|
Ferritin
|
$33.52 |
$33.52 |
$33.52 |
$102.48
|
|
Fetal fibronectin
|
$29.29 |
$29.29 |
$29.29 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$10.91 |
$10.91 |
$10.91 |
$102.00
|
|
Fetal hemoglobin rosette
|
$5.36 |
$5.36 |
$5.36 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$10.12 |
$10.12 |
$10.12 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$59.20 |
$59.20 |
$59.20 |
$120.64
|
|
Fibrin degradation products
|
$14.80 |
$14.80 |
$14.80 |
$75.02
|
|
Fibrinogen activity
|
$39.59 |
$39.59 |
$39.59 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$27.20 |
$27.20 |
$27.20 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$4.44 |
$4.44 |
$4.44 |
$72.80
|
|
Fibrinolytic plasminogen
|
$15.54 |
$15.54 |
$15.54 |
$107.50
|
|
Fibrinolytic plasminogen
|
$5.74 |
$5.74 |
$5.74 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$13.13 |
$13.13 |
$13.13 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$5,388.38 |
$5,388.38 |
$5,388.38 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,279.19 |
$2,279.19 |
$2,279.19 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$708.05 |
$708.05 |
$708.05 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$618.17 |
$618.17 |
$618.17 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$375.99 |
$375.99 |
$375.99 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$411.82 |
$411.82 |
$411.82 |
$504.45
|
|
Finger X-ray (both hands)
|
$63.44 |
$63.44 |
$63.44 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$10.27 |
$10.27 |
$10.27 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$105.20 |
$105.20 |
$105.20 |
$540.80
|
|
Flow cytometry marker each additional
|
$63.29 |
$63.29 |
$63.29 |
$97.50
|
|
Flow cytometry one marker technical component
|
$164.59 |
$164.59 |
$164.59 |
$285.00
|
|
Flt3 gene
|
$181.15 |
$181.15 |
$181.15 |
$366.29
|
|
Flt3 gene analysis
|
$401.11 |
$401.11 |
$401.11 |
$216.00
|
|
Fluidotherapy charges pt
|
$21.28 |
$21.28 |
$21.28 |
$101.40
|
|
Fluid pressure muscle 20950
|
$209.36 |
$209.36 |
$209.36 |
$779.45
|
|
Fluorescent antibody titer dna
|
$153.17 |
$153.17 |
$153.17 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$114.19 |
$114.19 |
$114.19 |
$495.00
|
|
Fluoroguide needle placement
|
$125.90 |
$125.90 |
$125.90 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$167.87 |
$167.87 |
$167.87 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$858.33 |
$858.33 |
$858.33 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$626.55 |
$626.55 |
$626.55 |
$834.90
|
|
Folic acid
|
$6.80 |
$6.80 |
$6.80 |
$101.50
|
|
Follow-up angiography
|
$598.37 |
$598.37 |
$598.37 |
$1,983.00
|
|
Foot X-ray
|
$89.79 |
$89.79 |
$89.79 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$76.13 |
$76.13 |
$76.13 |
$290.40
|
|
Forearm X-ray (both sides)
|
$79.30 |
$79.30 |
$79.30 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$10.51 |
$10.51 |
$10.51 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$10.51 |
$10.51 |
$10.51 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$58.76 |
$58.76 |
$58.76 |
$131.25
|
|
Fructosamine glycated protein
|
$8.00 |
$8.00 |
$8.00 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$143.96 |
$143.96 |
$143.96 |
$355.00
|
|
Gabapentin non-blood
|
$8.46 |
$8.46 |
$8.46 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$26.12 |
$26.12 |
$26.12 |
$100.00
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$311.22 |
$311.22 |
$311.22 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$382.24 |
$382.24 |
$382.24 |
$1,615.00
|
|
Gammaglobulin iga
|
$19.03 |
$19.03 |
$19.03 |
$69.60
|
|
Gammaglobulin ige
|
$8.76 |
$8.76 |
$8.76 |
$83.85
|
|
Gamma glutamyltransferase
|
$9.36 |
$9.36 |
$9.36 |
$57.54
|
|
Gastroesophageal reflux test
