101 room & board semi-pvt room 1,150.00 day …...item number item description price unit 101...
TRANSCRIPT
Item Number Item Description Price Unit
101 ROOM & BOARD SEMI-PVT ROOM 1,150.00 day
104 ROOM & BOARD PVT ROOM 1,725.00 day
250001 PHARMACY 0.00 span 100% MARKUP
259001 DRUGS/OTHER 0.00 span 100% MARKUP
270001 FOLEY CATH TRAY STERILE 3.20 each
270002 FCS 16/30 STERILE 3.00 each
270003 FCS 16/5 STERILE 3.00 each
270004 FCS 18/30 STERILE 3.00 each
270005 FCS 18/5 STERILE 3.00 each
270006 FCS 20/30 3.00 each
270007 FCS 20/5 3.00 each
270008 FCS 22/30 STERILE 3.00 each
270009 FC 22FR 3.00 each
270010 NEEDLE 25 X 5/8 0.25 each
270011 NEEDLE 25/1.5 3.00 each
270012 FCS 14FR 2.10 each
270013 NEEDLE 23/1 0.25 each
270014 FCS 14/5 2.10 each
270015 BOTOX NEEDLE 50.00 each
270016 IRRIGATION TRAY STERILE 4.20 each
270017 URINARY DRAIN BAG STERILE 5.40 each
270018 NEEDLE 21/1 0.25 each
270019 NEEDLE 22 X 1 0.25 each
270020 FC 18/5 SILICONE 2.10 each
270021 FOLEY CATH STRAP 18.42 each
270022 CATHETER SILICONIZED 2.10 each
270023 FOLEY CATH TRAY STER 18FR 19.60 each
270024 GLUCOSE STRIP 1.00 each
270025 NEEDLE 26/2.5 0.25 each
270026 HEELBO 61.66 each
270029 IRR. SYRINGE 3.20 each
270030 GTUBE 14FR FLEXIFLO 65.48 each
270031 HOYER LIFT CANVAS 96.00 each
270032 ENTERAL SUPPLIES 0.00 each 100% MARKUP
270033 IV SUPPLIES 0.00 each 100% MARKUP
270034 O2 TUBING 5.00 each
270035 KERLIX 4" STERILE 1.36 each
270037 KLING 3" STERI(CONFORMNG) 9.50 each
270038 LEVINE TUBE, 18FR 1.96 each
270039 LEG BAG 4.02 each
270040 LEVINE TUBE, 14FR 1.96 each
270041 LEVINE TUBE 16FR 2.00 each
270042 LEVINE TUBE 12FR 2.00 each
270043 NASAL CANNULA 1.30 each
270044 OXYGEN MASK 3.50 each
270045 FOOT POS BLK 46.25 each
270046 SUPPORT STRAP 21.50 each
270047 ABDUCTION BLK SM 65.00 each
270048 ABDUCTION BLK MED 65.00 each
270049 ABDUCTION BLK LG 65.00 each
270050 RECTAL TUBE 2.00 each
270051 RESTON FOAM 6.00 each
270052 SAFETY VEST 34.10 each
270055 GAUZE 2X2 DRAIN SPONGE 0.25 each
270057 STERI PADS #2 0.50 each
270058 STERI 2X2 3.50 each
270059 STOMA 4X4 0.25 each
270060 GAUZE CONFORM 2" STERILE 0.55 each
270061 SURGI PAD STERILE 5.00 each
270062 SUR-FIT FLANGE 1-1/2 46.00 each
270063 SUR-FIT FLANGE 1-3/4 46.00 each
270064 TRACH CAREKIT 46.00 each
270065 SUR-FIT FLANGE 2-3/4 46.00 each
270066 SUR-FIT BAG 30 1-1/2 40.00 each
270067 SUR-FIT BAG 30 1-3/4 40.00 each
270068 SUR-FIT BAG 30 2-1/4 40.00 each
270069 SUR-FIT BAG 30 2-3/4 40.00 each
270070 UROSTOMY WAFERS 77.00 each
270071 SUR-FIT UROST BAG 1-1/4 45.00 each
270072 SUTURE REMOVAL KIT STERIL 3.00 each
270073 SYR 10 CC STERILE 0.75 each
270074 SYR 3 CC STERILE 0.50 each
270075 SYR 50 CC STERILE 1.50 each
270076 SYR 5 CC STERILE 0.60 each
270077 SYR INSULIN #7 1.35 each
270078 SYR TB 1 CC 0.35 each
270079 TELFA PAD STERILE 1.00 each
270080 TEXAS CATH 25MM 2.75 each
270081 TEXAS CATH 29MM 2.75 each
270084 TRACH CARE KIT 2.50 each
270085 URETHAL CATH TRAY STERILE 5.50 each
270087 GAUZE 4X4 DRAIN SPONGE 0.25 each
270090 WRIST RESTRAINT 11.00 each
270091 WOUND MANAG KIT STERILE 11.50 each
270092 SUR-FIT FLANGE CAP 15.00 each
270093 BIO SKIN PUNCH/STERILE 3.50 each
270094 SUCTION CATH 14FR 2.00 each
270095 BODY ALIGN ROLL 0.00 each 100% MARKUP
270096 LEG POSITIONER 5.00 each
270097 ARM POSITIONER 5.00 each
270098 LIMB ALIGN ROLL 5.00 each
270099 BODY CONTROL RESTRAINT 17.50 each
270100 POSITION ROLL 22.00 each
270101 O2 DAILY 24.00 each
270102 OXYGEN TRANSPORT 15.00 each
270103 AEROSOL MASK 3.25 each
270104 AEROSOL TUBING 1.25 each
270105 NEBULIZER, MASK/MOUTH 6.50 each
270106 SIDE ARM NEB SET 7.50 each
270107 HUMIDIFIER-PREFILLED 3.60 each
270108 TRACH MASK 3.25 each
270109 DISPOSABLE OXYGEN JAR 6.00 each
270110 COMPRESSOR MASK 4.20 each
270111 MISC OXYGEN SUPPLIES 0.00 each 100% MARKUP
270112 ASPIRATING TUBE STERILE 6.00 each
270113 VENTURI MASK 4.50 each
270114 YANKAUER SUCT STERILE 8.00 each
270115 AIRWAY 0.50 each
270116 NON-BREATHER MASK 3.70 each
270117 STERILE WATER W/ADAPTER 13.80 each
270118 SUCTION CANISTER 1200 CC 13.75 each
270119 JET NEBULIZER 4.00 each
270120 INCENTIVE SPIROMETER 20.00 each
270121 WEIGHTED CUP 14.60 each
270122 POSEY LATERAL STABILIZER 25.00 each
270123 FOAM POSITION WEDGE W/COV 40.00 each
270124 BUMPER BED RAIL 52.00 each
270125 WHEELCHAIR PAD W/COVER 52.00 each
270127 GEL CUSHION 30.00 each
270129 W/C VELCRO BELT 72" 15.75 each
270130 SHEEPSKIN HEEL PROTECTOR 15.75 each
270143 DRAINAGE BAG HOLDER 13.00 each
270144 FOOT BLOCK 21.00 each
270145 GAIT BELT 17.50 each
270146 SPANKLE BOOT STERILE 39.00 each
270147 CATHETER EXTERNAL MALE (M) 2.10 each
270148 CATHETER, MALE EXTERNAL L 8.50 each
270149 KLING 4" STERILE 4.75 each
270150 SPONGE 3X3 STERILE 2.50 each
270151 BENZOIN SPRAY 7.25 each
270154 STERI STRIP 1/2 X 4" 3.09 each
270155 STERI STRIP 1/4 X 3" 1.97 each
270157 DRAPE SHEET STERILE 18X26 1.00 each
270163 DRAINAGE BAG RESP 2.45 each
270164 OXYGEN, AEROSOL HR USE 7.00 each
270166 HEEL PROTECTOR FOAM 22.00 each
270175 SYRING 60 CC STERILE 1.60 each
270177 POSEY GRIP 9.50 each
270179 WHEELCHAIR PADDED BELT 19.00 each
270180 LOPEZ VALVE 4.80 each
270181 KNEE POSITION SPLINT 62.00 each
270182 CARVE-IT CENTER ATTACH 51.00 each
