|
Dna probe gc
|
$33.66 |
$33.66 |
$33.66 |
$88.67
|
|
Dna trichomonas
|
$68.50 |
$68.50 |
$68.50 |
$69.60
|
|
Doppler echo complete
|
$423.92 |
$423.92 |
$423.92 |
$517.94
|
|
Doppler intravascular pressure flow initial vessel
|
$2,272.48 |
$2,272.48 |
$2,272.48 |
$3,026.62
|
|
Doppler upper/lower extremity arteries complete bilateral
|
$211.68 |
$211.68 |
$211.68 |
$642.00
|
|
Doppler upper/lower extremity arteries limited bilateral
|
$155.68 |
$155.68 |
$155.68 |
$463.20
|
|
Dornhoffer fixed part w/window
|
$19,600.00 |
$19,600.00 |
$19,600.00 |
$53,356.20
|
|
Dressing change not for burn w/anes 15852
|
$986.16 |
$986.16 |
$986.16 |
$720.88
|
|
Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm
|
$585.76 |
$585.76 |
$585.76 |
$5,715.36
|
|
Dronabinol 2.5mg oral
|
$4.76 |
$4.76 |
$4.76 |
$3.39
|
|
Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm
|
$21.84 |
$21.84 |
$21.84 |
$983.03
|
|
Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm
|
$33.60 |
$33.60 |
$33.60 |
$12,735.45
|
|
Drug assay caffeine
|
$16.67 |
$16.67 |
$16.67 |
$89.17
|
|
Drug of abuse screen urine
|
$33.66 |
$33.66 |
$33.66 |
$58.50
|
|
Drug test def 1-7 classes
|
$196.00 |
$196.00 |
$196.00 |
$316.80
|
|
Drug test def 22+ classes
|
$291.76 |
$291.76 |
$291.76 |
$291.76
|
|
Drug test def 8-14 classes
|
$188.16 |
$188.16 |
$188.16 |
$249.10
|
|
Drug test prsmv instrmnt
|
$15.36 |
$15.36 |
$15.36 |
$76.70
|
|
Drug test(s) presumptive any class instrument chemistry analyzers
|
$73.36 |
$73.36 |
$73.36 |
$278.85
|
|
Drvvt confirm - quest
|
$23.62 |
$23.62 |
$23.62 |
$108.55
|
|
Dup scan/ue art/graft/bilat/comp 93930
|
$239.12 |
$239.12 |
$239.12 |
$852.57
|
|
Ecg 12 lead tracing only
|
$53.76 |
$53.76 |
$53.76 |
$222.30
|
|
Ecg < 30 days transmission & analysis
|
$175.28 |
$175.28 |
$175.28 |
$404.21
|
|
Ecg external < 48 hours recording
|
$133.84 |
$133.84 |
$133.84 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$149.52 |
$149.52 |
$149.52 |
$541.73
|
|
Echocardiogram (Heart Ultrasound)
|
$1,494.08 |
$1,494.08 |
$1,494.08 |
$2,021.12
|
|
Echocardiography doppler color flow mapping
|
$426.16 |
$426.16 |
$426.16 |
$450.40
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$1,494.08 |
$1,494.08 |
$1,494.08 |
$1,899.00
|
|
Echocardiography transthoracic 2d followup/limited
|
$259.28 |
$259.28 |
$259.28 |
$720.60
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$641.20 |
$641.20 |
$641.20 |
$840.00
|
|
Echocardiograpy doppler follow up/limited study
|
$229.60 |
$229.60 |
$229.60 |
$348.80
|
|
Echo tee probe placement image acquisition interpretation & report
|
$725.76 |
$725.76 |
$725.76 |
$1,946.10
|
|
Echo transesophageal
|
$587.44 |
$587.44 |
$587.44 |
$637.97
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$647.36 |
$647.36 |
$647.36 |
$997.40
|
|
Eeg 41-60 minutes 95812-26
|
$339.92 |
$339.92 |
$339.92 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$434.00 |
$434.00 |
$434.00 |
$970.07
|
|
Eeg monitor/record/awake/drowsy 95816
|
$334.32 |
$334.32 |
$334.32 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$402.08 |
$402.08 |
$402.08 |
$1,072.93
|
|
Eeg recording awake and asleep
|
$334.32 |
$334.32 |
$334.32 |
$937.95
|
|
Egfr gene com variants
|
$205.13 |
$205.13 |
$205.13 |
$619.04
|
|
Electrolyte panel
|
$13.58 |
$13.58 |
$13.58 |
$68.56
|
|
Electron microscopy diagnostic
|
$330.96 |
$330.96 |
$330.96 |
$1,107.84
|
|
Encephalitis, california igg/igm
|
$6.72 |
$6.72 |
$6.72 |
$49.92
|
|
Epstein barr early antigen antibody
|
$23.03 |
$23.03 |
$23.03 |
$85.20
|
|
Epstein barr nuclear antigen antibody
|
$23.52 |
$23.52 |
$23.52 |
$88.80
|
|
Epstein barr viral capsid antigen antibody igm
|
$64.37 |
$64.37 |
$64.37 |
$112.50
|
|
ER Visit (level 1, minor)
|
$122.08 |
$122.08 |
