|
Acetaminophen level
|
$157.50 |
$157.50 |
$157.50 |
$117.01
|
|
Acetylcholinesterase assay
|
$157.50 |
$157.50 |
$157.50 |
$106.70
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$20.00 |
$20.00 |
$20.00 |
$42.28
|
|
Acute hepatitis panel
|
$322.50 |
$322.50 |
$322.50 |
$281.09
|
|
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution
|
$18.74 |
$18.74 |
$18.74 |
$183.76
|
|
Administration immunization 1 vaccine
|
$32.50 |
$32.50 |
$32.50 |
$67.60
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$62.50 |
$62.50 |
$62.50 |
$55.90
|
|
Albumin serum plasma or whole blood
|
$37.50 |
$37.50 |
$37.50 |
$40.00
|
|
Alcohol (ethanol) any specimen except urine/breath
|
$112.50 |
$112.50 |
$112.50 |
$94.90
|
|
Alginate drsg >16 <=48 sq in
|
$20.00 |
$20.00 |
$20.00 |
$40.60
|
|
Alkaline phosphatase
|
$65.00 |
$65.00 |
$65.00 |
$46.40
|
|
Allergen egg white ige
|
$25.00 |
$25.00 |
$25.00 |
$36.60
|
|
Alpha-fetoprotein tumor marker
|
$52.50 |
$52.50 |
$52.50 |
$103.60
|
|
Alt/sgpt
|
$62.50 |
$62.50 |
$62.50 |
$44.68
|
|
Amantadine (symmetrel)-sendout
|
$205.00 |
$205.00 |
$205.00 |
$178.10
|
|
Aminolevulinic acid delta
|
$70.00 |
$70.00 |
$70.00 |
$74.10
|
|
Amitriptyline (elavil) -sendout
|
$92.50 |
$92.50 |
$92.50 |
$92.50
|
|
Ammonia
|
$85.00 |
$85.00 |
$85.00 |
$116.40
|
|
Amphetamines 5 or more
|
$92.50 |
$92.50 |
$92.50 |
$87.75
|
|
Amylase
|
$67.50 |
$67.50 |
$67.50 |
$83.20
|
|
Antibody bacterium, not elsewhere specified
|
$25.00 |
$25.00 |
$25.00 |
$57.85
|
|
Antibody screen rbc
|
$82.50 |
$82.50 |
$82.50 |
$102.68
|
|
Antinuclear antibodies
|
$95.00 |
$95.00 |
$95.00 |
$90.00
|
|
Antinuclear antibodies titer
|
$85.00 |
$85.00 |
$85.00 |
$78.00
|
|
Antipsychotics nos 1-3
|
$142.50 |
$142.50 |
$142.50 |
$153.45
|
|
Antistreptolysin o titer
|
$70.00 |
$70.00 |
$70.00 |
$54.40
|
|
Aquatic exercise - group charge
|
$80.00 |
$80.00 |
$80.00 |
$87.15
|
|
Assay of breath ethanol
|
$30.00 |
$30.00 |
$30.00 |
$47.30
|
|
Assay of salicylate
|
$95.00 |
$95.00 |
$95.00 |
$95.00
|
|
Ast/sgot
|
$57.50 |
$57.50 |
$57.50 |
$45.50
|
|
Automated diff wbc count
|
$27.50 |
$27.50 |
$27.50 |
$35.10
|
|
Bacterial vaginosis pcr
|
$200.00 |
$200.00 |
$200.00 |
$274.30
|
|
#_benzodiazconfur
|
$35.00 |
$35.00 |
$35.00 |
$117.15
|
|
Bilirubin direct
|
$57.50 |
$57.50 |
$57.50 |
$49.37
|
|
Bilirubin total
|
$57.50 |
$57.50 |
$57.50 |
$50.65
|
|
Blood Clotting (PT/INR) Test
|
$35.00 |
$35.00 |
$35.00 |
$50.70
|
|
Blood Clotting (PTT) Test
|
$50.00 |
$50.00 |
$50.00 |
$69.85
|
|
Blood component/product noc
|
$132.50 |
$132.50 |
$132.50 |
$57.90
|
|
Blood Count (CBC) Test
|
$70.00 |
$70.00 |
$70.00 |
$71.57
|
|
Blood Count (CBC) Test (without differential)
|
$50.00 |
$50.00 |
$50.00 |
$60.00
|
|
Blood Culture Test
|
$80.00 |
$80.00 |
$80.00 |
$137.50
|
|
Blood draw capillary 36416
|
$10.00 |
$10.00 |
$10.00 |
$20.35
|
|
Blood gases ph venous
|
$52.50 |
$52.50 |
$52.50 |
$61.75
|
|
Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic
|
$47.50 |
$47.50 |
$47.50 |
$56.07
|
|
Blood typing abo
|
$40.00 |
$40.00 |
$40.00 |
$83.03
|
|
Blood typing rh (d)
|
$40.00 |
$40.00 |
$40.00 |
$56.24
|
|
Borrelia burgdorferi (lyme disease) antibody nonspecific
|
$90.00 |
$90.00 |
$90.00 |
$92.40
|
|
Brace oths wrist hnd fngr without
|
$162.50 |
$162.50 |
$162.50 |
$231.80
|
|
Bundled special stain group 1 microorganisms
|
$67.50 |
$67.50 |
$67.50 |
$161.46
|
|
Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet
|
$24.58 |
$24.58 |
$24.58 |
$11.72
|
|
