|
Factor ix
|
$17.94 |
$17.94 |
$17.94 |
$131.30
|
|
Factor ix alprolix recomb
|
$8.18 |
$8.18 |
$8.18 |
$3.59
|
|
Factor ix recombinant nos
|
$2.18 |
$2.18 |
$2.18 |
$3.04
|
|
Factor viii
|
$10.90 |
$10.90 |
$10.90 |
$144.30
|
|
Factor viii pegylated recomb
|
$5.45 |
$5.45 |
$5.45 |
$2.10
|
|
Factor viii recombinant nos
|
$3.82 |
$3.82 |
$3.82 |
$4.68
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$35.43 |
$35.43 |
$35.43 |
$27.81
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,706.15 |
$5,706.15 |
$5,706.15 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$7.63 |
$7.63 |
$7.63 |
$34.56
|
|
#fecal-sodium
|
$6.41 |
$6.41 |
$6.41 |
$37.50
|
|
Fem/popl revasc w/stent
|
$17,885.27 |
$17,885.27 |
$17,885.27 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$275.77 |
$275.77 |
$275.77 |
$120.15
|
|
Fern test
|
$70.85 |
$70.85 |
$70.85 |
$17.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,367.48 |
$2,367.48 |
$2,367.48 |
$2,027.60
|
|
Ferritin
|
$104.64 |
$104.64 |
$104.64 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,653.06 |
$2,653.06 |
$2,653.06 |
$1,776.61
|
|
Fetal contract stress test 59020 - 26
|
$463.80 |
$463.80 |
$463.80 |
$540.54
|
|
Fetal fibronectin
|
$620.21 |
$620.21 |
$620.21 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$191.30 |
$191.30 |
$191.30 |
$88.80
|
|
Fetal hemoglobin rosette
|
$51.23 |
$51.23 |
$51.23 |
$76.70
|
|
Fetal non stress test
|
$288.31 |
$288.31 |
$288.31 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$212.55 |
$212.55 |
$212.55 |
$112.80
|
|
Fibrin degradation products
|
$180.40 |
$180.40 |
$180.40 |
$62.40
|
|
Fibrinogen activity
|
$204.38 |
$204.38 |
$204.38 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$4.58 |
$4.58 |
$4.58 |
$56.00
|
|
Fibrinolytic plasminogen
|
$10.21 |
$10.21 |
$10.21 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$3.34 |
$3.34 |
$3.34 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$802.24 |
$802.24 |
$802.24 |
$460.87
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,004.98 |
$1,004.98 |
$1,004.98 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$6,152.59
|
|
Filter vena cava fem denali
|
$5,332.28 |
$5,332.28 |
$5,332.28 |
$3,467.25
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$716.68 |
$716.68 |
$716.68 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$766.27 |
$766.27 |
$766.27 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$13.74 |
$13.74 |
$13.74 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,330.35 |
$1,330.35 |
$1,330.35 |
$546.86
|
|
Flotufolastat f18 diag 1 mci
|
$856.74 |
$856.74 |
$856.74 |
$926.28
|
|
Flow cytometry marker each additional
|
$62.51 |
$62.51 |
$62.51 |
$103.00
|
|
Flow cytometry one marker technical component
|
$65.40 |
$65.40 |
$65.40 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$243.62 |
$243.62 |
$243.62 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$1,081.28 |
$1,081.28 |
$1,081.28 |
$601.96
|
|
Fluorescent antibody titer dna
|
$78.21 |
$78.21 |
$78.21 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,231.70 |
$1,231.70 |
$1,231.70 |
$507.00
|
|
Fluoroguide needle placement
|
$1,415.91 |
$1,415.91 |
$1,415.91 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,296.01 |
$1,296.01 |
$1,296.01 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$144.43 |
$144.43 |
$144.43 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$343.35 |
$343.35 |
$343.35 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$1,235.52 |
$1,235.52 |
$1,235.52 |
$1,588.65
|
|
Folic acid
|
$104.10 |
$104.10 |
$104.10 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$146.61 |
$146.61 |
$146.61 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,963.79 |
$3,963.79 |
$3,963.79 |
$2,860.43
|
|
Fondaparinux sodium
|
$299.75 |
