|
Eeg 41-60 minutes 95812-26
|
$4,090.55 |
$4,090.55 |
$4,090.55 |
$920.00
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$3,485.72 |
$3,485.72 |
$3,485.72 |
$1,000.42
|
|
Eeg monitor/record/awake/drowsy 95816
|
$1,421.09 |
$1,421.09 |
$1,421.09 |
$835.00
|
|
Eeg over 1 hour 95813 - 26
|
$5,484.56 |
$5,484.56 |
$5,484.56 |
$1,102.05
|
|
Eeg/record in coma or sleep only 95822
|
$4,244.40 |
$4,244.40 |
$4,244.40 |
$907.80
|
|
Eeg recording awake and asleep
|
$3,337.16 |
$3,337.16 |
$3,337.16 |
$931.20
|
|
Eeg without vid 2-12hr cont mntr
|
$14,521.83 |
$14,521.83 |
$14,521.83 |
$783.60
|
|
Eeg without vid 2-12 hr unmntr
|
$9,681.22 |
$9,681.22 |
$9,681.22 |
$601.30
|
|
Eeg without vid ea 12-26hr cont
|
$7,260.91 |
$7,260.91 |
$7,260.91 |
$1,460.20
|
|
Eeg without vid ea 12-26hr intmt
|
$6,050.77 |
$6,050.77 |
$6,050.77 |
$1,379.30
|
|
Eeg wo vid 2-12hr intmt mntr
|
$12,101.52 |
$12,101.52 |
$12,101.52 |
$671.00
|
|
Eeg wo vid ea 12-26hr unmntr
|
$4,840.62 |
$4,840.62 |
$4,840.62 |
$1,502.40
|
|
Egfr gene com variants
|
$473.38 |
$473.38 |
$473.38 |
$657.00
|
|
Ehrlicha chaffeensis amp prb
|
$2,904.29 |
$2,904.29 |
$2,904.29 |
$93.00
|
|
Electrolyte panel
|
$1,088.17 |
$1,088.17 |
$1,088.17 |
$84.24
|
|
Electrophysiology evaluation
|
$39,078.97 |
$39,078.97 |
$39,078.97 |
$10,233.60
|
|
Electrophysiology evaluation
|
$10,306.24 |
$10,306.24 |
$10,306.24 |
$6,760.00
|
|
Electrophysiology evaluation
|
$10,306.24 |
$10,306.24 |
$10,306.24 |
$5,854.80
|
|
Electrophysiology evaluation
|
$5,314.09 |
$5,314.09 |
$5,314.09 |
$2,451.90
|
|
Electrophysiology evaluation
|
$7,031.81 |
$7,031.81 |
$7,031.81 |
$2,821.00
|
|
Electrophys map 3d add-on
|
$18,220.22 |
$18,220.22 |
$18,220.22 |
$5,881.00
|
|
Endoscopy swallow (fees) vid
|
$682.64 |
$682.64 |
$682.64 |
$402.35
|
|
Entamoeba histolytica ag eia - sendout
|
$905.08 |
$905.08 |
$905.08 |
$56.89
|
|
Eo elas w/metal jnts pre ots
|
$367.50 |
$367.50 |
$367.50 |
$145.60
|
|
Ep & ablate supravent arrhyt
|
$105,143.80 |
$105,143.80 |
$105,143.80 |
$27,075.00
|
|
Ep & ablate ventric tachy
|
$107,263.95 |
$107,263.95 |
$107,263.95 |
$28,199.40
|
|
Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr
|
$723.29 |
$723.29 |
$723.29 |
$129.30
|
|
Epstein barr early antigen antibody
|
$654.99 |
$654.99 |
$654.99 |
$60.48
|
|
Epstein barr nuclear antigen antibody
|
$654.99 |
$654.99 |
$654.99 |
$78.65
|
|
Ercp biliary & pancreas
|
$3,756.53 |
$3,756.53 |
$3,756.53 |
$967.04
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$1,312.30 |
$1,312.30 |
$1,312.30 |
$222.98
|
|
ER Visit (level 1, minor)
|
$1,445.74 |
$1,445.74 |
$1,445.74 |
$246.24
|
|
ER Visit (level 2)
|
$2,282.72 |
$2,282.72 |
$2,282.72 |
$452.20
|
|
ER Visit (level 3)
|
$2,792.87 |
$2,792.87 |
$2,792.87 |
$770.04
|
|
ER Visit (level 4)
|
$3,586.63 |
$3,586.63 |
$3,586.63 |
$1,273.68
|
|
ER Visit (level 5, high severity)
|
$5,174.15 |
$5,174.15 |
$5,174.15 |
$1,820.02
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$861.78 |
$861.78 |
$861.78 |
$223.99
|
|
Estradiol total
|
$2,000.68 |
$2,000.68 |
$2,000.68 |
$146.50
|
|
Estradiol valerate 10 mg inj
|
$248.91 |
$248.91 |
$248.91 |
$57.35
|
|
Estrogens total-sendout
|
$1,643.41 |
$1,643.41 |
$1,643.41 |
$96.20
|
|
Ethylene glycol -sendout
|
$817.26 |
$817.26 |
$817.26 |
$89.40
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$296.24 |
$296.24 |
$296.24 |
$219.60
|
|
Evaluation heart device
|
$4,716.86 |
$4,716.86 |
$4,716.86 |
$2,368.17
|
|
Evoked potentials upper limbs
|
$2,652.11 |
$2,652.11 |
$2,652.11 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$3,233.56 |
$3,233.56 |
$3,233.56 |
$814.61
|
|
Exercise tst brncspsm w/ecg
|
$1,500.69 |
$1,500.69 |
$1,500.69 |
$318.50
|
|
External chromosome analysis 20-25 cells
|
$1,100.08 |
$1,100.08 |
$1,100.08 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$3,115.66 |
$3,115.66 |
$3,115.66 |
$454.20
|
|
