|
Fetal contract stress test 59020 - 26
|
$707.98 |
$707.98 |
$707.98 |
$540.54
|
|
Fetal fibronectin
|
$420.51 |
$420.51 |
$420.51 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$116.70 |
$116.70 |
$116.70 |
$88.80
|
|
Fetal hemoglobin rosette
|
$45.13 |
$45.13 |
$45.13 |
$76.70
|
|
Fetal non stress test
|
$362.16 |
$362.16 |
$362.16 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$119.43 |
$119.43 |
$119.43 |
$112.80
|
|
Fibrin degradation products
|
$133.82 |
$133.82 |
$133.82 |
$62.40
|
|
Fibrinogen activity
|
$114.76 |
$114.76 |
$114.76 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$3.27 |
$3.27 |
$3.27 |
$56.00
|
|
Fibrinolytic plasminogen
|
$7.29 |
$7.29 |
$7.29 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$2.39 |
$2.39 |
$2.39 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$8,923.66 |
$8,923.66 |
$8,923.66 |
$6,152.59
|
|
Filter vena cava fem denali
|
$5,278.73 |
$5,278.73 |
$5,278.73 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$787.34 |
$787.34 |
$787.34 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$566.78 |
$566.78 |
$566.78 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$306.93 |
$306.93 |
$306.93 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$590.51 |
$590.51 |
$590.51 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$503.76 |
$503.76 |
$503.76 |
$547.53
|
|
Fix g/colon tube w/device
|
$745.72 |
$745.72 |
$745.72 |
$1,236.90
|
|
Flebogamma injection
|
$2,658.82 |
$2,658.82 |
$2,658.82 |
$2,827.01
|
|
Flecainide (tambocor)-sendout
|
$9.81 |
$9.81 |
$9.81 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$222.12 |
$222.12 |
$222.12 |
$546.86
|
|
Flow cytometry marker each additional
|
$44.62 |
$44.62 |
$44.62 |
$103.00
|
|
Flow cytometry one marker technical component
|
$46.68 |
$46.68 |
$46.68 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$198.39 |
$198.39 |
$198.39 |
$86.42
|
|
Fluorescent antibody titer dna
|
$55.83 |
$55.83 |
$55.83 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$900.15 |
$900.15 |
$900.15 |
$507.00
|
|
Fluoroguide needle placement
|
$1,161.17 |
$1,161.17 |
$1,161.17 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$947.61 |
$947.61 |
$947.61 |
$494.52
|
|
Fna bx w/ct gdn 1st les
|
$787.34 |
$787.34 |
$787.34 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$590.51 |
$590.51 |
$590.51 |
$775.14
|
|
Folic acid
|
$320.93 |
$320.93 |
$320.93 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$119.43 |
$119.43 |
$119.43 |
$55.66
|
|
Follow-up angiography
|
$1,478.98 |
$1,478.98 |
$1,478.98 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,233.37 |
$3,233.37 |
$3,233.37 |
$2,860.43
|
|
Fondaparinux sodium
|
$244.69 |
$244.69 |
$244.69 |
$176.81
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$625.13 |
$625.13 |
$625.13 |
$470.29
|
|
Foscarnet sodium injection
|
$883.03 |
$883.03 |
$883.03 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$896.26 |
$896.26 |
$896.26 |
$107.31
|
|
_fragile x methylation-sendout
|
$31.15 |
$31.15 |
$31.15 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$47.46 |
$47.46 |
$47.46 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$141.99 |
$141.99 |
$141.99 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$129.54 |
$129.54 |
$129.54 |
$123.90
|
|
Frozen blood thaw
|
$96.48 |
$96.48 |
$96.48 |
$189.84
|
|
Fructosamine glycated protein
|
$3.67 |
$3.67 |
$3.67 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$43.96 |
$43.96 |
$43.96 |
$27.69
|
|
Ga-67 gallium 0.1 mci
|
$73.53 |
$73.53 |
$73.53 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$1,427.63 |
$1,427.63 |
$1,427.63 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$1,093.87 |
$1,093.87 |
$1,093.87 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1,878.49 |
$1,878.49 |
$1,878.49 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$255.19 |
