Charge Code Description Department UB RevenueCode Procedure Code Rate Cash Price BCBS Allowable Medicaid Allowable Medicare Allowable  Status
10060 I&D ABSCESS CLIN 361 10060 75.00 75.00 Active
10061 I&D ABSCESS MULTIPLE CLIN 361 10061 100.00 100.00 Active
3300025 I & D PILONIDAL CYST ED 450 10080 72.60 72.60 Active
3550026 REMOVAL FOREIGN BODY WC 361 10120 508.20 508.20 Active
3550031 I&D HEMATOMA SEROMA WC 361 10140 290.40 290.40 Active
3550024 PUCTURE DRAINAGE OF LE WC 361 10160 508.20 508.20 Active
3550005 COMPLEX DRAINAGE, WOUN WC 361 10180 5082.00 5082.00 Active
3550006 DEBRIDE INFECTED SKIN WC 361 11000 217.80 217.80 Active
3550008 DEBRIDE SKIN, PARTIAL WC 361 11040 435.60 435.60 Active
3550007 DEBRIDE SKIN, FULL WC 361 11041 682.50 682.50 Active
3550009 DEBRIDE SUBQ/TISSUE 1ST WC 361 11042 1379.40 1379.40 Active
3550010 DEBRIDE FASCIA/MUSCLE 1ST WC 361 11043 1379.40 1379.40 Active
3550011 DEBRIDE BONE 1ST 20 CM WC 361 11044 1887.60 1887.60 Active
3550035 DEBRIDE SUBQ EACH ADD 20 WC 361 11045 435.60 435.60 Active
3550034 DEBRIDE MUSCLE/FACIA ADD WC 361 11046 435.60 435.60 Active
3550033 DEBRIDE BONE EACH ADD 20 WC 361 11047 726.00 726.00 Active
3550356 PARING/CUTTING CORN/CALLUS, SINGLE WC 361 11055 100.00 100.00 Active
3550032 CALLUS/CORN REMOVAL 2-4 WC 361 11056 145.20 145.20 Active
3550358 PARING/CUTTING CORN/CALLUS 4+ WC 361 11057 200.00 200.00 Active
3550025 PUNCH BIOPSY WC 361 11100 400.00 400.00 Active
335023 PUNCH BIOPSY SINGLE LESION TR 510 11104 200.00 200.00 Active
335024 PUNCH BIOPSY EACH ADDITIONAL LESION TR 510 11105 200.00 200.00 Active
11200 SKIN TAG REMOVAL CLIN 361 11200 75.00 75.00 Active
3300090 REMOVAL LES SHAVED .6-1CM ED 450 11301 100.00 100.00 Active
3300091 REMOVE LES SHAVED 1.1-2CM ED 450 11302 175.00 175.00 Active
3300082 EXCISION BN LESION .5 < ED 450 11400 726.00 726.00 Active
3300083 EXCISION BN LESION .6-1.0 ED 450 11401 726.00 726.00 Active
3300084 EXCISION BN LESION 1.1-2 ED 450 11402 726.00 726.00 Active
335016 LESION EXCISE FACE .5/< TR 510 11440 150.00 150.00 Active
335014 LESION EXCISE FACE .6-1CM TR 510 11441 200.00 200.00 Active
335008 EXCISION MAL. LESION <4CM TR 510 11646 2178.00 2178.00 Active
3550359 TRIM NONDYSTROPHIC NAILS WC 361 11719 100.00 100.00 Active
3550360 DEBRIDE NAIL 1-5 WC 361 11720 150.00 150.00 Active
3550361 DEBRIDE NAILS 6+ WC 361 11721 250.00 250.00 Active
3300002 AVULSION NAIL PLATE SINGL ED 450 11730 217.80 217.80 Active
3300086 AVULSION NAIL PLATE ADD ED 450 11731 0.00 0.00 Active
11765 INGROWN NAIL REMOVAL CLIN 361 11765 75.00 75.00 Active
335022 REMOVAL IMPLANTED CONTRACEPTIVE CAPSULES TR 510 11976 150.00 150.00 Active
12001 SIMPLE REPAIR CLIN 361 12001 75.00 75.00 Active
3300069 SP SCALP\EXT\TRK 2.6-7 ED 450 12002 363.00 363.00 Active
3300070 SP SCALP\EXT\TRK 7.6-1 ED 450 12004 363.00 363.00 Active
3300067 SP SCALP\EXT\TRK 12.6- ED 450 12005 363.00 363.00 Active
3300093 LC SCALP/EXT/TRK 20-30CM ED 450 12006 450.00 450.00 Active
3300064 SP FACE\EAR\MM 2.5 OF ED 450 12011 363.00 363.00 Active
3300065 SP FACE\EAR\MM 5.1-7.5 ED 450 12013 363.00 363.00 Active
3300066 SP FACE\EAR\MM 7.6-12. ED 450 12014 363.00 363.00 Active
3300063 SP FACE\EAR\MM 12.6-20 ED 450 12015 363.00 363.00 Active
3300043 LC SCALP\EXT\TRK 2.5 O ED 450 12031 363.00 363.00 Active
3300044 LC SCALP\EXT\TRK 2.6-7 ED 450 12032 363.00 363.00 Active
3300045 LC SCALP\EXT\TRK 7.6-1 ED 450 12034 363.00 363.00 Active
3300042 LC SCALP\EXT\TRK 12.6- ED 450 12035 363.00 363.00 Active
3300039 LC NECK\HAND\FT 2.5 OR ED 450 12041 363.00 363.00 Active
3300040 LC NECK\HAND\FT 2.6-7. ED 450 12042 363.00 363.00 Active
3300041 LC NECK\HAND\FT 7.6-12 ED 450 12044 363.00 363.00 Active
3300038 LC NECK\HAND\FT 12.6-2 ED 450 12045 363.00 363.00 Active
3300035 LC FACE\EAR\MM 2.5 OR ED 450 12051 363.00 363.00 Active
3300034 LC \FACE\EAR\MM 2.6-5 ED 450 12052 363.00 363.00 Active
3300036 LC FACE\EAR\MM 5.1-7.5 ED 450 12053 363.00 363.00 Active
3300037 LC FACE\EAR\MM 7.6-12. ED 450 12054 363.00 363.00 Active
3550044 APP OF APLIGRAF 1ST 25 CM WC 361 15340 435.60 435.60 Active
3550045 APP OF APLIGRAF ADD 25CM WC 361 15341 0.00 0.00 Active
3550048 APP OF DERMAGRAFT 1ST 100 WC 361 15365 109.60 109.60 Active
3550001 APP OASIS WND MATRIX 1ST WC 361 15430 1234.20 1234.20 Active
3550002 APP OASIS WND MATRIX ADD WC 361 15431 1234.20 1234.20 Active
3300004 BURN 1ST INITIAL ED 450 16000 363.00 363.00 Active
3300007 BURN DRESS/DEBRIDE SM ED 450 16020 290.40 290.40 Active
3300006 BURN DRESS/DEBRIDE MD ED 450 16025 363.00 363.00 Active
17000 DESTRUCTION OF LESION CLIN 361 17000 75.00 75.00 Active
335020 DESTRUCTION OF LESION-2ND/14TH TR 982 17003 250.00 250.00 Active
17004 DESTRUCTION OF LESION CLIN 361 17004 165.00 165.00 Active
17110 WART DESTRUCTION CLIN 361 17110 75.00 75.00 Active
3550004 CHEMICAL CAUT OF TISSU WC 361 17250 400.00 400.00 Active
