|
Dup scan/ue art/graft/bilat/comp 93930
|
$931.62 |
$931.62 |
$931.62 |
$904.78
|
|
Dxa bone density axl vrt fx
|
$383.80 |
$383.80 |
$383.80 |
$401.20
|
|
Ear irrigation 69209
|
$26.97 |
$26.97 |
$26.97 |
$154.70
|
|
Ecg/1-3 leads/tracing only 93041
|
$119.71 |
$119.71 |
$119.71 |
$132.08
|
|
Ecg external < 48 hours recording
|
$358.55 |
$358.55 |
$358.55 |
$467.40
|
|
Ecg external < 48 hours scanning analysis w/report
|
$535.26 |
$535.26 |
$535.26 |
$541.20
|
|
Echocardiogram (Heart Ultrasound)
|
$2,024.64 |
$2,024.64 |
$2,024.64 |
$2,024.64
|
|
Echocardiogram (Limited Follow-Up Heart Ultrasound)
|
$457.60 |
$457.60 |
$457.60 |
$720.60
|
|
Echocardiography doppler color flow mapping
|
$366.62 |
$366.62 |
$366.62 |
$511.55
|
|
Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler
|
$2,530.80 |
$2,530.80 |
$2,530.80 |
$1,944.80
|
|
Echocardiograpy doppler follow up/limited study
|
$316.01 |
$316.01 |
$316.01 |
$371.25
|
|
Echo exam of fetal heart
|
$930.96 |
$930.96 |
$930.96 |
$904.80
|
|
Echo exam of fetal heart
|
$428.41 |
$428.41 |
$428.41 |
$538.27
|
|
Echo exam of fetal heart
|
$439.62 |
$439.62 |
$439.62 |
$431.41
|
|
Echo stress
|
$881.68 |
$881.68 |
$881.68 |
$1,609.44
|
|
E equine encephalitis igg
|
$49.14 |
$49.14 |
$49.14 |
$51.84
|
|
Egfr gene com variants
|
$587.32 |
$587.32 |
$587.32 |
$672.88
|
|
EKG (Tracing Only)
|
$227.04 |
$227.04 |
$227.04 |
$226.50
|
|
Elbow X-ray (2 views, both sides)
|
$295.23 |
$295.23 |
$295.23 |
$291.94
|
|
Elbow X-ray (3 or more views, both sides)
|
$364.12 |
$364.12 |
$364.12 |
$364.20
|
|
Electrical Stimulation Therapy (each 15 minutes)
|
$98.64 |
$98.64 |
$98.64 |
$87.49
|
|
Electrical stimulation/unattended 97014
|
$79.20 |
$79.20 |
$79.20 |
$81.75
|
|
Electrolyte panel
|
$51.87 |
$51.87 |
$51.87 |
$79.30
|
|
Electron microscopy diagnostic
|
$1,289.59 |
$1,289.59 |
$1,289.59 |
$1,011.98
|
|
Encephalitis, california igg/igm
|
$49.14 |
$49.14 |
$49.14 |
$56.50
|
|
Encephalitis, st louis igg/igm
|
$49.14 |
$49.14 |
$49.14 |
$51.84
|
|
Encephalitis, western equine igg/igm
|
$49.14 |
$49.14 |
$49.14 |
$54.99
|
|
Epidural/lumbar/sacral/ea add level64484
|
$1,556.28 |
$1,556.28 |
$1,556.28 |
$1,182.00
|
|
Epoetin alfa, 100 units esrd
|
$22.71 |
$22.71 |
$22.71 |
$6.00
|
|
Epstein barr early antigen antibody
|
$41.58 |
$41.58 |
$41.58 |
$60.00
|
|
Epstein barr nuclear antigen antibody
|
$40.82 |
$40.82 |
$40.82 |
$76.86
|
|
Epstein barr viral capsid antigen antibody igm
|
$46.87 |
$46.87 |
$46.87 |
$85.50
|
|
ER Visit (level 1, minor)
|
$260.82 |
$260.82 |
$260.82 |
$252.60
|
|
ER Visit (level 2)
|
$332.68 |
$332.68 |
$332.68 |
$463.00
|
|
ER Visit (level 3)
|
$839.01 |
$839.01 |
$839.01 |
$812.18
|
|
ER Visit (level 4)
|
$2,393.16 |
$2,393.16 |
$2,393.16 |
$1,291.00
|
|
ER Visit (level 5, high severity)
|
$4,108.02 |
$4,108.02 |
$4,108.02 |
$1,871.60
|
|
Established Patient Office Visit (level 1)
|
$128.05 |
$128.05 |
$128.05 |
$122.20
|
|
Established Patient Office Visit (level 2)
|
$318.93 |
$318.93 |
$318.93 |
$139.20
|
|
Established Patient Office Visit (level 3)
|
$625.51 |
$625.51 |
$625.51 |
$186.94
|
|
Established Patient Office Visit (level 4)
|
$961.29 |
$961.29 |
$961.29 |
$239.25
|
|
Established Patient Office Visit (level 5)
|
$1,356.58 |
$1,356.58 |
$1,356.58 |
$290.68
|
|
Estradiol total
|
$55.86 |
$55.86 |
$55.86 |
$152.10
|
|
Estrogens total-sendout
|
$43.89 |
$43.89 |
$43.89 |
$97.50
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$196.18 |
$196.18 |
$196.18 |
$213.15
|
|
Evoked oa emissions ltd
|
$205.74 |
$205.74 |
$205.74 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$192.93 |
$192.93 |
$192.93 |
$261.30
|
|
Exc benign tal 0.5 < cm 11400
|
$103.60 |
$103.60 |
$103.60 |
$832.60
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$156.93 |
$156.93 |
$156.93 |
$3,104.42
|
|
Exc malig tal <0.5cm 11600
