|
Exc benign tal 0.5 < cm 11400
|
$173.19 |
$173.19 |
$173.19 |
$827.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$37.72 |
$37.72 |
$37.72 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$180.32 |
$180.32 |
$180.32 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$218.04 |
$218.04 |
$218.04 |
$1,248.00
|
|
Exchange blood transfusion newborn 36450
|
$117.07 |
$117.07 |
$117.07 |
$537.90
|
|
Exc hidradenitis peri/umb int 11470
|
$507.38 |
$507.38 |
$507.38 |
$3,386.84
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$288.42 |
$288.42 |
$288.42 |
$1,937.50
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$198.26 |
$198.26 |
$198.26 |
$1,019.50
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$264.04 |
$264.04 |
$264.04 |
$2,865.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$133.17 |
$133.17 |
$133.17 |
$828.59
|
|
Exc thrombosed hemorrhoid 46320
|
$662.17 |
$662.17 |
$662.17 |
$2,091.28
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$601.68 |
$601.68 |
$601.68 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$59.11 |
$59.11 |
$59.11 |
$303.00
|
|
Explore penetrating wnd/extremity 20103
|
$218.27 |
$218.27 |
$218.27 |
$1,788.80
|
|
External chromosome analysis 20-25 cells
|
$214.13 |
$214.13 |
$214.13 |
$376.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$90.16 |
$90.16 |
$90.16 |
$61.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$217.12 |
$217.12 |
$217.12 |
$452.81
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$30.82 |
$30.82 |
$30.82 |
$102.55
|
|
F-18 sodium fluoride
|
$131.79 |
$131.79 |
$131.79 |
$350.79
|
|
F9 full gene sequence
|
$462.76 |
$462.76 |
$462.76 |
$992.40
|
|
Facial bones <3
|
$64.63 |
$64.63 |
$64.63 |
$252.60
|
|
Factor ix
|
$32.66 |
$32.66 |
$32.66 |
$145.25
|
|
Factor viii
|
$30.82 |
$30.82 |
$30.82 |
$128.70
|
|
Family therapy without pt 50min 90846
|
$75.67 |
$75.67 |
$75.67 |
$241.23
|
|
Family therapy with patient 50 min 90847
|
$80.04 |
$80.04 |
$80.04 |
$229.50
|
|
Fat/lipids feces qualitative
|
$8.97 |
$8.97 |
$8.97 |
$34.80
|
|
Felbamate (felbatol(r)) - sendout
|
$23.69 |
$23.69 |
$23.69 |
$58.20
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$24.07 |
$24.07 |
$24.07 |
$102.08
|
|
Ferritin
|
$23.46 |
$23.46 |
$23.46 |
$97.90
|
|
Fetal hemoglobin rosette
|
$11.27 |
$11.27 |
$11.27 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$13.34 |
$13.34 |
$13.34 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$17.48 |
$17.48 |
$17.48 |
$113.60
|
|
Fibrin degradation products
|
$11.73 |
$11.73 |
$11.73 |
$62.64
|
|
Fibrinogen activity
|
$14.72 |
$14.72 |
$14.72 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$4.37 |
$4.37 |
$4.37 |
$70.20
|
|
Fibrinolytic plasminogen
|
$28.52 |
$28.52 |
$28.52 |
$105.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,108.66 |
$1,108.66 |
$1,108.66 |
$1,141.77
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$970.78 |
$970.78 |
$970.78 |
$891.02
|
|
Flecainide (tambocor)-sendout
|
$23.69 |
$23.69 |
$23.69 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$224.02 |
$224.02 |
$224.02 |
$500.00
|
|
Flow cytometry marker each additional
|
$60.72 |
$60.72 |
$60.72 |
$97.79
|
|
Flow cytometry one marker technical component
|
$99.36 |
$99.36 |
$99.36 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$11.13 |
$11.13 |
$11.13 |
$70.32
|
|
Fluidotherapy charges pt
|
$21.39 |
$21.39 |
$21.39 |
$93.00
|
|
Fluorescent antibody titer dna
|
$20.70 |
$20.70 |
$20.70 |
$122.82
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$501.46 |
$501.46 |
$501.46 |
$72.52
|
|
Folic acid
|
$25.30 |
$25.30 |
$25.30 |
$98.99
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,939.63 |
$2,939.63 |
$2,939.63 |
$2,581.14
|
|
Fondaparinux sodium
|
$76.04 |
$76.04 |
$76.04 |
$186.20
|
|
Foot X-ray
|
$75.21 |
$75.21 |
