|
External pretreatment of serum for use in antibody identification by dilution
|
$76.44 |
$76.44 |
$76.44 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$239.52 |
$239.52 |
$239.52 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$70.71 |
$70.71 |
$70.71 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$275.52 |
$275.52 |
$275.52 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,248.76 |
$1,248.76 |
$1,248.76 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,040.82 |
$1,040.82 |
$1,040.82 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$832.32 |
$832.32 |
$832.32 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,357.04 |
$3,357.04 |
$3,357.04 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,237.84 |
$2,237.84 |
$2,237.84 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$174.50 |
$174.50 |
$174.50 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$320.78 |
$320.78 |
$320.78 |
$381.75
|
|
Factor ix
|
$17.28 |
$17.28 |
$17.28 |
$162.50
|
|
Factor viii
|
$23.24 |
$23.24 |
$23.24 |
$148.00
|
|
Fallopian tube recnl
|
$638.41 |
$638.41 |
$638.41 |
$3,740.75
|
|
Fat/lipids feces qualitative
|
$10.64 |
$10.64 |
$10.64 |
$36.00
|
|
Fatty acids nonesterified
|
$11.89 |
$11.89 |
$11.89 |
$72.15
|
|
#fecal-sodium
|
$5.01 |
$5.01 |
$5.01 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$15.02 |
$15.02 |
$15.02 |
$66.43
|
|
Fern test
|
$41.32 |
$41.32 |
$41.32 |
$37.03
|
|
Ferritin
|
$25.67 |
$25.67 |
$25.67 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$489.84 |
$489.84 |
$489.84 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$756.28 |
$756.28 |
$756.28 |
$477.50
|
|
Fetal fibronectin
|
$121.44 |
$121.44 |
$121.44 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$23.84 |
$23.84 |
$23.84 |
$102.00
|
|
Fetal non stress test
|
$738.67 |
$738.67 |
$738.67 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$10.64 |
$10.64 |
$10.64 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$18.48 |
$18.48 |
$18.48 |
$120.64
|
|
Fibrin degradation products
|
$17.88 |
$17.88 |
$17.88 |
$75.02
|
|
Fibrinogen activity
|
$17.88 |
$17.88 |
$17.88 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$11.92 |
$11.92 |
$11.92 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$40.53 |
$40.53 |
$40.53 |
$72.80
|
|
Filter spider fx 3mmx320cm
|
$7,029.06 |
$7,029.06 |
$7,029.06 |
$7,358.16
|
|
Filter vena cava fem denali
|
$5,623.85 |
$5,623.85 |
$5,623.85 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$622.22 |
$622.22 |
$622.22 |
$825.00
|
|
Finger X-ray (both hands)
|
$262.40 |
$262.40 |
$262.40 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$11.27 |
$11.27 |
$11.27 |
$65.65
|
|
Flow cytometry marker each additional
|
$69.90 |
$69.90 |
$69.90 |
$97.50
|
|
Flow cytometry one marker technical component
|
$69.90 |
$69.90 |
$69.90 |
$285.00
|
|
Flt3 gene
|
$82.47 |
$82.47 |
$82.47 |
$366.29
|
|
Flt3 gene analysis
|
$39.83 |
$39.83 |
$39.83 |
$216.00
|
|
Fluidotherapy charges pt
|
$52.06 |
$52.06 |
$52.06 |
$101.40
|
|
Fluid pressure muscle 20950
|
$470.93 |
$470.93 |
$470.93 |
$779.45
|
|
Fluorescent antibody titer dna
|
$501.32 |
$501.32 |
$501.32 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$303.73 |
$303.73 |
$303.73 |
$495.00
|
|
Fluoroguide needle placement
|
$581.87 |
$581.87 |
$581.87 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$556.29 |
$556.29 |
$556.29 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$911.93 |
$911.93 |
$911.93 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$866.52 |
$866.52 |
$866.52 |
$834.90
|
|
Folic acid
|
$11.89 |
$11.89 |
$11.89 |
$101.50
|
|
Foot X-ray
|
$343.09 |
$343.09 |
