|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$10,471.38 |
$10,471.38 |
$10,471.38 |
$1,020.09
|
|
E coli 0157 ag ia
|
$497.09 |
$497.09 |
$497.09 |
$32.00
|
|
Eeg 41-60 minutes 95812-26
|
$2,592.93 |
$2,592.93 |
$2,592.93 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$5,510.71 |
$5,510.71 |
$5,510.71 |
$1,048.30
|
|
Eeg during surgery
|
$12,299.65 |
$12,299.65 |
$12,299.65 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$5,503.65 |
$5,503.65 |
$5,503.65 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$3,708.73 |
$3,708.73 |
$3,708.73 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$5,842.63 |
$5,842.63 |
$5,842.63 |
$911.00
|
|
Eeg recording awake and asleep
|
$5,934.43 |
$5,934.43 |
$5,934.43 |
$1,030.27
|
|
Egfr gene com variants
|
$939.88 |
$939.88 |
$939.88 |
$646.75
|
|
Electrolyte panel
|
$1,169.74 |
$1,169.74 |
$1,169.74 |
$86.33
|
|
Electron microscopy diagnostic
|
$595.80 |
$595.80 |
$595.80 |
$1,006.20
|
|
Electrophysiology evaluation
|
$16,693.82 |
$16,693.82 |
$16,693.82 |
$8,979.45
|
|
Electrophysiology evaluation
|
$44,862.44 |
$44,862.44 |
$44,862.44 |
$11,542.01
|
|
Electrophysiology evaluation
|
$15,114.45 |
$15,114.45 |
$15,114.45 |
$2,845.10
|
|
Electrophys map 3d add-on
|
$11,292.06 |
$11,292.06 |
$11,292.06 |
$6,534.00
|
|
Encephalitis, california igg/igm
|
$293.25 |
$293.25 |
$293.25 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$20.75 |
$20.75 |
$20.75 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$8.14 |
$8.14 |
$8.14 |
$50.35
|
|
Endo cath bile duct s&i
|
$9,373.87 |
$9,373.87 |
$9,373.87 |
$545.37
|
|
Endo cath panc duct s&i
|
$8,611.57 |
$8,611.57 |
$8,611.57 |
$637.65
|
|
Endoscopy swallow (fees) vid
|
$946.22 |
$946.22 |
$946.22 |
$420.00
|
|
Ep & ablate supravent arrhyt
|
$97,066.49 |
$97,066.49 |
$97,066.49 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$112,297.24 |
$112,297.24 |
$112,297.24 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$31,016.90 |
$31,016.90 |
$31,016.90 |
$2,753.40
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$397.24 |
$397.24 |
$397.24 |
$135.20
|
|
Ercp biliary & pancreas
|
$10,305.57 |
$10,305.57 |
$10,305.57 |
$922.35
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$732.32 |
$732.32 |
$732.32 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$275.68 |
$275.68 |
$275.68 |
$232.84
|
|
Esophageal dilat s&i
|
$1,876.71 |
$1,876.71 |
$1,876.71 |
$525.00
|
|
Esophagus motility study
|
$4,942.85 |
$4,942.85 |
$4,942.85 |
$1,274.00
|
|
Estrogens total-sendout
|
$5.70 |
$5.70 |
$5.70 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$2,158.53 |
$2,158.53 |
$2,158.53 |
$933.59
|
|
Ethylene glycol -sendout
|
$12.36 |
$12.36 |
$12.36 |
$78.00
|
|
Etoposide 20 mg/ml intravenous solution
|
$21.50 |
$21.50 |
$21.50 |
$213.17
|
|
Euglobulin lysis
|
$40.32 |
$40.32 |
$40.32 |
$37.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$391.71 |
$391.71 |
$391.71 |
$219.60
|
|
Event monitor
|
$3,028.42 |
$3,028.42 |
$3,028.42 |
$242.12
|
|
Evoked potentials upper limbs
|
$6,690.09 |
$6,690.09 |
$6,690.09 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$6,428.73 |
$6,428.73 |
$6,428.73 |
$844.00
|
|
Facial bones <3
|
$2,707.98 |
$2,707.98 |
$2,707.98 |
$241.75
|
|
Factor ix complex
|
$12.51 |
$12.51 |
$12.51 |
$3.23
|
|
Factor ix non-recombinant
|
$11.56 |
$11.56 |
$11.56 |
$1.41
|
|
Factor ix recombinant nos
|
$7.00 |
$7.00 |
$7.00 |
$2.80
|
|
Factor viii
|
$6.25 |
$6.25 |
$6.25 |
$1.60
|
|
Factor viii recombinant nos
|
$8.16 |
$8.16 |
$8.16 |
$4.68
|
|
Fetal biophys profile w/nst 76818
|
$2,130.81 |
$2,130.81 |
$2,130.81 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$1,082.95 |
$1,082.95 |
$1,082.95 |
$560.99
|
|
Fetal fibronectin
|
$1,916.42 |
$1,916.42 |
$1,916.42 |
$342.47
|
|
Fetal hemoglobin (kleihauer betke)
