|
Felbamate (felbatol(r)) - sendout
|
$35.75 |
$35.75 |
$35.75 |
$66.43
|
|
Fem/popl revasc w/stent
|
$6,887.65 |
$6,887.65 |
$6,887.65 |
$18,599.10
|
|
Fern test
|
$76.45 |
$76.45 |
$76.45 |
$17.72
|
|
Ferritin
|
$13.75 |
$13.75 |
$13.75 |
$103.68
|
|
Fetal chrom aneuploidy gsa panel
|
$939.95 |
$939.95 |
$939.95 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$1,026.85 |
$1,026.85 |
$1,026.85 |
$540.54
|
|
Fetal cord puncture prenatal
|
$383.35 |
$383.35 |
$383.35 |
$764.92
|
|
Fetal fibronectin
|
$470.25 |
$470.25 |
$470.25 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$140.25 |
$140.25 |
$140.25 |
$88.80
|
|
Fetal hemoglobin rosette
|
$52.80 |
$52.80 |
$52.80 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$110.55 |
$110.55 |
$110.55 |
$64.28
|
|
Fetal non stress test
|
$561.55 |
$561.55 |
$561.55 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$175.45 |
$175.45 |
$175.45 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$87.45 |
$87.45 |
$87.45 |
$112.80
|
|
Fibrin degradation products
|
$118.25 |
$118.25 |
$118.25 |
$62.40
|
|
Fibrinogen activity
|
$127.60 |
$127.60 |
$127.60 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$80.30 |
$80.30 |
$80.30 |
$66.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$73.15 |
$73.15 |
$73.15 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$1,682.11 |
$1,682.11 |
$1,682.11 |
$6,152.59
|
|
Filter vena cava fem denali
|
$2,213.64 |
$2,213.64 |
$2,213.64 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$686.95 |
$686.95 |
$686.95 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$789.80 |
$789.80 |
$789.80 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$393.80 |
$393.80 |
$393.80 |
$547.53
|
|
Fix g/colon tube w/device
|
$624.80 |
$624.80 |
$624.80 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$35.75 |
$35.75 |
$35.75 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$327.25 |
$327.25 |
$327.25 |
$546.86
|
|
Flow cytometry marker each additional
|
$258.50 |
$258.50 |
$258.50 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,173.70 |
$1,173.70 |
$1,173.70 |
$270.75
|
|
Flt3 gene
|
$990.00 |
$990.00 |
$990.00 |
$352.95
|
|
Flt3 gene analysis
|
$451.00 |
$451.00 |
$451.00 |
$229.92
|
|
Fluorescent antibody titer dna
|
$759.00 |
$759.00 |
$759.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$689.70 |
$689.70 |
$689.70 |
$507.00
|
|
Fluoroguide needle placement
|
$781.00 |
$781.00 |
$781.00 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$503.80 |
$503.80 |
$503.80 |
$494.52
|
|
Fmri brain by tech
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$1,884.85 |
$1,884.85 |
$1,884.85 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$686.95 |
$686.95 |
$686.95 |
$775.14
|
|
Folic acid
|
$62.15 |
$62.15 |
$62.15 |
$90.60
|
|
Foot X-ray
|
$395.45 |
$395.45 |
$395.45 |
$362.40
|
|
_fragile x methylation-sendout
|
$778.25 |
$778.25 |
$778.25 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$354.20 |
$354.20 |
$354.20 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$338.80 |
$338.80 |
$338.80 |
$149.50
|
|
Fructosamine glycated protein
|
$20.35 |
$20.35 |
$20.35 |
$60.42
|
|
Ftl cgen abnor four anal
|
$112.75 |
$112.75 |
$112.75 |
$211.83
|
|
G6pd full gene sequence
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$86.90 |
$86.90 |
$86.90 |
$163.80
|
|
Gammaglobulin iga
|
$152.90 |
$152.90 |
$152.90 |
$75.30
|
|
Gammaglobulin ige
|
$16.50 |
$16.50 |
$16.50 |
$85.00
|
|
Gamma glutamyltransferase
|
$45.65 |
$45.65 |
$45.65 |
$55.28
|
|
Gba gene
|
$221.65 |
$221.65 |
$221.65 |
$140.00
|
|
General health panel
|
$484.00 |
$484.00 |
$484.00 |
$280.50
|
|
Generator barostim neo2 2014
|
$30,585.36 |
$30,585.36 |
$30,585.36 |
$54,121.91
