|
11-desoxycortisol - sendout
|
$1,051.92 |
$1,051.92 |
$1,051.92 |
$87.50
|
|
17-ketosteroids
|
$1,133.71 |
$1,133.71 |
$1,133.71 |
$55.00
|
|
2d tee w or without fol w/con,in
|
$5,963.26 |
$5,963.26 |
$5,963.26 |
$1,624.70
|
|
5% dextrose and 0.45% saline
|
$716.75 |
$716.75 |
$716.75 |
$48.00
|
|
5' nucleotidase - sendout
|
$636.59 |
$636.59 |
$636.59 |
$50.40
|
|
88334 ap bill cytologic exam each additional site
|
$84.07 |
$84.07 |
$84.07 |
$97.65
|
|
Abciximab injection
|
$11,366.68 |
$11,366.68 |
$11,366.68 |
$2,443.52
|
|
Abdominal CT scan (with and without contrast)
|
$6,392.00 |
$6,392.00 |
$6,392.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$5,439.43 |
$5,439.43 |
$5,439.43 |
$1,680.60
|
|
Abdominal CT scan (without contrast)
|
$5,078.49 |
$5,078.49 |
$5,078.49 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$8,712.62 |
$8,712.62 |
$8,712.62 |
$3,015.94
|
|
Abdominal MRI (with contrast)
|
$8,554.03 |
$8,554.03 |
$8,554.03 |
$2,268.20
|
|
Abdominal MRI (without contrast)
|
$8,554.03 |
$8,554.03 |
$8,554.03 |
$2,050.14
|
|
Abdominal Ultrasound (complete)
|
$3,603.34 |
$3,603.34 |
$3,603.34 |
$785.55
|
|
Abdominal Ultrasound (limited)
|
$3,603.34 |
$3,603.34 |
$3,603.34 |
$590.00
|
|
Ablate arrhythmia add on
|
$3,179.22 |
$3,179.22 |
$3,179.22 |
$6,898.92
|
|
Ablate heart dysrhythm focus
|
$29,809.32 |
$29,809.32 |
$29,809.32 |
$9,522.05
|
|
Ablation cardiac vagal inputs atrium
|
$869.18 |
$869.18 |
$869.18 |
$1,960.80
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$432.84 |
$432.84 |
$432.84 |
$74.96
|
|
Acetaminophen level
|
$653.00 |
$653.00 |
$653.00 |
$107.62
|
|
Acetazolamide 500 mg solution for injection
|
$144.29 |
$144.29 |
$144.29 |
$122.55
|
|
Acetone qualitative
|
$291.92 |
$291.92 |
$291.92 |
$45.65
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,254.20 |
$2,254.20 |
$2,254.20 |
$216.00
|
|
Acetylcysteine non-comp unit
|
$240.71 |
$240.71 |
$240.71 |
$31.21
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$705.11 |
$705.11 |
$705.11 |
$345.15
|
|
Acute hepatitis panel
|
$2,324.70 |
$2,324.70 |
$2,324.70 |
$291.00
|
|
#acylcarnitineprfl
|
$1,679.71 |
$1,679.71 |
$1,679.71 |
$125.40
|
|
Acylcarnitines qual
|
$1,338.90 |
$1,338.90 |
$1,338.90 |
$52.80
|
|
Adenovirus antibody,serum - quest
|
$1,197.90 |
$1,197.90 |
$1,197.90 |
$63.00
|
|
Adh-sendout
|
$1,753.09 |
$1,753.09 |
$1,753.09 |
$109.28
|
|
Administration immunization each additional vaccine
|
$211.32 |
$211.32 |
$211.32 |
$47.40
|
|
Administration vaccine hepatitis b
|
$321.44 |
$321.44 |
$321.44 |
$54.40
|
|
_afb id by dna probe rflx ast
|
$508.57 |
$508.57 |
$508.57 |
$93.52
|
|
Afo molded to patient plasti
|
$4,199.00 |
$4,199.00 |
$4,199.00 |
$710.45
|
|
Afo rig ant tib tcf/= custom
|
$7,956.00 |
$7,956.00 |
$7,956.00 |
$1,868.94
|
|
Airway resistance by impulse oscillometry 94728
|
$1,102.43 |
$1,102.43 |
$1,102.43 |
$270.50
|
|
Albumin body fluid quantitative each specimen
|
$397.00 |
$397.00 |
$397.00 |
$46.20
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$564.36 |
$564.36 |
$564.36 |
$56.07
|
|
Albumin serum plasma or whole blood
|
$433.30 |
$433.30 |
$433.30 |
$40.45
|
|
Albuterol ipratrop non-comp
|
$70.57 |
$70.57 |
$70.57 |
$5.40
|
|
Albuterol non-comp con
|
$28.49 |
$28.49 |
$28.49 |
$6.07
|
|
Albuterol non-comp unit
|
$19.85 |
$19.85 |
$19.85 |
$5.61
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$913.99 |
$913.99 |
$913.99 |
$93.60
|
|
Alkaline phosphatase
|
$556.34 |
$556.34 |
$556.34 |
$46.40
|
|
Allergen egg white ige
|
$190.29 |
$190.29 |
$190.29 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$2,144.36 |
$2,144.36 |
$2,144.36 |
$24.01
|
|
Alpha-fetoprotein amniotic
|
$785.98 |
$785.98 |
$785.98 |
$96.20
|
|
Alprostadil for injection
|
$1,275.31 |
$1,275.31 |
$1,275.31 |
$519.93
|
|
Alt/sgpt
|
$613.65 |
$613.65 |
