|
Evaluation of speech fluency 92521
|
$1,366.00 |
$1,366.00 |
$1,366.00 |
$347.75
|
|
Evoked potentials upper limbs
|
$2,249.00 |
$2,249.00 |
$2,249.00 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$1,216.00 |
$1,216.00 |
$1,216.00 |
$844.00
|
|
Factor ix
|
$249.00 |
$249.00 |
$249.00 |
$139.75
|
|
Factor ix complex
|
$9.00 |
$9.00 |
$9.00 |
$3.23
|
|
Factor viii nuwiq recomb 1iu
|
$9.98 |
$9.98 |
$9.98 |
$1.24
|
|
Factor viii recombinant nos
|
$11.00 |
$11.00 |
$11.00 |
$4.68
|
|
Family therapy without pt 50min 90846
|
$384.09 |
$384.09 |
$384.09 |
$239.50
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$25,752.75 |
$25,752.75 |
$25,752.75 |
$5,923.42
|
|
Fat/lipids feces qualitative
|
$91.00 |
$91.00 |
$91.00 |
$37.40
|
|
Fatty acids nonesterified
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$55.25
|
|
Feeding tube reposition
|
$1,454.00 |
$1,454.00 |
$1,454.00 |
$438.70
|
|
Fees w/laryngeal sense test
|
$852.00 |
$852.00 |
$852.00 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$311.00 |
$311.00 |
$311.00 |
$66.43
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,197.75 |
$2,197.75 |
$2,197.75 |
$1,475.61
|
|
Fetal hemoglobin (kleihauer betke)
|
$83.00 |
$83.00 |
$83.00 |
$85.00
|
|
Fetal non stress test
|
$1,034.00 |
$1,034.00 |
$1,034.00 |
$500.57
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$211.00 |
$211.00 |
$211.00 |
$59.89
|
|
Flecainide (tambocor)-sendout
|
$311.00 |
$311.00 |
$311.00 |
$66.43
|
|
Flow cytometry marker each additional
|
$181.00 |
$181.00 |
$181.00 |
$102.00
|
|
Floxuridine injection
|
$1,135.00 |
$1,135.00 |
$1,135.00 |
$774.69
|
|
Fludarabine 50 mg intravenous solution
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$592.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$143.00 |
$143.00 |
$143.00 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$224.00 |
$224.00 |
$224.00 |
$171.99
|
|
Folic acid 5 mg/ml injection solution
|
$299.68 |
$299.68 |
$299.68 |
$48.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$8,058.00 |
$8,058.00 |
$8,058.00 |
$3,035.46
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,310.37 |
$3,310.37 |
$3,310.37 |
$462.82
|
|
Foscarnet sodium injection
|
$5,066.00 |
$5,066.00 |
$5,066.00 |
$714.25
|
|
Fresh frozen plasma thawing ea un
|
$248.00 |
$248.00 |
$248.00 |
$130.00
|
|
Fructosamine glycated protein
|
$122.00 |
$122.00 |
$122.00 |
$64.20
|
|
Ga-67 gallium 0.1 mci
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$163.80
|
|
Galactokinase - sendout
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$175.00
|
|
Gastric analy w/ph ea spec
|
$982.00 |
$982.00 |
$982.00 |
$23.01
|
|
Ghs acetylcholinesterase, rbc
|
$72.00 |
$72.00 |
$72.00 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$43.00 |
$43.00 |
$43.00 |
$103.14
|
|
Ghs bleeding time (ivy)
|
$873.00 |
$873.00 |
$873.00 |
$55.90
|
|
Ghs chemo >8 hrs
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$710.00
|
|
Ghs community re-entry 15 minutes
|
$370.00 |
$370.00 |
$370.00 |
$87.60
|
|
Ghs fish cytogen
|
$2,583.00 |
$2,583.00 |
$2,583.00 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$193.00 |
$193.00 |
$193.00 |
$229.45
|
|
Ghs flow volume loop
|
$612.00 |
$612.00 |
$612.00 |
$308.69
|
|
Ghs histoplasma antigen
|
$400.00 |
$400.00 |
$400.00 |
$144.50
|
|
Ghs leukocyte alkaline phos (mayo)
|
$68.00 |
$68.00 |
$68.00 |
$59.40
|
|
Ghs mbp
|
$143.00 |
$143.00 |
$143.00 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$500.00
|
|
Ghs o2 uptake rest & indirect
|
$147.00 |
$147.00 |
$147.00 |
$195.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$134.00 |
$134.00 |
$134.00 |
$95.16
|
|
Ghs ot dds rom
|
$190.00 |
$190.00 |
$190.00 |
$53.01
|
|
Ghs ot sensory integrative tech/15min
|
$370.00 |
$370.00 |
$370.00 |
$101.50
|
|
Ghs pacing - transcutaneous
|
$3,596.00 |
$3,596.00 |
$3,596.00 |
$842.40
|
|
Ghs ppd (tb intradermal)
|
$207.00 |
$207.00 |
