|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$649.32 |
$1,469.44 |
$1,577.03 |
|
|
F-18 fdg pet diag
|
$475.02 |
$475.02 |
$475.02 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$969.78 |
$3,035.52 |
$3,401.57 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$646.38 |
$2,023.68 |
$2,267.71 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$55.44 |
$275.97 |
$300.27 |
|
|
Facial Bones X-ray (complete)
|
$67.20 |
$322.43 |
$350.83 |
|
|
Factor ix
|
$33.18 |
$50.24 |
$54.27 |
|
|
Factor viii
|
$41.98 |
$42.04 |
$47.88 |
|
|
Fallopian tube recnl
|
$2,337.30 |
$2,337.30 |
$2,337.30 |
|
|
Family therapy without pt 50min 90846
|
$246.16 |
$246.16 |
$246.16 |
|
|
Family therapy with patient 50 min 90847
|
$256.92 |
$256.92 |
$256.92 |
|
|
Fat/lipids feces qualitative
|
$28.56 |
$41.82 |
$45.22 |
|
|
Fatty acids nonesterified
|
$28.98 |
$42.44 |
$45.89 |
|
|
#fecal-sodium
|
$24.36 |
$35.67 |
$38.57 |
|
|
Feeding tube reposition
|
$236.88 |
$236.88 |
$236.88 |
|
|
Felbamate (felbatol(r)) - sendout
|
$31.08 |
$45.51 |
$49.21 |
|
|
Fem/popl revasc w/stent
|
$15,962.52 |
$15,962.52 |
$15,962.52 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.88 |
$0.88 |
$0.88 |
|
|
Fern test
|
$27.72 |
$40.59 |
$43.89 |
|
|
Ferritin
|
$25.20 |
$36.90 |
$39.90 |
|
|
Fetal biophys profile w/nst 76818
|
$226.80 |
$709.78 |
$764.90 |
|
|
Fetal chrom aneuploidy gsa panel
|
$956.76 |
$956.76 |
$1,373.63 |
|
|
Fetal contract stress test 59020 - 26
|
$213.36 |
$674.54 |
$886.61 |
|
|
Fetal fibronectin
|
$81.48 |
$119.31 |
$129.01 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$24.78 |
$37.52 |
$40.53 |
|
|
Fetal hemoglobin rosette
|
$12.18 |
$18.44 |
$19.92 |
|
|
Fetal non stress test
|
$238.14 |
$579.46 |
$761.63 |
|
|
#_fet/norfentcnfrmur
|
$28.14 |
$41.20 |
$44.56 |
|
|
Fibrin degradation d dimer quantitative
|
$13.02 |
$19.72 |
$21.30 |
|
|
Fibrin degradation products
|
$33.60 |
$50.88 |
$54.96 |
|
|
Fibrinogen activity
|
$12.60 |
$19.08 |
$20.61 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$27.30 |
$29.94 |
$32.29 |
|
|
Fibrinolytic antiplasmin
|
$10.08 |
$10.08 |
$10.08 |
|
|
Fibrinolytic plasminogen
|
$53.51 |
$53.51 |
$53.51 |
|
|
Fibrinolytic plasminogen
|
$19.75 |
$19.75 |
$19.75 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$29.82 |
$45.16 |
$48.78 |
|
|
Filter spider fx 3mmx320cm
|
$11,522.10 |
$11,522.10 |
$12,878.88 |
|
|
Filter vena cava fem denali
|
$4,863.60 |
$5,261.15 |
$9,218.67 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$144.10 |
$144.10 |
$1,240.26 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$94.59 |
$94.59 |
$94.59 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$76.12 |
$690.48 |
$914.69 |
|
|
Finger X-ray (both hands)
|
$78.96 |
$184.45 |
$200.69 |
|
|
Fix g/colon tube w/device
|
$296.94 |
$296.94 |
$296.94 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,268.91 |
$1,268.91 |
$1,268.91 |
|
|
Flebogamma injection
|
$88.67 |
$88.67 |
$88.67 |
|
|
Flecainide (tambocor)-sendout
|
$28.56 |
$43.66 |
$45.22 |
|
|
Fl exam g/colon tube w contrast
|
$178.92 |
$178.92 |
$178.92 |
|
|
Flow cytometry marker each additional
|
$52.92 |
$53.42 |
$92.23 |
|
|
Flow cytometry one marker technical component
|
$300.30 |
$304.43 |
$525.58 |
|
|
Flt3 gene
|
$208.74 |
$299.69 |
$533.78 |
|
|
Flt3 gene analysis
|
