|
Ex sq tumor/face or scalp < 2 cm 21011
|
$809.25 |
$809.25 |
$809.25 |
$2,286.96
|
|
External chromosome analysis 20-25 cells
|
$313.30 |
$313.30 |
$313.30 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$351.00 |
$351.00 |
$351.00 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$112.45 |
$112.45 |
$112.45 |
$102.50
|
|
Facial bones <3
|
$210.60 |
$210.60 |
$210.60 |
$216.45
|
|
Factor ix
|
$185.90 |
$185.90 |
$185.90 |
$139.75
|
|
Factor ix alprolix recomb
|
$23,712.78 |
$23,712.78 |
$23,712.78 |
$3.63
|
|
Factor viii
|
$156.00 |
$156.00 |
$156.00 |
$152.50
|
|
Fat/lipids feces qualitative
|
$65.65 |
$65.65 |
$65.65 |
$43.66
|
|
Fatty acids nonesterified
|
$72.15 |
$72.15 |
$72.15 |
$64.28
|
|
#fecal-sodium
|
$46.15 |
$46.15 |
$46.15 |
$40.30
|
|
Felbamate (felbatol(r)) - sendout
|
$123.50 |
$123.50 |
$123.50 |
$83.85
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$48.88
|
|
Fern test
|
$48.75 |
$48.75 |
$48.75 |
$18.02
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$327.14 |
$327.14 |
$327.14 |
$2,131.58
|
|
Ferritin
|
$131.30 |
$131.30 |
$131.30 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,232.93 |
$2,232.93 |
$2,232.93 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$577.20 |
$577.20 |
$577.20 |
$525.33
|
|
Fetal chrom aneuploidy gsa panel
|
$1,166.10 |
$1,166.10 |
$1,166.10 |
$1,231.20
|
|
Fetal fibronectin
|
$408.20 |
$408.20 |
$408.20 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$115.05 |
$115.05 |
$115.05 |
$59.85
|
|
Fetal hemoglobin rosette
|
$81.90 |
$81.90 |
$81.90 |
$48.35
|
|
Fetal non stress test
|
$808.60 |
$808.60 |
$808.60 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$83.20 |
$83.20 |
$83.20 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$120.25 |
$120.25 |
$120.25 |
$87.60
|
|
Fibrin degrade semiquant
|
$98.80 |
$98.80 |
$98.80 |
$88.00
|
|
Fibrinogen activity
|
$104.00 |
$104.00 |
$104.00 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$53.30 |
$53.30 |
$53.30 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$67.60 |
$67.60 |
$67.60 |
$68.40
|
|
Fibrinolytic plasminogen
|
$70.85 |
$70.85 |
$70.85 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$109.20 |
$109.20 |
$109.20 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,039.75 |
$1,039.75 |
$1,039.75 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$858.86 |
$858.86 |
$858.86 |
$998.68
|
|
Fine needle asp without image guide 10021
|
$254.80 |
$254.80 |
$254.80 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$123.50 |
$123.50 |
$123.50 |
$86.40
|
|
Flexible Sigmoidoscopy
|
$359.45 |
$359.45 |
$359.45 |
$1,278.72
|
|
Flow cytometry interp 16 or more
|
$156.00 |
$156.00 |
$156.00 |
$208.80
|
|
Flow cytometry marker each additional
|
$96.85 |
$96.85 |
$96.85 |
$103.00
|
|
Flow cytometry one marker technical component
|
$191.75 |
$191.75 |
$191.75 |
$304.43
|
|
#flow interp 9 - 15 markers
|
$131.95 |
$131.95 |
$131.95 |
$202.15
|
|
Flt3 gene
|
$421.20 |
$421.20 |
$421.20 |
$355.00
|
|
Flt3 gene analysis
|
$421.20 |
$421.20 |
$421.20 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$42.31 |
$42.31 |
$42.31 |
$48.56
|
|
Fluidotherapy charges pt
|
$91.00 |
$91.00 |
$91.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$202.15 |
$202.15 |
$202.15 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$432.90 |
$432.90 |
$432.90 |
$497.25
|
|
Fluoroscopy up to 1 hour
|
$550.55 |
$550.55 |
$550.55 |
$474.50
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$36.58 |
$36.58 |
$36.58 |
$66.60
|
|
Folic acid
|
$136.50 |
$136.50 |
$136.50 |
$85.50
|
|
Foot X-ray
|
$392.60 |
$392.60 |
$392.60 |
$339.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$203.45 |
$203.45 |
$203.45 |
$572.30
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$366.63 |
$366.63 |
$366.63 |
