|
17-hydroxypregnenolone
|
$933.00 |
$933.00 |
$933.00 |
$87.50
|
|
17-ketosteroids
|
$247.00 |
$247.00 |
$247.00 |
$44.88
|
|
5' nucleotidase - sendout
|
$624.00 |
$624.00 |
$624.00 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$89.00 |
$89.00 |
$89.00 |
$97.65
|
|
Abdominal CT scan (with and without contrast)
|
$6,723.00 |
$6,723.00 |
$6,723.00 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$5,970.00 |
$5,970.00 |
$5,970.00 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$5,311.00 |
$5,311.00 |
$5,311.00 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$17,073.00 |
$17,073.00 |
$17,073.00 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$12,825.00 |
$12,825.00 |
$12,825.00 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$11,289.00 |
$11,289.00 |
$11,289.00 |
$1,975.74
|
|
Abdominal Ultrasound (complete)
|
$3,061.27 |
$3,061.27 |
$3,061.27 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,545.08 |
$1,545.08 |
$1,545.08 |
$604.43
|
|
Acetaminophen level
|
$624.00 |
$624.00 |
$624.00 |
$117.01
|
|
Acetazolamide 500 mg solution for injection
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$120.90
|
|
Acetone qualitative
|
$230.00 |
$230.00 |
$230.00 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$34.00 |
$34.00 |
$34.00 |
$64.50
|
|
Acetylcysteine 200 mg/ml (20 %) intravenous solution
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$306.72
|
|
Acute hepatitis panel
|
$856.00 |
$856.00 |
$856.00 |
$284.70
|
|
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr
|
$766.00 |
$766.00 |
$766.00 |
$62.48
|
|
#acylcarnitineprfl
|
$1,782.00 |
$1,782.00 |
$1,782.00 |
$87.72
|
|
Adenovirus ag ia
|
$403.00 |
$403.00 |
$403.00 |
$31.20
|
|
Adh-sendout
|
$690.00 |
$690.00 |
$690.00 |
$109.28
|
|
_afb id by dna probe rflx ast
|
$328.00 |
$328.00 |
$328.00 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$435.00 |
$435.00 |
$435.00 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$742.00 |
$742.00 |
$742.00 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$174.00 |
$174.00 |
$174.00 |
$48.00
|
|
Albumin (human), 5%, 250 ml
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$258.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$221.00 |
$221.00 |
$221.00 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$245.00 |
$245.00 |
$245.00 |
$43.45
|
|
Albuterol ipratrop non-comp
|
$5.00 |
$5.00 |
$5.00 |
$7.43
|
|
Albuterol non-comp con
|
$5.00 |
$5.00 |
$5.00 |
$9.25
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$545.00 |
$545.00 |
$545.00 |
$94.90
|
|
Alkaline phosphatase
|
$380.00 |
$380.00 |
$380.00 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$120.00 |
$120.00 |
$120.00 |
$56.35
|
|
Alt/sgpt
|
$380.00 |
$380.00 |
$380.00 |
$49.00
|
|
Aluminum - quest
|
$651.00 |
$651.00 |
$651.00 |
$83.05
|
|
Amikacin 4 mg/ml intravitreal injection - cnr
|
$57.00 |
$57.00 |
$57.00 |
$44.00
|
|
Amino acids quant 2-5
|
$1,241.00 |
$1,241.00 |
$1,241.00 |
$141.00
|
|
Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr
|
$452.00 |
$452.00 |
$452.00 |
$39.15
|
|
Aminolevulinic acid delta
|
$300.00 |
$300.00 |
$300.00 |
$85.15
|
|
Aminophylline 25 mg/ml intravenous solution (wrapper)
|
$170.00 |
$170.00 |
$170.00 |
$48.29
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$356.00 |
$356.00 |
$356.00 |
$152.84
|
|
Ammonia
|
$435.00 |
$435.00 |
$435.00 |
$123.48
|
|
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr
|
$1,528.00 |
$1,528.00 |
$1,528.00 |
$434.39
|
|
Ana ds-dna
|
$326.00 |
$326.00 |
$326.00 |
$65.52
|
|
Analysis gene f2 20210g>a variant
|
$987.00 |
$987.00 |
$987.00 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$903.00 |
$903.00 |
$903.00 |
$226.60
|
|
Anaplsma phgcytophlm amp prb
|
$533.00 |
$533.00 |
$533.00 |
$95.45
|
|
An fluoro guide for cvp
|
$939.00 |
$939.00 |
$939.00 |
$509.60
|
|
Antibody elution rbc reference
|
$393.00 |
$393.00 |
