|
Eeg 41-60 minutes 95812-26
|
$6,532.00 |
$6,532.00 |
$6,532.00 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$8,535.00 |
$8,535.00 |
$8,535.00 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$6,532.00 |
$6,532.00 |
$6,532.00 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$6,532.00 |
$6,532.00 |
$6,532.00 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$6,532.00 |
$6,532.00 |
$6,532.00 |
$911.00
|
|
Eeg recording awake and asleep
|
$6,532.00 |
$6,532.00 |
$6,532.00 |
$1,030.27
|
|
Electrolyte panel
|
$1,802.00 |
$1,802.00 |
$1,802.00 |
$86.33
|
|
Electron microscopy diagnostic
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,006.20
|
|
Electrophysiologic study
|
$29,449.00 |
$29,449.00 |
$29,449.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$29,449.00 |
$29,449.00 |
$29,449.00 |
$9,067.30
|
|
Electrophysiology evaluation
|
$32,721.00 |
$32,721.00 |
$32,721.00 |
$11,542.01
|
|
Electrophysiology evaluation
|
$32,688.00 |
$32,688.00 |
$32,688.00 |
$8,393.40
|
|
Electrophysiology evaluation
|
$32,688.00 |
$32,688.00 |
$32,688.00 |
$6,516.00
|
|
Electrophysiology evaluation
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$2,845.10
|
|
Electrophysiology evaluation
|
$1,832.00 |
$1,832.00 |
$1,832.00 |
$2,630.40
|
|
Electrophysiology evaluation
|
$688.00 |
$688.00 |
$688.00 |
$1,869.13
|
|
Electrophys map 3d add-on
|
$28,228.00 |
$28,228.00 |
$28,228.00 |
$6,534.00
|
|
Embolization s&i
|
$7,261.00 |
$7,261.00 |
$7,261.00 |
$2,745.08
|
|
Encephalitis, california igg/igm
|
$188.00 |
$188.00 |
$188.00 |
$48.57
|
|
Encephalitis, st louis igg/igm
|
$188.00 |
$188.00 |
$188.00 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$188.00 |
$188.00 |
$188.00 |
$50.35
|
|
Enzyme histochemistry
|
$215.00 |
$215.00 |
$215.00 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$84,161.00 |
$84,161.00 |
$84,161.00 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$93,512.00 |
$93,512.00 |
$93,512.00 |
$30,975.00
|
|
Epoetin alfa, 100 units esrd
|
$15.00 |
$15.00 |
$15.00 |
$41.32
|
|
Epstein barr early antigen antibody
|
$188.00 |
$188.00 |
$188.00 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$298.00 |
$298.00 |
$298.00 |
$82.55
|
|
Ercp biliary & pancreas
|
$9,123.00 |
$9,123.00 |
$9,123.00 |
$928.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$650.00 |
$650.00 |
$650.00 |
$232.84
|
|
Estradiol total
|
$327.00 |
$327.00 |
$327.00 |
$147.79
|
|
Estrogens total-sendout
|
$277.00 |
$277.00 |
$277.00 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$566.00 |
$566.00 |
$566.00 |
$933.59
|
|
Ethylene glycol -sendout
|
$239.00 |
$239.00 |
$239.00 |
$78.00
|
|
Euglobulin lysis
|
$188.00 |
$188.00 |
$188.00 |
$37.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$696.00 |
$696.00 |
$696.00 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$348.00
|
|
Evoked oa emissions ltd
|
$216.00 |
$216.00 |
$216.00 |
$240.07
|
|
External chromosome analysis 20-25 cells
|
$2,030.00 |
$2,030.00 |
$2,030.00 |
$389.35
|
|
F-18 fdg pet diag
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$609.85
|
|
Facial bones <3
|
$3,505.00 |
$3,505.00 |
$3,505.00 |
$241.75
|
|
Factor ix
|
$449.00 |
$449.00 |
$449.00 |
$139.75
|
|
Factor ix complex
|
$14.00 |
$14.00 |
$14.00 |
$3.23
|
|
Factor viii
|
$404.00 |
$404.00 |
$404.00 |
$148.34
|
|
Factor viii nuwiq recomb 1iu
|
$4.00 |
$4.00 |
$4.00 |
$1.24
|
|
Factor viii recombinant nos
|
$1.00 |
$1.00 |
$1.00 |
$4.80
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$132.00 |
$132.00 |
$132.00 |
$22.20
|
|
Fat/lipids feces qualitative
|
$635.00 |
$635.00 |
$635.00 |
$37.44
|
|
Fatty acids nonesterified
|
$277.00 |
$277.00 |
$277.00 |
$56.40
|
|
Ferritin
|
$362.00 |
$362.00 |
