|
Ecg 12 lead tracing only
|
$132.60 |
$132.60 |
$132.60 |
$243.61
|
|
Ecg/1-3 leads/tracing only 93041
|
$55.45 |
$55.45 |
$55.45 |
$129.83
|
|
Ecg external < 48 hours recording
|
$316.49 |
$316.49 |
$316.49 |
$461.76
|
|
Ecg external < 48 hours scanning analysis w/report
|
$520.72 |
$520.72 |
$520.72 |
$567.00
|
|
Ecg external > 48 hours up to 7 days recording
|
$640.06 |
$640.06 |
$640.06 |
$146.90
|
|
Echo guide for amniocentesis
|
$134.23 |
$134.23 |
$134.23 |
$377.11
|
|
Echo guide for artery repair
|
$460.53 |
$460.53 |
$460.53 |
$676.80
|
|
Eeg monitor/record/awake/drowsy 95816
|
$596.38 |
$596.38 |
$596.38 |
$861.12
|
|
Ehrlicha chaffeensis amp prb
|
$78.59 |
$78.59 |
$78.59 |
$105.00
|
|
EKG tracing for initial prev
|
$132.60 |
$132.60 |
$132.60 |
$56.65
|
|
Electrolyte panel
|
$49.53 |
$49.53 |
$49.53 |
$86.33
|
|
Electron microscopy diagnostic
|
$2,430.81 |
$2,430.81 |
$2,430.81 |
$1,006.20
|
|
Enoxaparin 30 mg/0.3 ml subcutaneous syringe
|
$63.56 |
$63.56 |
$63.56 |
$109.71
|
|
Enzyme histochemistry
|
$405.67 |
$405.67 |
$405.67 |
$460.32
|
|
Epoetin alfa-epbx 40,000 unit/ml injection solution
|
$1,003.73 |
$1,003.73 |
$1,003.73 |
$824.16
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$1,042.28 |
$1,042.28 |
$1,042.28 |
$726.28
|
|
Epstein barr early antigen antibody
|
$123.57 |
$123.57 |
$123.57 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$129.55 |
$129.55 |
$129.55 |
$82.55
|
|
Epstein barr viral capsid antigen antibody igm
|
$129.55 |
$129.55 |
$129.55 |
$96.00
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$109.20 |
$109.20 |
$109.20 |
$364.08
|
|
ER Visit (level 1, minor)
|
$168.29 |
$168.29 |
$168.29 |
$271.88
|
|
ER Visit (level 2)
|
$237.64 |
$237.64 |
$237.64 |
$481.37
|
|
ER Visit (level 3)
|
$415.94 |
$415.94 |
$415.94 |
$850.50
|
|
ER Visit (level 4)
|
$657.41 |
$657.41 |
$657.41 |
$1,334.25
|
|
ER Visit (level 5, high severity)
|
$983.65 |
$983.65 |
$983.65 |
$1,930.40
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$20.02 |
$20.02 |
$20.02 |
$562.34
|
|
Established Patient Office Visit (level 1)
|
$118.95 |
$118.95 |
$118.95 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$126.56 |
$126.56 |
$126.56 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$85.22 |
$85.22 |
$85.22 |
$186.04
|
|
Established Patient Office Visit (level 4)
|
$131.17 |
$131.17 |
$131.17 |
$231.00
|
|
Established Patient Office Visit (level 5)
|
$150.74 |
$150.74 |
$150.74 |
$280.50
|
|
Estradiol total
|
$227.96 |
$227.96 |
$227.96 |
$147.79
|
|
Estrogens total-sendout
|
$204.36 |
$204.36 |
$204.36 |
$89.25
|
|
Ethylene glycol -sendout
|
$148.79 |
$148.79 |
$148.79 |
$78.00
|
|
Eval/fit voice prosthesis iii, st
|
$348.14 |
$348.14 |
$348.14 |
$375.20
|
|
Evaluation of speech fluency 92521
|
$348.27 |
$348.27 |
$348.27 |
$347.75
|
|
Excision of anal lesion(s)
|
$536.77 |
$536.77 |
$536.77 |
$3,245.23
|
|
Ext ecg>48hr<7d scan a/r
|
$640.06 |
$640.06 |
$640.06 |
$240.50
|
|
External chromosome analysis 20-25 cells
|
$3,234.86 |
$3,234.86 |
$3,234.86 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$74.43 |
$74.43 |
$74.43 |
$64.90
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,262.56 |
$1,262.56 |
$1,262.56 |
$466.15
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$154.96 |
$154.96 |
$154.96 |
$102.50
|
|
F-18 fdg pet diag
|
$879.39 |
$879.39 |
$879.39 |
$609.85
|
|
Factor ix
|
$218.08 |
$218.08 |
$218.08 |
$139.75
|
|
Factor viii
|
$218.08 |
$218.08 |
$218.08 |
$148.34
|
|
Fancc gene
|
$289.38 |
$289.38 |
$289.38 |
$147.31
|
|
Fat/lipids feces qualitative
|
$67.02 |
$67.02 |
$67.02 |
$37.40
|
|
#fecal-sodium
|
$45.89 |
$45.89 |
$45.89 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$3.19 |
$3.19 |
$3.19 |
$102.69
|
|
Ferritin
|
