|
Dup scan/lwr xtr vasc stdy bilat 93924
|
$883.81 |
$883.81 |
$883.81 |
$745.00
|
|
Dxa bone density axl vrt fx
|
$1,300.70 |
$1,300.70 |
$1,300.70 |
$410.25
|
|
Ecg external < 48 hours recording
|
$1,650.29 |
$1,650.29 |
$1,650.29 |
$462.00
|
|
Ecg external < 48 hours scanning analysis w/report
|
$3,018.88 |
$3,018.88 |
$3,018.88 |
$541.20
|
|
Echo transesophageal
|
$10,363.66 |
$10,363.66 |
$10,363.66 |
$1,599.50
|
|
Echo transesophageal intraop
|
$12,368.79 |
$12,368.79 |
$12,368.79 |
$1,578.00
|
|
Eeg 41-60 minutes 95812-26
|
$2,554.21 |
$2,554.21 |
$2,554.21 |
$923.88
|
|
Eeg during surgery
|
$9,884.37 |
$9,884.37 |
$9,884.37 |
$775.45
|
|
Eeg monitor/record/awake/drowsy 95816
|
$5,743.95 |
$5,743.95 |
$5,743.95 |
$831.00
|
|
Eeg over 1 hour 95813 - 26
|
$4,358.08 |
$4,358.08 |
$4,358.08 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$5,552.35 |
$5,552.35 |
$5,552.35 |
$865.00
|
|
Eeg recording awake and asleep
|
$4,826.90 |
$4,826.90 |
$4,826.90 |
$929.00
|
|
Eeg without vid 2-12hr cont mntr
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$826.15
|
|
Eeg without vid 2-12 hr unmntr
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$681.02
|
|
Eeg without vid ea 12-26hr cont
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$1,584.70
|
|
Eeg without vid ea 12-26hr intmt
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$1,402.50
|
|
Eeg wo vid 2-12hr intmt mntr
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$704.79
|
|
Eeg wo vid ea 12-26hr unmntr
|
$5,223.00 |
$5,223.00 |
$5,223.00 |
$1,591.10
|
|
Egfr gene com variants
|
$3,105.51 |
$3,105.51 |
$3,105.51 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$1,020.64 |
$1,020.64 |
$1,020.64 |
$93.00
|
|
Elec stim unattend for press
|
$223.42 |
$223.42 |
$223.42 |
$89.10
|
|
Electrode stimulation brain
|
$2,390.95 |
$2,390.95 |
$2,390.95 |
$1,180.80
|
|
Electrolyte panel
|
$720.93 |
$720.93 |
$720.93 |
$78.65
|
|
Electron microscopy diagnostic
|
$6,498.77 |
$6,498.77 |
$6,498.77 |
$1,006.20
|
|
Electrophysiologic study
|
$166,818.85 |
$166,818.85 |
$166,818.85 |
$7,023.00
|
|
Electrophysiology evaluation
|
$153,044.77 |
$153,044.77 |
$153,044.77 |
$8,979.45
|
|
Electrophysiology evaluation
|
$167,066.02 |
$167,066.02 |
$167,066.02 |
$10,593.00
|
|
Electrophysiology evaluation
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$6,760.00
|
|
Electrophysiology evaluation
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$5,854.80
|
|
Electrophysiology evaluation
|
$20,429.71 |
$20,429.71 |
$20,429.71 |
$2,902.81
|
|
Electrophys map 3d add-on
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$5,881.00
|
|
Emg 2 ext w-w/o paraspinal area 95861
|
$2,658.17 |
$2,658.17 |
$2,658.17 |
$377.36
|
|
Emg 3 ext w-w/o paraspinal area 95863
|
$2,658.17 |
$2,658.17 |
$2,658.17 |
$487.20
|
|
Emg needle test 1-extremity
|
$2,658.17 |
$2,658.17 |
$2,658.17 |
$342.24
|
|
Emg needle test 4-extremities
|
$2,658.17 |
$2,658.17 |
$2,658.17 |
$590.00
|
|
Endo cath bile duct s&i
|
$3,131.24 |
$3,131.24 |
$3,131.24 |
$694.06
|
|
Endo cath panc duct s&i
|
$3,131.24 |
$3,131.24 |
$3,131.24 |
$672.43
|
|
Endoscopy swallow (fees) vid
|
$1,685.02 |
$1,685.02 |
$1,685.02 |
$402.35
|
|
Entamoeba histolytica ag eia - sendout
|
$805.02 |
$805.02 |
$805.02 |
$56.89
|
|
Ep & ablate supravent arrhyt
|
$147,333.81 |
$147,333.81 |
$147,333.81 |
$26,232.69
|
|
Ep induct arrhy by elect pacing
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$2,702.70
|
|
Epinephrine 0.1 mg/ml injection syringe
|
$91.53 |
$91.53 |
$91.53 |
$36.86
|
|
Epirubicin 200 mg/100 ml intravenous solution
|
$139.80 |
$139.80 |
$139.80 |
$253.77
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$129.95 |
$129.95 |
$129.95 |
$129.30
|
|
Epstein barr early antigen antibody
|
$1,403.93 |
$1,403.93 |
$1,403.93 |
$60.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$246.50 |
$246.50 |
$246.50 |
$227.20
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$107.55 |
