|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,170.40 |
$2,170.40 |
$2,170.40 |
$1,973.12
|
|
Excision of gum flap
|
$2,000.80 |
$2,000.80 |
$2,000.80 |
$1,944.80
|
|
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 tissue culture neoplastic disorders bone marrow/blood cells
|
$936.80 |
$936.80 |
$936.80 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$604.80 |
$604.80 |
$604.80 |
$108.60
|
|
Facial bones <3
|
$329.60 |
$329.60 |
$329.60 |
$252.60
|
|
Factor ix
|
$82.40 |
$82.40 |
$82.40 |
$156.13
|
|
Factor viii
|
$216.80 |
$216.80 |
$216.80 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$175.20 |
$175.20 |
$175.20 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$231.20 |
$231.20 |
$231.20 |
$230.36
|
|
Fat/lipids feces qualitative
|
$128.00 |
$128.00 |
$128.00 |
$38.35
|
|
Fatty acids nonesterified
|
$252.00 |
$252.00 |
$252.00 |
$64.28
|
|
Ferritin
|
$160.00 |
$160.00 |
$160.00 |
$100.94
|
|
#_fet/norfentcnfrmur
|
$182.40 |
$182.40 |
$182.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$215.20 |
$215.20 |
$215.20 |
$117.70
|
|
Fibrinogen activity
|
$18.40 |
$18.40 |
$18.40 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$554.40 |
$554.40 |
$554.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$147.20 |
$147.20 |
$147.20 |
$72.80
|
|
Fine needle asp without image guide 10021
|
$336.00 |
$336.00 |
$336.00 |
$503.76
|
|
Flow cytometry marker each additional
|
$117.60 |
$117.60 |
$117.60 |
$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
|
$968.00 |
$968.00 |
$968.00 |
$768.94
|
|
Fluorescent antibody titer dna
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$686.40 |
$686.40 |
$686.40 |
$496.03
|
|
Fluoroguide needle placement
|
$674.40 |
$674.40 |
$674.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$494.40 |
$494.40 |
$494.40 |
$492.00
|
|
Folic acid
|
$170.40 |
$170.40 |
$170.40 |
$101.50
|
|
Follow-up angiography
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,040.78
|
|
Fo nontorsion joint cf
|
$160.00 |
$160.00 |
$160.00 |
$217.50
|
|
Foot X-ray
|
$575.20 |
$575.20 |
$575.20 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$341.60 |
$341.60 |
$341.60 |
$532.80
|
|
Fracture assessment via dxa
|
$255.20 |
$255.20 |
$255.20 |
$173.18
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$182.40 |
$182.40 |
$182.40 |
$151.58
|
|
Fructosamine glycated protein
|
$140.80 |
$140.80 |
$140.80 |
$60.75
|
|
Ftl cgen abnor four anal
|
$162.40 |
$162.40 |
$162.40 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$637.60 |
$637.60 |
$637.60 |
$110.00
|
|
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
|
|
Gammaglobulin iga
|
$124.00 |
$124.00 |
$124.00 |
$67.20
|
|
Gammaglobulin ige
|
$171.20 |
$171.20 |
$171.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$135.20 |
$135.20 |
$135.20 |
$57.54
|
|
Gated heart multiple
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$1,400.64
|
|
General health panel
|
$649.60 |
$649.60 |
$649.60 |
$275.00
|
|
Genetic tstg severe inh cond
|
$6,712.80 |
$6,712.80 |
$6,712.80 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$194.40 |
$194.40 |
$194.40 |
$126.00
|
|
Ghs abscess perianal iandd
|
$765.60 |
$765.60 |
$765.60 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$2,404.00 |
$2,404.00 |
$2,404.00 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$184.80 |
$184.80 |
$184.80 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$105.60 |
$105.60 |
$105.60 |
$69.30
|
|
Ghs block ilioinguinal/gentitofemoral
|
$2,338.40 |
$2,338.40 |
$2,338.40 |
$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
|
$308.80 |
$308.80 |
$308.80 |
$565.49
|
|
Ghs chemo >8 hrs
|
$285.60 |
$285.60 |
$285.60 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$290.40 |
$290.40 |
$290.40 |
$286.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$510.40 |
$510.40 |
$510.40 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$308.00 |
$308.00 |
$308.00 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$298.40 |
$298.40 |
$298.40 |
$496.80
|
|
Ghs cl tx knee disl; wo anesth
|
$314.40 |
$314.40 |
$314.40 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$300.00 |
$300.00 |
$300.00 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$280.80 |
$280.80 |
$280.80 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$335.20 |
$335.20 |
$335.20 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$280.80 |
$280.80 |
$280.80 |
$339.60
|
|
Ghs cricothyroidotomy
|
$299.20 |
$299.20 |
$299.20 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$84.80 |
$84.80 |
$84.80 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$534.40 |
$534.40 |
$534.40 |
$578.00
|
|
Ghs excision ingrown nail
|
$336.00 |
$336.00 |
$336.00 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$583.20 |
$583.20 |
$583.20 |
$501.04
|
|
Ghs fb removal - incisional
|
$3,138.40 |
$3,138.40 |
$3,138.40 |
$2,271.01
|
|
Ghs fish cytogen
|
$639.20 |
$639.20 |
$639.20 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$1,221.60 |
$1,221.60 |
$1,221.60 |
$223.00
|
|
Ghs hgb stability-thal
|
$100.00 |
$100.00 |
$100.00 |
$87.60
|
|
Ghs histoplasma antigen
|
$380.00 |
$380.00 |
$380.00 |
$141.00
|
|
Ghs HIV antibody
|
$207.20 |
$207.20 |
$207.20 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,728.00 |
$2,728.00 |
$2,728.00 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$990.40 |
$990.40 |
$990.40 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$974.40 |
$974.40 |
$974.40 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$591.20 |
$591.20 |
$591.20 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$534.40 |
$534.40 |
$534.40 |
$523.73
|
|
Ghs inhibitor screen
|
$896.80 |
$896.80 |
$896.80 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$269.60 |
$269.60 |
$269.60 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$3,918.40 |
$3,918.40 |
$3,918.40 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$732.80 |
$732.80 |
$732.80 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$780.00 |
$780.00 |
$780.00 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,557.60 |
$1,557.60 |
$1,557.60 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$419.20 |
$419.20 |
$419.20 |
$422.40
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$534.40 |
$534.40 |
$534.40 |
$1,035.60
|
|
Ghs irrigate corpora cavernosa for priapism
|
$308.80 |
$308.80 |
$308.80 |
$544.80
|
|
Ghs IV inf sq injection, on-body injector
|
$74.40 |
$74.40 |
$74.40 |
$107.58
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$686.40 |
$686.40 |
$686.40 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$686.40 |
$686.40 |
$686.40 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$686.40 |
$686.40 |
$686.40 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$289.60 |
$289.60 |
$289.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$335.20 |
$335.20 |
$335.20 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$336.00 |
$336.00 |
$336.00 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$493.60 |
$493.60 |
$493.60 |
$563.75
|
