|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$2,104.00 |
$2,104.00 |
$2,104.00 |
$1,025.40
|
|
Eeg 41-60 minutes 95812-26
|
$3,596.50 |
$3,596.50 |
$3,596.50 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,588.50 |
$3,588.50 |
$3,588.50 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,025.75 |
$2,025.75 |
$2,025.75 |
$861.12
|
|
Eeg recording awake and asleep
|
$3,596.50 |
$3,596.50 |
$3,596.50 |
$1,030.27
|
|
Electrolyte panel
|
$3,202.00 |
$3,202.00 |
$3,202.00 |
$88.20
|
|
Electron microscopy diagnostic
|
$5,131.75 |
$5,131.75 |
$5,131.75 |
$1,006.20
|
|
Electrophysiology evaluation
|
$13,139.50 |
$13,139.50 |
$13,139.50 |
$8,393.40
|
|
Electrophys map 3d add-on
|
$19,965.50 |
$19,965.50 |
$19,965.50 |
$6,534.00
|
|
Embolization s&i
|
$23,275.00 |
$23,275.00 |
$23,275.00 |
$2,869.75
|
|
Encephalitis, western equine igg/igm
|
$297.50 |
$297.50 |
$297.50 |
$50.35
|
|
Endo cath panc duct s&i
|
$4,304.75 |
$4,304.75 |
$4,304.75 |
$637.65
|
|
Ep & ablate supravent arrhyt
|
$36,091.50 |
$36,091.50 |
$36,091.50 |
$29,766.10
|
|
Epoetin alfa, 100 units esrd
|
$19.00 |
$19.00 |
$19.00 |
$41.32
|
|
Epstein barr early antigen antibody
|
$836.00 |
$836.00 |
$836.00 |
$72.50
|
|
ER Visit (level 1, minor)
|
$1,163.25 |
$1,163.25 |
$1,163.25 |
$276.25
|
|
ER Visit (level 2)
|
$2,456.00 |
$2,456.00 |
$2,456.00 |
$482.40
|
|
ER Visit (level 3)
|
$4,109.00 |
$4,109.00 |
$4,109.00 |
$850.50
|
|
ER Visit (level 4)
|
$6,841.50 |
$6,841.50 |
$6,841.50 |
$1,351.35
|
|
ER Visit (level 5, high severity)
|
$9,531.75 |
$9,531.75 |
$9,531.75 |
$1,957.38
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$631.00 |
$631.00 |
$631.00 |
$240.87
|
|
Esophagus motility study
|
$1,952.25 |
$1,952.25 |
$1,952.25 |
$1,289.20
|
|
Esophgl motil w/stim/perfus
|
$2,403.50 |
$2,403.50 |
$2,403.50 |
$1,075.06
|
|
Ethanolamine oleate 100 mg
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$1,011.00
|
|
Ethylene glycol -sendout
|
$1,817.75 |
$1,817.75 |
$1,817.75 |
$77.40
|
|
Euglobulin lysis
|
$435.75 |
$435.75 |
$435.75 |
$38.35
|
|
Exercise tst brncspsm w/ecg
|
$474.00 |
$474.00 |
$474.00 |
$312.00
|
|
Factor ix
|
$678.50 |
$678.50 |
$678.50 |
$139.20
|
|
Factor ix recombinant nos
|
$11.00 |
$11.00 |
$11.00 |
$2.80
|
|
Factor viii
|
$386.25 |
$386.25 |
$386.25 |
$148.34
|
|
Factor viii recombinant nos
|
$22.50 |
$22.50 |
$22.50 |
$4.80
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.90 |
$9.90 |
$9.90 |
$22.23
|
|
Fat/lipids feces qualitative
|
$710.50 |
$710.50 |
$710.50 |
$37.40
|
|
#fecal-sodium
|
$1,927.50 |
$1,927.50 |
$1,927.50 |
$37.50
|
|
Feeding tube reposition
|
$4,021.25 |
$4,021.25 |
$4,021.25 |
$438.70
|
|
Ferritin
|
$1,161.25 |
$1,161.25 |
$1,161.25 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$2,175.15
|
|
Fetal biophys profile w/nst 76818
|
$2,940.50 |
$2,940.50 |
$2,940.50 |
$541.74
|
|
Fibrin degradation d dimer quantitative
|
$327.50 |
$327.50 |
$327.50 |
$111.68
|
|
Fibrinogen activity
|
$330.50 |
$330.50 |
$330.50 |
$82.38
|
|
Flecainide (tambocor)-sendout
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$66.43
|
|
Flow cytometry marker each additional
|
$562.25 |
$562.25 |
$562.25 |
$102.00
|
|
Floxuridine injection
|
$1,171.00 |
$1,171.00 |
$1,171.00 |
$774.69
|
|
Fludarabine 50 mg intravenous solution
|
$3,907.00 |
$3,907.00 |
$3,907.00 |
$592.00
|
|
Fluoroguide needle placement
|
$3,101.50 |
$3,101.50 |
$3,101.50 |
$539.38
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$753.00 |
$753.00 |
$753.00 |
$168.00
|
|
Folic acid
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$87.50
|
|
Follow-up angiography
|
$13,592.75 |
$13,592.75 |
$13,592.75 |
$1,875.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$17,878.00 |
$17,878.00 |
$17,878.00 |
$2,993.41
