|
Fibrinolysins/coagulopathy screen interpretation/report
|
$27.05 |
$27.05 |
$27.05 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$4.42 |
$4.42 |
$4.42 |
$72.80
|
|
Fibrinolytic plasminogen
|
$15.46 |
$15.46 |
$15.46 |
$107.50
|
|
Fibrinolytic plasminogen
|
$5.70 |
$5.70 |
$5.70 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$13.06 |
$13.06 |
$13.06 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$5,760.75 |
$5,760.75 |
$5,760.75 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,436.70 |
$2,436.70 |
$2,436.70 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$754.60 |
$754.60 |
$754.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$658.81 |
$658.81 |
$658.81 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$400.71 |
$400.71 |
$400.71 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$438.90 |
$438.90 |
$438.90 |
$504.45
|
|
Finger X-ray (both hands)
|
$66.56 |
$66.56 |
$66.56 |
$241.50
|
|
Fix g/colon tube w/device
|
$206.67 |
$206.67 |
$206.67 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$10.74 |
$10.74 |
$10.74 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$112.11 |
$112.11 |
$112.11 |
$540.80
|
|
Flow cytometry marker each additional
|
$57.43 |
$57.43 |
$57.43 |
$97.50
|
|
Flow cytometry one marker technical component
|
$149.35 |
$149.35 |
$149.35 |
$285.00
|
|
Flt3 gene
|
$173.17 |
$173.17 |
$173.17 |
$366.29
|
|
Flt3 gene analysis
|
$383.44 |
$383.44 |
$383.44 |
$216.00
|
|
Fluidotherapy charges pt
|
$20.08 |
$20.08 |
$20.08 |
$101.40
|
|
Fluid pressure muscle 20950
|
$259.08 |
$259.08 |
$259.08 |
$779.45
|
|
Fluorescent antibody titer dna
|
$124.71 |
$124.71 |
$124.71 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$119.81 |
$119.81 |
$119.81 |
$495.00
|
|
Fluoroguide needle placement
|
$132.10 |
$132.10 |
$132.10 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$176.13 |
$176.13 |
$176.13 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$914.76 |
$914.76 |
$914.76 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$667.74 |
$667.74 |
$667.74 |
$834.90
|
|
Folic acid
|
$7.11 |
$7.11 |
$7.11 |
$101.50
|
|
Follow-up angiography
|
$550.67 |
$550.67 |
$550.67 |
$1,983.00
|
|
Foot X-ray
|
$94.21 |
$94.21 |
$94.21 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$79.87 |
$79.87 |
$79.87 |
$290.40
|
|
Forearm X-ray (both sides)
|
$83.20 |
$83.20 |
$83.20 |
$324.00
|
|
_fragile x methylation-sendout
|
$29.29 |
$29.29 |
$29.29 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$27.43 |
$27.43 |
$27.43 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$27.43 |
$27.43 |
$27.43 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$76.28 |
$76.28 |
$76.28 |
$131.25
|
|
Fructosamine glycated protein
|
$8.37 |
$8.37 |
$8.37 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$151.04 |
$151.04 |
$151.04 |
$355.00
|
|
G6pc gene
|
$61.19 |
$61.19 |
$61.19 |
$138.40
|
|
G6pd full gene sequence
|
$390.60 |
$390.60 |
$390.60 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$182.93 |
$182.93 |
$182.93 |
$243.00
|
|
Gabapentin non-blood
|
$8.85 |
$8.85 |
$8.85 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.05 |
$0.05 |
$0.05 |
$108.40
|
|
Galac-1-phosphate uridyltran - sendout
|
$27.33 |
$27.33 |
$27.33 |
$100.00
|
|
Galactose transferase test
|
$5.69 |
$5.69 |
$5.69 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$359.66 |
$359.66 |
$359.66 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$441.74 |
$441.74 |
$441.74 |
$1,615.00
|
|
Gammaglobulin iga
|
$19.91 |
$19.91 |
$19.91 |
$69.60
|
|
Gammaglobulin ige
|
$9.16 |
$9.16 |
$9.16 |
$83.85
|
|
Gamma glutamyltransferase
|
$9.80 |
$9.80 |
$9.80 |
$57.54
|
|
Gastric emptying imag study
