|
Echo tee probe placement image acquisition interpretation & report
|
$3,200.69 |
$3,200.69 |
$3,200.69 |
$1,946.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$1,194.18 |
$1,194.18 |
$1,194.18 |
$1,022.30
|
|
Eeg 41-60 minutes 95812-26
|
$559.44 |
$559.44 |
$559.44 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$289.25 |
$289.25 |
$289.25 |
$1,048.30
|
|
Eeg monitoring/giving drugs
|
$1,303.05 |
$1,303.05 |
$1,303.05 |
$797.51
|
|
Eeg monitor/record/awake/drowsy 95816
|
$536.22 |
$536.22 |
$536.22 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$505.51 |
$505.51 |
$505.51 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$559.72 |
$559.72 |
$559.72 |
$911.00
|
|
Eeg recording awake and asleep
|
$559.72 |
$559.72 |
$559.72 |
$1,030.27
|
|
Eeg without vid 2-12 hr unmntr
|
$413.94 |
$413.94 |
$413.94 |
$526.57
|
|
Eeg wo vid 2-12hr intmt mntr
|
$413.94 |
$413.94 |
$413.94 |
$593.91
|
|
Eeg wo vid ea 12-26hr unmntr
|
$763.31 |
$763.31 |
$763.31 |
$1,139.40
|
|
E equine encephalitis igg
|
$4.44 |
$4.44 |
$4.44 |
$48.73
|
|
Egfr gene com variants
|
$163.91 |
$163.91 |
$163.91 |
$646.75
|
|
Electrical stimulation/unattended 97014
|
$40.15 |
$40.15 |
$40.15 |
$82.20
|
|
Electrolyte panel
|
$38.48 |
$38.48 |
$38.48 |
$86.33
|
|
Electron microscopy diagnostic
|
$210.16 |
$210.16 |
$210.16 |
$1,006.20
|
|
Electrophysiology evaluation
|
$4,458.41 |
$4,458.41 |
$4,458.41 |
$2,845.10
|
|
Encephalitis, st louis igg/igm
|
$4.44 |
$4.44 |
$4.44 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$4.44 |
$4.44 |
$4.44 |
$50.35
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$16.05 |
$16.05 |
$16.05 |
$109.71
|
|
Enzyme histochemistry
|
$31.27 |
$31.27 |
$31.27 |
$460.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$24.09 |
$24.09 |
$24.09 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$10.50 |
$10.50 |
$10.50 |
$767.28
|
|
Epstein barr early antigen antibody
|
$19.42 |
$19.42 |
$19.42 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$22.63 |
$22.63 |
$22.63 |
$82.55
|
|
Epstein barr viral capsid antigen antibody igm
|
$26.85 |
$26.85 |
$26.85 |
$96.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$123.95 |
$123.95 |
$123.95 |
$364.08
|
|
ER Visit (level 1, minor)
|
$211.73 |
$211.73 |
$211.73 |
$273.00
|
|
ER Visit (level 2)
|
$491.18 |
$491.18 |
$491.18 |
$481.37
|
|
ER Visit (level 3)
|
$1,319.05 |
$1,319.05 |
$1,319.05 |
$850.50
|
|
ER Visit (level 4)
|
$1,327.56 |
$1,327.56 |
$1,327.56 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$1,395.46 |
$1,395.46 |
$1,395.46 |
$1,950.00
|
|
Established Patient Office Visit (level 1)
|
$60.87 |
$60.87 |
$60.87 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$81.03 |
$81.03 |
$81.03 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$116.18 |
$116.18 |
$116.18 |
$186.60
|
|
Established Patient Office Visit (level 4)
|
$117.29 |
$117.29 |
$117.29 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$262.70 |
$262.70 |
$262.70 |
$283.28
|
|
Estradiol total
|
$75.11 |
$75.11 |
$75.11 |
$149.43
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$154.66 |
$154.66 |
$154.66 |
$219.60
|
|
Event monitor
|
$95.74 |
$95.74 |
$95.74 |
$242.12
|
|
Evoked potentials upper limbs
|
$940.63 |
$940.63 |
$940.63 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$272.41 |
$272.41 |
$272.41 |
$852.80
|
|
Exercise tst brncspsm w/ecg
|
$293.60 |
$293.60 |
$293.60 |
$312.00
|
|
External chromosome analysis 20-25 cells
|
$74.00 |
$74.00 |
$74.00 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.28 |
$16.28 |
$16.28 |
$64.90
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$133.20 |
$133.20 |
$133.20 |
$466.15
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$26.54 |
$26.54 |
