|
Fat/lipids feces qualitative
|
$15.44 |
$15.44 |
$15.44 |
$36.00
|
|
Fatty acids nonesterified
|
$15.66 |
$15.66 |
$15.66 |
$72.15
|
|
#fecal-sodium
|
$13.17 |
$13.17 |
$13.17 |
$37.53
|
|
Fees w/laryngeal sense test
|
$297.55 |
$297.55 |
$297.55 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$16.80 |
$16.80 |
$16.80 |
$66.43
|
|
Fem/popl revasc w/stent
|
$13,033.91 |
$13,033.91 |
$13,033.91 |
$16,129.60
|
|
Fern test
|
$14.98 |
$14.98 |
$14.98 |
$37.03
|
|
Ferritin
|
$27.01 |
$27.01 |
$27.01 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$407.62 |
$407.62 |
$407.62 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$381.00 |
$381.00 |
$381.00 |
$477.50
|
|
Fetal fibronectin
|
$44.04 |
$44.04 |
$44.04 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$6.02 |
$6.02 |
$6.02 |
$102.00
|
|
Fetal hemoglobin rosette
|
$2.96 |
$2.96 |
$2.96 |
$67.20
|
|
Fetal non stress test
|
$441.00 |
$441.00 |
$441.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$15.21 |
$15.21 |
$15.21 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$3.16 |
$3.16 |
$3.16 |
$120.64
|
|
Fibrin degradation products
|
$8.16 |
$8.16 |
$8.16 |
$75.02
|
|
Fibrinogen activity
|
$3.06 |
$3.06 |
$3.06 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$4.79 |
$4.79 |
$4.79 |
$61.00
|
|
Fibrinolytic plasminogen
|
$8.57 |
$8.57 |
$8.57 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$7.24 |
$7.24 |
$7.24 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$8,827.31 |
$8,827.31 |
$8,827.31 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,733.80 |
$3,733.80 |
$3,733.80 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$563.03 |
$563.03 |
$563.03 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$384.15 |
$384.15 |
$384.15 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$272.65 |
$272.65 |
$272.65 |
$825.00
|
|
Finger X-ray (both hands)
|
$87.01 |
$87.01 |
$87.01 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$15.44 |
$15.44 |
$15.44 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$143.81 |
$143.81 |
$143.81 |
$540.80
|
|
Flow cytometry marker each additional
|
$66.99 |
$66.99 |
$66.99 |
$97.50
|
|
Flow cytometry one marker technical component
|
$351.59 |
$351.59 |
$351.59 |
$285.00
|
|
Flt3 gene
|
$69.08 |
$69.08 |
$69.08 |
$366.29
|
|
Flt3 gene analysis
|
$34.61 |
$34.61 |
$34.61 |
$216.00
|
|
Fluid pressure muscle 20950
|
$647.87 |
$647.87 |
$647.87 |
$779.45
|
|
Fluorescent antibody titer dna
|
$154.84 |
$154.84 |
$154.84 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$306.35 |
$306.35 |
$306.35 |
$495.00
|
|
Fluoroguide needle placement
|
$245.91 |
$245.91 |
$245.91 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$288.11 |
$288.11 |
$288.11 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$546.48 |
$546.48 |
$546.48 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$390.85 |
$390.85 |
$390.85 |
$834.90
|
|
Folic acid
|
$10.21 |
$10.21 |
$10.21 |
$101.50
|
|
Foot X-ray
|
$72.42 |
$72.42 |
$72.42 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$69.29 |
$69.29 |
$69.29 |
$290.40
|
|
Forearm X-ray (both sides)
|
$87.01 |
$87.01 |
$87.01 |
$324.00
|
|
Fracture assessment via dxa
|
$70.34 |
$70.34 |
$70.34 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$36.27 |
$36.27 |
$36.27 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$36.27 |
$36.27 |
$36.27 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$132.78 |
$132.78 |
$132.78 |
$131.25
|
|
Fructosamine glycated protein
|
$12.03 |
$12.03 |
$12.03 |
$63.50
|
|
Ftl cgen abnor two proteins
|
$36.14 |
$36.14 |
$36.14 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$129.73 |
$129.73 |
$129.73 |
