|
Estradiol total
|
$88.43 |
$88.43 |
$88.43 |
$142.20
|
|
Estrogens total-sendout
|
$83.71 |
$83.71 |
$83.71 |
$111.00
|
|
Ethylene glycol -sendout
|
$64.75 |
$64.75 |
$64.75 |
$81.25
|
|
Etoposide 50 mg cap
|
$110.87 |
$110.87 |
$110.87 |
$110.87
|
|
Euglobulin lysis
|
$84.92 |
$84.92 |
$84.92 |
$37.70
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$122.29 |
$122.29 |
$122.29 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$76.41 |
$76.41 |
$76.41 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$123.95 |
$123.95 |
$123.95 |
$325.65
|
|
Event monitor
|
$120.81 |
$120.81 |
$120.81 |
$228.60
|
|
Evoked potentials upper limbs
|
$188.70 |
$188.70 |
$188.70 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$452.97 |
$452.97 |
$452.97 |
$852.80
|
|
Exc bartholins gland/cyst
|
$2,463.18 |
$2,463.18 |
$2,463.18 |
$2,476.30
|
|
Exc benign tal 0.5 < cm 11400
|
$289.06 |
$289.06 |
$289.06 |
$805.70
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$973.71
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$854.98 |
$854.98 |
$854.98 |
$1,908.09
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$673.49 |
$673.49 |
$673.49 |
$1,224.75
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,635.88 |
$2,635.88 |
$2,635.88 |
$1,967.25
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$1,874.89
|
|
Exchange drainage catheter
|
$881.16 |
$881.16 |
$881.16 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$1,762.31 |
$1,762.31 |
$1,762.31 |
$2,752.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$940.45 |
$940.45 |
$940.45 |
$1,855.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$463.33 |
$463.33 |
$463.33 |
$973.71
|
|
Excision tongue lesion without closure 41110
|
$1,245.05 |
$1,245.05 |
$1,245.05 |
$3,544.29
|
|
Exc malig feenl 1.1-2 11642
|
$513.38 |
$513.38 |
$513.38 |
$1,082.00
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,006.31 |
$1,006.31 |
$1,006.31 |
$1,849.38
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,394.16 |
$1,394.16 |
$1,394.16 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,394.16 |
$1,394.16 |
$1,394.16 |
$1,322.10
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$2,379.93 |
$2,379.93 |
$2,379.93 |
$3,285.96
|
|
Exc prtl bn phlnx toe
|
$1,633.64 |
$1,633.64 |
$1,633.64 |
$3,122.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,383.71 |
$1,383.71 |
$1,383.71 |
$2,850.35
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,338.38 |
$1,338.38 |
$1,338.38 |
$1,908.09
|
|
Exc thrombosed hemorrhoid 46320
|
$2,503.42 |
$2,503.42 |
$2,503.42 |
$2,481.60
|
|
Explore penetrating wnd/extremity 20103
|
$1,040.35 |
$1,040.35 |
$1,040.35 |
$1,908.09
|
|
Explore/repair chest 32110
|
$921.49 |
$921.49 |
$921.49 |
$3,579.20
|
|
Explore wound abdomen 20102
|
$2,158.77 |
$2,158.77 |
$2,158.77 |
$2,837.09
|
|
Explore woundchest 20101
|
$2,158.77 |
$2,158.77 |
$2,158.77 |
$2,113.50
|
|
Explore wound neck 20100
|
$1,086.14 |
$1,086.14 |
$1,086.14 |
$1,270.95
|
|
External chromosome analysis 20-25 cells
|
$272.41 |
$272.41 |
$272.41 |
$457.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.65 |
$16.65 |
$16.65 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$280.09 |
$280.09 |
$280.09 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$76.50 |
$76.50 |
$76.50 |
$102.50
|
|
Facial bones <3
|
$60.03 |
$60.03 |
$60.03 |
$216.45
|
|
Factor ix
|
$104.16 |
$104.16 |
$104.16 |
$139.75
|
|
Factor viii
|
$117.57 |
$117.57 |
$117.57 |
$152.50
|
|
Fat/lipids feces qualitative
|
$50.04 |
$50.04 |
$50.04 |
$43.66
|
|
Fatty acids nonesterified
|
$43.85 |
$43.85 |
$43.85 |
$64.28
|
|
#fecal-sodium
|
$101.84 |
$101.84 |
$101.84 |
$40.30
|
|
Felbamate (felbatol(r)) - sendout
|
$50.69 |
$50.69 |
$50.69 |
$83.85
|
|
Ferritin
|
$44.40 |
$44.40 |
