|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$397.00 |
$397.00 |
$397.00 |
$5,515.40
|
|
Endo cath bile duct s&i
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$714.24
|
|
Endoluminl ivus oct c 1st
|
$3,806.00 |
$3,806.00 |
$3,806.00 |
$3,306.60
|
|
Endoluminl ivus oct c ea
|
$3,782.00 |
$3,782.00 |
$3,782.00 |
$2,158.95
|
|
Endovasc rpr a-biiliac endogft 34705
|
$8,172.00 |
$8,172.00 |
$8,172.00 |
$9,122.40
|
|
Endovas iliac a device addon
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$950.38
|
|
Endoven ther chem adhes 1st 36482
|
$256.00 |
$256.00 |
$256.00 |
$6,366.08
|
|
Ep & ablate supravent arrhyt
|
$37,276.00 |
$37,276.00 |
$37,276.00 |
$26,193.60
|
|
Episiotomy/vag rpr oth/thn attending phys 59300
|
$2,588.00 |
$2,588.00 |
$2,588.00 |
$3,778.57
|
|
Epstein barr early antigen antibody
|
$106.00 |
$106.00 |
$106.00 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$125.00 |
$125.00 |
$125.00 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$147.00 |
$147.00 |
$147.00 |
$85.50
|
|
Ercp biliary & pancreas
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$967.04
|
|
ER Visit (level 1, minor)
|
$245.00 |
$245.00 |
$245.00 |
$252.60
|
|
ER Visit (level 2)
|
$563.00 |
$563.00 |
$563.00 |
$463.00
|
|
ER Visit (level 3)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$812.18
|
|
ER Visit (level 4)
|
$1,626.00 |
$1,626.00 |
$1,626.00 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$2,314.00 |
$2,314.00 |
$2,314.00 |
$1,871.60
|
|
Estradiol total
|
$53.00 |
$53.00 |
$53.00 |
$152.10
|
|
Ethylene glycol -sendout
|
$59.00 |
$59.00 |
$59.00 |
$86.04
|
|
Eval/fit voice prosthesis iii, st
|
$385.00 |
$385.00 |
$385.00 |
$359.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$259.00 |
$259.00 |
$259.00 |
$213.15
|
|
Evaluation of speech fluency 92521
|
$353.00 |
$353.00 |
$353.00 |
$302.50
|
|
Evaluation psychiatric diagnostic
|
$289.00 |
$289.00 |
$289.00 |
$318.24
|
|
Evasc rpr a-biiliac ndgft rptr
|
$9,850.00 |
$9,850.00 |
$9,850.00 |
$8,565.60
|
|
Evoked potentials auditory screening automated analysis
|
$37.00 |
$37.00 |
$37.00 |
$261.30
|
|
Exc arm/elbo les sc >=3cm 24071
|
$1,063.00 |
$1,063.00 |
$1,063.00 |
$4,529.20
|
|
Exc arm/elbo les sc <3cm 24075
|
$373.00 |
$373.00 |
$373.00 |
$2,532.80
|
|
Exc back les sbq <3 cm 21930
|
$950.00 |
$950.00 |
$950.00 |
$2,711.00
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$117.00 |
$117.00 |
$117.00 |
$969.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$162.00 |
$162.00 |
$162.00 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$123.00 |
$123.00 |
$123.00 |
$1,501.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$117.00 |
$117.00 |
$117.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$552.00 |
$552.00 |
$552.00 |
$1,314.67
|
|
Exchange biliary drg cath
|
$6,386.00 |
$6,386.00 |
$6,386.00 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,029.00 |
$2,029.00 |
$2,029.00 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,551.60 |
$1,551.60 |
$1,551.60 |
$2,958.80
|
|
Excise anal ext tag/papilla
|
$1,351.00 |
$1,351.00 |
$1,351.00 |
$2,272.02
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$135.00 |
$135.00 |
$135.00 |
$914.34
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$128.00 |
$128.00 |
$128.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$278.00 |
$278.00 |
$278.00 |
$2,865.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,234.00 |
$1,234.00 |
$1,234.00 |
$4,420.32
|
|
Exc malig tal 0.6-1.0cm 11601
|
$164.00 |
$164.00 |
$164.00 |
$832.60
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,426.00 |
$1,426.00 |
$1,426.00 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$799.00 |
