|
Evasc rpr a-iliac ndgft 34717
|
$5,864.88 |
$5,864.88 |
$5,864.88 |
$4,919.00
|
|
Evasc rpr ilio-iliac ndgft
|
$5,865.30 |
$5,865.30 |
$5,865.30 |
$7,060.51
|
|
Exchange biliary drg cath
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$3,856.84
|
|
Exchange drainage catheter
|
$1,525.44 |
$1,525.44 |
$1,525.44 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,821.54 |
$1,821.54 |
$1,821.54 |
$2,958.80
|
|
Exercise tst brncspsm w/ecg
|
$441.42 |
$441.42 |
$441.42 |
$335.52
|
|
Exercise w/hemodynamic meas
|
$571.20 |
$571.20 |
$571.20 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,835.90 |
$5,835.90 |
$5,835.90 |
$4,101.67
|
|
Expose endoprosth brachial 34834
|
$1,388.10 |
$1,388.10 |
$1,388.10 |
$1,888.20
|
|
External chromosome analysis 20-25 cells
|
$182.28 |
$182.28 |
$182.28 |
$415.01
|
|
External newborn metabolic screening panel
|
$65.94 |
$65.94 |
$65.94 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$20.58 |
$20.58 |
$20.58 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$181.44 |
$181.44 |
$181.44 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$52.08 |
$52.08 |
$52.08 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$78.96 |
$78.96 |
$78.96 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$973.98 |
$973.98 |
$973.98 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$811.86 |
$811.86 |
$811.86 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$649.32 |
$649.32 |
$649.32 |
$1,320.00
|
|
F-18 fdg pet diag
|
$475.02 |
$475.02 |
$475.02 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$969.78 |
$969.78 |
$969.78 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$646.38 |
$646.38 |
$646.38 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$55.44 |
$55.44 |
$55.44 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$67.20 |
$67.20 |
$67.20 |
$381.75
|
|
Factor ix
|
$33.18 |
$33.18 |
$33.18 |
$162.50
|
|
Factor viii
|
$47.88 |
$47.88 |
$47.88 |
$148.00
|
|
Fat/lipids feces qualitative
|
$28.56 |
$28.56 |
$28.56 |
$36.00
|
|
Fatty acids nonesterified
|
$28.98 |
$28.98 |
$28.98 |
$72.15
|
|
#fecal-sodium
|
$24.36 |
$24.36 |
$24.36 |
$37.53
|
|
Feeding tube reposition
|
$236.88 |
$236.88 |
$236.88 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$31.08 |
$31.08 |
$31.08 |
$66.43
|
|
Fem/popl revasc w/stent
|
$15,962.52 |
$15,962.52 |
$15,962.52 |
$16,129.60
|
|
Fern test
|
$27.72 |
$27.72 |
$27.72 |
$37.03
|
|
Ferritin
|
$25.20 |
$25.20 |
$25.20 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$226.80 |
$226.80 |
$226.80 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$956.76 |
$956.76 |
$956.76 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$213.36 |
$213.36 |
$213.36 |
$477.50
|
|
Fetal fibronectin
|
$81.48 |
$81.48 |
$81.48 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$24.78 |
$24.78 |
$24.78 |
$102.00
|
|
Fetal hemoglobin rosette
|
$12.18 |
$12.18 |
$12.18 |
$67.20
|
|
Fetal non stress test
|
$238.14 |
$238.14 |
$238.14 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$28.14 |
$28.14 |
$28.14 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$13.02 |
$13.02 |
$13.02 |
$120.64
|
|
Fibrin degradation products
|
$33.60 |
$33.60 |
$33.60 |
$75.02
|
|
Fibrinogen activity
|
$12.60 |
$12.60 |
$12.60 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$27.30 |
$27.30 |
$27.30 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$10.08 |
$10.08 |
$10.08 |
$72.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$29.82 |
$29.82 |
$29.82 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$12,878.88 |
$12,878.88 |
$12,878.88 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,863.60 |
$4,863.60 |
$4,863.60 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,240.26 |
$1,240.26 |
