|
17-hydroxypregnenolone
|
$713.00 |
$713.00 |
$713.00 |
$87.50
|
|
5' nucleotidase - sendout
|
$335.00 |
$335.00 |
$335.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$377.00 |
$377.00 |
$377.00 |
$97.65
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$7,127.00 |
$7,127.00 |
$7,127.00 |
$3,627.00
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$574.00 |
$574.00 |
$574.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$9,956.00 |
$9,956.00 |
$9,956.00 |
$3,724.63
|
|
Abdominal MRI (with and without contrast)
|
$7,824.00 |
$7,824.00 |
$7,824.00 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$7,584.00 |
$7,584.00 |
$7,584.00 |
$1,975.74
|
|
Acetaminophen 10 mg/ml soln 100 ml glass cont
|
$56.00 |
$56.00 |
$56.00 |
$74.96
|
|
Acetone qualitative
|
$222.00 |
$222.00 |
$222.00 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$501.00 |
$501.00 |
$501.00 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$306.72
|
|
Acute hepatitis panel
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$284.70
|
|
Adh-sendout
|
$976.00 |
$976.00 |
$976.00 |
$109.28
|
|
Administration vaccine influenza virus
|
$177.00 |
$177.00 |
$177.00 |
$48.35
|
|
_afb id by dna probe rflx ast
|
$276.00 |
$276.00 |
$276.00 |
$105.00
|
|
_afb org id by sequencing rflx ast-sendout
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$384.00 |
$384.00 |
$384.00 |
$48.00
|
|
Albumin, human 5 % intravenous solution
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$125.99
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$421.00 |
$421.00 |
$421.00 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$313.00 |
$313.00 |
$313.00 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$107.00 |
$107.00 |
$107.00 |
$7.43
|
|
Albuterol non-comp con
|
$92.00 |
$92.00 |
$92.00 |
$9.25
|
|
Aldesleukin injection
|
$17,221.00 |
$17,221.00 |
$17,221.00 |
$8,460.48
|
|
Alkaline phosphatase
|
$313.00 |
$313.00 |
$313.00 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$155.00 |
$155.00 |
$155.00 |
$56.35
|
|
Allergen egg white ige
|
$171.00 |
$171.00 |
$171.00 |
$39.78
|
|
Allograft allowrap 4x4cm dry 16sqcm
|
$10,615.00 |
$10,615.00 |
$10,615.00 |
$3,985.24
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$187.20
|
|
Alt/sgpt
|
$313.00 |
$313.00 |
$313.00 |
$49.00
|
|
Aluminum - quest
|
$713.00 |
$713.00 |
$713.00 |
$83.05
|
|
Amifostine
|
$7,091.00 |
$7,091.00 |
$7,091.00 |
$2,507.10
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$302.00 |
$302.00 |
$302.00 |
$39.15
|
|
Aminolevulinic acid delta
|
$528.00 |
$528.00 |
$528.00 |
$85.15
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$669.00 |
$669.00 |
$669.00 |
$152.84
|
|
Analysis gene f5 leiden variant
|
$732.00 |
$732.00 |
$732.00 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$953.00 |
$953.00 |
$953.00 |
$95.45
|
|
Anastrozole 1 mg
|
$184.00 |
$184.00 |
$184.00 |
$5.16
|
|
Anca screen with reflex to titer -quest
|
$400.00 |
$400.00 |
$400.00 |
$103.20
|
|
Antibody bacterium, not elsewhere specified
|
$525.00 |
$525.00 |
$525.00 |
$57.85
|
|
Antibody elution rbc reference
|
$644.00 |
$644.00 |
$644.00 |
$179.62
|
|
Antibody id rbc panel
|
$656.00 |
$656.00 |
$656.00 |
$291.75
|
|
Antibody lymphocytic choriomeningitis
|
$478.00 |
$478.00 |
$478.00 |
$53.96
|
|
Antibody screen rbc
|
$330.00 |
$330.00 |
$330.00 |
$105.00
|
|
Anti mog serum - sendout
|
$915.00 |
$915.00 |
$915.00 |
$142.29
|
|
Antinuclear antibodies
|
$528.00 |
$528.00 |
$528.00 |
$91.70
|
|
Antistreptolysin o titer
|
$291.00 |
$291.00 |
$291.00 |
$57.85
|
|
Antithrombin iii activity
|
$794.00 |
$794.00 |
$794.00 |
$106.85
|
|
Antithrombin iii injection
|
$10,723.75 |
$10,723.75 |
$10,723.75 |
$10.74
|
|
App mdlty 1+hubbrd tnk ea 15
|
$296.00 |
$296.00 |
$296.00 |
$145.16
|
|
#aptt mix-1:1 incubated
