|
Evasc rpr a-ao ndgft rpt 34702
|
$6,949.51 |
$6,949.51 |
$6,949.51 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$8,935.93 |
$8,935.93 |
$8,935.93 |
$8,565.60
|
|
Evasc rpr a-unilac ndgft 34703
|
$7,072.26 |
$7,072.26 |
$7,072.26 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$8,964.07 |
$8,964.07 |
$8,964.07 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$4,460.06 |
$4,460.06 |
$4,460.06 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$7,177.85 |
$7,177.85 |
$7,177.85 |
$7,922.00
|
|
Event monitor
|
$73.81 |
$73.81 |
$73.81 |
$231.00
|
|
Evoked potentials auditory screening automated analysis
|
$276.18 |
$276.18 |
$276.18 |
$261.30
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$390.48 |
$390.48 |
$390.48 |
$779.35
|
|
Exchange biliary drg cath
|
$1,624.95 |
$1,624.95 |
$3,404.68 |
$3,856.84
|
|
Exchange drainage catheter
|
$1,072.00 |
$1,072.00 |
$1,178.91 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,444.79 |
$1,444.79 |
$1,925.32 |
$2,958.80
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$5,573.06 |
$5,573.06 |
$5,573.06 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,622.00 |
$2,622.00 |
$4,285.86 |
$4,101.67
|
|
Expose art endoprosth iliac 34820
|
$2,370.46 |
$2,370.46 |
$2,370.46 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$168.31 |
$168.31 |
$168.31 |
$1,888.20
|
|
External chromosome analysis 20-25 cells
|
$256.58 |
$256.58 |
$256.58 |
$415.01
|
|
External newborn metabolic screening panel
|
$79.20 |
$79.20 |
$183.32 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$18.39 |
$18.39 |
$27.88 |
$63.70
|
|
External recharg sys intern
|
$1,949.17 |
$1,949.17 |
$1,949.17 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$154.10 |
$154.10 |
$278.31 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$45.11 |
$45.11 |
$85.23 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$134.23 |
$134.23 |
$254.07 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$551.59 |
$551.59 |
$1,396.82 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$459.73 |
$459.73 |
$1,293.37 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$367.66 |
$367.66 |
$1,099.34 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$546.13 |
$546.13 |
$1,840.63 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$364.09 |
$364.09 |
$828.39 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$98.58 |
$98.58 |
$240.13 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$108.81 |
$108.81 |
$304.72 |
$381.75
|
|
Factor ix
|
$21.88 |
$21.88 |
$180.90 |
$162.50
|
|
Factor ix complex
|
$2.15 |
$2.15 |
$2.15 |
$4.68
|
|
Factor ix recombinant nos
|
$3.76 |
$3.76 |
$3.76 |
$4.65
|
|
Factor viii
|
$18.28 |
$18.28 |
$161.61 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$14.48 |
$14.48 |
$14.48 |
$22.20
|
|
Fancc gene
|
$39.26 |
$39.26 |
$39.26 |
$140.00
|
|
Fat/lipids feces qualitative
|
$5.47 |
$5.47 |
$13.33 |
$36.00
|
|
Fatty acids nonesterified
|
$13.52 |
$13.52 |
$20.13 |
$72.15
|
|
#fecal-sodium
|
$11.37 |
$11.37 |
$37.79 |
$37.53
|
|
Feeding tube reposition
|
$291.40 |
$291.40 |
$291.40 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$14.50 |
$14.50 |
$19.99 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$308.20 |
$308.20 |
$308.20 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$10,305.68 |
$10,305.68 |
$11,991.64 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.12 |
$0.12 |
$93.80 |
$101.40
|
|
Fern test
|
$12.94 |
$12.94 |
$19.30 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,826.87 |
$2,826.87 |
$2,826.87 |
$2,590.25
|
|
Ferritin
|
$43.51 |
$43.51 |
$97.29 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$381.42 |
$381.42 |
$623.91 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$723.89 |
$723.89 |
$723.89 |
$477.50
|
|
