|
Ecg external < 48 hours scanning analysis w/report
|
$4,064.55 |
$4,064.55 |
$4,064.55 |
$567.00
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$5,599.13 |
$5,599.13 |
$5,599.13 |
$686.88
|
|
Echograp trans r pros study
|
$4,467.73 |
$4,467.73 |
$4,467.73 |
$445.25
|
|
Echo transesophageal intraop
|
$4,429.51 |
$4,429.51 |
$4,429.51 |
$1,571.70
|
|
Echo transthoracic
|
$6,296.81 |
$6,296.81 |
$6,296.81 |
$1,475.25
|
|
Edetate calcium disodium inj
|
$652.83 |
$652.83 |
$652.83 |
$6,086.32
|
|
Eeg 41-60 minutes 95812-26
|
$4,552.06 |
$4,552.06 |
$4,552.06 |
$934.05
|
|
Eeg monitoring/giving drugs
|
$6,925.31 |
$6,925.31 |
$6,925.31 |
$797.51
|
|
Eeg monitor/record/awake/drowsy 95816
|
$5,098.84 |
$5,098.84 |
$5,098.84 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$6,329.51 |
$6,329.51 |
$6,329.51 |
$1,100.40
|
|
Eeg recording awake and asleep
|
$5,098.84 |
$5,098.84 |
$5,098.84 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$14,512.97 |
$14,512.97 |
$14,512.97 |
$526.57
|
|
Eeg wo vid ea 12-26hr unmntr
|
$14,512.97 |
$14,512.97 |
$14,512.97 |
$1,139.40
|
|
E equine encephalitis igg
|
$418.42 |
$418.42 |
$418.42 |
$48.73
|
|
Egfr gene com variants
|
$1,822.91 |
$1,822.91 |
$1,822.91 |
$646.75
|
|
Electrode stimulation brain
|
$8,050.36 |
$8,050.36 |
$8,050.36 |
$1,180.80
|
|
Electrophysiology evaluation
|
$36,704.21 |
$36,704.21 |
$36,704.21 |
$8,979.45
|
|
Electrophysiology evaluation
|
$32,120.16 |
$32,120.16 |
$32,120.16 |
$11,542.01
|
|
Electrophysiology evaluation
|
$4,641.16 |
$4,641.16 |
$4,641.16 |
$2,630.40
|
|
Embolization s&i
|
$129,752.78 |
$129,752.78 |
$129,752.78 |
$2,745.08
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$2,289.63 |
$2,289.63 |
$2,289.63 |
$436.64
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$2,810.98 |
$2,810.98 |
$2,810.98 |
$512.85
|
|
Emg cranial nerve bilateral
|
$1,149.99 |
$1,149.99 |
$1,149.99 |
$518.00
|
|
Emg needle test 1-extremity
|
$1,520.14 |
$1,520.14 |
$1,520.14 |
$340.80
|
|
Emg needle test 4-extremities
|
$3,302.46 |
$3,302.46 |
$3,302.46 |
$547.00
|
|
Emg thor paraspinal without t1/t2
|
$750.93 |
$750.93 |
$750.93 |
$309.83
|
|
Encephalitis, california igg/igm
|
$418.42 |
$418.42 |
$418.42 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$628.20 |
$628.20 |
$628.20 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$628.20 |
$628.20 |
$628.20 |
$50.35
|
|
Entamoeba histolytica ag eia - sendout
|
$348.38 |
$348.38 |
$348.38 |
$66.60
|
|
Enzyme histochemistry
|
$923.83 |
$923.83 |
$923.83 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$138,624.91 |
$138,624.91 |
$138,624.91 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$167,819.75 |
$167,819.75 |
$167,819.75 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$2,048.80 |
$2,048.80 |
$2,048.80 |
$2,753.40
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$339.08 |
$339.08 |
$339.08 |
$195.23
|
|
Epstein barr early antigen antibody
|
$292.43 |
$292.43 |
$292.43 |
$72.50
|
|
Esophageal dilat s&i
|
$8,083.08 |
$8,083.08 |
$8,083.08 |
$525.00
|
|
Esophageal recording
|
$6,837.73 |
$6,837.73 |
$6,837.73 |
$1,674.16
|
|
Estradiol total
|
$1,226.35 |
$1,226.35 |
$1,226.35 |
$147.79
|
|
Estrogens total-sendout
|
$1,575.56 |
$1,575.56 |
$1,575.56 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$1,652.52 |
$1,652.52 |
$1,652.52 |
$933.59
|
|
Ethylene glycol -sendout
|
$672.58 |
$672.58 |
$672.58 |
$78.00
|
|
Etoposide 50 mg cap
|
$879.87 |
$879.87 |
$879.87 |
$196.27
|
|
Euglobulin lysis
|
$978.35 |
$978.35 |
$978.35 |
$37.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$622.79 |
$622.79 |
$622.79 |
$219.60
|
|
Evoked potentials upper limbs
|
$5,190.43 |
$5,190.43 |
$5,190.43 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$5,178.43 |
$5,178.43 |
$5,178.43 |
$844.00
|
|
External chromosome analysis 20-25 cells
|
$1,409.66 |
$1,409.66 |
$1,409.66 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,428.40 |
$1,428.40 |
