|
Esophagoscopy w/us needle bx
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Esophagus motility study
|
$546.59 |
$546.59 |
$546.59 |
|
|
Esoph balloon distension tst
|
$484.85 |
$484.85 |
$484.85 |
|
|
Esoph egd dilation <30 mm
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Esoph endoscopy dilation
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Esoph scope w/submucous inj
|
$1,093.16 |
$1,093.16 |
$1,093.16 |
|
|
Estradiol total
|
$94.50 |
$94.50 |
$94.50 |
|
|
Estrogens total-sendout
|
$120.93 |
$120.93 |
$120.93 |
|
|
Ethanolamine oleate 100 mg
|
$1,032.48 |
$1,032.48 |
$1,032.48 |
|
|
Ethylene glycol -sendout
|
$185.01 |
$185.01 |
$185.01 |
|
|
Etoposide 20 mg/ml intravenous solution
|
$2.04 |
$2.04 |
$2.04 |
|
|
Etoposide 50 mg cap
|
$78.35 |
$78.35 |
$78.35 |
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$235.55 |
$235.55 |
$235.55 |
|
|
Event monitor
|
$200.19 |
$200.19 |
$200.19 |
|
|
Exchange biliary drg cath
|
$1,803.96 |
$1,803.96 |
$1,803.96 |
|
|
Exchange blood transfusion newborn 36450
|
$376.20 |
$376.20 |
$376.20 |
|
|
Exchange drainage catheter
|
$1,611.89 |
$1,611.89 |
$1,611.89 |
|
|
Exchange nephrostomy cath
|
$1,334.97 |
$1,334.97 |
$1,428.38 |
|
|
Excise lip or cheek fold
|
$1,088.09 |
$1,088.09 |
$1,088.09 |
|
|
Excision of anal lesion(s)
|
$2,624.61 |
$2,624.61 |
$2,624.61 |
|
|
Exercise w/hemodynamic meas
|
$130.67 |
$130.67 |
$130.67 |
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,141.89 |
$3,141.89 |
$3,141.89 |
|
|
External chromosome analysis 20-25 cells
|
$657.29 |
$657.29 |
$657.29 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$49.31 |
$49.31 |
$49.31 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$471.15 |
$471.15 |
$471.15 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$109.17 |
$109.17 |
$109.17 |
|
|
Facial bones <3
|
$105.11 |
$110.36 |
$110.36 |
|
|
Factor ix
|
$165.96 |
$165.96 |
$165.96 |
|
|
Factor ix complex
|
$2.97 |
$2.97 |
$2.97 |
|
|
Factor ix recombinant nos
|
$3.77 |
$3.77 |
$3.77 |
|
|
Factor viii
|
$165.96 |
$165.96 |
$165.96 |
|
|
Factor viii recombinant nos
|
$4.08 |
$4.08 |
$4.08 |
|
|
Fat/lipids feces qualitative
|
$71.66 |
$71.66 |
$71.66 |
|
|
#fecal-sodium
|
$70.52 |
$70.52 |
$70.52 |
|
|
Fem/popl revasc w/stent
|
$22,285.22 |
$22,285.22 |
$22,285.22 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.26 |
$4.26 |
$4.26 |
|
|
Ferritin
|
$44.07 |
$44.07 |
$44.07 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.04 |
$5.04 |
$5.04 |
|
|
Fetal biophys profile w/nst 76818
|
$308.31 |
$308.31 |
$323.75 |
|
|
Fetal contract stress test 59020 - 26
|
$248.30 |
$248.30 |
$248.30 |
|
|
Fetal fibronectin
|
$273.95 |
$273.95 |
$273.95 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$58.34 |
$58.34 |
$58.35 |
|
|
Fetal hemoglobin rosette
|
$48.35 |
$48.35 |
$48.35 |
|
|
Fetal non stress test
|
$500.57 |
$500.57 |
$512.03 |
|
|
Fibrin degradation d dimer quantitative
|
$52.41 |
$52.41 |
$52.41 |
|
|
Fibrin degradation products
|
$111.41 |
$111.41 |
$111.41 |
|
|
Fibrinogen activity
|
$48.21 |
$48.21 |
$48.21 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$20.51 |
$20.51 |
$20.51 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.39 |
$2.39 |
$2.39 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,267.59 |
$1,267.59 |
$1,267.59 |
|
|
