|
11-desoxycortisol - sendout
|
$56.50 |
$56.50 |
$56.50 |
$91.85
|
|
17-hydroxypregnenolone
|
$44.30 |
$44.30 |
$44.30 |
$92.65
|
|
3d recon without postprocess indpndt
|
$446.49 |
$446.49 |
$446.49 |
$508.13
|
|
5' nucleotidase - sendout
|
$63.56 |
$63.56 |
$63.56 |
$50.05
|
|
88334 ap bill cytologic exam each additional site
|
$27.56 |
$27.56 |
$27.56 |
$100.10
|
|
#a/b/c/c/h pnl-candida albicans ab
|
$83.99 |
$83.99 |
$83.99 |
$53.95
|
|
Abd aorta w/runoff s&i
|
$1,391.82 |
$1,391.82 |
$1,391.82 |
$3,629.42
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (complete)
|
$942.95 |
$942.95 |
$942.95 |
$988.00
|
|
Abdominal and Pelvic Blood Vessel Ultrasound (limited)
|
$556.40 |
$556.40 |
$556.40 |
$662.40
|
|
Abdominal CT scan (with and without contrast)
|
$1,347.65 |
$1,347.65 |
$1,347.65 |
$1,976.94
|
|
Abdominal CT scan (with contrast)
|
$1,122.94 |
$1,122.94 |
$1,122.94 |
$1,667.60
|
|
Abdominal CT scan (without contrast)
|
$898.22 |
$898.22 |
$898.22 |
$1,353.32
|
|
Abdominal MRI (with and without contrast)
|
$4,102.58 |
$4,102.58 |
$4,102.58 |
$2,967.00
|
|
Abdominal MRI (with contrast)
|
$3,418.82 |
$3,418.82 |
$3,418.82 |
$2,240.00
|
|
Abdominal MRI (without contrast)
|
$2,735.06 |
$2,735.06 |
$2,735.06 |
$2,048.36
|
|
Abdominal paracentesis w/image guidance
|
$920.82 |
$920.82 |
$920.82 |
$1,632.96
|
|
Abdominal Ultrasound (complete)
|
$1,077.89 |
$1,077.89 |
$1,077.89 |
$783.00
|
|
Abdominal Ultrasound (limited)
|
$803.68 |
$803.68 |
$803.68 |
$586.43
|
|
Abdominal X-ray (2 views)
|
$311.76 |
$311.76 |
$311.76 |
$318.20
|
|
Abdominal X-ray Series (acute, with chest view)
|
$377.64 |
$377.64 |
$377.64 |
$418.63
|
|
Abdominal X-ray (single view)
|
$172.35 |
$172.35 |
$172.35 |
$260.00
|
|
Abd paracentesis/w/o image guide 49082
|
$626.25 |
$626.25 |
$626.25 |
$1,148.40
|
|
Abl1 gene
|
$647.10 |
$647.10 |
$647.10 |
$683.20
|
|
Ablation of upper extremity nerves rf
|
$580.16 |
$580.16 |
$580.16 |
$832.50
|
|
Acetylcholine receptor modulating antibody
|
$92.27 |
$92.27 |
$92.27 |
$67.50
|
|
Aco med nutria tx/group, ea 30 min 97804aco
|
$21.76 |
$21.76 |
$21.76 |
$38.50
|
|
Acute hepatitis panel
|
$161.14 |
$161.14 |
$161.14 |
$284.95
|
|
Acyclovir 400 mg tablet
|
$0.11 |
$0.11 |
$0.11 |
$54.77
|
|
#acylcarnitineprfl
|
$73.83 |
$73.83 |
$73.83 |
$121.55
|
|
Adding walker to prev cast
|
$53.91 |
$53.91 |
$53.91 |
$216.00
|
|
Adenovirus antibody,serum - quest
|
$72.16 |
$72.16 |
$72.16 |
$58.00
|
|
Adh-sendout
|
$65.48 |
$65.48 |
$65.48 |
$118.79
|
|
Administration chemotherapy IV infusion each additional hour
|
$33.79 |
$33.79 |
$33.79 |
$230.35
|
|