$299.75 |
$299.75 |
$176.81
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$831.67 |
$831.67 |
$831.67 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$1,098.72 |
$1,098.72 |
$1,098.72 |
$107.31
|
|
Fracture assessment via dxa
|
$73.03 |
$73.03 |
$73.03 |
$146.80
|
|
_fragile x methylation-sendout
|
$43.64 |
$43.64 |
$43.64 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$81.21 |
$81.21 |
$81.21 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$118.27 |
$118.27 |
$118.27 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$180.40 |
$180.40 |
$180.40 |
$123.90
|
|
Frozen blood thaw
|
$168.95 |
$168.95 |
$168.95 |
$189.84
|
|
Fructosamine glycated protein
|
$5.14 |
$5.14 |
$5.14 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$53.96 |
$53.96 |
$53.96 |
$27.69
|
|
Ga-67 gallium 0.1 mci
|
$116.09 |
$116.09 |
$116.09 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$2,000.15 |
$2,000.15 |
$2,000.15 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$1,341.25 |
$1,341.25 |
$1,341.25 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2,303.17 |
$2,303.17 |
$2,303.17 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$312.83 |
$312.83 |
$312.83 |
$210.50
|
|
Gammaglobulin iga
|
$11.22 |
$11.22 |
$11.22 |
$75.30
|
|
Gammaglobulin ige
|
$8.11 |
$8.11 |
$8.11 |
$85.00
|
|
Gamma glutamyltransferase
|
$79.57 |
$79.57 |
$79.57 |
$55.28
|
|
Gamunex-c/gammaked
|
$4,425.40 |
$4,425.40 |
$4,425.40 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$272.50 |
$272.50 |
$272.50 |
$209.07
|
|
Gemcitabine 1 gram intravenous solution
|
$1,759.26 |
$1,759.26 |
$1,759.26 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$18,268.95 |
$18,268.95 |
$18,268.95 |
$23,897.53
|
|
General health panel
|
$1,523.82 |
$1,523.82 |
$1,523.82 |
$280.50
|
|
Generator barostim neo2 2014
|
$65,546.06 |
$65,546.06 |
$65,546.06 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$49,246.20 |
$49,246.20 |
$49,246.20 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$35.43 |
$35.43 |
$35.43 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$190.75 |
$190.75 |
$190.75 |
$119.00
|
|
Ghs abscess postoperative iandd complex
|
$3,949.62 |
$3,949.62 |
$3,949.62 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$8.17 |
$8.17 |
$8.17 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$9.69 |
$9.69 |
$9.69 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$8.88 |
$8.88 |
$8.88 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$273.05 |
$273.05 |
$273.05 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$126.99 |
$126.99 |
$126.99 |
$55.90
|
|
Ghs change cysto/gastrost
|
$423.47 |
$423.47 |
$423.47 |
$699.60
|
|
Ghs chemo >8 hrs
|
$506.31 |
$506.31 |
$506.31 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$379.87 |
$379.87 |
$379.87 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$40.88 |
$40.88 |
$40.88 |
$134.55
|
|
Ghs cricothyroidotomy
|
$409.84 |
$409.84 |
$409.84 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,627.92 |
$1,627.92 |
$1,627.92 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$995.72 |
$995.72 |
$995.72 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$514.48 |
$514.48 |
$514.48 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$594.05 |
$594.05 |
$594.05 |
$470.51
|
|
Ghs excision ingrown nail
|
$924.32 |
$924.32 |
$924.32 |
$457.60
|
|
Ghs fish cytogen
|
$119.09 |
$119.09 |
$119.09 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$251.66 |
$251.66 |
$251.66 |
$229.45
|
|
Ghs hcv amplificaiton
|
$21.15 |
$21.15 |
$21.15 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$9.34 |
$9.34 |
$9.34 |
$106.05
|
|
Ghs histoplasma antigen
|
$5.51 |
$5.51 |
$5.51 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$2,135.86 |
$2,135.86 |
$2,135.86 |
$3,034.00
|
