|
17-hydroxypregnenolone
|
$69.00 |
$69.00 |
$69.00 |
$87.50
|
|
17-ketosteroids
|
$300.00 |
$300.00 |
$300.00 |
$44.88
|
|
5' nucleotidase - sendout
|
$261.00 |
$261.00 |
$261.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$185.00 |
$185.00 |
$185.00 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$448.00 |
$448.00 |
$448.00 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$7,404.00 |
$7,404.00 |
$7,404.00 |
$3,724.63
|
|
Abdominal CT scan (with and without contrast)
|
$5,387.00 |
$5,387.00 |
$5,387.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$4,394.00 |
$4,394.00 |
$4,394.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$7,858.00 |
$7,858.00 |
$7,858.00 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$1,975.74
|
|
Abdominal Ultrasound (complete)
|
$2,911.00 |
$2,911.00 |
$2,911.00 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$2,611.00 |
$2,611.00 |
$2,611.00 |
$604.43
|
|
Acetaminophen level
|
$540.00 |
$540.00 |
$540.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$609.00 |
$609.00 |
$609.00 |
$120.90
|
|
Acetone qualitative
|
$129.00 |
$129.00 |
$129.00 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$820.00 |
$820.00 |
$820.00 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$306.72
|
|
Acetylcysteine non-comp unit
|
$46.00 |
$46.00 |
$46.00 |
$29.01
|
|
Acute hepatitis panel
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$284.70
|
|
#acylcarnitineprfl
|
$697.00 |
$697.00 |
$697.00 |
$87.72
|
|
Adenovirus ag ia
|
$38.00 |
$38.00 |
$38.00 |
$31.20
|
|
Adenovirus antibody,serum - quest
|
$395.00 |
$395.00 |
$395.00 |
$60.00
|
|
Adh-sendout
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$109.28
|
|
#afb mycobacteria suscep. #1
|
$199.00 |
$199.00 |
$199.00 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$769.00 |
$769.00 |
$769.00 |
$289.60
|
|
Agalsidase beta 35 mg intravenous solution
|
$521.00 |
$521.00 |
$521.00 |
$15,667.45
|
|
Albumin body fluid quantitative each specimen
|
$129.00 |
$129.00 |
$129.00 |
$48.00
|
|
Albumin (human), 5%, 250 ml
|
$292.00 |
$292.00 |
$292.00 |
$258.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$193.00 |
$193.00 |
$193.00 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$129.00 |
$129.00 |
$129.00 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$14.00 |
$14.00 |
$14.00 |
$7.43
|
|
Albuterol non-comp con
|
$87.00 |
$87.00 |
$87.00 |
$9.25
|
|
Alkaline phosphatase
|
$294.00 |
$294.00 |
$294.00 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$54.00 |
$54.00 |
$54.00 |
$56.35
|
|
Allergen egg white ige
|
$135.00 |
$135.00 |
$135.00 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$717.00 |
$717.00 |
$717.00 |
$26.95
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$2,217.00 |
$2,217.00 |
$2,217.00 |
$4,906.77
|
|
Alpha-fetoprotein amniotic
|
$457.00 |
$457.00 |
$457.00 |
$90.03
|
|
Alt/sgpt
|
$246.00 |
$246.00 |
$246.00 |
$49.00
|
|
Aluminum - quest
|
$555.00 |
$555.00 |
$555.00 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$73.00 |
$73.00 |
$73.00 |
$44.00
|
|
Amino acid screen, urine
|
$245.00 |
$245.00 |
$245.00 |
$64.28
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$56.00 |
$56.00 |
$56.00 |
$39.15
|
|
Aminolevulinic acid delta
|
$408.00 |
$408.00 |
$408.00 |
$85.15
|
|
Ammonia
|
$294.00 |
$294.00 |
$294.00 |
$123.48
|
|
Amniotic fluid scan
|
$704.00 |
$704.00 |
$704.00 |
$33.15
|
|
Amphotericin b lipid complex
|
$959.00 |
$959.00 |
$959.00 |
$272.40
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$2,109.00 |
$2,109.00 |
$2,109.00 |
$434.39
|
|
Ana ds-dna
