|
Face, Eye Socket and Neck MRI (without contrast)
|
$215.87 |
$215.87 |
$289.98 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$105.30 |
$105.30 |
$108.11 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$162.60 |
$162.60 |
$166.94 |
$381.75
|
|
Facial nerve function test
|
$157.85 |
$157.85 |
$157.85 |
$368.50
|
|
Factor ix
|
$10.27 |
$10.27 |
$10.82 |
$162.50
|
|
Factor viii
|
$8.58 |
$8.58 |
$9.04 |
$148.00
|
|
Fancc gene
|
$82.86 |
$82.86 |
$82.86 |
$140.00
|
|
Fat/lipids feces qualitative
|
$10.61 |
$10.61 |
$11.02 |
$36.00
|
|
Fatty acids nonesterified
|
$10.76 |
$10.76 |
$11.18 |
$72.15
|
|
#fecal-sodium
|
$9.05 |
$9.05 |
$9.40 |
$37.53
|
|
Feeding tube reposition
|
$116.42 |
$116.42 |
$116.42 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$11.54 |
$11.54 |
$11.99 |
$66.43
|
|
Fem/popl revasc w/stent
|
$9,736.39 |
$9,736.39 |
$14,135.19 |
$16,129.60
|
|
Fern test
|
$10.69 |
$10.69 |
$10.69 |
$37.03
|
|
Ferritin
|
$22.78 |
$22.78 |
$23.65 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$137.86 |
$137.86 |
$137.86 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$389.54 |
$389.54 |
$553.55 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$409.48 |
$409.48 |
$409.48 |
$477.50
|
|
Fetal fibronectin
|
$30.26 |
$30.26 |
$31.43 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$7.67 |
$7.67 |
$8.08 |
$102.00
|
|
Fetal hemoglobin rosette
|
$3.77 |
$3.77 |
$3.97 |
$67.20
|
|
Fetal non stress test
|
$280.14 |
$280.14 |
$280.14 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$10.45 |
$10.45 |
$10.85 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$22.62 |
$22.62 |
$23.84 |
$120.64
|
|
Fibrin degradation products
|
$10.40 |
$10.40 |
$10.96 |
$75.02
|
|
Fibrinogen activity
|
$11.31 |
$11.31 |
$11.92 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$16.25 |
$16.25 |
$17.12 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$3.12 |
$3.12 |
$3.29 |
$72.80
|
|
Fibrinolytic plasminogen
|
$10.92 |
$10.92 |
$11.51 |
$107.50
|
|
Fibrinolytic plasminogen
|
$4.03 |
$4.03 |
$4.25 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$9.23 |
$9.23 |
$9.73 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$6,176.93 |
$6,176.93 |
$6,439.78 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,612.73 |
$2,612.73 |
$2,723.91 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$646.87 |
$646.87 |
$939.11 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$561.56 |
$561.56 |
$815.27 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$490.05 |
$490.05 |
$711.45 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$215.26 |
$215.26 |
$312.51 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$3,918.39 |
$3,918.39 |
$4,085.13 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$91.80 |
$91.80 |
$94.25 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$10.61 |
$10.61 |
$11.02 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$193.48 |
$193.48 |
$280.89 |
$540.80
|
|
Flotufolastat f18 diag 1 mci
|
$512.48 |
$512.48 |
$512.48 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$59.00 |
$59.00 |
$61.25 |
$97.50
|
|
Flow cytometry one marker technical component
|
$179.83 |
$179.83 |
$186.69 |
$285.00
|
|
Flt3 gene
|
$84.99 |
$84.99 |
$120.77 |
$366.29
|
|
Flt3 gene analysis
|
$42.58 |
$42.58 |
$60.51 |
$216.00
|
|
Fluid pressure muscle 20950
|
$88.40 |
$88.40 |
$99.20 |
$779.45
|
|
Fluorescent antibody titer dna
|
$113.83 |
$113.83 |
$179.95 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$270.00 |
$270.00 |
$277.20 |
$495.00
|
|
Fluoroguide needle placement
|
$148.20 |
$148.20 |
$152.15 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$127.20 |
$127.20 |
