|
Fetal fibronectin
|
$295.00 |
$295.00 |
$295.00 |
$389.84
|
|
Fetal hemoglobin (kleihauer betke)
|
$32.00 |
$32.00 |
$32.00 |
$97.50
|
|
Fetal hemoglobin rosette
|
$86.00 |
$86.00 |
$86.00 |
$67.20
|
|
Fetal non stress test
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$471.00
|
|
#_fet/norfentcnfrmur
|
$406.00 |
$406.00 |
$406.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$43.00 |
$43.00 |
$43.00 |
$119.43
|
|
Fibrin degradation products
|
$25.00 |
$25.00 |
$25.00 |
$74.00
|
|
Fibrinogen activity
|
$36.00 |
$36.00 |
$36.00 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$78.00 |
$78.00 |
$78.00 |
$59.50
|
|
Fibrinolytic antiplasmin
|
$17.00 |
$17.00 |
$17.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$120.00 |
$120.00 |
$120.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$15.00 |
$15.00 |
$15.00 |
$65.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$834.00
|
|
Fine needle asp without image guide 10021
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$515.55
|
|
Finger X-ray (both hands)
|
$279.00 |
$279.00 |
$279.00 |
$241.50
|
|
Fixation of knee joint
|
$5,093.00 |
$5,093.00 |
$5,093.00 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$2,780.00 |
$2,780.00 |
$2,780.00 |
$1,188.80
|
|
Flecainide (tambocor)-sendout
|
$47.00 |
$47.00 |
$47.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$553.61
|
|
Flexible Sigmoidoscopy
|
$2,666.00 |
$2,666.00 |
$2,666.00 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$124.00 |
$124.00 |
$124.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$318.00 |
$318.00 |
$318.00 |
$285.00
|
|
Flt3 gene
|
$509.00 |
$509.00 |
$509.00 |
$367.50
|
|
Flt3 gene analysis
|
$216.00 |
$216.00 |
$216.00 |
$216.00
|
|
Fluidotherapy charges pt
|
$122.00 |
$122.00 |
$122.00 |
$97.07
|
|
Fluid pressure muscle 20950
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$784.80
|
|
Fluorescein angrph mltiframe
|
$654.00 |
$654.00 |
$654.00 |
$336.50
|
|
Fluorescent antibody titer dna
|
$145.75 |
$145.75 |
$145.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$622.00 |
$622.00 |
$622.00 |
$495.95
|
|
Fluoroguide needle placement
|
$510.00 |
$510.00 |
$510.00 |
$501.84
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$616.00 |
$616.00 |
$616.00 |
$509.25
|
|
Fmri brain by phys/psych
|
$929.00 |
$929.00 |
$929.00 |
$1,603.00
|
|
Fmri brain by tech
|
$1,648.00 |
$1,648.00 |
$1,648.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$1,471.60
|
|
Folic acid
|
$126.00 |
$126.00 |
$126.00 |
$101.50
|
|
Follow-up angiography
|
$5,493.00 |
$5,493.00 |
$5,493.00 |
$2,040.78
|
|
Foot X-ray
|
$372.00 |
$372.00 |
$372.00 |
$356.95
|
|
Foot X-ray (2 views, both feet)
|
$359.00 |
$359.00 |
$359.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$359.00 |
$359.00 |
$359.00 |
$322.20
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$972.00 |
$972.00 |
$972.00 |
$544.50
|
|
Frenectomy 41115
|
$457.00 |
$457.00 |
$457.00 |
$1,939.47
|
|
Frenotomy 40806
|
$1,918.00 |
$1,918.00 |
$1,918.00 |
$729.70
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$377.00 |
$377.00 |
$377.00 |
$157.20
|
|
Fresh frozen plasma thawing ea un
|
$244.00 |
$244.00 |
$244.00 |
$131.25
|
|
Fructosamine glycated protein
|
$35.00 |
$35.00 |
$35.00 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$393.00 |
$393.00 |
$393.00 |
$354.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$5,738.00 |
$5,738.00 |
$5,738.00 |
$3,155.50
|
|
Fundus photography with i&r 92250
|
$282.00 |
$282.00 |
$282.00 |
$182.95
|
|
Gabapentin non-blood
|
$27.25 |
$27.25 |
$27.25 |
$42.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$1,612.00
|
|
Gammaglobulin iga
|
$42.00 |