|
$244.06 |
$244.06 |
$244.06 |
$1,352.00
|
|
Generator barostim neo2 2014
|
$32,325.38 |
$32,325.38 |
$32,325.38 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$30,442.11 |
$30,442.11 |
$30,442.11 |
$36,467.76
|
|
Gentamicin peak therapeutic drug level
|
$7.55 |
$7.55 |
$7.55 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$602.03 |
$602.03 |
$602.03 |
$1,514.00
|
|
Ghs acetylcholinesterase, rbc
|
$8.91 |
$8.91 |
$8.91 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$7.85 |
$7.85 |
$7.85 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$188.41 |
$188.41 |
$188.41 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$8.05 |
$8.05 |
$8.05 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$100.28 |
$100.28 |
$100.28 |
$344.00
|
|
Ghs chemo IV push, ea addtl
|
$68.60 |
$68.60 |
$68.60 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$59.70 |
$59.70 |
$59.70 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$18.40 |
$18.40 |
$18.40 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$11.53 |
$11.53 |
$11.53 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$412.11 |
$412.11 |
$412.11 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$130.96 |
$130.96 |
$130.96 |
$586.80
|
|
Ghs febrile agglutinns(mayo)
|
$3.84 |
$3.84 |
$3.84 |
$48.10
|
|
Ghs fish cytogen
|
$22.46 |
$22.46 |
$22.46 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$53.35 |
$53.35 |
$53.35 |
$226.20
|
|
Ghs flow volume loop
|
$101.68 |
$101.68 |
$101.68 |
$308.69
|
|
Ghs hcv amplificaiton
|
$19.29 |
$19.29 |
$19.29 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$8.60 |
$8.60 |
$8.60 |
$144.54
|
|
Ghs histoplasma antigen
|
$27.66 |
$27.66 |
$27.66 |
$142.00
|
|
Ghs HIV antibody
|
$7.69 |
$7.69 |
$7.69 |
$89.70
|
|
Ghs immun0electrophoresis
|
$16.47 |
$16.47 |
$16.47 |
$110.00
|
|
Ghs inf midline insertion
|
$385.24 |
$385.24 |
$385.24 |
$1,238.25
|
|
Ghs inhibitor screen
|
$41.62 |
$41.62 |
$41.62 |
$191.88
|
|
Ghs inj tendon origin/insertion
|
$127.16 |
$127.16 |
$127.16 |
$434.12
|
|
Ghs insertion of needle - bone
|
$128.12 |
$128.12 |
$128.12 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$356.43 |
$356.43 |
$356.43 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$373.07 |
$373.07 |
$373.07 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$652.10 |
$652.10 |
$652.10 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$25.43 |
$25.43 |
$25.43 |
$200.20
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$266.00 |
$266.00 |
$266.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$261.66 |
$261.66 |
$261.66 |
$583.10
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$292.04 |
$292.04 |
$292.04 |
$700.33
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$314.95 |
$314.95 |
$314.95 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$320.02 |
$320.02 |
$320.02 |
$760.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$409.73 |
$409.73 |
$409.73 |
$969.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$477.50 |
$477.50 |
$477.50 |
$1,016.25
|
|
Ghs layered repair over 30.0 cm -12047
|
$529.35 |
$529.35 |
$529.35 |
$1,930.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$4.81 |
$4.81 |
$4.81 |
$75.00
|
|
Ghs mbp
|
$9.51 |
$9.51 |
$9.51 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$159.58 |
$159.58 |
$159.58 |
$246.33
|
|
Ghs moderate sedation ea addtl 15 min
|
$80.58 |
$80.58 |
$80.58 |
$150.00
|
|
Ghs musc test done w/n test comp
|
$64.87 |
$64.87 |
$64.87 |
$331.20
|
|
Ghs musc tst done w/nerv tst lim
|
$42.20 |
$42.20 |
$42.20 |
$272.48
|
|
Ghs musc tst done w/n tst non ext
|
$56.43 |
$56.43 |
$56.43 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$83.46 |
$83.46 |
$83.46 |
$457.80
|