$613.65 |
$47.45
|
|
Aluminum - quest
|
$785.98 |
$785.98 |
$785.98 |
$83.05
|
|
Alys cplx sp/pn npgt w/prgrm
|
$793.16 |
$793.16 |
$793.16 |
$434.00
|
|
Amantadine (symmetrel)-sendout
|
$901.00 |
$901.00 |
$901.00 |
$169.80
|
|
Amino acid screen, urine
|
$877.69 |
$877.69 |
$877.69 |
$102.00
|
|
Aminolevulinic acid delta
|
$817.31 |
$817.31 |
$817.31 |
$85.15
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$108.62 |
$108.62 |
$108.62 |
$119.07
|
|
Amitriptyline (elavil) -sendout
|
$941.87 |
$941.87 |
$941.87 |
$87.45
|
|
Ammonia
|
$653.00 |
$653.00 |
$653.00 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$662.95 |
$662.95 |
$662.95 |
$92.61
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$3,648.43 |
$3,648.43 |
$3,648.43 |
$543.85
|
|
Ana ds-dna
|
$868.14 |
$868.14 |
$868.14 |
$56.50
|
|
Analysis gene f2 20210g>a variant
|
$1,997.62 |
$1,997.62 |
$1,997.62 |
$219.60
|
|
Analysis gene f5 leiden variant
|
$1,991.51 |
$1,991.51 |
$1,991.51 |
$230.40
|
|
Anaplsma phgcytophlm amp prb
|
$1,186.43 |
$1,186.43 |
$1,186.43 |
$85.80
|
|
Angiotensin ii
|
$946.85 |
$946.85 |
$946.85 |
$55.44
|
|
Anterior thoracic extension
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$496.80
|
|
Antibody elution rbc reference
|
$708.80 |
$708.80 |
$708.80 |
$175.50
|
|
Antibody htlv-i
|
$541.44 |
$541.44 |
$541.44 |
$49.53
|
|
Antibody lymphocytic choriomeningitis
|
$300.34 |
$300.34 |
$300.34 |
$48.57
|
|
Antidepressant not specified
|
$849.80 |
$849.80 |
$849.80 |
$61.80
|
|
Antinuclear antibodies
|
$707.28 |
$707.28 |
$707.28 |
$89.40
|
|
Antinuclear antibodies titer
|
$776.05 |
$776.05 |
$776.05 |
$76.70
|
|
Antistreptolysin o titer
|
$815.40 |
$815.40 |
$815.40 |
$51.45
|
|
Antithrombin iii activity
|
$1,204.38 |
$1,204.38 |
$1,204.38 |
$114.00
|
|
Appl modality 1/> areas paraffin bath 97018
|
$348.60 |
$348.60 |
$348.60 |
$66.00
|
|
Appl modality 1/> areas vasopneumatic devices 97016
|
$241.34 |
$241.34 |
$241.34 |
$75.60
|
|
#aptt mix-1:1 incubated
|
$908.63 |
$908.63 |
$908.63 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$974.96 |
$974.96 |
$974.96 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$39.87 |
$39.87 |
$39.87 |
$138.16
|
|
Aquaporin-4 antibody elisa
|
$772.99 |
$772.99 |
$772.99 |
$148.80
|
|
Aquatic exercise - group charge
|
$632.55 |
$632.55 |
$632.55 |
$85.80
|
|
Arformoterol non-comp unit
|
$318.57 |
$318.57 |
$318.57 |
$25.00
|
|
Artery xray each vessel 7577426
|
$4,566.33 |
$4,566.33 |
$4,566.33 |
$1,844.46
|
|
Artery xray of abdomen 75726-26
|
$15,845.01 |
$15,845.01 |
$15,845.01 |
$4,446.00
|
|
Artery x-rays chest
|
$10,494.28 |
$10,494.28 |
$10,494.28 |
$2,870.00
|
|
Aspirate pleura without imaging 32554
|
$1,621.88 |
$1,621.88 |
$1,621.88 |
$1,207.20
|
|
Assay acid phosphatase
|
$594.16 |
$594.16 |
$594.16 |
$38.22
|
|
Assay blood catecholamines
|
$1,721.00 |
$1,721.00 |
$1,721.00 |
$148.00
|
|
Assay of corticosterone
|
$528.45 |
$528.45 |
$528.45 |
$56.80
|
|
Assay of estrogen
|
$1,850.90 |
$1,850.90 |
$1,850.90 |
$208.74
|
|
Assay of interleukin-6 (il-6)
|
$772.99 |
$772.99 |
$772.99 |
$79.97
|
|
Assay of neonatal thyroxine
|
$490.61 |
$490.61 |
$490.61 |
$19.06
|
|
Assay of procainamide
|
$731.72 |
$731.72 |
$731.72 |
$114.91
|
|
Assay of quinine
|
$790.95 |
$790.95 |
$790.95 |
$29.60
|
|
Assay phosphatidylglycerol
|
$1,555.92 |
$1,555.92 |
$1,555.92 |
$134.16
|
|
Assay toxin or antitoxin
|
$52.41 |
$52.41 |
$52.41 |
$75.90
|
|
Assess aphasia/interp/rpt/per hr 96105
|
$690.95 |
$690.95 |
$690.95 |
$292.50
|
|
Ast/sgot
|
$612.12 |
$612.12 |
$612.12 |
$45.65
|
|
Attn at delivery+ 1 stabilization of newborn 99464
|
$415.59 |
$415.59 |
$415.59 |
$186.60
|
|
Autologous blood process
|
$3,051.44 |
$3,051.44 |
$3,051.44 |
$262.50
|
|
Autopsy (necropsy) complete
|
$2,503.53 |
$2,503.53 |
$2,503.53 |
$1,187.34
|
