|
Echo stress
|
$3,008.73 |
$3,008.73 |
$3,008.73 |
$1,592.05
|
|
Echo tee probe placement image acquisition interpretation & report
|
$8,077.38 |
$8,077.38 |
$8,077.38 |
$1,849.50
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$1,066.01 |
$1,066.01 |
$1,066.01 |
$1,102.05
|
|
Eeg recording awake and asleep
|
$1,178.30 |
$1,178.30 |
$1,178.30 |
$931.20
|
|
Egfr gene com variants
|
$2,658.12 |
$2,658.12 |
$2,658.12 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$961.43 |
$961.43 |
$961.43 |
$93.00
|
|
Electrolyte panel
|
$809.12 |
$809.12 |
$809.12 |
$84.24
|
|
Electron microscopy diagnostic
|
$1,124.34 |
$1,124.34 |
$1,124.34 |
$983.41
|
|
Embolization s&i
|
$6,600.97 |
$6,600.97 |
$6,600.97 |
$3,199.00
|
|
Endoscopy swallow (fees) vid
|
$300.00 |
$300.00 |
$300.00 |
$402.35
|
|
Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr
|
$344.04 |
$344.04 |
$344.04 |
$1,289.71
|
|
Epstein barr nuclear antigen antibody
|
$633.65 |
$633.65 |
$633.65 |
$78.65
|
|
Ercp biliary & pancreas
|
$2,768.89 |
$2,768.89 |
$2,768.89 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$610.62 |
$610.62 |
$610.62 |
$222.98
|
|
Established Patient Office Visit (level 1)
|
$709.43 |
$709.43 |
$709.43 |
$120.25
|
|
Established Patient Office Visit (level 2)
|
$709.43 |
$709.43 |
$709.43 |
$132.72
|
|
Established Patient Office Visit (level 3)
|
$802.71 |
$802.71 |
$802.71 |
$183.00
|
|
Established Patient Office Visit (level 4)
|
$1,093.19 |
$1,093.19 |
$1,093.19 |
$231.75
|
|
Established Patient Office Visit (level 5)
|
$1,093.19 |
$1,093.19 |
$1,093.19 |
$280.33
|
|
Estradiol total
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$146.50
|
|
Estrogens total-sendout
|
$230.68 |
$230.68 |
$230.68 |
$96.20
|
|
Ethylene glycol -sendout
|
$1,030.11 |
$1,030.11 |
$1,030.11 |
$89.40
|
|
Eval/fit voice prosthesis iii, st
|
$435.00 |
$435.00 |
$435.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$679.12 |
$679.12 |
$679.12 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$910.38 |
$910.38 |
$910.38 |
$311.50
|
|
External chromosome analysis 20-25 cells
|
$919.58 |
$919.58 |
$919.58 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$825.38 |
$825.38 |
$825.38 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$2,518.39 |
$2,518.39 |
$2,518.39 |
$454.20
|
|
Facial bones <3
|
$798.26 |
$798.26 |
$798.26 |
$252.60
|
|
Factor ix
|
$3,141.00 |
$3,141.00 |
$3,141.00 |
$156.13
|
|
Factor viii
|
$3,142.33 |
$3,142.33 |
$3,142.33 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$11.88 |
$11.88 |
$11.88 |
$22.20
|
|
Fat/lipids feces qualitative
|
$1,095.08 |
$1,095.08 |
$1,095.08 |
$38.35
|
|
Ferritin
|
$1,013.86 |
$1,013.86 |
$1,013.86 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6,262.22 |
$6,262.22 |
$6,262.22 |
$1,776.61
|
|
Fetal fibronectin
|
$2,814.12 |
$2,814.12 |
$2,814.12 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$1,013.86 |
$1,013.86 |
$1,013.86 |
$105.12
|
|
Fetal hemoglobin rosette
|
$692.13 |
$692.13 |
$692.13 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$334.00 |
$334.00 |
$334.00 |
$95.68
|
|
Fibrinogen activity
|
$1,312.82 |
$1,312.82 |
$1,312.82 |
$83.50
|
|
Finasteride, 5 mg
|
$19.20 |
$19.20 |
$19.20 |
$7.71
|
|
Flexible keel foot
|
$2,614.00 |
$2,614.00 |
$2,614.00 |
$529.20
|
|
Flow cytometry marker each additional
|
$334.69 |
$334.69 |
$334.69 |
$97.50
|
|
Flow cytometry one marker technical component
|
$334.69 |
$334.69 |
$334.69 |
$284.40
|
|
Flt3 gene
|
$426.48 |
$426.48 |
$426.48 |
$355.00
|
|
Flt3 gene analysis
|
$213.85 |
$213.85 |
$213.85 |
$213.92
|
|
Fluoroguide needle placement
|
$2,947.89 |
$2,947.89 |
$2,947.89 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$1,365.65 |
$1,365.65 |
$1,365.65 |
$492.00
|
|
Folic acid
|
$994.33 |
$994.33 |
