|
11-desoxycortisol - sendout
|
$77.91 |
$77.91 |
$77.91 |
$87.50
|
|
2019-ncov diagnostic p
|
$76.32 |
$76.32 |
$76.32 |
$39.51
|
|
3d recon without postprocess indpndt
|
$420.82 |
$420.82 |
$420.82 |
$425.10
|
|
5' nucleotidase - sendout
|
$38.16 |
$38.16 |
$38.16 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$66.25 |
$66.25 |
$66.25 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$37.10 |
$37.10 |
$37.10 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$1,690.70 |
$1,690.70 |
$1,690.70 |
$3,724.63
|
|
Abd/low ext cath addl
|
$500.32 |
$500.32 |
$500.32 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$862.84 |
$862.84 |
$862.84 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$850.12 |
$850.12 |
$850.12 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$841.64 |
$841.64 |
$841.64 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$1,426.76 |
$1,426.76 |
$1,426.76 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$1,391.25 |
$1,391.25 |
$1,391.25 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$1,341.96 |
$1,341.96 |
$1,341.96 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,776.03 |
$1,776.03 |
$1,776.03 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$415.52 |
$415.52 |
$415.52 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$374.71 |
$374.71 |
$374.71 |
$604.43
|
|
Abl1 gene
|
$543.78 |
$543.78 |
$543.78 |
$614.25
|
|
Ablate arrhythmia add on
|
$9,174.30 |
$9,174.30 |
$9,174.30 |
$7,717.80
|
|
Ablate bone tumor(s) perq
|
$7,643.13 |
$7,643.13 |
$7,643.13 |
$9,812.40
|
|
Ablate heart dysrhythm focus
|
$7,523.88 |
$7,523.88 |
$7,523.88 |
$9,836.16
|
|
Ablate pulm tumor perq rf
|
$5,359.89 |
$5,359.89 |
$5,359.89 |
$7,911.80
|
|
Abscess drain retroperitoneal surg code
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$3,053.18
|
|
Access & clsr pq fem art endogft dlvry w/img uni
|
$3,263.74 |
$3,263.74 |
$3,263.74 |
$3,287.87
|
|
Acetaminophen level
|
$71.55 |
$71.55 |
$71.55 |
$117.01
|
|
Acetone qualitative
|
$25.97 |
$25.97 |
$25.97 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$19.08 |
$19.08 |
$19.08 |
$64.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$66.25 |
$66.25 |
$66.25 |
$44.40
|
|
Acute hepatitis panel
|
$152.64 |
$152.64 |
$152.64 |
$284.70
|
|
#acylcarnitineprfl
|
$23.85 |
$23.85 |
$23.85 |
$87.72
|
|
Adenosine 3 mg/250 ml bag for osm
|
$21.65 |
$21.65 |
$21.65 |
$217.04
|
|
Adenovirus antibody,serum - quest
|
$33.92 |
$33.92 |
$33.92 |
$60.00
|
|
Adh-sendout
|
$109.71 |
$109.71 |
$109.71 |
$109.28
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$412.34 |
$412.34 |
$412.34 |
$695.37
|
|
Administration vaccine hepatitis b
|
$24.38 |
$24.38 |
$24.38 |
$51.11
|
|
Administration vaccine influenza virus
|
$24.38 |
$24.38 |
$24.38 |
$49.40
|
|
Administration vaccine pneumococcal
|
$24.38 |
$24.38 |
$24.38 |
$51.07
|
|
_afb id by dna probe rflx ast
|
$36.57 |
$36.57 |
$36.57 |
$105.00
|
|
#afb mycobacteria suscep. #1
|
$35.51 |
$35.51 |
$35.51 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$336.02 |
$336.02 |
$336.02 |
$289.60
|
|
Air injection into abdomen 49400
|
$292.03 |
$292.03 |
$292.03 |
$545.00
|
|
Airway resistance by impulse oscillometry 94728
|
$276.66 |
$276.66 |
$276.66 |
$279.73
|
|
Albumin body fluid quantitative each specimen
|
$22.79 |
$22.79 |
$22.79 |
$48.00
|
|
Albumin (human), 25%, 50ml
|
$110.53 |
$110.53 |
$110.53 |
$277.87
|
|
Albumin (human), 5%, 250 ml
|
$109.12 |
$109.12 |
$109.12 |
$292.50
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$34.45 |
$34.45 |
$34.45 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$18.02 |
$18.02 |
$18.02 |
$43.45
|
|
Albuterol non-comp con
|
$0.30 |
$0.30 |
$0.30 |
$9.93
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$73.14 |
$73.14 |
$73.14 |