$1,428.40 |
$466.15
|
|
F-18 fdg pet diag
|
$7,092.24 |
$7,092.24 |
$7,092.24 |
$609.85
|
|
F-18 florbetapir less than or equal to 10 mci
|
$15,495.15 |
$15,495.15 |
$15,495.15 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$5,415.33 |
$5,415.33 |
$5,415.33 |
$1,243.96
|
|
F-18 sodium fluoride
|
$1,125.61 |
$1,125.61 |
$1,125.61 |
$572.00
|
|
Facial nerve function test
|
$2,033.79 |
$2,033.79 |
$2,033.79 |
$189.01
|
|
Factor ix
|
$931.88 |
$931.88 |
$931.88 |
$139.75
|
|
Factor viii recombinant nos
|
$21.43 |
$21.43 |
$21.43 |
$4.68
|
|
Family therapy with patient 50 min 90847
|
$895.87 |
$895.87 |
$895.87 |
$230.36
|
|
Fat/lipids feces qualitative
|
$593.06 |
$593.06 |
$593.06 |
$37.40
|
|
Fatty acids nonesterified
|
$334.72 |
$334.72 |
$334.72 |
$55.25
|
|
Felbamate (felbatol(r)) - sendout
|
$571.34 |
$571.34 |
$571.34 |
$66.43
|
|
Ferritin
|
$986.73 |
$986.73 |
$986.73 |
$103.40
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,592.30 |
$2,592.30 |
$2,592.30 |
$2,232.93
|
|
Fetal fibronectin
|
$1,026.96 |
$1,026.96 |
$1,026.96 |
$342.47
|
|
Fetal hemoglobin (kleihauer betke)
|
$657.14 |
$657.14 |
$657.14 |
$85.00
|
|
Fetal hemoglobin rosette
|
$153.68 |
$153.68 |
$153.68 |
$74.25
|
|
Fibrin degradation products
|
$573.39 |
$573.39 |
$573.39 |
$63.90
|
|
Fibrin degrade semiquant
|
$993.97 |
$993.97 |
$993.97 |
$90.35
|
|
Fibrinolytic antiplasmin
|
$311.17 |
$311.17 |
$311.17 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$627.14 |
$627.14 |
$627.14 |
$59.89
|
|
Flebogamma injection
|
$351.05 |
$351.05 |
$351.05 |
$276.05
|
|
Flecainide (tambocor)-sendout
|
$369.77 |
$369.77 |
$369.77 |
$66.43
|
|
Floxuridine injection
|
$2,233.24 |
$2,233.24 |
$2,233.24 |
$774.69
|
|
Flt3 gene
|
$1,969.55 |
$1,969.55 |
$1,969.55 |
$353.60
|
|
Fludarabine 50 mg intravenous solution
|
$4,394.37 |
$4,394.37 |
$4,394.37 |
$592.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$485.23 |
$485.23 |
$485.23 |
$171.99
|
|
Flutemetamol f18 diagnostic
|
$14,323.57 |
$14,323.57 |
$14,323.57 |
$2,892.40
|
|
Folic acid
|
$1,208.82 |
$1,208.82 |
$1,208.82 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$326.91 |
$326.91 |
$326.91 |
$48.78
|
|
Follow-up angiography
|
$57,086.02 |
$57,086.02 |
$57,086.02 |
$1,875.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$4,200.48 |
$4,200.48 |
$4,200.48 |
$462.82
|
|
Fresh frozen plasma thawing ea un
|
$175.49 |
$175.49 |
$175.49 |
$130.00
|
|
Fructosamine glycated protein
|
$272.77 |
$272.77 |
$272.77 |
$64.20
|
|
Ga-67 gallium 0.1 mci
|
$1,728.23 |
$1,728.23 |
$1,728.23 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$436.01 |
$436.01 |
$436.01 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$952.02 |
$952.02 |
$952.02 |
$177.43
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$393.05 |
$393.05 |
$393.05 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,628.24 |
$1,628.24 |
$1,628.24 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,261.67 |
$1,261.67 |
$1,261.67 |
$82.50
|
|
Galactose transferase test
|
$399.85 |
$399.85 |
$399.85 |
$22.18
|
|
Galectin-3
|
$1,758.53 |
$1,758.53 |
$1,758.53 |
$96.99
|
|
Gallium illuccix 1 millicure
|
$3,822.39 |
$3,822.39 |
$3,822.39 |
$1,395.27
|
|
Gammaglobulin ige
|
$755.24 |
$755.24 |
$755.24 |
$85.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$802.87 |
$802.87 |
$802.87 |
$211.20
|
|
Gastroesophageal reflux study
|
$8,274.43 |
$8,274.43 |
$8,274.43 |
$911.04
|
|
Gastroesophageal reflux test
|
$3,022.50 |
$3,022.50 |
$3,022.50 |
$1,115.40
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$1,494.45 |
$1,494.45 |
$1,494.45 |
$21,306.71
|
|
Gentamicin peak therapeutic drug level
|
$1,075.52 |
$1,075.52 |
$1,075.52 |
$117.00
|
|
G-esoph reflx tst w/electrod
|
$3,955.24 |
$3,955.24 |
$3,955.24 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$679.84 |
$679.84 |
$679.84 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$1,029.05 |
$1,029.05 |
$1,029.05 |
$103.14
|
