|
11-desoxycortisol - sendout
|
$45.10 |
$45.10 |
$45.10 |
$87.50
|
|
17-hydroxypregnenolone
|
$45.10 |
$45.10 |
$45.10 |
$87.50
|
|
17-ketosteroids
|
$31.35 |
$31.35 |
$31.35 |
$44.00
|
|
3-d radiotherapy plan
|
$5,025.35 |
$5,025.35 |
$5,025.35 |
$4,886.50
|
|
3d recon without postprocess indpndt
|
$362.45 |
$362.45 |
$362.45 |
$431.75
|
|
5' nucleotidase - sendout
|
$18.70 |
$18.70 |
$18.70 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$156.75 |
$156.75 |
$156.75 |
$98.15
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$44.55 |
$44.55 |
$44.55 |
$52.25
|
|
Abdominal CT scan (with and without contrast)
|
$1,831.50 |
$1,831.50 |
$1,831.50 |
$2,049.00
|
|
Abdominal CT scan (with contrast)
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,403.60 |
$1,403.60 |
$1,403.60 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,448.60 |
$2,448.60 |
$2,448.60 |
$2,929.50
|
|
Abdominal MRI (with contrast)
|
$2,384.25 |
$2,384.25 |
$2,384.25 |
$2,199.24
|
|
Abdominal MRI (without contrast)
|
$2,318.25 |
$2,318.25 |
$2,318.25 |
$1,979.51
|
|
Abdominal paracentesis w/image guidance
|
$2,113.10 |
$2,113.10 |
$2,113.10 |
$1,666.30
|
|
Abdominal Ultrasound (complete)
|
$895.40 |
$895.40 |
$895.40 |
$780.00
|
|
Abdominal Ultrasound (limited)
|
$864.60 |
$864.60 |
$864.60 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$732.05 |
$732.05 |
$732.05 |
$1,176.00
|
|
Abl1 gene
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$609.93
|
|
Ablation cryo abd perit om
|
$3,582.15 |
$3,582.15 |
$3,582.15 |
$2,555.80
|
|
Ablation of upper extremity nerves rf
|
$2,134.00 |
$2,134.00 |
$2,134.00 |
$1,081.00
|
|
Abscess drain retroperitoneal surg code
|
$1,772.10 |
$1,772.10 |
$1,772.10 |
$3,053.18
|
|
Acetaminophen 120 mg rectal suppository
|
$107.02 |
$107.02 |
$107.02 |
$146.76
|
|
Acetaminophen level
|
$220.00 |
$220.00 |
$220.00 |
$117.01
|
|
Acetone qualitative
|
$33.00 |
$33.00 |
$33.00 |
$47.45
|
|
Acetylcholine receptor modulating antibody
|
$49.50 |
$49.50 |
$49.50 |
$65.16
|
|
Acetylcholinesterase assay
|
$89.10 |
$89.10 |
$89.10 |
$106.70
|
|
Aco ccm; at least 20 min 99490aco
|
$90.20 |
$90.20 |
$90.20 |
$109.46
|
|
Aco cmplx chron care addl 20 min 99489aco
|
$83.05 |
$83.05 |
$83.05 |
$64.74
|
|
Aco cmplx chron care without pt visit, 60 min 99487aco
|
$165.55 |
$165.55 |
$165.55 |
$177.84
|
|
Aco cont gluc mnt phys/qhp eqp 95250aco
|
$362.45 |
$362.45 |
$362.45 |
$362.45
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$101.75 |
$101.75 |
$101.75 |
$42.28
|
|
Acoustic refl threshold tst
|
$45.65 |
$45.65 |
$45.65 |
$83.79
|
|
Actinotherapy uv light
|
$132.00 |
$132.00 |
$132.00 |
$96.20
|
|
Acute hepatitis panel
|
$287.10 |
$287.10 |
$287.10 |
$284.70
|
|
#acylcarnitineprfl
|
$121.55 |
$121.55 |
$121.55 |
$98.25
|
|
Acylcarnitines qual
|
$150.15 |
$150.15 |
$150.15 |
$35.75
|
|
Adenovirus antibody,serum - quest
|
$86.90 |
$86.90 |
$86.90 |
$63.00
|
|
Adh-sendout
|
$35.20 |
$35.20 |
$35.20 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$128.15 |
$128.15 |
$128.15 |
$230.35
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$499.40 |
$499.40 |
$499.40 |
$677.05
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$209.00 |
$209.00 |
$209.00 |
$444.49
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$119.90 |
$119.90 |
$119.90 |
$220.00
|
|
Administration immunization 1 vaccine
|
$61.05 |
$61.05 |
$61.05 |
$72.80
|
|
Administration immunization each additional vaccine
|
$61.05 |
$61.05 |
$61.05 |
$48.02
|
|
Administration vaccine hepatitis b
|
$61.05 |
$61.05 |
$61.05 |
$51.35
|
|
Administration vaccine influenza virus
|
$61.05 |
$61.05 |
$61.05 |
$49.50
|
|
Administration vaccine pneumococcal
|
$61.05 |
$61.05 |
$61.05 |
$51.07
|
|