$94.90
|
|
Alkaline phosphatase
|
$21.73 |
$21.73 |
$21.73 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$29.15 |
$29.15 |
$29.15 |
$56.35
|
|
Allergen egg white ige
|
$24.91 |
$24.91 |
$24.91 |
$39.78
|
|
Alpha-fetoprotein amniotic
|
$61.48 |
$61.48 |
$61.48 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$66.25 |
$66.25 |
$66.25 |
$103.60
|
|
Alteplase 100 mg infusion from pyxis vial
|
$149.45 |
$149.45 |
$149.45 |
$9,600.63
|
|
Alt/sgpt
|
$19.08 |
$19.08 |
$19.08 |
$49.00
|
|
Aluminum - quest
|
$83.21 |
$83.21 |
$83.21 |
$83.05
|
|
Aminolevulinic acid delta
|
$54.59 |
$54.59 |
$54.59 |
$85.15
|
|
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV
|
$8.98 |
$8.98 |
$8.98 |
$174.72
|
|
Amiodarone 50 mg/ml intravenous solution
|
$0.90 |
$0.90 |
$0.90 |
$50.85
|
|
Amitriptyline (elavil) -sendout
|
$46.64 |
$46.64 |
$46.64 |
$101.17
|
|
Ammonia
|
$60.95 |
$60.95 |
$60.95 |
$123.48
|
|
Amphetamine confirm urine -sendout
|
$56.71 |
$56.71 |
$56.71 |
$94.50
|
|
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr
|
$66.38 |
$66.38 |
$66.38 |
$135.63
|
|
Ampicillin 1 gram solution for injection
|
$6.88 |
$6.88 |
$6.88 |
$68.44
|
|
Ampicillin-sulbactam 1.5 gram solution for injection
|
$17.98 |
$17.98 |
$17.98 |
$57.38
|
|
Amylase
|
$43.99 |
$43.99 |
$43.99 |
$93.00
|
|
Ana ds-dna
|
$50.88 |
$50.88 |
$50.88 |
$65.52
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$160.59 |
$160.59 |
$160.59 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$308.99 |
$308.99 |
$308.99 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$308.99 |
$308.99 |
$308.99 |
$226.60
|
|
Analysis nerve
|
$559.15 |
$559.15 |
$559.15 |
$223.19
|
|
Analysis tumor
|
$559.15 |
$559.15 |
$559.15 |
$240.00
|
|
Anaplsma phgcytophlm amp prb
|
$55.65 |
$55.65 |
$55.65 |
$95.45
|
|
Anca screen with reflex to titer -quest
|
$91.69 |
$91.69 |
$91.69 |
$103.20
|
|
An cholangiogram percutaneous compl
|
$2,341.01 |
$2,341.01 |
$2,341.01 |
$2,426.60
|
|
An fluoro guide for cvp
|
$138.86 |
$138.86 |
$138.86 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$4,560.65 |
$4,560.65 |
$4,560.65 |
$5,799.20
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$4,544.22 |
$4,544.22 |
$4,544.22 |
$6,513.10
|
|
Angio trnslmnl balloon same artery ea addl
|
$5,867.10 |
$5,867.10 |
$5,867.10 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$11,733.67 |
$11,733.67 |
$11,733.67 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$5,867.10 |
$5,867.10 |
$5,867.10 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$11,733.67 |
$11,733.67 |
$11,733.67 |
$8,745.10
|
|
Ankle X-ray
|
$158.47 |
$158.47 |
$158.47 |
$350.85
|
|
Anora (draw only)
|
$33.92 |
$33.92 |
$33.92 |
$36.36
|
|
Antibody
|
$27.03 |
$27.03 |
$27.03 |
$27.41
|
|
Antibody bacterium, not elsewhere specified
|
$41.87 |
$41.87 |
$41.87 |
$57.85
|
|
Antibody elution rbc reference
|
$92.22 |
$92.22 |
$92.22 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$67.84 |
$67.84 |
$67.84 |
$141.26
|
|
Antibody htlv-i
|
$14.31 |
$14.31 |
$14.31 |
$49.53
|
|
Antibody htlv-ii
|
$22.26 |
$22.26 |
$22.26 |
$37.70
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$122.43 |
$122.43 |
$122.43 |
$218.30
|
|
Antibody id rbc panel
|
$190.80 |
$190.80 |
$190.80 |
$291.75
|
|
Antibody influenza virus
|
$54.06 |
$54.06 |
$54.06 |
$53.95
|
|
Antibody lymphocytic choriomeningitis
|
$33.92 |
$33.92 |
$33.92 |
$53.96
|
|
Antibody screen rbc
|
$45.58 |
$45.58 |
$45.58 |
$105.00
|
|
Antibody tetanus
|
$54.59 |
$54.59 |
$54.59 |
$58.50
|
|
Antidepressant not specified
|
$181.26 |
$181.26 |
$181.26 |
$89.50
|
|
Antihemophilic factor-vwf 250 unit-600 unit intravenous solution
|
$1.85 |
$1.85 |
$1.85 |
$4.00
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$50.88 |
$50.88 |
$50.88 |
$50.88
|