270183 KNEE SEPARATOR-VINYL COVR 67.50 each
270184 HEAD REST 45.00 each
270185 BACK REST RECLINE W/CHAIR 269.00 each
270189 WHEELCHAIR BODY WRAP 14.50 each
270199 MISC. ROUTINE SUPPLIES 0.00 each 100% MARKUP
270200 SPECIAL SUPPLIES 0.00 each 100% MARKUP
270201 OTC DRESSING 0.00 each 100% MARKUP
270202 TRAPEZE RENTAL 15.00 mo
270203 AIR MATTRESS PUMP 0.00 mo 100% MARKUP
270204 SUCTION MACHINE 10.00 each
270205 K-PAD & PUMP RENTAL 15.00 mo
270206 LAPIDUS MATTRESS RENTAL 25.00 mo
270207 A-RENTAL FEEDING PUMP 8.25 day
270208 AIR COMPRESSOR 38.00 mo
270209 HEATED AERO W/COMPRESSOR 42.00 mo
270210 HEATED AERO W/SIDEARM NEB 42.00 mo
270211 IPPB SET UP 17.00 mo
270212 IPPB CIRCUITS 4.00 each
270213 WATER MATTRESS RENTAL 25.00 mo
270214 AMBU BAG RENTAL 38.00 mo
270215 BED CRADLE 42.50 mo
270216 OXYGEN CONCENTRATOR 100.00 each
270217 NEBULIZER 10.00 each
270218 PULMO AIDE 10.00 mo
270219 MED EQUIP/RENTAL 0.00 day 100% MARKUP
270220 LYMPH PUMP / FOOT 70.00 mo
270221 LYMPH PUMP / ARM 180.00 mo
270224 C-PAP / ATROVENT INHALATION 250.00 mo
270225 W/C ALARM 50.00 mo
270226 BED ALARM MAT 75.00 each
270227 TEGASORB 6.75 each
270234 VASELINE GAUZE 3 X 18 2.00 each
270237 VASELINE GAUZE DRSSG 3X9 1.50 each
270240 TRANSPARENT DRESSING 4X4 1.00 each
270241 POLYMER ISLAND DRSG 4X4 7.00 each
270242 XEROFORM DRESSING 2.28 each
270243 INTRASITE 3.50 each
270244 STERILE SCALPEL 1.75 each
270245 NON-REBREATHER MASK 5.00 each
270250 NORMAL SALINE STERILE 1.25 each
270251 ** Do Not Use -- CPM Machine *** 50.00 each
270252 ** Do Not Use - CPM Pad *** 50.00 each
270260 LOW AIR LOSS THERAPY I 40.00 each
270261 LOW AIR LOSS THERAPY II 20.00 each
270264 TUBING CORRIGATED 5.45 each
270270 DEBRIDEMENT KIT 0.00 each 100% MARKUP
270278 SLIDE GUARD WEDGE 178.00 each
270299 MISC THERAPY SUPPLIES 0.00 each 100% MARKUP
270301 CARD HOLDER 7.00 each
270302 HAND HELPER EXERCISE AIDE 11.00 each
270303 LAP BOARD 15.00 each
270304 MAPLE PARING 16.00 each
270305 REACHER 26'' 22.50 each
270306 ROLLER KNIFE 3.00 each
270307 1/2 AIR SPLINT 9.25 each
270308 DRESSING STICK 4.00 each
270309 ELEVATED SPONGE ARM REST 26.00 each
270310 FOAM ELEVATED ARM INSERTS 15.00 each
270311 FULL AIR SPLINT 11.50 each
270312 LONG HANDLED SPONGE 3.50 each
270313 QUICK CLIP SPEED CUTTER 11.00 each
270314 ROCKER KNIFE 8.00 each
270315 SHOE HORN 6" PLASTIC 3.00 each
270316 LONG SHOE HORN 6.50 each
270317 SOCK AIDE 10.50 each
270318 SUSPENSION HEMI-SLING 19.00 each
270319 UTENSIL SET 16.00 each
270320 VINYL WHEELCHAIR CUSHION 10.00 each
270321 WALKER BAG 21.00 each
270322 WALKER BASKET 16.00 each
270323 WHEELCHAIR BAG 60.00 each
270324 MITTENS 29.97 each
270325 THERAPUTTY 3.50 each
270326 TED STOCKINGS 8.50 each
270327 DISPOSABLE AMBU BAGS 38.00 each
270328 TED HOSE KNEE-HI SM 10.00 each
270329 TED HOSE THIGH-HI 15.75 each
270330 TED HOSE KNEE-HI MED 11.00 each
270331 TED HOSE KNEE-HI LRG 11.00 each
270332 TED HOSE KNEE-HI X-LG 11.00 each
270333 TED HOSE THIGH-HI MED 15.75 each
270334 TED HOSE THIGH-HI LRG 15.75 each
270335 TED HOSE THIGH-HI XLG 15.75 each
270336 WHEELCHAR CUSHION, STANDARD 62.46 each
270340 WRIST BRACE 33.00 each
270341 ELASTIC SHOELACES 3.00 each
270342 ABDOMINAL SUPPORT 112.50 each
270343 STUMP SHRINKER 110.50 each
270344 MULTI PODUS BOOT 95.36 each
270401 ACE BANDAGE 2" 3.00 each
270402 ACE BANDAGE 3" 3.85 each
270403 ACE BANDAGE 4" 4.75 each
270404 ACE BANDAGE 6" 6.25 each
270406 ARM SLING 9.50 each
270409 DRESSING TRAY STERILE 4.75 each
270410 EXTENSION TUBING 2.00 each
270412 DUO TUBE 32.95 each
270413 EGG CRATE MATTRESS 38.75 each
270414 EGG CRATE PAD 18.50 each
270418 EYE PADS #3 0.90 each
270419 FACE MASK 10.00 each
270420 FOLEY CATH CLAMP 1.60 each
270423 GEO - MATTRESS 81.50 each
270430 IRRIGATION SET OVERHEAD 12.50 each
270431 ISOLATION GOWNS #10 25.00 each
270432 ISOLATION TRAY 9.00 each
270433 L'NARD BOOT 160.00 each
270501 BODY WEDGE 20.00 each
270503 SUCTION CATHETER 12FR 2.00 each
270505 SKIN STAPLE REMOVER STERI 12.50 each
270506 BITE (JAW LOCK) 0.40 each
270507 SYR 20CC W/O NEEDLE 1.00 each
270508 SUCTION & CUP KIT STERILE 1.60 each
270509 ELBOW PADS 7.00 each
270510 FORCEPS 1.75 each
270512 INCISION DRAIN TRAY STERI 8.50 each
270516 IV 22 MICRON FILTER 4.50 each
270520 HEATING PAD (KPAD) 18.00 each
270600 URINARY BAG (MED) 3.50 each
270661 PERIPHERAL IV ACCESS KIT 7.75 each
270662 PORT ACCESS PAK 22G X 3/4 10.50 each
270663 PORT ACCESS PAK 20G X 3/4 10.50 each
270664 CENTRAL LINE/PICO PAK 9.25 each
270665 GRAVITY DELIV PAK 3 DOSE 11.25 each
270666 SA PUMP .22 FILTER 3/DOSE 8.25 each
270667 SECONDARY DELIV. PAK 3.40 each
270668 SA PUMP PAK 1/2 FILTER 8.25 each
270669 IV START KIT 4.75 each
270670 CLAVE CONNECTOR EXT. SET 7.50 each
270671 IV CATHETER NEEDLE X 1" 3.50 each
270672 IV CATHETER NEEDLE X 0.75 3.50 each
270673 IV NEEDLE 20GA X 1 1/16 5.00 each
270674 CLAVE CONNECTOR 3.45 each
270675 IV ADMINISTRATION SET 6.25 each
270697 HIP REPLACEMENT KIT 43.50 each
270701 ENTERALS - TUBE FEEDING 0.00 each 100% MARKUP
270771 GLUCERNA CANS TUBE FEED 0.00 each 100% MARKUP
270775 GLUCERNA RTH 0.00 each 100% MARKUP
270776 ARTIFICIAL TEARS-SINGLE USE 16.38 each
270780 BASIC LIFE SUPPORT 0.00 each 100% MARKUP
270800 WIPE BARR NOSTING CAVILON 1.08 each
