|
Evaluation of speech fluency 92521
|
$362.40 |
$362.40 |
$362.40 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$292.80 |
$292.80 |
$292.80 |
$312.00
|
|
Event monitor
|
$190.80 |
$190.80 |
$190.80 |
$242.65
|
|
Evoked oa emissions ltd
|
$196.20 |
$196.20 |
$196.20 |
$234.32
|
|
Exchange nephrostomy cath
|
$3,693.00 |
$3,693.00 |
$3,693.00 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,058.60 |
$2,058.60 |
$2,058.60 |
$1,973.12
|
|
Excision of gum flap
|
$1,870.80 |
$1,870.80 |
$1,870.80 |
$1,944.80
|
|
Exercise tst brncspsm w/ecg
|
$349.20 |
$349.20 |
$349.20 |
$318.50
|
|
Ext ecg>48hr<7d scan a/r
|
$541.20 |
$541.20 |
$541.20 |
$241.92
|
|
External chromosome analysis 20-25 cells
|
$784.80 |
$784.80 |
$784.80 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$766.80 |
$766.80 |
$766.80 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$453.60 |
$453.60 |
$453.60 |
$108.60
|
|
Facial bones <3
|
$397.20 |
$397.20 |
$397.20 |
$252.60
|
|
Factor ix
|
$228.60 |
$228.60 |
$228.60 |
$156.13
|
|
Factor viii
|
$216.00 |
$216.00 |
$216.00 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$171.00 |
$171.00 |
$171.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$196.20 |
$196.20 |
$196.20 |
$230.36
|
|
Fancc gene
|
$828.00 |
$828.00 |
$828.00 |
$147.00
|
|
Fat/lipids feces qualitative
|
$55.80 |
$55.80 |
$55.80 |
$38.35
|
|
Fatty acids nonesterified
|
$200.40 |
$200.40 |
$200.40 |
$64.28
|
|
Felbamate (felbatol(r)) - sendout
|
$94.80 |
$94.80 |
$94.80 |
$65.00
|
|
Ferritin
|
$169.20 |
$169.20 |
$169.20 |
$100.94
|
|
Fetal chrom aneuploidy gsa panel
|
$2,436.00 |
$2,436.00 |
$2,436.00 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$1,290.60 |
$1,290.60 |
$1,290.60 |
$475.50
|
|
Fetal fibronectin
|
$638.40 |
$638.40 |
$638.40 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$124.80 |
$124.80 |
$124.80 |
$105.12
|
|
Fetal hemoglobin rosette
|
$79.80 |
$79.80 |
$79.80 |
$67.20
|
|
Fetal non stress test
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$140.40 |
$140.40 |
$140.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$136.20 |
$136.20 |
$136.20 |
$117.70
|
|
Fibrin degradation products
|
$61.80 |
$61.80 |
$61.80 |
$62.64
|
|
Fibrinogen activity
|
$132.60 |
$132.60 |
$132.60 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$441.00 |
$441.00 |
$441.00 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$126.60 |
$126.60 |
$126.60 |
$72.80
|
|
Fibrinolytic plasminogen
|
$381.00 |
$381.00 |
$381.00 |
$107.50
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,142.60 |
$2,142.60 |
$2,142.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$685.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$410.40 |
$410.40 |
$410.40 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,144.20 |
$1,144.20 |
$1,144.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$774.00 |
$774.00 |
$774.00 |
$503.76
|
|
Fl exam g/colon tube w contrast
|
$1,650.60 |
$1,650.60 |
$1,650.60 |
$511.92
|
|
Flow cytometry marker each additional
|
$277.20 |
$277.20 |
$277.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$284.40
|
|
Flt3 gene
|
$668.40 |
$668.40 |
$668.40 |
$355.00
|
|
Flt3 gene analysis
|
$605.40 |
$605.40 |
$605.40 |
$213.92
|
|
Fluidotherapy charges pt
|
$62.40 |
$62.40 |
$62.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$874.80 |
$874.80 |
$874.80 |
$768.94
|
|
Fluorescent antibody titer dna
|
$916.80 |
$916.80 |
$916.80 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$782.40 |
$782.40 |
$782.40 |
$496.03
|
|
Fluoroguide needle placement
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$787.80 |
$787.80 |
$787.80 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$1,722.60 |
$1,722.60 |
$1,722.60 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$3,060.00 |
$3,060.00 |
$3,060.00 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$2,554.20 |
$2,554.20 |
$2,554.20 |
$760.80
|
|
Folic acid
|
$183.00 |
$183.00 |
$183.00 |
$101.50
|
|
Foot X-ray
|
$495.00 |
$495.00 |
$495.00 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$661.80 |
$661.80 |
$661.80 |
$532.80
|
|
Fracture assessment via dxa
|
$418.20 |
$418.20 |
$418.20 |
$173.18
|
|
_fragile x methylation-sendout
|
$459.60 |
$459.60 |
$459.60 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$89.40 |
$89.40 |
$89.40 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$89.40 |
$89.40 |
$89.40 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$108.00 |
$108.00 |
$108.00 |
$122.00
|
|
Fructosamine glycated protein
|
$153.00 |
$153.00 |
$153.00 |
$60.75
|
|
Ftl cgen abnor four anal
|
$318.00 |
$318.00 |
$318.00 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$489.00 |
$489.00 |
$489.00 |
$110.00
|
|
G6pc gene
|
$106.80 |
$106.80 |
$106.80 |
$123.00
|
|
G6pd full gene sequence
|
$1,470.60 |
$1,470.60 |
$1,470.60 |
$1,320.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$97.80 |
$97.80 |
$97.80 |
$96.94
|
|
Galactose transferase test
|
$37.20 |
$37.20 |
$37.20 |
$31.35
|
|
Gammaglobulin iga
|
$219.60 |
$219.60 |
$219.60 |
$67.20
|
|
Gammaglobulin ige
|
$174.00 |
$174.00 |
$174.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$106.20 |
$106.20 |
$106.20 |
$57.54
|
|
Gastric emptying imag study
|
$2,758.20 |
$2,758.20 |
$2,758.20 |
$1,291.55
|
|
Gastric emptying imag study
|
$3,585.00 |
$3,585.00 |
$3,585.00 |
$1,621.36
|
|
Gated heart multiple
|
$2,469.60 |
$2,469.60 |
$2,469.60 |
$1,400.64
|
|
General health panel
|
$325.20 |
$325.20 |
$325.20 |
$275.00
|
|
Genetic tstg severe inh cond
|
$7,395.00 |
$7,395.00 |
$7,395.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$213.00 |
$213.00 |
$213.00 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$180.00 |
$180.00 |
$180.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$587.40 |
$587.40 |
$587.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$187.20 |
$187.20 |
$187.20 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$306.00 |
$306.00 |
$306.00 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$1,891.80 |
$1,891.80 |
$1,891.80 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$762.00 |
$762.00 |
$762.00 |
$565.49
|
|
Ghs chemo >8 hrs
|
$823.20 |
$823.20 |
$823.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$373.80 |
$373.80 |
$373.80 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$321.00 |
$321.00 |
$321.00 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$826.20 |
$826.20 |
$826.20 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$877.20 |
$877.20 |
$877.20 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,129.20 |
$1,129.20 |
$1,129.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,129.20 |
$1,129.20 |
$1,129.20 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$279.00 |
$279.00 |
$279.00 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$2,184.00
|
|
Ghs cl tx knee disl; wo anesth
|
$283.20 |
$283.20 |
$283.20 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$826.20 |
$826.20 |
$826.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$88.50
|
