|
External chromosome analysis 20-25 cells
|
$218.88 |
$218.88 |
$218.88 |
$415.01
|
|
External newborn metabolic screening panel
|
$70.03 |
$70.03 |
$70.03 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$9.01 |
$9.01 |
$9.01 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$237.42 |
$237.42 |
$237.42 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$22.10 |
$22.10 |
$22.10 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$93.10 |
$93.10 |
$93.10 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$391.55 |
$391.55 |
$391.55 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$326.33 |
$326.33 |
$326.33 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$260.98 |
$260.98 |
$260.98 |
$1,320.00
|
|
F-18 fdg pet diag
|
$81.78 |
$81.78 |
$81.78 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$436.29 |
$436.29 |
$436.29 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$290.86 |
$290.86 |
$290.86 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$68.37 |
$68.37 |
$68.37 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$75.47 |
$75.47 |
$75.47 |
$381.75
|
|
Factor ix
|
$16.75 |
$16.75 |
$16.75 |
$162.50
|
|
Factor viii
|
$13.99 |
$13.99 |
$13.99 |
$148.00
|
|
Fat/lipids feces qualitative
|
$7.68 |
$7.68 |
$7.68 |
$36.00
|
|
Fatty acids nonesterified
|
$7.80 |
$7.80 |
$7.80 |
$72.15
|
|
#fecal-sodium
|
$6.55 |
$6.55 |
$6.55 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$8.36 |
$8.36 |
$8.36 |
$66.43
|
|
Fem/popl revasc w/stent
|
$7,365.15 |
$7,365.15 |
$7,365.15 |
$16,129.60
|
|
Fern test
|
$7.46 |
$7.46 |
$7.46 |
$37.03
|
|
Ferritin
|
$25.09 |
$25.09 |
$25.09 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$265.63 |
$265.63 |
$265.63 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$418.61 |
$418.61 |
$418.61 |
$477.50
|
|
Fetal fibronectin
|
$21.92 |
$21.92 |
$21.92 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$12.51 |
$12.51 |
$12.51 |
$102.00
|
|
Fetal hemoglobin rosette
|
$6.15 |
$6.15 |
$6.15 |
$67.20
|
|
Fetal non stress test
|
$286.71 |
$286.71 |
$286.71 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$7.57 |
$7.57 |
$7.57 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$67.84 |
$67.84 |
$67.84 |
$120.64
|
|
Fibrin degradation products
|
$16.96 |
$16.96 |
$16.96 |
$75.02
|
|
Fibrinogen activity
|
$45.37 |
$45.37 |
$45.37 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$5.09 |
$5.09 |
$5.09 |
$72.80
|
|
Fibrinolytic plasminogen
|
$17.81 |
$17.81 |
$17.81 |
$107.50
|
|
Fibrinolytic plasminogen
|
$6.57 |
$6.57 |
$6.57 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$15.05 |
$15.05 |
$15.05 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$5,366.48 |
$5,366.48 |
$5,366.48 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,269.93 |
$2,269.93 |
$2,269.93 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$678.65 |
$678.65 |
$678.65 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$592.50 |
$592.50 |
$592.50 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$360.38 |
$360.38 |
$360.38 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$394.72 |
$394.72 |
$394.72 |
$504.45
|
|
Finger X-ray (both hands)
|
$55.90 |
$55.90 |
$55.90 |
$241.50
|
|
Flebogamma injection
|
$5.40 |
$5.40 |
$5.40 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$7.68 |
$7.68 |
$7.68 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$100.83 |
$100.83 |
$100.83 |
$540.80
|
|
Flow cytometry marker each additional
|
$52.74 |
$52.74 |
$52.74 |
$97.50
|
|
Flow cytometry one marker technical component
|
$137.16 |
$137.16 |
$137.16 |
$285.00
|
|
Flt3 gene