$355.00
|
|
Gabapentin non-blood
|
$12.71 |
$12.71 |
$12.71 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$39.27 |
$39.27 |
$39.27 |
$100.00
|
|
Galactose transferase test
|
$8.17 |
$8.17 |
$8.17 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,312.36 |
$1,312.36 |
$1,312.36 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,247.04 |
$2,247.04 |
$2,247.04 |
$1,615.00
|
|
Gammaglobulin iga
|
$14.30 |
$14.30 |
$14.30 |
$69.60
|
|
Gammaglobulin ige
|
$13.17 |
$13.17 |
$13.17 |
$83.85
|
|
Gamma glutamyltransferase
|
$14.07 |
$14.07 |
$14.07 |
$57.54
|
|
Gastric emptying imag study
|
$1,625.19 |
$1,625.19 |
$1,625.19 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,841.56 |
$1,841.56 |
$1,841.56 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$765.72 |
$765.72 |
$765.72 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$975.62 |
$975.62 |
$975.62 |
$1,352.00
|
|
Gated heart multiple
|
$1,299.28 |
$1,299.28 |
$1,299.28 |
$1,405.04
|
|
Generator barostim neo2 2014
|
$61,781.51 |
$61,781.51 |
$61,781.51 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$29,128.06 |
$29,128.06 |
$29,128.06 |
$36,467.76
|
|
Gentamicin peak therapeutic drug level
|
$11.35 |
$11.35 |
$11.35 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,980.61 |
$1,980.61 |
$1,980.61 |
$1,514.00
|
|
Ghs acetylcholinesterase, rbc
|
$13.39 |
$13.39 |
$13.39 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$41.77 |
$41.77 |
$41.77 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$115.37 |
$115.37 |
$115.37 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$8.14 |
$8.14 |
$8.14 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$172.18 |
$172.18 |
$172.18 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$155.63 |
$155.63 |
$155.63 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$617.00 |
$617.00 |
$617.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,241.49 |
$1,241.49 |
$1,241.49 |
$2,519.49
|
|
Ghs chemo IV push, ea addtl
|
$120.31 |
$120.31 |
$120.31 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$47.56 |
$47.56 |
$47.56 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$19.60 |
$19.60 |
$19.60 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$11.65 |
$11.65 |
$11.65 |
$55.29
|
|
Ghs febrile agglutinns(mayo)
|
$3.88 |
$3.88 |
$3.88 |
$48.10
|
|
Ghs fish cytogen
|
$133.01 |
$133.01 |
$133.01 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$75.31 |
$75.31 |
$75.31 |
$226.20
|
|
Ghs flow volume loop
|
$64.20 |
$64.20 |
$64.20 |
$308.69
|
|
Ghs hcv amplificaiton
|
$15.37 |
$15.37 |
$15.37 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$44.21 |
$44.21 |
$44.21 |
$144.54
|
|
Ghs hgb stability-thal
|
$28.60 |
$28.60 |
$28.60 |
$89.91
|
|
Ghs histoplasma antigen
|
$22.04 |
$22.04 |
$22.04 |
$142.00
|
|
Ghs HIV antibody
|
$7.77 |
$7.77 |
$7.77 |
$89.70
|
|
Ghs immun0electrophoresis
|
$16.65 |
$16.65 |
$16.65 |
$110.00
|
|
Ghs inf midline insertion
|
$356.57 |
$356.57 |
$356.57 |
$1,238.25
|
|
Ghs inhibitor screen
|
$22.95 |
$22.95 |
$22.95 |
$191.88
|
|
Ghs inj neurolytic other perph nerve
|
$979.88 |
$979.88 |
$979.88 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$181.63 |
$181.63 |
$181.63 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$889.65 |
$889.65 |
$889.65 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,303.35 |
$1,303.35 |
$1,303.35 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$309.52 |
$309.52 |
$309.52 |
$431.28
|
|
Ghs mbp
|
$14.30 |
$14.30 |
$14.30 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$250.69 |
$250.69 |
$250.69 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$250.69 |
$250.69 |
$250.69 |
$228.45
|
