|
11-desoxycortisol - sendout
|
$53.90 |
$53.90 |
$53.90 |
$87.50
|
|
17-hydroxypregnenolone
|
$53.90 |
$53.90 |
$53.90 |
$87.50
|
|
17-ketosteroids
|
$37.40 |
$37.40 |
$37.40 |
$44.88
|
|
3-d radiotherapy plan
|
$5,066.05 |
$5,066.05 |
$5,066.05 |
$5,002.69
|
|
3d recon without postprocess indpndt
|
$1,980.55 |
$1,980.55 |
$1,980.55 |
$425.10
|
|
5' nucleotidase - sendout
|
$21.45 |
$21.45 |
$21.45 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$156.75 |
$156.75 |
$156.75 |
$97.65
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$59.95 |
$59.95 |
$59.95 |
$52.25
|
|
Abd aorta w/runoff s&i
|
$5,639.70 |
$5,639.70 |
$5,639.70 |
$3,724.63
|
|
Abd/low ext cath 1st
|
$1,921.15 |
$1,921.15 |
$1,921.15 |
$2,300.20
|
|
Abd/low ext cath 2nd
|
$2,178.55 |
$2,178.55 |
$2,178.55 |
$2,401.80
|
|
Abd/low ext cath 3rd
|
$2,261.05 |
$2,261.05 |
$2,261.05 |
$2,727.40
|
|
Abd/low ext cath addl
|
$368.50 |
$368.50 |
$368.50 |
$988.80
|
|
Abdominal CT scan (with and without contrast)
|
$2,131.25 |
$2,131.25 |
$2,131.25 |
$2,009.80
|
|
Abdominal CT scan (with contrast)
|
$2,032.25 |
$2,032.25 |
$2,032.25 |
$1,683.63
|
|
Abdominal CT scan (without contrast)
|
$1,755.60 |
$1,755.60 |
$1,755.60 |
$1,358.76
|
|
Abdominal MRI (with and without contrast)
|
$2,474.45 |
$2,474.45 |
$2,474.45 |
$2,933.60
|
|
Abdominal MRI (with contrast)
|
$2,268.20 |
$2,268.20 |
$2,268.20 |
$2,200.55
|
|
Abdominal MRI (without contrast)
|
$2,061.95 |
$2,061.95 |
$2,061.95 |
$1,975.74
|
|
Abdominal paracentesis w/image guidance
|
$1,437.70 |
$1,437.70 |
$1,437.70 |
$1,688.29
|
|
Abdominal Ultrasound (complete)
|
$1,334.85 |
$1,334.85 |
$1,334.85 |
$785.25
|
|
Abdominal Ultrasound (limited)
|
$1,113.20 |
$1,113.20 |
$1,113.20 |
$604.43
|
|
Abd paracentesis/w/o image guide 49082
|
$1,515.25 |
$1,515.25 |
$1,515.25 |
$1,248.00
|
|
Abl1 gene
|
$1,134.65 |
$1,134.65 |
$1,134.65 |
$614.25
|
|
Ablate bone tumor(s) perq
|
$16,437.85 |
$16,437.85 |
$16,437.85 |
$9,812.40
|
|
Ablate pulm tumor perq crybl
|
$8,185.65 |
$8,185.65 |
$8,185.65 |
$9,977.40
|
|
Ablate pulm tumor perq rf
|
$10,783.30 |
$10,783.30 |
$10,783.30 |
$7,911.80
|
|
Ablation cryo abd perit om
|
$1,643.40 |
$1,643.40 |
$1,643.40 |
$2,555.80
|
|
Ablation of upper extremity nerves rf
|
$1,478.95 |
$1,478.95 |
$1,478.95 |
$825.60
|
|
Abscess drain retroperitoneal surg code
|
$1,945.90 |
$1,945.90 |
$1,945.90 |
$3,053.18
|
|
Acetaminophen 120 mg rectal suppository
|
$107.02 |
$107.02 |
$107.02 |
$146.76
|
|
Acetaminophen level
|
$294.25 |
$294.25 |
$294.25 |
$117.01
|
|
Acetone qualitative
|
$40.15 |
$40.15 |
$40.15 |
$48.00
|
|
