|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$3,651.38 |
$3,651.38 |
$3,651.38 |
$278.85
|
|
Drvvt confirm - quest
|
$1,255.39 |
$1,255.39 |
$1,255.39 |
$102.30
|
|
Ductogram sgl duct
|
$3,718.73 |
$3,718.73 |
$3,718.73 |
$382.80
|
|
Ecg external < 48 hours recording
|
$1,945.28 |
$1,945.28 |
$1,945.28 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$3,556.04 |
$3,556.04 |
$3,556.04 |
$567.00
|
|
Echo guidance radiotherapy
|
$2,928.29 |
$2,928.29 |
$2,928.29 |
$769.18
|
|
Echo guide for amniocentesis
|
$819.58 |
$819.58 |
$819.58 |
$377.11
|
|
Echo transesophageal
|
$4,477.96 |
$4,477.96 |
$4,477.96 |
$1,734.10
|
|
Eeg 41-60 minutes 95812-26
|
$4,991.28 |
$4,991.28 |
$4,991.28 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$4,991.28 |
$4,991.28 |
$4,991.28 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$4,991.28 |
$4,991.28 |
$4,991.28 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$4,991.28 |
$4,991.28 |
$4,991.28 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$4,991.28 |
$4,991.28 |
$4,991.28 |
$911.00
|
|
Eeg recording awake and asleep
|
$4,991.28 |
$4,991.28 |
$4,991.28 |
$1,030.27
|
|
Eeg without vid 2-12hr cont mntr
|
$1,085.59 |
$1,085.59 |
$1,085.59 |
$684.75
|
|
Eeg without vid 2-12 hr unmntr
|
$1,085.59 |
$1,085.59 |
$1,085.59 |
$526.57
|
|
Eeg without vid ea 12-26hr cont
|
$1,853.76 |
$1,853.76 |
$1,853.76 |
$1,167.64
|
|
Eeg without vid ea 12-26hr intmt
|
$1,853.76 |
$1,853.76 |
$1,853.76 |
$1,126.20
|
|
Eeg wo vid 2-12hr intmt mntr
|
$1,085.59 |
$1,085.59 |
$1,085.59 |
$593.91
|
|
Eeg wo vid ea 12-26hr unmntr
|
$1,853.76 |
$1,853.76 |
$1,853.76 |
$1,139.40
|
|
E equine encephalitis igg
|
$618.93 |
$618.93 |
$618.93 |
$48.73
|
|
Egfr gene com variants
|
$6,395.70 |
$6,395.70 |
$6,395.70 |
$646.75
|
|
Electroconvulsive therapy 90870
|
$3,410.24 |
$3,410.24 |
$3,410.24 |
$1,130.00
|
|
Electrolyte panel
|
$1,029.20 |
$1,029.20 |
$1,029.20 |
$86.33
|
|
Electron microscopy diagnostic
|
$10,725.32 |
$10,725.32 |
$10,725.32 |
$1,006.20
|
|
Electrophysiologic study
|
$30,580.92 |
$30,580.92 |
$30,580.92 |
$6,758.40
|
|
Electrophysiology evaluation
|
$42,813.22 |
$42,813.22 |
$42,813.22 |
$8,979.45
|
|
Electrophysiology evaluation
|
$48,439.70 |
$48,439.70 |
$48,439.70 |
$11,542.01
|
|
Electrophysiology evaluation
|
$26,592.11 |
$26,592.11 |
$26,592.11 |
$2,630.40
|
|
Embolization s&i
|
$56,455.22 |
$56,455.22 |
$56,455.22 |
$2,745.08
|
|
Encephalitis, california igg/igm
|
$618.93 |
$618.93 |
$618.93 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$618.93 |
$618.93 |
$618.93 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$618.93 |
$618.93 |
$618.93 |
$50.35
|
|
Endo cath bile duct s&i
|
$3,477.74 |
$3,477.74 |
$3,477.74 |
$545.37
|
|
Endo cath panc duct s&i
|
$3,477.74 |
$3,477.74 |
$3,477.74 |
$637.65
|
|
Endoscopy swallow (fees) vid
|
$1,650.79 |
$1,650.79 |
$1,650.79 |
$420.00
|
|
Entamoeba histolytica ag eia - sendout
|
$1,049.51 |
$1,049.51 |
$1,049.51 |
$66.60
|
|
Enzyme cell activity ra
|
$4,664.65 |
$4,664.65 |
$4,664.65 |
$197.60
|
|
Enzyme histochemistry
|
$1,216.17 |
$1,216.17 |
$1,216.17 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$127,559.46 |
$127,559.46 |
$127,559.46 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$127,559.46 |
$127,559.46 |
$127,559.46 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$45,871.33 |
$45,871.33 |
$45,871.33 |
$2,753.40
|
|
Epstein barr early antigen antibody
|
$1,194.52 |
$1,194.52 |
$1,194.52 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$82.55
|
|
Esophageal motility
|
$1,325.77 |
$1,325.77 |
$1,325.77 |
$549.70
|
|
Estradiol total
|
$1,812.01 |
$1,812.01 |
$1,812.01 |
$147.79
|
|
Estradiol valerate 10 mg inj
|
$459.75 |
$459.75 |
$459.75 |
$51.40
|
|
Estrogens total-sendout
|
$1,756.94 |
$1,756.94 |
$1,756.94 |
$89.25
|
|
Ethylene glycol -sendout