$107.55 |
$107.55 |
$223.99
|
|
Esophageal dilat s&i
|
$4,298.89 |
$4,298.89 |
$4,298.89 |
$550.00
|
|
Esophageal recording
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$2,112.54
|
|
Esophageal recording
|
$77,036.28 |
$77,036.28 |
$77,036.28 |
$2,363.40
|
|
Esophagus motility study
|
$5,841.17 |
$5,841.17 |
$5,841.17 |
$1,257.17
|
|
Estradiol total
|
$427.55 |
$427.55 |
$427.55 |
$149.43
|
|
Estrogens total-sendout
|
$587.83 |
$587.83 |
$587.83 |
$96.63
|
|
Ethylene glycol -sendout
|
$371.81 |
$371.81 |
$371.81 |
$85.00
|
|
Etoposide 50 mg cap
|
$27.31 |
$27.31 |
$27.31 |
$135.02
|
|
Euglobulin lysis
|
$604.36 |
$604.36 |
$604.36 |
$63.84
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$489.98 |
$489.98 |
$489.98 |
$211.12
|
|
Evoked potentials upper limbs
|
$6,200.33 |
$6,200.33 |
$6,200.33 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$6,200.33 |
$6,200.33 |
$6,200.33 |
$812.40
|
|
Exome sequence analysis
|
$24,950.19 |
$24,950.19 |
$24,950.19 |
$5,258.00
|
|
Exome sequence analysis
|
$62,636.46 |
$62,636.46 |
$62,636.46 |
$12,000.00
|
|
External chromosome analysis 20-25 cells
|
$2,325.98 |
$2,325.98 |
$2,325.98 |
$403.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$311.04 |
$311.04 |
$311.04 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$8,174.56 |
$8,174.56 |
$8,174.56 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$2,949.42 |
$2,949.42 |
$2,949.42 |
$445.60
|
|
F-18 fdg pet diag
|
$1,399.05 |
$1,399.05 |
$1,399.05 |
$551.72
|
|
F-18 fluciclovine per mci
|
$3,362.62 |
$3,362.62 |
$3,362.62 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,399.05 |
$1,399.05 |
$1,399.05 |
$492.56
|
|
Factor ix
|
$1,019.54 |
$1,019.54 |
$1,019.54 |
$154.50
|
|
Factor ix complex
|
$3.99 |
$3.99 |
$3.99 |
$5.91
|
|
Factor ix non-recombinant
|
$2.73 |
$2.73 |
$2.73 |
$4.63
|
|
Factor ix recombinant nos
|
$3.47 |
$3.47 |
$3.47 |
$4.65
|
|
Factor viii
|
$674.18 |
$674.18 |
$674.18 |
$144.82
|
|
Factor viii
|
$2.70 |
$2.70 |
$2.70 |
$4.85
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$95.84 |
$95.84 |
$95.84 |
$22.23
|
|
Fat/lipids feces qualitative
|
$357.40 |
$357.40 |
$357.40 |
$36.00
|
|
Feeding tube reposition
|
$12,375.61 |
$12,375.61 |
$12,375.61 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$837.08 |
$837.08 |
$837.08 |
$61.00
|
|
Ferritin
|
$402.55 |
$402.55 |
$402.55 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$933.80 |
$933.80 |
$933.80 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$933.80 |
$933.80 |
$933.80 |
$0.50
|
|
Fetal fibronectin
|
$1,878.92 |
$1,878.92 |
$1,878.92 |
$387.60
|
|
Fetal hemoglobin rosette
|
$471.62 |
$471.62 |
$471.62 |
$67.20
|
|
Fetal non stress test
|
$3,462.83 |
$3,462.83 |
$3,462.83 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$413.15 |
$413.15 |
$413.15 |
$95.68
|
|
Fibrin degradation products
|
$686.68 |
$686.68 |
$686.68 |
$74.25
|
|
Fibrin degrade semiquant
|
$686.68 |
$686.68 |
$686.68 |
$78.80
|
|
Fibrinogen activity
|
$885.86 |
$885.86 |
$885.86 |
$85.86
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$345.41 |
$345.41 |
$345.41 |
$66.60
|
|
Flecainide (tambocor)-sendout
|
$799.46 |
$799.46 |
$799.46 |
$65.24
|
|
Flotufolastat f18 diag 1 mci
|
$19,503.33 |
$19,503.33 |
$19,503.33 |
$2,215.03
|
|
Floxuridine injection
|
$515.20 |
$515.20 |
$515.20 |
$5,929.92
|
|
Flt3 gene
|
$1,447.26 |
$1,447.26 |
$1,447.26 |
$355.00
|
|
Flt3 gene analysis
|
$786.18 |
$786.18 |
$786.18 |
$215.20
|
|
Fludarabine 50 mg intravenous solution
|
$514.00 |
$514.00 |
$514.00 |
$493.35
|
|
Fluoro polarize fetal lung
|
$1,863.51 |
$1,863.51 |
$1,863.51 |
$153.92
|
|
Fluzone vacc, 3 yrs & >, im
|
$90.00 |
$90.00 |
$90.00 |
$60.00
|
|
Fmri brain by tech
|
$3,161.96 |
$3,161.96 |
$3,161.96 |
$1,558.05
|
|
Folic acid
|
$529.28 |
$529.28 |
$529.28 |
$99.96
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,980.30 |
$1,980.30 |
$1,980.30 |
$2,481.61
|
