|
Echo guide for artery repair
|
$111.43 |
$111.43 |
$111.43 |
$696.30
|
|
Echo guide for heart biopsy
|
$101.28 |
$101.28 |
$101.28 |
$666.40
|
|
Echo guide for transfusion
|
$110.72 |
$110.72 |
$110.72 |
$332.39
|
|
Echo guide ova aspiration
|
$48.42 |
$48.42 |
$48.42 |
$174.20
|
|
Echo stress
|
$357.27 |
$357.27 |
$357.27 |
$1,609.44
|
|
Echo transthoracic
|
$368.73 |
$368.73 |
$368.73 |
$1,361.75
|
|
Echo transthoracic
|
$195.83 |
$195.83 |
$195.83 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$251.89 |
$251.89 |
$251.89 |
$1,033.00
|
|
E equine encephalitis igg
|
$19.56 |
$19.56 |
$19.56 |
$51.84
|
|
EKG (Tracing Only)
|
$93.64 |
$93.64 |
$93.64 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$64.41 |
$64.41 |
$64.41 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$69.92 |
$69.92 |
$69.92 |
$364.20
|
|
Electrd sq emblem s-icd
|
$4,202.63 |
$4,202.63 |
$4,202.63 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$28.22 |
$28.22 |
$28.22 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$21.52 |
$21.52 |
$21.52 |
$81.75
|
|
Electroconvulsive therapy 90870
|
$299.30 |
$299.30 |
$299.30 |
$1,235.00
|
|
Electrolyte panel
|
$42.37 |
$42.37 |
$42.37 |
$79.30
|
|
Electron microscopy diagnostic
|
$364.96 |
$364.96 |
$364.96 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$19.56 |
$19.56 |
$19.56 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$19.56 |
$19.56 |
$19.56 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$19.56 |
$19.56 |
$19.56 |
$54.99
|
|
Endo cath bile duct s&i
|
$178.03 |
$178.03 |
$178.03 |
$714.24
|
|
Endo cath panc duct s&i
|
$180.69 |
$180.69 |
$180.69 |
$672.43
|
|
Enzyme histochemistry
|
$364.96 |
$364.96 |
$364.96 |
$455.91
|
|
Epoetin alfa, 100 units esrd
|
$5.67 |
$5.67 |
$5.67 |
$6.00
|
|
Epstein barr early antigen antibody
|
$16.56 |
$16.56 |
$16.56 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$16.25 |
$16.25 |
$16.25 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$18.66 |
$18.66 |
$18.66 |
$85.50
|
|
Ercp biliary & pancreas
|
$209.38 |
$209.38 |
$209.38 |
$967.04
|
|
ER Visit (level 1, minor)
|
$190.96 |
$190.96 |
$190.96 |
$252.60
|
|
ER Visit (level 2)
|
$334.19 |
$334.19 |
$334.19 |
$463.00
|
|
ER Visit (level 3)
|
$643.45 |
$643.45 |
$643.45 |
$812.18
|
|
ER Visit (level 4)
|
$1,081.35 |
$1,081.35 |
$1,081.35 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,479.51 |
$1,479.51 |
$1,479.51 |
$1,871.60
|
|
Esophageal dilat s&i
|
$100.89 |
$100.89 |
$100.89 |
$551.20
|
|
Esophagus motility study
|
$257.10 |
$257.10 |
$257.10 |
$1,257.17
|
|
Estradiol total
|
$15.96 |
$15.96 |
$15.96 |
$152.10
|
|
Estrogens total-sendout
|
$12.54 |
$12.54 |
$12.54 |
$97.50
|
|
Ethylene glycol -sendout
|
$15.39 |
$15.39 |
$15.39 |
$86.04
|
|
Euglobulin lysis
|
$5.43 |
$5.43 |
$5.43 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$131.47 |
$131.47 |
$131.47 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$56.05 |
$56.05 |
$56.05 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$91.88 |
$91.88 |
$91.88 |
$302.50
|
|
Exchange drainage catheter
|
$496.66 |
$496.66 |
$496.66 |
$2,220.54
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,975.11 |
$1,975.11 |
$1,975.11 |
$4,101.67
|
|
External chromosome analysis 20-25 cells
|
$259.23 |
$259.23 |
$259.23 |
$415.01
|
|
External newborn metabolic screening panel
|
$43.24 |
$43.24 |
$43.24 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$15.95 |
$15.95 |
$15.95 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$281.18 |
$281.18 |
$281.18 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$39.13 |
$39.13 |
