|
Electrophysiology evaluation
|
$15,550.69 |
$15,550.69 |
$15,550.69 |
$2,845.10
|
|
Electrophysiology evaluation
|
$8,902.87 |
$8,902.87 |
$8,902.87 |
$2,630.40
|
|
Electrophys map 3d add-on
|
$24,828.79 |
$24,828.79 |
$24,828.79 |
$6,534.00
|
|
Embo or occlude vascular arterial s&i
|
$78,133.89 |
$78,133.89 |
$78,133.89 |
$16,031.73
|
|
Embo or occlude vascular tumor/organ/infarct s&i
|
$90,786.66 |
$90,786.66 |
$90,786.66 |
$15,101.00
|
|
Emg needle test 4-extremities
|
$2,999.17 |
$2,999.17 |
$2,999.17 |
$547.00
|
|
Encephalitis, st louis igg/igm
|
$753.86 |
$753.86 |
$753.86 |
$48.57
|
|
Endo abl/incom vein/ext/rad fre/#1 36475
|
$10,022.13 |
$10,022.13 |
$10,022.13 |
$5,522.00
|
|
Endoluminl ivus oct c 1st
|
$12,384.61 |
$12,384.61 |
$12,384.61 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$7,168.68 |
$7,168.68 |
$7,168.68 |
$2,294.50
|
|
Endovasc rpr a-biiliac endogft 34705
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$10,604.25
|
|
Ep & ablate supravent arrhyt
|
$104,364.07 |
$104,364.07 |
$104,364.07 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$104,364.07 |
$104,364.07 |
$104,364.07 |
$30,975.00
|
|
Ep induct arrhy by elect pacing
|
$15,550.69 |
$15,550.69 |
$15,550.69 |
$2,753.40
|
|
Epstein barr nuclear antigen antibody
|
$2,377.27 |
$2,377.27 |
$2,377.27 |
$82.55
|
|
Ercp biliary & pancreas
|
$6,774.15 |
$6,774.15 |
$6,774.15 |
$922.35
|
|
Ergonovine 0.2 mg/ml inj
|
$166.70 |
$166.70 |
$166.70 |
$166.70
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$826.69 |
$826.69 |
$826.69 |
$364.08
|
|
ER Visit (level 1, minor)
|
$731.51 |
$731.51 |
$731.51 |
$271.88
|
|
ER Visit (level 2)
|
$1,940.76 |
$1,940.76 |
$1,940.76 |
$481.37
|
|
ER Visit (level 3)
|
$2,771.96 |
$2,771.96 |
$2,771.96 |
$850.50
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$409.37 |
$409.37 |
$409.37 |
$232.84
|
|
Esophagus motility study
|
$1,638.80 |
$1,638.80 |
$1,638.80 |
$1,274.00
|
|
Established Patient Office Visit (level 5)
|
$884.58 |
$884.58 |
$884.58 |
$280.50
|
|
Estradiol total
|
$1,842.07 |
$1,842.07 |
$1,842.07 |
$147.79
|
|
Estradiol valerate 10 mg inj
|
$972.97 |
$972.97 |
$972.97 |
$51.40
|
|
Estrogens total-sendout
|
$2,353.11 |
$2,353.11 |
$2,353.11 |
$89.25
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$657.25 |
$657.25 |
$657.25 |
$219.60
|
|
Evaluation heart device
|
$11,820.03 |
$11,820.03 |
$11,820.03 |
$2,384.20
|
|
Evasc rpr a-ao ndgft 34701
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$5,578.73
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$4,537.60
|
|
Evasc rpr a-biiliac ndgft rptr
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$10,294.05
|
|
Evasc rpr a-unilac ndgft 34703
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$7,465.20
|
|
Evasc rpr a-unilac ndgft rpt
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$9,804.00
|
|
Evasc rpr ilio-iliac ndgft
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$94,944.37 |
$94,944.37 |
$94,944.37 |
$9,561.95
|
|
Event monitor
|
$5,428.30 |
$5,428.30 |
$5,428.30 |
$242.12
|
|
Evoked potentials upper limbs
|
$5,624.56 |
$5,624.56 |
$5,624.56 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$5,624.56 |
$5,624.56 |
$5,624.56 |
$844.00
|
|
External chromosome analysis 20-25 cells
|
$390.28 |
$390.28 |
$390.28 |
$389.35
|
|
F-18 fdg pet diag
|
$3,262.36 |
$3,262.36 |
$3,262.36 |
$609.85
|
|
Facial bones <3
|
$1,575.77 |
$1,575.77 |
$1,575.77 |
$241.75
|
|
Factor ix
|
$2,998.92 |
$2,998.92 |
$2,998.92 |
$139.75
|
|
Factor ix recombinant nos
|
$2.27 |
$2.27 |
$2.27 |
$2.80
|
|
Factor viii
|
$2,998.92 |
$2,998.92 |
$2,998.92 |
$148.34
|
|
Family therapy without pt 50min 90846
|
$368.42 |
$368.42 |
$368.42 |
$239.50
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$424.63 |
$424.63 |
$424.63 |
$22.20
|
|
Fat/lipids feces qualitative
|
$687.75 |
$687.75 |
$687.75 |
$37.40
|
|
#fecal-sodium
|
$1,342.45 |
$1,342.45 |
$1,342.45 |
$37.50
|
|
