|
Factor viii
|
$275.40 |
$275.40 |
$275.40 |
$133.81
|
|
Fancc gene
|
$876.00 |
$876.00 |
$876.00 |
$147.00
|
|
Fat/lipids feces qualitative
|
$82.20 |
$82.20 |
$82.20 |
$38.35
|
|
Fatty acids nonesterified
|
$207.60 |
$207.60 |
$207.60 |
$64.28
|
|
#fecal-sodium
|
$84.60 |
$84.60 |
$84.60 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$94.80 |
$94.80 |
$94.80 |
$65.00
|
|
Fern test
|
$31.20 |
$31.20 |
$31.20 |
$39.65
|
|
Ferritin
|
$165.60 |
$165.60 |
$165.60 |
$100.94
|
|
Fetal chrom aneuploidy gsa panel
|
$2,575.20 |
$2,575.20 |
$2,575.20 |
$1,206.81
|
|
Fetal fibronectin
|
$808.80 |
$808.80 |
$808.80 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$211.20 |
$211.20 |
$211.20 |
$105.12
|
|
Fetal hemoglobin rosette
|
$108.00 |
$108.00 |
$108.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$107.40 |
$107.40 |
$107.40 |
$69.60
|
|
Fetal non stress test
|
$807.00 |
$807.00 |
$807.00 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$192.60 |
$192.60 |
$192.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$211.20 |
$211.20 |
$211.20 |
$117.70
|
|
Fibrinogen activity
|
$199.20 |
$199.20 |
$199.20 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$454.80 |
$454.80 |
$454.80 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$217.20 |
$217.20 |
$217.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$621.60 |
$621.60 |
$621.60 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$234.00 |
$234.00 |
$234.00 |
$65.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,574.60 |
$2,574.60 |
$2,574.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$246.00 |
$246.00 |
$246.00 |
$503.76
|
|
Fl exam g/colon tube w contrast
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$511.92
|
|
Flow cytometry marker each additional
|
$147.00 |
$147.00 |
$147.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,227.20 |
$2,227.20 |
$2,227.20 |
$284.40
|
|
Flt3 gene
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$355.00
|
|
Flt3 gene analysis
|
$659.40 |
$659.40 |
$659.40 |
$213.92
|
|
Fluidotherapy charges pt
|
$62.40 |
$62.40 |
$62.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$921.60 |
$921.60 |
$921.60 |
$768.94
|
|
Fluorescent antibody titer dna
|
$946.20 |
$946.20 |
$946.20 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$496.03
|
|
Fluoroguide needle placement
|
$1,143.60 |
$1,143.60 |
$1,143.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$561.60 |
$561.60 |
$561.60 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$760.80
|
|
Folic acid
|
$152.40 |
$152.40 |
$152.40 |
$101.50
|
|
Follow-up angiography
|
$1,959.60 |
$1,959.60 |
$1,959.60 |
$2,040.78
|
|
Foot X-ray
|
$604.20 |
$604.20 |
$604.20 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$304.80 |
$304.80 |
$304.80 |
$532.80
|
|
_fragile x methylation-sendout
|
$500.40 |
$500.40 |
$500.40 |
$174.00
|
|
Frenectomy 41115
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,752.89
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$337.80 |
$337.80 |
$337.80 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$337.80 |
$337.80 |
$337.80 |
$156.60
|
|
Fructosamine glycated protein
|
$98.40 |
$98.40 |
$98.40 |
$60.75
|
|
Ftl cgen abnor four anal
|
$291.60 |
$291.60 |
$291.60 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$515.40 |
$515.40 |
$515.40 |
$110.00
|
|
G6pc gene
|
$112.80 |
$112.80 |
$112.80 |
$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)
|
$12.60 |
$12.60 |
$12.60 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$481.20 |
$481.20 |
$481.20 |
$96.94
|
|
Galactose transferase test
|
$36.60 |
$36.60 |
$36.60 |
$31.35
|
|
Gammaglobulin iga
|
$232.20 |
$232.20 |
$232.20 |
$67.20
|
|
Gammaglobulin ige
|
$180.00 |
$180.00 |
$180.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$111.00 |
$111.00 |
$111.00 |
$57.54
|
|
Gated heart multiple
|
$2,557.80 |
$2,557.80 |
$2,557.80 |
$1,400.64
|
|
General health panel
|
$832.80 |
$832.80 |
$832.80 |
$275.00
|
|
Genetic tstg severe inh cond
|
$7,447.80 |
$7,447.80 |
$7,447.80 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$216.60 |
$216.60 |
$216.60 |
$126.00
|
|
Ghs abscess perianal iandd
|
$901.80 |
$901.80 |
$901.80 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$6,517.80 |
$6,517.80 |
$6,517.80 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$129.00 |
$129.00 |
$129.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$459.60 |
$459.60 |
$459.60 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$124.20 |
$124.20 |
$124.20 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$445.80 |
$445.80 |
$445.80 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,688.40 |
$1,688.40 |
$1,688.40 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$925.80 |
$925.80 |
$925.80 |
$565.49
|
|
Ghs chemo IV push, ea addtl
|
$370.80 |
$370.80 |
$370.80 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$346.80 |
$346.80 |
$346.80 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$646.20 |
$646.20 |
$646.20 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$683.40 |
$683.40 |
$683.40 |
$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
|
$1,728.60 |
$1,728.60 |
$1,728.60 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$288.00 |
$288.00 |
$288.00 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,887.60 |
$1,887.60 |
$1,887.60 |
$2,184.00
|
|
Ghs cl tx knee disl; wo anesth
|
$683.40 |
$683.40 |
$683.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$646.20 |
$646.20 |
$646.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$108.00 |
$108.00 |
$108.00 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$421.20 |
$421.20 |
$421.20 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$398.40 |
$398.40 |
$398.40 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$421.20 |
$421.20 |
$421.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$2,654.40 |
$2,654.40 |
$2,654.40 |
$1,067.30
|
|
Ghs cutdown placement age 1 and over
|
$251.40 |
$251.40 |
$251.40 |
$377.89
|
|
Ghs diphtheria toxoid ab igg
|
$144.60 |
$144.60 |
$144.60 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$683.40 |
$683.40 |
$683.40 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$2,005.20 |
$2,005.20 |
$2,005.20 |
$1,109.47
|
|
Ghs excision ingrown nail
|
$612.60 |
$612.60 |
$612.60 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$742.20 |
$742.20 |
$742.20 |
$501.04
|
|
Ghs fb removal - incisional
|
$986.40 |
$986.40 |
$986.40 |
$2,271.01
|
|
Ghs fish cytogen
|
$1,148.40 |
$1,148.40 |
$1,148.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$223.00
|
|
Ghs hcv amplificaiton
|
$407.40 |
$407.40 |
$407.40 |
$187.00
|
|
Ghs hgb stability-thal
|
$460.20 |
$460.20 |
$460.20 |
$87.60
|
|
Ghs histoplasma antigen
|
$327.60 |
$327.60 |
$327.60 |
$141.00
|
|
Ghs HIV antibody
|
$145.20 |
$145.20 |
$145.20 |
$90.14
|