|
$126.08 |
$126.08 |
$126.08 |
$366.29
|
|
Flt3 gene analysis
|
$279.19 |
$279.19 |
$279.19 |
$216.00
|
|
Fluid pressure muscle 20950
|
$207.45 |
$207.45 |
$207.45 |
$779.45
|
|
Fluorescent antibody titer dna
|
$142.29 |
$142.29 |
$142.29 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$100.62 |
$100.62 |
$100.62 |
$495.00
|
|
Fluoroguide needle placement
|
$110.94 |
$110.94 |
$110.94 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$147.92 |
$147.92 |
$147.92 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$822.69 |
$822.69 |
$822.69 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$600.54 |
$600.54 |
$600.54 |
$834.90
|
|
Folic acid
|
$5.08 |
$5.08 |
$5.08 |
$101.50
|
|
Follow-up angiography
|
$455.28 |
$455.28 |
$455.28 |
$1,983.00
|
|
Foot X-ray
|
$79.12 |
$79.12 |
$79.12 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$67.08 |
$67.08 |
$67.08 |
$290.40
|
|
Forearm X-ray (both sides)
|
$69.88 |
$69.88 |
$69.88 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$30.04 |
$30.04 |
$30.04 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$30.04 |
$30.04 |
$30.04 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$104.75 |
$104.75 |
$104.75 |
$131.25
|
|
Fructosamine glycated protein
|
$5.99 |
$5.99 |
$5.99 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$126.85 |
$126.85 |
$126.85 |
$355.00
|
|
Gabapentin non-blood
|
$6.33 |
$6.33 |
$6.33 |
$42.35
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$19.55 |
$19.55 |
$19.55 |
$100.00
|
|
Galactose transferase test
|
$4.07 |
$4.07 |
$4.07 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$289.20 |
$289.20 |
$289.20 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$355.19 |
$355.19 |
$355.19 |
$1,615.00
|
|
Gammaglobulin iga
|
$14.24 |
$14.24 |
$14.24 |
$69.60
|
|
Gammaglobulin ige
|
$6.55 |
$6.55 |
$6.55 |
$83.85
|
|
Gamma glutamyltransferase
|
$7.01 |
$7.01 |
$7.01 |
$57.54
|
|
Gastric mucosa imaging
|
$336.87 |
$336.87 |
$336.87 |
$565.00
|
|
Gastroesophageal reflux study
|
$383.16 |
$383.16 |
$383.16 |
$1,031.60
|
|
Generator barostim neo2 2014
|
$16,097.48 |
$16,097.48 |
$16,097.48 |
$52,020.00
|
|
Gentamicin peak therapeutic drug level
|
$5.65 |
$5.65 |
$5.65 |
$123.84
|
|
Ghs abscess postoperative iandd complex
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$6.67 |
$6.67 |
$6.67 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$5.88 |
$5.88 |
$5.88 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$131.14 |
$131.14 |
$131.14 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$7.48 |
$7.48 |
$7.48 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$96.12 |
$96.12 |
$96.12 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$1,090.83 |
$1,090.83 |
$1,090.83 |
$2,519.49
|
|
Ghs chemo >8 hrs
|
$133.17 |
$133.17 |
$133.17 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$83.76 |
$83.76 |
$83.76 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$67.90 |
$67.90 |
$67.90 |
$133.70
|
|
Ghs diphtheria toxoid ab igg
|
$10.71 |
$10.71 |
$10.71 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$395.00 |
$395.00 |
$395.00 |
$1,429.20
|
|
Ghs fb removal - incisional
|
$748.80 |
$748.80 |
$748.80 |
$2,323.75
|
|
Ghs febrile agglutinns(mayo)
|
$3.57 |
$3.57 |
$3.57 |
$48.10
|
|
Ghs fish cytogen
|
$18.72 |
$18.72 |
$18.72 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$44.46 |
$44.46 |
$44.46 |
$226.20
|
|
Ghs flow volume loop
|
$48.38 |
$48.38 |
$48.38 |
$308.69
|
|
Ghs hcv amplificaiton
|
$21.94 |
$21.94 |
$21.94 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$7.99 |
$7.99 |
$7.99 |
$144.54
|