$799.00 |
$799.00 |
$3,322.80
|
|
External chromosome analysis 20-25 cells
|
$544.00 |
$544.00 |
$544.00 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$387.00 |
$387.00 |
$387.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$45.00 |
$45.00 |
$45.00 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$407.00 |
$407.00 |
$407.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,767.00 |
$2,767.00 |
$2,767.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,524.00 |
$1,524.00 |
$1,524.00 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,039.00 |
$4,039.00 |
$4,039.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$352.00 |
$352.00 |
$352.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$439.00 |
$439.00 |
$439.00 |
$381.75
|
|
Factor ix
|
$72.00 |
$72.00 |
$72.00 |
$162.50
|
|
Factor viii
|
$67.00 |
$67.00 |
$67.00 |
$148.00
|
|
Fem/popl revasc w/stent
|
$22,223.00 |
$22,223.00 |
$22,223.00 |
$16,129.60
|
|
Feno poc
|
$86.00 |
$86.00 |
$86.00 |
$99.60
|
|
Ferritin
|
$147.00 |
$147.00 |
$147.00 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$1,333.00 |
$1,333.00 |
$1,333.00 |
$541.74
|
|
Fetal fibronectin
|
$531.00 |
$531.00 |
$531.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$79.00 |
$79.00 |
$79.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$68.00 |
$68.00 |
$68.00 |
$67.20
|
|
Fetal non stress test
|
$278.00 |
$278.00 |
$278.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$103.00 |
$103.00 |
$103.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$73.00 |
$73.00 |
$73.00 |
$120.64
|
|
Fibrin degradation products
|
$74.00 |
$74.00 |
$74.00 |
$75.02
|
|
Fibrinogen activity
|
$87.00 |
$87.00 |
$87.00 |
$87.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$118.00 |
$118.00 |
$118.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$300.00 |
$300.00 |
$300.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$289.00 |
$289.00 |
$289.00 |
$241.50
|
|
Fix g/colon tube w/device
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$461.00 |
$461.00 |
$461.00 |
$540.80
|
|
Flow cytometry marker each additional
|
$103.00 |
$103.00 |
$103.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$368.00 |
$368.00 |
$368.00 |
$285.00
|
|
Flt3 gene
|
$490.00 |
$490.00 |
$490.00 |
$366.29
|
|
Flt3 gene analysis
|
$246.00 |
$246.00 |
$246.00 |
$216.00
|
|
Fluidotherapy charges pt
|
$58.00 |
$58.00 |
$58.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$91.00 |
$91.00 |
$91.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$730.00 |
$730.00 |
$730.00 |
$495.00
|
|
Fluoroguide needle placement
|
$278.00 |
$278.00 |
$278.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$251.00 |
$251.00 |
$251.00 |
$503.80
|
|
Folic acid
|
$159.00 |
$159.00 |
$159.00 |
$101.50
|
|
Foot X-ray
|
$431.00 |
$431.00 |
$431.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$235.00 |
$235.00 |
$235.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$352.00 |
$352.00 |
$352.00 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$120.56 |
$120.56 |
$120.56 |
$155.25
|
|
Full Spine X-ray (Scoliosis Survey)
|
$408.00 |
$408.00 |
$408.00 |
$355.00
|
|
Gabapentin non-blood
|
$7.00 |
$7.00 |
$7.00 |
$42.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$1,615.00
|
|
Gammaglobulin iga
|
$91.00 |
$91.00 |
$91.00 |
$69.60
|
|
Gammaglobulin ige
|
$71.00 |
$71.00 |
$71.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$78.00 |
$78.00 |
$78.00 |
$57.54
|
|
Genetic counseling 30 min
|
$210.00 |
$210.00 |
$210.00 |
$193.00
|
|
Gentamicin peak therapeutic drug level
|
$80.00 |
$80.00 |
$80.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$2,759.00 |
$2,759.00 |
$2,759.00 |
$3,776.00
|