$994.33 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$11.88 |
$11.88 |
$11.88 |
$54.75
|
|
Formoterol fumarate, inh
|
$109.91 |
$109.91 |
$109.91 |
$59.40
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$249.20 |
$249.20 |
$249.20 |
$156.60
|
|
Fructosamine glycated protein
|
$484.14 |
$484.14 |
$484.14 |
$60.75
|
|
Ga-67 gallium 0.1 mci
|
$1,823.12 |
$1,823.12 |
$1,823.12 |
$118.56
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$669.11 |
$669.11 |
$669.11 |
$102.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$763.42 |
$763.42 |
$763.42 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,076.91 |
$1,076.91 |
$1,076.91 |
$250.83
|
|
Gammaglobulin ige
|
$1,485.01 |
$1,485.01 |
$1,485.01 |
$83.85
|
|
Gamma glutamyltransferase
|
$981.36 |
$981.36 |
$981.36 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$443.29 |
$443.29 |
$443.29 |
$197.40
|
|
G-esoph reflx tst w/electrod
|
$4,940.92 |
$4,940.92 |
$4,940.92 |
$1,418.18
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$292.45 |
$292.45 |
$292.45 |
$132.00
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$4,250.00 |
$4,250.00 |
$4,250.00 |
$593.91
|
|
Ghs flow volume loop
|
$705.55 |
$705.55 |
$705.55 |
$308.69
|
|
Ghs histoplasma antigen
|
$864.35 |
$864.35 |
$864.35 |
$141.00
|
|
Ghs ot sensory integrative tech/15min
|
$264.29 |
$264.29 |
$264.29 |
$94.80
|
|
Ghs phenylketonurid
|
$88.00 |
$88.00 |
$88.00 |
$53.76
|
|
Ghs sensitivity (per antimicro)
|
$42.97 |
$42.97 |
$42.97 |
$57.60
|
|
Ghs sp train/fitting sp device - kx
|
$382.00 |
$382.00 |
$382.00 |
$250.50
|
|
Ghs urine, porphyrins quant
|
$1,013.86 |
$1,013.86 |
$1,013.86 |
$75.00
|
|
Gi inhouse confirmation
|
$1,527.27 |
$1,527.27 |
$1,527.27 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$1,406.94 |
$1,406.94 |
$1,406.94 |
$601.79
|
|
Glucagon plasma - sendout
|
$1,998.48 |
$1,998.48 |
$1,998.48 |
$63.00
|
|
Glucose 1 hr post dose
|
$708.38 |
$708.38 |
$708.38 |
$47.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$363.89 |
$363.89 |
$363.89 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$12.83 |
$12.83 |
$12.83 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,904.22 |
$1,904.22 |
$1,904.22 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,904.22 |
$1,904.22 |
$1,904.22 |
$129.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$116.58 |
$116.58 |
$116.58 |
$23.06
|
|
Haptoglobin quantitative
|
$1,121.10 |
$1,121.10 |
$1,121.10 |
$91.14
|
|
Hbot, full body chamber, 30m
|
$1,852.82 |
$1,852.82 |
$1,852.82 |
$526.90
|
|
Hc nm kidney imaging with flow
|
$3,083.46 |
$3,083.46 |
$3,083.46 |
$822.60
|
|
Hemoglobin methemoglobin quantitative
|
$22.76 |
$22.76 |
$22.76 |
$53.60
|
|
Hemolysins/agglutinins auto
|
$24.34 |
$24.34 |
$24.34 |
$57.14
|
|
Hemolysins and agglutinins incubated
|
$33.61 |
$33.61 |
$33.61 |
$57.14
|
|
Hepatitis a antibody igm
|
$880.61 |
$880.61 |
$880.61 |
$87.75
|
|
Hepatitis b core antibody igm
|
$909.86 |
$909.86 |
$909.86 |
$87.98
|
|
Hepatitis b core antibody total
|
$968.34 |
$968.34 |
$968.34 |
$77.50
|
|
Hepatitis b surface antibody
|
$1,140.59 |
$1,140.59 |
$1,140.59 |
$82.05
|
|
Hepatitis c antibody
|
$1,446.03 |
$1,446.03 |
$1,446.03 |
$108.00
|
|
Hepatobiliary system imaging
|
$4,218.88 |
$4,218.88 |
$4,218.88 |
$1,438.58
|
|
Herpes simplex type 1 antibody igg
|
$656.38 |
$656.38 |
$656.38 |
$70.00
|
|
Herpes simplex type 2 antibody igg
|
$744.13 |
$744.13 |
$744.13 |
$87.10
|
|
Herpes simplex virus isolation
|
$93.96 |
$93.96 |
$93.96 |
$104.10
|
|
Heterophile antibodies screening
|
$633.65 |
$633.65 |
$633.65 |
$74.00
|
|
Histamine
|
$2,797.85 |
$2,797.85 |
$2,797.85 |
$115.00
|
|
Hla i low res one antigen equiv ea
|
$1,715.73 |
$1,715.73 |
$1,715.73 |
$161.70
|
|
Hocm 350-399mg/ml iodine,1ml
|
$714.95 |
$714.95 |
$714.95 |
$79.78
|