$207.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$78.00 |
$78.00 |
$78.00 |
$41.40
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$377.00 |
$377.00 |
$377.00 |
$45.05
|
|
Ghs quinidine
|
$341.00 |
$341.00 |
$341.00 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$437.00 |
$437.00 |
$437.00 |
$42.40
|
|
Ghs sp train/fitting sp device - kx
|
$622.00 |
$622.00 |
$622.00 |
$249.60
|
|
Ghs urine, hydroxproline total
|
$262.00 |
$262.00 |
$262.00 |
$61.60
|
|
Ghs urine, porphyrins quant
|
$185.00 |
$185.00 |
$185.00 |
$72.60
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,304.00 |
$3,304.00 |
$3,304.00 |
$2,418.92
|
|
Glucagon 1 mg solution for injection
|
$2,284.00 |
$2,284.00 |
$2,284.00 |
$591.50
|
|
Glucagon plasma - sendout
|
$148.00 |
$148.00 |
$148.00 |
$58.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$4,127.00 |
$4,127.00 |
$4,127.00 |
$2,506.56
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$8,925.00 |
$8,925.00 |
$8,925.00 |
$63.51
|
|
Granisetron hcl injection
|
$224.00 |
$224.00 |
$224.00 |
$36.78
|
|
Growth hormone antibody
|
$160.00 |
$160.00 |
$160.00 |
$40.00
|
|
Gu dilat ureter/urethra s&i
|
$1,926.00 |
$1,926.00 |
$1,926.00 |
$1,712.25
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$455.00 |
$455.00 |
$455.00 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$160.00 |
$160.00 |
$160.00 |
$27.12
|
|
Hast w/oxygen titrate
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$310.40
|
|
Hbot, full body chamber, 30m
|
$562.00 |
$562.00 |
$562.00 |
$479.75
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$2,768.00 |
$2,768.00 |
$2,768.00 |
$757.08
|
|
Hc i-131 sodium iodide cap dx per mci
|
$581.00 |
$581.00 |
$581.00 |
$142.49
|
|
Hc nm cardiac blood pool planar 1 stdy wal motn eject fract
|
$2,812.00 |
$2,812.00 |
$2,812.00 |
$817.05
|
|
Heart infarct image
|
$3,257.00 |
$3,257.00 |
$3,257.00 |
$840.74
|
|
Heinz bodies direct
|
$252.00 |
$252.00 |
$252.00 |
$31.22
|
|
Hemin 350 mg intravenous powder for solution
|
$30,359.00 |
$30,359.00 |
$30,359.00 |
$17,137.44
|
|
Hemodialysis one evaluation
|
$1,291.00 |
$1,291.00 |
$1,291.00 |
$1,257.76
|
|
Hemoglobin fetal qualitative
|
$146.00 |
$146.00 |
$146.00 |
$51.75
|
|
Hemoglobin methemoglobin quantitative
|
$50.00 |
$50.00 |
$50.00 |
$47.49
|
|
Hemoglobin plasma
|
$414.00 |
$414.00 |
$414.00 |
$38.20
|
|
Hemolysin acid
|
$704.00 |
$704.00 |
$704.00 |
$29.49
|
|
Hemolysins/agglutinins auto
|
$704.00 |
$704.00 |
$704.00 |
$53.96
|
|
Heparin, porcine (pf) 10 unit/ml flush (wrapper)
|
$160.00 |
$160.00 |
$160.00 |
$24.26
|
|
Hepatitis b core antibody igm
|
$102.00 |
$102.00 |
$102.00 |
$83.91
|
|
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution
|
$1,606.00 |
$1,606.00 |
$1,606.00 |
$774.99
|
|
Hepatitis c rna dir probe
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$34.34
|
|
Hepatobiliary system imaging
|
$8,021.00 |
$8,021.00 |
$8,021.00 |
$1,521.10
|
|
Herpes simplex type 2 antibody igg
|
$162.00 |
$162.00 |
$162.00 |
$87.10
|
|
Histochemical stains add-on
|
$211.00 |
$211.00 |
$211.00 |
$169.65
|
|
HIV prep, ftc/taf 200/25mg
|
$283.44 |
$283.44 |
$283.44 |
$77.82
|
|
HIV prep, ftc/tdf 200/300mg
|
$8.75 |
$8.75 |
$8.75 |
$4.87
|
|
Hla i typing high res 1 allele grp ea
|
$201.00 |
$201.00 |
$201.00 |
$314.05
|
|
H pylori (c-13) breath
|
$703.00 |
$703.00 |
$703.00 |
$213.00
|
|
Hyaluronidase 150 unit/ml injection solution
|
$982.00 |
$982.00 |
$982.00 |
$183.12
|
|
Hydralazine 20 mg/ml injection solution
|
$270.00 |
$270.00 |
$270.00 |
$54.51
|
|
Hydrxycorticsterds 17- (17-ohcs)
|
$148.00 |
$148.00 |
$148.00 |
$73.45
|
|
I-123 sod iodide diag per 100 uci
|
$774.00 |
$774.00 |
$774.00 |
$157.80
|
|
I-131 iobenguane sulf diag mibg
|
$7,782.00 |
$7,782.00 |
$7,782.00 |
$5,062.20
|
|
I131 iodide cap, rx
|
$581.00 |
$581.00 |
$581.00 |
$97.90
|
|
Iaadi respiratory synctial virus
|
$113.00 |
$113.00 |
$113.00 |
$44.38
|
