|
Evoked potentials upper limbs
|
$806.00 |
$806.00 |
$806.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$844.00 |
$844.00 |
$844.00 |
$829.44
|
|
Evok oa screening qual
|
$188.00 |
$188.00 |
$188.00 |
$120.90
|
|
Ewho w/joint(s) cf
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$830.31
|
|
Exchange biliary drg cath
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$4,176.15
|
|
Exchange blood transfusion newborn 36450
|
$3,015.00 |
$3,015.00 |
$3,015.00 |
$517.34
|
|
Exchange drainage catheter
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$2,045.00 |
$2,045.00 |
$2,045.00 |
$3,097.16
|
|
Excl laa open any method 33267
|
$12,940.00 |
$12,940.00 |
$12,940.00 |
$3,391.00
|
|
Excl laa opn oth px any meth 33268
|
$12,940.00 |
$12,940.00 |
$12,940.00 |
$324.00
|
|
Excl laa thrscp any method
|
$12,940.00 |
$12,940.00 |
$12,940.00 |
$3,720.60
|
|
External chromosome analysis 20-25 cells
|
$1,234.00 |
$1,234.00 |
$1,234.00 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$263.00 |
$263.00 |
$263.00 |
$61.32
|
|
External recharg sys intern
|
$1,639.00 |
$1,639.00 |
$1,639.00 |
$1,989.87
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$634.00 |
$634.00 |
$634.00 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$277.00 |
$277.00 |
$277.00 |
$102.78
|
|
Extrnl counterpulse, per tx
|
$304.00 |
$304.00 |
$304.00 |
$298.27
|
|
F-18 fdg pet diag
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$602.25
|
|
F-18 sodium fluoride
|
$623.00 |
$623.00 |
$623.00 |
$564.20
|
|
Facial bones <3
|
$217.00 |
$217.00 |
$217.00 |
$248.60
|
|
Factor ix
|
$245.00 |
$245.00 |
$245.00 |
$131.30
|
|
Factor viii
|
$207.00 |
$207.00 |
$207.00 |
$144.30
|
|
Fallopian tube recnl
|
$2,878.00 |
$2,878.00 |
$2,878.00 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$11.00 |
$11.00 |
$11.00 |
$24.21
|
|
Fat/lipids feces qualitative
|
$59.00 |
$59.00 |
$59.00 |
$34.56
|
|
Fatty acids nonesterified
|
$171.00 |
$171.00 |
$171.00 |
$57.60
|
|
#fecal-sodium
|
$63.00 |
$63.00 |
$63.00 |
$37.50
|
|
Feeding tube reposition
|
$336.00 |
$336.00 |
$336.00 |
$441.86
|
|
Felbamate (felbatol(r)) - sendout
|
$377.00 |
$377.00 |
$377.00 |
$66.43
|
|
Fem/popl revasc w/stent
|
$23,849.00 |
$23,849.00 |
$23,849.00 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$375.00 |
$375.00 |
$375.00 |
$118.20
|
|
Ferritin
|
$178.00 |
$178.00 |
$178.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$7,878.00 |
$7,878.00 |
$7,878.00 |
$1,426.50
|
|
Fetal chrmoml microdeltj
|
$378.00 |
$378.00 |
$378.00 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$540.54
|
|
Fetal fibronectin
|
$663.00 |
$663.00 |
$663.00 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$98.00 |
$98.00 |
$98.00 |
$88.80
|
|
Fetal hemoglobin rosette
|
$73.00 |
$73.00 |
$73.00 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$243.00 |
$243.00 |
$243.00 |
$64.28
|
|
Fetal non stress test
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$124.00 |
$124.00 |
$124.00 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$155.00 |
$155.00 |
$155.00 |
$112.80
|
|
Fibrin degrade semiquant
|
$92.00 |
$92.00 |
$92.00 |
$92.00
|
|
Fibrinogen activity
|
$112.00 |
$112.00 |
$112.00 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$66.00 |
$66.00 |
$66.00 |
$66.00
|
|
Fibrinolytic plasminogen
|
$220.00 |
$220.00 |
$220.00 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$83.00 |
$83.00 |
$83.00 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$3,310.00 |
$3,310.00 |
$3,310.00 |
$6,878.20
|
|
Filter vena cava fem denali