Acetylcholine receptor modulating antibody
|
$52.80 |
$52.80 |
$52.80 |
$64.50
|
|
Acetylcholinesterase assay
|
$108.35 |
$108.35 |
$108.35 |
$106.70
|
|
Acute hepatitis panel
|
$281.05 |
$281.05 |
$281.05 |
$284.70
|
|
#acylcarnitineprfl
|
$149.05 |
$149.05 |
$149.05 |
$87.72
|
|
Acylcarnitines qual
|
$180.95 |
$180.95 |
$180.95 |
$35.75
|
|
Adapter b 8 channel 10cm
|
$1,119.06 |
$1,119.06 |
$1,119.06 |
$6,875.44
|
|
Adenovirus antibody,serum - quest
|
$86.90 |
$86.90 |
$86.90 |
$60.00
|
|
Adh-sendout
|
$42.90 |
$42.90 |
$42.90 |
$109.28
|
|
Administration chemotherapy IV infusion each additional hour
|
$79.20 |
$79.20 |
$79.20 |
$233.56
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$169.95 |
$169.95 |
$169.95 |
$308.10
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$340.45 |
$340.45 |
$340.45 |
$695.37
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$172.70 |
$172.70 |
$172.70 |
$444.49
|
|
Administration immunization 1 vaccine
|
$64.35 |
$64.35 |
$64.35 |
$70.00
|
|
Administration immunization each additional vaccine
|
$129.25 |
$129.25 |
$129.25 |
$46.23
|
|
Administration vaccine hepatitis b
|
$90.20 |
$90.20 |
$90.20 |
$51.11
|
|
Administration vaccine influenza virus
|
$90.20 |
$90.20 |
$90.20 |
$49.40
|
|
Administration vaccine pneumococcal
|
$90.20 |
$90.20 |
$90.20 |
$51.07
|
|
#afb mycobacteria suscep. #1
|
$316.80 |
$316.80 |
$316.80 |
$38.58
|
|
_afb org id by sequencing rflx ast-sendout
|
$713.35 |
$713.35 |
$713.35 |
$289.60
|
|
Albumin body fluid quantitative each specimen
|
$45.65 |
$45.65 |
$45.65 |
$48.00
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$83.05 |
$83.05 |
$83.05 |
$58.00
|
|
Albumin serum plasma or whole blood
|
$43.45 |
$43.45 |
$43.45 |
$43.45
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$227.70 |
$227.70 |
$227.70 |
$94.90
|
|
Alkaline phosphatase
|
$45.65 |
$45.65 |
$45.65 |
$46.50
|
|
Allergen alpha lactalbumin ige
|
$353.10 |
$353.10 |
$353.10 |
$56.35
|
|
Allergen egg white ige
|
$140.80 |
$140.80 |
$140.80 |
$39.78
|
|
Allergen specific ige qual multi scrn ea
|
$13.75 |
$13.75 |
$13.75 |
$26.95
|
|
Alpha-fetoprotein amniotic
|
$63.80 |
$63.80 |
$63.80 |
$90.03
|
|
Alpha-fetoprotein tumor marker
|
$42.90 |
$42.90 |
$42.90 |
$103.60
|
|
Alt/sgpt
|
$90.75 |
$90.75 |
$90.75 |
$49.00
|
|
Aluminum - quest
|
$19.25 |
$19.25 |
$19.25 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$295.35 |
$295.35 |
$295.35 |
$188.65
|
|
Amino acid screen, urine
|
$401.50 |
$401.50 |
$401.50 |
$64.28
|
|
Aminolevulinic acid delta
|
$118.25 |
$118.25 |
$118.25 |
$85.15
|
|
Amitriptyline (elavil) -sendout
|
$63.80 |
