|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$219.72 |
$219.72 |
$219.72 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$73.15 |
$73.15 |
$73.15 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$253.84 |
$253.84 |
$253.84 |
$475.50
|
|
Fetal fibronectin
|
$112.86 |
$112.86 |
$112.86 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$6.27 |
$6.27 |
$6.27 |
$105.12
|
|
Fetal hemoglobin rosette
|
$10.26 |
$10.26 |
$10.26 |
$67.20
|
|
Fetal non stress test
|
$198.55 |
$198.55 |
$198.55 |
$463.03
|
|
Fetal scalp blood sampling 59030
|
$121.60 |
$121.60 |
$121.60 |
$359.97
|
|
Fibrin degradation d dimer quantitative
|
$49.59 |
$49.59 |
$49.59 |
$117.70
|
|
Fibrin degradation products
|
$28.69 |
$28.69 |
$28.69 |
$62.64
|
|
Fibrin degrade semiquant
|
$45.79 |
$45.79 |
$45.79 |
$78.09
|
|
Fibrinogen activity
|
$43.13 |
$43.13 |
$43.13 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$6.08 |
$6.08 |
$6.08 |
$64.05
|
|
Fibrinolytic plasminogen
|
$12.54 |
$12.54 |
$12.54 |
$107.50
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$385.51 |
$385.51 |
$385.51 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$192.85 |
$192.85 |
$192.85 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$192.85 |
$192.85 |
$192.85 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$121.98 |
$121.98 |
$121.98 |
$503.76
|
|
Fix g/colon tube w/device
|
$220.78 |
$220.78 |
$220.78 |
$1,183.00
|
|
Flebogamma injection
|
$1,778.02 |
$1,778.02 |
$1,778.02 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$14.63 |
$14.63 |
$14.63 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$67.26 |
$67.26 |
$67.26 |
$511.92
|
|
Flow cytometry marker each additional
|
$115.90 |
$115.90 |
$115.90 |
$97.50
|
|
Flow cytometry one marker technical component
|
$99.37 |
$99.37 |
$99.37 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$64.41 |
$64.41 |
$64.41 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$2,185.00 |
$2,185.00 |
$2,185.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$52.63 |
$52.63 |
$52.63 |
$91.00
|
|
Fluid pressure muscle 20950
|
$359.10 |
$359.10 |
$359.10 |
$768.94
|
|
Fluorescent antibody titer dna
|
$28.50 |
$28.50 |
$28.50 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$273.98 |
$273.98 |
$273.98 |
$496.03
|
|
Fluoroguide needle placement
|
$273.98 |
$273.98 |
$273.98 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$64.60 |
$64.60 |
$64.60 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$52.25 |
$52.25 |
$52.25 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$408.55 |
$408.55 |
$408.55 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$385.51 |
$385.51 |
$385.51 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$192.85 |
$192.85 |
$192.85 |
$833.25
|
|
Folic acid
|
$24.70 |
$24.70 |
$24.70 |
$101.50
|
|
Follow-up angiography
|
$341.05 |
$341.05 |
$341.05 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$866.53 |
$866.53 |
$866.53 |
$2,581.14
|
|
Fondaparinux sodium
|
$145.80 |
$145.80 |
$145.80 |
$185.12
|
|
Foot X-ray
|
$125.21 |
$125.21 |
$125.21 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$69.92 |
$69.92 |
$69.92 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$85.24 |
$85.24 |
$85.24 |
$457.50
|
|
Foscarnet sodium injection
|
$1,121.47 |
$1,121.47 |
$1,121.47 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$59.34 |
$59.34 |
$59.34 |
$106.10
|
|
Fracture assessment via dxa
|
$30.78 |
$30.78 |
$30.78 |
$173.18
|
|
_fragile x methylation-sendout
|
$132.81 |
$132.81 |
$132.81 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$67.26 |
$67.26 |
$67.26 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$67.26 |
$67.26 |
$67.26 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$99.37 |
$99.37 |
$99.37 |
$122.00
|
|
Fructosamine glycated protein
|
$12.16 |
$12.16 |
$12.16 |
$60.75
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$44.74 |
$44.74 |
$44.74 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$60.42 |
$60.42 |
$60.42 |
$118.56
|
|
Gabapentin non-blood
|
$12.73 |
$12.73 |
$12.73 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$44.63 |
$44.63 |
$44.63 |
$102.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$225.01 |
$225.01 |
$225.01 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$73.15 |
$73.15 |
$73.15 |
$96.94
|
|
Gammaglobulin iga
|
$36.29 |
$36.29 |
$36.29 |
$67.20
|
|
Gammaglobulin ige
|
$107.54 |
$107.54 |
$107.54 |
$83.85
|
|
Gamma glutamyltransferase
|
$8.74 |
$8.74 |
$8.74 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$64.20 |
$64.20 |
$64.20 |
$197.40
|
|
Gastroesophageal reflux study
|
$189.81 |
$189.81 |
$189.81 |
$949.80
|
|
Gba gene
|
$21.85 |
$21.85 |
$21.85 |
$160.72
|
|
Gefitinib oral
|
$78.04 |
$78.04 |
$78.04 |
$423.82
|
|
Gemcitabine 1 gram intravenous solution
|
$113.10 |
$113.10 |
$113.10 |
$207.51
|
|
General health panel
|
$163.40 |
$163.40 |
$163.40 |
$275.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$65.83 |
$65.83 |
$65.83 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$85.88 |
$85.88 |
$85.88 |
$126.00
|
|
Ghs abscess perianal iandd
|
$168.15 |
$168.15 |
$168.15 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$589.57 |
$589.57 |
$589.57 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$67.83 |
$67.83 |
$67.83 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$51.30 |
$51.30 |
$51.30 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$10.83 |
$10.83 |
$10.83 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$183.92 |
$183.92 |
$183.92 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$53.58 |
$53.58 |
$53.58 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$33.25 |
$33.25 |
$33.25 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$170.05 |
$170.05 |
$170.05 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$412.30 |
$412.30 |
$412.30 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$137.94 |
$137.94 |
$137.94 |
$565.49
|
|
Ghs chemo >8 hrs
|
$113.05 |
$113.05 |
$113.05 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$87.40 |
$87.40 |
$87.40 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$20.90 |
$20.90 |
$20.90 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$47.50 |
$47.50 |
$47.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$147.82 |
$147.82 |
$147.82 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$363.47 |
$363.47 |
$363.47 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$59.66 |
$59.66 |
$59.66 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$475.76 |
$475.76 |
$475.76 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$59.66 |
$59.66 |
$59.66 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$475.76 |
$475.76 |
$475.76 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$475.76 |
$475.76 |
$475.76 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$59.66 |
$59.66 |
$59.66 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$59.66 |
$59.66 |
$59.66 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$47.69 |
$47.69 |
$47.69 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$161.31 |
$161.31 |
$161.31 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$37.81 |
$37.81 |
$37.81 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$83.41 |
$83.41 |
$83.41 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$37.81 |
$37.81 |
$37.81 |
$339.60
|
|
Ghs cricothyroidotomy
|
$179.93 |
$179.93 |
$179.93 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$59.66 |
$59.66 |
$59.66 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$215.08 |
$215.08 |
$215.08 |
$1,109.47
|