|
Fetal non stress test
|
$354.33 |
$354.33 |
$354.33 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$159.59 |
$159.59 |
$159.59 |
$112.80
|
|
Fibrin degradation products
|
$117.18 |
$117.18 |
$117.18 |
$62.40
|
|
Fibrinogen activity
|
$136.16 |
$136.16 |
$136.16 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$9.86 |
$9.86 |
$9.86 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$5.09 |
$5.09 |
$5.09 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$453.10 |
$453.10 |
$453.10 |
$1,231.20
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$712.57 |
$712.57 |
$712.57 |
$1,004.98
|
|
Filter spider fx 3mmx320cm
|
$7,168.35 |
$7,168.35 |
$7,168.35 |
$6,878.20
|
|
Filter vena cava fem denali
|
$2,507.66 |
$2,507.66 |
$2,507.66 |
$3,519.51
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$611.57 |
$611.57 |
$611.57 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$458.68 |
$458.68 |
$458.68 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$458.68 |
$458.68 |
$458.68 |
$806.40
|
|
Flebogamma injection
|
$542.38 |
$542.38 |
$542.38 |
$276.05
|
|
Flecainide (tambocor)-sendout
|
$7.04 |
$7.04 |
$7.04 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$201.44 |
$201.44 |
$201.44 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$695.27 |
$695.27 |
$695.27 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$74.78 |
$74.78 |
$74.78 |
$103.00
|
|
Flow cytometry one marker technical component
|
$162.94 |
$162.94 |
$162.94 |
$270.75
|
|
Floxuridine injection
|
$160.43 |
$160.43 |
$160.43 |
$4,125.55
|
|
Flt3 gene
|
$149.27 |
$149.27 |
$149.27 |
$352.95
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$164.89 |
$164.89 |
$164.89 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$122.21 |
$122.21 |
$122.21 |
$601.96
|
|
Fluorescent antibody titer dna
|
$230.74 |
$230.74 |
$230.74 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,984.81 |
$1,984.81 |
$1,984.81 |
$507.00
|
|
Fluoroguide needle placement
|
$770.88 |
$770.88 |
$770.88 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$333.97 |
$333.97 |
$333.97 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$17.58 |
$17.58 |
$17.58 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$174.38 |
$174.38 |
$174.38 |
$79.52
|
|
Fna bx w/ct gdn 1st les
|
$611.57 |
$611.57 |
$611.57 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$458.68 |
$458.68 |
$458.68 |
$775.14
|
|
Folic acid
|
$119.42 |
$119.42 |
$119.42 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$82.87 |
$82.87 |
$82.87 |
$56.70
|
|
Follow-up angiography
|
$2,708.26 |
$2,708.26 |
$2,708.26 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,255.50 |
$1,255.50 |
$1,255.50 |
$2,581.14
|
|
Fondaparinux sodium
|
$146.48 |
$146.48 |
$146.48 |
$176.54
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$432.73 |
$432.73 |
$432.73 |
$425.16
|
|
Foscarnet sodium injection
|
$465.38 |
$465.38 |
$465.38 |
$1,101.86
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$87.89 |
$87.89 |
$87.89 |
$86.40
|
|
_fragile x methylation-sendout
|
$104.35 |
$104.35 |
$104.35 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$65.57 |
$65.57 |
$65.57 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$65.57 |
$65.57 |
$65.57 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$86.77 |
$86.77 |
$86.77 |
$123.90
|
|
Frozen blood thaw
|
$83.98 |
$83.98 |
$83.98 |
$189.84
|
|
Fructosamine glycated protein
|
$2.63 |
$2.63 |
$2.63 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$15.07 |
$15.07 |
$15.07 |
$27.48
|
|
Ga-67 gallium 0.1 mci
|
$22.88 |
$22.88 |
$22.88 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$136.16 |
$136.16 |
$136.16 |
$138.37
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$176.61 |
$176.61 |