$75.21 |
$356.95
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$104.65 |
$104.65 |
$104.65 |
$514.00
|
|
Formoterol fumarate, inh
|
$31.74 |
$31.74 |
$31.74 |
$59.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$412.54 |
$412.54 |
$412.54 |
$94.85
|
|
_fragile x methylation-sendout
|
$94.99 |
$94.99 |
$94.99 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$58.42 |
$58.42 |
$58.42 |
$152.46
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$106.26 |
$106.26 |
$106.26 |
$155.55
|
|
Fresh frozen plasma thawing ea un
|
$46.69 |
$46.69 |
$46.69 |
$114.35
|
|
Frozen blood thaw
|
$92.00 |
$92.00 |
$92.00 |
$202.78
|
|
Fructosamine glycated protein
|
$25.76 |
$25.76 |
$25.76 |
$57.42
|
|
Ftl cgen abnor four anal
|
$193.20 |
$193.20 |
$193.20 |
$200.85
|
|
Furosemide 10 mg/ml injection solution
|
$18.75 |
$18.75 |
$18.75 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$105.80 |
$105.80 |
$105.80 |
$153.56
|
|
Fxn gene full gene sequence
|
$212.06 |
$212.06 |
$212.06 |
$302.31
|
|
Ga-67 gallium 0.1 mci
|
$37.95 |
$37.95 |
$37.95 |
$123.95
|
|
Ga-68 gallium 68 dotatate
|
$506.00 |
$506.00 |
$506.00 |
$119.90
|
|
Gabapentin non-blood
|
$17.25 |
$17.25 |
$17.25 |
$34.45
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$89.79 |
$89.79 |
$89.79 |
$107.11
|
|
Galectin-3
|
$23.00 |
$23.00 |
$23.00 |
$96.00
|
|
Gammaglobulin iga
|
$15.87 |
$15.87 |
$15.87 |
$69.03
|
|
Gammaglobulin ige
|
$28.29 |
$28.29 |
$28.29 |
$82.80
|
|
Gamma glutamyltransferase
|
$12.42 |
$12.42 |
$12.42 |
$56.16
|
|
General health panel
|
$48.30 |
$48.30 |
$48.30 |
$275.00
|
|
Genetic tstg severe inh cond
|
$3,083.61 |
$3,083.61 |
$3,083.61 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$70.50 |
$70.50 |
$70.50 |
$57.38
|
|
Gentamicin peak therapeutic drug level
|
$28.29 |
$28.29 |
$28.29 |
$119.00
|
|
Ghs abscess perianal iandd
|
$207.92 |
$207.92 |
$207.92 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$742.67 |
$742.67 |
$742.67 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$27.60 |
$27.60 |
$27.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$554.53 |
$554.53 |
$554.53 |
$365.20
|
|
Ghs analysis neurostim without reprogramming
|
$53.82 |
$53.82 |
$53.82 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$24.61 |
$24.61 |
$24.61 |
$69.30
|
|
Ghs central line insert < age 5, failed
|
$563.73 |
$563.73 |
$563.73 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$51.06 |
$51.06 |
$51.06 |
$591.75
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$60.03 |
$60.03 |
$60.03 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$127.42 |
$127.42 |
$127.42 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$207.92 |
$207.92 |
$207.92 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$207.92 |
$207.92 |
$207.92 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$567.64 |
$567.64 |
$567.64 |
$2,071.20
|
|
Ghs clsd red med malleolus fx w manip
|
$567.64 |
$567.64 |
$567.64 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$278.76 |
$278.76 |
$278.76 |
$2,016.05
|
|
Ghs cl tx knee disl; wo anesth
|
$201.94 |
$201.94 |
$201.94 |
$603.19
|
|
Ghs cl tx metacarpophal disloc without anes
|
$77.74 |
$77.74 |
$77.74 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$141.22 |
$141.22 |
$141.22 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$71.99 |
$71.99 |
$71.99 |
$279.00
|
|
Ghs corneal fb without slit lamp bilat
|
$71.99 |
$71.99 |
$71.99 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$71.53 |
$71.53 |
$71.53 |
$339.60
|
|
Ghs cricothyroidotomy
|
$231.15 |
$231.15 |
$231.15 |
$1,066.50
|
|
Ghs diphtheria toxoid ab igg
|
$25.53 |
$25.53 |
$25.53 |
$49.40
|
|
Ghs dislocation elbow closed treatment
|
$241.50 |
$241.50 |
$241.50 |
$583.20
|
|
Ghs ed rmvl or bivalving cast
|
$54.28 |
$54.28 |
$54.28 |
$329.60
|