|
|
Gentamicin peak therapeutic drug level
|
$172.15 |
$172.15 |
$172.15 |
$119.00
|
|
Ghs abscess perianal iandd
|
$1,025.75 |
$1,025.75 |
$1,025.75 |
$1,530.50
|
|
Ghs acetylcholinesterase, rbc
|
$29.15 |
$29.15 |
$29.15 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$101.20 |
$101.20 |
$101.20 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$880.00 |
$880.00 |
$880.00 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$31.90 |
$31.90 |
$31.90 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$557.15 |
$557.15 |
$557.15 |
$344.48
|
|
Ghs central line insert < age 5, failed
|
$1,489.95 |
$1,489.95 |
$1,489.95 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$725.45 |
$725.45 |
$725.45 |
$699.60
|
|
Ghs chemo infusion >8 hrs
|
$444.40 |
$444.40 |
$444.40 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$172.15 |
$172.15 |
$172.15 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$68.75 |
$68.75 |
$68.75 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$426.25 |
$426.25 |
$426.25 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$564.85 |
$564.85 |
$564.85 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,106.05 |
$1,106.05 |
$1,106.05 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$2,679.05 |
$2,679.05 |
$2,679.05 |
$2,621.64
|
|
Ghs clsd red med malleolus fx w manip
|
$1,476.20 |
$1,476.20 |
$1,476.20 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,743.85 |
$3,743.85 |
$3,743.85 |
$2,399.46
|
|
Ghs cl tx metacarpophal disloc without anes
|
$348.15 |
$348.15 |
$348.15 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$272.80 |
$272.80 |
$272.80 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$240.35 |
$240.35 |
$240.35 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$272.80 |
$272.80 |
$272.80 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$272.80 |
$272.80 |
$272.80 |
$368.16
|
|
Ghs cricothyroidotomy
|
$2,379.85 |
$2,379.85 |
$2,379.85 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$411.84
|
|
Ghs diphtheria toxoid ab igg
|
$129.80 |
$129.80 |
$129.80 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$491.15 |
$491.15 |
$491.15 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$333.30 |
$333.30 |
$333.30 |
$351.46
|
|
Ghs excision ingrown nail
|
$370.15 |
$370.15 |
$370.15 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$281.60 |
$281.60 |
$281.60 |
$536.77
|
|
Ghs fb removal - incisional
|
$1,893.10 |
$1,893.10 |
$1,893.10 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$2,317.70 |
$2,317.70 |
$2,317.70 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$101.20 |
$101.20 |
$101.20 |
$48.57
|
|
Ghs fish cytogen
|
$840.40 |
$840.40 |
$840.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$409.75 |
$409.75 |
$409.75 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$295.90 |
$295.90 |
$295.90 |
$403.20
|
|
Ghs hgb stability-thal
|
$106.15 |
$106.15 |
$106.15 |
$85.28
|
|
Ghs histoplasma antigen
|
$300.30 |
$300.30 |
$300.30 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,349.15 |
$1,349.15 |
$1,349.15 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,757.25 |
$1,757.25 |
$1,757.25 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$627.55 |
$627.55 |
$627.55 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$545.60 |
$545.60 |
$545.60 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$154.00 |
$154.00 |
$154.00 |
$293.58
|
|
Ghs inf midline insertion
|
$660.00 |
$660.00 |
$660.00 |
$1,234.20
|
|
Ghs inhibitor screen
|
$574.75 |
$574.75 |
$574.75 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$455.95 |
$455.95 |
$455.95 |
$300.30
|
|
Ghs inj transforaminal cerv ea add bil
|
$3,022.80 |
$3,022.80 |
$3,022.80 |
$1,126.23
|