$63.80 |
$63.80 |
$101.17
|
|
Ammonia
|
$186.45 |
$186.45 |
$186.45 |
$123.48
|
|
Amniocentesisdiagnostic 59000
|
$668.25 |
$668.25 |
$668.25 |
$963.79
|
|
Amphetamine confirm urine -sendout
|
$166.10 |
$166.10 |
$166.10 |
$94.50
|
|
Amphetamines 5 or more
|
$69.30 |
$69.30 |
$69.30 |
$93.60
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$165.00 |
$165.00 |
$165.00 |
$280.20
|
|
Amylase
|
$158.40 |
$158.40 |
$158.40 |
$93.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$106.70 |
$106.70 |
$106.70 |
$117.01
|
|
Analysis complx cranial nerve pulse gen prgrmg 95977
|
$140.80 |
$140.80 |
$140.80 |
$340.47
|
|
Analysis gene f2 20210g>a variant
|
$540.10 |
$540.10 |
$540.10 |
$219.13
|
|
Analysis gene f5 leiden variant
|
$183.70 |
$183.70 |
$183.70 |
$226.60
|
|
Analysis; simple cranial nerv pulse gen prgrmg 95976
|
$44.55 |
$44.55 |
$44.55 |
$122.20
|
|
Analyze neurostimulator simple w/reprogramming 95971
|
$263.45 |
$263.45 |
$263.45 |
$396.48
|
|
Anaplsma phgcytophlm amp prb
|
$106.15 |
$106.15 |
$106.15 |
$95.45
|
|
An cholangiogram percutaneous compl
|
$2,699.40 |
$2,699.40 |
$2,699.40 |
$2,426.60
|
|
An fluoro guide for cvp
|
$503.80 |
$503.80 |
$503.80 |
$509.60
|
|
Angio balloon ctrl dialysis seg add-on
|
$2,616.90 |
$2,616.90 |
$2,616.90 |
$5,799.20
|
|
Angioplasty fem/pop unilat 37224
|
$4,903.80 |
$4,903.80 |
$4,903.80 |
$9,462.03
|
|
Angioplasty/iliac/init ves/unilat 37220
|
$4,575.45 |
$4,575.45 |
$4,575.45 |
$11,524.11
|
|
Angioplasty tib/pero/unilat/ea add 37232
|
$3,476.00 |
$3,476.00 |
$3,476.00 |
$6,513.10
|
|
Angio tib/peroneal/init ves/unila 37228
|
$6,167.70 |
$6,167.70 |
$6,167.70 |
$13,351.25
|
|
Angio trnslmnl balloon same artery ea addl
|
$6,379.45 |
$6,379.45 |
$6,379.45 |
$5,741.00
|
|
Angio trnslmnl balloon same artery ini
|
$3,743.85 |
$3,743.85 |
$3,743.85 |
$9,074.63
|
|
Angio trnslmnl balloon same vein ea addl
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$4,865.57
|
|
Angio trnslmnl balloon same vein ini
|
$3,131.70 |
$3,131.70 |
$3,131.70 |
$8,745.10
|
|
Ankle X-ray
|
$387.75 |
$387.75 |
$387.75 |
$350.85
|
|
Antibody
|
$129.80 |
$129.80 |
$129.80 |
$27.41
|
|
Antibody bacterium, not elsewhere specified
|
$277.20 |
$277.20 |
$277.20 |
$57.85
|
|
Antibody elution rbc reference
|
$199.65 |
$199.65 |
$199.65 |
$179.62
|
|
Antibody htlv/hiv confirm test
|
$205.15 |
$205.15 |
$205.15 |
$141.26
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$617.10 |
$617.10 |
$617.10 |
$218.30
|
|
Antibody id rbc panel
|
$149.05 |
$149.05 |
$149.05 |
$291.75
|
|
Antibody influenza virus
|
$22.00 |
$22.00 |
$22.00 |
$53.95
|
