 26
|
$7,512.63 |
$7,512.63 |
$7,512.63 |
$4,086.49
|
|
Aspirate bladder/sprapubic cath 51102
|
$14,133.45 |
$14,133.45 |
$14,133.45 |
$3,162.90
|
|
Assay acid phosphatase
|
$329.22 |
$329.22 |
$329.22 |
$38.22
|
|
Assay alkaline phosphatase
|
$728.76 |
$728.76 |
$728.76 |
$42.60
|
|
Assay of adp & amp
|
$1,586.13 |
$1,586.13 |
$1,586.13 |
$158.40
|
|
Assay of corticosterone
|
$571.00 |
$571.00 |
$571.00 |
$56.80
|
|
Assay of estrogen
|
$2,460.64 |
$2,460.64 |
$2,460.64 |
$185.60
|
|
Assay of feces for trypsin
|
$1,306.63 |
$1,306.63 |
$1,306.63 |
$13.70
|
|
Assay of feces porphyrins
|
$1,999.38 |
$1,999.38 |
$1,999.38 |
$158.00
|
|
Assay of interleukin-6 (il-6)
|
$675.60 |
$675.60 |
$675.60 |
$77.35
|
|
Assay of lap enzyme
|
$1,423.23 |
$1,423.23 |
$1,423.23 |
$70.00
|
|
Assay of pregnanetriol
|
$2,148.56 |
$2,148.56 |
$2,148.56 |
$59.45
|
|
Assay of procainamide
|
$651.60 |
$651.60 |
$651.60 |
$103.35
|
|
Assay of procainamide w/metab
|
$639.59 |
$639.59 |
$639.59 |
$70.50
|
|
Assay of progesterone
|
$2,913.33 |
$2,913.33 |
$2,913.33 |
$257.50
|
|
Assay of sialic acid
|
$781.91 |
$781.91 |
$781.91 |
$86.00
|
|
Assay of somatostatin
|
$1,610.14 |
$1,610.14 |
$1,610.14 |
$164.84
|
|
Assay of thiocyanate
|
$1,167.72 |
$1,167.72 |
$1,167.72 |
$62.72
|
|
Assay of urine sulfate
|
$342.95 |
$342.95 |
$342.95 |
$28.20
|
|
Assay phosphatidylglycerol
|
$1,954.79 |
$1,954.79 |
$1,954.79 |
$134.16
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$969.88 |
$969.88 |
$969.88 |
$288.60
|
|
Atropine 0.1 mg/ml injection syringe
|
$54.80 |
$54.80 |
$54.80 |
$52.65
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$1,133.61 |
$1,133.61 |
$1,133.61 |
$179.35
|
|
Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic
|
$30,842.27 |
$30,842.27 |
$30,842.27 |
$10,384.40
|
|
Azathioprine 50 mg tablet
|
$31.23 |
$31.23 |
$31.23 |
$3.53
|
