|
11-desoxycortisol - sendout
|
$58.52 |
$58.52 |
$58.52 |
$91.85
|
|
17-hydroxypregnenolone
|
$45.89 |
$45.89 |
$45.89 |
$92.65
|
|
1st hosp/birthing center care per day nml nb 99460
|
$145.08 |
$145.08 |
$145.08 |
$161.60
|
|
5' nucleotidase - sendout
|
$65.84 |
$65.84 |
$65.84 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$47.58 |
$47.58 |
$47.58 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$53.68 |
$53.68 |
$53.68 |
$53.95
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$978.02 |
$978.02 |
$978.02 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$577.10 |
$577.10 |
$577.10 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,404.92 |
$1,404.92 |
$1,404.92 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,170.65 |
$1,170.65 |
$1,170.65 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$936.38 |
$936.38 |
$936.38 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$3,634.54 |
$3,634.54 |
$3,634.54 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,028.78 |
$3,028.78 |
$3,028.78 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,423.02 |
$2,423.02 |
$2,423.02 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$861.25 |
$861.25 |
$861.25 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,030.09 |
$1,030.09 |
$1,030.09 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$768.04 |
$768.04 |
$768.04 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$308.10 |
$308.10 |
$308.10 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$373.20 |
$373.20 |
$373.20 |
$418.63
|
|
Abdominal X-ray (single view)
|
$170.32 |
$170.32 |
$170.32 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$585.74 |
$585.74 |
$585.74 |
$1,148.40
|
|
Abl1 gene
|
$542.70 |
$542.70 |
$542.70 |
$683.20
|
|
Acetylcholine receptor modulating antibody
|
$58.97 |
$58.97 |
$58.97 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$33.54 |
$33.54 |
$33.54 |
$38.50
|
|
Acute hepatitis panel
|
$166.92 |
$166.92 |
$166.92 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$1.72 |
$1.72 |
$1.72 |
$54.77
|
|
#acylcarnitineprfl
|
$76.48 |
$76.48 |
$76.48 |
$121.55
|
|
Adapter b 8 channel 10cm
|
$7,375.94 |
$7,375.94 |
$7,375.94 |
$5,109.58
|
|
Adenovirus antibody,serum - quest
|
$46.12 |
$46.12 |
$46.12 |
$58.00
|
|
Adh-sendout
|
$67.83 |
$67.83 |
$67.83 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$67.94 |
$67.94 |
$67.94 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$154.40 |
$154.40 |
$154.40 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$314.20 |
$314.20 |
$314.20 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$94.23 |
$94.23 |
$94.23 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$44.58 |
$44.58 |
$44.58 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$119.30 |
$119.30 |
$119.30 |
$256.49
|
|
Administration immunization each additional vaccine
|
$24.96 |
$24.96 |
$24.96 |
$47.40
|
|
Administration vaccine hepatitis b
|
$44.93 |
$44.93 |
$44.93 |
$53.00
|
|
Administration vaccine influenza virus
|
$44.93 |
$44.93 |
$44.93 |
$51.07
|
|
Administration vaccine pneumococcal
|
$44.93 |
$44.93 |
$44.93 |
$49.68
|
|
Aep hearing status deter i&r
|
$299.65 |
$299.65 |
$299.65 |
$303.00
|
|
_afb id by dna probe rflx ast
|
$51.25 |
$51.25 |
$51.25 |
$104.50
|
|
_afb org id by sequencing rflx ast-sendout
|
$243.59 |
$243.59 |
$243.59 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$38.57 |
$38.57 |
$38.57 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$45.22 |
$45.22 |
$45.22 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$41.90 |
$41.90 |
$41.90 |
$43.00
|
|
Alkaline phosphatase
|
$37.91 |
$37.91 |
$37.91 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$60.48 |
$60.48 |
$60.48 |
$48.57
|
|
Allergen egg white ige
|
$42.34 |
