|
Echo guide for artery repair
|
$680.40 |
$680.40 |
$680.40 |
$664.00
|
|
Echo stress
|
$1,328.40 |
$1,328.40 |
$1,328.40 |
$1,592.05
|
|
Echo transthoracic
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$1,361.75
|
|
Echo transthoracic
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$953.10
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$488.88 |
$488.88 |
$488.88 |
$985.15
|
|
Edu/train/pt/nonmd/in person/30 min98960
|
$103.68 |
$103.68 |
$103.68 |
$87.84
|
|
Ehrlicha chaffeensis amp prb
|
$270.72 |
$270.72 |
$270.72 |
$93.00
|
|
Electrical stimulation/unattended 97014
|
$85.68 |
$85.68 |
$85.68 |
$79.20
|
|
Electrolyte panel
|
$161.28 |
$161.28 |
$161.28 |
$84.24
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$6.90 |
$6.90 |
$6.90 |
$109.71
|
|
Epstein barr early antigen antibody
|
$175.68 |
$175.68 |
$175.68 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$57.60 |
$57.60 |
$57.60 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$106.56 |
$106.56 |
$106.56 |
$91.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$202.32 |
$202.32 |
$202.32 |
$222.98
|
|
ER Visit (level 1, minor)
|
$236.16 |
$236.16 |
$236.16 |
$246.24
|
|
ER Visit (level 2)
|
$390.24 |
$390.24 |
$390.24 |
$452.20
|
|
ER Visit (level 3)
|
$619.92 |
$619.92 |
$619.92 |
$770.04
|
|
ER Visit (level 4)
|
$892.80 |
$892.80 |
$892.80 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,280.16 |
$1,280.16 |
$1,280.16 |
$1,820.02
|
|
Established Patient Office Visit (level 1)
|
$210.96 |
$210.96 |
$210.96 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$244.08 |
$244.08 |
$244.08 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$285.84 |
$285.84 |
$285.84 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$446.40 |
$446.40 |
$446.40 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$519.12 |
$519.12 |
$519.12 |
$280.33
|
|
Estradiol total
|
$213.84 |
$213.84 |
$213.84 |
$146.50
|
|
Estrogens total-sendout
|
$164.88 |
$164.88 |
$164.88 |
$96.20
|
|
Ethylene glycol -sendout
|
$110.88 |
$110.88 |
$110.88 |
$89.40
|
|
Evaluation of speech fluency 92521
|
$167.76 |
$167.76 |
$167.76 |
$311.50
|
|
External chromosome analysis 20-25 cells
|
$450.00 |
$450.00 |
$450.00 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$406.80 |
$406.80 |
$406.80 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$170.64 |
$170.64 |
$170.64 |
$108.60
|
|
Facial bones <3
|
$208.08 |
$208.08 |
$208.08 |
$252.60
|
|
Factor ix
|
$99.36 |
$99.36 |
$99.36 |
$156.13
|
|
Factor viii
|
$124.56 |
$124.56 |
$124.56 |
$133.81
|
|
Fallopian tube recnl
|
$5,577.84 |
$5,577.84 |
$5,577.84 |
$3,762.53
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.17 |
$0.17 |
$0.17 |
$22.20
|
|
Fat/lipids feces qualitative
|
$84.24 |
$84.24 |
$84.24 |
$38.35
|
|
Fatty acids nonesterified
|
$97.20 |
$97.20 |
$97.20 |
$64.28
|
|
#fecal-sodium
|
$14.40 |
$14.40 |
$14.40 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$12.96 |
$12.96 |
$12.96 |
$101.40
|
|
Ferritin
|
$170.64 |
$170.64 |
$170.64 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6.13 |
$6.13 |
$6.13 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$683.28 |
$683.28 |
$683.28 |
$535.37
|
|
Fibrin degradation d dimer quantitative
|
$177.84 |
$177.84 |
$177.84 |
$117.70
|
|
Fibrin degrade semiquant
|
$180.00 |
$180.00 |
$180.00 |
$78.09
|
|
Fibrinogen activity
|
$117.36 |
$117.36 |
$117.36 |
$83.50
|
|
Fibrinolytic plasminogen
|
$160.56 |
$160.56 |
$160.56 |
$107.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,368.72 |
$1,368.72 |
$1,368.72 |
$823.90
|
|
Fl exam g/colon tube w contrast
|
$488.88 |
$488.88 |
$488.88 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$192.24 |
$192.24 |
$192.24 |
$204.00
|
|
Flow cytometry marker each additional