270801 CLEAR ACRL DRSG 3" X 3.75" 5.62 each
270802 DRSG TEGADERM ACRYL 4.4" X 5 8.88 each
270803 TEGADERM FM DRSG ADH 4 X 4.5" 10.00 each
270804 TEGADERM FM DRSG ADH 5/8X61/8 12.00 each
270805 TEGADERM FM DRSG 51/2X51/2" 12.00 each
270806 TEGADERM FM DRSG NADH 4X4 8.00 each
270807 TEGADERM HG ALG DRSG 4X4 6.60 each
270808 TEGADERM HG ALG DRSG ROPE 8.30 each
270809 GEL HYDROGEL 15GM TUBE 7.16 each
270810 TEGADERM DRSG THN 2.75 X 3.5 5.08 each
270811 TEGADERM DRSG SACL 4.9 X 5.5 18.32 each
270812 CREAM DURABLE BARR 3.25OZ 9.76 each
270813 TEGADERM AG DRSG 4X5 15.40 each
270818 DECLOGGER 20-22 FR 18.30 each
270819 DECLOGGER 16-18 FR 18.30 each
270820 DECLOGGER 18-24 FR 18.30 each
270821 XEROFORM DRESSING 2.28 each
270822 CALCIUM ALGINATE DRESSING 4X4 6.56 each
270823 PRISMA WOUND DRESSING 34.08 each
270824 DENTURE ADHESIVE CREAM 6.04 each
270825 HEMOCCULT SLIDES & DEVELOPER 1.68 each
270826 HUMIDIFIER BOTTLE DISPOSAL 3.50 each
270827 IV TPN/NON DEHP SOLUTION SET 14.72 each
270828 IV TUBING 1 PORT 9.58 each
270829 IV TUBING 3 PORT 14.50 each
270830 IV EXTENSION SET 8.98 each
270831 IV VIAL ADAPTER LUER ACTIVATED 7.28 each
270832 ISOLATION SLING 68.00 each
270833 DRAINABLE POUCH 46.00 each
270834 PROTINEX 100 38.18 each
270835 PROTINEX WC 63.06 each
270836 ISOSOURCE 1.5 1500ML RTH 5.82 each
270837 DIABETISOURCE AC 1500ML RTH 13.08 each
270838 NUTREN PULMR RTH 6.00 each
270839 DISPOSABLE BLOOD PRESS CUFF 40.00 each
270840 CPAP TUBING 50.00 day
270841 FACE MASK -SMALL 270.00 day
270842 FACE MASK -LARGE 370.00 day
270843 BED EXTENDER ADJUSTABLE 300.00 each
270844 ANTI FUNGAL CREAM W/MOISTURIZER BAZA 27.00 each
270845 ANTI FUNGAL CREAM (PLAIN) 7.00 each
270846 NUTRISHIELD CREAM 11.00 each
270847 FREEDOM SPLINT 51.04 each
270848 STOCKING 3X KNEE HIGH 14.16 each
270849 STOCKING 2X KNEE HIGH 14.16 each
270850 DONUTS CUSHION 28.60 each
270851 EDEMA GLOVES 14.44 each
270852 LONG GLOVES 23.30 each
270853 LATERAL BOLSTER 165.30 each
270854 MUELLER KNEE BRACE S-M 66.60 each
270855 MUELLER KNEE BRACE L-XL 66.60 each
270856 CVA SLING S-M 38.30 each
270857 CVA SLING L-XL 38.30 each
270858 REDDI KNEE BRACE S/M/L/XL/XXL/3XL 98.90 each
270859 HAND SPLINT S/M/L 17.40 each
270860 AIRSPLINT ANKLE 47.50 each
270861 GAUZE 5X9 BX25 8.10 each
270862 AQUAGUARD MOISTURE BARRIER 364.00 each
270863 PNEUMATIC SLEEVES/DVT GARMENT 39.00 each
270864 HEP LOCK/SMALLBORE EXT SET 696.34 each
270865 BLOOD COLLECTION SET 217.60 each
270866 BLOOD PRESSURE CUFF 190.00 each
270867 ULTRASOUND GEL 37.26 each
270868 PROTEIN SUPPLEMENT 182.40 each
270869 COLOSTOMY BAGS/DRAINAGE POUCHES 33.72 each
270870 POMMEL WEDGE CUSHION 150.00 each
270871 LARYNGEAL MIRROR 14.98 each
270872 LARYNGEAL HEXAGON HANDLE 14.98 each
270878 GAUZE <=16 in no w/sal w/o b 4.74 each
270879 ALGINATE DRESSING <=16 sq in 16.38 each
270881 TRANSPARENT FILM <= 16 sq in 3.42 each
270885 IMPREG GAUZE no h20/sal/yard 4.28 each
270886 CONFORM BAND n/s w<3 0.36 each
270887 TAPE, ALL TYPES, PER 18 SQ IN 0.24 each
270888 ABSORPT DRG >16 <=48 w/o bdr 7.26 each
270891 ADHESIVE REMOVER WIPES ANY PER 50 23.78 each
270897 GAUZE, ALL TYPES, PER LINEAR YD 0.66 each
270900 COMPRESSION STOCKING (knee high) 96.32 each
270901 COMPRESSION STOCKING (thigh high) 114.66 each
270902 COLLAGEN DRESSING, 16 SQ IN OR LESS 47.32 each
270903 SKIN SEALANTS, ANY TYPE/SIZE 0.00 each 100% MARKUP
270904 FOLEY CATH INSERTION TRAY 26.89 each
270905 GLUCOMETER TEST STRIPS 40.75 each
270906 MEDFIX RETENSION TAPE 7.50 each
270907 ABD PADS 5X9 0.80 each
270908 FOLEY 16FR 10ML 3.00 each
270909 FOLEY 18FR 10ML 3.00 each
270910 FOLEY 16FR 30ML 3.00 each
270912 FOLEY 18FR 30ML 3.00 each
270913 UTI-STAT 43.43 each
270914 ZINC PASTE IMP BDG >=3<5 YR 2.86 each
270919 ASPIRA BAG DRAINAGE 1000ML 188.02 each
270920 ASPIRA DRESSING KIT 79.38 each
291019 CPAP RENTAL (DAILY) 30.00 day
291020 BI-PAP RENTAL (DAILY) 39.00 day
300002 ABSCESS CULTURE 87070 44.00 each
300003 ABSCESS C&S/SUSCEPT 87070 44.00 each
300004 AEROBIC C&S 87070 21.50 each
300005 AEROBIC C&S FOR ID 87075 29.00 each
300007 ALBUMIN SERUM QUAN 82040 126.00 each
300008 ALBUMIN URINE QUAN 82042 7.00 each
300009 ALK PHOSPHATASE 84075 8.00 each
300010 ALK PHOSPHATASE ISO 84080 50.00 each
300011 AMIKACIN 80150 43.22 each
300012 AMINO ACD SCREEN PL 82128 57.50 each
300013 AMINO ACD SCREEN UR 82128 65.50 each
300014 AMINOPHYLLINE 80198 40.50 each
300015 AMITRIPTYLINE 80152 49.00 each
300016 AMMONIA, BLOOD 82140 59.00 each
300017 AMYLASE 82150 24.00 each
300018 ANA 86038 60.00 each
300019 ANAEROBIC CULTURE 87045 105.00 each
300020 ANAEROBIC C&S 87045 37.00 each
300021 ANEMIA PROF I 80.00 each
300022 ANEMIA PROF II 84.00 each
300023 ARTHRITIS PROFILE 1 35.00 each
300024 ARTHRITIS PROFILE 2 70.00 each
300025 ARTHRITIS PROFILE 3 56.00 each
300026 ASCORBIC ACID 82180 45.50 each
300027 ASPIRATE CULTURE 44.00 each
300028 ASPIRATE C&S 44.00 each
300029 ASPIRIN-SALICYLATE 80196 19.50 each
300030 AUSTRALIA ANTIGEN 28.50 each
300031 ACID PHO8 PROSTATIC 36.00 each
300032 ACETONE QUALITATIVE 82009 11.00 each
300033 ACID FAST CULTURE 87116 44.00 each
300034 ALPHA I FETOPRO SER 82105 48.08 each
300035 ANTICONVULSANT #2 54.00 each