$26.54 |
$102.55
|
|
Factor ix
|
$49.95 |
$49.95 |
$49.95 |
$139.75
|
|
Factor viii
|
$31.91 |
$31.91 |
$31.91 |
$152.10
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.30 |
$0.30 |
$0.30 |
$22.20
|
|
#fecal-sodium
|
$24.88 |
$24.88 |
$24.88 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$37.34 |
$37.34 |
$37.34 |
$102.69
|
|
Ferritin
|
$82.33 |
$82.33 |
$82.33 |
$103.95
|
|
Fetal biophys profile w/nst 76818
|
$616.05 |
$616.05 |
$616.05 |
$541.74
|
|
Fetal fibronectin
|
$282.03 |
$282.03 |
$282.03 |
$343.88
|
|
Fetal hemoglobin (kleihauer betke)
|
$59.85 |
$59.85 |
$59.85 |
$85.00
|
|
Fetal hemoglobin rosette
|
$18.69 |
$18.69 |
$18.69 |
$76.70
|
|
#_fet/norfentcnfrmur
|
$22.20 |
$22.20 |
$22.20 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$27.20 |
$27.20 |
$27.20 |
$111.68
|
|
Fibrin degrade semiquant
|
$47.36 |
$47.36 |
$47.36 |
$90.35
|
|
Fibrinogen activity
|
$38.11 |
$38.11 |
$38.11 |
$81.89
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$12.95 |
$12.95 |
$12.95 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$18.50 |
$18.50 |
$18.50 |
$58.25
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$18.50 |
$18.50 |
$18.50 |
$59.89
|
|
Flow cytometry interp 16 or more
|
$101.38 |
$101.38 |
$101.38 |
$208.80
|
|
Flow cytometry marker each additional
|
$135.42 |
$135.42 |
$135.42 |
$103.00
|
|
Flow cytometry one marker technical component
|
$33.67 |
$33.67 |
$33.67 |
$298.04
|
|
#flow interp 9 - 15 markers
|
$102.86 |
$102.86 |
$102.86 |
$202.15
|
|
Flt3 gene
|
$55.50 |
$55.50 |
$55.50 |
$353.60
|
|
Flt3 gene analysis
|
$55.50 |
$55.50 |
$55.50 |
$249.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$78.62 |
$78.62 |
$78.62 |
$79.92
|
|
Fluidotherapy charges pt
|
$49.21 |
$49.21 |
$49.21 |
$101.40
|
|
Fluorescent antibody titer dna
|
$62.90 |
$62.90 |
$62.90 |
$128.75
|
|
Fluoroguide for spine inject 77003-26
|
$378.79 |
$378.79 |
$378.79 |
$507.00
|
|
Fluoroguide needle placement
|
$420.41 |
$420.41 |
$420.41 |
$539.38
|
|
Fluoroscopy up to 1 hour
|
$248.27 |
$248.27 |
$248.27 |
$489.84
|
|
Folic acid
|
$38.48 |
$38.48 |
$38.48 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.10 |
$0.10 |
$0.10 |
$49.34
|
|
Fondaparinux sodium
|
$10.65 |
$10.65 |
$10.65 |
$154.14
|
|
Foot X-ray
|
$246.33 |
$246.33 |
$246.33 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$18.06 |
$18.06 |
$18.06 |
$94.85
|
|
_fragile x methylation-sendout
|
$175.75 |
$175.75 |
$175.75 |
$175.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$78.53 |
$78.53 |
$78.53 |
$167.25
|
|
Frozen blood thaw
|
$54.39 |
$54.39 |
$54.39 |
$189.84
|
|
Ga-67 gallium 0.1 mci
|
$156.23 |
$156.23 |
$156.23 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.74 |
$0.74 |
$0.74 |
$177.43
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$12.68 |
$12.68 |
$12.68 |
$86.54
|
|
Gammaglobulin iga
|
$44.40 |
$44.40 |
$44.40 |
$76.59
|
|
Gammaglobulin ige
|
$23.68 |
$23.68 |
$23.68 |
$85.00
|
|
Gamma glutamyltransferase
|
$50.88 |
$50.88 |
$50.88 |
$55.28
|
|
Gardner vag dna quant
|
$27.75 |
$27.75 |
$27.75 |
$96.20
|
|
Gemcitabine 1 gram intravenous solution
|
$21.77 |
$21.77 |
$21.77 |
$248.38
|
|
General health panel
|
$148.74 |
$148.74 |
$148.74 |
$280.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$77.25 |
$77.25 |
$77.25 |
$44.64
|
|
Gentamicin peak therapeutic drug level
|
$54.02 |
$54.02 |
$54.02 |
$117.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$29.60 |
$29.60 |
$29.60 |
$103.14
|
|
Ghs analysis neurostim without reprogramming
|
$332.45 |
$332.45 |
$332.45 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$11.84 |
$11.84 |
$11.84 |
$77.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$16.65 |
$16.65 |
$16.65 |
$130.70
|