|
$185.22 |
$185.22 |
$185.22 |
$1,364.00
|
|
Gastric emptying imag study
|
$214.62 |
$214.62 |
$214.62 |
$1,665.50
|
|
Gastric mucosa imaging
|
$418.95 |
$418.95 |
$418.95 |
$565.00
|
|
Gastroesophageal reflux study
|
$476.52 |
$476.52 |
$476.52 |
$1,031.60
|
|
Gated heart multiple
|
$809.97 |
$809.97 |
$809.97 |
$1,405.04
|
|
Generator barostim neo2 2014
|
$46,078.65 |
$46,078.65 |
$46,078.65 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$30,113.60 |
$30,113.60 |
$30,113.60 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,453.18 |
$2,453.18 |
$2,453.18 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$7.90 |
$7.90 |
$7.90 |
$123.84
|
|
Ghs acetylcholinesterase, rbc
|
$9.32 |
$9.32 |
$9.32 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$8.22 |
$8.22 |
$8.22 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$180.11 |
$180.11 |
$180.11 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$6.56 |
$6.56 |
$6.56 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$169.09 |
$169.09 |
$169.09 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$106.88 |
$106.88 |
$106.88 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$2,519.49
|
|
Ghs chemo >8 hrs
|
$201.67 |
$201.67 |
$201.67 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$111.43 |
$111.43 |
$111.43 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$82.98 |
$82.98 |
$82.98 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$17.36 |
$17.36 |
$17.36 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$9.39 |
$9.39 |
$9.39 |
$55.29
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$403.79 |
$403.79 |
$403.79 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$439.21 |
$439.21 |
$439.21 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$483.18 |
$483.18 |
$483.18 |
$586.80
|
|
Ghs febrile agglutinns(mayo)
|
$3.13 |
$3.13 |
$3.13 |
$48.10
|
|
Ghs fish cytogen
|
$95.84 |
$95.84 |
$95.84 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$48.41 |
$48.41 |
$48.41 |
$226.20
|
|
Ghs flow volume loop
|
$14.35 |
$14.35 |
$14.35 |
$308.69
|
|
Ghs hcv amplificaiton
|
$26.82 |
$26.82 |
$26.82 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$7.00 |
$7.00 |
$7.00 |
$144.54
|
|
Ghs hgb stability-thal
|
$19.91 |
$19.91 |
$19.91 |
$89.91
|
|
Ghs histoplasma antigen
|
$38.46 |
$38.46 |
$38.46 |
$142.00
|
|
Ghs HIV antibody
|
$6.26 |
$6.26 |
$6.26 |
$89.70
|
|
Ghs i and d pilonidal cyst simple
|
$227.68 |
$227.68 |
$227.68 |
$707.25
|
|
Ghs immun0electrophoresis
|
$13.41 |
$13.41 |
$13.41 |
$110.00
|
|
Ghs inf midline insertion
|
$410.56 |
$410.56 |
$410.56 |
$1,238.25
|
|
Ghs inhibitor screen
|
$41.40 |
$41.40 |
$41.40 |
$191.88
|
|
Ghs inj neurolytic other perph nerve
|
$623.39 |
$623.39 |
$623.39 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$705.63 |
$705.63 |
$705.63 |
$1,118.00
|
|
Ghs insertion of needle - bone
|
$158.54 |
$158.54 |
$158.54 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$27.10 |
$27.10 |
$27.10 |
$200.20
|
|
Ghs IV inf sq injection, on-body injector
|
$87.35 |
$87.35 |
$87.35 |
$110.00
|
|
Ghs IV thrombolytics - cerebral
|
$385.92 |
$385.92 |
$385.92 |
$663.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$4.78 |
$4.78 |
$4.78 |
$75.00
|
|
Ghs mbp
|
$9.95 |
$9.95 |
$9.95 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$165.64 |
$165.64 |
$165.64 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$165.64 |
$165.64 |
$165.64 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$182.04 |
$182.04 |
$182.04 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$83.64 |
$83.64 |
$83.64 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$83.64 |
$83.64 |
$83.64 |
$142.40
|