300036 ANTI-DNA AB/DOUBLE 86225 40.50 each
300037 ANTIBIO SENSITIVITY 1-12 20.00 each
300038 ANTIBIOTIC SENSITIVITY MIC 24.14 each
300039 ALCOHOL (ETHYL) 82055 40.00 each
300040 ANTI-HCV 86317 208.00 each
300041 B-12 VITAMIN 82607 126.00 each
300042 B-12 VIT/FOLIC ACID 72.00 each
300043 BACTERICIDAL LEVEL 87197 61.00 each
300044 BARBITURATE QUAL/UR 80101 18.00 each
300045 BARBITURATE QUAN/SR 82205 46.00 each
300046 BENADRYL 80299 56.00 each
300047 BENCE JONES PROTEIN 86325 80.50 each
300048 BILIRUBIN-AMNIOTIC 82143 26.50 each
300049 BILIRUBIN TOTAL 82247 10.00 each
300050 BILIRUBIN TOT/DIR 82248 13.00 each
300051 BILIRUBIN URINE 7.00 each
300052 BLEEDING TIME 85002 12.50 each
300053 BLOOD CULTURE A&A 87040 101.00 each
300054 BLOOD CULTURE 87040 105.00 each
300055 BUN SERUM 84520 11.00 each
300056 BUN URINE 84540 17.00 each
300057 BUTAZOLIDIN 80299 69.50 each
300058 BACTERIA SUCCEPTABILITY 40.00 each
300059 BUPROPION LEVEL 70.50 each
300060 BETA 2 MICROGLOBIN 69.00 each
300061 CARBOXYHEMOGLOBIN 82375 41.50 each
300065 CA-15-3 67.00 each
300066 CA 125 64.00 each
300067 CAROTENE 30.00 each
300068 CA-19-9 63.40 each
300069 C-REACTIVE PROTEIN 86140 75.00 each
300070 COMPLEMENT C1Q COMP 86162 60.00 each
300072 COMPLEMENT C2 COMPO 86160 70.50 each
300073 CHEM 7 80048 11.50 each
300074 CHEM 19 W/O IRON 19.00 each
300075 CALCIUM, IONIZED 82330 75.00 each
300076 CALCIUM 82310 8.00 each
300077 CARBON DIOXIDE CONT 82374 11.00 each
300078 CARBAMAZEPINE 40.68 each
300079 CBC & PLATELET 85025 90.00 each
300080 CBC WITH DIFF 85025 72.00 each
300081 CBC W/O DIFF 85027 72.00 each
300082 CEA 82378 16.00 each
300083 CHOLESTEROL EST/TOT 82465 38.00 each
300084 CHOLESTEROL; HDL 83718 24.00 each
300085 CHOLESTEROL; TOTAL 82465 11.00 each
300086 COAGULATION DX PROF 85999 42.50 each
300087 COAGULATION TIME 85345 12.00 each
300088 COLLAGEN DX PROFILE 82523 76.50 each
300090 COMPREHENSIVE META 15.25 each
300092 COOMBS DIRECT 86880 30.00 each
300093 COOMBS INDIRECT 86885 26.00 each
300094 CORON. RISK PROF 1 141.00 each
300095 CORON. RISK PROF II 62.00 each
300096 CPK ISOENZYMES 82552 42.50 each
300097 CPK 82550 45.00 each
300098 CREATININE CLEARANCE 40.00 each
300099 CREATINE SERUM 82540 51.00 each
300100 CREATINE URINE 82540 130.00 each
300101 CREATININE 82565 11.00 each
300102 CORTISOL SERUM 82533 50.00 each
300103 CLOSTRIDIUM DIFF 87803 55.00 each
300104 CHOLYLGLYCINE (BILE) 82240 61.50 each
300105 COUMADIN LEVEL 80299 70.50 each
300106 CALCIUM,SERUM/URINE 82310 13.00 each
300107 CHLORIDE; BLOOD 82435 11.00 each
300108 CRYSTALS, SYN FLUID 89060 10.00 each
300109 CBC & PLATELET CNT 85025 17.00 each
300110 CLOSTRIDIUM DIFF TX 87803 130.00 each
300111 CRYOGLOBOLINS 20.00 each
300113 DARVON 80299 18.00 each
300114 DATRIL 82003 57.50 each
300115 DEMEROL 80299 73.50 each
300116 DIAZEPAM SERUM 80154 46.00 each
300117 DIGITOXIN 40.50 each
300118 DIGOXIN 80162 138.00 each
300119 DILANTIN 138.00 each
300120 DISOPYRAMIDE 80299 53.00 each
300121 DESYREL 89.00 each
300122 DRUG ANALYSIS COMP 80102 213.00 each
300131 EAR CULTURE 87070 21.50 each
300132 EAR C&S 87070 21.50 each
300133 EB VIRUS ANTIBODIES 106.00 each
300134 ELECTROLYTES 80051 15.50 each
300135 ELECTROPHORESIS HGB 83020 44.00 each
300136 ELECTROPHORESIS SER 84165 26.50 each
300137 ELECTROPHORESIS UR 84165 53.00 each
300138 ENVIRONMENTAL CULT 22.50 each
300139 EOSINOPHILS CT, BLOOD 89190 12.00 each
300140 ERTHROCYTE SED RATE 85651 12.00 each
300142 ESTROGEN FRACT SER 82671 211.50 each
300143 ESTROGEN FRACT UR 82671 201.50 each
300144 ESTROGEN, TOTAL SER 82672 92.00 each
300145 ETHANOL 82055 40.50 each
300146 ENA 76.50 each
300147 EYE CULTURE 87070 21.50 each
300148 EYE C&S 87070 21.50 each
300160 FATTY ACIDS, FREE 82725 54.00 each
300161 FECES CULTURE 87046 31.00 each
300162 FECES C&S 87046 34.50 each
300163 FECES, OCCULT BLOOD 82270 10.00 each
300164 FECES, ROUTINE EXAM 35.50 each
300165 FOLIC ACID, RBC 82747 84.50 each
300166 FOLIC ACID, SERUM 82746 120.00 each
300167 FSH & LH 80426 99.50 each
300169 FSH SERUM 83001 58.00 each
300170 FUNGUS CULTURE 87101 30.00 each
300171 FUNGUS ORG ID 87106 52.50 each
300173 FERRITIN 82728 159.00 each
300174 FOLATE 40.00 each
300175 FTA (ASTHMA - TP) 40.00 each
300176 FIBRINOGEN 85384 28.00 each
300184 GAMMAGLOBULIN 82784 20.00 each
300185 GERAMYCIN 80170 49.00 each
300186 GLUCOSE 82947 8.00 each
300187 GLOBULIN 86880 11.00 each
300188 GRAM STAIN 87205 51.00 each
300189 GUAIAC 82270 10.00 each
300190 BLOOD GLUCOSE MONITORING 6.64 each
300191 GGTP 82977 24.00 each
300192 GENTAMICIN 80170 60.50 each
300193 GLUCOSE - 6 HRS 95250 295.00 each
300194 GENITAL C&S 87070 21.50 each
300195 GLYCOHEMOGLOBIN 171.00 each
300199 HEMOSIDERIN 24.00 each
300200 HEMOGRAM 7.00 each
300201 HALDOL 80173 90.50 each
300202 HEMATOCRIT 85014 36.00 each
300203 HCT & HGB 80414 8.50 each
300204 HEMOPHILUS INFLUEN 86684 62.50 each
300205 HEP-B SURFACE ANTIG 87340 28.50 each
300206 HEP-B/E ANTIGEN 87350 41.00 each
300207 HEP-A ANTIBODY 86708 144.00 each
300208 HEP-A ANTIBODY IGM 86709 37.00 each
300209 HEPATITIS DX PROF I 240.00 each
300210 HEP-PRO + C 312.00 each
300211 HELICOBACTER PYLORI 57.00 each
300212 HERPES I/II ACT 112.50 each
300216 HEMOGLOBIN ELECTROPHORESI 40.00 each
