|
Explore/repair chest 32110
|
$4,083.80 |
$4,083.80 |
$4,083.80 |
$3,698.00
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,211.70 |
$1,211.70 |
$1,211.70 |
$1,169.25
|
|
Expose endoprosth brachial 34834
|
$2,546.60 |
$2,546.60 |
$2,546.60 |
$1,888.20
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,744.70 |
$2,744.70 |
$2,744.70 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$2,972.90 |
$2,972.90 |
$2,972.90 |
$2,896.40
|
|
External chromosome analysis 20-25 cells
|
$585.90 |
$585.90 |
$585.90 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$723.80 |
$723.80 |
$723.80 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$308.70 |
$308.70 |
$308.70 |
$109.00
|
|
Extraction erupted tooth/exr
|
$328.30 |
$328.30 |
$328.30 |
$1,817.06
|
|
Ezh2 gene full gene sequence
|
$686.00 |
$686.00 |
$686.00 |
$333.20
|
|
F-18 fdg pet diag
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$7,214.20 |
$7,214.20 |
$7,214.20 |
$5,145.00
|
|
F-18 fluciclovine per mci
|
$1,282.40 |
$1,282.40 |
$1,282.40 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$492.56
|
|
F9 full gene sequence
|
$1,455.30 |
$1,455.30 |
$1,455.30 |
$1,200.00
|
|
Facial bones <3
|
$408.10 |
$408.10 |
$408.10 |
$252.60
|
|
Factor ix
|
$177.80 |
$177.80 |
$177.80 |
$154.50
|
|
Factor viii
|
$156.10 |
$156.10 |
$156.10 |
$144.82
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.42 |
$5.42 |
$5.42 |
$22.23
|
|
Fancc gene
|
$300.30 |
$300.30 |
$300.30 |
$140.00
|
|
Fatty acids nonesterified
|
$185.50 |
$185.50 |
$185.50 |
$64.28
|
|
#fecal-sodium
|
$39.20 |
$39.20 |
$39.20 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$147.00 |
$147.00 |
$147.00 |
$61.00
|
|
Feno poc
|
$217.70 |
$217.70 |
$217.70 |
$99.60
|
|
Fern test
|
$32.90 |
$32.90 |
$32.90 |
$37.50
|
|
Ferritin
|
$144.20 |
$144.20 |
$144.20 |
$102.07
|
|
Fetal aneuploidy trisom risk
|
$1,925.00 |
$1,925.00 |
$1,925.00 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$1,409.80 |
$1,409.80 |
$1,409.80 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,841.00 |
$1,841.00 |
$1,841.00 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$2,207.80 |
$2,207.80 |
$2,207.80 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$403.20 |
$403.20 |
$403.20 |
$475.50
|
|
Fetal cord puncture prenatal
|
$648.90 |
$648.90 |
$648.90 |
$648.90
|
|
Fetal hemoglobin (kleihauer betke)
|
$121.80 |
$121.80 |
$121.80 |
$104.00
|
|
Fetal non stress test
|
$658.00 |
$658.00 |
$658.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$40.60 |
$40.60 |
$40.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$140.70 |
$140.70 |
$140.70 |
$120.05
|
|
Fibrin degradation products
|
$175.00 |
$175.00 |
$175.00 |
$74.25
|
|
Fibrinogen activity
|
$112.70 |
$112.70 |
$112.70 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$59.50 |
$59.50 |
$59.50 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$185.50 |
$185.50 |
$185.50 |
$72.80
|
|
Fibrinolytic plasminogen
|
$131.60 |
$131.60 |
$131.60 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$98.00 |
$98.00 |
$98.00 |
$66.60
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$536.20 |
$536.20 |
$536.20 |
$280.50
|
|
Fixation of knee joint
|
$4,830.00 |
$4,830.00 |
$4,830.00 |
$1,963.35
|
|
Flecainide (tambocor)-sendout
|
$120.40 |
$120.40 |
$120.40 |
$65.24
|
|
Florbetaben f18 diagnostic
|
$8,003.80 |
$8,003.80 |
$8,003.80 |
$5,705.04
|
|
Flortaucipir inj 1 millicuri
|
$7,791.00 |
$7,791.00 |
$7,791.00 |
$3,710.00
|
|
Flotufolastat f18 diag 1 mci
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$2,215.03
|
|
Flow cytometry interp 16 or more
|
$337.40 |
$337.40 |
$337.40 |
$194.00
|
|
Flow cytometry marker each additional
|
$281.40 |