|
$94.32 |
$94.32 |
$94.32 |
$97.50
|
|
Flow cytometry one marker technical component
|
$393.84 |
$393.84 |
$393.84 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$65.52 |
$65.52 |
$65.52 |
$64.22
|
|
Fluidotherapy charges pt
|
$136.08 |
$136.08 |
$136.08 |
$91.00
|
|
Fluorescent antibody titer dna
|
$51.12 |
$51.12 |
$51.12 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$817.20 |
$817.20 |
$817.20 |
$496.03
|
|
Fluoroguide needle placement
|
$182.16 |
$182.16 |
$182.16 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$591.84 |
$591.84 |
$591.84 |
$492.00
|
|
Folic acid
|
$171.36 |
$171.36 |
$171.36 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.30 |
$1.30 |
$1.30 |
$54.75
|
|
Foot X-ray
|
$440.64 |
$440.64 |
$440.64 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$24.78 |
$24.78 |
$24.78 |
$106.10
|
|
_fragile x methylation-sendout
|
$205.20 |
$205.20 |
$205.20 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$141.12 |
$141.12 |
$141.12 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$138.96 |
$138.96 |
$138.96 |
$156.60
|
|
Fructosamine glycated protein
|
$70.56 |
$70.56 |
$70.56 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$0.65 |
$0.65 |
$0.65 |
$19.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.89 |
$0.89 |
$0.89 |
$177.52
|
|
Gammaglobulin iga
|
$131.76 |
$131.76 |
$131.76 |
$67.20
|
|
Gammaglobulin ige
|
$200.16 |
$200.16 |
$200.16 |
$83.85
|
|
Gamma glutamyltransferase
|
$117.36 |
$117.36 |
$117.36 |
$57.54
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$16.08 |
$16.08 |
$16.08 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$146.88 |
$146.88 |
$146.88 |
$126.00
|
|
Ghs abscess perianal iandd
|
$2,162.88 |
$2,162.88 |
$2,162.88 |
$1,410.90
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$53.28 |
$53.28 |
$53.28 |
$100.30
|
|
Ghs bladder cath - complex-foley
|
$298.80 |
$298.80 |
$298.80 |
$344.00
|
|
Ghs change cysto/gastrost
|
$603.36 |
$603.36 |
$603.36 |
$565.49
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$207.36 |
$207.36 |
$207.36 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$417.60 |
$417.60 |
$417.60 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$544.32 |
$544.32 |
$544.32 |
$653.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$2,148.00
|
|
Ghs cl tx knee disl; wo anesth
|
$563.76 |
$563.76 |
$563.76 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$429.84 |
$429.84 |
$429.84 |
$495.55
|
|
Ghs conjunctiva foreign body-superf bil
|
$345.60 |
$345.60 |
$345.60 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$451.44 |
$451.44 |
$451.44 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$298.80 |
$298.80 |
$298.80 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$164.88 |
$164.88 |
$164.88 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$438.48 |
$438.48 |
$438.48 |
$578.00
|
|
Ghs excision ingrown nail
|
$431.28 |
$431.28 |
$431.28 |
$439.50
|
|
Ghs fb removal - non-incisional
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$72.72 |
$72.72 |
$72.72 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$136.80 |
$136.80 |
$136.80 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$562.32 |
$562.32 |
$562.32 |
$368.50
|
|
Ghs histoplasma antigen
|
$368.64 |
$368.64 |
$368.64 |
$141.00
|
|
Ghs HIV antibody
|
$138.24 |
$138.24 |
$138.24 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,234.32 |
$4,234.32 |
$4,234.32 |
$3,165.00
|
|
Ghs i and d pilonidal cyst simple
|
$759.60 |
$759.60 |
$759.60 |
$703.15
|
|
Ghs init tx 1st degree burn
|
$223.20 |
$223.20 |
$223.20 |
$275.50
|
|
Ghs insertion of needle - bone
|
$599.04 |
$599.04 |
$599.04 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$962.64 |
$962.64 |
$962.64 |
$863.28
|