$130.59 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.11 |
$0.11 |
$0.11 |
$107.00
|
|
Fmri brain by phys/psych
|
$467.12 |
$467.12 |
$467.12 |
$1,639.00
|
|
Fmri brain by tech
|
$622.90 |
$622.90 |
$622.90 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$782.26 |
$782.26 |
$1,135.68 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$761.94 |
$761.94 |
$1,106.17 |
$834.90
|
|
Folic acid
|
$7.02 |
$7.02 |
$7.29 |
$101.50
|
|
Follow-up angiography
|
$443.39 |
$443.39 |
$550.67 |
$1,983.00
|
|
Foot X-ray
|
$108.60 |
$108.60 |
$111.50 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$92.40 |
$92.40 |
$94.86 |
$290.40
|
|
Forearm X-ray (both sides)
|
$84.90 |
$84.90 |
$87.16 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$15.72 |
$15.72 |
$25.95 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$15.72 |
$15.72 |
$25.95 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$64.60 |
$64.60 |
$74.82 |
$131.25
|
|
Fructosamine glycated protein
|
$8.27 |
$8.27 |
$8.59 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$119.40 |
$119.40 |
$122.58 |
$355.00
|
|
Functional brain mapping
|
$92.22 |
$92.22 |
$191.26 |
$514.80
|
|
G6pc gene
|
$42.77 |
$42.77 |
$42.77 |
$138.40
|
|
G6pd full gene sequence
|
$598.02 |
$598.02 |
$598.02 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$127.58 |
$127.58 |
$127.58 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$44.63 |
$44.63 |
$44.63 |
$140.35
|
|
Gabapentin non-blood
|
$8.74 |
$8.74 |
$9.07 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$26.99 |
$26.99 |
$28.03 |
$100.00
|
|
Galactokinase - sendout
|
$90.56 |
$90.56 |
$90.56 |
$204.97
|
|
Galactose transferase test
|
$5.62 |
$5.62 |
$5.83 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$216.92 |
$216.92 |
$364.21 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$498.85 |
$498.85 |
$498.85 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$79.05 |
$79.05 |
$79.05 |
$1,696.55
|
|
Gammaglobulin iga
|
$11.39 |
$11.39 |
$11.83 |
$69.60
|
|
Gammaglobulin ige
|
$9.05 |
$9.05 |
$9.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$9.67 |
$9.67 |
$10.04 |
$57.54
|
|
Gastroesophageal reflux test
|
$287.67 |
$287.67 |
$345.58 |
$1,352.00
|
|
Generator barostim neo2 2014
|
$43,231.73 |
$43,231.73 |
$51,509.98 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$18,396.67 |
$18,396.67 |
$27,485.50 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$44,750.03 |
$44,750.03 |
$44,750.03 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$2,154.20 |
$2,154.20 |
$2,154.20 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$38,632.78 |
$38,632.78 |
$38,632.78 |
$38,632.78
|
|
Genome sequence analysis
|
$5,014.06 |
$5,014.06 |
$5,014.06 |
$5,031.20
|
|
Genome sequence analysis
|
$2,700.70 |
$2,700.70 |
$2,700.70 |
$3,455.25
|
|
Gentamicin peak therapeutic drug level
|
$7.80 |
$7.80 |
$8.10 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$824.82 |
$824.82 |
$990.86 |
$1,514.00
|
|
Ghs acetylcholinesterase, rbc
|
$9.20 |
$9.20 |
$9.56 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$28.70 |
$28.70 |
$29.81 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$141.93 |
$141.93 |
$201.69 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$5.98 |
$5.98 |
$9.46 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$84.22 |
$84.22 |
$122.26 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$473.35 |
$473.35 |
$473.35 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,081.74 |
$1,081.74 |
$1,570.46 |
$2,519.49
|
|
Ghs chemo >8 hrs
|
$421.86 |
$421.86 |
$421.86 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$329.30 |
$329.30 |
$329.30 |
$655.65
|
