|
Esoph imped function test
|
$543.31 |
$543.31 |
$543.31 |
$603.00
|
|
Establish access to aorta
|
$258.07 |
$258.07 |
$258.07 |
$1,273.00
|
|
Established Patient Office Visit (level 1)
|
$209.67 |
$209.67 |
$209.67 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$531.40 |
$531.40 |
$531.40 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$1,066.42 |
$1,066.42 |
$1,066.42 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$1,644.83 |
$1,644.83 |
$1,644.83 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$2,317.22 |
$2,317.22 |
$2,317.22 |
$290.68
|
|
Estradiol total
|
$12.94 |
$12.94 |
$12.94 |
$152.10
|
|
Estrogens total-sendout
|
$10.16 |
$10.16 |
$10.16 |
$97.50
|
|
Ethylene glycol -sendout
|
$14.48 |
$14.48 |
$14.48 |
$86.04
|
|
Euglobulin lysis
|
$4.97 |
$4.97 |
$4.97 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$45.43 |
$45.43 |
$45.43 |
$213.15
|
|
Evaluation heart device
|
$330.53 |
$330.53 |
$330.53 |
$2,199.00
|
|
Evaluation of speech fluency 92521
|
$71.98 |
$71.98 |
$71.98 |
$302.50
|
|
Evasc prlng admn rx agnt 1st
|
$2,302.86 |
$2,302.86 |
$2,302.86 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$982.20 |
$982.20 |
$982.20 |
$2,803.24
|
|
Evasc rpr a-ao ndgft 34701
|
$12,871.97 |
$12,871.97 |
$12,871.97 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$16,739.53 |
$16,739.53 |
$16,739.53 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$14,276.85 |
$14,276.85 |
$14,276.85 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$4,454.52 |
$4,454.52 |
$4,454.52 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$12,867.50 |
$12,867.50 |
$12,867.50 |
$5,741.00
|
|
Evasc rpr ilio-iliac ndgft
|
$4,454.84 |
$4,454.84 |
$4,454.84 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$6,401.05 |
$6,401.05 |
$6,401.05 |
$7,922.00
|
|
Evoked potentials upper limbs
|
$236.74 |
$236.74 |
$236.74 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$198.91 |
$198.91 |
$198.91 |
$814.61
|
|
Exchange biliary drg cath
|
$1,149.36 |
$1,149.36 |
$1,149.36 |
$3,856.84
|
|
Exchange drainage catheter
|
$833.87 |
$833.87 |
$833.87 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,361.81 |
$1,361.81 |
$1,361.81 |
$2,958.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,408.90 |
$2,408.90 |
$2,408.90 |
$4,101.67
|
|
External chromosome analysis 20-25 cells
|
$250.50 |
$250.50 |
$250.50 |
$415.01
|
|
External newborn metabolic screening panel
|
$47.58 |
$47.58 |
$47.58 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$6.94 |
$6.94 |
$6.94 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$271.71 |
$271.71 |
$271.71 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$17.03 |
$17.03 |
$17.03 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$100.89 |
$100.89 |
$100.89 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$505.87 |
$505.87 |
$505.87 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$421.61 |
$421.61 |
$421.61 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$337.18 |
$337.18 |
$337.18 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$543.08 |
$543.08 |
$543.08 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$362.05 |
$362.05 |
$362.05 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$74.09 |
$74.09 |
$74.09 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$81.78 |
$81.78 |
$81.78 |
$381.75
|
|
Factor ix
|
$15.09 |
$15.09 |
$15.09 |
$162.50
|
|
Factor viii
|
$12.61 |
$12.61 |
$12.61 |
$148.00
|
|
Factor viii recombinant nos
|
$0.58 |
$0.58 |
$0.58 |
$5.20
|
|
Fat/lipids feces qualitative
|
$10.47 |
$10.47 |
$10.47 |
$36.00
|
|
Fatty acids nonesterified
|
$10.63 |
$10.63 |
$10.63 |
$72.15
|
|
#fecal-sodium
|
$8.93 |
$8.93 |
$8.93 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$11.40 |