|
$4,000.00 |
$4,000.00 |
$4,000.00 |
$3,519.51
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,711.00 |
$1,711.00 |
$1,711.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$856.00 |
$856.00 |
$856.00 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$377.00 |
$377.00 |
$377.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$555.00 |
$555.00 |
$555.00 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$814.00 |
$814.00 |
$814.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,628.00 |
$1,628.00 |
$1,628.00 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$531.00 |
$531.00 |
$531.00 |
$194.04
|
|
Flt3 gene
|
$710.00 |
$710.00 |
$710.00 |
$352.95
|
|
Flt3 gene analysis
|
$710.00 |
$710.00 |
$710.00 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$237.75 |
$237.75 |
$237.75 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$1,168.25 |
$1,168.25 |
$1,168.25 |
$601.96
|
|
Fluorescent antibody titer dna
|
$250.00 |
$250.00 |
$250.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$521.00 |
$521.00 |
$521.00 |
$507.00
|
|
Fluoroguide needle placement
|
$879.00 |
$879.00 |
$879.00 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$780.00 |
$780.00 |
$780.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$55.00 |
$55.00 |
$55.00 |
$136.92
|
|
Fna bx w/ct gdn 1st les
|
$1,711.00 |
$1,711.00 |
$1,711.00 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$1,711.00 |
$1,711.00 |
$1,711.00 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$1,180.00 |
$1,180.00 |
$1,180.00 |
$612.30
|
|
Foam drg <=16 sq in w/border
|
$10.00 |
$10.00 |
$10.00 |
$20.16
|
|
Folic acid
|
$190.00 |
$190.00 |
$190.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$231.00 |
$231.00 |
$231.00 |
$56.70
|
|
Follow-up angiography
|
$782.00 |
$782.00 |
$782.00 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,444.00 |
$6,444.00 |
$6,444.00 |
$2,581.14
|
|
Fondaparinux sodium
|
$206.75 |
$206.75 |
$206.75 |
$176.54
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$800.75 |
$800.75 |
$800.75 |
$86.40
|
|
_fragile x methylation-sendout
|
$108.00 |
$108.00 |
$108.00 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$626.00 |
$626.00 |
$626.00 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$610.00 |
$610.00 |
$610.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$1,283.00 |
$1,283.00 |
$1,283.00 |
$123.90
|
|
Fructosamine glycated protein
|
$140.00 |
$140.00 |
$140.00 |
$60.42
|
|
Ftl cgen abnor two proteins
|
$250.00 |
$250.00 |
$250.00 |
$105.00
|
|
Furosemide 10 mg/ml injection solution
|
$19.25 |
$19.25 |
$19.25 |
$27.48
|
|
Ga-67 gallium 0.1 mci
|
$144.00 |
$144.00 |
$144.00 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$561.75 |
$561.75 |
$561.75 |
$138.37
|
|
Galac-1-phosphate uridyltran - sendout
|
$286.00 |
$286.00 |
$286.00 |
$82.50
|
|
Galactose transferase test
|
$83.00 |
$83.00 |
$83.00 |
$22.40
|
|
Gammaglobulin iga
|
$120.00 |
$120.00 |
$120.00 |
$75.30
|
|
Gammaglobulin ige
|
$182.00 |
$182.00 |
$182.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$109.00 |
$109.00 |
$109.00 |
$55.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$451.50 |
$451.50 |
$451.50 |
$197.40
|
|
Gardner vag dna quant
|
$171.00 |
$171.00 |
$171.00 |
$89.70
|
|
Gastric mucosa imaging
|
$565.00 |
$565.00 |
$565.00 |
$497.25
|
|
Gastroesophageal reflux study
|
$1,342.00 |
$1,342.00 |
$1,342.00 |
$957.25
|
|
Gba gene
|
$399.00 |
$399.00 |
$399.00 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$172.50 |
$172.50 |
$172.50 |
$269.06
|