$393.00 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$1,198.00 |
$1,198.00 |
$1,198.00 |
$141.26
|
|
Antibody screen rbc
|
$747.00 |
$747.00 |
$747.00 |
$105.00
|
|
Antinuclear antibodies
|
$356.00 |
$356.00 |
$356.00 |
$91.70
|
|
Antistreptolysin o titer
|
$181.00 |
$181.00 |
$181.00 |
$57.85
|
|
Antithrombin iii activity
|
$595.00 |
$595.00 |
$595.00 |
$106.85
|
|
Appl modality 1/> areas paraffin bath 97018
|
$371.00 |
$371.00 |
$371.00 |
$68.00
|
|
Assay acid phosphatase
|
$149.00 |
$149.00 |
$149.00 |
$38.22
|
|
Assay free hydroxyproline
|
$434.00 |
$434.00 |
$434.00 |
$46.15
|
|
Assay of adp & amp
|
$1,031.00 |
$1,031.00 |
$1,031.00 |
$127.40
|
|
Assay of glutathione
|
$39.00 |
$39.00 |
$39.00 |
$69.55
|
|
Assay of lrh hormone
|
$798.00 |
$798.00 |
$798.00 |
$210.60
|
|
Assay of osteocalcin
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$93.60
|
|
Assay of procainamide w/metab
|
$496.00 |
$496.00 |
$496.00 |
$63.07
|
|
Assay of PSA complexed
|
$546.00 |
$546.00 |
$546.00 |
$64.28
|
|
Assay of salicylate
|
$629.00 |
$629.00 |
$629.00 |
$104.00
|
|
Assay phosphatidylglycerol
|
$552.00 |
$552.00 |
$552.00 |
$89.40
|
|
Assessment leukocyte fecal qualitative/semiquantitative
|
$232.00 |
$232.00 |
$232.00 |
$47.25
|
|
Ast/sgot
|
$300.00 |
$300.00 |
$300.00 |
$46.20
|
|
Azathioprine 50 mg tablet
|
$46.00 |
$46.00 |
$46.00 |
$4.00
|
|
Azithromycin 500 mg intravenous solution
|
$731.00 |
$731.00 |
$731.00 |
$54.90
|
|
Bartonella dna pcr-sendout
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$196.20
|
|
B cells total count
|
$101.00 |
$101.00 |
$101.00 |
$128.13
|
|
Benztropine 1 mg/ml injection solution
|
$247.00 |
$247.00 |
$247.00 |
$118.00
|
|
Beta-2 microglobulin
|
$306.00 |
$306.00 |
$306.00 |
$86.40
|
|
Betamethasone acetate and sodium phos 6 mg/ml suspension for injection
|
$440.00 |
$440.00 |
$440.00 |
$70.37
|
|
Bilirubin direct
|
$380.00 |
$380.00 |
$380.00 |
$49.31
|
|
Bivalirudin
|
$696.00 |
$696.00 |
$696.00 |
$1,310.40
|
|
Blood Clotting (PT/INR) Test
|
$221.00 |
$221.00 |
$221.00 |
$52.46
|
|
Blood Clotting (PTT) Test
|
$221.00 |
$221.00 |
$221.00 |
$73.15
|
|
Blood Count (CBC) Test (without differential)
|
$380.00 |
$380.00 |
$380.00 |
$62.15
|
|
Blood Culture Test
|
$456.00 |
$456.00 |
$456.00 |
$145.60
|
|
Blood gases o2 saturation direct measurement
|
$480.00 |
$480.00 |
$480.00 |
$226.50
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$110.00 |
$110.00 |
$110.00 |
$57.60
|
|
Blood occult feces 1-3 determinations other than neoplasm screening qualitative
|
$135.00 |
$135.00 |
$135.00 |
$33.57
|
|
Blood occult peroxidase activity qualitative gastric
|
$154.00 |
$154.00 |
$154.00 |
$33.85
|
|
Blood smear microscopic w manual differential wbc count
|
$290.00 |
$290.00 |
$290.00 |
$37.05
|
|
Blood typing abo
|
$354.00 |
$354.00 |
$354.00 |
$83.03
|
|
Blood typing ag donor ea ag
|
$357.00 |
$357.00 |
$357.00 |
$166.80
|
|
Blood typing rbc ag non abo/rh ea
|
$357.00 |
$357.00 |
$357.00 |
$181.74
|
|
Blood typing rh (d)
|
$230.00 |
$230.00 |
$230.00 |
$57.10
|
|
Blood typing rh phenotype complete reference
|
$20.00 |
$20.00 |
$20.00 |
$77.25
|
|
Bone Density Scan (DEXA)
|
$1,918.00 |
$1,918.00 |
$1,918.00 |
$395.00
|
|
Bone/joint imaging ltd area
|
$995.00 |
$995.00 |
$995.00 |
$1,151.16
|
|
Braf gene
|
$730.00 |
$730.00 |
$730.00 |
$421.00
|
|
Brain image w/flow 4 + views
|
$4,117.00 |
$4,117.00 |
$4,117.00 |
$1,365.72
|
|
Brain MRA (blood vessel MRI, with and without contrast)
|
$15,247.00 |
$15,247.00 |
$15,247.00 |
$2,623.74
|
|
Brain MRA (blood vessel MRI, without contrast)
|
$7,791.00 |
$7,791.00 |
$7,791.00 |
$1,806.75
|
|
Brain MRI (with and without contrast)
|
$17,753.00 |
$17,753.00 |
$17,753.00 |
$2,854.80
|
|
Brain MRI (with contrast)
|
$13,740.00 |
$13,740.00 |
$13,740.00 |
$2,267.23
|
|
Brain MRI (without contrast)
|
$11,774.00 |
$11,774.00 |
$11,774.00 |
$1,949.38
|