$66.38
|
|
_fragile x methylation-sendout
|
$177.45 |
$177.45 |
$177.45 |
$175.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$174.85 |
$174.85 |
$174.85 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$72.15 |
$72.15 |
$72.15 |
$114.35
|
|
Fructosamine glycated protein
|
$67.60 |
$67.60 |
$67.60 |
$69.55
|
|
Ftl cgen abnor four anal
|
$202.80 |
$202.80 |
$202.80 |
$267.15
|
|
Galac-1-phosphate uridyltran - sendout
|
$138.45 |
$138.45 |
$138.45 |
$85.50
|
|
Galactose transferase test
|
$7.80 |
$7.80 |
$7.80 |
$25.00
|
|
Gallbladder Removal (Laparoscopic)
|
$9,803.69 |
$9,803.69 |
$9,803.69 |
$6,870.89
|
|
Gammaglobulin iga
|
$111.15 |
$111.15 |
$111.15 |
$78.60
|
|
Gammaglobulin ige
|
$94.90 |
$94.90 |
$94.90 |
$87.10
|
|
Gamma glutamyltransferase
|
$71.50 |
$71.50 |
$71.50 |
$54.60
|
|
Gamunex-c/gammaked
|
$5,994.72 |
$5,994.72 |
$5,994.72 |
$100.40
|
|
Gardner vag dna quant
|
$107.25 |
$107.25 |
$107.25 |
$104.80
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$21.25 |
$21.25 |
$21.25 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$137.80 |
$137.80 |
$137.80 |
$114.00
|
|
Ghs abscess perianal iandd
|
$427.70 |
$427.70 |
$427.70 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$1,463.80 |
$1,463.80 |
$1,463.80 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$52.65 |
$52.65 |
$52.65 |
$44.20
|
|
Ghs alpha thalasemia, 7 deletions
|
$405.60 |
$405.60 |
$405.60 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$95.55 |
$95.55 |
$95.55 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$278.20 |
$278.20 |
$278.20 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$67.60 |
$67.60 |
$67.60 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$419.90 |
$419.90 |
$419.90 |
$1,000.08
|
|
Ghs change cysto/gastrost
|
$320.45 |
$320.45 |
$320.45 |
$727.35
|
|
Ghs chemo IV push, ea addtl
|
$211.25 |
$211.25 |
$211.25 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$120.25 |
$120.25 |
$120.25 |
$135.85
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$534.95 |
$534.95 |
$534.95 |
$540.80
|
|
Ghs closed reduction ankle dislocation
|
$912.60 |
$912.60 |
$912.60 |
$720.00
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$1,655.78
|
|
Ghs closed tx radiocarpal disloc w manip
|
$708.50 |
$708.50 |
$708.50 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$1,311.70 |
$1,311.70 |
$1,311.70 |
$2,275.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,994.61 |
$3,994.61 |
$3,994.61 |
$2,973.33
|
|
Ghs clsd red med malleolus fx w manip
|
$982.80 |
$982.80 |
$982.80 |
$2,347.20
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,180.40 |
$1,180.40 |
$1,180.40 |
$2,418.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$616.85 |
$616.85 |
$616.85 |
$544.70
|
|
Ghs community re-entry 15 minutes
|
$61.10 |
$61.10 |
$61.10 |
$85.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$122.20 |
$122.20 |
$122.20 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$131.30 |
$131.30 |
$131.30 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$212.55 |
$212.55 |
$212.55 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$177.45 |
$177.45 |
$177.45 |
$362.21
|
|
Ghs cricothyroidotomy
|
$754.00 |
$754.00 |
$754.00 |
$1,191.70
|
|
Ghs cutdown placement age 1 and over
|
$158.60 |
$158.60 |
$158.60 |
$158.60
|
|
Ghs cutdown placement under 1 yr
|
$143.00 |
$143.00 |
$143.00 |
$142.80
|
|
Ghs dislocation elbow closed treatment
|
$1,032.85 |
$1,032.85 |
$1,032.85 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$117.65 |
$117.65 |
$117.65 |
$351.46
|
|
Ghs excision ingrown nail
|
$228.15 |
$228.15 |
$228.15 |
$436.80
|
|
Ghs eyelid foreign body-embedded - bil
|
$335.40 |
$335.40 |
$335.40 |
$585.60
|
|
Ghs fb removal from muscle - complicated
|
$693.55 |
$693.55 |
$693.55 |
$3,136.84
|
