|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$927.94 |
$927.94 |
$927.94 |
$1,372.15
|
|
Exchange biliary drg cath
|
$3,075.64 |
$3,075.64 |
$3,075.64 |
$4,176.15
|
|
Exchange blood transfusion newborn 36450
|
$738.03 |
$738.03 |
$738.03 |
$517.34
|
|
Exchange drainage catheter
|
$1,196.62 |
$1,196.62 |
$1,196.62 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$1,049.45 |
$1,049.45 |
$1,049.45 |
$3,097.16
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,448.09 |
$2,448.09 |
$2,448.09 |
$2,916.96
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$4,420.17 |
$4,420.17 |
$4,420.17 |
$3,588.30
|
|
Exercise w/hemodynamic meas
|
$237.40 |
$237.40 |
$237.40 |
$971.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,638.47 |
$3,638.47 |
$3,638.47 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,151.46 |
$2,151.46 |
$2,151.46 |
$3,473.04
|
|
External cannula declotting
|
$1,350.80 |
$1,350.80 |
$1,350.80 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$76.65 |
$76.65 |
$76.65 |
$389.35
|
|
External newborn metabolic screening panel
|
$91.98 |
$91.98 |
$91.98 |
$114.75
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$76.65 |
$76.65 |
$76.65 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$8.76 |
$8.76 |
$8.76 |
$102.78
|
|
Facial bones <3
|
$313.61 |
$313.61 |
$313.61 |
$248.60
|
|
Factor ix
|
$14.42 |
$14.42 |
$14.42 |
$131.30
|
|
Factor viii
|
$10.23 |
$10.23 |
$10.23 |
$144.30
|
|
Factor viii recombinant nos
|
$3.07 |
$3.07 |
$3.07 |
$4.68
|
|
Factor xiii anti-hem factor
|
$11.77 |
$11.77 |
$11.77 |
$10.78
|
|
Fallopian tube recnl
|
$1,518.11 |
$1,518.11 |
$1,518.11 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$29.35 |
$29.35 |
$29.35 |
$27.81
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$38.48 |
$38.48 |
$38.48 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$6.14 |
$6.14 |
$6.14 |
$34.56
|
|
#fecal-sodium
|
$5.15 |
$5.15 |
$5.15 |
$37.50
|
|
Feeding tube reposition
|
$205.86 |
$205.86 |
$205.86 |
$441.86
|
|
Fem/popl revasc w/stent
|
$11,858.85 |
$11,858.85 |
$11,858.85 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$57.38 |
$57.38 |
$57.38 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,237.53 |
$1,237.53 |
$1,237.53 |
$2,027.60
|
|
Ferritin
|
$99.87 |
$99.87 |
$99.87 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.34 |
$1.34 |
$1.34 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$371.43 |
$371.43 |
$371.43 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$369.24 |
$369.24 |
$369.24 |
$540.54
|
|
Fetal fibronectin
|
$431.87 |
$431.87 |
$431.87 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$4.24 |
$4.24 |
$4.24 |
$88.80
|
|
Fetal non stress test
|
$319.74 |
$319.74 |
$319.74 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$164.69 |
$164.69 |
$164.69 |
$112.80
|
|
Fibrin degradation products
|
$133.59 |
$133.59 |
$133.59 |
$62.40
|
|
Fibrinogen activity
|
$197.10 |
$197.10 |
$197.10 |
$82.38
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$7.99 |
$7.99 |
$7.99 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$0.38 |
$0.38 |
$0.38 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.19 |
$2.19 |
$2.19 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$0.29 |
$0.29 |
$0.29 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$6,152.59 |
$6,152.59 |
$6,152.59 |
$6,152.59
|
|
Filter vena cava fem denali
|
$3,638.47 |
$3,638.47 |
$3,638.47 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$969.30 |
$969.30 |
$969.30 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$415.67 |
$415.67 |
$415.67 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$415.67 |
$415.67 |
$415.67 |
$806.40
|
|
Fix g/colon tube w/device
|
$464.28 |
$464.28 |
$464.28 |
$1,236.90
|
|
Flebogamma injection
|
$2,126.46 |
$2,126.46 |
$2,126.46 |
$2,827.01
|
|
