|
Drug of abuse screen urine
|
$12.54 |
$12.54 |
$12.54 |
$67.89
|
|
Drug screening tapentadol
|
$18.48 |
$18.48 |
$18.48 |
$47.03
|
|
Drug test prsmv instrmnt
|
$17.16 |
$17.16 |
$17.16 |
$83.20
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$148.17 |
$148.17 |
$148.17 |
$278.85
|
|
Ductogram sgl duct
|
$185.40 |
$185.40 |
$185.40 |
$469.80
|
|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$324.70 |
$324.70 |
$324.70 |
$745.00
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$485.73 |
$485.73 |
$485.73 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$228.15 |
$228.15 |
$228.15 |
$401.20
|
|
Echocardiogram (Heart Ultrasound)
|
$1,249.12 |
$1,249.12 |
$1,249.12 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$282.32 |
$282.32 |
$282.32 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$226.19 |
$226.19 |
$226.19 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,561.40 |
$1,561.40 |
$1,561.40 |
$1,944.80
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$353.21 |
$353.21 |
$353.21 |
$866.87
|
|
Echocardiograpy doppler follow up/limited study
|
$194.96 |
$194.96 |
$194.96 |
$371.25
|
|
Echo exam uterus 76831-
|
$354.43 |
$354.43 |
$354.43 |
$561.00
|
|
Echo guide for amniocentesis
|
$285.70 |
$285.70 |
$285.70 |
$455.57
|
|
Echo stress
|
$543.96 |
$543.96 |
$543.96 |
$1,609.44
|
|
Echo transthoracic
|
$348.99 |
$348.99 |
$348.99 |
$1,052.40
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$397.52 |
$397.52 |
$397.52 |
$1,033.00
|
|
E equine encephalitis igg
|
$26.45 |
$26.45 |
$26.45 |
$51.84
|
|
Egfr gene com variants
|
$299.99 |
$299.99 |
$299.99 |
$672.88
|
|
EKG (Tracing Only)
|
$140.58 |
$140.58 |
$140.58 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$175.50 |
$175.50 |
$175.50 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$216.45 |
$216.45 |
$216.45 |
$364.20
|
|
Electrd sq emblem s-icd
|
$5,396.28 |
$5,396.28 |
$5,396.28 |
$10,243.24
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$93.98 |
$93.98 |
$93.98 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$75.46 |
$75.46 |
$75.46 |
$81.75
|
|
Electrolyte panel
|
$25.74 |
$25.74 |
$25.74 |
$79.30
|
|
Electron microscopy diagnostic
|
$795.70 |
$795.70 |
$795.70 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$26.45 |
$26.45 |
$26.45 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$26.45 |
$26.45 |
$26.45 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$26.45 |
$26.45 |
$26.45 |
$54.99
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,012.18 |
$1,012.18 |
$1,012.18 |
$1,182.00
|
|
Epoetin alfa, 100 units esrd
|
$13.64 |
$13.64 |
$13.64 |
$6.00
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$2.22 |
$2.22 |
$2.22 |
$1,329.09
|
|
Epstein barr early antigen antibody
|
$22.38 |
$22.38 |
$22.38 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$21.98 |
$21.98 |
$21.98 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$25.23 |
$25.23 |
$25.23 |
$85.50
|
|
ER Visit (level 1, minor)
|
$118.90 |
$118.90 |
$118.90 |
$252.60
|
|
ER Visit (level 2)
|
$243.37 |
$243.37 |
$243.37 |
$463.00
|
|
ER Visit (level 3)
|
$551.91 |
$551.91 |
$551.91 |
$812.18
|
|
ER Visit (level 4)
|
$1,435.49 |
$1,435.49 |
$1,435.49 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$1,865.05 |
$1,865.05 |
$1,865.05 |
$1,871.60
|
|
Established Patient Office Visit (level 1)
|
$93.62 |
$93.62 |
$93.62 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$214.70 |
$214.70 |
$214.70 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$421.09 |
$421.09 |
$421.09 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$647.14 |
$647.14 |
$647.14 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$913.25 |
$913.25 |
$913.25 |
$290.68
|
|
Estradiol total
|
$27.72 |