$44.40 |
$86.45
|
|
Fetal fibronectin
|
$214.97 |
$214.97 |
$214.97 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$46.99 |
$46.99 |
$46.99 |
$59.85
|
|
Fetal hemoglobin rosette
|
$45.79 |
$45.79 |
$45.79 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$62.90 |
$62.90 |
$62.90 |
$64.28
|
|
Fibrin degradation d dimer quantitative
|
$58.28 |
$58.28 |
$58.28 |
$87.60
|
|
Fibrinogen activity
|
$31.17 |
$31.17 |
$31.17 |
$61.80
|
|
Fibrinolytic antiplasmin
|
$93.24 |
$93.24 |
$93.24 |
$68.40
|
|
Fibrinolytic plasminogen
|
$112.02 |
$112.02 |
$112.02 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$47.08 |
$47.08 |
$47.08 |
$70.80
|
|
Fine needle asp without image guide 10021
|
$191.94 |
$191.94 |
$191.94 |
$547.53
|
|
Finger joint sz00 swanson w/grommets
|
$7,356.19 |
$7,356.19 |
$7,356.19 |
$4,413.60
|
|
Fixation of knee joint
|
$1,188.07 |
$1,188.07 |
$1,188.07 |
$1,858.61
|
|
Fix g/colon tube w/device
|
$714.47 |
$714.47 |
$714.47 |
$1,165.45
|
|
Flecainide (tambocor)-sendout
|
$39.31 |
$39.31 |
$39.31 |
$86.40
|
|
Fl exam g/colon tube w contrast
|
$219.78 |
$219.78 |
$219.78 |
$522.75
|
|
Flow cytometry marker each additional
|
$58.92 |
$58.92 |
$58.92 |
$103.00
|
|
Flow cytometry one marker technical component
|
$174.83 |
$174.83 |
$174.83 |
$304.43
|
|
#flow interp 9 - 15 markers
|
$82.90 |
$82.90 |
$82.90 |
$202.15
|
|
Flt3 gene
|
$209.88 |
$209.88 |
$209.88 |
$355.00
|
|
Fluid pressure muscle 20950
|
$579.70 |
$579.70 |
$579.70 |
$738.87
|
|
Fluorescent antibody titer dna
|
$183.15 |
$183.15 |
$183.15 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$45.79 |
$45.79 |
$45.79 |
$497.25
|
|
Fluoroguide needle placement
|
$46.81 |
$46.81 |
$46.81 |
$510.00
|
|
Fluoro polarize fetal lung
|
$62.81 |
$62.81 |
$62.81 |
$127.20
|
|
Fluoroscopy up to 1 hour
|
$164.47 |
$164.47 |
$164.47 |
$474.50
|
|
Folic acid
|
$58.28 |
$58.28 |
$58.28 |
$85.50
|
|
Foot X-ray
|
$273.99 |
$273.99 |
$273.99 |
$339.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$174.73 |
$174.73 |
$174.73 |
$572.30
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$4.31 |
$4.31 |
$4.31 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$21.86 |
$21.86 |
$21.86 |
$66.38
|
|
Fracture assessment via dxa
|
$87.14 |
$87.14 |
$87.14 |
$170.40
|
|
_fragile x methylation-sendout
|
$105.10 |
$105.10 |
$105.10 |
$175.75
|
|
Fresh frozen plasma thawing ea un
|
$100.73 |
$100.73 |
$100.73 |
$114.35
|
|
Fructosamine glycated protein
|
$59.76 |
$59.76 |
$59.76 |
$69.55
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,160.51 |
$1,160.51 |
$1,160.51 |
$2,315.04
|
|
G6pc gene
|
$314.78 |
$314.78 |
$314.78 |
$140.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$96.94 |
$96.94 |
$96.94 |
$85.50
|
|
Gammaglobulin iga
|
$72.15 |
$72.15 |
$72.15 |
$78.60
|
|
Gammaglobulin ige
|
$58.18 |
$58.18 |
$58.18 |
$87.10
|
|
Gamma glutamyltransferase
|
$49.03 |
$49.03 |
$49.03 |
$54.60
|
|
Gardner vag dna quant
|
$63.27 |
$63.27 |
$63.27 |
$104.80
|
|
Gastric emptying imag study
|
$585.53 |
$585.53 |
$585.53 |
$1,270.00
|
|
Gastroesophageal reflux study
|
$395.62 |
$395.62 |
$395.62 |
$887.62
|
|
General health panel
|
$161.14 |
$161.14 |
$161.14 |
$270.40
|
|
Genetic tstg severe inh cond
|
$1,358.64 |
$1,358.64 |
$1,358.64 |
$4,897.60
|
|
Gentamicin peak therapeutic drug level
|
$88.43 |
$88.43 |
$88.43 |
$114.00
|
|
Ghs abscess perianal iandd
|
$1,410.90 |
$1,410.90 |
$1,410.90 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$1,244.68 |
$1,244.68 |
$1,244.68 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$44.12 |
$44.12 |
$44.12 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$103.14 |
$103.14 |
$103.14 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$213.03 |
$213.03 |
$213.03 |
$437.58
|
