|
11-desoxycortisol - sendout
|
$65.50 |
$65.50 |
$65.50 |
$88.89
|
|
17-hydroxypregnenolone
|
$51.50 |
$51.50 |
$51.50 |
$90.90
|
|
17-ketosteroids
|
$16.00 |
$16.00 |
$16.00 |
$55.00
|
|
24 hr ambulatory b/p monitor
|
$131.00 |
$131.00 |
$131.00 |
$313.04
|
|
3d ech img cgen car anomal
|
$490.50 |
$490.50 |
$490.50 |
$490.50
|
|
3-d radiotherapy plan
|
$3,679.50 |
$3,679.50 |
$3,679.50 |
$4,965.20
|
|
3d recon without postprocess indpndt
|
$1,908.50 |
$1,908.50 |
$1,908.50 |
$505.05
|
|
5' nucleotidase - sendout
|
$14.50 |
$14.50 |
$14.50 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$124.00 |
$124.00 |
$124.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$57.00 |
$57.00 |
$57.00 |
$53.90
|
|
Abd aorta w/runoff s&i
|
$3,583.00 |
$3,583.00 |
$3,583.00 |
$3,587.50
|
|
Abdominal CT scan (with and without contrast)
|
$2,569.00 |
$2,569.00 |
$2,569.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$2,273.00 |
$2,273.00 |
$2,273.00 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,967.00 |
$2,967.00 |
$2,967.00 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$2,625.00 |
$2,625.00 |
$2,625.00 |
$2,226.96
|
|
Abdominal MRI (without contrast)
|
$2,282.50 |
$2,282.50 |
$2,282.50 |
$2,048.36
|
|
Abdominal Ultrasound (complete)
|
$783.00 |
$783.00 |
$783.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$506.50 |
$506.50 |
$506.50 |
$581.10
|
|
Abl1 gene
|
$589.00 |
$589.00 |
$589.00 |
$683.20
|
|
Ablate arrhythmia add on
|
$1,384.50 |
$1,384.50 |
$1,384.50 |
$6,828.51
|
|
Ablate heart dysrhythm focus
|
$4,596.50 |
$4,596.50 |
$4,596.50 |
$9,476.33
|
|
Ablation cardiac vagal inputs atrium
|
$9,795.50 |
$9,795.50 |
$9,795.50 |
$2,260.30
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$77.75 |
$77.75 |
$77.75 |
$73.44
|
|
Acetaminophen level
|
$238.50 |
$238.50 |
$238.50 |
$111.00
|
|
Acetazolamide 500 mg solution for injection
|
$83.37 |
$83.37 |
$83.37 |
$122.55
|
|
Acetone qualitative
|
$72.00 |
$72.00 |
$72.00 |
$47.50
|
|
Acetylcholine receptor modulating antibody
|
$206.00 |
$206.00 |
$206.00 |
$66.28
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$204.62 |
$204.62 |
$204.62 |
$224.98
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$503.50 |
$503.50 |
$503.50 |
$344.10
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$87.50 |
$87.50 |
$87.50 |
$37.70
|
|
Acup 1/> without estim ea add 15
|
$43.00 |
$43.00 |
$43.00 |
$44.26
|
|
Acup 1/> wo estim 1st 15 min
|
$53.50 |
$53.50 |
$53.50 |
$52.80
|
|
Acute hepatitis panel
|
$33.00 |
$33.00 |
$33.00 |
$284.70
|
|
Acyclovir 400 mg tablet
|
$62.12 |
$62.12 |
$62.12 |
$54.77
|
|
#acylcarnitineprfl
|
$105.00 |
$105.00 |
$105.00 |
$118.85
|
|
Adenosine 3 mg/250 ml bag for osm
|
$11.62 |
$11.62 |
$11.62 |
$272.57
|
|
Adh-sendout
|
$34.00 |
$34.00 |
$34.00 |
$114.50
|
|
Administration chemotherapy IV infusion each additional hour
|
$211.00 |
$211.00 |
$211.00 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$211.00 |
$211.00 |
$211.00 |
$298.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$611.00 |
$611.00 |
$611.00 |
$647.50
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$219.50 |
$219.50 |
$219.50 |
$437.19
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$219.50 |
$219.50 |
$219.50 |
$210.96
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$219.50 |
$219.50 |
$219.50 |
$254.40
|
|
Administration immunization 1 vaccine
|
$55.00 |
$55.00 |
$55.00 |
$67.60
|
|
Administration immunization each additional vaccine
|
$55.00 |
$55.00 |
$55.00 |
$46.89
|
|
Aep neurodiagnostic i&r
|
$300.50 |
$300.50 |
$300.50 |
$583.80
|
|
_afb id by dna probe rflx ast
|
$104.50 |
$104.50 |
$104.50 |
$104.50
|
|
#afb mycobacteria suscep. #1
|
$17.50 |
$17.50 |
$17.50 |
$34.74
|
|
_afb org id by sequencing rflx ast-sendout
|
$111.50 |
$111.50 |