Fetal fibronectin
|
$38.02 |
$38.02 |
$304.99 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$16.34 |
$16.34 |
$111.22 |
$102.00
|
|
Fetal hemoglobin rosette
|
$8.03 |
$8.03 |
$59.77 |
$67.20
|
|
Fetal non stress test
|
$263.45 |
$263.45 |
$495.79 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$13.13 |
$13.13 |
$13.13 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$88.64 |
$88.64 |
$206.36 |
$120.64
|
|
Fibrin degradation products
|
$22.16 |
$22.16 |
$128.91 |
$75.02
|
|
Fibrinogen activity
|
$59.28 |
$59.28 |
$91.39 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$53.60 |
$53.60 |
$53.60 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$6.65 |
$6.65 |
$37.86 |
$72.80
|
|
Fibrinolytic plasminogen
|
$18.43 |
$18.43 |
$23.27 |
$107.50
|
|
Fibrinolytic plasminogen
|
$8.59 |
$8.59 |
$8.59 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$7.01 |
$7.01 |
$19.67 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$6,198.83 |
$6,198.83 |
$9,422.08 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,622.00 |
$2,622.00 |
$5,573.06 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,104.95 |
$1,104.95 |
$1,104.95 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$964.69 |
$964.69 |
$964.69 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$586.75 |
$586.75 |
$586.75 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$448.10 |
$448.10 |
$642.68 |
$504.45
|
|
Finger X-ray (both hands)
|
$80.60 |
$80.60 |
$80.60 |
$241.50
|
|
Fix g/colon tube w/device
|
$302.62 |
$302.62 |
$302.62 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$13.33 |
$13.33 |
$19.99 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$164.16 |
$164.16 |
$728.70 |
$540.80
|
|
Flow cytometry marker each additional
|
$61.82 |
$61.82 |
$127.36 |
$97.50
|
|
Flow cytometry one marker technical component
|
$160.78 |
$160.78 |
$411.12 |
$285.00
|
|
Flt3 gene
|
$177.43 |
$177.43 |
$243.39 |
$366.29
|
|
Flt3 gene analysis
|
$88.98 |
$88.98 |
$538.93 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$49.85 |
$49.85 |
$49.85 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$594.70 |
$594.70 |
$594.70 |
$493.35
|
|
Fluidotherapy charges pt
|
$23.01 |
$23.01 |
$23.01 |
$101.40
|
|
Fluid pressure muscle 20950
|
$298.27 |
$298.27 |
$298.27 |
$779.45
|
|
Fluorescent antibody titer dna
|
$290.44 |
$290.44 |
$516.71 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$145.08 |
$145.08 |
$281.94 |
$495.00
|
|
Fluoroguide needle placement
|
$159.96 |
$159.96 |
$266.93 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$213.28 |
$213.28 |
$344.38 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$70.49 |
$70.49 |
$70.49 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$1,339.47 |
$1,339.47 |
$1,339.47 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$977.77 |
$977.77 |
$977.77 |
$834.90
|
|
Folic acid
|
$8.82 |
$8.82 |
$74.51 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$48.78 |
$48.78 |
$48.78 |
$45.00
|
|
Follow-up angiography
|
$2,539.57 |
$2,539.57 |
$2,539.57 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,692.60 |
$2,692.60 |
$2,692.60 |
$2,511.73
|
|
Fondaparinux sodium
|
$157.59 |
$157.59 |
$157.59 |
$186.20
|
|
Foot X-ray
|
$114.08 |
$114.08 |
$114.08 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$96.72 |
$96.72 |
$96.72 |
$290.40
|
|
Forearm X-ray (both sides)
|
$100.75 |
$100.75 |
$100.75 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$914.96 |
$914.96 |
$914.96 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$34.31 |
$34.31 |
$34.31 |
$103.62
|
|
Fracture assessment via dxa
|
$94.88 |
$94.88 |
$94.88 |
$175.50
|
|
_fragile x methylation-sendout
|
$400.93 |
$400.93 |
$400.93 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$17.67 |
$17.67 |
$195.64 |
$155.25
|
