|
Exc malig tal 0.6-1.0cm 11601
|
$452.40 |
$452.40 |
$452.40 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$452.40 |
$452.40 |
$452.40 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$452.40 |
$452.40 |
$452.40 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$452.40 |
$452.40 |
$452.40 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,370.52
|
|
Exc thrombosed hemorrhoid 46320
|
$6,817.20 |
$6,817.20 |
$6,817.20 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,041.00 |
$1,041.00 |
$1,041.00 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$681.00 |
$681.00 |
$681.00 |
$318.50
|
|
Ext ecg>48hr<7d scan a/r
|
$541.20 |
$541.20 |
$541.20 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$541.20 |
$541.20 |
$541.20 |
$336.07
|
|
External chromosome analysis 20-25 cells
|
$796.80 |
$796.80 |
$796.80 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,304.40 |
$1,304.40 |
$1,304.40 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$453.60 |
$453.60 |
$453.60 |
$108.60
|
|
Facial bones <3
|
$456.60 |
$456.60 |
$456.60 |
$252.60
|
|
Factor ix
|
$187.80 |
$187.80 |
$187.80 |
$156.13
|
|
Factor viii
|
$191.40 |
$191.40 |
$191.40 |
$133.81
|
|
Fallopian tube recnl
|
$3,867.60 |
$3,867.60 |
$3,867.60 |
$3,762.53
|
|
Fancc gene
|
$963.00 |
$963.00 |
$963.00 |
$147.00
|
|
Fat/lipids feces qualitative
|
$73.80 |
$73.80 |
$73.80 |
$38.35
|
|
Fatty acids nonesterified
|
$220.80 |
$220.80 |
$220.80 |
$64.28
|
|
#fecal-sodium
|
$122.40 |
$122.40 |
$122.40 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$101.40 |
$101.40 |
$101.40 |
$65.00
|
|
Fern test
|
$37.80 |
$37.80 |
$37.80 |
$39.65
|
|
Ferritin
|
$190.80 |
$190.80 |
$190.80 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$702.60 |
$702.60 |
$702.60 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$2,761.80 |
$2,761.80 |
$2,761.80 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$672.60 |
$672.60 |
$672.60 |
$475.50
|
|
Fetal fibronectin
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$82.80 |
$82.80 |
$82.80 |
$105.12
|
|
Fetal hemoglobin rosette
|
$120.60 |
$120.60 |
$120.60 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$36.00 |
$36.00 |
$36.00 |
$69.60
|
|
Fetal non stress test
|
$486.60 |
$486.60 |
$486.60 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$253.80 |
$253.80 |
$253.80 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$158.40 |
$158.40 |
$158.40 |
$117.70
|
|
Fibrinogen activity
|
$235.20 |
$235.20 |
$235.20 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$240.00 |
$240.00 |
$240.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$694.80 |
$694.80 |
$694.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$264.00 |
$264.00 |
$264.00 |
$65.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$937.20 |
$937.20 |
$937.20 |
$685.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$291.00 |
$291.00 |
$291.00 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$937.20 |
$937.20 |
$937.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$506.40 |
$506.40 |
$506.40 |
$503.76
|
|
Fix g/colon tube w/device
|
$1,345.20 |
$1,345.20 |
$1,345.20 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$548.40 |
$548.40 |
$548.40 |
$511.92
|
|
Flow cytometry marker each additional
|
$177.00 |
$177.00 |
$177.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$284.40
|
|
Flt3 gene
|
$1,159.80 |
$1,159.80 |
$1,159.80 |
$355.00
|
|
Flt3 gene analysis
|
$763.80 |
$763.80 |
$763.80 |
$213.92
|
|
Fluidotherapy charges pt
|
$62.40 |
$62.40 |
$62.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$981.60 |
$981.60 |
$981.60 |
$768.94
|
|
Fluorescent antibody titer dna
|
$955.20 |
$955.20 |
$955.20 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$1,023.60 |
$1,023.60 |
$1,023.60 |
$496.03
|
|
Fluoroguide needle placement
|
$894.60 |
$894.60 |
$894.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$336.00 |
$336.00 |
$336.00 |
$492.00
|
|
Fmri brain by phys/psych
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$1,558.05
|
|
Fmri brain by tech
|
$3,328.20 |
$3,328.20 |
$3,328.20 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$1,694.40 |
$1,694.40 |
$1,694.40 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$2,392.20 |
$2,392.20 |
$2,392.20 |
$760.80
|
|
Folic acid
|
$186.60 |
$186.60 |
$186.60 |
$101.50
|
|
Follow-up angiography
|
$1,957.20 |
$1,957.20 |
$1,957.20 |
$2,040.78
|
|
Fo nontorsion joint cf
|
$120.00 |
$120.00 |
$120.00 |
$217.50
|
|
Foot X-ray
|
$473.40 |
$473.40 |
$473.40 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$778.80 |
$778.80 |
$778.80 |
$532.80
|
|
_fragile x methylation-sendout
|
$580.80 |
$580.80 |
$580.80 |
$174.00
|
|
Frenectomy 41115
|
$1,513.20 |
$1,513.20 |
$1,513.20 |
$1,752.89
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$192.60 |
$192.60 |
$192.60 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$192.60 |
$192.60 |
$192.60 |
$156.60
|
|
Fructosamine glycated protein
|
$116.40 |
$116.40 |
$116.40 |
$60.75
|
|
Ftl cgen abnor four anal
|
$313.20 |
$313.20 |
$313.20 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$548.40 |
$548.40 |
$548.40 |
$110.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,954.00 |
$3,954.00 |
$3,954.00 |
$2,703.50
|
|
G6pc gene
|
$125.40 |
$125.40 |
$125.40 |
$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)
|
$12.60 |
$12.60 |
$12.60 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$632.40 |
$632.40 |
$632.40 |
$96.94
|
|
Galactose transferase test
|
$43.80 |
$43.80 |
$43.80 |
$31.35
|
|
Gammaglobulin iga
|
$280.80 |
$280.80 |
$280.80 |
$67.20
|
|
Gammaglobulin ige
|
$145.20 |
$145.20 |
$145.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$156.60 |
$156.60 |
$156.60 |
$57.54
|
|
Gated heart multiple
|
$2,103.60 |
$2,103.60 |
$2,103.60 |
$1,400.64
|
|
General health panel
|
$526.20 |
$526.20 |
$526.20 |
$275.00
|
|
Genetic tstg severe inh cond
|
$7,919.40 |
$7,919.40 |
$7,919.40 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$174.60 |
$174.60 |
$174.60 |
$126.00
|
|
Ghs abscess perianal iandd
|
$661.80 |
$661.80 |
$661.80 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$2,980.20 |
$2,980.20 |
$2,980.20 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$156.00 |
$156.00 |
$156.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$178.20 |
$178.20 |
$178.20 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$154.80 |
$154.80 |
$154.80 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$1,311.00 |
$1,311.00 |
$1,311.00 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$709.80 |
$709.80 |
$709.80 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,050.80 |
$2,050.80 |
$2,050.80 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$448.80 |
$448.80 |
$448.80 |
$565.49
|
|
Ghs chemo >8 hrs
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$714.87
|
