|
Estradiol total
|
$14.53 |
$14.53 |
$14.53 |
$152.10
|
|
Estrogens total-sendout
|
$11.42 |
$11.42 |
$11.42 |
$97.50
|
|
Ethylene glycol -sendout
|
$14.01 |
$14.01 |
$14.01 |
$86.04
|
|
Euglobulin lysis
|
$5.88 |
$5.88 |
$5.88 |
$63.84
|
|
Eval/fit voice prosthesis iii, st
|
$105.33 |
$105.33 |
$105.33 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$51.03 |
$51.03 |
$51.03 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$40.51 |
$40.51 |
$40.51 |
$302.50
|
|
Evoked potentials auditory screening automated analysis
|
$276.66 |
$276.66 |
$276.66 |
$261.30
|
|
Exchange drainage catheter
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,647.83 |
$1,647.83 |
$1,647.83 |
$2,958.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,510.82 |
$2,510.82 |
$2,510.82 |
$4,101.67
|
|
External chromosome analysis 20-25 cells
|
$340.48 |
$340.48 |
$340.48 |
$415.01
|
|
External newborn metabolic screening panel
|
$56.40 |
$56.40 |
$56.40 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$11.02 |
$11.02 |
$11.02 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$369.32 |
$369.32 |
$369.32 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$27.04 |
$27.04 |
$27.04 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$101.75 |
$101.75 |
$101.75 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$503.01 |
$503.01 |
$503.01 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$419.23 |
$419.23 |
$419.23 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$335.28 |
$335.28 |
$335.28 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$503.42 |
$503.42 |
$503.42 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$335.61 |
$335.61 |
$335.61 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$74.73 |
$74.73 |
$74.73 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$82.48 |
$82.48 |
$82.48 |
$381.75
|
|
Factor ix
|
$17.85 |
$17.85 |
$17.85 |
$162.50
|
|
Factor viii
|
$14.92 |
$14.92 |
$14.92 |
$148.00
|
|
Fat/lipids feces qualitative
|
$11.76 |
$11.76 |
$11.76 |
$36.00
|
|
Fatty acids nonesterified
|
$11.94 |
$11.94 |
$11.94 |
$72.15
|
|
#fecal-sodium
|
$10.03 |
$10.03 |
$10.03 |
$37.53
|
|
Feeding tube reposition
|
$220.90 |
$220.90 |
$220.90 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$12.80 |
$12.80 |
$12.80 |
$66.43
|
|
Fern test
|
$11.42 |
$11.42 |
$11.42 |
$37.03
|
|
Ferritin
|
$38.41 |
$38.41 |
$38.41 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$408.66 |
$408.66 |
$408.66 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$623.35 |
$623.35 |
$623.35 |
$477.50
|
|
Fetal fibronectin
|
$33.56 |
$33.56 |
$33.56 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$13.33 |
$13.33 |
$13.33 |
$102.00
|
|
Fetal hemoglobin rosette
|
$6.55 |
$6.55 |
$6.55 |
$67.20
|
|
Fetal non stress test
|
$426.93 |
$426.93 |
$426.93 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$11.59 |
$11.59 |
$11.59 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$72.32 |
$72.32 |
$72.32 |
$120.64
|
|
Fibrin degradation products
|
$18.08 |
$18.08 |
$18.08 |
$75.02
|
|
Fibrinogen activity
|
$48.36 |
$48.36 |
$48.36 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$5.42 |
$5.42 |
$5.42 |
$72.80
|
|
Fibrinolytic plasminogen
|
$18.98 |
$18.98 |
$18.98 |
$107.50
|
|
Fibrinolytic plasminogen
|
$7.01 |
$7.01 |
$7.01 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$16.05 |
$16.05 |
$16.05 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$5,935.98 |
$5,935.98 |
$5,935.98 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,510.82 |
$2,510.82 |
$2,510.82 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$945.70 |
$945.70 |
$945.70 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$825.65 |
