|
Fallopian tube recnl
|
$2,337.30 |
$2,337.30 |
$2,337.30 |
$3,740.75
|
|
Fat/lipids feces qualitative
|
$43.66 |
$43.66 |
$43.66 |
$36.00
|
|
Fatty acids nonesterified
|
$44.30 |
$44.30 |
$44.30 |
$72.15
|
|
#fecal-sodium
|
$37.24 |
$37.24 |
$37.24 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$47.51 |
$47.51 |
$47.51 |
$66.43
|
|
Fern test
|
$42.37 |
$42.37 |
$42.37 |
$37.03
|
|
Ferritin
|
$38.52 |
$38.52 |
$38.52 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$764.90 |
$764.90 |
$764.90 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$674.54 |
$674.54 |
$674.54 |
$477.50
|
|
Fetal fibronectin
|
$124.55 |
$124.55 |
$124.55 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$37.58 |
$37.58 |
$37.58 |
$102.00
|
|
Fetal hemoglobin rosette
|
$18.47 |
$18.47 |
$18.47 |
$67.20
|
|
Fetal non stress test
|
$579.46 |
$579.46 |
$579.46 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$43.01 |
$43.01 |
$43.01 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$19.75 |
$19.75 |
$19.75 |
$120.64
|
|
Fibrin degradation products
|
$50.96 |
$50.96 |
$50.96 |
$75.02
|
|
Fibrinogen activity
|
$19.11 |
$19.11 |
$19.11 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$29.94 |
$29.94 |
$29.94 |
$61.00
|
|
Fibrinolytic plasminogen
|
$53.51 |
$53.51 |
$53.51 |
$107.50
|
|
Fibrinolytic plasminogen
|
$19.75 |
$19.75 |
$19.75 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$45.23 |
$45.23 |
$45.23 |
$66.60
|
|
Filter vena cava fem denali
|
$5,261.15 |
$5,261.15 |
$5,261.15 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$144.10 |
$144.10 |
$144.10 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$94.59 |
$94.59 |
$94.59 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$76.12 |
$76.12 |
$76.12 |
$825.00
|
|
Finger X-ray (both hands)
|
$200.69 |
$200.69 |
$200.69 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$43.66 |
$43.66 |
$43.66 |
$65.65
|
|
Flow cytometry marker each additional
|
$53.42 |
$53.42 |
$53.42 |
$97.50
|
|
Flow cytometry one marker technical component
|
$304.43 |
$304.43 |
$304.43 |
$285.00
|
|
Flt3 gene
|
$357.34 |
$357.34 |
$357.34 |
$366.29
|
|
Flt3 gene analysis
|
$179.03 |
$179.03 |
$179.03 |
$216.00
|
|
Fluidotherapy charges pt
|
$93.42 |
$93.42 |
$93.42 |
$101.40
|
|
Fluid pressure muscle 20950
|
$577.80 |
$577.80 |
$577.80 |
$779.45
|
|
Fluorescent antibody titer dna
|
$990.17 |
$990.17 |
$990.17 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$372.28 |
$372.28 |
$372.28 |
$495.00
|
|
Fluoroguide needle placement
|
$517.05 |
$517.05 |
$517.05 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$574.50 |
$574.50 |
$574.50 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$2,198.55 |
$2,198.55 |
$2,198.55 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,285.14 |
$1,285.14 |
$1,285.14 |
$834.90
|
|
Folic acid
|
$28.89 |
$28.89 |
$28.89 |
$101.50
|
|
Foot X-ray
|
$340.10 |
$340.10 |
$340.10 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$237.46 |
$237.46 |
$237.46 |
$290.40
|
|
Forearm X-ray (both sides)
|
$246.65 |
$246.65 |
$246.65 |
$324.00
|
|
Fracture assessment via dxa
|
$270.40 |
$270.40 |
$270.40 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$56.73 |
$56.73 |
$56.73 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$56.73 |
$56.73 |
$56.73 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$229.45 |
$229.45 |
$229.45 |
$131.25
|
|
Fructosamine glycated protein
|
$34.03 |
$34.03 |
$34.03 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$381.47 |
$381.47 |
$381.47 |
$355.00
|
|
Gabapentin non-blood
|
$35.95 |
$35.95 |
$35.95 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$111.07 |
$111.07 |
$111.07 |
$100.00
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,383.05 |