3300058 REM FOREIGN BODY MUS\T ED 450 20520 563.70 563.70 Active
335021 TRIGGER POINT INJ 1-2 MUSCLES TR 510 20552 250.00 250.00 Active
3300088 TRIGGER POINT INJ 3+ MUSCLES TR 510 20553 462.00 462.00 Active
20610 JOINT INJECTIONS CLIN 361 20610 83.00 83.00 Active
3300055 REDUCTION OF SHOULDER ED 450 23650 145.20 145.20 Active
3300085 EXCISION GANGLION FINGER ED 450 26160 2904.00 2904.00 Active
3300094 THUMB REDUCTION ED 450 26641 150.00 150.00 Active
335025 REDUCTION FINGER TR 510 26700 250.00 250.00 Active
3300102 TOE DISLOCATION ED 450 28630 200.00 200.00 Active
3300074 SPLINT APP. LONG ARM ED 450 29105 217.80 217.80 Active
3300075 SPLINT APP. SHORT ARM ED 450 29125 203.30 203.30 Active
3300073 SPLINT APP. FINGER ED 450 29130 188.80 188.80 Active
3300080 STRAPPING SHOULDER ED 450 29240 145.20 145.20 Active
3300077 STRAPPING ELBOW/WRIST ED 450 29260 145.20 145.20 Active
3300078 STRAPPING HAND/FINGER ED 450 29280 145.20 145.20 Active
3300071 SPLINT APP LONG LEG ED 450 29505 130.70 130.70 Active
3300001 AIR CAST APPLICATION ED 450 29515 116.20 116.20 Active
3300079 STRAPPING KNEE ED 450 29530 145.20 145.20 Active
3300076 STRAPPING ANKLE ED 450 29540 145.20 145.20 Active
3550003 APP OF UNNA BOOT/MULTI WC 761 29580 290.40 290.40 Active
3550028 APP OF VENOUS WOUND COMPR WC 361 29581 217.80 217.80 Active
3300062 REMOVAL LEG/ARM CAST ED 450 29705 145.20 145.20 Active
3300060 REMOVAL FOREIGN BODY N ED 450 30300 363.00 363.00 Active
3300049 NASAL HEM. ANT. SIMPLE ED 450 30901 290.40 290.40 Active
3300048 NASAL HEM. ANT. COMPLE ED 450 30903 363.00 363.00 Active
3300050 NASAL HEM. POS. INITIA ED 450 30905 508.20 508.20 Active
3300047 NASAL HEM POS SUBSEQUE ED 450 30906 435.60 435.60 Active
4000001 ENDO TRACHEAL TUBE PROCEDURE NUP 241 31500 250.00 250.00 Active
3300095 EMERGENCY TRACHEOSTOMY ED 450 31605 450.00 450.00 Active
3300033 INSERTION OF CHEST TUB ED 450 32020 508.20 508.20 Active
3300081 THORACENTESIS FOR ASPI ED 450 32421 726.00 726.00 Active
3300096 THORACENTESIS ED 450 32554 350.00 350.00 Active
36415 VENIPUNCTURE CLIN 300 36415 10.00 10.00 Active
3650012 BLOOD ADMINISTRATION BB 391 36430 668.00 668.00 Active
3300009 CENTRAL VENOUS CATH PL ED 450 36489 1161.60 1161.60 Active
3300100 PICC < 5 YRS TR 761 36568 500.00 500.00 Active
3300101 PICC > 5 YRS TR 761 36569 500.00 500.00 Active
3300089 INTRAOCCEOUS LINE ED 450 36680 300.00 300.00 Active
3740016 PG UTERUS TRANSVAGINAL US 402 36830 330.00 330.00 Active
3850013 EGD W/DILATION VIA DIL ENDO 750 43213 1742.40 1742.40 Active
3850016 ESOPHAGOSCOPY ENDO 750 43220 1742.40 1742.40 Active
3850010 EGD ENDO 750 43235 1742.40 1742.40 $209.01 Active
3850012 EGD W/BIOPSY ENDO 750 43239 1742.40 1742.40 $236.26 Active
3850015 EGD W/PEG PLACEMENT ENDO 750 43246 1742.40 1742.40 Active
3850020 PEG REMOVAL ENDO 750 43247 798.60 798.60 Active
3850011 EGD W/BALLOON DILATION ENDO 750 43249 1742.40 1742.40 Active
3850014 EGD W/DILATION VIA SAV ENDO 750 43453 1742.40 1742.40 Active
3850018 GASTROTOMY W/INSERT PE ENDO 750 43750 1742.40 1742.40 Active
3850019 NG TUBE PLACEMENT NUP 750 43752 1742.40 1742.40 Active
3300022 GASTRIC INTUBA ASPIRA\ ED 450 43753 435.60 435.60 Active
3850017 GASTROSTOMY TUBE REPL. ENDO 750 43762 1742.40 1742.40 Active
3850025 SMALL BOWEL ENDS W\BIO ENDO 750 44361 798.60 798.60 Active
3850003 COLONOSCOPY THROUGH ST ENDO 750 44388 1742.40 1742.40 Active
3850021 PROCTOSIGMOIDOSCOPY W/ ENDO 750 45303 798.60 798.60 Active
3850023 SIGMOIDOSCOPY FLEXIBLE ENDO 750 45330 1742.40 1742.40 Active
3850024 SIGMOIDOSCOPY FLEX W/B ENDO 750 45331 1742.40 1742.40 Active
3850022 SIGMOIDO FLEX W/HOT BIOP ENDO 750 45333 798.60 798.60 Active
3850009 COLONOSCOPY, DIAGNOSTIC ENDO 750 45378 1742.40 1742.40 $316.32 Active
3850004 COLONOSCOPY W/ BIOPSY ENDO 750 45380 1742.40 1742.40 $342.67 Active
3850008 COLONOSCOPY W/TUMOR MA ENDO 750 45381 1742.40 1742.40 Active
3850005 COLONOSCOPY W/BLEED CO ENDO 750 45382 1742.40 1742.40 Active
3850006 COLONOSCOPY W/LESION R ENDO 750 45384 1016.40 1016.40 Active
3850007 COLONOSCOPY W/REMOVAL ENDO 750 45385 1742.40 1742.40 $434.84 Active
3850001 ANOSCOPY W/DILATION ENDO 750 46604 2032.80 2032.80 Active
335017 PARACENTESIS ABDOMINAL TR 510 49082 350.00 350.00 Active
3300023 GASTROSTOMY TUBE REPLA ED 450 49450 871.20 871.20 Active
3300092 BLADDER IRRIGATION ED 450 51700 75.00 75.00 Active
3300031 INSERT NON-DWELLING CA ED 450 51701 72.60 72.60 Active
3300032 INSERT TEM.INDWELLING ED 450 51702 95.10 95.10 Active
3300008 CATH INS TEMPORARY COM ED 450 51703 217.80 217.80 Active
3300014 DELIVERY ED 450 59409 1335.90 1335.90 Active
3300015 DELIVERY OF PLACENTA ED 450 59414 334.00 334.00 Active
3300046 LUMBAR PUNCTURE ED 450 62270 421.10 421.10 Active
3300057 REM FOREIGN BODY EYE S ED 450 65205 372.30 372.30 Active
3300056 REM FOREIGN BODY EYE E ED 450 65210 406.60 406.60 Active
3300059 REMOVAL FOREIGN BODY E ED 450 69200 145.20 145.20 Active
