|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$152.55 |
$152.55 |
$152.55 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$140.25 |
$140.25 |
$140.25 |
$108.60
|
|
F-18 fdg pet diag
|
$163.95 |
$163.95 |
$163.95 |
$551.72
|
|
F-18 sodium fluoride
|
$163.95 |
$163.95 |
$163.95 |
$392.60
|
|
Facial bones <3
|
$60.30 |
$60.30 |
$60.30 |
$252.60
|
|
Factor ix
|
$123.45 |
$123.45 |
$123.45 |
$156.13
|
|
Factor viii
|
$114.30 |
$114.30 |
$114.30 |
$133.81
|
|
Fat/lipids feces qualitative
|
$22.95 |
$22.95 |
$22.95 |
$38.35
|
|
Fatty acids nonesterified
|
$53.10 |
$53.10 |
$53.10 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$140.70 |
$140.70 |
$140.70 |
$956.25
|
|
#fecal-sodium
|
$50.10 |
$50.10 |
$50.10 |
$37.50
|
|
Feeding tube reposition
|
$103.95 |
$103.95 |
$103.95 |
$532.61
|
|
Fees w/laryngeal sense test
|
$73.65 |
$73.65 |
$73.65 |
$471.20
|
|
Felbamate (felbatol(r)) - sendout
|
$11.55 |
$11.55 |
$11.55 |
$65.00
|
|
Fem/popl revasc w/stent
|
$7,636.65 |
$7,636.65 |
$7,636.65 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$29.34 |
$29.34 |
$29.34 |
$101.40
|
|
Ferritin
|
$45.00 |
$45.00 |
$45.00 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$104.08 |
$104.08 |
$104.08 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$176.25 |
$176.25 |
$176.25 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$277.05 |
$277.05 |
$277.05 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$217.95 |
$217.95 |
$217.95 |
$475.50
|
|
Fetal fibronectin
|
$93.60 |
$93.60 |
$93.60 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$24.75 |
$24.75 |
$24.75 |
$105.12
|
|
Fetal hemoglobin rosette
|
$22.95 |
$22.95 |
$22.95 |
$67.20
|
|
Fetal non stress test
|
$156.75 |
$156.75 |
$156.75 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$48.15 |
$48.15 |
$48.15 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$62.10 |
$62.10 |
$62.10 |
$117.70
|
|
Fibrin degradation products
|
$50.10 |
$50.10 |
$50.10 |
$62.64
|
|
Fibrin degrade semiquant
|
$59.10 |
$59.10 |
$59.10 |
$78.09
|
|
Fibrinogen activity
|
$45.30 |
$45.30 |
$45.30 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$4.80 |
$4.80 |
$4.80 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$1.65 |
$1.65 |
$1.65 |
$72.80
|
|
Fibrinolytic plasminogen
|
$55.05 |
$55.05 |
$55.05 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$3.90 |
$3.90 |
$3.90 |
$65.00
|
|
Filter spider fx 3mmx320cm
|
$0.15 |
$0.15 |
$0.15 |
$7,160.28
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$304.35 |
$304.35 |
$304.35 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$152.25 |
$152.25 |
$152.25 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$152.25 |
$152.25 |
$152.25 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$96.30 |
$96.30 |
$96.30 |
$503.76
|
|
Flebogamma injection
|
$842.22 |
$842.22 |
$842.22 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$11.55 |
$11.55 |
$11.55 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$325.05 |
$325.05 |
$325.05 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$13.95 |
$13.95 |
$13.95 |
$204.00
|
|
Flow cytometry marker each additional
|
$94.65 |
$94.65 |
$94.65 |
$97.50
|
|
Flow cytometry one marker technical component
|
$284.40 |
$284.40 |
$284.40 |
$284.40
|
|
Flt3 gene
|
$324.75 |
$324.75 |
$324.75 |
$355.00
|
|
Flt3 gene analysis
|
$34.35 |
$34.35 |
$34.35 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$25.43 |
$25.43 |
$25.43 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$98.40 |
$98.40 |
$98.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$301.95 |
$301.95 |