$27.72 |
$27.72 |
$152.10
|
|
Estrogens total-sendout
|
$21.78 |
$21.78 |
$21.78 |
$97.50
|
|
Ethylene glycol -sendout
|
$31.02 |
$31.02 |
$31.02 |
$86.04
|
|
Eval/fit voice prosthesis iii, st
|
$178.98 |
$178.98 |
$178.98 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$97.35 |
$97.35 |
$97.35 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$290.78 |
$290.78 |
$290.78 |
$302.50
|
|
Evoked potentials auditory screening automated analysis
|
$115.90 |
$115.90 |
$115.90 |
$261.30
|
|
Exchange nephrostomy cath
|
$2,131.70 |
$2,131.70 |
$2,131.70 |
$2,958.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$4,101.67
|
|
External chromosome analysis 20-25 cells
|
$194.43 |
$194.43 |
$194.43 |
$415.01
|
|
External newborn metabolic screening panel
|
$82.90 |
$82.90 |
$82.90 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$193.54 |
$193.54 |
$193.54 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$52.91 |
$52.91 |
$52.91 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$234.00 |
$234.00 |
$234.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$990.36 |
$990.36 |
$990.36 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$825.39 |
$825.39 |
$825.39 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$660.15 |
$660.15 |
$660.15 |
$1,320.00
|
|
F-18 fdg pet diag
|
$186.29 |
$186.29 |
$186.29 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,517.76 |
$1,517.76 |
$1,517.76 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,011.84 |
$1,011.84 |
$1,011.84 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$176.40 |
$176.40 |
$176.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$206.10 |
$206.10 |
$206.10 |
$381.75
|
|
Factor ix
|
$26.46 |
$26.46 |
$26.46 |
$162.50
|
|
Factor ix complex
|
$1.42 |
$1.42 |
$1.42 |
$4.68
|
|
Factor viii
|
$22.11 |
$22.11 |
$22.11 |
$148.00
|
|
Factor viii recombinant nos
|
$0.34 |
$0.34 |
$0.34 |
$5.20
|
|
Fat/lipids feces qualitative
|
$22.44 |
$22.44 |
$22.44 |
$36.00
|
|
Fatty acids nonesterified
|
$22.77 |
$22.77 |
$22.77 |
$72.15
|
|
#fecal-sodium
|
$19.14 |
$19.14 |
$19.14 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$24.42 |
$24.42 |
$24.42 |
$66.43
|
|
Fern test
|
$21.78 |
$21.78 |
$21.78 |
$37.03
|
|
Ferritin
|
$19.80 |
$19.80 |
$19.80 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$481.66 |
$481.66 |
$481.66 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$560.99 |
$560.99 |
$560.99 |
$477.50
|
|
Fetal fibronectin
|
$64.02 |
$64.02 |
$64.02 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$19.76 |
$19.76 |
$19.76 |
$102.00
|
|
Fetal hemoglobin rosette
|
$9.71 |
$9.71 |
$9.71 |
$67.20
|
|
Fetal non stress test
|
$481.92 |
$481.92 |
$481.92 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$22.11 |
$22.11 |
$22.11 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$10.38 |
$10.38 |
$10.38 |
$120.64
|
|
Fibrin degradation products
|
$26.80 |
$26.80 |
$26.80 |
$75.02
|
|
Fibrinogen activity
|
$10.05 |
$10.05 |
$10.05 |
$87.00
|
|
Fibrinolytic antiplasmin
|
$8.04 |
$8.04 |
$8.04 |
$72.80
|
|
Fibrinolytic plasminogen
|
$28.14 |
$28.14 |
$28.14 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$23.78 |
$23.78 |
$23.78 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$5,396.28 |
$5,396.28 |
$5,396.28 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,317.49 |
$4,317.49 |
$4,317.49 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$561.47 |
$561.47 |
$561.47 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$256.88 |
$256.88 |
$256.88 |
$504.45
|
|
Finger X-ray (both hands)
|
$117.90 |
$117.90 |
$117.90 |
$241.50
|
|
Fl exam g/colon tube w contrast
|
$155.49 |
$155.49 |
$155.49 |
$540.80
|
|
Flow cytometry marker each additional
|
$56.45 |
$56.45 |
$56.45 |
$97.50
|