|
Electrical stimulation/unattended 97014
|
$70.40 |
$70.40 |
$70.40 |
$79.20
|
|
Electrolyte panel
|
$211.20 |
$211.20 |
$211.20 |
$84.24
|
|
Encephalitis, california igg/igm
|
$75.20 |
$75.20 |
$75.20 |
$53.55
|
|
Encephalitis, st louis igg/igm
|
$75.20 |
$75.20 |
$75.20 |
$48.57
|
|
Encephalitis, western equine igg/igm
|
$75.20 |
$75.20 |
$75.20 |
$53.10
|
|
Endoscopy swallow (fees) vid
|
$500.80 |
$500.80 |
$500.80 |
$402.35
|
|
Enzyme histochemistry
|
$699.20 |
$699.20 |
$699.20 |
$471.60
|
|
Ep & ablate supravent arrhyt
|
$19,847.20 |
$19,847.20 |
$19,847.20 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$19,847.20 |
$19,847.20 |
$19,847.20 |
$28,199.40
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,578.40 |
$1,578.40 |
$1,578.40 |
$1,141.80
|
|
Epidural lysis on single day 62264
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$2,202.48
|
|
Epstein barr early antigen antibody
|
$204.80 |
$204.80 |
$204.80 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$194.40 |
$194.40 |
$194.40 |
$78.65
|
|
Epstein barr viral capsid antigen antibody igm
|
$152.80 |
$152.80 |
$152.80 |
$91.00
|
|
Ercp biliary & pancreas
|
$1,212.80 |
$1,212.80 |
$1,212.80 |
$967.04
|
|
ER Visit (level 1, minor)
|
$183.20 |
$183.20 |
$183.20 |
$246.24
|
|
ER Visit (level 2)
|
$380.00 |
$380.00 |
$380.00 |
$452.20
|
|
ER Visit (level 3)
|
$648.00 |
$648.00 |
$648.00 |
$770.04
|
|
ER Visit (level 4)
|
$1,026.40 |
$1,026.40 |
$1,026.40 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$1,707.20 |
$1,707.20 |
$1,707.20 |
$1,820.02
|
|
Established Patient Office Visit (level 1)
|
$110.40 |
$110.40 |
$110.40 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$181.60 |
$181.60 |
$181.60 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$232.80 |
$232.80 |
$232.80 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$319.20 |
$319.20 |
$319.20 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$427.20 |
$427.20 |
$427.20 |
$280.33
|
|
Estradiol total
|
$297.60 |
$297.60 |
$297.60 |
$146.50
|
|
Estrogens total-sendout
|
$122.40 |
$122.40 |
$122.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$235.20 |
$235.20 |
$235.20 |
$89.40
|
|
Euglobulin lysis
|
$316.80 |
$316.80 |
$316.80 |
$56.70
|
|
Evaluation of speech fluency 92521
|
$483.20 |
$483.20 |
$483.20 |
$311.50
|
|
Event monitor
|
$216.80 |
$216.80 |
$216.80 |
$242.65
|
|
Evoked oa emissions ltd
|
$261.60 |
$261.60 |
$261.60 |
$234.32
|
|
Exchange biliary drg cath
|
$3,206.40 |
$3,206.40 |
$3,206.40 |
$3,909.56
|
|
Exchange nephrostomy cath
|
$1,712.80 |
$1,712.80 |
$1,712.80 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$591.20 |
$591.20 |
$591.20 |
$1,012.86
|
|
Excision of gum flap
|
$2,084.00 |
$2,084.00 |
$2,084.00 |
$1,944.80
|
|
Exercise tst brncspsm w/ecg
|
$618.40 |
$618.40 |
$618.40 |
$318.50
|
|
Explore penetrating wnd/extremity 20103
|
$3,188.80 |
$3,188.80 |
$3,188.80 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$2,403.20 |
$2,403.20 |
$2,403.20 |
$2,568.80
|
|
Explore woundchest 20101
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$2,254.56
|
|
Ext ecg>48hr<7d scan a/r
|
$613.60 |
$613.60 |
$613.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$613.60 |
$613.60 |
$613.60 |
$336.07
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$44.00 |
$44.00 |
$44.00 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$976.00 |
$976.00 |
$976.00 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$604.80 |
$604.80 |
$604.80 |
$108.60
|
|
Facial bones <3
|
$363.20 |
$363.20 |
$363.20 |
$252.60
|
|
Factor ix
|
$200.00 |
$200.00 |
$200.00 |
$156.13
|
|
Factor viii
|
$220.80 |
$220.80 |
$220.80 |
$133.81