$255.19 |
$255.19 |
$210.50
|
|
Gallium illuccix 1 millicure
|
$1,334.66 |
$1,334.66 |
$1,334.66 |
$1,395.27
|
|
Gammaglobulin iga
|
$8.01 |
$8.01 |
$8.01 |
$75.30
|
|
Gammaglobulin ige
|
$5.79 |
$5.79 |
$5.79 |
$85.00
|
|
Gamma glutamyltransferase
|
$88.70 |
$88.70 |
$88.70 |
$55.28
|
|
Gamunex-c/gammaked
|
$3,609.92 |
$3,609.92 |
$3,609.92 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$222.12 |
$222.12 |
$222.12 |
$209.07
|
|
Gastroesophageal reflux study
|
$1,803.02 |
$1,803.02 |
$1,803.02 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,943.45 |
$1,943.45 |
$1,943.45 |
$1,129.63
|
|
Gated heart multiple
|
$1,974.57 |
$1,974.57 |
$1,974.57 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$280.08 |
$280.08 |
$280.08 |
$252.84
|
|
General health panel
|
$196.45 |
$196.45 |
$196.45 |
$280.50
|
|
Generator barostim neo2 2014
|
$81,907.84 |
$81,907.84 |
$81,907.84 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$50,859.81 |
$50,859.81 |
$50,859.81 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$55,945.98 |
$55,945.98 |
$55,945.98 |
$40,028.69
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$27.23 |
$27.23 |
$27.23 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$167.27 |
$167.27 |
$167.27 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$883.03 |
$883.03 |
$883.03 |
$1,352.03
|
|
Ghs abscess postoperative iandd complex
|
$2,987.52 |
$2,987.52 |
$2,987.52 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$5.84 |
$5.84 |
$5.84 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$6.92 |
$6.92 |
$6.92 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$6.34 |
$6.34 |
$6.34 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$236.52 |
$236.52 |
$236.52 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$29.96 |
$29.96 |
$29.96 |
$55.90
|
|
Ghs change cysto/gastrost
|
$378.89 |
$378.89 |
$378.89 |
$699.60
|
|
Ghs chemo >8 hrs
|
$698.65 |
$698.65 |
$698.65 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$450.86 |
$450.86 |
$450.86 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$263.36 |
$263.36 |
$263.36 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$29.18 |
$29.18 |
$29.18 |
$134.55
|
|
Ghs cricothyroidotomy
|
$292.53 |
$292.53 |
$292.53 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,161.95 |
$1,161.95 |
$1,161.95 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$741.05 |
$741.05 |
$741.05 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$431.41 |
$431.41 |
$431.41 |
$586.80
|
|
Ghs fish cytogen
|
$85.00 |
$85.00 |
$85.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$179.63 |
$179.63 |
$179.63 |
$229.45
|
|
Ghs hcv amplificaiton
|
$15.10 |
$15.10 |
$15.10 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$6.66 |
$6.66 |
$6.66 |
$106.05
|
|
Ghs histoplasma antigen
|
$3.93 |
$3.93 |
$3.93 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,524.50 |
$1,524.50 |
$1,524.50 |
$3,034.00
|
|
Ghs inf midline insertion
|
$1,354.89 |
$1,354.89 |
$1,354.89 |
$1,234.20
|
|
Ghs inj neurolytic other perph nerve
|
$1,493.38 |
$1,493.38 |
$1,493.38 |
$1,972.69
|
|
Ghs intro needle/intracath vein - 36000
|
$75.08 |
$75.08 |
$75.08 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$53.30 |
$53.30 |
$53.30 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$467.97 |
$467.97 |
$467.97 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$368.00 |
$368.00 |
$368.00 |
$617.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$3.70 |
$3.70 |
$3.70 |
$59.40
|
|
Ghs mbp
|
$9.15 |
$9.15 |
$9.15 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$365.66 |
$365.66 |
$365.66 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$252.47 |
$252.47 |
$252.47 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$301.87 |
$301.87 |
$301.87 |
$145.60
|