Buprenorphine 8 mg-naloxone 2 mg sublingual tablet
|
$17.87 |
$17.87 |
$17.87 |
$14.27
|
|
Buprenorphine and metabolite - sendout
|
$57.50 |
$57.50 |
$57.50 |
$83.48
|
|
C1 esterase inhibitor func - sendout
|
$222.50 |
$222.50 |
$222.50 |
$86.00
|
|
Calcium ionized
|
$47.50 |
$47.50 |
$47.50 |
$86.45
|
|
Calcium total
|
$50.00 |
$50.00 |
$50.00 |
$49.40
|
|
Carbamazepine free
|
$50.00 |
$50.00 |
$50.00 |
$55.17
|
|
Carbamazepine free -sendout
|
$45.00 |
$45.00 |
$45.00 |
$45.00
|
|
Carbamazepine total therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$115.05
|
|
Carboxyhemoglobin quantitative
|
$32.50 |
$32.50 |
$32.50 |
$84.00
|
|
Carcinoembryonic ag (cea)
|
$142.50 |
$142.50 |
$142.50 |
$142.50
|
|
Cdna analysis for variants
|
$360.00 |
$360.00 |
$360.00 |
$532.35
|
|
#celiac hla-dq8
|
$245.00 |
$245.00 |
$245.00 |
$245.60
|
|
Cell enumeration & id
|
$515.00 |
$515.00 |
$515.00 |
$542.40
|
|
Cell function assay w/stim
|
$150.00 |
$150.00 |
$150.00 |
$314.25
|
|
Chemodenervation/face muscl/unilat 64612
|
$400.00 |
$400.00 |
$400.00 |
$652.80
|
|
Chlamydia culture
|
$80.00 |
$80.00 |
$80.00 |
$88.40
|
|
Chloride
|
$32.50 |
$32.50 |
$32.50 |
$39.60
|
|
Chloride 24 hour urine
|
$55.00 |
$55.00 |
$55.00 |
$46.13
|
|
Chlorpromazine 0.125 mg/ml IV syringe - cnr
|
$184.91 |
$184.91 |
$184.91 |
$80.94
|
|
Cholesterol
|
$52.50 |
$52.50 |
$52.50 |
$45.76
|
|
Cholesterol (Lipid) Test
|
$125.00 |
$125.00 |
$125.00 |
$112.80
|
|
Chromatography
|
$57.50 |
$57.50 |
$57.50 |
$77.00
|
|
Collection of venous blood by venipuncture
|
$12.50 |
$12.50 |
$12.50 |
$20.70
|
|
Complement antigen each component c3
|
$70.00 |
$70.00 |
$70.00 |
$108.55
|
|
Coombs direct
|
$67.50 |
$67.50 |
$67.50 |
$72.05
|
|
Cortisol total am
|
$117.50 |
$117.50 |
$117.50 |
$120.06
|
|
Covid-19 administration immunization im inj 1st/only component
|
$42.50 |
$42.50 |
$42.50 |
$49.60
|
|
#coxa-coxsackie a serotype a16
|
$37.50 |
$37.50 |
$37.50 |
$60.00
|
|
C-peptide
|
$87.50 |
$87.50 |
$87.50 |
$93.60
|
|
C-reactive protein
|
$60.00 |
$60.00 |
$60.00 |
$61.20
|
|
C-reactive protein high sensitivity
|
$77.50 |
$77.50 |
$77.50 |
$83.00
|
|
Creatine kinase
|
$62.50 |
$62.50 |
$62.50 |
$62.50
|
|
Creatine kinase isoenzymes
|
$57.50 |
$57.50 |
$57.50 |
$51.60
|
|
Creatine kinase mb
|
$130.00 |
$130.00 |
$130.00 |
$114.00
|
|
Creatinine
|
$37.50 |
$37.50 |
$37.50 |
$43.85
|
|
Creatinine 24 hour urine
|
$50.00 |
$50.00 |
$50.00 |
$55.25
|
|
Creatinine clearance urine
|
$80.00 |
$80.00 |
$80.00 |
$85.80
|
|
#creutz-prot.,western blot
|
$80.00 |
$80.00 |
$80.00 |
$156.60
|
|
Crisis psychotherapy 90839
|
$305.00 |
$305.00 |
$305.00 |
$326.34
|
|
Crisis psychotherapy additional 30 mins 90840
|
$152.50 |
$152.50 |
$152.50 |
$151.84
|
|
Cryopreserve testicular tiss
|
$60.00 |
$60.00 |
$60.00 |
$71.65
|
|
Culture aerobic additional method definitive id each
|
$80.00 |
$80.00 |
$80.00 |
$66.00
|
|
Culture afb any source
|
$80.00 |
$80.00 |
$80.00 |
$107.50
|
|
Culture anaerobic except blood
|
$80.00 |
$80.00 |
$80.00 |
$114.48
|
|
Culture bact stool aero addl path ea
|
$80.00 |
$80.00 |
$80.00 |
$52.80
|
|
Culture body fluid
|
$80.00 |
$80.00 |
$80.00 |
$124.15
|
|
Culture fungi other (except blood)
|
$80.00 |
$80.00 |
$80.00 |
$104.00
|
|
Culture screening strep group a
|
$80.00 |
$80.00 |
$80.00 |
$82.55
|
|
Culture typing immunologic
|
$22.50 |
$22.50 |
$22.50 |
$39.50
|
|
Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets
|
$392.50 |
$392.50 |
$392.50 |
$392.50
|