$42.00 |
$42.00 |
$69.36
|
|
Gammaglobulin ige
|
$73.00 |
$73.00 |
$73.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$31.00 |
$31.00 |
$31.00 |
$57.54
|
|
Gastric analy w/ph ea spec
|
$25.00 |
$25.00 |
$25.00 |
$27.67
|
|
Gastroesophageal reflux study
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,055.60
|
|
Gentamicin peak therapeutic drug level
|
$114.00 |
$114.00 |
$114.00 |
$121.75
|
|
Ghs abscess perianal iandd
|
$1,366.00 |
$1,366.00 |
$1,366.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$9,341.00 |
$9,341.00 |
$9,341.00 |
$3,834.59
|
|
Ghs acetylcholinesterase, rbc
|
$99.99 |
$99.99 |
$99.99 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$36.00 |
$36.00 |
$36.00 |
$93.03
|
|
Ghs analysis neurostim without reprogramming
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$262.35
|
|
Ghs aspiration bladder - needle
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$628.00 |
$628.00 |
$628.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$991.00 |
$991.00 |
$991.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$6,507.00 |
$6,507.00 |
$6,507.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$833.00 |
$833.00 |
$833.00 |
$597.92
|
|
Ghs chemo IV push, ea addtl
|
$701.00 |
$701.00 |
$701.00 |
$278.16
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$127.00 |
$127.00 |
$127.00 |
$132.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$599.00 |
$599.00 |
$599.00 |
$515.00
|
|
Ghs closed reduction ankle dislocation
|
$893.00 |
$893.00 |
$893.00 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$726.00 |
$726.00 |
$726.00 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$2,272.50
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,627.00 |
$5,627.00 |
$5,627.00 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$583.00 |
$583.00 |
$583.00 |
$520.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,515.00 |
$2,515.00 |
$2,515.00 |
$2,217.22
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$5,606.00 |
$5,606.00 |
$5,606.00 |
$2,347.20
|
|
Ghs cl tx knee disl; wo anesth
|
$893.00 |
$893.00 |
$893.00 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$515.45
|
|
Ghs community re-entry 15 minutes
|
$117.00 |
$117.00 |
$117.00 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$431.00 |
$431.00 |
$431.00 |
$290.40
|
|
Ghs corneal fb without slit lamp bilat
|
$580.00 |
$580.00 |
$580.00 |
$423.85
|
|
Ghs corneal fb with slit lamp bilat
|
$754.00 |
$754.00 |
$754.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,891.00 |
$1,891.00 |
$1,891.00 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$893.00 |
$893.00 |
$893.00 |
$604.80
|
|
Ghs ed rmvl or bivalving cast
|
$951.00 |
$951.00 |
$951.00 |
$341.50
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,703.00 |
$2,703.00 |
$2,703.00 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$961.00 |
$961.00 |
$961.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$95.00 |
$95.00 |
$95.00 |
$295.50
|
|
Ghs excision ingrown nail
|
$1,322.00 |
$1,322.00 |
$1,322.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$967.00 |
$967.00 |
$967.00 |
$526.56
|
|
Ghs fb removal foot - deep - left
|
$5,678.00 |
$5,678.00 |
$5,678.00 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$5,678.00 |
$5,678.00 |
$5,678.00 |
$2,326.00
|
|
Ghs fb removal - non-incisional
|
$5,002.00 |
$5,002.00 |
$5,002.00 |
$1,768.18
|
|
Ghs fish cytogen
|
$128.00 |
$128.00 |
$128.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$351.00 |
$351.00 |
$351.00 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$481.00 |
$481.00 |
$481.00 |
$368.50
|
|
Ghs histoplasma antigen
|
$105.00 |
$105.00 |
$105.00 |
$141.60
|
