|
Felbamate (felbatol(r)) - sendout
|
$126.40 |
$126.40 |
$126.40 |
$65.00
|
|
Fern test
|
$44.00 |
$44.00 |
$44.00 |
$39.65
|
|
Ferritin
|
$248.00 |
$248.00 |
$248.00 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$1,100.80 |
$1,100.80 |
$1,100.80 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$3,438.40 |
$3,438.40 |
$3,438.40 |
$1,206.81
|
|
Fetal fibronectin
|
$1,256.80 |
$1,256.80 |
$1,256.80 |
$373.41
|
|
Fetal hemoglobin rosette
|
$108.00 |
$108.00 |
$108.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$42.40 |
$42.40 |
$42.40 |
$69.60
|
|
Fetal non stress test
|
$585.60 |
$585.60 |
$585.60 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$244.80 |
$244.80 |
$244.80 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$257.60 |
$257.60 |
$257.60 |
$117.70
|
|
Fibrinogen activity
|
$277.60 |
$277.60 |
$277.60 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$292.80 |
$292.80 |
$292.80 |
$72.80
|
|
Fibrinolytic plasminogen
|
$815.20 |
$815.20 |
$815.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$316.00 |
$316.00 |
$316.00 |
$65.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$558.40 |
$558.40 |
$558.40 |
$685.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$401.60 |
$401.60 |
$401.60 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$558.40 |
$558.40 |
$558.40 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$712.00 |
$712.00 |
$712.00 |
$503.76
|
|
Fl exam g/colon tube w contrast
|
$725.60 |
$725.60 |
$725.60 |
$511.92
|
|
Flow cytometry marker each additional
|
$223.20 |
$223.20 |
$223.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,969.60 |
$2,969.60 |
$2,969.60 |
$284.40
|
|
Flt3 gene
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$355.00
|
|
Flt3 gene analysis
|
$964.00 |
$964.00 |
$964.00 |
$213.92
|
|
Fluidotherapy charges pt
|
$83.20 |
$83.20 |
$83.20 |
$91.00
|
|
Fluid pressure muscle 20950
|
$1,207.20 |
$1,207.20 |
$1,207.20 |
$768.94
|
|
Fluorescent antibody titer dna
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$496.03
|
|
Fluoroguide needle placement
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$1,078.40 |
$1,078.40 |
$1,078.40 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$540.00 |
$540.00 |
$540.00 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$1,078.40 |
$1,078.40 |
$1,078.40 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$540.00 |
$540.00 |
$540.00 |
$760.80
|
|
Folic acid
|
$456.00 |
$456.00 |
$456.00 |
$101.50
|
|
Follow-up angiography
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,040.78
|
|
Foot X-ray
|
$983.20 |
$983.20 |
$983.20 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$403.20 |
$403.20 |
$403.20 |
$532.80
|
|
_fragile x methylation-sendout
|
$732.80 |
$732.80 |
$732.80 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$220.80 |
$220.80 |
$220.80 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$300.80 |
$300.80 |
$300.80 |
$156.60
|
|
Fructosamine glycated protein
|
$130.40 |
$130.40 |
$130.40 |
$60.75
|
|
Ftl cgen abnor four anal
|
$389.60 |
$389.60 |
$389.60 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$675.20 |
$675.20 |
$675.20 |
$110.00
|
|
G6pc gene
|
$165.60 |
$165.60 |
$165.60 |
$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)
|
$10.40 |
$10.40 |
$10.40 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$716.80 |
$716.80 |
$716.80 |
$96.94
|
|
Galactose transferase test
|
$50.40 |
$50.40 |
$50.40 |
$31.35
|
|
Gammaglobulin iga
|
$314.40 |
$314.40 |
$314.40 |
$67.20
|
|
Gammaglobulin ige
|
$194.40 |
$194.40 |
$194.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$278.40 |
$278.40 |
$278.40 |
$57.54
|
|
Gastric emptying imag study
|
$2,480.00 |
$2,480.00 |
$2,480.00 |
$1,291.55
|
|
Gastric emptying imag study
|
$3,251.20 |
$3,251.20 |
$3,251.20 |
$1,621.36
|
|
Gated heart multiple
|
$3,251.20 |
$3,251.20 |
$3,251.20 |
$1,400.64
|
|
General health panel
|
$812.80 |
$812.80 |
$812.80 |
$275.00
|
|
Genetic tstg severe inh cond
|
$9,833.60 |
$9,833.60 |
$9,833.60 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$468.00 |
$468.00 |
$468.00 |
$126.00
|
|
Ghs abscess perianal iandd
|
$2,792.80 |
$2,792.80 |
$2,792.80 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$3,492.80 |
$3,492.80 |
$3,492.80 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$175.20 |
$175.20 |
$175.20 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$208.00 |
$208.00 |
$208.00 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$208.80 |
$208.80 |
$208.80 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$835.20 |
$835.20 |
$835.20 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,093.60 |
$1,093.60 |
$1,093.60 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$464.80 |
$464.80 |
$464.80 |
$565.49
|
|
Ghs chemo >8 hrs
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$252.00 |
$252.00 |
$252.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$535.20 |
$535.20 |
$535.20 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$301.60 |
$301.60 |
$301.60 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$857.60 |
$857.60 |
$857.60 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,132.00 |
$2,132.00 |
$2,132.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$4,420.80 |
$4,420.80 |
$4,420.80 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$359.20 |
$359.20 |
$359.20 |
$496.80
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$5,676.80 |
$5,676.80 |
$5,676.80 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$391.20 |
$391.20 |
$391.20 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$301.60 |
$301.60 |
$301.60 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$486.40 |
$486.40 |
$486.40 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$946.40 |
$946.40 |
$946.40 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$339.60
|
|
Ghs cricothyroidotomy
|
$361.60 |
$361.60 |
$361.60 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$224.80 |
$224.80 |
$224.80 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$857.60 |
$857.60 |
$857.60 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$780.80 |
$780.80 |
$780.80 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$569.60 |
$569.60 |
$569.60 |
$329.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,055.20 |
$1,055.20 |
$1,055.20 |
$593.91
|
|
Ghs electrostagmgraphy
|
$767.20 |
$767.20 |
$767.20 |
$295.50
|
|
Ghs elect torsion swing
|
$419.20 |
$419.20 |
$419.20 |
$242.40
|
|
Ghs excision ingrown nail
|
$627.20 |
$627.20 |
$627.20 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$501.04
|
|
Ghs fb removal - incisional
|
$3,344.00 |
$3,344.00 |
$3,344.00 |
$2,271.01
|
|
Ghs fish cytogen
|
$1,532.80 |
$1,532.80 |
$1,532.80 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$308.80 |
$308.80 |
$308.80 |
$368.50
|
|
Ghs hcv amplificaiton
|
$532.80 |
$532.80 |
$532.80 |
$187.00
|
|
Ghs hgb stability-thal
|
$614.40 |
$614.40 |
$614.40 |
$87.60
|
|
Ghs histoplasma antigen
|
$436.00 |
$436.00 |
$436.00 |
$141.00
|