300217 HERPES ZOSTER VIRUS 63.00 each
300218 HLA-B 8 86812 80.50 each
300219 HLA-B 27 86812 80.50 each
300220 HYPERTENSION SC/PRO 25.50 each
300221 HYPERTHYROID PROF 51.50 each
300222 HYPOTHYROID PROFILE 63.50 each
300223 HAPTOGLOBIN 83010 147.00 each
300224 HEP-B SURF ANTIBODY 86706 28.50 each
300225 HIV ANTIBODIES SCREEN 43.50 each
300226 HEMOGLOBIN 85018 36.00 each
300227 HCG, QUANTITATIVE 84702 46.00 each
300228 HEAVY METAL; SCREEN 83015 87.00 each
300229 HGB ELECTRO 83020 40.00 each
300230 HCG BETA 70.00 each
300231 HTLV III 35.50 each
300235 IMMUNE COMPLEX C1Q 86332 76.50 each
300236 IMMUNE COMPLEX RCA 86332 112.00 each
300237 IMMUNOELECT SERUM 86320 84.00 each
300238 IMMUNOELECT URINE 86325 94.00 each
300239 IMMUNOGLOBULIN A 82784 37.50 each
300240 IMMUNOGLOBULIN D 82784 49.50 each
300241 IMMUNOGLOBULIN E 82785 50.00 each
300242 IMMUNOGLOB G SERUM 82784 37.50 each
300243 IMMUNOGLOBULIN M 82784 37.50 each
300244 IMMUNOGLOBULIN QUAN 70.00 each
300245 INDERAL 51.00 each
300246 INFECTIOUS MONO 86663 12.00 each
300247 INFLUENZA A/B PROF 84.50 each
300248 INSULIN 83525 44.00 each
300249 IRON/IRON BIND CAP 83550 28.00 each
300250 IRON BINDING CAP 83550 120.00 each
300251 IRON SERUM 83540 51.00 each
300252 IRON URINE 83540 113.50 each
300253 ISOENZYMES 42.50 each
300254 IMIPRAMINE SERUM 80174 72.50 each
300255 INTRINSIC FACTOR AB 43.00 each
300260 JOINT FLUID C&S 89060 44.00 each
300261 K O H PREP 16.50 each
300270 HEPATIC PANEL 23.42 each
300277 L/S RATIO 83661 72.50 each
300278 LACTIC ACID 83605 40.00 each
300279 LDH 83615 11.00 each
300280 LDH ISOENZYMES 83625 42.50 each
300281 LDL CHOLESTEROL FX 83716 36.00 each
300282 LE CELL PREP 23.00 each
300283 LEG, PNEUMOPHILA D/S 179.00 each
300285 LEUKOCYTE ALK PHOS 85540 34.00 each
300286 LEUKOCYTE COUNT 85048 7.00 each
300287 LH 83002 57.00 each
300288 LH/FSH EVALUATION 80426 99.50 each
300289 LIBRIUM SERUM 80299 46.00 each
300290 LIPASE SERUM 83690 30.00 each
300291 LIPIDS TOTAL SERUM 19.00 each
300292 LIPIDS, TOTAL SCREEN 89125 18.00 each
300293 LIPID DX COMPREHEN 80061 140.00 each
300294 LIPID MONITOR PROF 80061 16.50 each
300295 LIPOPRO ELECTROPHOR 83715 46.50 each
300296 LITHIUM 80178 30.00 each
300297 LIVER DX PROFILE I 21.50 each
300298 LIVER DX PROFILE II 40.00 each
300299 LIVER DX PROF III 49.00 each
300304 LANOXIN 80162 40.00 each
300305 LEAD, QUANT, BLOOD 83655 36.00 each
300306 LIDOCAINE 80176 42.50 each
300315 MAGNESIUM SERUM 83735 60.00 each
300316 MAGNESIUM URINE 83735 17.50 each
300317 MANGANESE BLOOD 83785 107.50 each
300319 MARIJUANA SCREEN 80101 18.00 each
300321 HTLV III 35.50 each
300322 MELANIN 84510 37.00 each
300323 MEPROBOMATE 83805 53.00 each
300324 METHAQUALONE SERUM 80299 53.00 each
300325 METHOTREXATE J8610 75.50 each
300326 MILTOWN 83805 53.00 each
300327 MBC 41.00 each
300328 MIC 87186 41.00 each
300329 MOLD GROUP - RAST 114.50 each
300330 METABOLIC BASIC 96.00 each
300335 METABOLIC COMP 120.00 each
300340 MONILIA CULTURE 30.00 each
300341 MONONUCLEOSIS HA 46.00 each
300342 MONO TEST 12.00 each
300345 MULT MYELOMA (MGS) 142.00 each
300346 MUMPS EVAL SINGLE 86735 87.50 each
300347 MUMPS ACUTE & CONV 86735 161.00 each
300349 MYCOBACTERIA CULT 87116 44.00 each
300350 MYCOBACTERIA ORG ID 87118 44.00 each
300351 MYSOLINE 80188 44.00 each
300354 MELLARIL 84022 49.50 each
300355 MAGNESIUM RBC 83735 47.00 each
300362 NAPA LEVEL 50.00 each
300363 NASOPHARYNX CULTURE 21.50 each
300364 NASOPHARYNX C&S 21.50 each
300365 NEBCIN 80299 49.00 each
300366 NOREPINEPHRINE PL 82383 125.50 each
300367 NOREPINEPHRINE UR 82382 145.50 each
300368 NOSE CULTURE 87070 21.50 each
300369 NOSE C&S 87070 21.50 each
300370 NORTRIPTILINE 73.00 each
300371 NORPACE LEVEL 54.50 each
300372 NORPRAMINE 49.00 each
300373 NEURONTIN LEVEL 106.00 each
300380 O & P 87177 30.00 each
300381 OSMOLALITY, URINE 32.50 each
300382 OSMOLALITY 83930 32.50 each
300383 OCCULT BLOOD 40.00 each
300388 PREALBUMIN 126.00 each
300389 PEP, SERUM 30.00 each
300390 PTH (C-TERM) 142.50 each
300391 PAP / ACID PHOS PROST 84066 40.00 each
300392 PAMELOR DRUG LEVEL 75.00 each
300394 PAROXETINE (PAXIL) 111.00 each
300395 PHENYTOIN 138.00 each
300396 PHENOBARBITAL 80184 50.00 each
300397 PLATELET ANTIBODY SCREEN 96.00 each
300398 PHOSPHORUS, INORG 84100 54.00 each
300399 PITUITARY GONAD 80426 99.50 each
300400 PLATELET COUNT 85032 10.00 each
300401 POTASSIUM SERUM 84132 54.00 each
300402 POTASSIUM URINE 84133 16.00 each
300403 POTASSIUM FECES 39.00 each
300404 PROGESTERONE 84144 58.00 each
300405 PROCAINAMIDE 60.00 each
300406 PROSTATE 25.50 each
300407 PROTEIN URINE 84156 54.00 each
300408 PROTEIN ELECTRO SER 84165 30.00 each
300409 PROTEIN ELECTRO UR 84165 53.00 each
300410 PROTHROMBIN CONSUMP 85611 26.50 each
300411 PROTHROMBIN TIME 85610 64.00 each
300412 PROLACTIN 84146 63.50 each
300413 PTT 85730 18.00 each
300414 PROZAC LEVEL 80299 94.00 each
300415 PROSTATE SPEC ANTIGEN 84153 210.00 each
300416 PROFILE 1 43.00 each
300417 PROFILE 2 36.00 each
300418 PROFILE 3 24.00 each
300419 PROFILE 4 24.00 each
300420 PROFILE 5 34.00 each
300421 PROFILE 6 40.00 each
300422 PROFILE 9 42.00 each
300423 QUAALUDE 80299 53.00 each
300424 QUINIDINE 80299 50.00 each
