|
Echocardiograpy doppler follow up/limited study
|
$7,620.58 |
$7,620.58 |
$7,620.58 |
$356.40
|
|
Echo stress
|
$8,386.51 |
$8,386.51 |
$8,386.51 |
$1,607.45
|
|
Echo transesophageal
|
$10,670.99 |
$10,670.99 |
$10,670.99 |
$1,734.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$7,620.58 |
$7,620.58 |
$7,620.58 |
$1,025.40
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$4,289.45 |
$4,289.45 |
$4,289.45 |
$1,048.30
|
|
Eeg during surgery
|
$3,348.07 |
$3,348.07 |
$3,348.07 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$4,045.03 |
$4,045.03 |
$4,045.03 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,547.59 |
$1,547.59 |
$1,547.59 |
$1,086.80
|
|
Eeg recording awake and asleep
|
$4,045.03 |
$4,045.03 |
$4,045.03 |
$1,030.27
|
|
Egfr gene com variants
|
$245.00 |
$245.00 |
$245.00 |
$646.75
|
|
Elec stim unattend for press
|
$181.50 |
$181.50 |
$181.50 |
$43.59
|
|
Electrocorticography durng sx
|
$3,348.07 |
$3,348.07 |
$3,348.07 |
$1,660.52
|
|
Electrolyte panel
|
$1,834.36 |
$1,834.36 |
$1,834.36 |
$88.20
|
|
Electron microscopy diagnostic
|
$300.00 |
$300.00 |
$300.00 |
$1,006.20
|
|
Electrophysiology evaluation
|
$1,632.29 |
$1,632.29 |
$1,632.29 |
$2,845.10
|
|
Embolization s&i
|
$19,920.23 |
$19,920.23 |
$19,920.23 |
$2,869.75
|
|
Endo cath bile duct s&i
|
$9,142.76 |
$9,142.76 |
$9,142.76 |
$569.40
|
|
Endo cath panc duct s&i
|
$9,142.76 |
$9,142.76 |
$9,142.76 |
$637.65
|
|
Epstein barr early antigen antibody
|
$49.61 |
$49.61 |
$49.61 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$76.23 |
$76.23 |
$76.23 |
$81.81
|
|
Ercp biliary & pancreas
|
$9,975.24 |
$9,975.24 |
$9,975.24 |
$929.40
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$748.83 |
$748.83 |
$748.83 |
$323.00
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$255.47 |
$255.47 |
$255.47 |
$240.87
|
|
Esophageal motility
|
$4,617.36 |
$4,617.36 |
$4,617.36 |
$549.70
|
|
Esophagus motility study
|
$3,986.40 |
$3,986.40 |
$3,986.40 |
$1,289.20
|
|
Estradiol total
|
$29.04 |
$29.04 |
$29.04 |
$153.00
|
|
Estrogens total-sendout
|
$5.70 |
$5.70 |
$5.70 |
$85.20
|
|
Ethanolamine oleate 100 mg
|
$1,537.50 |
$1,537.50 |
$1,537.50 |
$1,011.00
|
|
Ethylene glycol -sendout
|
$12.36 |
$12.36 |
$12.36 |
$77.40
|
|
Etoposide 50 mg cap
|
$461.40 |
$461.40 |
$461.40 |
$203.41
|
|
Euglobulin lysis
|
$49.50 |
$49.50 |
$49.50 |
$38.35
|
|
Eval/fit voice prosthesis iii, st
|
$375.10 |
$375.10 |
$375.10 |
$375.70
|
|
Evaluation heart device
|
$13,578.62 |
$13,578.62 |
$13,578.62 |
$2,523.52
|
|
Evoked oa emissions ltd
|
$977.25 |
$977.25 |
$977.25 |
$240.53
|
|
External chromosome analysis 20-25 cells
|
$255.00 |
$255.00 |
$255.00 |
$389.35
|
|
Factor viii
|
$15.73 |
$15.73 |
$15.73 |
$148.34
|
|
Factor viii
|
$5,722.80 |
$5,722.80 |
$5,722.80 |
$1.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$6.95 |
$6.95 |
$6.95 |
$22.23
|
|
Fat/lipids feces qualitative
|
$5.00 |
$5.00 |
$5.00 |
$37.40
|
|
Fatty acids nonesterified
|
$10.26 |
$10.26 |
$10.26 |
$56.70
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,897.84 |
$3,897.84 |
$3,897.84 |
$2,175.15
|
|
Fetal biophys profile w/nst 76818
|
$790.13 |
$790.13 |
$790.13 |
$541.74
|
|
Fibrin degradation d dimer quantitative
|
$689.70 |
$689.70 |
$689.70 |
$111.68
|
|
Flecainide (tambocor)-sendout
|
$12.22 |
$12.22 |
$12.22 |
$66.43
|
|
Flt3 gene
|
$332.00 |
$332.00 |
$332.00 |
$353.60
|
|
Fludarabine 50 mg intravenous solution
|
$3,453.63 |
$3,453.63 |
$3,453.63 |
$592.00
|
|
Fluoro polarize fetal lung
|
$59.80 |
$59.80 |
$59.80 |
$62.81
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$97.65 |
$97.65 |
$97.65 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$70.14 |
$70.14 |
