|
11-desoxycortisol - sendout
|
$54.12 |
$54.12 |
$54.12 |
$91.85
|
|
17-hydroxypregnenolone
|
$42.44 |
$42.44 |
$42.44 |
$92.65
|
|
5' nucleotidase - sendout
|
$60.88 |
$60.88 |
$60.88 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$41.41 |
$41.41 |
$41.41 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$49.42 |
$49.42 |
$49.42 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$902.48 |
$902.48 |
$902.48 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$532.52 |
$532.52 |
$532.52 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,227.00 |
$1,227.00 |
$1,227.00 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$817.80 |
$817.80 |
$817.80 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,701.40 |
$3,701.40 |
$3,701.40 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,084.50 |
$3,084.50 |
$3,084.50 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,467.60 |
$2,467.60 |
$2,467.60 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$837.68 |
$837.68 |
$837.68 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,000.21 |
$1,000.21 |
$1,000.21 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$745.77 |
$745.77 |
$745.77 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$286.53 |
$286.53 |
$286.53 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$347.07 |
$347.07 |
$347.07 |
$418.63
|
|
Abdominal X-ray (single view)
|
$158.40 |
$158.40 |
$158.40 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$569.70 |
$569.70 |
$569.70 |
$1,148.40
|
|
Abl1 gene
|
$966.60 |
$966.60 |
$966.60 |
$683.20
|
|
Acetazolamide 500 mg solution for injection
|
$2.62 |
$2.62 |
$2.62 |
$122.55
|
|
Acetylcholine receptor modulating antibody
|
$54.29 |
$54.29 |
$54.29 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$35.57 |
$35.57 |
$35.57 |
$38.50
|
|
Acute hepatitis panel
|
$154.36 |
$154.36 |
$154.36 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$0.85 |
$0.85 |
$0.85 |
$54.77
|
|
#acylcarnitineprfl
|
$70.72 |
$70.72 |
$70.72 |
$121.55
|
|
Adenovirus antibody,serum - quest
|
$42.46 |
$42.46 |
$42.46 |
$58.00
|
|
Adh-sendout
|
$62.73 |
$62.73 |
$62.73 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$47.78 |
$47.78 |
$47.78 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$108.60 |
$108.60 |
$108.60 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$221.00 |
$221.00 |
$221.00 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$227.95 |
$227.95 |
$227.95 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$107.85 |
$107.85 |
$107.85 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$288.58 |
$288.58 |
$288.58 |
$256.49
|
|
Administration immunization each additional vaccine
|
$26.94 |
$26.94 |
$26.94 |
$47.40
|
|
Administration vaccine hepatitis b
|
$48.49 |
$48.49 |
$48.49 |
$53.00
|
|
Administration vaccine influenza virus
|
$48.49 |
$48.49 |
$48.49 |
$51.07
|
|
Administration vaccine pneumococcal
|
$48.49 |
$48.49 |
$48.49 |
$49.68
|
|
_afb id by dna probe rflx ast
|
$45.92 |
$45.92 |
$45.92 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$266.50 |
$266.50 |
$266.50 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$35.67 |
$35.67 |
$35.67 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$41.82 |
$41.82 |
$41.82 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$38.74 |
$38.74 |
$38.74 |
$43.00
|
|
Alkaline phosphatase
|
$35.06 |
$35.06 |
$35.06 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$55.68 |
$55.68 |
$55.68 |
$48.57
|
|
Allergen egg white ige
|
$38.98 |
$38.98 |
$38.98 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$41.06 |
$41.06 |
$41.06 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$544.13 |
$544.13 |
$544.13 |
$9,900.02
|
|
Allograft dermis 20x25x1mm decell w/matracell arthroflex
