|
Electrophysiologic study
|
$9,480.00 |
$9,480.00 |
$9,480.00 |
$6,758.40
|
|
Electrophysiology evaluation
|
$31,935.00 |
$31,935.00 |
$31,935.00 |
$8,979.45
|
|
Electrophysiology evaluation
|
$46,078.00 |
$46,078.00 |
$46,078.00 |
$11,542.01
|
|
Embolization s&i
|
$6,790.00 |
$6,790.00 |
$6,790.00 |
$2,745.08
|
|
Endo cath bile duct s&i
|
$6,764.00 |
$6,764.00 |
$6,764.00 |
$545.37
|
|
Endoscopy swallow (fees) vid
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$420.00
|
|
Entamoeba histolytica ag eia - sendout
|
$76.00 |
$76.00 |
$76.00 |
$66.60
|
|
Enzyme histochemistry
|
$373.00 |
$373.00 |
$373.00 |
$460.32
|
|
Ep & ablate supravent arrhyt
|
$57,824.00 |
$57,824.00 |
$57,824.00 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$57,824.00 |
$57,824.00 |
$57,824.00 |
$30,975.00
|
|
Epstein barr early antigen antibody
|
$191.00 |
$191.00 |
$191.00 |
$72.50
|
|
Epstein barr nuclear antigen antibody
|
$315.00 |
$315.00 |
$315.00 |
$82.55
|
|
Ercp biliary & pancreas
|
$4,009.00 |
$4,009.00 |
$4,009.00 |
$922.35
|
|
Esophageal dilat s&i
|
$6,650.00 |
$6,650.00 |
$6,650.00 |
$525.00
|
|
Esophagus motility study
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$1,274.00
|
|
Esoph imped function test
|
$1,317.00 |
$1,317.00 |
$1,317.00 |
$597.03
|
|
Esoph imped funct test > 1hr
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$986.40
|
|
Estradiol total
|
$217.00 |
$217.00 |
$217.00 |
$147.79
|
|
Estrogens total-sendout
|
$740.00 |
$740.00 |
$740.00 |
$89.25
|
|
Ethanolamine oleate 100 mg
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$933.59
|
|
Ethylene glycol -sendout
|
$622.00 |
$622.00 |
$622.00 |
$78.00
|
|
Evaluation heart device
|
$9,473.00 |
$9,473.00 |
$9,473.00 |
$2,384.20
|
|
Evaluation psychiatric diagnostic
|
$1,297.00 |
$1,297.00 |
$1,297.00 |
$324.00
|
|
Exercise tst brncspsm w/ecg
|
$697.00 |
$697.00 |
$697.00 |
$306.08
|
|
Exome sequence analysis
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$5,258.00
|
|
External newborn metabolic screening panel
|
$307.00 |
$307.00 |
$307.00 |
$114.08
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$183.00 |
$183.00 |
$183.00 |
$64.90
|
|
F-18 fdg pet diag
|
$879.00 |
$879.00 |
$879.00 |
$609.85
|
|
F-18 florbetapir less than or equal to 10 mci
|
$7,681.00 |
$7,681.00 |
$7,681.00 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$940.00 |
$940.00 |
$940.00 |
$1,243.96
|
|
F-18 sodium fluoride
|
$754.00 |
$754.00 |
$754.00 |
$572.00
|
|
Facial bones <3
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$241.75
|
|
Factor ix
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$139.75
|
|
Factor ix recombinant nos
|
$4.00 |
$4.00 |
$4.00 |
$2.80
|
|
Factor viii
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$148.34
|
|
Factor viii recombinant nos
|
$12.00 |
$12.00 |
$12.00 |
$4.68
|
|
Family therapy without pt 50min 90846
|
$1,282.00 |
$1,282.00 |
$1,282.00 |
$239.50
|
|
Fat/lipids feces qualitative
|
$205.00 |
$205.00 |
$205.00 |
$37.40
|
|
Fatty acids nonesterified
|
$163.00 |
$163.00 |
$163.00 |
$55.25
|
|
#fecal-sodium
|
$117.00 |
$117.00 |
$117.00 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$690.00 |
$690.00 |
$690.00 |
$66.43
|
|
Ferritin
|
$265.00 |
$265.00 |
$265.00 |
$103.40
|
|
Fetal chrom aneuploidy gsa panel
|
$2,189.00 |
$2,189.00 |
$2,189.00 |
$1,222.00
|
|
Fetal contract stress test 59020 - 26
|
$2,317.00 |
$2,317.00 |
$2,317.00 |
$560.99
|
|
Fetal hemoglobin (kleihauer betke)
|
$491.00 |
$491.00 |
$491.00 |
$85.00
|
|
Fetal hemoglobin rosette
|
$217.00 |
$217.00 |
$217.00 |
$74.25
|
|
Fibrin degradation d dimer quantitative
|
$693.00 |
$693.00 |
$693.00 |
$111.55
|
|
Fibrin degradation products
|
$129.00 |
$129.00 |
$129.00 |
$63.90
|
|
Fibrin degrade semiquant
|
$418.00 |
$418.00 |
$418.00 |
$90.35
|
|
Fibrinogen activity
|
