|
Evasc rpr a-unilac ndgft 34703
|
$8,174.24 |
$8,174.24 |
$8,174.24 |
$7,465.20
|
|
Event monitor
|
$108.93 |
$108.93 |
$108.93 |
$251.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,048.57 |
$3,048.57 |
$3,048.57 |
$2,019.05
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,352.46 |
$2,352.46 |
$2,352.46 |
$2,926.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,869.60 |
$3,869.60 |
$3,869.60 |
$2,311.20
|
|
Explore penetrating wnd/extremity 20103
|
$2,923.74 |
$2,923.74 |
$2,923.74 |
$1,874.89
|
|
Explore wound abdomen 20102
|
$2,126.19 |
$2,126.19 |
$2,126.19 |
$2,837.09
|
|
External chromosome analysis 20-25 cells
|
$528.14 |
$528.14 |
$528.14 |
$390.60
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$535.15 |
$535.15 |
$535.15 |
$471.15
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$304.01 |
$304.01 |
$304.01 |
$104.80
|
|
Facial bones <3
|
$596.89 |
$596.89 |
$596.89 |
$241.75
|
|
Factor ix
|
$322.71 |
$322.71 |
$322.71 |
$146.08
|
|
Factor viii
|
$303.46 |
$303.46 |
$303.46 |
$152.50
|
|
Fat/lipids feces qualitative
|
$86.35 |
$86.35 |
$86.35 |
$38.35
|
|
#fecal-sodium
|
$82.36 |
$82.36 |
$82.36 |
$37.79
|
|
Fem/popl revasc w/stent
|
$19,093.17 |
$19,093.17 |
$19,093.17 |
$19,039.38
|
|
Ferritin
|
$231.06 |
$231.06 |
$231.06 |
$103.95
|
|
Fetal biophys profile w/nst 76818
|
$467.50 |
$467.50 |
$467.50 |
$541.74
|
|
Fetal fibronectin
|
$545.88 |
$545.88 |
$545.88 |
$348.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$517.96 |
$517.96 |
$517.96 |
$85.80
|
|
Fetal hemoglobin rosette
|
$128.56 |
$128.56 |
$128.56 |
$78.60
|
|
#_fet/norfentcnfrmur
|
$169.40 |
$169.40 |
$169.40 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$319.14 |
$319.14 |
$319.14 |
$112.23
|
|
Fibrinogen activity
|
$565.68 |
$565.68 |
$565.68 |
$82.38
|
|
Filter spider fx 3mmx320cm
|
$9,277.34 |
$9,277.34 |
$9,277.34 |
$4,176.86
|
|
Filter vena cava fem denali
|
$6,278.91 |
$6,278.91 |
$6,278.91 |
$2,871.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$545.57 |
$545.57 |
$545.57 |
$765.70
|
|
Flow cytometry marker each additional
|
$116.60 |
$116.60 |
$116.60 |
$102.00
|
|
Flow cytometry one marker technical component
|
$931.70 |
$931.70 |
$931.70 |
$276.90
|
|
Fluorescein angrph mltiframe
|
$623.64 |
$623.64 |
$623.64 |
$340.32
|
|
Fluorescent antibody titer dna
|
$654.78 |
$654.78 |
$654.78 |
$137.80
|
|
Fluoroguide for spine inject 77003-26
|
$141.65 |
$141.65 |
$141.65 |
$507.00
|
|
Fluoroguide needle placement
|
$223.58 |
$223.58 |
$223.58 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$898.07 |
$898.07 |
$898.07 |
$489.84
|
|
Folic acid
|
$124.58 |
$124.58 |
$124.58 |
$87.50
|
|
Follow-up angiography
|
$3,701.20 |
$3,701.20 |
$3,701.20 |
$1,860.60
|
|
Foot X-ray
|
$1,137.95 |
$1,137.95 |
$1,137.95 |
$364.80
|
|
Fracture assessment via dxa
|
$289.97 |
$289.97 |
$289.97 |
$146.80
|
|
Fragmenting of kidney stone
|
$8,932.06 |
$8,932.06 |
$8,932.06 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$364.10 |
$364.10 |
$364.10 |
$190.45
|
|
Fructosamine glycated protein
|
$18.70 |
$18.70 |
$18.70 |
$64.28
|
|
Ftl cgen abnor four anal
|
$438.35 |
$438.35 |
$438.35 |
$211.83
|
|
G6pd full gene sequence
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$923.05 |
$923.05 |
$923.05 |
$163.80
|
|
Galectin-3
|
$78.79 |
$78.79 |
$78.79 |
$117.52
|
|
Gammaglobulin iga
|
$78.79 |
$78.79 |
$78.79 |
$77.35
|
|
Gammaglobulin ige
|
$139.42 |
$139.42 |
$139.42 |
$85.00
|
|
Gamma glutamyltransferase
|
$61.05 |
$61.05 |
$61.05 |
$55.28
|
|
General health panel
|
$800.11 |
$800.11 |
$800.11 |
$280.00
|
|
Generator emblem MRI sicd subq
|
$55,581.28 |
$55,581.28 |
$55,581.28 |
$34,429.68
|
|
Gentamicin peak therapeutic drug level
|
$138.74 |
$138.74 |
$138.74 |
$118.30
|
|
Ghs abscess perianal iandd
|
$983.62 |
$983.62 |
$983.62 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$2,912.52 |