$362.00 |
$103.40
|
|
Fetal biophys profile w/nst 76818
|
$3,585.00 |
$3,585.00 |
$3,585.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$223.00 |
$223.00 |
$223.00 |
$1,231.20
|
|
Fetal fibronectin
|
$1,101.00 |
$1,101.00 |
$1,101.00 |
$343.88
|
|
Fetal hemoglobin (kleihauer betke)
|
$1,441.00 |
$1,441.00 |
$1,441.00 |
$85.00
|
|
Fetal hemoglobin rosette
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$333.00 |
$333.00 |
$333.00 |
$64.28
|
|
#_fet/norfentcnfrmur
|
$433.00 |
$433.00 |
$433.00 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$252.00 |
$252.00 |
$252.00 |
$111.55
|
|
Fibrin degradation products
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$62.40
|
|
Fibrin degrade semiquant
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$90.35
|
|
Fibrinogen activity
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$81.89
|
|
Fibrinolytic plasminogen
|
$210.00 |
$210.00 |
$210.00 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$144.00 |
$144.00 |
$144.00 |
$59.89
|
|
Flecainide (tambocor)-sendout
|
$382.00 |
$382.00 |
$382.00 |
$66.43
|
|
Floxuridine injection
|
$676.00 |
$676.00 |
$676.00 |
$774.69
|
|
Fluoro polarize fetal lung
|
$420.00 |
$420.00 |
$420.00 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$107.00 |
$107.00 |
$107.00 |
$97.74
|
|
Folic acid
|
$178.00 |
$178.00 |
$178.00 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$59.00 |
$59.00 |
$59.00 |
$48.78
|
|
Follow-up angiography
|
$3,310.00 |
$3,310.00 |
$3,310.00 |
$1,875.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,302.00 |
$3,302.00 |
$3,302.00 |
$462.82
|
|
_fragile x methylation-sendout
|
$300.00 |
$300.00 |
$300.00 |
$175.75
|
|
Fresh frozen plasma thawing ea un
|
$223.00 |
$223.00 |
$223.00 |
$131.25
|
|
Fructosamine glycated protein
|
$186.00 |
$186.00 |
$186.00 |
$64.20
|
|
Ftl cgen abnor four anal
|
$878.00 |
$878.00 |
$878.00 |
$210.60
|
|
Ga-67 gallium 0.1 mci
|
$717.00 |
$717.00 |
$717.00 |
$163.80
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,754.00 |
$1,754.00 |
$1,754.00 |
$210.50
|
|
Galactokinase - sendout
|
$175.00 |
$175.00 |
$175.00 |
$175.00
|
|
Gammaglobulin ige
|
$239.00 |
$239.00 |
$239.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$55.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$221.64
|
|
Gastrin test
|
$215.00 |
$215.00 |
$215.00 |
$44.80
|
|
Gastroesophageal reflux study
|
$6,010.00 |
$6,010.00 |
$6,010.00 |
$917.28
|
|
Gated heart multiple
|
$6,351.00 |
$6,351.00 |
$6,351.00 |
$1,368.90
|
|
Gentamicin peak therapeutic drug level
|
$1,263.00 |
$1,263.00 |
$1,263.00 |
$117.82
|
|
Ghs acetylcholinesterase, rbc
|
$241.00 |
$241.00 |
$241.00 |
$39.60
|
|
Ghs alpha thalasemia, 7 deletions
|
$433.00 |
$433.00 |
$433.00 |
$437.58
|
|
Ghs analysis neurostim without reprogramming
|
$984.00 |
$984.00 |
$984.00 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$498.00 |
$498.00 |
$498.00 |
$77.60
|
|
Ghs bleeding time (ivy)
|
$664.00 |
$664.00 |
$664.00 |
$55.90
|
|
Ghs diphtheria toxoid ab igg
|
$362.00 |
$362.00 |
$362.00 |
$80.08
|
|
Ghs fish cytogen
|
$352.00 |
$352.00 |
$352.00 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$958.00 |
$958.00 |
$958.00 |
$229.45
|
|
Ghs flow volume loop
|
$702.00 |
$702.00 |
$702.00 |
$308.69
|
|
Ghs hcv amplificaiton
|
$461.00 |
$461.00 |
$461.00 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$548.00 |
$548.00 |
$548.00 |
$106.05
|
|
Ghs histoplasma antigen
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$144.50
|
|
Ghs HIV antibody
|
$166.00 |
$166.00 |
$166.00 |
$93.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$462.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$130.00 |
$130.00 |
$130.00 |
$59.40
|