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr
|
$76.80 |
$76.80 |
$76.80 |
$298.98
|
|
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug
|
$156.29 |
$156.29 |
$156.29 |
$668.98
|
|
Administration chemotherapy IV push single/initial substance/drug
|
$226.00 |
$226.00 |
$226.00 |
$439.20
|
|
Administration chemotherapy subcutaneous/im anti neoplastic hormonal
|
$106.93 |
$106.93 |
$106.93 |
$212.80
|
|
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal
|
$286.11 |
$286.11 |
$286.11 |
$256.49
|
|
Administration immunization each additional vaccine
|
$15.06 |
$15.06 |
$15.06 |
$47.40
|
|
Administration vaccine hepatitis b
|
$27.11 |
$27.11 |
$27.11 |
$53.00
|
|
Administration vaccine influenza virus
|
$27.11 |
$27.11 |
$27.11 |
$51.07
|
|
Administration vaccine pneumococcal
|
$27.11 |
$27.11 |
$27.11 |
$49.68
|
|
_afb org id by sequencing rflx ast-sendout
|
$245.68 |
$245.68 |
$245.68 |
$300.00
|
|
Albumin body fluid quantitative each specimen
|
$37.24 |
$37.24 |
$37.24 |
$47.45
|
|
Albumin (microalbumin) 24 hour urine quantitative
|
$35.95 |
$35.95 |
$35.95 |
$58.17
|
|
Albumin serum plasma or whole blood
|
$40.45 |
$40.45 |
$40.45 |
$43.00
|
|
Alkaline phosphatase
|
$36.59 |
$36.59 |
$36.59 |
$46.80
|
|
Allergen alpha lactalbumin ige
|
$94.64 |
$94.64 |
$94.64 |
$48.57
|
|
Allergen egg white ige
|
$66.25 |
$66.25 |
$66.25 |
$38.00
|
|
Allergen specific ige qual multi scrn ea
|
$69.80 |
$69.80 |
$69.80 |
$24.00
|
|
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet
|
$6,456.45 |
$6,456.45 |
$6,456.45 |
$9,900.02
|
|
Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm
|
$95.46 |
$95.46 |
$95.46 |
$20,311.34
|
|
Allograft epieffect 2x3cm-q4186-cost per sq cm
|
$506.36 |
$506.36 |
$506.36 |
$858.66
|
|
Allograft membrn amnio 1x2cm hu ambriodry
|
$10,518.51 |
$10,518.51 |
$10,518.51 |
$5,096.00
|
|
Alpha-fetoprotein afp-l3 frac & total
|
$124.55 |
$124.55 |
$124.55 |
$198.60
|
|
Alpha-fetoprotein tumor marker
|
$32.74 |
$32.74 |
$32.74 |
$106.00
|
|
Alt/sgpt
|
$37.88 |
$37.88 |
$37.88 |
$47.50
|
|
Aluminum - quest
|
$49.43 |
$49.43 |
$49.43 |
$83.05
|
|
Amantadine (symmetrel)-sendout
|
$208.01 |
$208.01 |
$208.01 |
$179.70
|
|
Aminolevulinic acid delta
|
$48.15 |
$48.15 |
$48.15 |
$87.12
|
|
Amitriptyline (elavil) -sendout
|
$43.66 |
$43.66 |
$43.66 |
$87.45
|
|
Ammonia
|
$73.83 |
$73.83 |
$73.83 |
$119.70
|
|
Amphetamine confirm urine -sendout
|
$53.29 |
$53.29 |
$53.29 |
$93.61
|
|
Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis
|
$567.29 |
$567.29 |
$567.29 |
$262.99
|
|
Amputate metacarpal bone 26910
|
$914.07 |
$914.07 |
$914.07 |
$3,839.54
|
|
Amylase
|
$218.92 |
$218.92 |