$1,383.05 |
$1,383.05 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,894.02 |
$1,894.02 |
$1,894.02 |
$1,615.00
|
|
Gammaglobulin iga
|
$40.45 |
$40.45 |
$40.45 |
$69.60
|
|
Gammaglobulin ige
|
$37.24 |
$37.24 |
$37.24 |
$83.85
|
|
Gamma glutamyltransferase
|
$39.80 |
$39.80 |
$39.80 |
$57.54
|
|
Gastric mucosa imaging
|
$590.65 |
$590.65 |
$590.65 |
$565.00
|
|
Generator barostim neo2 2014
|
$82,894.53 |
$82,894.53 |
$82,894.53 |
$52,020.00
|
|
Gentamicin peak therapeutic drug level
|
$32.10 |
$32.10 |
$32.10 |
$123.84
|
|
Ghs abscess perianal iandd
|
$123.39 |
$123.39 |
$123.39 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$221.03 |
$221.03 |
$221.03 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$37.88 |
$37.88 |
$37.88 |
$43.06
|
|
Ghs alpha thalasemia, 7 deletions
|
$596.77 |
$596.77 |
$596.77 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$52.05 |
$52.05 |
$52.05 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$240.41 |
$240.41 |
$240.41 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$232.41 |
$232.41 |
$232.41 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$47.92 |
$47.92 |
$47.92 |
$594.55
|
|
Ghs chemo >8 hrs
|
$162.82 |
$162.82 |
$162.82 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$102.88 |
$102.88 |
$102.88 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$232.22 |
$232.22 |
$232.22 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$320.46 |
$320.46 |
$320.46 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$703.23 |
$703.23 |
$703.23 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$791.28 |
$791.28 |
$791.28 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$920.66 |
$920.66 |
$920.66 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$571.45 |
$571.45 |
$571.45 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$810.45 |
$810.45 |
$810.45 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$924.26 |
$924.26 |
$924.26 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$905.69 |
$905.69 |
$905.69 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$383.36 |
$383.36 |
$383.36 |
$500.40
|
|
Ghs conjunctiva foreign body-embed bil
|
$67.69 |
$67.69 |
$67.69 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$53.91 |
$53.91 |
$53.91 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$77.27 |
$77.27 |
$77.27 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$95.24 |
$95.24 |
$95.24 |
$339.60
|
|
Ghs cricothyroidotomy
|
$419.90 |
$419.90 |
$419.90 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$50.32 |
$50.32 |
$50.32 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$60.50 |
$60.50 |
$60.50 |
$190.30
|
|
Ghs diphtheria toxoid ab igg
|
$74.53 |
$74.53 |
$74.53 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$630.15 |
$630.15 |
$630.15 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$795.42 |
$795.42 |
$795.42 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$41.93 |
$41.93 |
$41.93 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,098.72 |
$1,098.72 |
$1,098.72 |
$1,429.20
|
|
Ghs excision ingrown nail
|
$114.41 |
$114.41 |
$114.41 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$213.24 |
$213.24 |
$213.24 |
$510.00
|
|
Ghs fb removal - incisional
|
$230.61 |
$230.61 |
$230.61 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$182.70 |
$182.70 |
$182.70 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$24.84 |
$24.84 |
$24.84 |
$48.10
|
|
Ghs fish cytogen
|
$115.33 |
$115.33 |
$115.33 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$65.30 |
$65.30 |
$65.30 |
$226.20
|
|
Ghs flow volume loop
|
$140.54 |
$140.54 |
$140.54 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$28.15 |
$28.15 |
$28.15 |
$368.50
|