#afb mycobacteria suscep. #1
|
$234.30 |
$234.30 |
$234.30 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$601.70 |
$601.70 |
$601.70 |
$289.60
|
|
After cataract laser surgery
|
$1,922.80 |
$1,922.80 |
$1,922.80 |
$1,464.80
|
|
Air conduction bilat
|
$48.40 |
$48.40 |
$48.40 |
$106.50
|
|
Albumin body fluid quantitative each specimen
|
$37.40 |
$37.40 |
$37.40 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$25.30 |
$25.30 |
$25.30 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$35.75 |
$35.75 |
$35.75 |
$43.50
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$183.15 |
$183.15 |
$183.15 |
$93.60
|
|
Alkaline phosphatase
|
$37.40 |
$37.40 |
$37.40 |
$46.40
|
|
Allergen alpha lactalbumin ige
|
$402.60 |
$402.60 |
$402.60 |
$56.35
|
|
Allergen egg white ige
|
$104.50 |
$104.50 |
$104.50 |
$41.00
|
|
Allergen specific ige qual multi scrn ea
|
$9.90 |
$9.90 |
$9.90 |
$26.95
|
|
Alpha-fetoprotein amniotic
|
$52.25 |
$52.25 |
$52.25 |
$83.15
|
|
Alpha-fetoprotein tumor marker
|
$35.20 |
$35.20 |
$35.20 |
$99.71
|
|
Alt/sgpt
|
$79.75 |
$79.75 |
$79.75 |
$49.00
|
|
Aluminum - quest
|
$18.15 |
$18.15 |
$18.15 |
$86.45
|
|
Amantadine (symmetrel)-sendout
|
$221.65 |
$221.65 |
$221.65 |
$196.20
|
|
Amino acid screen, urine
|
$332.75 |
$332.75 |
$332.75 |
$64.28
|
|
Aminolevulinic acid delta
|
$97.90 |
$97.90 |
$97.90 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$47.30 |
$47.30 |
$47.30 |
$101.17
|
|
Ammonia
|
$154.00 |
$154.00 |
$154.00 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$786.50 |
$786.50 |
$786.50 |
$951.61
|
|
Amphetamine confirm urine -sendout
|
$124.85 |
$124.85 |
$124.85 |
$94.50
|
|
Amphetamines 5 or more
|
$51.70 |
$51.70 |
$51.70 |
$101.40
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$165.00 |
$165.00 |
$165.00 |
$294.60
|
|
Amylase
|
$130.90 |
$130.90 |
$130.90 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$80.85 |
$80.85 |
$80.85 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$557.70 |
$557.70 |
$557.70 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$190.30 |
$190.30 |
$190.30 |
$221.13
|
|
Anaplsma phgcytophlm amp prb
|
$107.25 |
$107.25 |
$107.25 |
$95.45
|
|
An cholangiogram percutaneous compl
|
$2,190.65 |
$2,190.65 |
$2,190.65 |
$2,664.20
|
|
An fluoro guide for cvp
|
$367.40 |
$367.40 |
$367.40 |
$489.47
|
|
Ankle X-ray
|
$291.50 |
$291.50 |
$291.50 |
$351.20
|
|
Antibody
|
$96.25 |
$96.25 |
$96.25 |
$27.41
|
|
Antibody bacterium, not elsewhere specified
|
$206.25 |
$206.25 |
$206.25 |
$57.85
|
|
Antibody elution rbc reference
|
$188.10 |
$188.10 |
$188.10 |
$176.54
|
|
Antibody htlv/hiv confirm test
|
$152.90 |
$152.90 |
$152.90 |
$141.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$459.25 |
$459.25 |
$459.25 |
$219.30
|
|
Antibody id rbc panel
|
$128.70 |
$128.70 |
$128.70 |
$291.75
|
|
Antibody influenza virus
|
$15.95 |
$15.95 |
$15.95 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$17.25 |
$17.25 |
$17.25 |
$53.96
|
|
Antibody screen rbc
|
$98.45 |
$98.45 |
$98.45 |
$106.88
|
|
Antidepressant not specified
|
$31.35 |
$31.35 |
$31.35 |
$89.50
|
|
Anti mog serum - sendout
|
$330.55 |
$330.55 |
$330.55 |
$150.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$57.75 |
$57.75 |
$57.75 |
$51.00
|
|
Antinuclear antibodies
|
$91.85 |
$91.85 |
$91.85 |
$91.70
|
|
Antinuclear antibodies titer
|
$67.10 |
$67.10 |
$67.10 |
$80.25
|
|
Antistreptolysin o screen
|
$58.30 |
$58.30 |
$58.30 |
$59.40
|
|
Antistreptolysin o titer
|
$35.20 |
$35.20 |
$35.20 |
$57.96
|
|
Antithrombin iii activity
|
$67.10 |
$67.10 |
$67.10 |
$113.80
|
|
Apc gene full sequence
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$1,076.40
|
|
Apl(pml-rara) quant - sendout
|
$1,567.50 |
$1,567.50 |
$1,567.50 |
$465.60
|
