|
Fatty acids nonesterified
|
$2.61 |
$2.61 |
$2.61 |
$64.28
|
|
#fecal-sodium
|
$51.12 |
$51.12 |
$51.12 |
$37.77
|
|
Feeding tube reposition
|
$194.22 |
$194.22 |
$194.22 |
$519.40
|
|
Felbamate (felbatol(r)) - sendout
|
$2.73 |
$2.73 |
$2.73 |
$59.40
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1,118.50 |
$1,118.50 |
$1,118.50 |
$101.40
|
|
Ferritin
|
$102.96 |
$102.96 |
$102.96 |
$100.05
|
|
Fetal biophys profile w/nst 76818
|
$414.18 |
$414.18 |
$414.18 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$49.50 |
$49.50 |
$49.50 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$81.00 |
$81.00 |
$81.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$375.12 |
$375.12 |
$375.12 |
$475.50
|
|
Fetal cord puncture prenatal
|
$247.50 |
$247.50 |
$247.50 |
$648.90
|
|
Fetal fibronectin
|
$427.86 |
$427.86 |
$427.86 |
$380.32
|
|
Fetal hemoglobin (kleihauer betke)
|
$30.42 |
$30.42 |
$30.42 |
$105.00
|
|
Fetal hemoglobin rosette
|
$45.00 |
$45.00 |
$45.00 |
$67.20
|
|
Fetal non stress test
|
$237.42 |
$237.42 |
$237.42 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$3.87 |
$3.87 |
$3.87 |
$91.65
|
|
Fibrin degradation d dimer quantitative
|
$96.48 |
$96.48 |
$96.48 |
$119.40
|
|
Fibrin degradation products
|
$126.72 |
$126.72 |
$126.72 |
$73.67
|
|
Fibrin degrade semiquant
|
$78.12 |
$78.12 |
$78.12 |
$78.09
|
|
Fibrinogen activity
|
$92.88 |
$92.88 |
$92.88 |
$85.63
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.20 |
$7.20 |
$7.20 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$1.23 |
$1.23 |
$1.23 |
$72.80
|
|
Fibrinolytic plasminogen
|
$2.75 |
$2.75 |
$2.75 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1.05 |
$1.05 |
$1.05 |
$65.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$224.55 |
$224.55 |
$224.55 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$119.64 |
$119.64 |
$119.64 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$2,350.80 |
$2,350.80 |
$2,350.80 |
$7,188.75
|
|
Filter vena cava fem denali
|
$2,012.04 |
$2,012.04 |
$2,012.04 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$264.42 |
$264.42 |
$264.42 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$625.68 |
$625.68 |
$625.68 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$295.74 |
$295.74 |
$295.74 |
$497.00
|
|
Fixation of knee joint
|
$106.56 |
$106.56 |
$106.56 |
$1,963.35
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$460.80 |
$460.80 |
$460.80 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$3.36 |
$3.36 |
$3.36 |
$64.31
|
|
Fl exam g/colon tube w contrast
|
$177.48 |
$177.48 |
$177.48 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$37.62 |
$37.62 |
$37.62 |
$1,284.13
|
|
Flexor-plasty elbow
|
$77.76 |
$77.76 |
$77.76 |
$7,968.80
|
|
Flow cytometry marker each additional
|
$13.32 |
$13.32 |
$13.32 |
$97.50
|
|
Flow cytometry one marker technical component
|
$54.00 |
$54.00 |
$54.00 |
$276.60
|
|
Floxuridine injection
|
$110.10 |
$110.10 |
$110.10 |
$5,929.92
|
|
Flt3 gene
|
$23.83 |
$23.83 |
$23.83 |
$355.00
|
|
Flt3 gene analysis
|
$11.95 |
$11.95 |
$11.95 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$173.88 |
$173.88 |
$173.88 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$74.70 |
$74.70 |
$74.70 |
$493.35
|
|
Fluidotherapy charges pt
|
$54.72 |
$54.72 |
$54.72 |
$98.40
|
|
Fluorescent antibody titer dna
|
$47.88 |
$47.88 |
$47.88 |
$123.65
|
|
Fluoroestradiol f 18
|
$335.34 |
$335.34 |
$335.34 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$426.42 |
$426.42 |
$426.42 |
$495.95
|
|
Fluoroguide needle placement
|
$394.20 |
$394.20 |
$394.20 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$358.20 |
$358.20 |