3300061 REMOVAL IMPACTED CERUM ED 450 69210 145.20 145.20 Active
3700053 MANDIBLE MIN 4 VIEWS RAD 320 70110 273.30 273.30 $12.65 Active
3700054 MASTOIDS MIN 3 VIEWS RAD 320 70130 331.40 331.40 $17.30 Active
3700018 FAC/BONES MIN 3 VIEW RAD 320 70150 269.30 269.30 $13.33 Active
3700055 NAS/BONES MIN 3 VIEW RAD 320 70160 228.40 228.40 $8.81 Active
3700057 ORBITS MIN 4 VIEWS RAD 320 70200 275.90 275.90 $14.50 Active
3700058 PARANASAL SINUSES <3VI RAD 320 70210 240.30 240.30 $8.81 Active
3700059 PARANASAL SINUSES 3OR> RAD 320 70220 298.40 298.40 $11.25 Active
3700074 SKULL < 4 VIEWS RAD 320 70250 286.50 286.50 $10.12 Active
3700075 SKULL SER 4 VIEW RAD 320 70260 323.40 323.40 $14.36 Active
3700079 T M JOINTS BILATERAL RAD 320 70330 237.60 237.60 $12.29 Active
3700056 NECK (SOFT TISSUES) RAD 320 70360 207.30 207.30 $9.17 Active
3720019 CT HEAD WO\CONTRAST CT 351 70450 719.40 719.40 $146.53 $42.77 Active
3720018 CT HEAD W\CONTRAST CT 351 70460 827.70 827.70 $56.37 Active
3720020 CT HEAD W-WO\CONTRAST CT 351 70470 1009.80 1009.80 $63.46 Active
3720041 CT EAR W/O CONTRAST CT 350 70480 435.60 435.60 $63.82 Active
3720027 CT ORBITS W\CONTRAST CT 350 70481 900.30 900.30 $56.37 Active
3720029 CT ORBITS W-WO\CONTRAS CT 350 70482 900.30 900.30 $63.14 Active
3720017 CT FACIAL BONES WO/CON CT 350 70486 682.50 682.50 $43.09 Active
3720016 CT FACIAL BONES W/CONT CT 350 70487 755.10 755.10 $56.37 Active
3720054 CT SINUSES WITH AND W/O CONTRAST CT 350 70488 1100.00 1100.00 $63.46 Active
3720026 CT NECK SOFT TIS WO\CO CT 350 70490 827.70 827.70 $64.13 Active
3720025 CT NECK SOFT TIS W\CON CT 350 70491 827.70 827.70 $69.01 Active
3720045 CT NECK SOFT TIS W-WO/CON CT 350 70492 870.00 870.00 $81.57 Active
3720006 CT ANGIOGRAM HEAD CT 350 70496 871.20 871.20 $87.53 Active
3720008 CT ANGIOGRAM NECK CT 350 70498 871.20 871.20 $87.53 Active
3700009 CHEST 1 VIEW RAD 320 71045 118.80 118.80 $9.17 Active
3700011 CHEST 2 VIEWS RAD 324 71046 203.30 203.30 $10.93 Active
3700013 CHEST 3 VIEWS RAD 324 71047 154.50 154.50 $13.69 Active
3700111 CHEST 4 VIEWS RAD 324 71048 250.00 250.00 $16.08 Active
3700063 RIBS LT W/O CHEST RAD 320 71100 289.10 289.10 $14.72 Active
3700062 RIBS BILATERAL W/O CHEST RAD 320 71110 359.10 359.10 $11.25 Active
3700078 STERNUM MIN 2 VIEW RAD 320 71120 261.40 261.40 $10.21 Active
3720013 CT CHEST WO\CONTRAST CT 350 71250 392.10 392.10 $57.77 Active
3720012 CT CHEST W/CONTRAST CT 350 71260 827.70 827.70 $62.37 Active
3720014 CT CHEST W-WO/CONTRAST CT 350 71270 900.30 900.30 $68.70 Active
3720005 CT ANGIOGRAM CHEST CT 350 71275 1089.00 1089.00 $91.01 Active
3700077 SPINE 1 VIEW,SPECIFY RAD 320 72020 134.70 134.70 $8.13 Active
3700008 CERVICAL SPINE AP\LATE RAD 320 72040 295.70 295.70 $11.25 Active
3700007 CER SPINE 5 VIEW RAD 320 72050 314.20 314.20 $13.69 Active
3700081 THORACIC SPINE AP\LATE RAD 320 72070 266.70 266.70 $11.61 Active
3700080 THORACIC SPINE 3V RAD 320 72072 290.40 290.40 $16.22 Active
3700068 SCOLIOSIS SURVEY RAD 320 72082 590.10 590.10 $62.03 Active
3700051 LUMBAR SPINE AP/LAT. RAD 320 72100 310.20 310.20 $11.25 Active
3700052 LUMBAR SPINE W/OBLIQ RAD 320 72110 278.60 278.60 $61.47 $15.09 Active
3700050 LUMB/SPINE W/BENDING RAD 320 72114 388.10 388.10 $15.09 Active
3720015 CT C-SPINE WO\CONTRAST CT 350 72125 755.10 755.10 $50.09 Active
3720052 CT CERVICAL SPINE WITH CONTRAST CT 350 72126 1000.00 1000.00 $61.02 Active
3720053 CT CERVICAL SPINE WITH AND W/O CONTRAST CT 350 72127 1500.00 1500.00 $63.46 Active
3720036 CT THORACIC SPINE WO\C CT 350 72128 755.10 755.10 $50.09 Active
3720051 CT THORACIC SPINE WITH  CONTRAST CT 350 72129 1000.00 1000.00 $61.02 Active
3720047 CT THORACIC SPINE W/WO CONTRAST CT 350 72130 800.00 800.00 $63.46 Active
3720024 CT LUMBAR SPINE WO\CON CT 350 72131 755.10 755.10 $50.09 Active
3720040 CT LUMBAR SPINE W/CON CT 350 72132 871.20 871.20 $61.02 Active
3720050 CT LUMBAR SPINE WITH AND W/O CONTRAST CT 350 72133 500.00 500.00 $63.14 Active
3700061 PELVIS AP RAD 320 72170 194.10 194.10 $8.81 Active
3700060 PELVIS 3V RAD 320 72190 217.80 217.80 $12.65 Active
3720009 CT ANGIOGRAM PELVIS CT 350 72191 1089.00 1089.00 $89.69 Active
3720032 CT PELVIS WO-CONTRAST CT 350 72192 792.00 792.00 $54.29 Active
3720031 CT PELVIS W\CONTRAST CT 350 72193 937.20 937.20 $281.75 $57.77 Active
3720033 CT PELVIS W-WO\CONTRAS CT 350 72194 1009.80 1009.80 $61.02 Active
3700065 SACRUM/COCCYX MIN 2V RAD 320 72220 217.80 217.80 $8.81 Active
3700014 CLAVICLE LT RAD 320 73000 191.40 191.40 $8.45 Active
3700066 SCAPULA LT RAD 320 73010 187.50 187.50 $9.13 Active
3700069 SHOULDER 1 VIEW LT RAD 320 73020 216.50 216.50 $7.77 Active
3700071 SHOULDER MIN 2 VIEWS L RAD 320 73030 264.00 264.00 $9.49 Active
3700043 HUMERUS MIN 2 VIEWS LT RAD 320 73060 153.20 153.20 $8.45 Active
3700016 ELBOW LT RAD 320 73080 212.60 212.60 $8.81 Active