|
$215.00 |
$215.00 |
$215.00 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$930.00 |
$930.00 |
$930.00 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$544.00 |
$544.00 |
$544.00 |
$95.45
|
|
Antibody elution rbc reference
|
$976.00 |
$976.00 |
$976.00 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$256.00 |
$256.00 |
$256.00 |
$141.26
|
|
Antibody id rbc panel
|
$839.00 |
$839.00 |
$839.00 |
$291.75
|
|
Antibody screen rbc
|
$378.00 |
$378.00 |
$378.00 |
$105.00
|
|
Anti mog serum - sendout
|
$642.00 |
$642.00 |
$642.00 |
$142.29
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$259.00 |
$259.00 |
$259.00 |
$50.88
|
|
Antinuclear antibodies
|
$415.00 |
$415.00 |
$415.00 |
$91.70
|
|
Antinuclear antibodies titer
|
$43.00 |
$43.00 |
$43.00 |
$80.25
|
|
Antistreptolysin o screen
|
$540.00 |
$540.00 |
$540.00 |
$59.40
|
|
Antistreptolysin o titer
|
$612.00 |
$612.00 |
$612.00 |
$57.85
|
|
Antithrombin iii activity
|
$259.00 |
$259.00 |
$259.00 |
$106.85
|
|
Apl(pml-rara) quant - sendout
|
$363.00 |
$363.00 |
$363.00 |
$465.60
|
|
Appl modality 1/> areas paraffin bath 97018
|
$131.00 |
$131.00 |
$131.00 |
$68.00
|
|
#aptt mix-1:1 incubated
|
$105.00 |
$105.00 |
$105.00 |
$157.30
|
|
Aqaprn-4 antb flo cytmtry ea
|
$667.00 |
$667.00 |
$667.00 |
$231.66
|
|
Aquaporin-4 antibody cba each
|
$100.00 |
$100.00 |
$100.00 |
$114.60
|
|
Aquaporin-4 antibody elisa
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$155.00
|
|
Artery xray each vessel 7577426
|
$5,538.00 |
$5,538.00 |
$5,538.00 |
$1,865.50
|
|
Artery xray of abdomen 75726-26
|
$17,055.00 |
$17,055.00 |
$17,055.00 |
$4,658.99
|
|
Artery x-rays arms/legs 75716-26
|
$7,111.00 |
$7,111.00 |
$7,111.00 |
$4,029.72
|
|
Artery x-rays lungs
|
$7,111.00 |
$7,111.00 |
$7,111.00 |
$3,724.63
|
|
Artery xrays of pelvis 75736 26
|
$7,700.00 |
$7,700.00 |
$7,700.00 |
$4,551.20
|
|
Artificial larynx
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$76.20
|
|
Assay acid phosphatase
|
$186.00 |
$186.00 |
$186.00 |
$38.22
|
|
Assay of feces porphyrins
|
$1,493.00 |
$1,493.00 |
$1,493.00 |
$166.20
|
|
Assay of galactose
|
$904.00 |
$904.00 |
$904.00 |
$48.13
|
|
Assay of interleukin-6 (il-6)
|
$849.00 |
$849.00 |
$849.00 |
$77.35
|
|
Assay of lrh hormone
|
$856.00 |
$856.00 |
$856.00 |
$210.60
|
|
Assay of osteocalcin
|
$343.00 |
$343.00 |
$343.00 |
$93.60
|
|
Assay of procainamide w/metab
|
$429.00 |
$429.00 |
$429.00 |
$63.07
|
|
Assay of prostaglandin
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$220.00
|
|
Assay of PSA complexed
|
$549.00 |
$549.00 |
$549.00 |
$64.28
|
|
Assay of salicylate
|
$189.00 |
$189.00 |
$189.00 |
$104.00
|
|
Assay of semen fructose
|
$397.00 |
$397.00 |
$397.00 |
$53.00
|
|
Assay of thiocyanate
|
$293.00 |
$293.00 |
$293.00 |
$56.55
|
|
Assay of urine sulfate
|
$89.00 |
$89.00 |
$89.00 |
$31.35
|
|
Assay phosphatidylglycerol
|
$473.00 |
$473.00 |
$473.00 |
$89.40
|
|
Assay toxin or antitoxin
|
$676.00 |
$676.00 |
$676.00 |
$77.55
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$215.00 |
$215.00 |
$215.00 |
$47.25
|
|
Ast/sgot
|
$246.00 |
$246.00 |
$246.00 |
$46.20
|
|
Autopsy (necropsy) complete
|
$14,701.00 |
$14,701.00 |
$14,701.00 |
$1,205.07
|
|
Autopsy (necropsy) gross
|
$14,701.00 |
$14,701.00 |
$14,701.00 |
$122.85
|
|
Azathioprine 50 mg tablet
|
$186.00 |
$186.00 |
$186.00 |
$4.00
|
|
Azithromycin 500 mg intravenous solution
|
$335.00 |
$335.00 |
$335.00 |
$54.90
|
|
Bartonella dna pcr-sendout
|
$821.00 |
$821.00 |
$821.00 |
$196.20
|
|
B cells total count
|
$573.00 |
$573.00 |
$573.00 |
$128.13
|