$825.65 |
$825.65 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$502.19 |
$502.19 |
$502.19 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$550.05 |
$550.05 |
$550.05 |
$504.45
|
|
Finger X-ray (both hands)
|
$61.10 |
$61.10 |
$61.10 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$11.76 |
$11.76 |
$11.76 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$140.50 |
$140.50 |
$140.50 |
$540.80
|
|
Flow cytometry marker each additional
|
$82.04 |
$82.04 |
$82.04 |
$97.50
|
|
Flow cytometry one marker technical component
|
$213.36 |
$213.36 |
$213.36 |
$285.00
|
|
Flt3 gene
|
$195.51 |
$195.51 |
$195.51 |
$366.29
|
|
Flt3 gene analysis
|
$432.92 |
$432.92 |
$432.92 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.53 |
$0.53 |
$0.53 |
$64.22
|
|
Fluidotherapy charges pt
|
$11.84 |
$11.84 |
$11.84 |
$101.40
|
|
Fluid pressure muscle 20950
|
$263.86 |
$263.86 |
$263.86 |
$779.45
|
|
Fluorescent antibody titer dna
|
$174.10 |
$174.10 |
$174.10 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$109.98 |
$109.98 |
$109.98 |
$495.00
|
|
Fluoroguide needle placement
|
$121.26 |
$121.26 |
$121.26 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$161.68 |
$161.68 |
$161.68 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1.01 |
$1.01 |
$1.01 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$1,146.42 |
$1,146.42 |
$1,146.42 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$836.85 |
$836.85 |
$836.85 |
$834.90
|
|
Folic acid
|
$7.78 |
$7.78 |
$7.78 |
$101.50
|
|
Foot X-ray
|
$86.48 |
$86.48 |
$86.48 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$73.32 |
$73.32 |
$73.32 |
$290.40
|
|
Forearm X-ray (both sides)
|
$76.38 |
$76.38 |
$76.38 |
$324.00
|
|
Fracture assessment via dxa
|
$63.45 |
$63.45 |
$63.45 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$25.20 |
$25.20 |
$25.20 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$25.20 |
$25.20 |
$25.20 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$87.60 |
$87.60 |
$87.60 |
$131.25
|
|
Fructosamine glycated protein
|
$9.17 |
$9.17 |
$9.17 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$138.65 |
$138.65 |
$138.65 |
$355.00
|
|
Gabapentin non-blood
|
$9.69 |
$9.69 |
$9.69 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$29.93 |
$29.93 |
$29.93 |
$100.00
|
|
Galactose transferase test
|
$6.23 |
$6.23 |
$6.23 |
$31.35
|
|
Gammaglobulin iga
|
$21.80 |
$21.80 |
$21.80 |
$69.60
|
|
Gammaglobulin ige
|
$10.03 |
$10.03 |
$10.03 |
$83.85
|
|
Gamma glutamyltransferase
|
$10.73 |
$10.73 |
$10.73 |
$57.54
|
|
Gastroesophageal reflux test
|
$305.28 |
$305.28 |
$305.28 |
$1,352.00
|
|
Generator barostim neo2 2014
|
$35,610.48 |
$35,610.48 |
$35,610.48 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$33,181.90 |
$33,181.90 |
$33,181.90 |
$36,467.76
|
|
Gentamicin peak therapeutic drug level
|
$8.65 |
$8.65 |
$8.65 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$753.02 |
$753.02 |
$753.02 |
$1,514.00
|
|
Ghs acetylcholinesterase, rbc
|
$10.21 |
$10.21 |
$10.21 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$9.00 |
$9.00 |
$9.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$203.35 |
$203.35 |
$203.35 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$9.15 |
$9.15 |
$9.15 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$211.91 |
$211.91 |
$211.91 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$133.94 |
$133.94 |
$133.94 |
$344.00
|
|
Ghs chemo >8 hrs
|
$110.34 |
$110.34 |
$110.34 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$114.84 |
$114.84 |
$114.84 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$87.90 |
$87.90 |
$87.90 |
$133.70
|
