|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$109.80 |
$109.80 |
$109.80 |
$393.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$87.30 |
$87.30 |
$87.30 |
$102.40
|
|
Facial bones <3
|
$112.95 |
$112.95 |
$112.95 |
$252.60
|
|
Factor ix
|
$123.30 |
$123.30 |
$123.30 |
$143.00
|
|
Factor viii
|
$123.75 |
$123.75 |
$123.75 |
$130.80
|
|
Family therapy with patient 50 min 90847
|
$236.70 |
$236.70 |
$236.70 |
$230.36
|
|
Fat/lipids feces qualitative
|
$47.25 |
$47.25 |
$47.25 |
$36.75
|
|
#fecal-sodium
|
$45.90 |
$45.90 |
$45.90 |
$37.50
|
|
Fees w/laryngeal sense test
|
$321.30 |
$321.30 |
$321.30 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$34.65 |
$34.65 |
$34.65 |
$57.40
|
|
Ferritin
|
$73.35 |
$73.35 |
$73.35 |
$97.29
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$312.23 |
$312.23 |
$312.23 |
$1,939.14
|
|
Fetal biophys profile w/nst 76818
|
$330.30 |
$330.30 |
$330.30 |
$541.74
|
|
Fetal fibronectin
|
$204.30 |
$204.30 |
$204.30 |
$352.80
|
|
Fetal hemoglobin (kleihauer betke)
|
$147.60 |
$147.60 |
$147.60 |
$97.50
|
|
Fetal non stress test
|
$194.85 |
$194.85 |
$194.85 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$60.30 |
$60.30 |
$60.30 |
$113.40
|
|
Fibrin degradation products
|
$74.25 |
$74.25 |
$74.25 |
$61.80
|
|
Fibrinogen activity
|
$74.25 |
$74.25 |
$74.25 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$169.20 |
$169.20 |
$169.20 |
$68.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$913.05 |
$913.05 |
$913.05 |
$1,081.52
|
|
Fine needle asp without image guide 10021
|
$179.55 |
$179.55 |
$179.55 |
$533.50
|
|
Flebogamma injection
|
$2,526.66 |
$2,526.66 |
$2,526.66 |
$3,385.10
|
|
Flecainide (tambocor)-sendout
|
$34.65 |
$34.65 |
$34.65 |
$66.43
|
|
Flow cytometry one marker technical component
|
$399.60 |
$399.60 |
$399.60 |
$270.75
|
|
Fludarabine 50 mg intravenous solution
|
$3,105.00 |
$3,105.00 |
$3,105.00 |
$506.15
|
|
Fluidotherapy charges pt
|
$33.75 |
$33.75 |
$33.75 |
$98.40
|
|
Fluid pressure muscle 20950
|
$891.45 |
$891.45 |
$891.45 |
$739.80
|
|
Fluorescent antibody titer dna
|
$73.35 |
$73.35 |
$73.35 |
$123.00
|
|
Fluoroscopy up to 1 hour
|
$187.65 |
$187.65 |
$187.65 |
$489.84
|
|
Folic acid
|
$71.55 |
$71.55 |
$71.55 |
$95.22
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,231.39 |
$1,231.39 |
$1,231.39 |
$2,481.61
|
|
Foot X-ray
|
$118.35 |
$118.35 |
$118.35 |
$364.80
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$166.95 |
$166.95 |
$166.95 |
$551.20
|
|
Foscarnet sodium injection
|
$1,328.06 |
$1,328.06 |
$1,328.06 |
$1,045.98
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$70.27 |
$70.27 |
$70.27 |
$94.85
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$103.95 |
$103.95 |
$103.95 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$151.65 |
$151.65 |
$151.65 |
$157.30
|
|
Fresh frozen plasma thawing ea un
|
$28.80 |
$28.80 |
$28.80 |
$115.29
|
|
Fructosamine glycated protein
|
$53.55 |
$53.55 |
$53.55 |
$56.40
|
|
Gabapentin non-blood
|
$30.15 |
$30.15 |
$30.15 |
$35.95
|
|
Galactose transferase test
|
$26.55 |
$26.55 |
$26.55 |
$26.55
|
|
Galectin-3
|
$67.50 |
$67.50 |
$67.50 |
$94.40
|
|
Gammaglobulin iga
|
$54.00 |
$54.00 |
$54.00 |
$67.20
|
|
Gammaglobulin ige
|
$45.00 |
$45.00 |
$45.00 |
$81.71
|
|
Gamma glutamyltransferase
|
$58.05 |
$58.05 |
$58.05 |
$57.00
|
|
Gefitinib oral
|
$77.01 |
$77.01 |
$77.01 |
$423.82
|
|
General health panel
|
$387.00 |
$387.00 |
$387.00 |
$275.00
|
|
Gentamicin peak therapeutic drug level
|
$84.60 |
$84.60 |
$84.60 |
$121.22
|
|
Ghs abscess perianal iandd
|
$207.45 |
$207.45 |
$207.45 |
$1,472.88
|
|
Ghs antibodies (torch) igm
|
$79.65 |
$79.65 |
$79.65 |
$67.35
|
|
Ghs aspiration bladder - needle
|
$418.95 |
$418.95 |
$418.95 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$126.90 |