|
$153.25 |
$153.25 |
$153.25 |
$973.71
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$236.62 |
$236.62 |
$236.62 |
$3,386.84
|
|
Exc thrombosed hemorrhoid 46320
|
$142.83 |
$142.83 |
$142.83 |
$2,175.36
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$9,218.67 |
$9,218.67 |
$9,218.67 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$443.20 |
$443.20 |
$443.20 |
$1,788.80
|
|
External chromosome analysis 20-25 cells
|
$317.69 |
$317.69 |
$317.69 |
$415.01
|
|
External newborn metabolic screening panel
|
$102.52 |
$102.52 |
$102.52 |
$109.76
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$98.28 |
$98.28 |
$98.28 |
$109.00
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,365.86 |
$2,365.86 |
$2,365.86 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,971.77 |
$1,971.77 |
$1,971.77 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,577.03 |
$1,577.03 |
$1,577.03 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,401.57 |
$3,401.57 |
$3,401.57 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,267.71 |
$2,267.71 |
$2,267.71 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$296.74 |
$296.74 |
$296.74 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$346.71 |
$346.71 |
$346.71 |
$381.75
|
|
Factor ix
|
$54.27 |
$54.27 |
$54.27 |
$162.50
|
|
Factor viii
|
$45.34 |
$45.34 |
$45.34 |
$148.00
|
|
Fat/lipids feces qualitative
|
$45.22 |
$45.22 |
$45.22 |
$36.00
|
|
Fatty acids nonesterified
|
$45.89 |
$45.89 |
$45.89 |
$72.15
|
|
#fecal-sodium
|
$38.57 |
$38.57 |
$38.57 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$49.21 |
$49.21 |
$49.21 |
$66.43
|
|
Fern test
|
$43.89 |
$43.89 |
$43.89 |
$37.03
|
|
Ferritin
|
$39.90 |
$39.90 |
$39.90 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$730.98 |
$730.98 |
$730.98 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,373.63 |
$1,373.63 |
$1,373.63 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$687.33 |
$687.33 |
$687.33 |
$477.50
|
|
Fetal fibronectin
|
$129.01 |
$129.01 |
$129.01 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.53 |
$40.53 |
$40.53 |
$102.00
|
|
Fetal hemoglobin rosette
|
$19.92 |
$19.92 |
$19.92 |
$67.20
|
|
Fetal non stress test
|
$590.44 |
$590.44 |
$590.44 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$44.56 |
$44.56 |
$44.56 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$21.30 |
$21.30 |
$21.30 |
$120.64
|
|
Fibrin degradation products
|
$54.96 |
$54.96 |
$54.96 |
$75.02
|
|
Fibrinogen activity
|
$20.61 |
$20.61 |
$20.61 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$32.29 |
$32.29 |
$32.29 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$48.78 |
$48.78 |
$48.78 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$11,522.10 |
$11,522.10 |
$11,522.10 |
$7,358.16
|
|
Filter vena cava fem denali
|
$9,218.67 |
$9,218.67 |
$9,218.67 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$914.69 |
$914.69 |
$914.69 |
$825.00
|
|
Finger X-ray (both hands)
|
$198.33 |
$198.33 |
$198.33 |
$241.50
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,268.91 |
$1,268.91 |
$1,268.91 |
$4,499.12
|
|
Flecainide (tambocor)-sendout
|
$45.22 |
$45.22 |
$45.22 |
$65.65
|
|
Flow cytometry marker each additional
|
$92.23 |
$92.23 |
$92.23 |
$97.50
|
|
Flow cytometry one marker technical component
|
$525.58 |
$525.58 |
$525.58 |
$285.00
|
|
Flt3 gene
|
$299.69 |
$299.69 |
$299.69 |
$366.29
|
|
Flt3 gene analysis
|
$150.15 |
$150.15 |
$150.15 |
$216.00
|
|
Fluid pressure muscle 20950
|
$601.88 |
$601.88 |
$601.88 |
$779.45
|
|
Fluorescent antibody titer dna
|
$632.77 |
$632.77 |
$632.77 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$367.90 |
$367.90 |
$367.90 |
$495.00
|
|
Fluoroguide needle placement
|
$510.98 |
$510.98 |
$510.98 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$567.75 |
$567.75 |
$567.75 |
$503.80
|