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,310.50 |
$3,310.50 |
$3,310.50 |
$462.82
|
|
Fresh frozen plasma thawing ea un
|
$198.00 |
$198.00 |
$198.00 |
$131.25
|
|
Frozen blood thaw
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$189.84
|
|
Fructosamine glycated protein
|
$421.75 |
$421.75 |
$421.75 |
$63.05
|
|
Ga-67 gallium 0.1 mci
|
$227.25 |
$227.25 |
$227.25 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$559.00 |
$559.00 |
$559.00 |
$177.43
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$82.50
|
|
Galactokinase - sendout
|
$765.25 |
$765.25 |
$765.25 |
$175.00
|
|
Gammaglobulin ige
|
$2,161.25 |
$2,161.25 |
$2,161.25 |
$85.00
|
|
Gamma glutamyltransferase
|
$678.50 |
$678.50 |
$678.50 |
$55.28
|
|
Gamunex-c/gammaked
|
$30,549.00 |
$30,549.00 |
$30,549.00 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$642.00 |
$642.00 |
$642.00 |
$211.20
|
|
Gastric mucosa imaging
|
$2,314.50 |
$2,314.50 |
$2,314.50 |
$497.25
|
|
Gastroesophageal reflux study
|
$3,815.00 |
$3,815.00 |
$3,815.00 |
$917.28
|
|
Gentamicin peak therapeutic drug level
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$117.82
|
|
G-esoph reflx tst w/electrod
|
$1,952.25 |
$1,952.25 |
$1,952.25 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$186.25 |
$186.25 |
$186.25 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$99.25 |
$99.25 |
$99.25 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$441.50 |
$441.50 |
$441.50 |
$433.00
|
|
Ghs antibodies (torch) igm
|
$365.25 |
$365.25 |
$365.25 |
$77.60
|
|
Ghs chemo IV push, ea addtl
|
$515.25 |
$515.25 |
$515.25 |
$295.00
|
|
Ghs community re-entry 15 minutes
|
$100.75 |
$100.75 |
$100.75 |
$89.65
|
|
Ghs fish cytogen
|
$228.75 |
$228.75 |
$228.75 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$438.50 |
$438.50 |
$438.50 |
$229.45
|
|
Ghs flow volume loop
|
$454.75 |
$454.75 |
$454.75 |
$311.10
|
|
Ghs heavy metals bld (ars,lead,merc)
|
$589.25 |
$589.25 |
$589.25 |
$27.56
|
|
Ghs histoplasma antigen
|
$220.25 |
$220.25 |
$220.25 |
$144.50
|
|
Ghs HIV antibody
|
$101.75 |
$101.75 |
$101.75 |
$93.00
|
|
Ghs low level laser therapy
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$124.20
|
|
Ghs mbp
|
$1,668.25 |
$1,668.25 |
$1,668.25 |
$77.35
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$1,950.50 |
$1,950.50 |
$1,950.50 |
$229.60
|
|
Ghs ot sensory integrative tech/15min
|
$275.25 |
$275.25 |
$275.25 |
$101.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$567.00 |
$567.00 |
$567.00 |
$40.56
|
|
Ghs quinidine
|
$614.50 |
$614.50 |
$614.50 |
$68.40
|
|
Ghs respiratory syncytical virus igg/m
|
$337.50 |
$337.50 |
$337.50 |
$42.40
|
|
Ghs reticulocyte count
|
$476.50 |
$476.50 |
$476.50 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$217.50 |
$217.50 |
$217.50 |
$103.95
|
|
Ghs sedimentation rate
|
$971.25 |
$971.25 |
$971.25 |
$45.50
|
|
Ghs semen analysis fert
|
$1,695.25 |
$1,695.25 |
$1,695.25 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$285.25 |
$285.25 |
$285.25 |
$59.90
|
|
Ghs urine, porphyrins quant
|
$230.00 |
$230.00 |
$230.00 |
$70.20
|
|
Gi inhouse confirmation
|
$150.00 |
$150.00 |
$150.00 |
$84.60
|
|
Glucagon 1 mg solution for injection
|
$2,123.00 |
$2,123.00 |
$2,123.00 |
$594.00
|
|
Glucagon plasma - sendout
|
$821.75 |
$821.75 |
$821.75 |
$58.20
|
|
Glucose 1 hr post dose
|
$53.75 |
$53.75 |
$53.75 |
$45.65
|
|
Glucose blood quantitative
|
$614.50 |
$614.50 |
$614.50 |
$44.80
|
|
Glucose tolerance test (gtt) 3 specimens
|
$614.50 |
$614.50 |
$614.50 |
$100.10
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$42.00 |
$42.00 |
$42.00 |
$56.54
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$2,456.75 |
$2,456.75 |
$2,456.75 |
$110.10
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,462.75 |
$1,462.75 |
$1,462.75 |
$125.68
|