$70.14 |
$168.00
|
|
Folic acid
|
$14.52 |
$14.52 |
$14.52 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$229.67 |
$229.67 |
$229.67 |
$50.70
|
|
Follow-up angiography
|
$8,732.57 |
$8,732.57 |
$8,732.57 |
$1,875.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,133.08 |
$2,133.08 |
$2,133.08 |
$2,993.41
|
|
Fondaparinux sodium
|
$187.38 |
$187.38 |
$187.38 |
$157.59
|
|
Foscarnet sodium injection
|
$970.94 |
$970.94 |
$970.94 |
$714.25
|
|
Fresh frozen plasma thawing ea un
|
$325.49 |
$325.49 |
$325.49 |
$131.25
|
|
G6pc gene
|
$649.86 |
$649.86 |
$649.86 |
$104.65
|
|
Ga-67 gallium 0.1 mci
|
$191.18 |
$191.18 |
$191.18 |
$163.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$93.85 |
$93.85 |
$93.85 |
$82.50
|
|
Gammaglobulin ige
|
$73.81 |
$73.81 |
$73.81 |
$85.00
|
|
Gamma glutamyltransferase
|
$1,491.93 |
$1,491.93 |
$1,491.93 |
$55.28
|
|
Gamunex-c/gammaked
|
$4,986.36 |
$4,986.36 |
$4,986.36 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$722.36 |
$722.36 |
$722.36 |
$211.20
|
|
Gastric mucosa imaging
|
$4,438.28 |
$4,438.28 |
$4,438.28 |
$497.25
|
|
Gated heart multiple
|
$9,375.08 |
$9,375.08 |
$9,375.08 |
$1,370.99
|
|
G-esoph reflx tst w/electrod
|
$4,617.80 |
$4,617.80 |
$4,617.80 |
$1,352.03
|
|
Ghs chemo infusion >8 hrs
|
$1,058.75 |
$1,058.75 |
$1,058.75 |
$493.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$95.00 |
$95.00 |
$95.00 |
$130.70
|
|
Ghs diphtheria toxoid ab igg
|
$22.47 |
$22.47 |
$22.47 |
$72.05
|
|
Ghs fat & muscle
|
$9.04 |
$9.04 |
$9.04 |
$33.00
|
|
Ghs fish cytogen
|
$29.93 |
$29.93 |
$29.93 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$56.11 |
$56.11 |
$56.11 |
$229.45
|
|
Ghs flow volume loop
|
$389.62 |
$389.62 |
$389.62 |
$311.10
|
|
Ghs hcv amplificaiton
|
$54.57 |
$54.57 |
$54.57 |
$187.00
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$40.35 |
$40.35 |
$40.35 |
$27.56
|
|
Ghs hepatitis c virus (hcv riba)
|
$85.00 |
$85.00 |
$85.00 |
$108.46
|
|
Ghs histoplasma antigen
|
$71.75 |
$71.75 |
$71.75 |
$144.50
|
|
Ghs HIV antibody
|
$551.76 |
$551.76 |
$551.76 |
$93.00
|
|
Ghs immun0electrophoresis
|
$22.38 |
$22.38 |
$22.38 |
$102.70
|
|
Ghs leukocyte alkaline phos (mayo)
|
$10.00 |
$10.00 |
$10.00 |
$59.40
|
|
Ghs mbp
|
$13.16 |
$13.16 |
$13.16 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$556.60 |
$556.60 |
$556.60 |
$501.79
|
|
Ghs o2 saturation
|
$373.89 |
$373.89 |
$373.89 |
$72.45
|
|
Ghs o2 uptake rest & exercise
|
$2,268.75 |
$2,268.75 |
$2,268.75 |
$185.15
|
|
Ghs o2 uptake rest & indirect
|
$686.07 |
$686.07 |
$686.07 |
$195.00
|
|
Ghs ob unlisted IV or art inj or infusion
|
$1,606.00 |
$1,606.00 |
$1,606.00 |
$86.19
|
|
Ghs pacing - transcutaneous
|
$1,605.67 |
$1,605.67 |
$1,605.67 |
$856.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$5.70 |
$5.70 |
$5.70 |
$40.56
|
|
Ghs quinidine
|
$9.89 |
$9.89 |
$9.89 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$13.49 |
$13.49 |
$13.49 |
$42.40
|
|
Ghs rsv eia (respir synctial vrs)
|
$900.24 |
$900.24 |
$900.24 |
$103.95
|
|
Ghs sensitivity (per antimicro)
|
$1,846.46 |
$1,846.46 |
$1,846.46 |
$59.90
|
|
Ghs speech-gen aug dev eval iii, st
|
$354.53 |
$354.53 |
$354.53 |
$118.20
|
|
Ghs trypsin (fecal)
|
$24.00 |
$24.00 |
$24.00 |
$21.84
|
|
Ghs urine, porphyrins quant
|
$8.65 |
$8.65 |
$8.65 |
$70.20
|
|
Giardia lamblia antibody
|
$75.34 |
$75.34 |
$75.34 |
$81.60
|
|
Gi inhouse confirmation
|
$2,214.30 |
$2,214.30 |
$2,214.30 |
$84.60
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,589.40 |
$2,589.40 |
$2,589.40 |
$2,418.92
|
|
Glucagon 1 mg solution for injection
|
$962.68 |
$962.68 |
$962.68 |
$594.00
|
|
Glucagon plasma - sendout
|
$17.10 |
$17.10 |
$17.10 |
$58.20
|
