|
Echocardiography transthoracic 2d followup/limited
|
$2,980.85 |
$2,980.85 |
$2,980.85 |
$773.30
|
|
Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast
|
$6,108.60 |
$6,108.60 |
$6,108.60 |
$686.88
|
|
Echocardiograpy doppler follow up/limited study
|
$1,205.65 |
$1,205.65 |
$1,205.65 |
$354.90
|
|
Echo tte 2d comp wo ctrst wo clr/dplr
|
$6,359.44 |
$6,359.44 |
$6,359.44 |
$1,020.09
|
|
Eeg 41-60 minutes 95812-26
|
$3,430.27 |
$3,430.27 |
$3,430.27 |
$934.05
|
|
Eeg/cerebral death evaluation only 95824 -26
|
$4,077.68 |
$4,077.68 |
$4,077.68 |
$1,048.30
|
|
Eeg monitor/record/awake/drowsy 95816
|
$2,888.92 |
$2,888.92 |
$2,888.92 |
$861.12
|
|
Eeg over 1 hour 95813 - 26
|
$1,379.18 |
$1,379.18 |
$1,379.18 |
$1,100.40
|
|
Eeg/record in coma or sleep only 95822
|
$3,457.47 |
$3,457.47 |
$3,457.47 |
$911.00
|
|
Eeg recording awake and asleep
|
$3,284.73 |
$3,284.73 |
$3,284.73 |
$1,030.27
|
|
E equine encephalitis igg
|
$744.01 |
$744.01 |
$744.01 |
$48.73
|
|
Electrolyte panel
|
$1,461.46 |
$1,461.46 |
$1,461.46 |
$86.33
|
|
Electrophysiologic study
|
$32,834.16 |
$32,834.16 |
$32,834.16 |
$6,758.40
|
|
Electrophysiology evaluation
|
$33,275.06 |
$33,275.06 |
$33,275.06 |
$8,979.45
|
|
Electrophysiology evaluation
|
$25,793.77 |
$25,793.77 |
$25,793.77 |
$8,393.40
|
|
Electrophysiology evaluation
|
$27,781.32 |
$27,781.32 |
$27,781.32 |
$6,516.00
|
|
Embolization s&i
|
$87,466.14 |
$87,466.14 |
$87,466.14 |
$2,745.08
|
|
Embo or occlude vascular arterial s&i
|
$95,337.49 |
$95,337.49 |
$95,337.49 |
$16,031.73
|
|
Embo or occlude vascular hemorrhage s&i
|
$24,168.35 |
$24,168.35 |
$24,168.35 |
$15,027.40
|
|
Embo or occlude vascular venous s&i
|
$95,215.53 |
$95,215.53 |
$95,215.53 |
$15,038.25
|
|
Encephalitis, st louis igg/igm
|
$595.76 |
$595.76 |
$595.76 |
$48.57
|
|
Endoluminl ivus oct c 1st
|
$3,300.97 |
$3,300.97 |
$3,300.97 |
$3,325.80
|
|
Endoluminl ivus oct c ea
|
$1,597.83 |
$1,597.83 |
$1,597.83 |
$2,294.50
|
|
Endovasc rpr a-biiliac endogft 34705
|
$59,479.92 |
$59,479.92 |
$59,479.92 |
$10,604.25
|
|
Ep & ablate supravent arrhyt
|
$105,689.84 |
$105,689.84 |
$105,689.84 |
$29,766.10
|
|
Ep & ablate ventric tachy
|
$105,689.84 |
$105,689.84 |
$105,689.84 |
$30,975.00
|
|
Epstein barr nuclear antigen antibody
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$82.55
|
|
Ercp biliary & pancreas
|
$5,712.27 |
$5,712.27 |
$5,712.27 |
$922.35
|
|
Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr
|
$581.94 |
$581.94 |
$581.94 |
$364.08
|
|
Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$449.68 |
$449.68 |
$449.68 |
$232.84
|
|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$639.76 |
