|
Exome sequence analysis
|
$13,860.00 |
$13,860.00 |
$13,860.00 |
$12,546.29
|
|
Explore penetrating wnd/extremity 20103
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$1,788.80
|
|
Ext ecg>48hr<7d scan a/r
|
$157.08 |
$157.08 |
$157.08 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$316.80 |
$316.80 |
$316.80 |
$336.07
|
|
External chromosome analysis 20-25 cells
|
$737.22 |
$737.22 |
$737.22 |
$384.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$339.24 |
$339.24 |
$339.24 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$118.14 |
$118.14 |
$118.14 |
$108.60
|
|
Facial bones <3
|
$315.48 |
$315.48 |
$315.48 |
$252.60
|
|
Factor ix
|
$198.00 |
$198.00 |
$198.00 |
$156.13
|
|
Factor viii
|
$102.30 |
$102.30 |
$102.30 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.40 |
$0.40 |
$0.40 |
$22.20
|
|
Fat/lipids feces qualitative
|
$28.38 |
$28.38 |
$28.38 |
$38.35
|
|
Fatty acids nonesterified
|
$126.06 |
$126.06 |
$126.06 |
$64.28
|
|
#fecal-sodium
|
$29.70 |
$29.70 |
$29.70 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$32.34 |
$32.34 |
$32.34 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$6.53 |
$6.53 |
$6.53 |
$2,590.25
|
|
Ferritin
|
$114.18 |
$114.18 |
$114.18 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$489.72 |
$489.72 |
$489.72 |
$535.37
|
|
Fetal fibronectin
|
$396.00 |
$396.00 |
$396.00 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$147.84 |
$147.84 |
$147.84 |
$105.12
|
|
Fetal hemoglobin rosette
|
$59.40 |
$59.40 |
$59.40 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$131.34 |
$131.34 |
$131.34 |
$69.60
|
|
#_fet/norfentcnfrmur
|
$126.06 |
$126.06 |
$126.06 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$130.68 |
$130.68 |
$130.68 |
$117.70
|
|
Fibrin degradation products
|
$47.52 |
$47.52 |
$47.52 |
$62.64
|
|
Fibrinogen activity
|
$68.64 |
$68.64 |
$68.64 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$294.36 |
$294.36 |
$294.36 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$178.86 |
$178.86 |
$178.86 |
$72.80
|
|
Fibrinolytic plasminogen
|
$126.06 |
$126.06 |
$126.06 |
$95.92
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$543.84 |
$543.84 |
$543.84 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$543.84 |
$543.84 |
$543.84 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$461.34 |
$461.34 |
$461.34 |
$503.76
|
|
Fix g/colon tube w/device
|
$1,083.06 |
$1,083.06 |
$1,083.06 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$21.78 |
$21.78 |
$21.78 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$499.62 |
$499.62 |
$499.62 |
$511.92
|
|
Flow cytometry marker each additional
|
$258.06 |
$258.06 |
$258.06 |
$97.50
|
|
Flow cytometry one marker technical component
|
$416.46 |
$416.46 |
$416.46 |
$284.40
|
|
#flow interp 9 - 15 markers
|
$263.34 |
$263.34 |
$263.34 |
$172.50
|
|
Flt3 gene
|
$247.50 |
$247.50 |
$247.50 |
$355.00
|
|
Flt3 gene analysis
|
$207.90 |
$207.90 |
$207.90 |
$213.92
|
|
Fluidotherapy charges pt
|
$77.22 |
$77.22 |
$77.22 |
$91.00
|
|
Fluorescent antibody titer dna
|
$79.86 |
$79.86 |
$79.86 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$568.92 |
$568.92 |
$568.92 |
$496.03
|
|
Fluoroguide needle placement
|
$517.44 |
$517.44 |
$517.44 |
$510.00
|
|
Fluoro polarize fetal lung
|
$434.94 |
$434.94 |
$434.94 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$517.44 |
$517.44 |
$517.44 |
$492.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$23.10 |
$23.10 |
$23.10 |
$50.00
|
|
Fna bx w/ct gdn 1st les
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$543.84 |
$543.84 |
$543.84 |
$833.25
|
|
Folic acid
|
$89.76 |
$89.76 |
$89.76 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$3.23 |