$281.40 |
$281.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$696.50 |
$696.50 |
$696.50 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$247.80 |
$247.80 |
$247.80 |
$172.50
|
|
Flt3 gene
|
$385.00 |
$385.00 |
$385.00 |
$355.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$51.80 |
$51.80 |
$51.80 |
$64.15
|
|
Fluidotherapy charges pt
|
$221.90 |
$221.90 |
$221.90 |
$98.40
|
|
Fluid pressure muscle 20950
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$779.45
|
|
Fluorescent antibody titer dna
|
$114.10 |
$114.10 |
$114.10 |
$123.65
|
|
Fluoroestradiol f 18
|
$2,907.10 |
$2,907.10 |
$2,907.10 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$495.95
|
|
Fluoroguide needle placement
|
$1,008.70 |
$1,008.70 |
$1,008.70 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$1,040.90 |
$1,040.90 |
$1,040.90 |
$497.40
|
|
Fmri brain by phys/psych
|
$4,162.20 |
$4,162.20 |
$4,162.20 |
$1,560.51
|
|
Fmri brain by tech
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$1,558.05
|
|
Fna bx w/ct gdn ea addl
|
$2,434.60 |
$2,434.60 |
$2,434.60 |
$834.90
|
|
Folic acid
|
$109.20 |
$109.20 |
$109.20 |
$99.96
|
|
Follow-up angiography
|
$1,761.20 |
$1,761.20 |
$1,761.20 |
$1,939.14
|
|
Fondaparinux sodium
|
$336.52 |
$336.52 |
$336.52 |
$186.87
|
|
Fo nontorsion joint cf
|
$368.90 |
$368.90 |
$368.90 |
$217.50
|
|
Foot X-ray
|
$309.40 |
$309.40 |
$309.40 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$2,034.20 |
$2,034.20 |
$2,034.20 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$901.60
|
|
Foscarnet sodium injection
|
$1,608.95 |
$1,608.95 |
$1,608.95 |
$1,008.91
|
|
Fractionation ketosteroids
|
$275.10 |
$275.10 |
$275.10 |
$160.89
|
|
Fracture assessment via dxa
|
$411.60 |
$411.60 |
$411.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$772.10 |
$772.10 |
$772.10 |
$183.74
|
|
Frenectomy 41115
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,939.47
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$287.00 |
$287.00 |
$287.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$231.70 |
$231.70 |
$231.70 |
$130.98
|
|
Frozen plasma, pooled, sd
|
$255.50 |
$255.50 |
$255.50 |
$170.00
|
|
Fructosamine glycated protein
|
$63.70 |
$63.70 |
$63.70 |
$61.75
|
|
Ftl cgen abnor four anal
|
$259.00 |
$259.00 |
$259.00 |
$205.80
|
|
Ftl cgen abnor three anal
|
$584.50 |
$584.50 |
$584.50 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$119.70 |
$119.70 |
$119.70 |
$109.00
|
|
Furosemide 10 mg/ml injection solution
|
$6.12 |
$6.12 |
$6.12 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$287.70 |
$287.70 |
$287.70 |
$200.88
|
|
Fxn gene full gene sequence
|
$576.80 |
$576.80 |
$576.80 |
$379.27
|
|
G6pc gene
|
$503.30 |
$503.30 |
$503.30 |
$138.40
|
|
G6pd full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$403.20 |
$403.20 |
$403.20 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$291.90 |
$291.90 |
$291.90 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$240.10 |
$240.10 |
$240.10 |
$139.70
|
|
Galac-1-phosphate uridyltran - sendout
|
$285.60 |
$285.60 |
$285.60 |
$100.00
|
|
Galectin-3
|
$112.70 |
$112.70 |
$112.70 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$15,822.80 |
$15,822.80 |
$15,822.80 |
$12,906.50
|
|
Gallium illuccix 1 millicure
|
$2,375.10 |
$2,375.10 |
$2,375.10 |
$2,046.76
|
|
Gallium locametz 1 millicuri
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,853.80
|
|
Gammaglobulin iga
|
$89.60 |
$89.60 |
$89.60 |
$69.42
|
|
Gammaglobulin ige
|
$101.50 |
$101.50 |
$101.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$98.00 |
$98.00 |
$98.00 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$437.50 |
$437.50 |
$437.50 |
$197.40
|