$39.13 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$82.27 |
$82.27 |
$82.27 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$468.71 |
$468.71 |
$468.71 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$390.65 |
$390.65 |
$390.65 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$312.42 |
$312.42 |
$312.42 |
$1,320.00
|
|
Facial Bones X-ray (1 to 2 views)
|
$60.42 |
$60.42 |
$60.42 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$66.69 |
$66.69 |
$66.69 |
$381.75
|
|
Factor ix
|
$16.51 |
$16.51 |
$16.51 |
$162.50
|
|
Factor viii
|
$13.79 |
$13.79 |
$13.79 |
$148.00
|
|
Fat/lipids feces qualitative
|
$12.92 |
$12.92 |
$12.92 |
$36.00
|
|
Fatty acids nonesterified
|
$13.11 |
$13.11 |
$13.11 |
$72.15
|
|
#fecal-sodium
|
$11.02 |
$11.02 |
$11.02 |
$37.53
|
|
Feeding tube reposition
|
$178.60 |
$178.60 |
$178.60 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$14.06 |
$14.06 |
$14.06 |
$66.43
|
|
Ferritin
|
$42.18 |
$42.18 |
$42.18 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$173.19 |
$173.19 |
$173.19 |
$541.74
|
|
Fetal fibronectin
|
$36.86 |
$36.86 |
$36.86 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$12.33 |
$12.33 |
$12.33 |
$102.00
|
|
Fetal hemoglobin rosette
|
$6.06 |
$6.06 |
$6.06 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$12.73 |
$12.73 |
$12.73 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$66.88 |
$66.88 |
$66.88 |
$120.64
|
|
Fibrin degradation products
|
$16.72 |
$16.72 |
$16.72 |
$75.02
|
|
Fibrinogen activity
|
$44.73 |
$44.73 |
$44.73 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$5.02 |
$5.02 |
$5.02 |
$72.80
|
|
Fibrinolytic plasminogen
|
$17.56 |
$17.56 |
$17.56 |
$107.50
|
|
Fibrinolytic plasminogen
|
$6.48 |
$6.48 |
$6.48 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$14.84 |
$14.84 |
$14.84 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$4,669.49 |
$4,669.49 |
$4,669.49 |
$7,358.16
|
|
Filter vena cava fem denali
|
$1,975.11 |
$1,975.11 |
$1,975.11 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$465.50 |
$465.50 |
$465.50 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$406.41 |
$406.41 |
$406.41 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$247.19 |
$247.19 |
$247.19 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$270.75 |
$270.75 |
$270.75 |
$504.45
|
|
Finger X-ray (both hands)
|
$49.40 |
$49.40 |
$49.40 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$12.92 |
$12.92 |
$12.92 |
$65.65
|
|
Flow cytometry marker each additional
|
$62.46 |
$62.46 |
$62.46 |
$97.50
|
|
Flow cytometry one marker technical component
|
$162.44 |
$162.44 |
$162.44 |
$285.00
|
|
Fluidotherapy charges pt
|
$27.00 |
$27.00 |
$27.00 |
$101.40
|
|
Fluid pressure muscle 20950
|
$196.94 |
$196.94 |
$196.94 |
$779.45
|
|
Fluorescent antibody titer dna
|
$251.94 |
$251.94 |
$251.94 |
$123.65
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$130.72 |
$130.72 |
$130.72 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$564.30 |
$564.30 |
$564.30 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$411.92 |
$411.92 |
$411.92 |
$834.90
|
|
Folic acid
|
$8.55 |
$8.55 |
$8.55 |
$101.50
|
|
Foot X-ray
|
$69.92 |
$69.92 |
$69.92 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$59.28 |
$59.28 |
$59.28 |
$290.40
|
|
Forearm X-ray (both sides)
|
$61.75 |
$61.75 |
$61.75 |
$324.00
|
|
Fracture assessment via dxa
|
$51.30 |
$51.30 |
$51.30 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$13.67 |
$13.67 |
$13.67 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$13.67 |
$13.67 |
$13.67 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$67.16 |
$67.16 |
$67.16 |
$131.25
|