|
$1,735.16 |
$1,735.16 |
$1,735.16 |
$78.00
|
|
Etoposide 50 mg cap
|
$924.13 |
$924.13 |
$924.13 |
$196.27
|
|
Euglobulin lysis
|
$907.50 |
$907.50 |
$907.50 |
$37.70
|
|
Eval/fit voice prosthesis iii, st
|
$878.26 |
$878.26 |
$878.26 |
$375.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$1,141.31 |
$1,141.31 |
$1,141.31 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$763.59 |
$763.59 |
$763.59 |
$347.75
|
|
Event monitor
|
$4,994.79 |
$4,994.79 |
$4,994.79 |
$242.12
|
|
External chromosome analysis 20-25 cells
|
$2,209.85 |
$2,209.85 |
$2,209.85 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,952.59 |
$1,952.59 |
$1,952.59 |
$466.15
|
|
F-18 fdg pet diag
|
$3,783.08 |
$3,783.08 |
$3,783.08 |
$609.85
|
|
F-18 florbetapir less than or equal to 10 mci
|
$15,348.97 |
$15,348.97 |
$15,348.97 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$317.95 |
$317.95 |
$317.95 |
$1,243.96
|
|
Factor ix
|
$2,287.51 |
$2,287.51 |
$2,287.51 |
$139.75
|
|
Factor ix complex
|
$8.83 |
$8.83 |
$8.83 |
$3.23
|
|
Factor ix recombinant nos
|
$11.33 |
$11.33 |
$11.33 |
$2.80
|
|
Factor viii
|
$2,287.51 |
$2,287.51 |
$2,287.51 |
$148.34
|
|
Factor viii
|
$17.85 |
$17.85 |
$17.85 |
$1.60
|
|
Factor viii recombinant nos
|
$29.65 |
$29.65 |
$29.65 |
$4.68
|
|
Factor xiii anti-hem factor
|
$70.85 |
$70.85 |
$70.85 |
$10.78
|
|
Fat/lipids feces qualitative
|
$2,519.41 |
$2,519.41 |
$2,519.41 |
$37.40
|
|
Fatty acids nonesterified
|
$2,596.08 |
$2,596.08 |
$2,596.08 |
$55.25
|
|
Feeding tube reposition
|
$4,367.95 |
$4,367.95 |
$4,367.95 |
$438.70
|
|
Felbamate (felbatol(r)) - sendout
|
$1,856.89 |
$1,856.89 |
$1,856.89 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10.05 |
$10.05 |
$10.05 |
$102.69
|
|
Ferritin
|
$984.21 |
$984.21 |
$984.21 |
$103.40
|
|
Fetal fibronectin
|
$2,241.07 |
$2,241.07 |
$2,241.07 |
$342.47
|
|
Fetal hemoglobin (kleihauer betke)
|
$1,448.11 |
$1,448.11 |
$1,448.11 |
$85.00
|
|
Fetal hemoglobin rosette
|
$841.69 |
$841.69 |
$841.69 |
$74.25
|
|
Fetal lung maturity assess lam body dnst
|
$379.90 |
$379.90 |
$379.90 |
$64.28
|
|
Fibrin degradation d dimer quantitative
|
$1,658.34 |
$1,658.34 |
$1,658.34 |
$111.55
|
|
Fibrin degradation products
|
$1,381.46 |
$1,381.46 |
$1,381.46 |
$63.90
|
|
Fibrinogen activity
|
$950.91 |
$950.91 |
$950.91 |
$80.83
|
|
Fibrinolytic antiplasmin
|
$1,469.92 |
$1,469.92 |
$1,469.92 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1,878.69 |
$1,878.69 |
$1,878.69 |
$59.89
|
|
Flebogamma injection
|
$276.05 |
$276.05 |
$276.05 |
$276.05
|
|
Flecainide (tambocor)-sendout
|
$5,534.45 |
$5,534.45 |
$5,534.45 |
$66.43
|
|
Floxuridine injection
|
$2,207.36 |
$2,207.36 |
$2,207.36 |
$774.69
|
|
Flt3 gene analysis
|
$1,701.91 |
$1,701.91 |
$1,701.91 |
$249.00
|
|
Fludarabine 50 mg intravenous solution
|
$4,643.13 |
$4,643.13 |
$4,643.13 |
$592.00
|
|
Fluidotherapy charges pt
|
$304.35 |
$304.35 |
$304.35 |
$101.40
|
|
Fluoro polarize fetal lung
|
$1,304.62 |
$1,304.62 |
$1,304.62 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$780.30 |
$780.30 |
$780.30 |
$97.74
|
|
Folic acid
|
$1,856.89 |
$1,856.89 |
$1,856.89 |
$87.50
|
|
Follow-up angiography
|
$12,212.34 |
$12,212.34 |
$12,212.34 |
$1,875.00
|
|
Fractionation ketosteroids
|
$1,707.90 |
$1,707.90 |
$1,707.90 |
$72.00
|
|
_fragile x methylation-sendout
|
$455.94 |
$455.94 |
$455.94 |
$175.75
|
|
Fresh frozen plasma thawing ea un
|
$261.23 |
$261.23 |
$261.23 |
$130.00
|
|
Fructosamine glycated protein
|
$819.04 |
$819.04 |
$819.04 |
$64.20
|
|
Ftl cgen abnor four anal
|
$722.50 |
$722.50 |
$722.50 |
$205.80
|
|
Ga-68 gallium 68 dotatate
|
$225.09 |
$225.09 |
$225.09 |
$119.90
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,555.80 |
$1,555.80 |
$1,555.80 |
$82.50
|
|
Galactokinase - sendout
|
$2,399.02 |
$2,399.02 |
$2,399.02 |
$175.00
|