300425 PROFILE 7 52.00 each
300426 PROCAINAMID 60.00 each
300427 PROFILE 8 35.00 each
300428 PROFILE 8 + IRON 61.00 each
300429 SEDRATE (WESTERGREN) 12.00 each
300434 RA LATEX 20.00 each
300435 RA RHEUMATOID FACT 76350 90.00 each
300436 RBC FOLATE 82747 110.00 each
300437 RENAL FUNCTION PROFILE 80069 25.00 each
300438 RETICULOCYTE CELL 85044 34.00 each
300439 RUBELLA-SINGLE SP 86762 21.50 each
300440 RH ANTIBODY SCR 86023 17.50 each
300449 SEDIMENTATION RATE 85651 57.00 each
300450 SALICYLATES 80196 19.50 each
300451 SERUM BACTER LEVEL 87197 61.00 each
300452 SERUM PROT ELECTRO 84165 26.50 each
300453 SERUM PROT IMM-ELEC 86320 80.50 each
300454 SGOT 84450 11.00 each
300455 SGPT 84460 11.00 each
300456 SICKLE SCREEN 15.50 each
300457 SKIN CULTURE 87070 21.50 each
300458 SMAC 6 & CREATINE 12.00 each
300459 SMA 6 12.00 each
300460 SMA 17 16.00 each
300461 SMAC 26 19.00 each
300462 SODIUM, SERUM 84295 11.00 each
300463 SODIUM, URINE 84300 60.00 each
300464 SODIUM, FECES 84302 76.50 each
300465 SPUTUM CULTURE 89220 99.00 each
300466 SPUTUM C & S 89220 99.00 each
300467 STREP SCREEN 13.00 each
300468 STREP EXOENZYME A/T 31.00 each
300469 SMAC-7 RENAL 25.50 each
300470 STREP PNEUMONIAE 82.00 each
300471 SULFONAMIDES 84400 68.00 each
300472 SYPHILIS RPR 86592 10.00 each
300473 STOOL C & S 21.50 each
300474 STOOL O B 20.00 each
300475 SMAC - LIVER 14.00 each
300476 SMAC - COMBO 19.00 each
300477 SINEQUAN 80166 73.50 each
300478 SUDAN FAT STAIN 18.00 each
300479 SMAC - LYTES 12.00 each
300480 TROPONIN LEVEL 76.00 each
300482 T3 DIRECT 84480 40.00 each
300483 T3 FREE 84481 148.50 each
300484 T3 83539 46.50 each
300485 T3 TOTAL & T4 51.50 each
300486 T3 UPTAKE 13.00 each
300487 T3 UPTAKE & T4 84479 19.50 each
300488 T4 TOTAL 84436 15.50 each
300489 T4 PLUS 84436 16.00 each
300490 TAGAMET 80299 62.50 each
300491 TALWIN 80299 45.00 each
300492 TB CULTURE 87116 44.00 each
300493 TB SMEAR 87206 18.00 each
300494 TBG 84442 79.00 each
300495 TEGRETOL 70.00 each
300496 TESTOSTERONE, TOT, SR 84403 81.00 each
300497 TESTOSTERONE, FREE + 84402 152.50 each
300498 THEOPHYLLINE 80198 50.00 each
300499 THIAMINE 84425 87.50 each
300500 THORAZINE SERUM 80299 57.50 each
300501 THROAT CULTURE 87070 21.50 each
300502 THROAT C & S 87070 21.50 each
300503 THYROID SCREEN PROF 20.00 each
300504 TSH 84443 189.00 each
300505 THYROID, TOTAL EVAL 84442 98.50 each
300506 TOBRAMYCIN 80200 49.00 each
300507 TOFRANIL 80174 72.50 each
300508 TRANXENE 80154 46.00 each
300509 TRIGLYCERIDES 84478 14.00 each
300510 TSH & T4 63.50 each
300511 THYROID 13.50 each
300512 TRAZADONE 80299 57.00 each
300513 TYLENOL 82003 57.50 each
300514 THALLIUM METAL 95.00 each
300515 THYROXINE, FREE 84439 29.50 each
300516 THYROXINE T-4 81.00 each
300517 T4 FREE 84439 135.00 each
300518 TOCAINIDE 82486 42.00 each
300519 THYROID INDEX 13.50 each
300520 THYROID PROF I 20.00 each
300521 TRANSFERRIN 37.00 each
300524 URINE COLONY COUNT 190.00 each
300525 UREA CLEARANCE 84545 35.00 each
300526 URETHRAL CULTURE 87070 21.50 each
300527 URETHRAL C & S 87070 21.50 each
300528 URIC ACID 84550 11.00 each
300529 URINALYSIS 81000 93.00 each
300530 URINE CULTURE 87088 93.00 each
300531 URINE C & S 21.50 each
300532 UROBILINOGEN STOOL 84577 65.50 each
300533 UROBILINOGEN URINE 84580 33.50 each
300545 VAGINAL CULTURE 87070 21.50 each
300546 VENLAFAXINE 127.80 each
300547 VALIUM 80154 46.00 each
300548 VITAMIN A 84590 72.00 each
300549 VITAMIN B1 84425 87.50 each
300550 VITAMIN B6 84207 135.50 each
300551 VITAMIN C 82180 45.50 each
300552 VITAMIN D 82307 176.50 each
300553 VITAMIN E 84446 57.00 each
300554 VANCOMYCIN 80202 147.00 each
300555 VALPROIC ACID 150.00 each
300556 VDRL 86592 8.00 each
300557 VANCO 18.75 each
300563 WELLBUTRIN 80299 53.00 each
300564 WBC 85048 12.00 each
300565 WBC DIFFERENTIAL 85007 20.00 each
300566 WOUND CULTURE 87070 99.00 each
300567 WOUND CULTURE W/S 87070 21.50 each
300578 ZOLOFT BL 139.00 each
300579 YEAST CULTURE 87106 30.00 each
300580 ZINC BLOOD 84630 42.00 each
300581 SPECIAL LAB HANDLING 7.00 each
300582 ZOLOFT 48.25 each
300583 LAB TECH CALL BACK 20.00 each
300584 INFLUENZA A AG 35.00 each
300585 INFLUENZA B AG 35.00 each
300590 YEAST C&S 127.50 each
300600 MISC LAB 0.00 each 100% MARKUP
300601 ANTI-PLATELETS 73.00 each
300602 CROSSMATCH 0.00 each 100% MARKUP
300603 SYRINGE 0.00 each 100% MARKUP
300604 BLOOD TYPE 0.00 each 100% MARKUP
300605 BMP 96.00 each
300606 STAT PHLEBOTOMY CHARGE 135.00 each
300607 STAT COURIER CHARGE 20.00 each
300608 CIRCULATING ANTIC 18.56 each
300609 FLOWCYTOMETRY 250.00 each
300610 FLOW CYTOMETRY ADD'L MARKER 218.00 each
300611 FLOW CYTOMETRY INTERPRETATION >16 MARKER 312.00 each
300612 FLOW CYTOMETRY INTERPRET. 9-15 MARKERS 312.00 each
300613 FLOW CYTOMETRY INTERPRET. 2-8 MARKERS 312.00 each
300614 HIV VIRAL LOAD 441.00 each
300615 ALDOSTERONE SERUM 116.84 each
300617 RENIN ACTIVITY 61.46 each
300618 D-DIMMER 28.44 each
300619 HIV-1 GENOTYPE 553.55 each
300620 HIV 1 PHENO. 1,024.08 each
300621 HIV 1 PHENO ADDL. 109.26 each
300921 CHEM PROFILE 180.00 each
300923 NATRIURETIC PEP 95.00 each
300924 HOMOCYSTEINE 506.00 each
300925 CULTURE STOOL 86.24 each
300926 ID-UR-PRESUMP 22.56 each
