|
Exc malig tal 0.6-1.0cm 11601
|
$369.85 |
$369.85 |
$369.85 |
$817.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$385.45 |
$385.45 |
$385.45 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,390.35 |
$1,390.35 |
$1,390.35 |
$1,154.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$508.30 |
$508.30 |
$508.30 |
$3,285.96
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$717.60 |
$717.60 |
$717.60 |
$1,982.40
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$414.70 |
$414.70 |
$414.70 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,954.55 |
$1,954.55 |
$1,954.55 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$668.20 |
$668.20 |
$668.20 |
$2,850.35
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$886.60 |
$886.60 |
$886.60 |
$3,994.09
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$727.35 |
$727.35 |
$727.35 |
$1,908.09
|
|
Exc tendon sheath or cap lesion 26160
|
$1,069.90 |
$1,069.90 |
$1,069.90 |
$2,008.00
|
|
Exc thrombosed hemorrhoid 46320
|
$332.15 |
$332.15 |
$332.15 |
$2,481.60
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$588.90 |
$588.90 |
$588.90 |
$1,904.37
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,944.80 |
$1,944.80 |
$1,944.80 |
$1,889.60
|
|
Explore penetrating wnd/extremity 20103
|
$908.05 |
$908.05 |
$908.05 |
$1,908.09
|
|
External chromosome analysis 20-25 cells
|
$389.35 |
$389.35 |
$389.35 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$363.35 |
$363.35 |
$363.35 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$135.85 |
$135.85 |
$135.85 |
$102.50
|
|
Facial bones <3
|
$203.45 |
$203.45 |
$203.45 |
$216.45
|
|
Factor ix
|
$102.05 |
$102.05 |
$102.05 |
$139.75
|
|
Factor viii
|
$102.05 |
$102.05 |
$102.05 |
$152.50
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fat/lipids feces qualitative
|
$72.15 |
$72.15 |
$72.15 |
$43.66
|
|
Fatty acids nonesterified
|
$39.65 |
$39.65 |
$39.65 |
$64.28
|
|
#fecal-sodium
|
$35.75 |
$35.75 |
$35.75 |
$40.30
|
|
Felbamate (felbatol(r)) - sendout
|
$125.45 |
$125.45 |
$125.45 |
$83.85
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$48.88
|
|
Ferritin
|
$76.05 |
$76.05 |
$76.05 |
$86.45
|
|
Fetal chrom aneuploidy gsa panel
|
$1,337.05 |
$1,337.05 |
$1,337.05 |
$1,231.20
|
|
Fetal fibronectin
|
$304.85 |
$304.85 |
$304.85 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$85.80 |
$85.80 |
$85.80 |
$59.85
|
|
Fetal hemoglobin rosette
|
$35.10 |
$35.10 |
$35.10 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$70.85 |
$70.85 |
$70.85 |
$64.28
|
|
#_fet/norfentcnfrmur
|
$85.80 |
$85.80 |
$85.80 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$84.50 |
$84.50 |
$84.50 |
$87.60
|
|
Fibrin degrade semiquant
|
$90.35 |
$90.35 |
$90.35 |
$88.00
|
|
Fibrinogen activity
|
$57.20 |
$57.20 |
$57.20 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$39.00 |
$39.00 |
$39.00 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$70.20 |
$70.20 |
$70.20 |
$68.40
|
|
Fibrinolytic plasminogen
|
$73.45 |
$73.45 |
$73.45 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$59.80 |
$59.80 |
$59.80 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,010.18 |
$1,010.18 |
$1,010.18 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$552.84 |
$552.84 |
$552.84 |
$998.68
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Flecainide (tambocor)-sendout
|
$125.45 |
$125.45 |
$125.45 |
$86.40
|
|
Flexible Sigmoidoscopy
|
$292.50 |
$292.50 |
$292.50 |
$1,278.72
|
|
Flow cytometry interp 16 or more
|
$126.10 |
$126.10 |
$126.10 |
$208.80
|
|
Flow cytometry marker each additional
|
$52.65 |
$52.65 |
$52.65 |
$103.00
|
|
Flow cytometry one marker technical component
|
$195.65 |
$195.65 |
$195.65 |
$304.43
|
|
#flow interp 9 - 15 markers
|
$105.30 |
$105.30 |