$2,912.52 |
$2,912.52 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$101.20 |
$101.20 |
$101.20 |
$106.00
|
|
Ghs antibodies (torch) igm
|
$61.05 |
$61.05 |
$61.05 |
$78.78
|
|
Ghs change cysto/gastrost
|
$408.60 |
$408.60 |
$408.60 |
$669.50
|
|
Ghs chemo >8 hrs
|
$781.66 |
$781.66 |
$781.66 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$115.47 |
$115.47 |
$115.47 |
$295.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$297.41 |
$297.41 |
$297.41 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$469.84 |
$469.84 |
$469.84 |
$599.00
|
|
Ghs closed reduction ankle dislocation
|
$275.36 |
$275.36 |
$275.36 |
$732.75
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,726.01 |
$1,726.01 |
$1,726.01 |
$1,655.78
|
|
Ghs closed tx tibial fracture w/manip
|
$2,702.62 |
$2,702.62 |
$2,702.62 |
$2,578.79
|
|
Ghs clsd red med malleolus fx w manip
|
$2,294.96 |
$2,294.96 |
$2,294.96 |
$2,347.20
|
|
Ghs cl tx knee disl; wo anesth
|
$255.72 |
$255.72 |
$255.72 |
$720.73
|
|
Ghs cl tx metacarpophal disloc without anes
|
$371.66 |
$371.66 |
$371.66 |
$547.94
|
|
Ghs conjunctiva foreign body-superf bil
|
$453.75 |
$453.75 |
$453.75 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$453.75 |
$453.75 |
$453.75 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$453.75 |
$453.75 |
$453.75 |
$367.20
|
|
Ghs cricothyroidotomy
|
$486.20 |
$486.20 |
$486.20 |
$1,238.90
|
|
Ghs dislocation elbow closed treatment
|
$501.16 |
$501.16 |
$501.16 |
$687.73
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$342.21 |
$342.21 |
$342.21 |
$586.80
|
|
Ghs excision ingrown nail
|
$429.16 |
$429.16 |
$429.16 |
$451.75
|
|
Ghs eyelid foreign body-embedded - bil
|
$633.60 |
$633.60 |
$633.60 |
$553.80
|
|
Ghs fb removal - incisional
|
$2,791.44 |
$2,791.44 |
$2,791.44 |
$2,454.00
|
|
Ghs fish cytogen
|
$127.05 |
$127.05 |
$127.05 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$175.72 |
$175.72 |
$175.72 |
$229.45
|
|
Ghs histoplasma antigen
|
$203.22 |
$203.22 |
$203.22 |
$146.25
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,222.03 |
$2,222.03 |
$2,222.03 |
$3,922.28
|
|
Ghs i and d perirectal abscess 46040
|
$2,539.93 |
$2,539.93 |
$2,539.93 |
$3,034.00
|
|
Ghs i and d pilonidal cyst simple
|
$770.44 |
$770.44 |
$770.44 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$577.36 |
$577.36 |
$577.36 |
$542.18
|
|
Ghs inf midline insertion
|
$1,234.20 |
$1,234.20 |
$1,234.20 |
$1,228.50
|
|
Ghs init tx 1st degree burn
|
$208.50 |
$208.50 |
$208.50 |
$317.46
|
|
Ghs insertion of needle - bone
|
$341.28 |
$341.28 |
$341.28 |
$441.68
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$754.08 |
$754.08 |
$754.08 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$774.18 |
$774.18 |
$774.18 |
$1,134.10
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,604.93 |
$1,604.93 |
$1,604.93 |
$2,123.36
|
|
Ghs irrigate corpora cavernosa for priapism
|
$329.12 |
$329.12 |
$329.12 |
$620.00
|
|
Ghs IV inf sq injection, on-body injector
|
$202.40 |
$202.40 |
$202.40 |
$121.55
|
|
Ghs IV infusion casirivimab/imdevimab
|
$534.60 |
$534.60 |
$534.60 |
$674.29
|
|
Ghs IV infusion sotrovimab
|
$684.75 |
$684.75 |
$684.75 |
$720.20
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$366.52 |
$366.52 |
$366.52 |
$576.19
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$537.62 |
$537.62 |
$537.62 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$536.69 |
$536.69 |
$536.69 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$479.19 |
$479.19 |
$479.19 |
$638.09
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$500.22 |
$500.22 |
$500.22 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$643.75 |
$643.75 |
$643.75 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$527.81 |
$527.81 |
$527.81 |
$751.50
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$703.59 |
$703.59 |
$703.59 |
$818.40
|