|
$382.44 |
$382.44 |
$382.44 |
$6,285.56
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$119.31 |
$119.31 |
$119.31 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$31.36 |
$31.36 |
$31.36 |
$106.00
|
|
Alt/sgpt
|
$36.28 |
$36.28 |
$36.28 |
$47.50
|
|
Aluminum - quest
|
$47.35 |
$47.35 |
$47.35 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$199.26 |
$199.26 |
$199.26 |
$179.70
|
|
Aminolevulinic acid delta
|
$46.12 |
$46.12 |
$46.12 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$41.82 |
$41.82 |
$41.82 |
$87.45
|
|
Ammonia
|
$70.72 |
$70.72 |
$70.72 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$720.90 |
$720.90 |
$720.90 |
$942.60
|
|
Amniocentesis therapeutic
|
$943.65 |
$943.65 |
$943.65 |
$791.05
|
|
Amphetamine confirm urine -sendout
|
$51.05 |
$51.05 |
$51.05 |
$93.61
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$847.39 |
$847.39 |
$847.39 |
$262.99
|
|
Amylase
|
$209.72 |
$209.72 |
$209.72 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$94.71 |
$94.71 |
$94.71 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$212.65 |
$212.65 |
$212.65 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$237.35 |
$237.35 |
$237.35 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$38.28 |
$38.28 |
$38.28 |
$101.50
|
|
An fluoro guide for cvp
|
$468.16 |
$468.16 |
$468.16 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$3,773.82 |
$3,773.82 |
$3,773.82 |
$2,979.43
|
|
Ankle X-ray
|
$331.58 |
$331.58 |
$331.58 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$186.56 |
$186.56 |
$186.56 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$106.49 |
$106.49 |
$106.49 |
$57.85
|
|
Antibody elution rbc reference
|
$239.42 |
$239.42 |
$239.42 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$350.09 |
$350.09 |
$350.09 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$166.34 |
$166.34 |
$166.34 |
$224.00
|
|
Antibody id rbc panel
|
$551.42 |
$551.42 |
$551.42 |
$291.75
|
|
Antibody influenza virus
|
$47.33 |
$47.33 |
$47.33 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$43.15 |
$43.15 |
$43.15 |
$46.58
|
|
Antibody screen rbc
|
$82.94 |
$82.94 |
$82.94 |
$108.55
|
|
Antibody tetanus
|
$43.85 |
$43.85 |
$43.85 |
$54.15
|
|
Antidepressant not specified
|
$43.05 |
$43.05 |
$43.05 |
$72.14
|
|
Anti mog serum - sendout
|
$582.55 |
$582.55 |
$582.55 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$37.58 |
$37.58 |
$37.58 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$43.15 |
$43.15 |
$43.15 |
$42.00
|
|
Antinuclear antibodies
|
$36.89 |
$36.89 |
$36.89 |
$90.00
|
|
Antinuclear antibodies titer
|
$80.04 |
$80.04 |
$80.04 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$39.67 |
$39.67 |
$39.67 |
$67.43
|
|
Antistreptolysin o titer
|
$39.67 |
$39.67 |
$39.67 |
$54.00
|
|
Antithrombin iii activity
|
$40.07 |
$40.07 |
$40.07 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$321.41 |
$321.41 |
$321.41 |
$394.55
|
|
Application finger splntstatic 29130
|
$49.85 |
$49.85 |
$49.85 |
$208.50
|
|
Application long leg splint 29505
|
$84.15 |
$84.15 |
$84.15 |
$338.25
|
|
Application lower leg splint 29515
|
$82.54 |
$82.54 |
$82.54 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$250.97 |
$250.97 |
$250.97 |
$375.06
|
|
Application of forearm cast 29075
|
$102.38 |
$102.38 |
$102.38 |
$358.20
|
|
Application of long arm cast 29065
|
$113.63 |
$113.63 |
$113.63 |
$396.77
|
|
Application of long leg cast 29345
|
$166.70 |
$166.70 |
$166.70 |
$455.00
|
|
Application of paste boot 29580
|
$248.16 |
$248.16 |
$248.16 |
$340.11
|
|
Application short leg cast 29405
|
$98.09 |
$98.09 |
$98.09 |
$393.98
|
|
Appl modality 1/> areas paraffin bath 97018
|
$45.70 |
$45.70 |
$45.70 |
$69.00
|
