|
Fetal fibronectin
|
$282.15 |
$282.15 |
$282.15 |
$352.95
|
|
Fetal fluid drainage w/us
|
$394.35 |
$394.35 |
$394.35 |
$626.34
|
|
Fetal hemoglobin (kleihauer betke)
|
$114.95 |
$114.95 |
$114.95 |
$88.80
|
|
Fetal hemoglobin rosette
|
$89.10 |
$89.10 |
$89.10 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$56.65 |
$56.65 |
$56.65 |
$64.28
|
|
Fetal non stress test
|
$677.05 |
$677.05 |
$677.05 |
$507.90
|
|
Fetal shunt placement w/us
|
$456.50 |
$456.50 |
$456.50 |
$668.50
|
|
#_fet/norfentcnfrmur
|
$166.10 |
$166.10 |
$166.10 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$91.30 |
$91.30 |
$91.30 |
$112.80
|
|
Fibrin degradation products
|
$12.10 |
$12.10 |
$12.10 |
$62.40
|
|
Fibrinogen activity
|
$52.25 |
$52.25 |
$52.25 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$32.45 |
$32.45 |
$32.45 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$31.35 |
$31.35 |
$31.35 |
$56.00
|
|
Fibrinolytic plasminogen
|
$138.60 |
$138.60 |
$138.60 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$20.90 |
$20.90 |
$20.90 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$2,531.82 |
$2,531.82 |
$2,531.82 |
$6,152.59
|
|
Filter vena cava fem denali
|
$1,733.10 |
$1,733.10 |
$1,733.10 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,927.75 |
$1,927.75 |
$1,927.75 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$766.70 |
$766.70 |
$766.70 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$823.90 |
$823.90 |
$823.90 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$746.35 |
$746.35 |
$746.35 |
$547.53
|
|
Fix g/colon tube w/device
|
$814.55 |
$814.55 |
$814.55 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,242.15 |
$4,242.15 |
$4,242.15 |
$3,981.06
|
|
Flecainide (tambocor)-sendout
|
$39.60 |
$39.60 |
$39.60 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$813.45 |
$813.45 |
$813.45 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$45.26 |
$45.26 |
$45.26 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$226.60 |
$226.60 |
$226.60 |
$103.00
|
|
Flow cytometry one marker technical component
|
$239.25 |
$239.25 |
$239.25 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$281.60 |
$281.60 |
$281.60 |
$194.04
|
|
Flt3 gene
|
$268.40 |
$268.40 |
$268.40 |
$352.95
|
|
Flt3 gene analysis
|
$164.45 |
$164.45 |
$164.45 |
$229.92
|
|
Fluidotherapy charges pt
|
$78.10 |
$78.10 |
$78.10 |
$95.00
|
|
Fluid pressure muscle 20950
|
$1,393.70 |
$1,393.70 |
$1,393.70 |
$779.45
|
|
Fluorescent antibody titer dna
|
$196.35 |
$196.35 |
$196.35 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$429.55 |
$429.55 |
$429.55 |
$507.00
|
|
Fluoroguide needle placement
|
$485.65 |
$485.65 |
$485.65 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$485.65 |
$485.65 |
$485.65 |
$494.52
|
|
Fmri brain by phys/psych
|
$361.90 |
$361.90 |
$361.90 |
$1,112.67
|
|
Fmri brain by tech
|
$469.15 |
$469.15 |
$469.15 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$1,927.75 |
$1,927.75 |
$1,927.75 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$834.90 |
$834.90 |
$834.90 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$1,927.75 |
$1,927.75 |
$1,927.75 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$766.70 |
$766.70 |
$766.70 |
$612.30
|
|
Folic acid
|
$50.05 |
$50.05 |
$50.05 |
$90.60
|
|
Follow-up angiography
|
$1,385.45 |
$1,385.45 |
$1,385.45 |
$1,939.14
|
|
Foot X-ray
|
$215.60 |
$215.60 |
$215.60 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$636.35 |
$636.35 |
$636.35 |
$595.80
|
|
Fracture assessment via dxa
|
$92.40 |
$92.40 |
$92.40 |
$146.80
|
|
_fragile x methylation-sendout
|
$433.95 |
$433.95 |
$433.95 |
$174.00
|
|
Fragmenting of kidney stone
|
$8,245.60 |
$8,245.60 |
$8,245.60 |
$9,827.25
|
|
Frenectomy 41115