$343.09 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$148.91 |
$148.91 |
$148.91 |
$290.40
|
|
Forearm X-ray (both sides)
|
$155.47 |
$155.47 |
$155.47 |
$324.00
|
|
Fracture assessment via dxa
|
$173.18 |
$173.18 |
$173.18 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$46.03 |
$46.03 |
$46.03 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$46.03 |
$46.03 |
$46.03 |
$164.84
|
|
Fructosamine glycated protein
|
$16.90 |
$16.90 |
$16.90 |
$63.50
|
|
Ftl cgen abnor four anal
|
$246.84 |
$246.84 |
$246.84 |
$211.83
|
|
Gabapentin non-blood
|
$3.76 |
$3.76 |
$3.76 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$77.00 |
$77.00 |
$77.00 |
$100.00
|
|
Galactose transferase test
|
$11.89 |
$11.89 |
$11.89 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$748.17 |
$748.17 |
$748.17 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,966.03 |
$1,966.03 |
$1,966.03 |
$1,615.00
|
|
Gammaglobulin iga
|
$10.02 |
$10.02 |
$10.02 |
$69.60
|
|
Gammaglobulin ige
|
$5.01 |
$5.01 |
$5.01 |
$83.85
|
|
Gamma glutamyltransferase
|
$13.77 |
$13.77 |
$13.77 |
$57.54
|
|
Gardner vag dna quant
|
$83.70 |
$83.70 |
$83.70 |
$104.80
|
|
Gastroesophageal reflux study
|
$890.42 |
$890.42 |
$890.42 |
$1,031.60
|
|
Generator barostim neo2 2014
|
$66,468.93 |
$66,468.93 |
$66,468.93 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$61,070.50 |
$61,070.50 |
$61,070.50 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$1,325.64 |
$1,325.64 |
$1,325.64 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$31.30 |
$31.30 |
$31.30 |
$123.84
|
|
Ghs acetylcholinesterase, rbc
|
$5.63 |
$5.63 |
$5.63 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$32.55 |
$32.55 |
$32.55 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$437.58 |
$437.58 |
$437.58 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$10.19 |
$10.19 |
$10.19 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$178.52 |
$178.52 |
$178.52 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$212.18 |
$212.18 |
$212.18 |
$1,059.85
|
|
Ghs chemo IV push, ea addtl
|
$144.72 |
$144.72 |
$144.72 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$155.12 |
$155.12 |
$155.12 |
$133.70
|
|
Ghs diphtheria toxoid ab igg
|
$8.28 |
$8.28 |
$8.28 |
$55.29
|
|
Ghs fat & muscle
|
$72.66 |
$72.66 |
$72.66 |
$38.08
|
|
Ghs febrile agglutinns(mayo)
|
$12.74 |
$12.74 |
$12.74 |
$48.10
|
|
Ghs fish cytogen
|
$206.90 |
$206.90 |
$206.90 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$27.96 |
$27.96 |
$27.96 |
$226.20
|
|
Ghs flow volume loop
|
$178.98 |
$178.98 |
$178.98 |
$308.69
|
|
Ghs hcv amplificaiton
|
$35.15 |
$35.15 |
$35.15 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$126.76 |
$126.76 |
$126.76 |
$144.54
|
|
Ghs histoplasma antigen
|
$56.36 |
$56.36 |
$56.36 |
$142.00
|
|
Ghs HIV antibody
|
$26.75 |
$26.75 |
$26.75 |
$89.70
|
|
Ghs immun0electrophoresis
|
$5.73 |
$5.73 |
$5.73 |
$110.00
|
|
Ghs inhibitor screen
|
$104.30 |
$104.30 |
$104.30 |
$191.88
|
|
Ghs insertion of needle - bone
|
$222.59 |
$222.59 |
$222.59 |
$431.28
|
|
Ghs mbp
|
$7.51 |
$7.51 |
$7.51 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$218.04 |
$218.04 |
$218.04 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$213.84 |
$213.84 |
$213.84 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$195.56 |
$195.56 |
$195.56 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$110.60 |
$110.60 |
$110.60 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$159.55 |
$159.55 |
$159.55 |
$142.40
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,656.35 |
$1,656.35 |
$1,656.35 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$613.54 |
$613.54 |
$613.54 |
$1,160.00
|