3700033 FOREARM AP/LAT RT RAD 320 73090 166.40 166.40 $8.45 Active
3700104 UPPER EXT INFANT LT RAD 320 73092 160.00 160.00 $8.45 Active
3700094 WRIST 2 VIEWS LT RAD 320 73100 145.20 145.20 $8.45 Active
3700096 WRIST MIN 3 VIEWS LT RAD 320 73110 216.50 216.50 $8.81 Active
3700103 HAND 2 VIEWS LT RAD 320 73120 180.00 180.00 $8.45 Active
3700035 HAND MIN 3 VIEWS LT RAD 320 73130 207.30 207.30 $8.81 Active
3700021 FINGER 3 VIEWS LT 2ND RAD 320 73140 202.00 202.00 $7.05 Active
3720039 CT UPPER EXT. WO\CONTR CT 350 73200 755.10 755.10 $50.09 Active
3720037 CT UPPER EXT W\CONTRAS CT 350 73201 900.30 900.30 $57.77 Active
3720038 CT UPPER EXT W-WO\CONT CT 350 73202 900.30 900.30 $61.02 Active
3720010 CT ANGIOGRAM UPPER EXT CT 350 73206 871.20 871.20 $89.69 Active
3700039 HIP 1 VIEW LT RAD 320 73501 217.80 217.80 $9.49 Active
3700041 HIP MIN 2 VIEWS LT RAD 320 73502 254.80 254.80 $11.25 Active
3700101 HIP BIL/PELVIS RAD 320 73522 300.00 300.00 $14.72 Active
3700019 FEMUR AP\LATERAL LT RAD 320 73552 223.10 223.10 $9.17 Active
3700047 KNEE AP/LATERAL LT RAD 320 73560 202.00 202.00 $8.45 Active
3700046 KNEE AP/LAT\OBL RT RAD 320 73562 212.60 212.60 $9.49 Active
3700082 TIBIA/FIBULA LT RAD 320 73590 208.60 208.60 $11.25 Active
3700106 LOWER EXT INFANT LT RAD 320 73592 180.00 180.00 $8.13 Active
3700003 ANKLE 2 VIEWS LT RAD 320 73600 176.90 176.90 $8.45 Active
3700005 ANKLE AP\OBL\LAT LT RAD 320 73610 209.90 209.90 $8.81 Active
3700108 FOOT 2 VIEWS LT RAD 320 73620 180.00 180.00 $8.49 Active
3700031 FOOT MIN 3 VIEWS LT RAD 320 73630 208.60 208.60 $8.49 Active
3700037 HEEL OS CALCIS LT RAD 320 73650 202.00 202.00 $8.13 Active
3700084 TOE MIN 2 VIEWS LT 2ND RAD 320 73660 202.00 202.00 $6.73 Active
3720022 CT L EXT WO\CONTRAST CT 350 73700 682.50 682.50 $50.09 Active
3720021 CT L EXT W\CONTRAST CT 350 73701 792.00 792.00 $57.77 Active
3720023 CT L EXT W-WO\CONTRAST CT 350 73702 900.30 900.30 $60.70 Active
3720007 CT ANGIOGRAM LOWER EXT CT 350 73706 871.20 871.20 $93.89 Active
3700002 ABDOMEN 1 VIEW RAD 320 74018 202.00 202.00 $9.17 Active
3700001 ABDOMEN 2 VIEWS RAD 320 74019 274.60 274.60 $11.61 Active
3700112 ABDOMEN 3 OR MORE VIEWS RAD 320 74021 350.00 350.00 $13.37 Active
3700113 ACUTE ABD SERIES WITH CHEST FILM RAD 324 74022 950.00 950.00 $15.81 Active
3720002 CT ABDOMEN WO\CONTRAST CT 350 74150 755.10 755.10 $59.62 Active
3720001 CT ABDOMEN W\CONTRAST CT 350 74160 842.20 842.20 $63.77 Active
3720003 CT ABDOMEN W-WO\CONTRA CT 350 74170 1009.80 1009.80 $70.32 Active
3720004 CT ANGIOGRAM ABDOMEN CT 350 74175 1161.60 1161.60 $90.69 Active
3720043 CT ABD/PELVIS W/O CONTRAS CT 350 74176 1016.40 1016.40 $87.17 Active
3720044 CT ABD/PELVIS W/CONTRAST CT 350 74177 1016.40 1016.40 $389.39 $91.32 Active
3720042 CT ABD/PELVIS W/WO CONTRS CT 350 74178 1452.00 1452.00 $100.08 Active
3700100 BARIUM SWALLOW RAD 320 74220 290.40 290.40 $29.63 Active
3700076 SMALL BOWEL SERIES RAD 320 74250 217.80 217.80 $41.01 Active
3700045 IVP RAD 320 74400 332.70 332.70 $24.30 Active
3700098 X-RAY VARIALBE RAD 320 76061 2.70 2.70 $28.23 Active
3740009 THYROID ULTRASOUND US 402 76536 217.80 217.80 Active
3740032 BREAST US UNI COMPLETE US 402 76641 350.00 350.00 $28.23 Active
3740033 BREAST US UNI LIMITED US 402 76642 300.00 300.00 $33.83 Active
3740002 COMPLETE ABDOMEN ULTRA US 402 76700 508.20 508.20 $154.75 $41.01 Active
3740007 SINGLE ORGAN ULTRASOUN US 402 76705 363.00 363.00 $29.31 Active
3740006 RETROPERITONEAL ULTRAS US 402 76770 363.00 363.00 $41.01 Active
3740014 PG UTERUS 1ST TRIMESTER US 402 76801 528.00 528.00 $49.73 Active
3740004 OB>1=14 WEEKS SIMPLE U US 402 76805 435.60 435.60 $181.12 $49.73 Active
3740003 OB>/=14 WEEKS COMPLEX US 402 76811 508.20 508.20 $94.12 Active
3740017 TRANSVAGINAL US 402 76830 264.00 264.00 $154.09 $34.51 Active
3740005 PELVIS ULTRASOUND US 402 76856 363.00 363.00 $34.19 Active
3740008 TESTICLE ULTRASOUND US 402 76870 217.80 217.80 $31.75 Active
3740019 EXTREMITY SUPERFICIAL US 402 76881 198.00 198.00 $31.25 Active
3740010 ULT HIPS INFANT US 402 76886 217.80 217.80 $31.03 Active
3760003 MAMMOGRAM DIAGNOSTIC UNILATERAL LEFT MAMM 401 77065 135.00 135.00 $137.38 $41.01 Active
3760001 MAMMOGRAM DIAGNOSTIC BILATERAL MAMM 401 77066 200.00 200.00 $173.72 $50.09 Active
3760002 MAMMOGRAM SCREENING BILATERAL MAMM 403 77067 150.00 150.00 $139.15 $38.57 Active
3700102 BONE AGE STUDY RAD 320 77072 300.00 300.00 $9.53 Active
3700073 SKELETAL SURVEY RAD 320 77075 547.80 547.80 $27.87 Active
3720011 CT BONE DENSITY CT 320 77078 319.50 319.50 $70.24 Active
3610128 RBC FOLATE RLAB 300 78170 129.40 129.40 $11.51 Active
3600073 PROFILE 8 LAB 300 80048 59.40 59.40 $12.18 $8.46 Active
3600034 ELECTROLYTE PANEL LAB 300 80051 34.40 34.40 $9.94 $7.01 Active
3600072 PROFILE 14 LAB 300 80053 79.20 79.20 $15.21 $10.56 Active
3600054 LIPID PANEL LAB 300 80061 70.00 70.00 $17.22 $13.39 Active
3600079 RENAL FUNCTION PANEL LAB 300 80069 46.20 46.20 $12.51 $8.68 Active