Facial bones <3
|
$1,001.86 |
$1,001.86 |
$1,001.86 |
$252.60
|
|
Factor ix
|
$1,135.81 |
$1,135.81 |
$1,135.81 |
$156.13
|
|
Factor ix idelvion inj
|
$27.17 |
$27.17 |
$27.17 |
$14.35
|
|
Factor viii
|
$975.07 |
$975.07 |
$975.07 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$20.12 |
$20.12 |
$20.12 |
$22.20
|
|
Fat/lipids feces qualitative
|
$422.76 |
$422.76 |
$422.76 |
$38.35
|
|
Ferritin
|
$512.08 |
$512.08 |
$512.08 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$3,082.86 |
$3,082.86 |
$3,082.86 |
$535.37
|
|
Fetal fibronectin
|
$2,122.77 |
$2,122.77 |
$2,122.77 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$1,725.31 |
$1,725.31 |
$1,725.31 |
$105.12
|
|
Fetal hemoglobin rosette
|
$512.08 |
$512.08 |
$512.08 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$1,580.92 |
$1,580.92 |
$1,580.92 |
$117.70
|
|
Fibrin degradation products
|
$1,085.21 |
$1,085.21 |
$1,085.21 |
$62.64
|
|
Fibrinogen activity
|
$346.85 |
$346.85 |
$346.85 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$125.05 |
$125.05 |
$125.05 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$422.76 |
$422.76 |
$422.76 |
$72.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$934.83 |
$934.83 |
$934.83 |
$65.00
|
|
Filters elec/combo vad, rep
|
$255.00 |
$255.00 |
$255.00 |
$36.40
|
|
Finasteride, 5 mg
|
$28.25 |
$28.25 |
$28.25 |
$7.71
|
|
Flex thermoplastic collar mo
|
$355.00 |
$355.00 |
$355.00 |
$187.60
|
|
Flow cytometry marker each additional
|
$144.41 |
$144.41 |
$144.41 |
$97.50
|
|
Fluoroguide for spine inject 77003-26
|
$3,597.89 |
$3,597.89 |
$3,597.89 |
$496.03
|
|
Fluoro polarize fetal lung
|
$989.92 |
$989.92 |
$989.92 |
$153.92
|
|
Folic acid
|
$464.46 |
$464.46 |
$464.46 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$72.33 |
$72.33 |
$72.33 |
$54.75
|
|
Follow-up angiography
|
$3,656.80 |
$3,656.80 |
$3,656.80 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$44,905.08 |
$44,905.08 |
$44,905.08 |
$2,581.14
|
|
Foot arch support remov prem
|
$1,411.00 |
$1,411.00 |
$1,411.00 |
$106.20
|
|
Foot drp splt w/exp heel lg
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$143.87
|
|
Foot longitudinal arch suppo
|
$772.00 |
$772.00 |
$772.00 |
$295.47
|
|
Foot plate molded stirrup at
|
$773.00 |
$773.00 |
$773.00 |
$714.12
|
|
Formoterol fumarate, inh
|
$48.44 |
$48.44 |
$48.44 |
$59.40
|
|
Fractionation ketosteroids
|
$1,741.67 |
$1,741.67 |
$1,741.67 |
$135.95
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$296.85 |
$296.85 |
$296.85 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$467.98 |
$467.98 |
$467.98 |
$122.00
|
|
Fructosamine glycated protein
|
$239.66 |
$239.66 |
$239.66 |
$60.75
|
|
Ga-67 gallium 0.1 mci
|
$1,737.55 |
$1,737.55 |
$1,737.55 |
$118.56
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,703.73 |
$1,703.73 |
$1,703.73 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,173.02 |
$1,173.02 |
$1,173.02 |
$96.94
|
|
Gamma globulin 1 cc inj
|
$2,592.78 |
$2,592.78 |
$2,592.78 |
$363.35
|
|
Gammaglobulin ige
|
$422.76 |
$422.76 |
$422.76 |
$83.85
|
|
Gamma glutamyltransferase
|
$826.19 |
$826.19 |
$826.19 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,548.35 |
$1,548.35 |
$1,548.35 |
$197.40
|
|
Gastric analy w/ph ea spec
|
$190.54 |
$190.54 |
$190.54 |
$31.80
|
|
Gastrin test
|
$4,480.71 |
$4,480.71 |
$4,480.71 |
$61.80
|
|
Gated heart multiple
|
$13,146.96 |
$13,146.96 |
$13,146.96 |
$1,400.64
|
|
General health panel
|
$2,932.56 |
$2,932.56 |
$2,932.56 |
$275.00
|
|
Gentamicin peak therapeutic drug level
|
$588.00 |
$588.00 |
$588.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$2,279.21 |
$2,279.21 |
$2,279.21 |
$1,418.18
|
|
Ghs acetylcholinesterase, rbc
|
$349.84 |
$349.84 |
$349.84 |
$42.72
|
|
Ghs bleeding time (ivy)
|
$422.76 |
$422.76 |
$422.76 |
$64.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$7,259.24 |
$7,259.24 |
$7,259.24 |
$593.91
|