$126.90 |
$126.90 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$494.10 |
$494.10 |
$494.10 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$976.50 |
$976.50 |
$976.50 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$351.45 |
$351.45 |
$351.45 |
$600.41
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$38.25 |
$38.25 |
$38.25 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$435.60 |
$435.60 |
$435.60 |
$523.65
|
|
Ghs closed reduction ankle dislocation
|
$290.25 |
$290.25 |
$290.25 |
$712.33
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$871.20 |
$871.20 |
$871.20 |
$1,640.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$135.90 |
$135.90 |
$135.90 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,865.25 |
$1,865.25 |
$1,865.25 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$125.55 |
$125.55 |
$125.55 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$2,260.50
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$2,240.00
|
|
Ghs cl tx knee disl; wo anesth
|
$165.60 |
$165.60 |
$165.60 |
$633.28
|
|
Ghs cl tx metacarpophal disloc without anes
|
$130.50 |
$130.50 |
$130.50 |
$520.00
|
|
Ghs community re-entry 15 minutes
|
$49.50 |
$49.50 |
$49.50 |
$87.60
|
|
Ghs conjunctiva foreign body-embed bil
|
$382.05 |
$382.05 |
$382.05 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$91.80 |
$91.80 |
$91.80 |
$296.40
|
|
Ghs corneal fb without slit lamp bilat
|
$82.80 |
$82.80 |
$82.80 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$85.95 |
$85.95 |
$85.95 |
$355.00
|
|
Ghs cricothyroidotomy
|
$409.95 |
$409.95 |
$409.95 |
$1,138.20
|
|
Ghs dislocation elbow closed treatment
|
$125.55 |
$125.55 |
$125.55 |
$644.88
|
|
Ghs ed rmvl or bivalving cast
|
$73.80 |
$73.80 |
$73.80 |
$351.46
|
|
Ghs excision ingrown nail
|
$223.20 |
$223.20 |
$223.20 |
$442.22
|
|
Ghs eyelid foreign body-embedded - bil
|
$189.00 |
$189.00 |
$189.00 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$995.40 |
$995.40 |
$995.40 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$2,724.75 |
$2,724.75 |
$2,724.75 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,128.95 |
$2,128.95 |
$2,128.95 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$283.95 |
$283.95 |
$283.95 |
$1,767.48
|
|
Ghs fish cytogen
|
$153.00 |
$153.00 |
$153.00 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$153.00 |
$153.00 |
$153.00 |
$220.41
|
|
Ghs flow volume loop
|
$131.40 |
$131.40 |
$131.40 |
$303.75
|
|
Ghs gastric intub aspiration lavage
|
$198.00 |
$198.00 |
$198.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$44.10 |
$44.10 |
$44.10 |
$178.15
|
|
Ghs histoplasma antigen
|
$119.25 |
$119.25 |
$119.25 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,150.65 |
$1,150.65 |
$1,150.65 |
$3,616.86
|
|
Ghs i and d perirectal abscess 46040
|
$821.25 |
$821.25 |
$821.25 |
$2,633.28
|
|
Ghs i and d pilonidal cyst complex
|
$247.95 |
$247.95 |
$247.95 |
$1,418.78
|
|
Ghs i and d pilonidal cyst simple
|
$206.10 |
$206.10 |
$206.10 |
$691.95
|
|
Ghs immun0electrophoresis
|
$104.40 |
$104.40 |
$104.40 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$250.20 |
$250.20 |
$250.20 |
$526.50
|
|
Ghs init tx 1st degree burn
|
$640.35 |
$640.35 |
$640.35 |
$275.88
|
|
Ghs inj transforaminal cerv single bil
|
$949.05 |
$949.05 |
$949.05 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$120.60 |
$120.60 |
$120.60 |
$415.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$125.55 |
$125.55 |
$125.55 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$126.45 |
$126.45 |
$126.45 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$396.90 |
$396.90 |
$396.90 |
$2,182.25
|
|
Ghs irrigate corpora cavernosa for priapism
|
$144.00 |
$144.00 |
$144.00 |
$564.60
|