3610093 HEPATITIS PANEL RLAB 300 80074 368.30 368.30 $68.61 $47.63 Active
3600047 HEPATIC FUNCTION PANEL LAB 300 80076 37.00 37.00 $11.77 $8.17 Active
3610010 AMIKACIN PEAK RLAB 300 80150 67.40 67.40 $16.77 $15.08 Active
3610327 CAFFEINE LEVEL RLAB 300 80155 115.00 115.00 $20.37 $19.25 Active
3610150 TEGRETOL LEVEL RLAB 300 80156 89.80 89.80 $16.77 $14.57 Active
3610214 CYCLOSPORIN RLAB 300 80158 241.50 241.50 $26.00 $18.05 Active
3600021 DIGOXIN LAB 300 80162 46.20 46.20 $19.12 $13.28 Active
3610064 DEPAKANE RLAB 300 80164 113.60 113.60 $19.51 $13.54 Active
3610174 ZARONTIN RLAB 300 80168 63.40 63.40 $19.78 $16.34 Active
3610078 GENTAMYCIN PEAK RLAB 300 80170 77.90 77.90 $16.77 $15.84 Active
3610234 HALOPERIDOL RLAB 300 80173 155.00 155.00 $16.77 $15.78 Active
3610249 LAMOTRIGINE RLAB 300 80175 184.00 184.00 $19.09 $13.25 Active
3610108 LIDOCAINE LEVEL RLAB 300 80176 96.40 96.40 $18.38 $14.69 Active
3610250 LEVETIRACETAM RLAB 300 80177 278.00 278.00 $19.09 $13.25 Active
3610109 LITHIUM RLAB 300 80178 62.10 62.10 $9.52 $6.61 Active
3600064 PHENOBARBITOL LEVEL LAB 300 80184 34.40 34.40 $16.50 $15.30 Active
3600022 DILANTIN LAB 300 80185 46.20 46.20 $19.09 $13.25 Active
3610112 MYSOLINE LEVEL RLAB 300 80188 109.60 109.60 $23.90 $16.59 Active
3610125 QUINIDINE RLAB 300 80194 121.50 121.50 $21.03 $14.60 Active
3610293 SIROLIMUS RLAB 300 80195 104.00 104.00 $19.78 $13.73 Active
3610270 TACROLIMUS (PROGRAF) RLAB 300 80197 177.00 177.00 $19.78 $13.73 Active
3600083 THEOPHYLLINE LEVEL LAB 300 80198 39.60 39.60 $20.37 $14.14 Active
3610157 TOBRAMYCIN PEAK RLAB 300 80200 92.40 92.40 $16.77 $15.84 Active
3610301 TOPIRAMATE RLAB 300 80201 234.00 234.00 $17.17 $11.92 Active
3600093 VANCOMYCIN PEAK LAB 300 80202 68.70 68.70 $19.51 $13.54 Active
3610266 ZONISAMIDE RLAB 300 80203 270.00 270.00 $19.09 $13.25 Active
3610013 AMIODARONE RLAB 300 80299 121.50 121.50 $19.73 $18.64 Active
3610377 TRICYCLIC ACID RLAB 300 80301 110.00 110.00 Active
3610355 DRUG SCREEN SERUM RLAB 300 80302 300.00 300.00 Active
3600023 DRUG SCREEN (CNH) LAB 300 80305 51.50 51.50 $15.71 $12.60 Active
3610194 ACETAMINOPHEN LEVEL LAB 300 80307 140.25 140.25 $83.80 $62.14 Active
3610557 THC CONFIRMATION RLAB 300 80349 400.00 400.00 Active
3610003 ACTH LEVEL RLAB 300 80400 513.50 513.50 $46.98 $32.62 Active
3600091 URINALYSIS, MANUAL LAB 300 81000 22.50 22.50 $4.57 $4.02 Active
3600092 URINIALYSIS, AUTOMATED LAB 300 81001 22.50 22.50 $4.57 $3.17 Active
81002 UA CLIN 300 81002 15.00 15.00 $3.68 $3.48 Active
81025 PREGNANCY TEST CLIN 300 81025 25.00 25.00 $9.10 $8.61 Active
3610339 BCR-ABL-1 FOR CML MONITORING RLAB 300 81206 530.00 530.00 $236.16 $163.96 Active
3610367 PROTHROMBIN GENE MUTATION RLAB 300 81240 510.00 510.00 Active
3610311 FACTOR V LEIDEN RLAB 300 81241 330.00 330.00 Active
3610508 HEMOCHROMATOSIS (HFE) PCR RLAB 300 81256 250.00 250.00 Active
3610197 BCR-ABLI QUALITATIVE REFLEX QUANTITATIVE RLAB 300 81260 522.00 522.00 Active
3610366 MTHFR GENE RLAB 300 81291 371.00 371.00 Active
3610481 GILBERT'S SYNDROME GENETIC SCREEN RLAB 300 81350 550.00 550.00 Active
3610386 THIOPURINE METHYLTRANSFERANSE RLAB 300 81401 700.00 700.00 Active
3600001 ACETONE LAB 300 82009 25.10 25.10 $6.51 $4.52 Active
3600002 ALBUMIN LAB 300 82040 22.50 22.50 $7.13 $4.95 Active
3610006 ALBUMIN CSF/OTHER RLAB 300 82042 34.40 34.40 $7.46 $7.04 Active
3610166 URINE FOR MICROALBUMIN LAB 300 82043 290.40 290.40 $8.33 $5.78 Active
3600717 ALCOHOL, BREATH LAB 300 82075 15.00 15.00 $17.36 $16.40 Active
3610195 ALDOLASE RLAB 300 82085 104.75 104.75 $13.99 $9.71 Active
3610007 ALDOSTERONE RLAB 300 82088 186.20 186.20 $58.70 $40.75 Active
3610008 ALPHA -1- ANTITRY PSIN RLAB 300 82103 384.20 384.20 $19.35 $13.44 Active
3610009 ALPHA-FETOPROTEIN RLAB 300 82105 97.70 97.70 $24.16 $16.77 Active
3610353 AMINOACID PLASMA RLAB 300 82139 320.00 320.00 $24.30 $16.87 Active
3610014 AMMONIA RLAB 300 82140 116.20 116.20 $20.99 $20.99 Active
3600004 AMYLASE LAB 300 82150 27.80 27.80 $9.33 $6.48 Active
3610193 ANGIOCONVERTING ENZYME (ACE) RLAB 300 82164 210.50 210.50 $21.03 $14.60 Active
3610394 ARSENIC FRACTIONED URINE RLAB 300 82175 170.00 170.00 $27.32 $18.97 Active
3610021 BETA 2 MICROGLOBULIN RLAB 300 82232 76.60 76.60 $23.30 $16.18 Active
3600006 BILIRUBIN,TOTAL LAB 300 82247 22.50 22.50 $4.73 $4.73 Active
3600005 BILIRUBIN, DIRECT LAB 300 82248 37.00 37.00 $5.00 $4.73 Active
82270 STOOL/BLOOD OCCULT CLIN 300 82270 25.00 25.00 $4.68 $4.38 Active
3600718 GASTRIC OCCULT BLOOD, PH LAB 300 82271 50.00 50.00 $4.68 $4.43 Active
3600099 OCCULT BLOOD NONSCREENING LAB 300 82272 58.10 58.10 $4.68 $4.23 Active
36000719 OCCULT BLOOD SCREENING IFOBT LAB 300 82274 16.00 16.00 $22.91 $15.92 Active
3610171 VITAMIN D (CALCIFEROL) RLAB 300 82306 72.60 72.60 $42.64 $29.60 Active
3610447 CALCITONIN RLAB 300 82308 255.00 255.00 $38.59 $26.79 Active