$639.76 |
$639.76 |
$562.34
|
|
Esophageal recording
|
$5,148.49 |
$5,148.49 |
$5,148.49 |
$1,674.16
|
|
Esophageal recording
|
$5,148.49 |
$5,148.49 |
$5,148.49 |
$1,674.16
|
|
Estradiol total
|
$1,181.75 |
$1,181.75 |
$1,181.75 |
$147.79
|
|
Estrogens total-sendout
|
$1,867.02 |
$1,867.02 |
$1,867.02 |
$89.25
|
|
Ethylene glycol -sendout
|
$104.89 |
$104.89 |
$104.89 |
$78.00
|
|
Evaluation heart device
|
$10,645.71 |
$10,645.71 |
$10,645.71 |
$2,384.20
|
|
Evaluation of speech fluency 92521
|
$1,048.81 |
$1,048.81 |
$1,048.81 |
$347.75
|
|
Evasc rpr a-ao ndgft 34701
|
$49,532.64 |
$49,532.64 |
$49,532.64 |
$5,578.73
|
|
Evasc rpr a-unilac ndgft 34703
|
$53,874.36 |
$53,874.36 |
$53,874.36 |
$7,465.20
|
|
Evasc rpr ilio-iliac ndgft
|
$24,166.97 |
$24,166.97 |
$24,166.97 |
$8,412.85
|
|
Exchange drainage catheter
|
$11,901.24 |
$11,901.24 |
$11,901.24 |
$2,244.82
|
|
Exchange nephrostomy cath
|
$12,854.69 |
$12,854.69 |
$12,854.69 |
$3,190.80
|
|
Factor ix
|
$1,865.62 |
$1,865.62 |
$1,865.62 |
$139.75
|
|
Factor viii
|
$2,033.45 |
$2,033.45 |
$2,033.45 |
$148.34
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$51.84 |
$51.84 |
$51.84 |
$22.20
|
|
Fat/lipids feces qualitative
|
$88.29 |
$88.29 |
$88.29 |
$37.40
|
|
Ferritin
|
$1,169.15 |
$1,169.15 |
$1,169.15 |
$103.40
|
|
Fibrin degradation products
|
$1,578.92 |
$1,578.92 |
$1,578.92 |
$63.90
|
|
Fibrin degrade semiquant
|
$959.37 |
$959.37 |
$959.37 |
$90.35
|
|
Fibrinogen activity
|
$959.37 |
$959.37 |
$959.37 |
$80.83
|
|
Folic acid
|
$1,069.87 |
$1,069.87 |
$1,069.87 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$92.94 |
$92.94 |
$92.94 |
$48.78
|
|
Follow-up angiography
|
$7,206.16 |
$7,206.16 |
$7,206.16 |
$1,875.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,659.22 |
$6,659.22 |
$6,659.22 |
$3,035.46
|
|
Fresh frozen plasma thawing ea un
|
$278.31 |
$278.31 |
$278.31 |
$130.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$19.84 |
$19.84 |
$19.84 |
$177.43
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3.96 |
$3.96 |
$3.96 |
$144.98
|
|
Gammaglobulin ige
|
$1,181.75 |
$1,181.75 |
$1,181.75 |
$85.00
|
|
Gamma glutamyltransferase
|
$934.20 |
$934.20 |
$934.20 |
$55.28
|
|
Gentamicin peak therapeutic drug level
|
$1,404.11 |
$1,404.11 |
$1,404.11 |
$117.00
|
|
Ghs hcv amplificaiton
|
$2,383.07 |
$2,383.07 |
$2,383.07 |
$195.60
|
|
Ghs histoplasma antigen
|
$1,243.27 |
$1,243.27 |
$1,243.27 |
$144.50
|
|
Ghs HIV antibody
|
$1,678.21 |
$1,678.21 |
$1,678.21 |
$93.00
|
|
Ghs mbp
|
$983.16 |
$983.16 |
$983.16 |
$77.35
|
|
Ghs moderate sedation ea addtl 15 min
|
$378.00 |
$378.00 |
$378.00 |
$144.46
|
|
