|
Fibrin degradation d dimer quantitative
|
$36.40 |
$84.50 |
$124.15 |
|
|
Fibrin degrade semiquant
|
$90.35 |
$90.35 |
$105.95 |
|
|
Fibrinogen activity
|
$22.75 |
$57.20 |
$90.35 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$39.00 |
$39.00 |
$54.60 |
|
|
Fibrinolytic antiplasmin
|
$63.70 |
$70.20 |
$81.90 |
|
|
Fibrinolytic plasminogen
|
$67.60 |
$73.45 |
$86.45 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$59.80 |
$59.80 |
$76.05 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$685.56 |
$685.56 |
$685.56 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,010.18 |
$1,039.75 |
$1,070.84 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$552.84 |
$858.86 |
$884.55 |
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,547.65 |
$1,547.65 |
$1,547.65 |
|
|
Fine needle asp without image guide 10021
|
$222.95 |
$222.95 |
$222.95 |
|
|
Flecainide (tambocor)-sendout
|
$105.30 |
$125.45 |
$135.20 |
|
|
Flexible Sigmoidoscopy
|
$292.50 |
$2,115.24 |
$3,485.58 |
|
|
Floor of mouth biopsy 41108
|
$4,269.75 |
$4,269.75 |
$4,269.75 |
|
|
Flow cytometry interp 16 or more
|
$126.10 |
$126.10 |
$159.25 |
|
|
Flow cytometry marker each additional
|
$52.65 |
$52.65 |
$91.00 |
|
|
Flow cytometry one marker technical component
|
$190.45 |
$195.65 |
$200.85 |
|
|
#flow interp 9 - 15 markers
|
$105.30 |
$105.30 |
$130.00 |
|
|
Flt3 gene
|
$340.60 |
$352.95 |
$352.95 |
|
|
Flt3 gene analysis
|
$319.80 |
$331.50 |
$331.50 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$27.20 |
$64.22 |
$64.22 |
|
|
Fludarabine 50 mg intravenous solution
|
$625.03 |
$625.03 |
$625.03 |
|
|
Fluidotherapy charges pt
|
$111.80 |
$111.80 |
$114.40 |
|
|
Fluorescent antibody titer dna
|
$178.10 |
$183.95 |
$183.95 |
|
|
Fluoroguide for spine inject 77003-26
|
$293.15 |
$293.15 |
$404.30 |
|
|
Fluoroguide needle placement
|
$428.35 |
$428.35 |
$494.65 |
|
|
Fluoroscopy up to 1 hour
|
$354.25 |
$354.25 |
$421.20 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$35.75 |
$35.75 |
$73.16 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$47.85 |
$47.85 |
$47.85 |
|
|
Folic acid
|
$63.70 |
$63.70 |
$137.15 |
|
|
Folic acid 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$224.96 |
|
|
Follow-up angiography
|
$1,203.80 |
$1,203.80 |
$1,203.80 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,489.20 |
$3,489.20 |
$3,489.20 |
|
|
Fondaparinux sodium
|
$167.71 |
$167.71 |
$176.81 |
|
|
Foot drp splt w/exp heel lg
|
$97.50 |
$97.50 |
$97.50 |
|
|
Foot X-ray
|
$403.00 |
$488.15 |
$491.40 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$168.35 |
$168.35 |
$168.35 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$86.45 |
$86.45 |
$86.45 |
|
|
Foscarnet sodium injection
|
$1,459.62 |
$1,459.62 |
$1,459.62 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$66.38 |
$66.38 |
$374.52 |
|
|
_fragile x methylation-sendout
|
$181.35 |
$232.70 |
$274.30 |
|
|
Fragmenting of kidney stone
|
$8,772.82 |
$8,772.82 |
$8,772.82 |
|
|
Frenotomy 40806
|
$2,267.38 |
$2,267.38 |
$2,267.38 |
|
|
Frenulotomy of penis
|
$22,357.08 |
$22,357.08 |
$22,357.08 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$170.30 |
$170.30 |
$200.20 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$178.75 |
$191.75 |
$205.40 |
|
|
Fresh frozen plasma thawing ea un
|
$96.85 |
$101.40 |
$120.25 |
|
|
Frozen blood freeze/thaw
|
$225.55 |
$225.55 |
$225.55 |
|
|
Fructosamine glycated protein