3600011 CALCIUM LAB 300 82310 25.10 25.10 $7.43 $5.16 Active
3610028 CALCIUM IONIZED RLAB 300 82330 241.60 241.60 $19.70 $13.68 Active
3610383 ASSAY OF CALCIUM IN URINE RLAB 300 82340 60.00 60.00 $8.68 $6.03 Active
3610029 CALCULUS ANALYSIS RLAB 300 82360 179.60 179.60 $12.87 $12.87 Active
3600017 CO2 LAB 300 82374 25.10 25.10 $7.04 $4.88 Active
3610351 CARBOXYHEMOGLOBIN RLAB 300 82375 150.00 150.00 $17.75 $12.32 Active
3610031 CEA RLAB 300 82378 140.00 140.00 $27.31 $18.96 Active
3610328 CARNITINE RLAB 300 82379 235.00 235.00 $24.30 $16.87 Active
3610202 CAMPYLOBACTER JEJUNI RLAB 300 82384 100.45 100.45 $36.37 $25.25 Active
3610036 CERULOPLASMIN RLAB 300 82390 323.40 323.40 $15.47 $10.74 Active
3610317 IGFBP3 RLAB 300 82397 117.00 117.00 $6.68 $6.31 Active
3600014 CHLORIDE LAB 300 82435 25.10 25.10 $6.63 $4.60 Active
3610546 URINE, CHLORIDE RLAB 300 82436 150.00 150.00 $7.25 $5.75 Active
3600015 CHOLESTEROL LAB 300 82465 25.10 25.10 $6.27 $4.35 Active
3610445 PSEUDOCHOLINESTERASE RLAB 300 82480 70.00 70.00 $11.34 $7.87 Active
3610205 CITRIC ACID URINE RLAB 300 82507 82.00 82.00 $40.05 $27.80 Active
3610349 COPPER SERUM RLAB 300 82525 114.00 114.00 $17.87 $12.41 Active
3610178 24 HR URINE CORTISOL RLAB 300 82530 261.40 261.40 $24.07 $16.71 Active
3610044 CORTISOL RLAB 300 82533 121.50 121.50 $23.48 $16.30 Active
3610163 URINE CREAT. 24 HRS RLAB 300 82540 47.60 47.60 $6.68 $4.64 Active
3610273 MERCAPTOPURINE METABOLITES RLAB 300 82542 0.00 0.00 $26.01 $24.09 Active
3600018 CPK LAB 300 82550 27.80 27.80 $9.38 $6.51 Active
3610045 CPK ISOENZYME RLAB 300 82552 51.50 51.50 $19.29 $13.39 Active
3600016 CK MB LAB 300 82553 60.80 60.80 $16.63 $11.55 Active
3600019 CREATININE LAB 300 82565 26.40 26.40 $7.38 $5.12 Active
3610384 ASSAY OF URINE CREATININE RLAB 300 82570 60.00 60.00 $7.46 $5.18 Active
3610047 CREAT CLEARANCE RLAB 300 82575 81.90 81.90 $13.62 $9.46 Active
3600715 B12 (Vit B12) LAB 300 82607 140.25 140.25 $21.71 $15.08 Active
3610215 DHEA NON-SULFATE RLAB 300 82626 155.50 155.50 $36.40 $25.27 Active
3610342 DHEA SULFATE RLAB 300 82627 230.00 230.00 $32.03 $22.23 Active
3610187 VITAMIN D 1.25 DI-OH RLAB 300 82652 435.60 435.60 $55.45 $38.50 Active
3610074 ERYTHROPOIETIN RLAB 300 82668 141.30 141.30 $27.07 $18.79 Active
3610218 ESTRADIOL RLAB 300 82670 200.25 200.25 $40.24 $27.94 Active
3610326 ESTROGEN LEVEL RLAB 300 82672 112.00 112.00 $31.25 $21.70 Active
3610453 ASSAY OF ESTRIOL RLAB 300 82677 100.00 100.00 $34.83 $24.18 Active
3610359 ESTRONE RLAB 300 82679 90.00 90.00 $35.94 $24.95 Active
3610075 FERRITIN LAB 300 82728 114.90 114.90 $19.64 $13.63 Active
3600714 Folate (folic acid) LAB 300 82746 131.50 131.50 $21.18 $14.70 Active
3610221 FOLATE RBC RLAB 300 82747 149.50 149.50 $24.78 $17.65 Active
3610032 CELIAC PANEL 1 RLAB 300 82784 290.40 290.40 $13.40 $9.30 Active
3610097 IGA RLAB 300 82787 58.10 58.10 $6.98 $6.59 Active
3900003 ARTERIAL BLOOD GAS RT 300 82803 487.10 487.10 $7.52 $7.10 Active
3610229 GASTRIN RLAB 300 82941 70.00 70.00 $25.40 $17.63 Active
3610568 GLUCAGON RLAB 300 82943 130.00 130.00 $20.58 $14.29 Active
3610081 GLUCOSE CSF/OTHER RLAB 300 82945 76.60 76.60 Active
3600039 GLUCOSE LAB 300 82947 27.80 27.80 Active
3600098 POSTPRANDIAL GLUCOSE LAB 300 82950 22.50 22.50 Active
3600037 GLU/TOL 3 SPECIMENS LAB 300 82951 51.50 51.50 Active
3600038 GLUC/TOL EA ADD.SPEC LAB 300 82952 43.60 43.60 Active
3610226 GLUCOSE-6-PD QUANTITATIVE RLAB 300 82955 72.00 72.00 Active
82962 FBS CLIN 300 82962 20.00 20.00 $3.37 $3.19 Active
3610227 GAMM GLUTAMYLTRANSFERANSE RLAB 300 82977 56.00 56.00 $10.37 $7.20 Active
3610223 FRUCTOSAMINE RLAB 300 82985 112.00 112.00 $21.71 $16.76 Active
3610224 FOLLICLE STIMULATING HOROMONE RLAB 300 83001 150.00 150.00 $26.76 $18.58 Active
3610110 LUTEINIZING HORMONE (L RLAB 300 83002 77.90 77.90 $26.67 $18.52 Active
3610318 GROWTH HORMONE RLAB 300 83003 142.00 142.00 $24.01 $16.67 Active
3610083 HAPTOGLOBIN RLAB 300 83010 97.70 97.70 $18.11 $12.58 Active
83013 H PYLORI ANALYSIS CLIN 300 83013 25.00 25.00 $41.69 $39.38 Active
3610094 HGB ELECTROPHORESIS RLAB 300 83020 96.40 96.40 $18.54 $12.87 $18.70 Active
3600048 HGB A1,C LAB 300 83036 54.20 54.20 $13.99 $9.71 Active
3610190 HOMOCYSTEINE LAB 300 83090 173.00 173.00 $24.30 $17.92 Active
3610393 17-HYDROXYPROGESTERONE RLAB 300 83498 210.00 210.00 $39.13 $27.17 Active
3610466 ACETYLCHOLINE MOD AB RLAB 300 83516 320.00 320.00 $16.61 $11.53 Active
3610465 ACETYLCHOLINE BINDING AB RLAB 300 83519 280.00 280.00 $6.70 $6.33 Active
3610259 PANCREATIC ELAST FECAL RLAB 300 83520 465.00 465.00 $18.65 $17.27 Active
3610558 INSULIN LEVEL RLAB 300 83525 16.00 16.00 $16.46 $11.43 Active
3610104 IRON LAB 300 83540 25.10 25.10 $7.73 $6.47 Active
3610156 TIBC LAB 300 83550 76.60 76.60 $12.59 $8.74 Active
3610356 LACTIC ACID LAB 300 83605 100.00 100.00 $15.38 $11.57 Active