$121.10 |
$121.10 |
$121.10 |
$103.40
|
|
#_fet/norfentcnfrmur
|
$155.03 |
$155.03 |
$155.03 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$95.88 |
$95.88 |
$95.88 |
$111.55
|
|
Fibrin degradation products
|
$64.94 |
$64.94 |
$64.94 |
$63.90
|
|
Fibrinogen activity
|
$80.08 |
$80.08 |
$80.08 |
$80.83
|
|
Fibrinolytic plasminogen
|
$155.16 |
$155.16 |
$155.16 |
$112.02
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$998.68 |
$998.68 |
$998.68 |
$998.68
|
|
Flecainide (tambocor)-sendout
|
$155.03 |
$155.03 |
$155.03 |
$66.43
|
|
Flow cytometry interp 16 or more
|
$182.33 |
$182.33 |
$182.33 |
$208.80
|
|
Flow cytometry marker each additional
|
$35.17 |
$35.17 |
$35.17 |
$102.00
|
|
Flow cytometry one marker technical component
|
$193.90 |
$193.90 |
$193.90 |
$298.04
|
|
#flow interp 9 - 15 markers
|
$121.55 |
$121.55 |
$121.55 |
$202.15
|
|
Fluorescent antibody titer dna
|
$45.24 |
$45.24 |
$45.24 |
$128.05
|
|
Fluoroguide for spine inject 77003-26
|
$686.53 |
$686.53 |
$686.53 |
$507.00
|
|
Fluoroguide needle placement
|
$796.38 |
$796.38 |
$796.38 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$653.97 |
$653.97 |
$653.97 |
$489.84
|
|
Folic acid
|
$138.58 |
$138.58 |
$138.58 |
$87.50
|
|
Foot X-ray
|
$255.19 |
$255.19 |
$255.19 |
$360.00
|
|
Fracture assessment via dxa
|
$236.21 |
$236.21 |
$236.21 |
$136.07
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$79.11 |
$79.11 |
$79.11 |
$165.17
|
|
Fresh frozen plasma thawing ea un
|
$54.67 |
$54.67 |
$54.67 |
$130.00
|
|
Fructosamine glycated protein
|
$42.71 |
$42.71 |
$42.71 |
$64.20
|
|
Ga-67 gallium 0.1 mci
|
$147.23 |
$147.23 |
$147.23 |
$163.80
|
|
Gammaglobulin iga
|
$92.95 |
$92.95 |
$92.95 |
$76.59
|
|
Gammaglobulin ige
|
$107.84 |
$107.84 |
$107.84 |
$85.00
|
|
Gamma glutamyltransferase
|
$67.80 |
$67.80 |
$67.80 |
$55.28
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$10.56 |
$10.56 |
$10.56 |
$44.63
|
|
Gentamicin peak therapeutic drug level
|
$154.51 |
$154.51 |
$154.51 |
$117.00
|
|
Ghs acetylcholinesterase, rbc
|
$142.55 |
$142.55 |
$142.55 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$40.69 |
$40.69 |
$40.69 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$135.59 |
$135.59 |
$135.59 |
$77.60
|
|
Ghs bladder cath - complex-foley
|
$202.67 |
$202.67 |
$202.67 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$43.10 |
$43.10 |
$43.10 |
$55.90
|
|
Ghs change cysto/gastrost
|
$645.26 |
$645.26 |
$645.26 |
$652.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$82.36 |
$82.36 |
$82.36 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$65.26 |
$65.26 |
$65.26 |
$87.60
|
|
Ghs conjunctiva foreign body-embed bil
|
$170.24 |
$170.24 |
$170.24 |
$442.06
|
|
Ghs conjunctiva foreign body-superf bil
|
$170.24 |
$170.24 |
$170.24 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$170.24 |
$170.24 |
$170.24 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$170.24 |
$170.24 |
$170.24 |
$365.43
|
|
Ghs diphtheria toxoid ab igg
|
$116.48 |
$116.48 |
$116.48 |
$74.53
|
|
Ghs febrile agglutinns(mayo)
|
$248.76 |
$248.76 |
$248.76 |
$48.57
|
|
Ghs fish cytogen
|
$107.12 |
$107.12 |
$107.12 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$389.74 |
$389.74 |
$389.74 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$299.98 |
$299.98 |
$299.98 |
$375.20
|
|
Ghs hcv amplificaiton
|
$307.97 |
$307.97 |
$307.97 |
$195.60
|
|
Ghs histoplasma antigen
|
$126.04 |
$126.04 |
$126.04 |
$144.50
|
|
Ghs HIV antibody
|
$144.30 |
$144.30 |
$144.30 |
$93.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$392.67 |
$392.67 |
$392.67 |
$540.10
|
|
Ghs inhibitor screen
|
$258.18 |
$258.18 |
$258.18 |
$158.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$489.00 |
$489.00 |
$489.00 |
$542.40
|