|
$95.00 |
$95.00 |
$95.00 |
$85.00
|
|
Fetal hemoglobin rosette
|
$713.68 |
$713.68 |
$713.68 |
$74.25
|
|
Fetal non stress test
|
$1,592.36 |
$1,592.36 |
$1,592.36 |
$500.57
|
|
Fibrin degradation d dimer quantitative
|
$450.56 |
$450.56 |
$450.56 |
$111.55
|
|
Fibrin degrade semiquant
|
$814.40 |
$814.40 |
$814.40 |
$90.35
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$16.29 |
$16.29 |
$16.29 |
$59.89
|
|
Flecainide (tambocor)-sendout
|
$12.22 |
$12.22 |
$12.22 |
$66.43
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$83.14 |
$83.14 |
$83.14 |
$97.74
|
|
Follow-up angiography
|
$24,328.26 |
$24,328.26 |
$24,328.26 |
$1,875.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,666.67 |
$4,666.67 |
$4,666.67 |
$3,035.46
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$99.16 |
$99.16 |
$99.16 |
$462.82
|
|
Foscarnet sodium injection
|
$2,374.82 |
$2,374.82 |
$2,374.82 |
$714.25
|
|
Fractionation ketosteroids
|
$173.98 |
$173.98 |
$173.98 |
$72.00
|
|
Fracture assessment via dxa
|
$2,286.90 |
$2,286.90 |
$2,286.90 |
$136.07
|
|
Fresh frozen plasma thawing ea un
|
$371.45 |
$371.45 |
$371.45 |
$130.00
|
|
Ga-67 gallium 0.1 mci
|
$104.06 |
$104.06 |
$104.06 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$41.67 |
$41.67 |
$41.67 |
$144.98
|
|
Gastroesophageal reflux test
|
$34,354.32 |
$34,354.32 |
$34,354.32 |
$1,115.40
|
|
Gated heart multiple
|
$28,295.85 |
$28,295.85 |
$28,295.85 |
$1,368.90
|
|
Gemcitabine 1 gram intravenous solution
|
$98.82 |
$98.82 |
$98.82 |
$240.65
|
|
G-esoph reflx tst w/electrod
|
$26,250.95 |
$26,250.95 |
$26,250.95 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$7.74 |
$7.74 |
$7.74 |
$39.60
|
|
Ghs diphtheria toxoid ab igg
|
$8.15 |
$8.15 |
$8.15 |
$74.53
|
|
Ghs fish cytogen
|
$59.25 |
$59.25 |
$59.25 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$164.37 |
$164.37 |
$164.37 |
$229.45
|
|
Ghs flow volume loop
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$308.69
|
|
Ghs hcv amplificaiton
|
$61.09 |
$61.09 |
$61.09 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$75.00 |
$75.00 |
$75.00 |
$105.00
|
|
Ghs histoplasma antigen
|
$75.00 |
$75.00 |
$75.00 |
$144.50
|
|
Ghs hla-dr/dq, multiple antigens
|
$243.60 |
$243.60 |
$243.60 |
$462.60
|
|
Ghs inhibitor screen
|
$76.56 |
$76.56 |
$76.56 |
$158.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$1.88 |
$1.88 |
$1.88 |
$59.40
|
|
Ghs mbp
|
$13.16 |
$13.16 |
$13.16 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$1,763.62 |
$1,763.62 |
$1,763.62 |
$500.00
|
|
Ghs o2 saturation
|
$700.99 |
$700.99 |
$700.99 |
$72.45
|
|
Ghs o2 uptake rest & indirect
|
$257.73 |
$257.73 |
$257.73 |
$195.00
|
|
Ghs pacing - transcutaneous
|
$11,246.32 |
$11,246.32 |
$11,246.32 |
$842.40
|
|
Ghs ppd (tb intradermal)
|
$33.25 |
$33.25 |
$33.25 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$5.70 |
$5.70 |
$5.70 |
$41.40
|
|
Ghs protoporphyrins fract
|
$8.00 |
$8.00 |
$8.00 |
$64.35
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$5.25 |
$5.25 |
$5.25 |
$45.05
|
|
Ghs quinidine
|
$9.89 |
$9.89 |
$9.89 |
$68.40
|
|
Ghs refill of implantable pump
|
$3,378.40 |
$3,378.40 |
$3,378.40 |
$516.00
|
|
Ghs respiratory syncytical virus igg/m
|
$13.49 |
$13.49 |
$13.49 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$494.55 |
$494.55 |
$494.55 |
$101.15
|
|
Ghs semen analysis fert
|
$1,644.83 |
$1,644.83 |
$1,644.83 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$288.95 |
$288.95 |
$288.95 |
$59.90
|
|
Ghs somatosensory testing lower extremit
|
$7,155.94 |
$7,155.94 |
$7,155.94 |
$947.48
|
|
Ghs st - re-eval for alt comm
|
$1,375.77 |
$1,375.77 |
$1,375.77 |
$313.80
|
|
Ghs trypsin (fecal)
|
$25.82 |
$25.82 |
$25.82 |
$21.84
|
|
Ghs urine, hydroxproline total
|
$18.25 |
$18.25 |
$18.25 |
$61.60
|