3600050 LDH LAB 300 83615 25.10 25.10 $8.69 $6.04 Active
3610514 LACTOFERRIN FECAL RLAB 300 83630 170.00 170.00 $28.28 $19.70 Active
3610471 ASSAY OF LEAD RLAB 300 83655 100.00 100.00 $17.44 $12.11 Active
3600053 LIPASE LAB 300 83690 51.50 51.50 $9.92 $6.89 Active
3600043 HDL LAB 300 83718 75.30 75.30 $11.80 $8.19 Active
3600051 LDL DIRECT LAB 300 83721 34.40 34.40 $12.31 $10.50 Active
3610565 GONADOTROXIN RELEASING HOROMONE RLAB 300 83727 900.00 900.00 $24.76 $17.19 Active
3600058 MG LAB 300 83735 22.50 22.50 $9.65 $6.70 Active
3610387 6-TG MERCAPTOPURINE 8 METABOLITES RLAB 300 83789 385.00 385.00 $26.01 $24.11 Active
3610472 ASSAY OF MERCURY RLAB 300 83825 125.00 125.00 $23.42 $16.26 Active
3610175 METANEPHRINES FRAC PLASMA RLAB 300 83835 508.20 508.20 $24.40 $16.94 Active
3610352 MYOGLOBIN URINE RLAB 300 83874 220.00 220.00 $18.61 $12.92 Active
3600009 BNP LAB 300 83880 113.60 113.60 $48.89 $39.26 Active
3610222 FREE LIGHT CHAINS, SERUM RLAB 300 83883 140.35 140.35 $6.68 $6.31 Active
3610354 ORGANIC ACIDS URINE RLAB 300 83918 335.00 335.00 $23.70 $22.39 Active
3610189 METHYLMALONIC ACID SERUM LAB 300 83921 112.00 112.00 $23.70 $21.21 Active
3600063 OSMOLALITY SERUM MANUA LAB 300 83930 72.60 72.60 $9.52 $6.61 Active
3610258 OSMOLALITY URINE RLAB 300 83935 97.00 97.00 $9.82 $6.82 Active
3610515 OXALATE URINE RLAB 300 83945 150.00 150.00 $18.54 $14.45 Active
3610117 PARATHORMONE RLAB 300 83970 85.80 85.80 $59.45 $41.28 Active
3610379 STOOL PH RLAB 300 83986 44.00 44.00 $5.16 $3.58 Active
3610201 CALPROTECTIN FECAL RLAB 300 83993 429.60 429.60 $28.28 $19.63 Active
3610002 ACID PHOSPHATASE RLAB 300 84060 33.00 33.00 $10.64 $7.64 Active
3600003 ALKALINE PHOSPHATASE LAB 300 84075 23.80 23.80 $7.46 $5.18 Active
3610344 ALP ISOENZYMES RLAB 300 84080 140.00 140.00 $21.29 $14.78 Active
3600067 PHOSPHOROUS LAB 300 84100 19.80 19.80 $6.83 $4.74 Active
3610260 PHOSPHORUS URINE RLAB 300 84105 65.00 65.00 $7.46 $5.78 Active
3610555 PORPHOBILINOGEN URINE QUANT RANDOM RLAB 300 84110 80.00 80.00 $7.10 $6.70 Active
3600069 POTASSIUM LAB 300 84132 19.80 19.80 $6.63 $4.76 Active
3610167 URINE POTASSIUM RLAB 300 84133 26.40 26.40 $6.21 $4.73 Active
3610269 PROGESTERONE RLAB 300 84144 146.00 146.00 $30.05 $20.86 Active
3610513 MACROPROLACTIN RLAB 300 84146 305.00 305.00 $27.91 $19.38 Active
3600075 PSA DIAGNOSTIC LAB 300 84153 58.10 58.10 $26.49 $18.39 Active
3610124 PSA FREE RLAB 300 84154 273.30 273.30 $26.49 $18.39 Active
3600084 TOTAL PROTEIN LAB 300 84155 41.00 41.00 $5.28 $3.67 Active
3610122 PROTEIN CSF/OTHER RLAB 300 84157 76.60 76.60 $5.28 $4.00 Active
3610120 PRO ELECTROPHORESIS SERUM RLAB 300 84165 76.60 76.60 $15.47 $10.74 $18.70 Active
3610184 PRO ELECTROPHORESIS OTHER RLAB 300 84166 232.40 232.40 $25.68 $17.83 $18.70 Active
3610350 VITAMIN B-6 RLAB 300 84207 510.00 510.00 $20.36 $19.24 Active
3610490 ASSAY OF RENIN RLAB 300 84244 200.00 200.00 $31.68 $21.99 Active
3610358 SEX HORMONE BIND GLOBULIN RLAB 300 84270 200.00 200.00 $31.30 $21.73 Active
3600081 SODUIM LAB 300 84295 25.10 25.10 $6.93 $4.81 Active
3610169 URINE SODIUM RLAB 300 84300 25.10 25.10 $7.00 $5.06 Active
3610316 IGFI RLAB 300 84305 35.00 35.00 $28.29 $21.26 Active
3610297 SOMATOSTATIN RLAB 300 84307 440.00 440.00 $26.32 $18.28 Active
3610151 TESTOSTERONE RLAB 300 84403 206.00 206.00 $37.18 $25.81 Active
3610153 THIAMEN LEVEL RLAB 300 84425 136.00 136.00 $30.58 $21.23 Active
3610363 ASSAY OF THYROGLOBULIN RLAB 300 84432 100.00 100.00 $23.13 $16.06 Active
3610149 T4 TOTAL RLAB 300 84436 34.40 34.40 $6.97 $6.58 Active
3600036 FREE T-4 LAB 300 84439 37.00 37.00 $12.99 $9.02 Active
3600089 TSH LAB 300 84443 51.50 51.50 $24.20 $16.80 Active
3610299 THYROID STIMULATING IMM RLAB 300 84445 315.00 315.00 $26.52 $25.05 Active
3610264 VITAMIN E RLAB 300 84446 167.00 167.00 $20.42 $14.18 Active
3600086 TRANSMINASE-SGO LAB 300 84450 48.90 48.90 $7.46 $5.18 Active
3600085 TRANSAMINASE-SGPT LAB 300 84460 48.90 48.90 $7.63 $5.30 Active
3610161 TRANSFERRIN RLAB 300 84466 56.80 56.80 $18.39 $12.76 Active
3600087 TRIGLICERIDES LAB 300 84478 25.10 25.10 $8.27 $5.74 Active
3610148 T3 UPTAKE RLAB 300 84479 34.40 34.40 $6.69 $6.32 Active
3610146 T3 RLAB 300 84480 63.40 63.40 $9.24 $8.73 Active
3610298 FREE T3 RLAB 300 84481 209.00 209.00 $14.21 $13.43 Active
3610332 T3 REVERSE RLAB 300 84482 255.00 255.00 $6.69 $6.32 Active
3600188 P-TROPONIN LAB 300 84484 68.70 68.70 $14.18 $12.47 Active
3600010 BUN LAB 300 84520 26.40 26.40 $5.69 $3.95 Active
3600090 URIC ACID LAB 300 84550 22.50 22.50 $6.51 $4.52 Active
3610305 URIC ACID URINE 24 HOUR RLAB 300 84560 32.00 32.00 $6.84 $5.08 Active
3610265 VANILLYMANDELIC ACID URINE 24 HOUR RLAB 300 84585 92.00 92.00 $22.32 $15.50 Active
3610487 VASOACTIVE INTESTIONAL POLYPEPTIDE RLAB 300 84586 350.00 350.00 $50.89 $35.33 Active
3610262 VITAMIN A RLAB 300 84590 150.00 150.00 $16.72 $11.61 Active