|
|
Fancc gene
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$147.00
|
|
Fat/lipids feces qualitative
|
$80.00 |
$80.00 |
$80.00 |
$38.35
|
|
Fatty acids nonesterified
|
$263.20 |
$263.20 |
$263.20 |
$64.28
|
|
#fecal-sodium
|
$118.40 |
$118.40 |
$118.40 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$115.20 |
$115.20 |
$115.20 |
$65.00
|
|
Fern test
|
$44.80 |
$44.80 |
$44.80 |
$39.65
|
|
Ferritin
|
$221.60 |
$221.60 |
$221.60 |
$100.94
|
|
Fetal chrom aneuploidy gsa panel
|
$3,177.60 |
$3,177.60 |
$3,177.60 |
$1,206.81
|
|
Fetal fibronectin
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$373.41
|
|
Fetal hemoglobin rosette
|
$93.60 |
$93.60 |
$93.60 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$190.40 |
$190.40 |
$190.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$234.40 |
$234.40 |
$234.40 |
$117.70
|
|
Fibrin degradation products
|
$104.00 |
$104.00 |
$104.00 |
$62.64
|
|
Fibrinogen activity
|
$172.80 |
$172.80 |
$172.80 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$165.60 |
$165.60 |
$165.60 |
$72.80
|
|
Fibrinolytic plasminogen
|
$497.60 |
$497.60 |
$497.60 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$359.20 |
$359.20 |
$359.20 |
$65.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,297.60 |
$1,297.60 |
$1,297.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$650.40 |
$650.40 |
$650.40 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$650.40 |
$650.40 |
$650.40 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$336.00 |
$336.00 |
$336.00 |
$503.76
|
|
Fl exam g/colon tube w contrast
|
$443.20 |
$443.20 |
$443.20 |
$511.92
|
|
Flow cytometry marker each additional
|
$161.60 |
$161.60 |
$161.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,969.60 |
$2,969.60 |
$2,969.60 |
$284.40
|
|
Fluidotherapy charges pt
|
$83.20 |
$83.20 |
$83.20 |
$91.00
|
|
Fluid pressure muscle 20950
|
$1,014.40 |
$1,014.40 |
$1,014.40 |
$768.94
|
|
Fluorescent antibody titer dna
|
$1,201.60 |
$1,201.60 |
$1,201.60 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$673.60 |
$673.60 |
$673.60 |
$496.03
|
|
Fluoroguide needle placement
|
$673.60 |
$673.60 |
$673.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$673.60 |
$673.60 |
$673.60 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$615.20 |
$615.20 |
$615.20 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$615.20 |
$615.20 |
$615.20 |
$760.80
|
|
Folic acid
|
$186.40 |
$186.40 |
$186.40 |
$101.50
|
|
Follow-up angiography
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,040.78
|
|
Foot X-ray
|
$772.00 |
$772.00 |
$772.00 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$340.80 |
$340.80 |
$340.80 |
$532.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$201.60 |
$201.60 |
$201.60 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$214.40 |
$214.40 |
$214.40 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$144.00 |
$144.00 |
$144.00 |
$122.00
|
|
Fructosamine glycated protein
|
$90.40 |
$90.40 |
$90.40 |
$60.75
|
|
Ftl cgen abnor four anal
|
$360.00 |
$360.00 |
$360.00 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$667.20 |
$667.20 |
$667.20 |
$110.00
|
|
G6pc gene
|
$138.40 |
$138.40 |
$138.40 |
$123.00
|
|
G6pd full gene sequence
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$1,320.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$9.60 |
$9.60 |
$9.60 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$148.00 |
$148.00 |
$148.00 |
$96.94
|
|
Galactose transferase test
|
$52.00 |
$52.00 |
$52.00 |
$31.35
|
|
Gammaglobulin iga
|
$329.60 |
$329.60 |
$329.60 |
$67.20
|
|
Gammaglobulin ige
|
$148.00 |
$148.00 |
$148.00 |
$83.85
|