$11.40 |
$11.40 |
$66.43
|
|
Fem/popl revasc w/stent
|
$8,481.89 |
$8,481.89 |
$8,481.89 |
$16,129.60
|
|
Fern test
|
$10.16 |
$10.16 |
$10.16 |
$37.03
|
|
Ferritin
|
$34.19 |
$34.19 |
$34.19 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$335.68 |
$335.68 |
$335.68 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$651.68 |
$651.68 |
$651.68 |
$477.50
|
|
Fetal fibronectin
|
$29.88 |
$29.88 |
$29.88 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$11.27 |
$11.27 |
$11.27 |
$102.00
|
|
Fetal hemoglobin rosette
|
$5.54 |
$5.54 |
$5.54 |
$67.20
|
|
Fetal non stress test
|
$446.34 |
$446.34 |
$446.34 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$10.32 |
$10.32 |
$10.32 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$61.12 |
$61.12 |
$61.12 |
$120.64
|
|
Fibrin degradation products
|
$15.28 |
$15.28 |
$15.28 |
$75.02
|
|
Fibrinogen activity
|
$40.87 |
$40.87 |
$40.87 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$4.58 |
$4.58 |
$4.58 |
$72.80
|
|
Fibrinolytic plasminogen
|
$16.04 |
$16.04 |
$16.04 |
$107.50
|
|
Fibrinolytic plasminogen
|
$5.92 |
$5.92 |
$5.92 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$13.56 |
$13.56 |
$13.56 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$5,695.04 |
$5,695.04 |
$5,695.04 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,408.90 |
$2,408.90 |
$2,408.90 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$781.55 |
$781.55 |
$781.55 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$682.34 |
$682.34 |
$682.34 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$415.02 |
$415.02 |
$415.02 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$454.58 |
$454.58 |
$454.58 |
$504.45
|
|
Finger X-ray (both hands)
|
$60.58 |
$60.58 |
$60.58 |
$241.50
|
|
Fix g/colon tube w/device
|
$214.05 |
$214.05 |
$214.05 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$10.47 |
$10.47 |
$10.47 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$116.12 |
$116.12 |
$116.12 |
$540.80
|
|
Flow cytometry marker each additional
|
$60.36 |
$60.36 |
$60.36 |
$97.50
|
|
Flow cytometry one marker technical component
|
$156.97 |
$156.97 |
$156.97 |
$285.00
|
|
Flt3 gene
|
$142.04 |
$142.04 |
$142.04 |
$366.29
|
|
Flt3 gene analysis
|
$314.53 |
$314.53 |
$314.53 |
$216.00
|
|
Fluid pressure muscle 20950
|
$232.31 |
$232.31 |
$232.31 |
$779.45
|
|
Fluorescent antibody titer dna
|
$109.65 |
$109.65 |
$109.65 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$109.04 |
$109.04 |
$109.04 |
$495.00
|
|
Fluoroguide needle placement
|
$120.23 |
$120.23 |
$120.23 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$160.30 |
$160.30 |
$160.30 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$947.43 |
$947.43 |
$947.43 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$691.59 |
$691.59 |
$691.59 |
$834.90
|
|
Folic acid
|
$6.93 |
$6.93 |
$6.93 |
$101.50
|
|
Follow-up angiography
|
$500.81 |
$500.81 |
$500.81 |
$1,983.00
|
|
Foot X-ray
|
$85.74 |
$85.74 |
$85.74 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$72.70 |
$72.70 |
$72.70 |
$290.40
|
|
Forearm X-ray (both sides)
|
$75.73 |
$75.73 |
$75.73 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$27.71 |
$27.71 |
$27.71 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$27.71 |
$27.71 |
$27.71 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$71.17 |
$71.17 |
$71.17 |
$131.25
|
|
Fructosamine glycated protein
|
$8.16 |
$8.16 |
$8.16 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$137.47 |
$137.47 |
$137.47 |
$355.00
|
|
Ga-67 gallium 0.1 mci
|
$46.48 |
$46.48 |
$46.48 |
$121.73
|
|
Gabapentin non-blood
|
$8.62 |
$8.62 |
$8.62 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$26.64 |
$26.64 |
$26.64 |
$100.00
|