3610277 NIACIN/VITAMIN B3 RLAB 300 84591 500.00 500.00 $16.72 $15.79 Active
3610480 VITAMIN K RLAB 300 84597 400.00 400.00 $19.76 $13.72 Active
3610543 ZINC ASSAY RLAB 300 84630 100.00 100.00 $16.40 $11.39 Active
3610198 C-PEPTIDE RLAB 300 84681 227.25 227.25 Active
3610179 BETA HCG QUANTITATIVE RLAB 300 84702 174.30 174.30 $21.68 $15.05 Active
3600070 PREGNANCY TEST BLOOD LAB 300 84703 39.60 39.60 $10.84 $7.52 Active
3600057 MANUAL DIFF COUNT LAB 300 85007 19.80 19.80 $3.60 $3.41 Active
3600045 HEMATOCRIT LAB 300 85014 25.10 25.10 $3.41 $2.37 Active
3600046 HEMOGLOBIN LAB 300 85018 25.10 25.10 $3.41 $2.37 Active
85025 CBC CLIN 300 85025 25.00 25.00 $11.19 $7.77 Active
3600705 HEMOGRAM LAB 300 85027 51.50 51.50 $9.31 $6.47 Active
3600056 MANUAL CELL COUNT LAB 300 85032 26.40 26.40 $6.21 $4.31 Active
3610129 RETUCOLOCYTE COUNT RLAB 300 85044 46.20 46.20 $6.21 $4.31 Active
3600096 WBC LAB 300 85048 19.80 19.80 $3.65 $2.54 Active
3600068 PLATELET COUNT LAB 300 85049 22.50 22.50 $5.93 $4.48 Active
3610023 BONE MARROW ASPIRATION RLAB 312 85095 128.10 128.10 Active
3610024 BONE MARROW BIOPSY RLAB 314 85102 157.10 157.10 Active
3610314 FACTOR VIII ACTIVITY RLAB 300 85240 220.00 220.00 $25.79 $17.90 Active
3610334 VON WILLEBRAND PANEL RLAB 300 85245 150.00 150.00 $33.04 $22.94 Active
3610312 VWF ANTIGEN RLAB 300 85246 250.00 250.00 $33.04 $22.94 Active
3610315 FACTOR 1X ACTIVITY RLAB 300 85250 240.00 240.00 $27.43 $19.04 Active
3610309 ANTITHROMBIN III ACTIVITY RLAB 300 85300 101.00 101.00 $17.07 $11.85 Active
3610368 PROTEIN C ANTIGEN RLAB 300 85302 220.00 220.00 $17.30 $12.01 Active
3610310 PROTEIN C ACTIVITY RLAB 300 85303 118.00 118.00 $18.39 $13.84 Active
3610369 PROTEIN S ANTIGEN TOTAL RLAB 300 85305 114.00 114.00 $16.72 $11.61 Active
3600706 D-DIMER QUANTITATIVE LAB 300 85379 290.40 290.40 $14.66 $10.18 Active
3610357 FIBRINOGEN RLAB 300 85384 90.00 90.00 $12.23 $9.72 Active
3610482 LYSOZYME RLAB 300 85549 150.00 150.00 $27.01 $18.75 Active
3610374 PHOSPHOLIPID PLTLT NEUTRALIZE RLAB 300 85597 50.00 50.00 $19.30 $17.98 Active
3600074 PROTHROMBIN TIME LAB 300 85610 22.50 22.50 $5.66 $4.29 Active
3610373 RUSSELL VIPER VENOM DILUTED RLAB 300 85613 85613.00 85613.00 $13.80 $9.58 Active
3600080 SED RATE LAB 300 85651 18.50 18.50 $5.11 $4.27 Active
3610140 SICKLE CELL TEST RLAB 300 85660 52.80 52.80 $7.94 $5.51 Active
3600077 PTT LAB 300 85730 39.60 39.60 $8.65 $6.01 Active
3610375 THROMBOPLASTIN TIME PARTIAL RLAB 300 85732 50.00 50.00 $9.31 $6.47 Active
3610016 ANEMIA SCREEN RLAB 300 85999 120.20 120.20 N/A MP Active
3610131 ROCKY MTN SPOTTED FV E RLAB 300 86000 124.10 124.10 $10.06 $6.98 Active
3610428 A. ALTERNATA IGE RLAB 300 86003 37.00 37.00 $7.52 $5.22 Active
3610559 ANCA WP.ANKA AND C-ANCA RLAB 300 86021 120.00 120.00 $21.68 $15.05 Active
3610268 PLATELET ANTIBODY ANALYSIS RLAB 300 86022 371.50 371.50 $26.46 $18.37 Active
3610015 ANA RLAB 300 86038 101.70 101.70 $17.41 $12.09 Active
3610196 ASO TITER RLAB 300 86060 134.25 134.25 $10.51 $7.30 Active
3610048 CRP LAB 300 86140 99.00 99.00 $7.46 $5.18 Active
3610371 ANTICARDIOLIPIN IGG RLAB 300 86147 114.00 114.00 $16.75 $15.82 Active
3610025 C1 ESTERASE INHIBITOR RLAB 300 86160 92.40 92.40 $17.28 $12.00 Active
3610510 AH50 RLAB 300 86162 325.00 325.00 $27.46 $20.32 Active
3610203 CCP IGG RLAB 300 86200 122.75 122.75 $18.65 $12.95 Active
3610340 DNASE B ANTIBODY RLAB 300 86215 200.00 200.00 $19.08 $13.25 Active
3610329 DNA DS ANTIBODY RLAB 300 86225 230.00 230.00 $19.79 $13.74 Active
3610019 ANTISMOOTH MUSCLE ANTI RLAB 300 86235 77.90 77.90 $16.77 $15.84 Active
3610033 CELIAC PANEL 2 RLAB 300 86255 290.40 290.40 $16.36 $12.05 $18.70 Active
3610345 ADRENAL ANTIBODY RLAB 300 86256 170.00 170.00 $17.36 $12.05 $18.70 Active
3610544 CA 15-3 RLAB 300 86300 200.00 200.00 $29.98 $20.81 Active
3610200 CANCER ANTIGEN 19-9 RLAB 300 86301 227.25 227.25 $29.98 $20.81 Active
3600719 CANCER ANTIGEN 125 RLAB 300 86304 215.00 215.00 $29.98 $20.81 Active
3600059 MONO TEST LAB 300 86308 31.70 31.70 $7.46 $5.18 Active
3610027 CA-19-9/PANCREACTIC AN RLAB 300 86316 134.70 134.70 $29.98 $20.81 Active
3610319 DIPHTHERIA IGG RLAB 300 86317 74.00 74.00 $21.59 $14.99 Active
86318 STREP TEST CLIN 300 86318 25.00 25.00 $18.65 $17.62 Active
3610137 SERUM IEP RLAB 300 86320 76.60 76.60 $32.29 $29.92 Active
3610526 BETA-2 TRANSFERRIN RLAB 300 86335 220.00 220.00 Active
3610476 INTRINSIC FACTOR AB RLAB 300 86340 160.00 160.00 Active
3610388 IA-2 ANTIBODY RLAB 300 86341 432.00 432.00 Active
3610545 ADALIMUMAB AB RLAB 300 86352 800.00 800.00 Active
3610531 B CELLS TOTAL COUNT RLAB 300 86355 150.00 150.00 Active
3610530 NATURAL KILLER CELLS TOTAL COUNT RLAB 300 86357 150.00 150.00 Active
3610529 T CELLS TOTAL COUNT RLAB 300 86359 150.00 150.00 Active
3610469 CD4/CD8 LYMPHOCYTE ENUMERATION RLAB 300 86360 330.00 330.00 Active
3610251 LKM ANTIBODY RLAB 300 86376 70.00 70.00