Fine needle asp without image guide 10021
|
$194.52 |
$194.52 |
$194.52 |
|
|
Flecainide (tambocor)-sendout
|
$14.79 |
$14.79 |
$14.79 |
|
|
Fl exam g/colon tube w contrast
|
$307.08 |
$307.08 |
$307.08 |
|
|
Flexible Sigmoidoscopy
|
$672.71 |
$672.71 |
$672.75 |
|
|
Flow cytometry marker each additional
|
$87.24 |
$87.24 |
$87.24 |
|
|
Flow cytometry one marker technical component
|
$298.04 |
$298.04 |
$298.04 |
|
|
Floxuridine injection
|
$248.28 |
$248.28 |
$248.28 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$16.04 |
$16.04 |
$16.04 |
|
|
Fludarabine 50 mg intravenous solution
|
$236.42 |
$236.42 |
$236.42 |
|
|
Fluidotherapy charges pt
|
$98.76 |
$103.70 |
$121.04 |
|
|
Fluorescent antibody titer dna
|
$552.38 |
$552.38 |
$552.38 |
|
|
Fluoroguide for spine inject 77003-26
|
$84.57 |
$84.57 |
$84.57 |
|
|
Fluoroguide needle placement
|
$219.93 |
$230.94 |
$311.94 |
|
|
Fluoroscopy up to 1 hour
|
$179.36 |
$179.36 |
$198.74 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$7.35 |
$7.35 |
$7.35 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$66.60 |
$66.60 |
$66.60 |
|
|
Fna bx w/ct gdn 1st les
|
$1,822.79 |
$1,822.79 |
$1,822.79 |
|
|
Fna bx w/ct gdn ea addl
|
$880.92 |
$880.92 |
$880.92 |
|
|
Folic acid
|
$49.34 |
$49.34 |
$49.34 |
|
|
Follow-up angiography
|
$299.46 |
$299.46 |
$982.62 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$22.67 |
$22.67 |
$22.67 |
|
|
Fondaparinux sodium
|
$19.58 |
$19.58 |
$23.03 |
|
|
Foot X-ray
|
$82.13 |
$121.28 |
$127.34 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.93 |
$0.93 |
$0.93 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$43.46 |
$43.46 |
$43.46 |
|
|
Fracture assessment via dxa
|
$48.18 |
$48.18 |
$50.60 |
|
|
Fragmenting of kidney stone
|
$9,885.59 |
$9,885.59 |
$9,885.59 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$25.25 |
$105.33 |
$105.35 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$126.39 |
$126.39 |
$126.39 |
|
|
Fresh frozen plasma thawing ea un
|
$170.31 |
$170.31 |
$170.31 |
|
|
Fructosamine glycated protein
|
$81.00 |
$81.00 |
$81.00 |
|
|
Ga-67 gallium 0.1 mci
|
$221.96 |
$221.96 |
$221.96 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.79 |
$1.79 |
$1.79 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$8.67 |
$8.67 |
$8.67 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.08 |
$1.08 |
$1.19 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$30.53 |
$30.53 |
$30.53 |
|
|
Gamma globulin 1 cc inj
|
$99.03 |
$99.03 |
$99.03 |
|
|
Gammaglobulin iga
|
$99.06 |
$99.06 |
$99.06 |
|
|
Gammaglobulin ige
|
$68.25 |
$68.25 |
$68.25 |
|
|
Gamma glutamyltransferase
|
$92.03 |
$92.03 |
$92.03 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$209.07 |
$209.07 |
$209.07 |
|
|
Gastroesophageal reflux study
|
$366.68 |
$366.68 |
$366.68 |
|
|
Gastroesophageal reflux test
|
$460.58 |
$460.58 |
$460.58 |
|
|
Gemcitabine 1 gram intravenous solution
|
$97.37 |
$97.37 |
$97.37 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$9.98 |
$9.98 |
$71.60 |
|
|
Gentamicin peak therapeutic drug level
|
$54.89 |
$54.89 |
$54.89 |
|
|
G-esoph reflx tst w/electrod
|
$546.59 |
$546.59 |
$546.59 |
|
|
Ghs abscess postoperative iandd complex
|
$1,885.28 |
$1,885.28 |
$1,885.28 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$93.03 |
$93.03 |
$93.03 |
|