|
Fetal non stress test
|
$772.20 |
$772.20 |
$772.20 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$205.80 |
$205.80 |
$205.80 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$117.60 |
$117.60 |
$117.60 |
$117.70
|
|
Fibrinogen activity
|
$165.00 |
$165.00 |
$165.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$446.40 |
$446.40 |
$446.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$192.60 |
$192.60 |
$192.60 |
$72.80
|
|
Fibrinolytic plasminogen
|
$555.00 |
$555.00 |
$555.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$206.40 |
$206.40 |
$206.40 |
$65.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,311.20 |
$2,311.20 |
$2,311.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,246.80 |
$1,246.80 |
$1,246.80 |
$685.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$409.80 |
$409.80 |
$409.80 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,095.60 |
$1,095.60 |
$1,095.60 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$409.80 |
$409.80 |
$409.80 |
$503.76
|
|
Fix g/colon tube w/device
|
$1,451.40 |
$1,451.40 |
$1,451.40 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$875.40 |
$875.40 |
$875.40 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$243.60 |
$243.60 |
$243.60 |
$204.00
|
|
Flow cytometry marker each additional
|
$132.00 |
$132.00 |
$132.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$284.40
|
|
Flt3 gene
|
$1,136.40 |
$1,136.40 |
$1,136.40 |
$355.00
|
|
Flt3 gene analysis
|
$705.60 |
$705.60 |
$705.60 |
$213.92
|
|
Fluidotherapy charges pt
|
$62.40 |
$62.40 |
$62.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$768.94
|
|
Fluorescein angrph mltiframe
|
$770.40 |
$770.40 |
$770.40 |
$344.00
|
|
Fluorescent antibody titer dna
|
$928.20 |
$928.20 |
$928.20 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$742.20 |
$742.20 |
$742.20 |
$496.03
|
|
Fluoroguide needle placement
|
$779.40 |
$779.40 |
$779.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$886.80 |
$886.80 |
$886.80 |
$492.00
|
|
Fmri brain by phys/psych
|
$3,192.60 |
$3,192.60 |
$3,192.60 |
$1,558.05
|
|
Fmri brain by tech
|
$3,397.20 |
$3,397.20 |
$3,397.20 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$1,717.20 |
$1,717.20 |
$1,717.20 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$3,011.40 |
$3,011.40 |
$3,011.40 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$2,413.20 |
$2,413.20 |
$2,413.20 |
$760.80
|
|
Folic acid
|
$175.80 |
$175.80 |
$175.80 |
$101.50
|
|
Follow-up angiography
|
$1,983.00 |
$1,983.00 |
$1,983.00 |
$2,040.78
|
|
Fo nontorsion joint cf
|
$120.00 |
$120.00 |
$120.00 |
$217.50
|
|
Foot X-ray
|
$492.00 |
$492.00 |
$492.00 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$383.40 |
$383.40 |
$383.40 |
$532.80
|
|
Fracture assessment via dxa
|
$367.80 |
$367.80 |
$367.80 |
$173.18
|
|
_fragile x methylation-sendout
|
$535.80 |
$535.80 |
$535.80 |
$174.00
|
|
Frenectomy 41115
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$1,752.89
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$165.00 |
$165.00 |
$165.00 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$217.20 |
$217.20 |
$217.20 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$147.60 |
$147.60 |
$147.60 |
$122.00
|
|
Frozen cell preparation
|
$124.80 |
$124.80 |
$124.80 |
$36.75
|
|
Fructosamine glycated protein
|
$82.80 |
$82.80 |
$82.80 |
$60.75
|
|
Ftl cgen abnor four anal
|
$664.80 |
$664.80 |
$664.80 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$521.40 |
$521.40 |
$521.40 |
$110.00
|
|
Fundus photography with i&r 92250
|
$188.40 |
$188.40 |
$188.40 |
$182.95
|
|
G6pc gene
|
$114.00 |
$114.00 |
$114.00 |
$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)
|
$5.40 |
$5.40 |
$5.40 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$6.60 |
$6.60 |
$6.60 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$485.40 |
$485.40 |
$485.40 |
$96.94
|
|
Galactokinase - sendout
|
$923.40 |
$923.40 |
$923.40 |
$204.97
|
|
Galactose transferase test
|
$33.00 |
$33.00 |
$33.00 |
$31.35
|
|
Gammaglobulin iga
|
$204.60 |
$204.60 |
$204.60 |
$67.20
|
|
Gammaglobulin ige
|
$159.00 |
$159.00 |
$159.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$99.00 |
$99.00 |
$99.00 |
$57.54
|
|
Gastric emptying imag study
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$1,291.55
|
|
Gastric emptying imag study
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$1,621.36
|
|
Gastroesophageal reflux study
|
$854.40 |
$854.40 |
$854.40 |
$949.80
|
|
Gastroesophageal reflux test
|
$472.20 |
$472.20 |
$472.20 |
$1,321.45
|
|
Gated heart multiple
|
$1,501.20 |
$1,501.20 |
$1,501.20 |
$1,400.64
|
|
Gba gene
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$160.72
|
|
General health panel
|
$727.80 |
$727.80 |
$727.80 |
$275.00
|
|
Genetic tstg severe inh cond
|
$7,627.80 |
$7,627.80 |
$7,627.80 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$229.80 |
$229.80 |
$229.80 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$113.40 |
$113.40 |
$113.40 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$144.60 |
$144.60 |
$144.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$949.20 |
$949.20 |
$949.20 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$164.40 |
$164.40 |
$164.40 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$326.40 |
$326.40 |
$326.40 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$1,006.20 |
$1,006.20 |
$1,006.20 |
$565.49
|
|
Ghs chemo >8 hrs
|
$513.00 |
$513.00 |
$513.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$347.40 |
$347.40 |
$347.40 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$66.60 |
$66.60 |
$66.60 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,215.60 |
$1,215.60 |
$1,215.60 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$442.80 |
$442.80 |
$442.80 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$282.00 |
$282.00 |
$282.00 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,750.20 |
$1,750.20 |
$1,750.20 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,917.60 |
$1,917.60 |
$1,917.60 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$293.40 |
$293.40 |
$293.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$405.60 |
$405.60 |
$405.60 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$136.20 |
$136.20 |
$136.20 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$199.20 |
$199.20 |
$199.20 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$336.00 |
$336.00 |
$336.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$504.00 |
$504.00 |
$504.00 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$610.80 |
$610.80 |
$610.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$437.40 |
$437.40 |
$437.40 |
$1,067.30
|
|
Ghs cutdown placement age 1 and over
|
$366.00 |
$366.00 |
$366.00 |
$377.89
|
|
Ghs diphtheria toxoid ab igg
|
$151.80 |
$151.80 |
$151.80 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$607.80 |
$607.80 |
$607.80 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,840.80 |
$1,840.80 |
$1,840.80 |
$1,109.47
|