$111.50 |
$293.02
|
|
Albumin body fluid quantitative each specimen
|
$75.00 |
$75.00 |
$75.00 |
$47.45
|
|
Albumin (human), 25%, 50ml
|
$106.87 |
$106.87 |
$106.87 |
$235.92
|
|
Albumin (human), 5%, 250 ml
|
$174.37 |
$174.37 |
$174.37 |
$246.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$128.00 |
$128.00 |
$128.00 |
$57.60
|
|
Albumin serum plasma or whole blood
|
$75.00 |
$75.00 |
$75.00 |
$42.40
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$29.50 |
$29.50 |
$29.50 |
$94.90
|
|
Alkaline phosphatase
|
$134.50 |
$134.50 |
$134.50 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$17.00 |
$17.00 |
$17.00 |
$48.57
|
|
Allergen egg white ige
|
$88.50 |
$88.50 |
$88.50 |
$37.20
|
|
Allergen specific ige qual multi scrn ea
|
$21.00 |
$21.00 |
$21.00 |
$24.00
|
|
Allograft amnioexcel plus 17mm disk
|
$150.00 |
$150.00 |
$150.00 |
$507.30
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$189.69 |
$189.69 |
$189.69 |
$6,414.50
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$74.53 |
$74.53 |
$74.53 |
$21,790.11
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$178.13 |
$178.13 |
$178.13 |
$858.66
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$122.34 |
$122.34 |
$122.34 |
$4,677.40
|
|
Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm
|
$66.75 |
$66.75 |
$66.75 |
$1,777.39
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$112.50 |
$112.50 |
$112.50 |
$189.15
|
|
Alpha-fetoprotein amniotic
|
$10.00 |
$10.00 |
$10.00 |
$89.04
|
|
Alpha-fetoprotein tumor marker
|
$199.00 |
$199.00 |
$199.00 |
$103.80
|
|
Alteplase 100 mg infusion from pyxis vial
|
$11,088.50 |
$11,088.50 |
$11,088.50 |
$15,857.45
|
|
Alt/sgpt
|
$169.50 |
$169.50 |
$169.50 |
$47.40
|
|
Aluminum - quest
|
$18.50 |
$18.50 |
$18.50 |
$81.49
|
|
Amantadine (symmetrel)-sendout
|
$227.50 |
$227.50 |
$227.50 |
$179.70
|
|
Ambl bp mntr w/sw a/r
|
$131.00 |
$131.00 |
$131.00 |
$320.45
|
|
Amino acid screen, urine
|
$120.00 |
$120.00 |
$120.00 |
$77.00
|
|
Aminolevulinic acid delta
|
$26.50 |
$26.50 |
$26.50 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$46.25 |
$46.25 |
$46.25 |
$46.24
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$87.50 |
$87.50 |
$87.50 |
$114.96
|
|
Amiodarone 50 mg/ml intravenous solution
|
$3.75 |
$3.75 |
$3.75 |
$55.86
|
|
Amitriptyline (elavil) -sendout
|
$21.00 |
$21.00 |
$21.00 |
$84.56
|
|
Ammonia
|
$188.00 |
$188.00 |
$188.00 |
$119.70
|
|
Amniotic fluid scan
|
$17.50 |
$17.50 |
$17.50 |
$49.01
|
|
Amphetamine confirm urine -sendout
|
$66.50 |
$66.50 |
$66.50 |
$93.61
|
|
Amphetamines 5 or more
|
$130.00 |
$130.00 |
$130.00 |
$90.48
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$473.87 |
$473.87 |
$473.87 |
$519.03
|
|
Ampicillin 1 gram solution for injection
|
$29.37 |
$29.37 |
$29.37 |
$58.35
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$27.00 |
$27.00 |
$27.00 |
$54.57
|
|
Amylase
|
$134.00 |
$134.00 |
$134.00 |
$89.04
|
|
Ana ds-dna
|
$7.50 |
$7.50 |
$7.50 |
$55.25
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$276.00 |
$276.00 |
$276.00 |
$117.01
|
|
Anal/urinary muscle study
|
$458.00 |
$458.00 |
$458.00 |
$587.40
|
|
Analysis gene f2 20210g>a variant
|
$67.50 |
$67.50 |
$67.50 |
$222.05
|
|
Analysis gene f5 leiden variant
|
$67.50 |
$67.50 |
$67.50 |
$237.60
|
|
Analysis tumor
|
$312.00 |
$312.00 |
$312.00 |
$248.80
|
|
Anaplsma phgcytophlm amp prb
|
$33.50 |
$33.50 |
$33.50 |
$82.65
|
|
Anca screen with reflex to titer -quest
|
$52.00 |
$52.00 |
$52.00 |
$99.00
|
|
An fluoro guide for cvp
|
$392.50 |
$392.50 |
$392.50 |
$515.00
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$3,689.00 |
$3,689.00 |
$3,689.00 |
$2,792.09
|
|
Ankle X-ray
|
$377.50 |
$377.50 |
$377.50 |
$352.80
|
|
Antibody bacterium, not elsewhere specified
|
$75.00 |
$75.00 |
$75.00 |
$57.81
|