|
$48.75 |
$50.70 |
$61.75 |
|
|
Ftl cgen abnor four anal
|
$163.80 |
$195.00 |
$195.00 |
|
|
Full mouth x-ray of teeth
|
$156.00 |
$156.00 |
$156.00 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,300.65 |
$1,300.65 |
$1,300.65 |
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$12.64 |
|
|
G0180 home health certification
|
$87.75 |
$87.75 |
$87.75 |
|
|
Ga-67 gallium 0.1 mci
|
$78.00 |
$78.00 |
$119.60 |
|
|
Ga-68 gallium 68 dotatate
|
$118.95 |
$118.95 |
$118.95 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$274.79 |
$274.79 |
$274.79 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$438.30 |
$438.30 |
$438.30 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$126.10 |
$126.75 |
$370.50 |
|
|
Galactose transferase test
|
$13.00 |
$13.65 |
$14.30 |
|
|
Gallbladder Removal (Laparoscopic)
|
$1,464.45 |
$7,005.15 |
$8,594.64 |
|
|
Gallium illuccix 1 millicure
|
$731.25 |
$731.25 |
$731.25 |
|
|
Gammaglobulin iga
|
$102.70 |
$104.00 |
$123.50 |
|
|
Gammaglobulin ige
|
$44.20 |
$96.85 |
$97.50 |
|
|
Gamma glutamyltransferase
|
$55.25 |
$55.25 |
$72.80 |
|
|
Gamunex-c/gammaked
|
$6,173.96 |
$11,989.43 |
$12,347.92 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$185.25 |
$185.25 |
$185.25 |
|
|
Gardner vag dna quant
|
$96.20 |
$96.20 |
$113.75 |
|
|
Gastric emptying imag study
|
$1,255.80 |
$1,255.80 |
$1,291.55 |
|
|
Gastric emptying imag study
|
$1,714.70 |
$1,714.70 |
$1,714.70 |
|
|
Gastroesophageal reflux study
|
$802.75 |
$802.75 |
$802.75 |
|
|
Gastroesophageal reflux test
|
$1,244.75 |
$1,244.75 |
$1,244.75 |
|
|
Gated heart multiple
|
$1,649.05 |
$1,649.05 |
$1,649.05 |
|
|
Gba gene
|
$265.20 |
$265.20 |
$313.30 |
|
|
Gemcitabine 1 gram intravenous solution
|
$35.75 |
$35.75 |
$109.54 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$23,897.53 |
$23,897.53 |
$23,897.53 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$21.25 |
$21.71 |
$21.71 |
|
|
Gentamicin peak therapeutic drug level
|
$84.50 |
$84.50 |
$137.15 |
|
|
G-esoph reflx tst w/electrod
|
$1,290.25 |
$1,290.25 |
$1,290.25 |
|
|
Ghs abscess perianal iandd
|
$404.30 |
$410.80 |
$445.90 |
|
|
Ghs abscess postoperative iandd complex
|
$440.05 |
$440.05 |
$440.05 |
|
|
Ghs acetylcholinesterase, rbc
|
$55.25 |
$57.20 |
$57.20 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$222.30 |
$222.30 |
$371.80 |
|
|
Ghs analysis neurostim without reprogramming
|
$85.80 |
$85.80 |
$85.80 |
|
|
Ghs antibodies (torch) igm
|
$52.00 |
$102.05 |
$102.05 |
|
|
Ghs aspiration bladder - needle
|
$418.60 |
$418.60 |
$13,967.65 |
|
|
Ghs bladder cath - complex-foley
|
$169.00 |
$174.20 |
$395.85 |
|
|
Ghs bleeding time (ivy)
|
$53.95 |
$55.90 |
$74.10 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$386.10 |
$386.10 |
$893.21 |
|
|
Ghs change cysto/gastrost
|
$172.25 |
$293.15 |
$293.15 |
|
|
Ghs chemo >8 hrs
|
$442.65 |
$442.65 |
$510.90 |
|
|
Ghs chemo IV push, ea addtl
|
$210.60 |
$256.75 |
$256.75 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$98.15 |
$100.75 |
$101.40 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$475.15 |
$475.15 |
$524.55 |
|
|
Ghs closed reduction ankle dislocation
|
$765.05 |
$765.05 |
$805.35 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,020.50 |
$1,020.50 |
$1,066.00 |
|
|
Ghs closed tx tibial fracture w/manip
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$4,084.88 |
$4,084.88 |
$4,084.88 |
|