Ghs myocardial strain img spckl track
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$500.00
|
|
Ghs ng placement w fluoro guidance
|
$2,396.04 |
$2,396.04 |
$2,396.04 |
$456.33
|
|
Ghs phenylketonurid
|
$282.51 |
$282.51 |
$282.51 |
$55.53
|
|
Ghs rsv eia (respir synctial vrs)
|
$1,376.15 |
$1,376.15 |
$1,376.15 |
$101.15
|
|
Ghs sedimentation rate
|
$620.95 |
$620.95 |
$620.95 |
$45.50
|
|
Gi inhouse confirmation
|
$1,715.97 |
$1,715.97 |
$1,715.97 |
$83.85
|
|
Glucagon 1 mg solution for injection
|
$1,819.88 |
$1,819.88 |
$1,819.88 |
$591.50
|
|
Glucose blood quantitative
|
$769.19 |
$769.19 |
$769.19 |
$44.40
|
|
Glucose body fluid
|
$711.84 |
$711.84 |
$711.84 |
$50.04
|
|
Glucose tolerance test (gtt) 3 specimens
|
$2,118.75 |
$2,118.75 |
$2,118.75 |
$97.50
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$1,502.01 |
$1,502.01 |
$1,502.01 |
$107.55
|
|
Gonadotropin luteinizing hormone (lh)
|
$1,433.48 |
$1,433.48 |
$1,433.48 |
$124.00
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$193.10 |
$193.10 |
$193.10 |
$27.12
|
|
Haptoglobin quantitative
|
$1,997.07 |
$1,997.07 |
$1,997.07 |
$80.24
|
|
Hcg qualitative
|
$660.10 |
$660.10 |
$660.10 |
$77.50
|
|
Hc nm kidney imaging with flow
|
$3,925.36 |
$3,925.36 |
$3,925.36 |
$1,008.39
|
|
Hc nm myocard infarct avid plnr tomo spect w/wo quant
|
$7,076.78 |
$7,076.78 |
$7,076.78 |
$1,186.80
|
|
Helicobacter pylori antibody igm
|
$805.54 |
$805.54 |
$805.54 |
$82.50
|
|
Hematocrit
|
$302.08 |
$302.08 |
$302.08 |
$33.57
|
|
Hemodialysis one evaluation
|
$3,900.14 |
$3,900.14 |
$3,900.14 |
$1,257.76
|
|
Hemoglobin
|
$302.08 |
$302.08 |
$302.08 |
$32.50
|
|
Hepatitis a antibody igm
|
$627.93 |
$627.93 |
$627.93 |
$83.91
|
|
Hepatitis b core antibody igm
|
$467.11 |
$467.11 |
$467.11 |
$83.91
|
|
Hepatitis b core antibody total
|
$283.90 |
$283.90 |
$283.90 |
$79.34
|
|
Hepatitis b surface antibody
|
$518.85 |
$518.85 |
$518.85 |
$81.12
|
|
Hepatitis c antibody
|
$980.36 |
$980.36 |
$980.36 |
$108.00
|
|
Hepatobiliary system imaging
|
$10,162.94 |
$10,162.94 |
$10,162.94 |
$1,521.10
|
|
Heterophile antibodies screening
|
$688.07 |
$688.07 |
$688.07 |
$72.00
|
|
Homocysteine
|
$1,563.54 |
$1,563.54 |
$1,563.54 |
$108.49
|
|
Hydralazine 20 mg/ml injection solution
|
$263.20 |
$263.20 |
$263.20 |
$54.51
|
|
Hysterosalpingography s&i
|
$4,146.31 |
$4,146.31 |
$4,146.31 |
$555.39
|
|
I-123 sod iodide diag per 100 uci
|
$884.09 |
$884.09 |
$884.09 |
$157.80
|
|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$1,851.62 |
$1,851.62 |
$1,851.62 |
$966.00
|
|
Ihc/icc per specimen each additional single antibody stain
|
$608.36 |
$608.36 |
$608.36 |
$191.10
|