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$157.30
|
|
Aquaporin-4 antibody cba each
|
$847.00 |
$847.00 |
$847.00 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$2,915.00 |
$2,915.00 |
$2,915.00 |
$155.00
|
|
Aqua therapy w/exercise/ea 15 min 97113
|
$359.00 |
$359.00 |
$359.00 |
$100.00
|
|
Arformoterol non-comp unit
|
$224.00 |
$224.00 |
$224.00 |
$24.24
|
|
Artery x-rays lung
|
$8,169.00 |
$8,169.00 |
$8,169.00 |
$2,483.00
|
|
Artery xrays of pelvis 75736 26
|
$7,459.00 |
$7,459.00 |
$7,459.00 |
$4,551.20
|
|
Artery x-rays spine
|
$6,120.00 |
$6,120.00 |
$6,120.00 |
$4,830.61
|
|
Assay of interleukin-6 (il-6)
|
$432.00 |
$432.00 |
$432.00 |
$77.35
|
|
Assay of procainamide w/metab
|
$656.00 |
$656.00 |
$656.00 |
$63.07
|
|
Assay of somatostatin
|
$656.00 |
$656.00 |
$656.00 |
$165.75
|
|
Assay toxin or antitoxin
|
$538.00 |
$538.00 |
$538.00 |
$77.55
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$313.00 |
$313.00 |
$313.00 |
$47.25
|
|
Ast/sgot
|
$313.00 |
$313.00 |
$313.00 |
$46.20
|
|
Azacitidine injection
|
$9,085.00 |
$9,085.00 |
$9,085.00 |
$1,083.43
|
|
Azathioprine 50 mg tablet
|
$107.00 |
$107.00 |
$107.00 |
$4.00
|
|
Azathioprine parenteral
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$532.53
|
|
Baclofen 50 mcg/ml intrathecal solution (wrapper)
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$164.85
|
|
Baclofen eval charges
|
$420.00 |
$420.00 |
$420.00 |
$85.00
|
|
Barrier film 28ml spray no stng cavilon
|
$139.00 |
$139.00 |
$139.00 |
$21.33
|
|
Bartonella dna pcr-sendout
|
$953.00 |
$953.00 |
$953.00 |
$196.20
|
|
B cells total count
|
$839.00 |
$839.00 |
$839.00 |
$128.13
|
|
Belatacept 250 mg intravenous solution
|
$8,422.00 |
$8,422.00 |
$8,422.00 |
$2,269.53
|
|
Bendamustine 25 mg/ml intravenous solution (bendeka)
|
$4,760.00 |
$4,760.00 |
$4,760.00 |
$4,702.68
|
|
Benztropine 1 mg/ml injection solution
|
$1,964.00 |
$1,964.00 |
$1,964.00 |
$118.00
|
|
Beta-2 microglobulin
|
$656.00 |
$656.00 |
$656.00 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$777.00 |
$777.00 |
$777.00 |
$70.37
|
|
Bilicheck
|
$376.00 |
$376.00 |
$376.00 |
$22.75
|
|
Binder abdominal lg 12 x 62-74
|
$452.00 |
$452.00 |
$452.00 |
$37.05
|
|
Bivalirudin
|
$8,523.00 |
$8,523.00 |
$8,523.00 |
$1,310.40
|
|
Blood Culture Test
|
$669.00 |
$669.00 |
$669.00 |
$145.60
|
|
Blood draw capillary 36416
|
$72.00 |
$72.00 |
$72.00 |
$22.40
|
|
Blood gases o2 saturation direct measurement
|
$883.00 |
$883.00 |
$883.00 |
$226.50
|
|
Blood smear microscopic w manual differential wbc count
|
$291.00 |
$291.00 |
$291.00 |
$37.05
|
|
Blood typing abo
|
$189.00 |
$189.00 |
$189.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$360.00 |
$360.00 |
$360.00 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$205.00 |
$205.00 |
$205.00 |
$181.74
|
|
Blood typing rh (d)
|
$172.00 |
$172.00 |
$172.00 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$324.00 |
$324.00 |
$324.00 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$395.00
|
|
Bone imaging multiple areas
|
$4,069.00 |
$4,069.00 |
$4,069.00 |
$1,210.00
|
|
Bone/joint imaging ltd area
|
$2,879.00 |
$2,879.00 |
$2,879.00 |
$1,151.16
|
|
Bone marrow imaging body
|
$3,339.00 |
$3,339.00 |
$3,339.00 |
$973.73
|
|
Bone marrow imaging ltd
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$728.85
|
|
Bone marrow imaging mult
|
$3,212.00 |
$3,212.00 |
$3,212.00 |
$790.92
|
|
Bone marrow interpretation
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$436.00
|
|
Bone tendon board add on
|
$941.00 |
$941.00 |
$941.00 |
$5,689.43
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$597.00 |
$597.00 |
$597.00 |
$96.72
|
|
Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection
|
$19,092.00 |
$19,092.00 |
$19,092.00 |
$2,880.64
|