$122.08 |
$270.00
|
|
ER Visit (level 2)
|
$211.68 |
$211.68 |
$211.68 |
$469.39
|
|
ER Visit (level 3)
|
$375.76 |
$375.76 |
$375.76 |
$821.52
|
|
ER Visit (level 4)
|
$938.00 |
$938.00 |
$938.00 |
$1,320.00
|
|
ER Visit (level 5, high severity)
|
$1,582.56 |
$1,582.56 |
$1,582.56 |
$1,900.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$52.24 |
$52.24 |
$52.24 |
$195.33
|
|
Estradiol total
|
$89.60 |
$89.60 |
$89.60 |
$142.20
|
|
Estrogens total-sendout
|
$25.20 |
$25.20 |
$25.20 |
$111.00
|
|
Ethylene glycol -sendout
|
$34.44 |
$34.44 |
$34.44 |
$81.25
|
|
Euglobulin lysis
|
$13.28 |
$13.28 |
$13.28 |
$37.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$109.24 |
$109.24 |
$109.24 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$156.24 |
$156.24 |
$156.24 |
$347.75
|
|
Event monitor
|
$79.52 |
$79.52 |
$79.52 |
$228.60
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,700.16 |
$1,700.16 |
$1,700.16 |
$2,941.80
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,101.12 |
$2,101.12 |
$2,101.12 |
$3,449.40
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.24 |
$16.24 |
$16.24 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$502.88 |
$502.88 |
$502.88 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$52.56 |
$52.56 |
$52.56 |
$102.50
|
|
F-18 fdg pet diag
|
$1,098.16 |
$1,098.16 |
$1,098.16 |
$750.58
|
|
Facial bones <3
|
$97.44 |
$97.44 |
$97.44 |
$216.45
|
|
Factor ix
|
$31.30 |
$31.30 |
$31.30 |
$139.75
|
|
Factor viii
|
$40.16 |
$40.16 |
$40.16 |
$152.50
|
|
Fancc gene
|
$43.12 |
$43.12 |
$43.12 |
$158.10
|
|
Fat/lipids feces qualitative
|
$18.89 |
$18.89 |
$18.89 |
$43.66
|
|
Fatty acids nonesterified
|
$17.21 |
$17.21 |
$17.21 |
$64.28
|
|
#fecal-sodium
|
$18.89 |
$18.89 |
$18.89 |
$40.30
|
|
Ferritin
|
$33.07 |
$33.07 |
$33.07 |
$86.45
|
|
Fetal chrom aneuploidy gsa panel
|
$869.12 |
$869.12 |
$869.12 |
$1,231.20
|
|
Fetal fibronectin
|
$138.77 |
$138.77 |
$138.77 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$37.20 |
$37.20 |
$37.20 |
$59.85
|
|
Fetal hemoglobin rosette
|
$16.24 |
$16.24 |
$16.24 |
$48.35
|
|
#_fet/norfentcnfrmur
|
$87.92 |
$87.92 |
$87.92 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$40.75 |
$40.75 |
$40.75 |
$87.60
|
|
Fibrin degradation products
|
$42.52 |
$42.52 |
$42.52 |
$56.16
|
|
Fibrin degrade semiquant
|
$71.45 |
$71.45 |
$71.45 |
$88.00
|
|
Fibrinogen activity
|
$24.21 |
$24.21 |
$24.21 |
$61.80
|
|
Fibrinolytic plasminogen
|
$20.16 |
$20.16 |
$20.16 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$12.33 |
$12.33 |
$12.33 |
$70.80
|
|
Filter spider fx 3mmx320cm
|
$2,117.36 |
$2,117.36 |
$2,117.36 |
$8,212.50
|
|
Filter vena cava fem denali
|
$1,402.80 |
$1,402.80 |
$1,402.80 |
$4,659.75
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$367.36 |
$367.36 |
$367.36 |
$738.00
|
|
Flow cytometry marker each additional
|
$40.32 |
$40.32 |
$40.32 |
$103.00
|
|
Flow cytometry one marker technical component
|
$89.00 |
$89.00 |
$89.00 |
$304.43
|
|
Fluidotherapy charges pt
|
$63.84 |
$63.84 |
$63.84 |
$101.40
|
|
Fluorescent antibody titer dna
|
$140.00 |
$140.00 |
$140.00 |
$123.65
|
|
Fluoroguide needle placement
|
$116.48 |
$116.48 |
$116.48 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$104.16 |
$104.16 |
$104.16 |
$474.50
|
|
Folic acid
|
$34.25 |
$34.25 |
$34.25 |
$85.50
|
|
Foot X-ray
|
$91.84 |
$91.84 |
$91.84 |
$339.50
|
|
Forensic cytopathology
|
$12.32 |
$12.32 |
$12.32 |
$62.40
|
|
Fractionation ketosteroids
|
$160.89 |
$160.89 |
$160.89 |
$128.26
|
|
_fragile x methylation-sendout
|
$55.44 |
$55.44 |
$55.44 |
$175.75
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$53.76 |
$53.76 |
$53.76 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$53.76 |
$53.76 |
$53.76 |
$217.30
|