|
$1,392.05 |
$1,392.05 |
$1,392.05 |
$1,744.44
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$183.15 |
$183.15 |
$183.15 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$110.55 |
$110.55 |
$110.55 |
$149.50
|
|
Frozen blood thaw
|
$157.30 |
$157.30 |
$157.30 |
$189.84
|
|
Frozen cell preparation
|
$301.95 |
$301.95 |
$301.95 |
$16.68
|
|
Frozen plasma, pooled, sd
|
$140.80 |
$140.80 |
$140.80 |
$122.15
|
|
Fructosamine glycated protein
|
$40.70 |
$40.70 |
$40.70 |
$60.42
|
|
Ftl cgen abnor four anal
|
$118.25 |
$118.25 |
$118.25 |
$211.83
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,465.10 |
$2,465.10 |
$2,465.10 |
$2,465.10
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$429.55 |
$429.55 |
$429.55 |
$429.55
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,226.95 |
$2,226.95 |
$2,226.95 |
$2,501.10
|
|
G6pd full gene sequence
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$32.45 |
$32.45 |
$32.45 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$119.90 |
$119.90 |
$119.90 |
$119.90
|
|
Galac-1-phosphate uridyltran - sendout
|
$38.50 |
$38.50 |
$38.50 |
$82.50
|
|
Galactokinase - sendout
|
$393.80 |
$393.80 |
$393.80 |
$175.00
|
|
Galactose transferase test
|
$31.35 |
$31.35 |
$31.35 |
$22.40
|
|
Gallium illuccix 1 millicure
|
$2,328.89 |
$2,328.89 |
$2,328.89 |
$1,395.27
|
|
Gammaglobulin iga
|
$117.15 |
$117.15 |
$117.15 |
$75.30
|
|
Gammaglobulin ige
|
$55.55 |
$55.55 |
$55.55 |
$85.00
|
|
Gamma glutamyltransferase
|
$40.15 |
$40.15 |
$40.15 |
$55.28
|
|
Gastric emptying imag study
|
$880.00 |
$880.00 |
$880.00 |
$1,270.50
|
|
Gastric emptying imag study
|
$990.00 |
$990.00 |
$990.00 |
$1,664.33
|
|
Gastroesophageal reflux study
|
$553.85 |
$553.85 |
$553.85 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$1,129.63
|
|
Gated heart multiple
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,370.99
|
|
Gba gene
|
$232.10 |
$232.10 |
$232.10 |
$140.00
|
|
General health panel
|
$275.00 |
$275.00 |
$275.00 |
$280.50
|
|
Generator barostim neo2 2014
|
$13,078.00 |
$13,078.00 |
$13,078.00 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$11,542.40 |
$11,542.40 |
$11,542.40 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$36,214.06 |
$36,214.06 |
$36,214.06 |
$40,028.69
|
|
Genetic tstg severe inh cond
|
$3,685.00 |
$3,685.00 |
$3,685.00 |
$4,156.20
|
|
Gentamicin peak therapeutic drug level
|
$79.20 |
$79.20 |
$79.20 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,079.65 |
$1,079.65 |
$1,079.65 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$2,439.80 |
$2,439.80 |
$2,439.80 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$4,297.70 |
$4,297.70 |
$4,297.70 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$39.60 |
$39.60 |
$39.60 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$139.70 |
$139.70 |
$139.70 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$542.85 |
$542.85 |
$542.85 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$880.55 |
$880.55 |
$880.55 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$114.40 |
$114.40 |
$114.40 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$808.50 |
$808.50 |
$808.50 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,059.85 |
$1,059.85 |
$1,059.85 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$3,369.30 |
$3,369.30 |
$3,369.30 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,022.45 |
$1,022.45 |
$1,022.45 |
$699.60
|
|
Ghs chemo >8 hrs
|
$611.05 |
$611.05 |
$611.05 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$343.75 |
$343.75 |
$343.75 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$79.20 |
$79.20 |
$79.20 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$585.75 |
$585.75 |
$585.75 |
$596.55
|