$301.95 |
$768.94
|
|
Fluorescein angrph mltiframe
|
$69.15 |
$69.15 |
$69.15 |
$344.00
|
|
Fluorescent antibody titer dna
|
$58.20 |
$58.20 |
$58.20 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$148.80 |
$148.80 |
$148.80 |
$496.03
|
|
Fluoroguide needle placement
|
$190.65 |
$190.65 |
$190.65 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$97.65 |
$97.65 |
$97.65 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$24.75 |
$24.75 |
$24.75 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$161.27 |
$161.27 |
$161.27 |
$72.52
|
|
Fmri brain by phys/psych
|
$561.60 |
$561.60 |
$561.60 |
$1,558.05
|
|
Fmri brain by tech
|
$589.80 |
$589.80 |
$589.80 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$304.35 |
$304.35 |
$304.35 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$152.25 |
$152.25 |
$152.25 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$304.35 |
$304.35 |
$304.35 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$152.25 |
$152.25 |
$152.25 |
$760.80
|
|
Folic acid
|
$48.15 |
$48.15 |
$48.15 |
$101.50
|
|
Follow-up angiography
|
$296.40 |
$296.40 |
$296.40 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$410.46 |
$410.46 |
$410.46 |
$2,581.14
|
|
Fondaparinux sodium
|
$57.55 |
$57.55 |
$57.55 |
$185.12
|
|
Foot X-ray
|
$53.55 |
$53.55 |
$53.55 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$58.50 |
$58.50 |
$58.50 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$40.38 |
$40.38 |
$40.38 |
$457.50
|
|
Foscarnet sodium injection
|
$442.69 |
$442.69 |
$442.69 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$23.42 |
$23.42 |
$23.42 |
$106.10
|
|
_fragile x methylation-sendout
|
$129.30 |
$129.30 |
$129.30 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$108.90 |
$108.90 |
$108.90 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$108.90 |
$108.90 |
$108.90 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$82.35 |
$82.35 |
$82.35 |
$122.00
|
|
Fructosamine glycated protein
|
$80.10 |
$80.10 |
$80.10 |
$60.75
|
|
Fundus photography with i&r 92250
|
$22.05 |
$22.05 |
$22.05 |
$182.95
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$17.66 |
$17.66 |
$17.66 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$14.70 |
$14.70 |
$14.70 |
$118.56
|
|
Gabapentin non-blood
|
$10.05 |
$10.05 |
$10.05 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$35.24 |
$35.24 |
$35.24 |
$102.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$177.64 |
$177.64 |
$177.64 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$58.05 |
$58.05 |
$58.05 |
$96.94
|
|
Galactose transferase test
|
$20.25 |
$20.25 |
$20.25 |
$31.35
|
|
Galectin-3
|
$49.35 |
$49.35 |
$49.35 |
$111.60
|
|
Gammaglobulin iga
|
$62.10 |
$62.10 |
$62.10 |
$67.20
|
|
Gammaglobulin ige
|
$82.05 |
$82.05 |
$82.05 |
$83.85
|
|
Gamma glutamyltransferase
|
$47.55 |
$47.55 |
$47.55 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$30.41 |
$30.41 |
$30.41 |
$197.40
|
|
Gastric emptying imag study
|
$372.30 |
$372.30 |
$372.30 |
$1,291.55
|
|
Gastric emptying imag study
|
$545.85 |
$545.85 |
$545.85 |
$1,621.36
|
|
Gastroesophageal reflux study
|
$149.85 |
$149.85 |
$149.85 |
$949.80
|
|
Gated heart multiple
|
$260.70 |
$260.70 |
$260.70 |
$1,400.64
|
|
Gefitinib oral
|
$25.67 |
$25.67 |
$25.67 |
$423.82
|
|
Gemcitabine 1 gram intravenous solution
|
$53.57 |
$53.57 |
$53.57 |
$207.51
|
|
General health panel
|
$129.00 |
$129.00 |
$129.00 |
$275.00
|
|
Generator emblem MRI sicd subq
|
$3,847.50 |
$3,847.50 |
$3,847.50 |
$36,467.76
|
|
Genetic counseling 30 min
|
$11.55 |
$11.55 |
$11.55 |
$193.00
|