Fl exam g/colon tube w contrast
|
$191.41 |
$191.41 |
$191.41 |
$546.86
|
|
Flow cytometry marker each additional
|
$15.33 |
$15.33 |
$15.33 |
$103.00
|
|
Flow cytometry one marker technical component
|
$42.58 |
$42.58 |
$42.58 |
$270.75
|
|
Flt3 gene
|
$43.80 |
$43.80 |
$43.80 |
$352.95
|
|
Flt3 gene analysis
|
$21.90 |
$21.90 |
$21.90 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$201.05 |
$201.05 |
$201.05 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$342.96 |
$342.96 |
$342.96 |
$601.96
|
|
Fluidotherapy charges pt
|
$43.37 |
$43.37 |
$43.37 |
$95.00
|
|
Fluid pressure muscle 20950
|
$354.35 |
$354.35 |
$354.35 |
$779.45
|
|
Fluorescent antibody titer dna
|
$109.50 |
$109.50 |
$109.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$623.72 |
$623.72 |
$623.72 |
$507.00
|
|
Fluoroguide needle placement
|
$1,216.77 |
$1,216.77 |
$1,216.77 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$895.28 |
$895.28 |
$895.28 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$40.74 |
$40.74 |
$40.74 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$212.87 |
$212.87 |
$212.87 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$969.30 |
$969.30 |
$969.30 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$415.67 |
$415.67 |
$415.67 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$969.30 |
$969.30 |
$969.30 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$415.67 |
$415.67 |
$415.67 |
$612.30
|
|
Folic acid
|
$98.99 |
$98.99 |
$98.99 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$101.18 |
$101.18 |
$101.18 |
$55.66
|
|
Follow-up angiography
|
$638.61 |
$638.61 |
$638.61 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,461.61 |
$1,461.61 |
$1,461.61 |
$2,860.43
|
|
Fondaparinux sodium
|
$178.71 |
$178.71 |
$178.71 |
$176.81
|
|
Foot X-ray
|
$317.55 |
$317.55 |
$317.55 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$527.79 |
$527.79 |
$527.79 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$107.31 |
$107.31 |
$107.31 |
$107.31
|
|
Fragmenting of kidney stone
|
$10,352.13 |
$10,352.13 |
$10,352.13 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$101.62 |
$101.62 |
$101.62 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$101.62 |
$101.62 |
$101.62 |
$149.50
|
|
Fructosamine glycated protein
|
$4.13 |
$4.13 |
$4.13 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$29.35 |
$29.35 |
$29.35 |
$27.69
|
|
Ga-67 gallium 0.1 mci
|
$36.80 |
$36.80 |
$36.80 |
$163.80
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$307.48 |
$307.48 |
$307.48 |
$210.50
|
|
Gammaglobulin iga
|
$92.86 |
$92.86 |
$92.86 |
$75.30
|
|
Gammaglobulin ige
|
$76.22 |
$76.22 |
$76.22 |
$85.00
|
|
Gamma glutamyltransferase
|
$86.29 |
$86.29 |
$86.29 |
$55.28
|
|
Gamunex-c/gammaked
|
$2,118.16 |
$2,118.16 |
$2,118.16 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$133.59 |
$133.59 |
$133.59 |
$209.07
|
|
Gastroesophageal reflux study
|
$911.04 |
$911.04 |
$911.04 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,463.36 |
$1,463.36 |
$1,463.36 |
$1,129.63
|
|
Gemcitabine 1 gram intravenous solution
|
$307.20 |
$307.20 |
$307.20 |
$252.84
|
|
Generator barostim neo2 2014
|
$72,028.23 |
$72,028.23 |
$72,028.23 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$49,197.04 |
$49,197.04 |
$49,197.04 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$54,116.66 |
$54,116.66 |
$54,116.66 |
$40,028.69
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$57.38 |
$57.38 |
$57.38 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$217.69 |
$217.69 |
$217.69 |
$119.00
|
|
Ghs abscess postoperative iandd complex
|
$2,438.79 |
$2,438.79 |
$2,438.79 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$5.80 |
$5.80 |
$5.80 |
$42.21
|
|
Ghs analysis neurostim without reprogramming
|
$172.14 |
$172.14 |
$172.14 |
$313.95
|