Feeding tube reposition
|
$7,337.19 |
$7,337.19 |
$7,337.19 |
$438.70
|
|
Felbamate (felbatol(r)) - sendout
|
$77.54 |
$77.54 |
$77.54 |
$66.43
|
|
Ferritin
|
$1,430.17 |
$1,430.17 |
$1,430.17 |
$103.40
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,844.26 |
$3,844.26 |
$3,844.26 |
$2,232.93
|
|
Fetal biophys profile w/nst 76818
|
$4,978.85 |
$4,978.85 |
$4,978.85 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$2,449.94 |
$2,449.94 |
$2,449.94 |
$560.99
|
|
Fetal fibronectin
|
$891.16 |
$891.16 |
$891.16 |
$342.47
|
|
Fetal hemoglobin (kleihauer betke)
|
$687.75 |
$687.75 |
$687.75 |
$85.00
|
|
Fetal hemoglobin rosette
|
$975.06 |
$975.06 |
$975.06 |
$74.25
|
|
Fibrin degradation products
|
$1,815.37 |
$1,815.37 |
$1,815.37 |
$63.90
|
|
Fibrin degrade semiquant
|
$1,103.46 |
$1,103.46 |
$1,103.46 |
$90.35
|
|
Fibrinogen activity
|
$1,103.46 |
$1,103.46 |
$1,103.46 |
$80.83
|
|
Fibrinolytic plasminogen
|
$1,500.10 |
$1,500.10 |
$1,500.10 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1,634.85 |
$1,634.85 |
$1,634.85 |
$59.89
|
|
Flecainide (tambocor)-sendout
|
$525.04 |
$525.04 |
$525.04 |
$66.43
|
|
Flow cytometry marker each additional
|
$691.57 |
$691.57 |
$691.57 |
$102.00
|
|
Flt3 gene
|
$356.89 |
$356.89 |
$356.89 |
$353.60
|
|
Fludarabine 50 mg intravenous solution
|
$273.13 |
$273.13 |
$273.13 |
$592.00
|
|
Fluoroguide for spine inject 77003-26
|
$5,893.69 |
$5,893.69 |
$5,893.69 |
$507.00
|
|
Fluoroguide needle placement
|
$6,827.05 |
$6,827.05 |
$6,827.05 |
$536.26
|
|
Folic acid
|
$1,540.78 |
$1,540.78 |
$1,540.78 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$86.89 |
$86.89 |
$86.89 |
$48.78
|
|
Foot drp splt w/exp heel lg
|
$484.00 |
$484.00 |
$484.00 |
$120.31
|
|
Fractionation ketosteroids
|
$1,815.37 |
$1,815.37 |
$1,815.37 |
$72.00
|
|
Fracture assessment via dxa
|
$2,568.33 |
$2,568.33 |
$2,568.33 |
$136.07
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$859.45 |
$859.45 |
$859.45 |
$165.17
|
|
Fructosamine glycated protein
|
$744.97 |
$744.97 |
$744.97 |
$64.20
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$17.28 |
$17.28 |
$17.28 |
$26.40
|
|
G6pd full gene sequence
|
$312.73 |
$312.73 |
$312.73 |
$1,200.00
|
|
G6pd gene alys cmn variant
|
$312.73 |
$312.73 |
$312.73 |
$243.00
|
|
G6pd known familial variant
|
$312.73 |
$312.73 |
$312.73 |
$412.78
|
|
Ga-67 gallium 0.1 mci
|
$1,277.74 |
$1,277.74 |
$1,277.74 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$20.41 |
$20.41 |
$20.41 |
$177.43
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$4.54 |
$4.54 |
$4.54 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$60.10 |
$60.10 |
$60.10 |
$210.50
|
|
Galactose transferase test
|
$1,735.28 |
$1,735.28 |
$1,735.28 |
$22.18
|
|
Gammaglobulin ige
|
$1,358.99 |
$1,358.99 |
$1,358.99 |
$85.00
|
|
Gamma glutamyltransferase
|
$1,079.31 |
$1,079.31 |
$1,079.31 |
$55.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,048.95 |
$1,048.95 |
$1,048.95 |
$211.20
|
|
Gastric emptying imag study
|
$11,043.17 |
$11,043.17 |
$11,043.17 |
$1,270.50
|
|
Gastric emptying imag study
|
$11,043.17 |
$11,043.17 |
$11,043.17 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$8,176.22 |
$8,176.22 |
$8,176.22 |
$911.04
|
|
Gated heart multiple
|
$15,856.60 |
$15,856.60 |
$15,856.60 |
$1,368.90
|
|
Gemcitabine 1 gram intravenous solution
|
$7,028.53 |
$7,028.53 |
$7,028.53 |
$240.65
|
|
Gentamicin peak therapeutic drug level
|
$1,611.97 |
$1,611.97 |
$1,611.97 |
$117.00
|
|
G-esoph reflx tst w/electrod
|
$5,290.20 |
$5,290.20 |
$5,290.20 |
$1,352.03
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,034.81 |
$1,034.81 |
$1,034.81 |
$433.58
|
|
Ghs antibodies (torch) igm
|
$67.38 |
$67.38 |
$67.38 |
$77.60
|
|
Ghs bleeding time (ivy)
|
$719.53 |
$719.53 |
$719.53 |
$55.90
|
|
Ghs chemo >8 hrs
|
$1,745.09 |
$1,745.09 |
$1,745.09 |
$710.00
|
|
Ghs chemo IV push, ea addtl
|
$1,254.59 |
$1,254.59 |
$1,254.59 |
$291.87
|