$3.23 |
$3.23 |
$54.75
|
|
Fondaparinux sodium
|
$29.94 |
$29.94 |
$29.94 |
$185.12
|
|
Fo nontorsion joint cf
|
$170.28 |
$170.28 |
$170.28 |
$217.50
|
|
Foot arch support remov prem
|
$33.00 |
$33.00 |
$33.00 |
$106.20
|
|
Foot drp splt w/exp heel lg
|
$118.80 |
$118.80 |
$118.80 |
$143.87
|
|
Foot X-ray
|
$335.94 |
$335.94 |
$335.94 |
$362.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$1,226.28 |
$1,226.28 |
$1,226.28 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$188.76 |
$188.76 |
$188.76 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$198.00 |
$198.00 |
$198.00 |
$122.00
|
|
Fructosamine glycated protein
|
$72.60 |
$72.60 |
$72.60 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$1.62 |
$1.62 |
$1.62 |
$19.00
|
|
Gabapentin non-blood
|
$36.30 |
$36.30 |
$36.30 |
$36.30
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$24.18 |
$24.18 |
$24.18 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$224.40 |
$224.40 |
$224.40 |
$96.94
|
|
Galectin-3
|
$147.84 |
$147.84 |
$147.84 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$6,738.60 |
$6,738.60 |
$6,738.60 |
$11,117.34
|
|
Gammaglobulin iga
|
$80.52 |
$80.52 |
$80.52 |
$67.20
|
|
Gammaglobulin ige
|
$99.00 |
$99.00 |
$99.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$44.22 |
$44.22 |
$44.22 |
$57.54
|
|
Gastro/jejuno tube, std
|
$40.92 |
$40.92 |
$40.92 |
$334.57
|
|
Gated heart multiple
|
$1,609.74 |
$1,609.74 |
$1,609.74 |
$1,400.64
|
|
General health panel
|
$300.30 |
$300.30 |
$300.30 |
$275.00
|
|
Genetic tstg severe inh cond
|
$3,915.78 |
$3,915.78 |
$3,915.78 |
$3,978.65
|
|
Genome sequence analysis
|
$5,811.30 |
$5,811.30 |
$5,811.30 |
$5,534.32
|
|
Genome sequence analysis
|
$3,129.72 |
$3,129.72 |
$3,129.72 |
$3,577.20
|
|
Gentamicin peak therapeutic drug level
|
$138.60 |
$138.60 |
$138.60 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$1,410.90
|
|
Ghs alpha thalasemia, 7 deletions
|
$554.40 |
$554.40 |
$554.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$97.68 |
$97.68 |
$97.68 |
$69.30
|
|
Ghs block ilioinguinal/gentitofemoral
|
$799.92 |
$799.92 |
$799.92 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$3,635.28 |
$3,635.28 |
$3,635.28 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$701.58 |
$701.58 |
$701.58 |
$565.49
|
|
Ghs chemo IV push, ea addtl
|
$287.76 |
$287.76 |
$287.76 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$198.66 |
$198.66 |
$198.66 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$780.78 |
$780.78 |
$780.78 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$543.84 |
$543.84 |
$543.84 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,607.10 |
$1,607.10 |
$1,607.10 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$593.34 |
$593.34 |
$593.34 |
$520.80
|
|
Ghs clsd red med malleolus fx w manip
|
$4,391.64 |
$4,391.64 |
$4,391.64 |
$2,184.00
|
|
Ghs cl tx knee disl; wo anesth
|
$549.78 |
$549.78 |
$549.78 |
$592.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$352.44 |
$352.44 |
$352.44 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$460.68 |
$460.68 |
$460.68 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$372.90 |
$372.90 |
$372.90 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$79.86 |
$79.86 |
$79.86 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$529.32 |
$529.32 |
$529.32 |
$578.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,186.68 |
$1,186.68 |
$1,186.68 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,522.52 |
$2,522.52 |
$2,522.52 |
$593.91
|
|
Ghs excision ingrown nail
|
$461.34 |
$461.34 |
$461.34 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$486.42 |
$486.42 |
$486.42 |
$501.04
|