$358.20 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$26.01 |
$26.01 |
$26.01 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$13.09 |
$13.09 |
$13.09 |
$72.52
|
|
Flutamide 125 mg
|
$5.82 |
$5.82 |
$5.82 |
$7.13
|
|
Flutemetamol f18 diagnostic
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$5,215.08
|
|
Fluvirin vacc, 3 yrs & >, im
|
$14.04 |
$14.04 |
$14.04 |
$17.16
|
|
Fmri brain by phys/psych
|
$375.48 |
$375.48 |
$375.48 |
$1,560.51
|
|
Fna bx w/ct gdn 1st les
|
$2,086.38 |
$2,086.38 |
$2,086.38 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$1,043.46 |
$1,043.46 |
$1,043.46 |
$834.90
|
|
Folic acid
|
$95.22 |
$95.22 |
$95.22 |
$98.99
|
|
Folic acid 5 mg/ml injection solution
|
$4.42 |
$4.42 |
$4.42 |
$50.70
|
|
Follow-up angiography
|
$900.72 |
$900.72 |
$900.72 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$274.77 |
$274.77 |
$274.77 |
$2,546.45
|
|
Fondaparinux sodium
|
$79.38 |
$79.38 |
$79.38 |
$186.87
|
|
Foot X-ray
|
$327.06 |
$327.06 |
$327.06 |
$352.08
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$552.95 |
$552.95 |
$552.95 |
$490.67
|
|
Foscarnet sodium injection
|
$792.96 |
$792.96 |
$792.96 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$15.57 |
$15.57 |
$15.57 |
$106.25
|
|
Freeing of bowel adhesion 44005
|
$597.96 |
$597.96 |
$597.96 |
$2,062.20
|
|
Free myo/skin flap microvasc
|
$202.68 |
$202.68 |
$202.68 |
$9,604.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$13.50 |
$13.50 |
$13.50 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$15.48 |
$15.48 |
$15.48 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$82.62 |
$82.62 |
$82.62 |
$131.25
|
|
Frozen blood freeze/thaw
|
$11.70 |
$11.70 |
$11.70 |
$179.01
|
|
Fructosamine glycated protein
|
$2.41 |
$2.41 |
$2.41 |
$60.75
|
|
Fth/gft fr n/e/e/l each addl
|
$73.80 |
$73.80 |
$73.80 |
$1,368.50
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,120.68 |
$1,120.68 |
$1,120.68 |
$3,026.40
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,617.66 |
$1,617.66 |
$1,617.66 |
$2,706.60
|
|
Furosemide 10 mg/ml injection solution
|
$9.96 |
$9.96 |
$9.96 |
$19.53
|
|
Fusion of ankle joint open
|
$670.14 |
$670.14 |
$670.14 |
$10,629.07
|
|
Fusion of knee
|
$977.22 |
$977.22 |
$977.22 |
$5,486.00
|
|
G0180 home health certification
|
$18.00 |
$18.00 |
$18.00 |
$116.00
|
|
G6pd full gene sequence
|
$162.00 |
$162.00 |
$162.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$31.47 |
$31.47 |
$31.47 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$29.16 |
$29.16 |
$29.16 |
$120.50
|
|
Ga-68 gallium 68 dotatate
|
$30.06 |
$30.06 |
$30.06 |
$136.00
|
|
Gabapentin non-blood
|
$2.88 |
$2.88 |
$2.88 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.91 |
$1.91 |
$1.91 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.88 |
$2.88 |
$2.88 |
$122.86
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.19 |
$0.19 |
$0.19 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$133.56 |
$133.56 |
$133.56 |
$249.80
|
|
Galactose transferase test
|
$2.87 |
$2.87 |
$2.87 |
$31.35
|
|
Galectin-3
|
$7.97 |
$7.97 |
$7.97 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$428.76 |
$428.76 |
$428.76 |
$12,906.50
|
|
Gallium illuccix 1 millicure
|
$627.66 |
$627.66 |
$627.66 |
$1,900.80
|
|
Gamma globulin 1 cc inj
|
$35.55 |
$35.55 |
$35.55 |
$381.00
|
|
Gammaglobulin iga
|
$63.36 |
$63.36 |
$63.36 |
$69.42
|
|
Gammaglobulin ige
|
$63.36 |
$63.36 |
$63.36 |
$82.80
|
|
Gamma glutamyltransferase
|
$64.98 |
$64.98 |
$64.98 |
$57.00
|
|
Gamunex-c/gammaked
|
$81.52 |
$81.52 |
$81.52 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$83.78 |
$83.78 |
$83.78 |
$197.40
|
