|
Evoked oa emissions ltd
|
$479.50 |
$479.50 |
$479.50 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$560.00 |
$560.00 |
$560.00 |
$249.71
|
|
Exc benign tal 0.5 < cm 11400
|
$259.00 |
$259.00 |
$259.00 |
$827.40
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$316.40 |
$316.40 |
$316.40 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$404.60 |
$404.60 |
$404.60 |
$1,247.50
|
|
Exc thrombosed hemorrhoid 46320
|
$2,690.80 |
$2,690.80 |
$2,690.80 |
$2,099.00
|
|
Extended visual field xm
|
$73.50 |
$73.50 |
$73.50 |
$163.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$88.90 |
$88.90 |
$88.90 |
$61.10
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$182.00 |
$182.00 |
$182.00 |
$108.60
|
|
Factor ix
|
$217.70 |
$217.70 |
$217.70 |
$156.13
|
|
Factor viii
|
$182.00 |
$182.00 |
$182.00 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$337.40 |
$337.40 |
$337.40 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$337.40 |
$337.40 |
$337.40 |
$230.36
|
|
Fat/lipids feces qualitative
|
$71.40 |
$71.40 |
$71.40 |
$38.35
|
|
#fecal-sodium
|
$58.10 |
$58.10 |
$58.10 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$126.00 |
$126.00 |
$126.00 |
$65.00
|
|
Ferritin
|
$156.80 |
$156.80 |
$156.80 |
$100.94
|
|
Fetal fibronectin
|
$760.20 |
$760.20 |
$760.20 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$180.60 |
$180.60 |
$180.60 |
$105.12
|
|
Fetal non stress test
|
$101.50 |
$101.50 |
$101.50 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$113.40 |
$113.40 |
$113.40 |
$117.70
|
|
Fibrin degradation products
|
$67.20 |
$67.20 |
$67.20 |
$62.64
|
|
Fibrinogen activity
|
$111.30 |
$111.30 |
$111.30 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$130.20 |
$130.20 |
$130.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$350.70 |
$350.70 |
$350.70 |
$107.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$402.50 |
$402.50 |
$402.50 |
$823.90
|
|
Fl exam g/colon tube w contrast
|
$1,099.70 |
$1,099.70 |
$1,099.70 |
$511.92
|
|
Flow cytometry marker each additional
|
$134.40 |
$134.40 |
$134.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$831.60 |
$831.60 |
$831.60 |
$284.40
|
|
Fluidotherapy charges pt
|
$70.70 |
$70.70 |
$70.70 |
$91.00
|
|
Fluorescent antibody titer dna
|
$147.70 |
$147.70 |
$147.70 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$424.20 |
$424.20 |
$424.20 |
$496.03
|
|
Fluoroguide needle placement
|
$467.60 |
$467.60 |
$467.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$492.00
|
|
Folic acid
|
$204.40 |
$204.40 |
$204.40 |
$101.50
|
|
Foot X-ray
|
$441.00 |
$441.00 |
$441.00 |
$362.40
|
|
_fragile x methylation-sendout
|
$557.20 |
$557.20 |
$557.20 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$126.70 |
$126.70 |
$126.70 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$140.00 |
$140.00 |
$140.00 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$303.80 |
$303.80 |
$303.80 |
$122.00
|
|
Fructosamine glycated protein
|
$133.70 |
$133.70 |
$133.70 |
$60.75
|
|
Galactose transferase test
|
$40.60 |
$40.60 |
$40.60 |
$31.35
|
|
Gammaglobulin iga
|
$98.00 |
$98.00 |
$98.00 |
$67.20
|
|
Gammaglobulin ige
|
$155.40 |
$155.40 |
$155.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$64.40 |
$64.40 |
$64.40 |
$57.54
|
|
Gastroesophageal reflux study
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$949.80
|
|
General health panel
|
$548.10 |
$548.10 |
$548.10 |
$275.00
|
|
Gentamicin peak therapeutic drug level
|
$184.10 |
$184.10 |
$184.10 |
$126.00
|
|
Ghs abscess perianal iandd
|
$2,288.30 |
$2,288.30 |
$2,288.30 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$5,685.40 |
$5,685.40 |
$5,685.40 |
$3,515.40
|
|
Ghs antibodies (torch) igm
|
$156.10 |
$156.10 |
$156.10 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$357.00 |
$357.00 |
$357.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,454.60 |
$1,454.60 |
$1,454.60 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$555.10 |
$555.10 |
$555.10 |
$565.49
|
|
Ghs chemo IV push, ea addtl
|
$49.70 |
$49.70 |
$49.70 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$217.00 |
$217.00 |
$217.00 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$602.00 |
$602.00 |
$602.00 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$547.40 |
$547.40 |
$547.40 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,017.30 |
$4,017.30 |
$4,017.30 |
$1,592.00
|
|
Ghs clsd red med malleolus fx without manip
|
$547.40 |
$547.40 |
$547.40 |
$496.80
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$602.00 |
$602.00 |
$602.00 |
$592.80
|
|
Ghs community re-entry 15 minutes
|
$155.40 |
$155.40 |
$155.40 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$910.70 |
$910.70 |
$910.70 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$294.00 |
$294.00 |
$294.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$910.70 |
$910.70 |
$910.70 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$294.00 |
$294.00 |
$294.00 |
$339.60
|
|
Ghs dislocation elbow closed treatment
|
$602.00 |
$602.00 |
$602.00 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$539.00 |
$539.00 |
$539.00 |
$329.60
|
|
Ghs excision ingrown nail
|
$340.20 |
$340.20 |
$340.20 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$682.50 |
$682.50 |
$682.50 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$3,697.40 |
$3,697.40 |
$3,697.40 |
$2,538.75
|
|
Ghs fb removal - incisional
|
$3,697.40 |
$3,697.40 |
$3,697.40 |
$2,271.01
|
|
Ghs hcv amplificaiton
|
$439.60 |
$439.60 |
$439.60 |
$187.00
|
|
Ghs histoplasma antigen
|
$184.80 |
$184.80 |
$184.80 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,959.60 |
$2,959.60 |
$2,959.60 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,766.10 |
$1,766.10 |
$1,766.10 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,806.70 |
$1,806.70 |
$1,806.70 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$555.10 |
$555.10 |
$555.10 |
$523.73
|
|
Ghs init tx 1st degree burn
|
$499.10 |
$499.10 |
$499.10 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$117.60 |
$117.60 |
$117.60 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$259.70 |
$259.70 |
$259.70 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,869.70 |
$1,869.70 |
$1,869.70 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$910.70 |
$910.70 |
$910.70 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$911.40 |
$911.40 |
$911.40 |
$863.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$5,803.70 |
$5,803.70 |
$5,803.70 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$555.10 |
$555.10 |
$555.10 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$756.70 |
$756.70 |
$756.70 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,001.70 |
$1,001.70 |
$1,001.70 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$882.00 |
$882.00 |
$882.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$882.00 |
$882.00 |
$882.00 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$882.00 |
$882.00 |
$882.00 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$911.40 |
$911.40 |
$911.40 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$911.40 |
$911.40 |
$911.40 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,003.10 |
$1,003.10 |
$1,003.10 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$911.40 |
$911.40 |
$911.40 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,269.10 |
$1,269.10 |
$1,269.10 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$911.40 |
$911.40 |
$911.40 |
$740.00
|