$104.58 |
$150.15 |
$267.43 |
|
|
Fluidotherapy charges pt
|
$58.31 |
$58.31 |
$93.42 |
|
|
Fluid pressure muscle 20950
|
$528.36 |
$577.80 |
$601.88 |
|
|
Fluorescent antibody titer dna
|
$351.54 |
$582.55 |
$990.17 |
|
|
Fluoroguide for spine inject 77003-26
|
$246.96 |
$342.14 |
$372.28 |
|
|
Fluoroguide needle placement
|
$173.88 |
$475.20 |
$517.05 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$385.56 |
$528.00 |
$574.50 |
|
|
Fna bx w/ct gdn 1st les
|
$1,496.88 |
$1,496.88 |
$2,198.55 |
|
|
Fna bx w/ct gdn ea addl
|
$1,002.54 |
$1,002.54 |
$1,285.14 |
|
|
Folic acid
|
$18.90 |
$27.68 |
$29.92 |
|
|
Follow-up angiography
|
$927.36 |
$927.36 |
$927.36 |
|
|
Foot X-ray
|
$78.96 |
$312.58 |
$340.10 |
|
|
Foot X-ray (2 views, both feet)
|
$68.04 |
$218.24 |
$237.46 |
|
|
Forearm X-ray (both sides)
|
$70.98 |
$226.69 |
$246.65 |
|
|
Fracture assessment via dxa
|
$270.40 |
$270.40 |
$270.40 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$39.06 |
$44.55 |
$58.96 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$39.06 |
$44.55 |
$58.96 |
|
|
Fresh frozen plasma thawing ea un
|
$143.64 |
$224.63 |
$264.19 |
|
|
Fructosamine glycated protein
|
$22.26 |
$32.59 |
$35.25 |
|
|
Ftl cgen abnor four anal
|
$205.80 |
$205.80 |
$205.80 |
|
|
Ftl cgen abnor two proteins
|
$109.20 |
$109.20 |
$109.20 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$94.08 |
$350.59 |
$381.47 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$880.11 |
$880.11 |
$880.11 |
|
|
Fxn gene detc abnor alleles
|
$195.30 |
$195.30 |
$195.30 |
|
|
Gabapentin non-blood
|
$23.52 |
$34.44 |
$37.24 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$72.66 |
$106.39 |
$115.04 |
|
|
Galactose transferase test
|
$15.12 |
$22.14 |
$23.94 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$758.10 |
$1,201.42 |
$1,383.05 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,071.84 |
$1,645.29 |
$1,894.02 |
|
|
Gammaglobulin iga
|
$26.46 |
$38.74 |
$41.90 |
|
|
Gammaglobulin ige
|
$24.36 |
$35.67 |
$38.57 |
|
|
Gamma glutamyltransferase
|
$26.04 |
$38.13 |
$41.23 |
|
|
Gastric mucosa imaging
|
$513.08 |
$513.08 |
$590.65 |
|
|
Gastroesophageal reflux study
|
$590.10 |
$590.10 |
$887.62 |
|
|
Generator barostim neo2 2014
|
$64,387.68 |
$64,387.68 |
$82,894.53 |
|
|
Generator emblem MRI sicd subq
|
$45,991.68 |
$45,991.68 |
$45,991.68 |
|
|
Genetic tstg severe inh cond
|
$3,085.32 |
$3,085.32 |
$3,085.32 |
|
|
Gentamicin peak therapeutic drug level
|
$21.00 |
$30.75 |
$33.25 |
|
|
G-esoph reflx tst w/electrod
|
$710.22 |
$710.22 |
$771.26 |
|
|
Ghs abscess perianal iandd
|
$123.39 |
$123.39 |
$123.39 |
|
|
Ghs abscess postoperative iandd complex
|
$221.03 |
$221.03 |
$1,764.00 |
|
|
Ghs acetylcholinesterase, rbc
|
$24.78 |
$36.28 |
$37.88 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$21.84 |
$21.84 |
$21.84 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$348.60 |
$348.60 |
$596.77 |
|
|
Ghs antibodies (torch) igm
|
$18.48 |
$30.62 |
$52.05 |
|
|
Ghs bladder cath - complex-foley
|
$207.06 |
$218.70 |
$240.41 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$231.33 |
$231.33 |
$653.52 |
|
|
Ghs central line insert < age 5, failed
|
$232.41 |
$234.35 |
$1,073.52 |
|
|
Ghs change cysto/gastrost
|
$42.88 |
$42.88 |
$47.92 |
|
|
Ghs chemo >8 hrs
|
$162.82 |
$162.82 |
$162.82 |
|