$105.30 |
$202.15
|
|
Flt3 gene
|
$352.95 |
$352.95 |
$352.95 |
$355.00
|
|
Flt3 gene analysis
|
$331.50 |
$331.50 |
$331.50 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$64.22 |
$64.22 |
$64.22 |
$48.56
|
|
Fluidotherapy charges pt
|
$111.80 |
$111.80 |
$111.80 |
$101.40
|
|
Fluorescent antibody titer dna
|
$183.95 |
$183.95 |
$183.95 |
$123.65
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$35.75 |
$35.75 |
$35.75 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$47.85 |
$47.85 |
$47.85 |
$66.60
|
|
Folic acid
|
$63.70 |
$63.70 |
$63.70 |
$85.50
|
|
Folic acid 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$3.00
|
|
Foot X-ray
|
$489.45 |
$489.45 |
$489.45 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$66.38 |
$66.38 |
$66.38 |
$66.38
|
|
_fragile x methylation-sendout
|
$232.70 |
$232.70 |
$232.70 |
$175.75
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$170.30 |
$170.30 |
$170.30 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$191.75 |
$191.75 |
$191.75 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$101.40 |
$101.40 |
$101.40 |
$114.35
|
|
Fructosamine glycated protein
|
$50.70 |
$50.70 |
$50.70 |
$69.55
|
|
Ftl cgen abnor four anal
|
$195.00 |
$195.00 |
$195.00 |
$267.15
|
|
Full mouth x-ray of teeth
|
$156.00 |
$156.00 |
$156.00 |
$242.99
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Galac-1-phosphate uridyltran - sendout
|
$126.75 |
$126.75 |
$126.75 |
$85.50
|
|
Galactose transferase test
|
$13.65 |
$13.65 |
$13.65 |
$25.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,464.45 |
$1,464.45 |
$1,464.45 |
$6,870.89
|
|
Gammaglobulin iga
|
$104.00 |
$104.00 |
$104.00 |
$78.60
|
|
Gammaglobulin ige
|
$96.85 |
$96.85 |
$96.85 |
$87.10
|
|
Gamma glutamyltransferase
|
$55.25 |
$55.25 |
$55.25 |
$54.60
|
|
Gardner vag dna quant
|
$96.20 |
$96.20 |
$96.20 |
$104.80
|
|
Gba gene
|
$265.20 |
$265.20 |
$265.20 |
$140.00
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$23,897.53 |
$23,897.53 |
$23,897.53 |
$15,276.60
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$21.71 |
$21.71 |
$21.71 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$84.50 |
$84.50 |
$84.50 |
$114.00
|
|
Ghs acetylcholinesterase, rbc
|
$57.20 |
$57.20 |
$57.20 |
$44.20
|
|
Ghs alpha thalasemia, 7 deletions
|
$222.30 |
$222.30 |
$222.30 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$102.05 |
$102.05 |
$102.05 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$174.20 |
$174.20 |
$174.20 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$55.90 |
$55.90 |
$55.90 |
$55.90
|
|
Ghs change cysto/gastrost
|
$293.15 |
$293.15 |
$293.15 |
$727.35
|
|
Ghs chemo IV push, ea addtl
|
$256.75 |
$256.75 |
$256.75 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$100.75 |
$100.75 |
$100.75 |
$135.85
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$475.15 |
$475.15 |
$475.15 |
$540.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,896.05 |
$1,896.05 |
$1,896.05 |
$2,347.20
|
|
Ghs conjunctiva foreign body-superf bil
|
$105.30 |
$105.30 |
$105.30 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$178.10 |
$178.10 |
$178.10 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$160.55 |
$160.55 |
$160.55 |
$362.21
|
|
Ghs dislocation elbow closed treatment
|
$1,027.65 |
$1,027.65 |
$1,027.65 |
$687.73
|
|
Ghs excision ingrown nail
|
$221.65 |
$221.65 |
$221.65 |
$436.80
|
|
Ghs fb removal foot - deep - left
|
$850.20 |
$850.20 |
$850.20 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$811.85 |
$811.85 |
$811.85 |
$3,136.84
|
|
Ghs fb removal - incisional
|
$514.80 |
$514.80 |
$514.80 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$52.65 |
$52.65 |
$52.65 |
$51.99
|
|
Ghs fish cytogen
|
$270.40 |
$270.40 |
$270.40 |
$173.40
|