$176.61 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$30.15 |
$30.15 |
$30.15 |
$82.50
|
|
Galectin-3
|
$28.18 |
$28.18 |
$28.18 |
$110.65
|
|
Gamma globulin 1 cc inj
|
$240.50 |
$240.50 |
$240.50 |
$158.67
|
|
Gammaglobulin iga
|
$73.94 |
$73.94 |
$73.94 |
$75.30
|
|
Gammaglobulin ige
|
$71.71 |
$71.71 |
$71.71 |
$85.00
|
|
Gamma glutamyltransferase
|
$79.52 |
$79.52 |
$79.52 |
$55.28
|
|
Gamunex-c/gammaked
|
$1,488.75 |
$1,488.75 |
$1,488.75 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$109.65 |
$109.65 |
$109.65 |
$197.40
|
|
Gastroesophageal reflux study
|
$805.76 |
$805.76 |
$805.76 |
$957.25
|
|
Gastroesophageal reflux test
|
$734.89 |
$734.89 |
$734.89 |
$1,129.63
|
|
Gated heart multiple
|
$1,911.71 |
$1,911.71 |
$1,911.71 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$64.17 |
$64.17 |
$64.17 |
$269.06
|
|
General health panel
|
$662.35 |
$662.35 |
$662.35 |
$280.50
|
|
Generator barostim neo2 2014
|
$40,855.37 |
$40,855.37 |
$40,855.37 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$33,765.14 |
$33,765.14 |
$33,765.14 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$15.07 |
$15.07 |
$15.07 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$169.64 |
$169.64 |
$169.64 |
$119.00
|
|
Ghs acetylcholinesterase, rbc
|
$4.19 |
$4.19 |
$4.19 |
$42.21
|
|
Ghs alpha thalasemia, 7 deletions
|
$217.62 |
$217.62 |
$217.62 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$4.55 |
$4.55 |
$4.55 |
$73.70
|
|
Ghs change cysto/gastrost
|
$485.19 |
$485.19 |
$485.19 |
$699.60
|
|
Ghs chemo >8 hrs
|
$446.40 |
$446.40 |
$446.40 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$413.76 |
$413.76 |
$413.76 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$228.23 |
$228.23 |
$228.23 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$20.93 |
$20.93 |
$20.93 |
$134.55
|
|
Ghs cutdown placement age 1 and over
|
$309.14 |
$309.14 |
$309.14 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$70.31 |
$70.31 |
$70.31 |
$152.54
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$686.62 |
$686.62 |
$686.62 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$210.93 |
$210.93 |
$210.93 |
$586.80
|
|
Ghs fish cytogen
|
$34.88 |
$34.88 |
$34.88 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$34.88 |
$34.88 |
$34.88 |
$229.45
|
|
Ghs flow volume loop
|
$124.16 |
$124.16 |
$124.16 |
$309.12
|
|
Ghs histoplasma antigen
|
$9.77 |
$9.77 |
$9.77 |
$137.80
|
|
Ghs HIV antibody
|
$119.42 |
$119.42 |
$119.42 |
$91.00
|
|
Ghs immun0electrophoresis
|
$183.03 |
$183.03 |
$183.03 |
$110.00
|
|
Ghs inf midline insertion
|
$182.75 |
$182.75 |
$182.75 |
$1,234.20
|
|
Ghs inhibitor screen
|
$42.97 |
$42.97 |
$42.97 |
$143.32
|
|
Ghs intro needle/intracath vein - 36000
|
$179.68 |
$179.68 |
$179.68 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$369.68 |
$369.68 |
$369.68 |
$657.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$77.85 |
$77.85 |
$77.85 |
$59.40
|
|
Ghs mbp
|
$6.56 |
$6.56 |
$6.56 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$136.16 |
$136.16 |
$136.16 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$136.16 |
$136.16 |
$136.16 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$136.16 |
$136.16 |
$136.16 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$126.11 |
$126.11 |
$126.11 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$126.11 |
$126.11 |
$126.11 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$337.87 |
$337.87 |
$337.87 |
$503.85
|
|
Ghs nerve block sciatic nerve
|
$712.85 |
$712.85 |
$712.85 |
$1,636.80
|
|
Ghs o2 saturation
|
$113.56 |
$113.56 |
$113.56 |
$72.45
|
|
Ghs opcc repair cvp w subq port
|
$889.46 |
$889.46 |
$889.46 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$198.93 |
$198.93 |
$198.93 |
$868.68
|