$156.00 |
$156.00 |
$156.00 |
$80.83
|
|
Fibrinolytic antiplasmin
|
$156.00 |
$156.00 |
$156.00 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$919.00 |
$919.00 |
$919.00 |
$59.89
|
|
Flortaucipir inj 1 millicuri
|
$12,985.00 |
$12,985.00 |
$12,985.00 |
$3,710.00
|
|
Flotufolastat f18 diag 1 mci
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$926.28
|
|
Flt3 gene
|
$435.00 |
$435.00 |
$435.00 |
$353.60
|
|
Fluoroestradiol f 18
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$997.10
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$220.00 |
$220.00 |
$220.00 |
$171.99
|
|
Fmri brain by tech
|
$1,993.00 |
$1,993.00 |
$1,993.00 |
$1,337.25
|
|
Folic acid
|
$351.00 |
$351.00 |
$351.00 |
$87.50
|
|
Follow-up angiography
|
$5,082.00 |
$5,082.00 |
$5,082.00 |
$1,875.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$623.00 |
$623.00 |
$623.00 |
$165.17
|
|
Frozen plasma, pooled, sd
|
$287.00 |
$287.00 |
$287.00 |
$114.40
|
|
Fructosamine glycated protein
|
$589.00 |
$589.00 |
$589.00 |
$64.20
|
|
Galac-1-phosphate uridyltran - sendout
|
$749.00 |
$749.00 |
$749.00 |
$82.50
|
|
Gallium ga-68 psma-11 ucsf
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$534.91
|
|
Gallium illuccix 1 millicure
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$1,395.27
|
|
Gallium locametz 1 millicuri
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
$873.44
|
|
Gammaglobulin ige
|
$190.00 |
$190.00 |
$190.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$43.00 |
$43.00 |
$43.00 |
$55.28
|
|
Gastroesophageal reflux test
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$1,115.40
|
|
Gated heart multiple
|
$8,424.00 |
$8,424.00 |
$8,424.00 |
$1,368.90
|
|
General health panel
|
$777.00 |
$777.00 |
$777.00 |
$280.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$561.00 |
$561.00 |
$561.00 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$433.58
|
|
Ghs antibodies (torch) igm
|
$362.00 |
$362.00 |
$362.00 |
$77.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$213.00 |
$213.00 |
$213.00 |
$130.70
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$547.20
|
|
Ghs hcv amplificaiton
|
$692.00 |
$692.00 |
$692.00 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$669.00 |
$669.00 |
$669.00 |
$105.00
|
|
Ghs histoplasma antigen
|
$578.00 |
$578.00 |
$578.00 |
$144.50
|
|
Ghs HIV antibody
|
$322.00 |
$322.00 |
$322.00 |
$93.00
|
|
Ghs inhibitor screen
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$158.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$356.00 |
$356.00 |
$356.00 |
$59.40
|
|
Ghs low level laser therapy
|
$374.00 |
$374.00 |
$374.00 |
$124.20
|
|
Ghs mbp
|
$222.00 |
$222.00 |
$222.00 |
$77.35
|
|
Ghs o2 saturation
|
$25.00 |
$25.00 |
$25.00 |
$72.45
|
|
Ghs phenylketonurid
|
$540.00 |
$540.00 |
$540.00 |
$55.53
|
|
Ghs pr without cont pulse ox
|
$285.00 |
$285.00 |
$285.00 |
$149.60
|
|
Ghs respiratory syncytical virus igg/m
|
$458.00 |
$458.00 |
$458.00 |
$42.40
|
|
Ghs reticulocyte count
|
$187.00 |
$187.00 |
$187.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$684.00 |
$684.00 |
$684.00 |
$101.15
|
|
Ghs sedimentation rate
|
$139.00 |
$139.00 |
$139.00 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$79.00 |
$79.00 |
$79.00 |
$59.90
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$267.00 |
$267.00 |
$267.00 |
$90.40
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$1,379.00 |
$1,379.00 |
$1,379.00 |
$342.40
|
|
Ghs urine, porphyrins quant
|
$205.00 |
$205.00 |
$205.00 |
$72.60
|
|
Gi inhouse confirmation
|
$351.00 |
$351.00 |
$351.00 |
$83.85
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$3,910.00 |
$3,910.00 |
$3,910.00 |
$2,418.92
|
|
Glucagon plasma - sendout
|
$58.00 |
$58.00 |
$58.00 |
$58.00
|
|
Glucose blood quantitative
|
$43.00 |
$43.00 |
$43.00 |
$44.40
|