$218.92 |
$90.00
|
|
Analgesics non-opioid definitive assay 1 or 2 acetaminophen
|
$98.87 |
$98.87 |
$98.87 |
$117.01
|
|
Analysis gene f2 20210g>a variant
|
$142.36 |
$142.36 |
$142.36 |
$226.85
|
|
Analysis gene f5 leiden variant
|
$158.90 |
$158.90 |
$158.90 |
$249.60
|
|
Anaplsma phgcytophlm amp prb
|
$133.81 |
$133.81 |
$133.81 |
$85.80
|
|
Anca screen with reflex to titer -quest
|
$65.06 |
$65.06 |
$65.06 |
$101.50
|
|
An fluoro guide for cvp
|
$509.39 |
$509.39 |
$509.39 |
$525.85
|
|
Angiotensin ii 0.5 mg/ml soln 1 ml vial
|
$4,247.76 |
$4,247.76 |
$4,247.76 |
$2,979.43
|
|
Ankle X-ray
|
$360.79 |
$360.79 |
$360.79 |
$356.32
|
|
Ankle X-ray (2 views, both ankles)
|
$202.99 |
$202.99 |
$202.99 |
$282.96
|
|
Anodyne therapy charges pt
|
$34.54 |
$34.54 |
$34.54 |
$42.00
|
|
Anoscopy remove fb 46608
|
$106.02 |
$106.02 |
$106.02 |
$1,375.98
|
|
Antibody bacterium, not elsewhere specified
|
$181.00 |
$181.00 |
$181.00 |
$57.85
|
|
Antibody elution rbc reference
|
$406.95 |
$406.95 |
$406.95 |
$177.29
|
|
Antibody htlv/hiv confirm test
|
$595.05 |
$595.05 |
$595.05 |
$131.56
|
|
Antibody identification platelet antibodies heparin-pf4 igg
|
$282.74 |
$282.74 |
$282.74 |
$224.00
|
|
Antibody id rbc panel
|
$478.91 |
$478.91 |
$478.91 |
$291.75
|
|
Antibody influenza virus
|
$80.44 |
$80.44 |
$80.44 |
$54.00
|
|
Antibody lymphocytic choriomeningitis
|
$73.35 |
$73.35 |
$73.35 |
$46.58
|
|
Antibody screen rbc
|
$72.04 |
$72.04 |
$72.04 |
$108.55
|
|
Antibody tetanus
|
$74.53 |
$74.53 |
$74.53 |
$54.15
|
|
Anti mog serum - sendout
|
$990.17 |
$990.17 |
$990.17 |
$132.60
|
|
Antineutrophil cytoplasmic antibody screen each antibody
|
$63.88 |
$63.88 |
$63.88 |
$38.50
|
|
Antineutrophil cytoplasmic antibody titer each antibody
|
$73.35 |
$73.35 |
$73.35 |
$42.00
|
|
Antinuclear antibodies
|
$62.70 |
$62.70 |
$62.70 |
$90.00
|
|
Antinuclear antibodies titer
|
$136.05 |
$136.05 |
$136.05 |
$80.04
|
|
Antiphosphatidylserine antibody
|
$67.43 |
$67.43 |
$67.43 |
$67.43
|
|
Antistreptolysin o titer
|
$67.43 |
$67.43 |
$67.43 |
$54.00
|
|
Antithrombin iii activity
|
$40.13 |
$40.13 |
$40.13 |
$115.15
|
|
Apl(pml-rara) quant - sendout
|
$447.22 |
$447.22 |
$447.22 |
$513.00
|
|
App high cost ss f/n/g/h/f <100sq cm addl <25sq cm
|
$104.62 |
$104.62 |
$104.62 |
$502.00
|
|
Application finger splntstatic 29130
|
$55.71 |
$55.71 |
$55.71 |
$208.50
|
|
Application long leg splint 29505
|
$94.04 |
$94.04 |
$94.04 |
$338.25
|
|
Application lower leg splint 29515
|
$92.25 |
$92.25 |
$92.25 |
$340.20
|
|
Application multi layer compression below knee (both sides)
|
$246.33 |
$246.33 |
$246.33 |
$375.06
|