300927 E COLI 86.24 each
300928 CUTL STL ADDL 26.36 each
300929 GASTRIN (SERUM) 50.28 each
300930 PT MIXING PANEL 66.12 each
300931 MOLEC. CYTOGENETICS 46.30 each
300932 MOLEC. CYTOGENETICS 46.30 each
300933 MOLEC. CYTO. INTERPRET 46.30 each
300934 BETA 2 GLYCOPROTEIN 105.70 each
300935 CARDIOLIPIN AB 105.70 each
300936 ANTI-PHOSPHATIDYLSE 105.70 each
300937 HEP C VIRUS AB 40.92 each
300938 PROSTATE SP AG 52.74 each
300939 METHYLMALONIC ACID 48.36 each
300940 UNDILUTED RUSSELL VIP 26.54 each
300941 DILUTED RUSSELL VIP 26.54 each
300942 MOLECULAR EXTRACTION 7.12 each
300943 GENETIC EXAMINATION 7.12 each
300944 MOLECULE ISOLATE 7.12 each
300945 MOLECULAR ENZ. DIGE. 7.12 each
300946 NUCLEIC ACID PROBE. 7.12 each
300947 MOLECULAR MUTATION 46.84 each
300948 MOLECULAR AMP. SINGLE 46.84 each
300949 MOLECULAR MUTATION IDENT. 46.84 each
300950 PROTEIN S FUNCT 43.92 each
300951 PROTEIN C FUNCT 39.64 each
300952 PROTEIN S FREE 43.92 each
300953 FRUCTOSAMINE 43.22 each
300954 HEP C RNA bDNA 122.82 each
300955 NEUTROPHIL ANTIBO 69.12 each
300956 EOSINOPHIL COUNT 7.30 each
300957 US RETRO COMPLETE 92.12 each
300958 HEPARIN NEUTRALIZAT. 42.64 each
300960 HEP B CORE TOTAL 34.56 each
300961 CHLAMYD AMP DNA PRO 83.30 each
300962 GC AMPLIFIED DNA PRO 83.30 each
300963 B-2 MICROGLOBULIN 46.38 each
300964 HELPER T CELL COU. 11.72 each
300966 GIARDIA CRYPTO EXAM 25.52 each
300967 FTA ABS 37.00 each
300968 CHOLINESTERASE RB 16.62 each
300969 RH TYPE 8.34 each
300970 SURG PATH LVL 5 254.48 each
300971 PATH DECALCIFICATION 12.96 each
300972 SURG PATH LVL 4 136.76 each
300973 BOTULINUM TOXIN A 50.30 each
300974 PHOSPHOLIPIDS SER. 19.54 each
300975 TUMOR ANTIGEN 57.00 each
300976 TACROLIMUS 38.34 each
300977 HELPER/SUPRESSOR 1,954.00 each
300978 PATH PAS STAIN GR 133.04 each
300979 CANCER ANTIGEN 57.00 each
300980 HEP B DNA QUANT. 119.70 each
300981 SMEAR FOR WB 11.92 each
300982 CYCLOSPORINE 48.62 each
300984 COPPER SERUM 34.68 each
300985 GROWTH HORMONE 46.58 each
300986 CYTOLOGY URINE 362.28 each
300987 VIRUS CULTURE 72.84 each
300988 METANEPHRINE 24 H 47.34 each
300991 LEVETIRACETAM 39.98 each
300992 KB-ACINETOBACTER 20.14 each
300993 CHLORIDE RAND UR 9.50 each
300995 IMMUNOFIX URINE 85.70 each
300997 SHIGA TOXINS I & II 33.04 each
300999 DRAW FEE - BLOOD 7.00 each
301000 THYROGLOBULIN SERUM 41.40 each
301001 THYROGLOBULIN AB 46.90 each
301002 SYPHILIS EIA SCR 37.94 each
301003 PLATELET/HEPARIN 53.64 each
301004 IMMUNOFIXATION Ig 65.24 each
301005 FC 1ST MARK 158.08 each
301006 FC ADDITIONAL (28) 2,657.76 each
301007 FC PROF INTER 16++ MRKS 216.66 each
301008 ACTH IGE 15.24 each
301009 VISCOSITY SERUM 34.10 each
301010 PLATELET FACTOR 4 38.00 each
301011 HIV WESTERN BLO 56.52 each
301012 GRANULOCYTE AB 43.00 each
301013 CRP HIGH SENS 37.00 each
301014 FECAL FAT QUAL 15.00 each
301015 C-PEPTIDE 55.00 each
301016 DHEA SERUM 74.00 each
301017 DRUG SCR ANY # HI 41.00 each
301018 VITAMIN D 125 113.00 each
301019 LYMPH CHORIO AB 37.00 each
301020 OCCULT BLD GASTRI 10.00 each
301021 STREPTOCOCCUS TYPING 15.00 each
301022 HEP C GENOTYPING 725.00 each
301023 CERULOPLASMIN 31.00 each
301024 PARIETAL CELL AB 33.00 each
301025 ANTIBODY SCREEN 24.00 each
301026 ERYTHROPOIETIN 55.00 each
301027 ESTRIOL TOTAL SERUM 70.00 each
301028 SMOOTH MUSCLE AB 35.00 each
301029 THYROID PEROXIDASE 42.00 each
301030 THYROID STIM IMMUN 52.00 each
301031 LAMOTRIGINE 42.00 each
301032 HERPES TYPE I IGG 37.00 each
301033 HERPES TYPE II IGG 53.00 each
301034 VITAMIN D25, D2 & D3 270.00 each
301035 CHROMIUM 60.00 each
301036 STRONGYLOIDES AB 40.00 each
301037 FECAL BILIRUBIN TEST 15.00 each
301038 HYDROXYBUPROPION 40.00 each
301039 CONC & INTERP 218.00 each
301040 CATECHOLAMINE FRACT 67.00 each
301041 CYTO SMEAR SCR & INTERP 160.00 each
301042 IMMUNO KAPPA/LAMB 80.00 each
301043 FACTOR VII FUNCT 50.00 each
301044 GABAPENTIN 40.00 each
301045 PT MIXING STUDY 18.00 each
301046 IMMUNOGLOBULIN IG 26.00 each
301047 NIACIN 35.00 each
301048 DRUG ABUSE SCREEN 41.00 each
301049 HEPATITIS BE AB 35.00 each
301050 ACET RECEPTOR BINDING ANTIBODY 38.00 each
301051 RBC CHARGE 10.00 each
301052 MYCOPLASMA IGG 40.00 each
301053 LEGIONELLA AG URI 35.00 each
301054 ANTI-CCP 37.00 each
301055 QUANTIFERON-TB 180.00 each
301056 CA 27.29 57.00 each
301057 CA 15-3 57.00 each
301058 CIRCULATING TUMOR CELL 435.00 each
301059 CIRCULATING TUMOR CELL 435.00 each
301060 CULTURE G C 30.00 each
301061 CYTOLOGY, THIN PRE 60.00 each
301062 ABO TYPE 9.00 each
301063 BCR/ABL FISH 1,460.00 each
301064 C-TELOPEPTIDE 53.00 each
301065 HEMOGLOBIN ELECT. 35.00 each
301066 IODINE MS QN 50.00 each
301067 SULFONYLUREA URINE 50.00 each
301068 PROCALCITONIN 56.00 each
301069 SHIGA TOXINS I&II EHEC 98.00 each
301070 PROSTATE CANCER SCREENING; PSA TEST 50.46 each
301071 SEROTONIN LEVEL 41.60 each
301072 ADRENOCORTICOTROPIC HORMONE (ACTH) 106.00 each
302001 TB TEST 15.00 each
307001 ARTERIAL BLD GAS ANALYSIS 124.00 span
307002 OXYGEN SATURATION TEST 80.00 each
320001 X-RAY ABDOMEN (KUM) 1 VIEW 112.50 each
320002 X-RAY ABDOMEN (KUB) F&U 112.50 each
320010 X-RAY ANKLE, 3 VIEWS 112.50 each
320020 X-RAY ARM (FOREARM) 112.50 each
320030 X-RAY CERVICAL SPINE 2 VW 125.00 each
