|
3d recon without postprocess indpndt
|
$3,245.00 |
$3,245.00 |
$3,245.00 |
$425.10
|
|
Abatacept (with maltose) 250 mg intravenous solution
|
$7,127.00 |
$7,127.00 |
$7,127.00 |
$3,627.00
|
|
Abdominal CT scan (with and without contrast)
|
$9,052.00 |
$9,052.00 |
$9,052.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$8,436.00 |
$8,436.00 |
$8,436.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$4,962.00 |
$4,962.00 |
$4,962.00 |
$1,358.76
|
|
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
|
|
Abdominal Ultrasound (complete)
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$785.25
|
|
Acetazolamide 500 mg solution for injection
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$120.90
|
|
Acetylcholine receptor modulating antibody
|
$501.00 |
$501.00 |
$501.00 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$4,567.00 |
$4,567.00 |
$4,567.00 |
$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 mycobacteria suscep. #1
|
$157.00 |
$157.00 |
$157.00 |
$38.58
|
|
_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%, 250 ml
|
$1,720.00 |
$1,720.00 |
$1,720.00 |
$258.00
|
|
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 egg white ige
|
$171.00 |
$171.00 |
$171.00 |
$39.78
|
|
Allograft graftjacket 2x12cm-q4107-cost per sq cm
|
$4,231.00 |
$4,231.00 |
$4,231.00 |
$4,906.77
|
|
Alt/sgpt
|
$313.00 |
$313.00 |
$313.00 |
$49.00
|
|
Amifostine
|
$7,091.00 |
$7,091.00 |
$7,091.00 |
$2,507.10
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$350.00 |
$350.00 |
$350.00 |
$44.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$400.00 |
$400.00 |
$400.00 |
$39.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$538.00 |
$538.00 |
$538.00 |
$48.29
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$1,109.00 |
$1,109.00 |
$1,109.00 |
$130.08
|
|
Anastrozole 1 mg
|
$184.00 |
$184.00 |
$184.00 |
$12.31
|
|
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 screen rbc
|
$330.00 |
$330.00 |
$330.00 |
$105.00
|
|
Antinuclear antibodies
|
$528.00 |
$528.00 |
$528.00 |
$91.70
|
|
Antistreptolysin o titer
|
$291.00 |
$291.00 |
$291.00 |
$57.85
|
|
Antithrombin iii activity
|
$793.00 |
$793.00 |
$793.00 |
$106.85
|
|
#aptt mix-1:1 incubated
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$157.30
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$313.00 |
$313.00 |
$313.00 |
$47.25
|
|
Ast/sgot
|
$313.00 |
$313.00 |
$313.00 |
$46.20
|
|
Azathioprine 50 mg tablet
|
$107.00 |
$107.00 |
$107.00 |
$4.00
|
|
Azithromycin 500 mg intravenous solution
|
$386.00 |
$386.00 |
$386.00 |
$54.90
|
|
Bartonella dna pcr-sendout
|
$953.00 |
$953.00 |
$953.00 |
$196.20
|
|
Bendamustine 100 mg intravenous powder for solution
|
$382.00 |
$382.00 |
$382.00 |
$5,305.05
|
|
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
|
|
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 gases o2 saturation direct measurement
|
$99.00 |
$99.00 |
$99.00 |
$226.50
|
|
Blood occult peroxidase activity qualitative gastric
|
$241.00 |
$241.00 |
$241.00 |
$33.85
|
|
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/joint imaging ltd area
|
$2,879.00 |
$2,879.00 |
$2,879.00 |
$1,151.16
|
|
Bone marrow interpretation
|
$883.00 |
$883.00 |
$883.00 |
$436.00
|
|
Bone survey-lead poisoning
|
$3,074.00 |
$3,074.00 |
$3,074.00 |
$370.18
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$597.00 |
$597.00 |
$597.00 |
$96.72
|
|
Braf gene
|
$732.00 |
$732.00 |
$732.00 |
$421.00
|
|
Brain image w/flow 4 + views
|
$3,594.00 |
$3,594.00 |
$3,594.00 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$3,914.00 |
$3,914.00 |
$3,914.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$8,058.00 |
$8,058.00 |
$8,058.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$1,949.38
|
|
Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr
|
$429.00 |
$429.00 |
$429.00 |
$36.04
|
|
Bundled special stain group 1 microorganisms
|
$413.00 |
$413.00 |
$413.00 |
$165.10
|
|
Bundled special stain group 2
|
$378.00 |
$378.00 |
$378.00 |
$169.00
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$57.00 |
$57.00 |
$57.00 |
$9.56
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$58.00 |
$58.00 |
$58.00 |
$14.01
|
|
Butorphanol tartrate 1 mg
|
$374.00 |
$374.00 |
$374.00 |
$46.00
|
|
C1 esterase inhibitor func - sendout
|
$391.00 |
$391.00 |
$391.00 |
$103.35
|
|
Calcitonin (salmon) 200 unit/ml injection solution
|
$15,119.00 |
$15,119.00 |
$15,119.00 |
$2,802.31
|
|
Calcium chloride 100 mg/ml (10 %) intravenous syringe
|
$162.00 |
$162.00 |
$162.00 |
$55.47
|
|
Calcium gluconate 100 mg/ml (10 %) intravenous solution
|
$297.00 |
$297.00 |
$297.00 |
$66.17
|
|
Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution
|
$183.00 |
$183.00 |
$183.00 |
$92.91
|
|
Calcium ionized
|
$756.00 |
$756.00 |
$756.00 |
$88.40
|
|
Calprotectin fecal
|
$704.00 |
$704.00 |
$704.00 |
$169.20
|
|
Carbamazepine total therapeutic drug level
|
$603.00 |
$603.00 |
$603.00 |
$117.74
|
|
Carboplatin 10 mg/ml desensitization
|
$942.00 |
$942.00 |
$942.00 |
$205.45
|
|
Carboprost tromethamine 250 mcg/ml intramuscular solution
|
$799.00 |
$799.00 |
$799.00 |
$455.00
|
|
Carboxyhemoglobin quantitative
|
$400.00 |
$400.00 |
$400.00 |
$84.73
|
|
Carcinoembryonic ag (cea)
|
$781.00 |
$781.00 |
$781.00 |
$146.25
|
|
Cardiac perf spect sgl/ef/wm rst/strs
|
$7,174.00 |
$7,174.00 |
$7,174.00 |
$2,752.20
|
|
Carotid Artery Ultrasound (Duplex)
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$1,068.06
|
|
Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr
|
$603.00 |
$603.00 |
$603.00 |
$39.48
|
|
Ceftaroline fosamil 600 mg intravenous solution
|
$1,695.00 |
$1,695.00 |
$1,695.00 |
$634.46
|
|
Ceftazidime and avibactam
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$995.91
|
|
Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr
|
$658.00 |
$658.00 |
$658.00 |
$27.18
|
|
#celiac hla-dq2
|
$672.00 |
$672.00 |
$672.00 |
$226.28
|
|
Cell count body fluid
|
$384.00 |
$384.00 |
$384.00 |
$63.63
|
|
Chest 2 vws w oblique
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$377.06
|