$42.34 |
$42.34 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$44.60 |
$44.60 |
$44.60 |
$24.00
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$3,833.74 |
$3,833.74 |
$3,833.74 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$129.01 |
$129.01 |
$129.01 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$33.92 |
$33.92 |
$33.92 |
$106.00
|
|
Als 1
|
$1,322.83 |
$1,322.83 |
$1,322.83 |
$853.44
|
|
Als1-emergency
|
$1,436.76 |
$1,436.76 |
$1,436.76 |
$1,103.37
|
|
Als 2
|
$1,951.70 |
$1,951.70 |
$1,951.70 |
$1,288.56
|
|
Alt/sgpt
|
$39.24 |
$39.24 |
$39.24 |
$47.50
|
|
Aluminum - quest
|
$51.21 |
$51.21 |
$51.21 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$215.46 |
$215.46 |
$215.46 |
$179.70
|
|
Aminolevulinic acid delta
|
$49.88 |
$49.88 |
$49.88 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$45.22 |
$45.22 |
$45.22 |
$87.45
|
|
Ammonia
|
$76.48 |
$76.48 |
$76.48 |
$119.70
|
|
Amniocentesisdiagnostic 59000
|
$741.19 |
$741.19 |
$741.19 |
$942.60
|
|
Amphetamine confirm urine -sendout
|
$55.20 |
$55.20 |
$55.20 |
$93.61
|
|
Amylase
|
$226.77 |
$226.77 |
$226.77 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$102.41 |
$102.41 |
$102.41 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$119.39 |
$119.39 |
$119.39 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$133.26 |
$133.26 |
$133.26 |
$249.60
|
|
Anca screen with reflex to titer -quest
|
$41.58 |
$41.58 |
$41.58 |
$101.50
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$4,489.13 |
$4,489.13 |
$4,489.13 |
$2,979.43
|
|
Ankle X-ray
|
$356.55 |
$356.55 |
$356.55 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$200.60 |
$200.60 |
$200.60 |
$282.96
|
|
Antibody bacterium, not elsewhere specified
|
$115.67 |
$115.67 |
$115.67 |
$57.85
|
|
Antibody elution rbc reference
|
$260.06 |
$260.06 |
$260.06 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$380.27 |
$380.27 |
$380.27 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$180.68 |
$180.68 |
$180.68 |
$224.00
|
|
Antibody id rbc panel
|
$468.85 |
$468.85 |
$468.85 |
$291.75
|
|
Antibody influenza virus
|
$51.41 |
$51.41 |
$51.41 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$46.87 |
$46.87 |
$46.87 |
$46.58
|
|
Antibody screen rbc
|
$70.52 |
$70.52 |
$70.52 |
$108.55
|
|
Antibody tetanus
|
$47.63 |
$47.63 |
$47.63 |
$54.15
|
|
Anti mog serum - sendout
|
$632.77 |
$632.77 |
$632.77 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$40.82 |
$40.82 |
$40.82 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$46.87 |
$46.87 |
$46.87 |
$42.00
|
|
Antinuclear antibodies
|
$40.07 |
$40.07 |
$40.07 |
$90.00
|
|
Antinuclear antibodies titer
|
$86.94 |
$86.94 |
$86.94 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$43.09 |
$43.09 |
$43.09 |
$67.43
|
|
Antistreptolysin o titer
|
$43.09 |
$43.09 |
$43.09 |
$54.00
|
|
Antithrombin iii activity
|
$43.28 |
$43.28 |
$43.28 |
$115.15
|
|
Aortic Aneurysm Screening Ultrasound
|
$331.01 |
$331.01 |
$331.01 |
$394.55
|
|
Application finger splntstatic 29130
|
$57.01 |
$57.01 |
$57.01 |
$208.50
|
|
Application long leg splint 29505
|
$96.24 |
$96.24 |
$96.24 |
$338.25
|
|
Application lower leg splint 29515
|
$94.40 |
$94.40 |
$94.40 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$257.04 |
$257.04 |
$257.04 |
$375.06
|
|
Application of long leg cast 29345
|
$190.64 |
$190.64 |
$190.64 |
$455.00
|
|
Application of paste boot 29580
|
$254.16 |
$254.16 |
$254.16 |
$340.11
|
|
Application short leg cast 29405
|
$112.18 |
$112.18 |
$112.18 |
$393.98
|
|
Appl modality 1/> areas paraffin bath 97018
|
$46.80 |
$46.80 |
$46.80 |
$69.00
|
|
Appl modality 1+lllt po pain
|
$61.92 |
$61.92 |
$61.92 |
$54.61
|
|
Apply rigid leg cast 29445
|
$866.16 |
$866.16 |
$866.16 |
$555.00
|