320050 X-RAY CLAVICLE 125.00 each
320060 X-RAY COCCYX & SACRUM 125.00 each
320070 X-RAY DORSAL (THORACIC) SPINE, 2 VW 125.00 each
320080 X-RAY ELBOW, 3 VIEWS 125.00 each
320085 X-RAY ELBOW (2 VIEWS) 135.00 each
320090 X-RAY FACIAL BONES, 3 VIEW 112.50 each
320095 X-RAY SHOULDER, 1 VIEW 71.25 each
320100 X-RAY FEMUR, 2 VIEWS 125.00 each
320110 X-RAY FINGERS, 2 VIEWS 125.00 each
320120 X-RAY FOOT, 2 VIEWS 118.75 each
320130 X-RAY HAND, 3 VIEWS 112.50 each
320135 X-RAY HAND ( 2 VIEWS) 135.00 each
320140 X-RAY HEEL OS-CALCIS, 2 VW 112.50 each
320150 X-RAY HIP, 2 VIEWS 125.00 each
320160 X-RAY HUMERUS, 2 VIEWS 125.00 each
320170 X-RAY KNEE, 3 VIEWS 118.75 each
320180 X-RAY LEG, 2 VIEWS 112.50 each
320190 X-RAY LUMBAR SPINE, 2 VIEW 125.00 each
320200 X-RAY MANDIBLE (JAW), 2 VW 340.00 each
320210 X-RAY NASAL BONES, 3 VIEW 125.00 each
320220 X-RAY ORBIT, 4 VIEWS 125.00 each
320230 X-RAY PELVIS (AP) 112.50 each
320240 X-RAY RAD/ULNER (FOREARM), 2 VIEWS 125.00 each
320250 X-RAY RIBS, 2 VIEWS 125.00 each
320260 X-RAY SCAPULA 3,400.00 each
320270 X-RAY SHOULDER, 2 VIEWS 125.00 each
320280 X-RAY SINUSES, 3 VIEWS 125.00 each
320290 X-RAY SKULL SERIES, 4 VIEWS 125.00 each
320300 X-RAY STERNUM, 2 VIEWS 125.00 each
320310 X-RAY TIBIA & FIBULA, 2 VIEWS 118.75 each
320320 X-RAY TM JOINTS, BILATERAL 125.00 each
320321 SWALLOW STUDY 0.00 each 100% MARKUP
320330 X-RAY TOES, 2 VIEWS 125.00 each
320340 X-RAY WRIST, 3 VIEWS 112.50 each
320341 X-RAY HIP, BILATERAL 61.58 each
320342 X-RAY KNEE (COMPLETE) 65.42 each
320343 X-RAY FOOT, COMPLETE 3 VIEWS 30.06 each
320344 X-RAY PARANASAL SINUS < 3VIEWS 33.54 each
320402 PATIENT RECORDED SPIROMETY 65.00 each
320443 X-RAY CALCANEOUS (MIN 2 VIEWS) 41.58 each
320445 X- RAY CHEST (W/ APICAL LORDOTIC) 60.78 each
320446 X-RAY ANKLE, 2 VIEWS 30.64 each
320447 X-RAY CHEST, 2 VIEWS; WITH OBLIQUE PROJ 65.00 each
320448 ANGIOGRAPHY, EXTREMITY, UNILATERAL 630.00 each
320449 ANGIOPLASTY, PERIPHERAL ARTERY 590.00 each
320450 ANGIOPLASTY, EACH ADDITIONAL 360.00 each
320451 X-RAY KNEE, 1-2 VIEWS 93.00 each
320452 X-RAY HIP, UNI, 2+ VIEWS 86.06 each
320454 X-RAY BOTH HIPS, 3-4 VIEWS 101.90 each
320455 X-RAY FEMUR, MIN 2 VIEWS 67.72 each
320456 X-RAY RIBS, UNILAT, 3+ VIEWS 76.12 each
320457 X-RAY BOTH HIPS, 5 VIEWS 120.00 each
320458 X-RAY EXAM ENTIRE SPINE 4/5 VIEWS 142.00 each
320459 X-RAY RIBS, BILAT, 3 VIEWS 78.00 each
320460 X-RAY HIP UNILATERAL, 1 VIEW 119.00 each
320461 X-RAY EXAM OF JAW 4/> VIEWS 54.00 each
320462 SACROILIAC JOINT MIN 3 VIEWS 200.00 each
320463 X-RAY HIPS UNI -PELVIS MIN 4 VIEWS 220.64 each
320990 X-RAY TRANSPORTATION 125.00 each
320991 X-RAY SETUP FEE 56.00 each
320992 X-RAY WKEND - HOLIDAY - N/C 100.00 each
320993 X-RAY TRANSPORT MULTIPLE 75.00 each
320995 COMP SPINE 200.00 each
320996 CLAVICLE (LT) 56.44 each
320997 NON-VASCULAR EXTREM-ULTRASOUND 0.00 each 100% MARKUP
320998 C.T. SCAN CERVICAL SPINE W/O CONTRAST 0.00 each 100% MARKUP
324040 X-RAY CHEST, 1 VIEW 106.25 each
324041 X-RAY CHEST, W/LAT, 2 VIEW 106.25 each
324042 X-RAY OF CHEST, 1 VIEW 23.34 each
324043 X-RAY OF CHEST, 2 VIEWS 41.86 each
324044 X-RAY OF ABDOMEN, 1 VIEW 39.00 each
324045 X-RAY OF ABDOMEN, 2 VIEWS 46.30 each
324046 X-RAY OF ABDOMEN, 3 VIEWS 53.70 each
801001 DIALYSIS 0.00 each 100% MARKUP
990626 PT PRIVATE PAY SESSION 65.00 each
990636 OT PRIVATE PAY SESSION 65.00 each
990646 ST PRIVATE PAY SESSION 65.00 each
998010 PERMANENT (SHAMPOO, CUT & STYLE) 50.00 each
998100 SHAMPOO 5.00 each
998105 WOMEN'S CUT & SHAMPOO 17.00 each
998110 SHAMPOO, CUT & STYLE 28.00 each
998115 MEDICATED SHAMPOO 6.00 each
998116 MED/SHAMPOO & BLOW DRY 9.00 each
998120 SHAMPOO/MEDICATED & SET 9.00 each
998125 MEDICATED SHAMPOO/HAIRCUT 12.00 each
998126 MED/SHAMPOO H/C & BLOWDRY 17.00 each
998127 MED/SHAMPOO H/C & SET 15.00 each
998130 SHAMPOO & SET 11.00 each
998135 SHAMPOO & SET (LONG) 10.00 each
998140 SHAMPOO & SET UPDO 11.00 each
998300 BEARD TRIM 5.00 each
998305 SHAMPOO / BLOW DRY 9.00 each
998310 COLOR 10.00 each
998315 COMBOUT 4.00 each
998316 POLISH CHANGE ONLY 7.00 each
998320 CONDITIONER 3.00 each
998325 DEEP CONDITIONER 6.00 each
998330 CURLING IRON 5.00 each
998335 WOMEN'S DRY HAIRCUT 14.00 each
998337 EXCESS H/C - EX LONG HAIR 8.00 each
998340 BEARD/MUSTACHE TRIM 4.00 each
998341 TRIM EARS, BROWS & NOSE 3.00 each
998345 NECKLINE TRIM 5.00 each
998350 COLOR RINSE 4.00 each
998355 SCALP TREATMENT 5.00 each
998360 STYLE CUT 10.00 each
998365 MANICURE 13.00 each
998370 ALL FACIAL WAXES 18.00 each
998374 MEN'S DRY HAIRCUT 12.00 each
998375 MANICURE - CONDITIONER 6.00 each
998376 MEN'S CUT & SHAMPOO 15.00 each
998377 SHAMPOO & STYLE 15.00 each
998378 COLOR, SHAMPOO & STYLE 24.00 each
998379 COLOR, CUT & STYLE 35.00 each
998381 SHAMPOO, PRESS & CURL 23.00 each
998382 SHAMPOO, CUT, PRESS & CUT 36.00 each
998383 COLOR, PRESS & CURL 30.00 each
998384 COLOR, CUT, PRESS & CUT 43.00 each
998385 RELAXER (SHAMPOO, CUT & STYLE) 50.00 each
998386 BRAIDS (EACH) 4.00 each
998387 EYEBROW WAX 8.00 each
998388 LIP WAX 6.00 each
998389 CHIN WAX 6.00 each
998391 WIG SERVICE (ADD) 6.00 each
998392 BEDSIDE SERVICE (ADD) 6.00 each
998400 MISC BEAUTY SUPPLIES 0.00 each 100% MARKUP
998999 BEAUTY / BARBER 0.00 each 100% MARKUP