$1,240.26 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$690.48 |
$690.48 |
$690.48 |
$825.00
|
|
Finger X-ray (both hands)
|
$78.96 |
$78.96 |
$78.96 |
$241.50
|
|
Fix g/colon tube w/device
|
$296.94 |
$296.94 |
$296.94 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$28.56 |
$28.56 |
$28.56 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$178.92 |
$178.92 |
$178.92 |
$540.80
|
|
Flow cytometry marker each additional
|
$52.92 |
$52.92 |
$52.92 |
$97.50
|
|
Flow cytometry one marker technical component
|
$300.30 |
$300.30 |
$300.30 |
$285.00
|
|
Flt3 gene
|
$208.74 |
$208.74 |
$208.74 |
$366.29
|
|
Flt3 gene analysis
|
$104.58 |
$104.58 |
$104.58 |
$216.00
|
|
Fluid pressure muscle 20950
|
$528.36 |
$528.36 |
$528.36 |
$779.45
|
|
Fluorescent antibody titer dna
|
$351.54 |
$351.54 |
$351.54 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$246.96 |
$246.96 |
$246.96 |
$495.00
|
|
Fluoroguide needle placement
|
$173.88 |
$173.88 |
$173.88 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$385.56 |
$385.56 |
$385.56 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$1,496.88 |
$1,496.88 |
$1,496.88 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,002.54 |
$1,002.54 |
$1,002.54 |
$834.90
|
|
Folic acid
|
$18.90 |
$18.90 |
$18.90 |
$101.50
|
|
Follow-up angiography
|
$927.36 |
$927.36 |
$927.36 |
$1,983.00
|
|
Foot X-ray
|
$78.96 |
$78.96 |
$78.96 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$68.04 |
$68.04 |
$68.04 |
$290.40
|
|
Forearm X-ray (both sides)
|
$70.98 |
$70.98 |
$70.98 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$39.06 |
$39.06 |
$39.06 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$39.06 |
$39.06 |
$39.06 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$143.64 |
$143.64 |
$143.64 |
$131.25
|
|
Fructosamine glycated protein
|
$22.26 |
$22.26 |
$22.26 |
$63.50
|
|
Ftl cgen abnor four anal
|
$205.80 |
$205.80 |
$205.80 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$109.20 |
$109.20 |
$109.20 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$94.08 |
$94.08 |
$94.08 |
$355.00
|
|
Fxn gene detc abnor alleles
|
$195.30 |
$195.30 |
$195.30 |
$200.88
|
|
Gabapentin non-blood
|
$23.52 |
$23.52 |
$23.52 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$72.66 |
$72.66 |
$72.66 |
$100.00
|
|
Galactose transferase test
|
$15.12 |
$15.12 |
$15.12 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$758.10 |
$758.10 |
$758.10 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,071.84 |
$1,071.84 |
$1,071.84 |
$1,615.00
|
|
Gammaglobulin iga
|
$26.46 |
$26.46 |
$26.46 |
$69.60
|
|
Gammaglobulin ige
|
$24.36 |
$24.36 |
$24.36 |
$83.85
|
|
Gamma glutamyltransferase
|
$26.04 |
$26.04 |
$26.04 |
$57.54
|
|
Gastroesophageal reflux study
|
$590.10 |
$590.10 |
$590.10 |
$1,031.60
|
|
Generator barostim neo2 2014
|
$64,387.68 |
$64,387.68 |
$64,387.68 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$45,991.68 |
$45,991.68 |
$45,991.68 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$3,085.32 |
$3,085.32 |
$3,085.32 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$21.00 |
$21.00 |
$21.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$710.22 |
$710.22 |
$710.22 |
$1,514.00
|
|
Ghs abscess postoperative iandd complex
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$24.78 |
$24.78 |
$24.78 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$21.84 |
$21.84 |
$21.84 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$348.60 |
$348.60 |
$348.60 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$18.48 |
$18.48 |
$18.48 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$207.06 |
$207.06 |
$207.06 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$653.52 |
$653.52 |
$653.52 |
$1,059.85
|
