|
Fern test
|
$65.67 |
$65.67 |
$76.74 |
$32.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,185.71 |
$1,185.71 |
$1,185.71 |
$1,812.62
|
|
Ferritin
|
$99.96 |
$99.96 |
$172.45 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,328.88 |
$1,328.88 |
$1,328.88 |
$1,367.56
|
|
Ferumoxytol, esrd use
|
$1,328.88 |
$1,328.88 |
$1,328.88 |
$56.05
|
|
Fetal biophys profile w/nst 76818
|
$1,147.49 |
$1,147.49 |
$1,147.49 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$182.28 |
$182.28 |
$354.02 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$234.62 |
$234.62 |
$234.62 |
$540.54
|
|
Fetal fibronectin
|
$520.97 |
$520.97 |
$967.28 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$216.98 |
$216.98 |
$218.15 |
$88.80
|
|
Fetal hemoglobin rosette
|
$50.28 |
$50.28 |
$86.80 |
$76.70
|
|
Fetal non stress test
|
$279.60 |
$279.60 |
$279.60 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$115.92 |
$115.92 |
$227.27 |
$112.80
|
|
Fibrin degradation products
|
$10.39 |
$10.39 |
$20.17 |
$62.40
|
|
Fibrin degrade semiquant
|
$59.98 |
$59.98 |
$115.92 |
$92.00
|
|
Fibrinogen activity
|
$175.87 |
$175.87 |
$250.20 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$20.00 |
$20.00 |
$20.00 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$10.39 |
$10.39 |
$20.17 |
$56.00
|
|
Fibrinolytic plasminogen
|
$21.47 |
$21.47 |
$41.69 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$5.36 |
$5.36 |
$10.41 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$401.90 |
$401.90 |
$401.90 |
$519.20
|
|
Filter spider fx 3mmx320cm
|
$4,176.86 |
$4,176.86 |
$4,176.86 |
$6,878.20
|
|
Filter vena cava fem denali
|
$1,461.18 |
$1,461.18 |
$1,461.18 |
$3,487.80
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,039.88 |
$1,039.88 |
$1,039.88 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$519.80 |
$519.80 |
$519.80 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$519.80 |
$519.80 |
$519.80 |
$806.40
|
|
Fix g/colon tube w/device
|
$909.64 |
$909.64 |
$909.64 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$7.42 |
$7.42 |
$14.40 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$509.21 |
$509.21 |
$509.21 |
$546.86
|
|
Flow cytometry marker each additional
|
$37.64 |
$37.64 |
$73.09 |
$103.00
|
|
Flow cytometry one marker technical component
|
$35.28 |
$35.28 |
$68.52 |
$270.75
|
|
Floxuridine injection
|
$143.48 |
$143.48 |
$143.48 |
$3,858.03
|
|
Flt3 gene
|
$60.20 |
$60.20 |
$60.20 |
$352.95
|
|
Flt3 gene analysis
|
$60.20 |
$60.20 |
$60.20 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$122.01 |
$122.01 |
$122.01 |
$73.89
|
|
Fluorescent antibody titer dna
|
$73.50 |
$73.50 |
$142.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$526.26 |
$526.26 |
$526.26 |
$507.00
|
|
Fluoroguide needle placement
|
$1,943.64 |
$1,943.64 |
$1,943.64 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$668.56 |
$668.56 |
$668.56 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$32.93 |
$32.93 |
$32.93 |
$128.69
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$171.99 |
$171.99 |
$313.48 |
$75.62
|
|
Fna bx w/ct gdn 1st les
|
$1,039.88 |
$1,039.88 |
$1,039.88 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,039.88 |
$1,039.88 |
$1,039.88 |
$775.14
|
|
Folic acid
|
$99.96 |
$99.96 |
$110.78 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$19.11 |
$19.11 |
$37.12 |
$56.70
|
|
Follow-up angiography
|
$2,193.54 |
$2,193.54 |
$2,193.54 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,985.68 |
$1,985.68 |
$1,985.68 |
$2,461.93
|
|
Fondaparinux sodium
|
$150.24 |
$150.24 |
$150.24 |
$174.74
|
|
Foot drp splt w/exp heel lg
|
$78.21 |
$78.21 |
$78.21 |
$156.16
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$383.97 |
$383.97 |
$383.97 |
$378.00
|
|
Foscarnet sodium injection
|
$542.14 |
$542.14 |
$542.14 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$550.37 |
$550.37 |
$550.37 |
$86.40
|
|
Fracture assessment via dxa
|
$327.81 |
$327.81 |
$327.81 |
$146.80
|
|
_fragile x methylation-sendout
|
$48.08 |
$48.08 |
$93.38 |
$174.00
|
|
Freeing of bowel adhesion 44005
|
$5,480.16 |
$5,480.16 |
$5,480.16 |
$2,684.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$92.61 |
$92.61 |
$419.12 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$203.75 |
$203.75 |
$419.12 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$75.86 |
$75.86 |
$147.32 |
$123.90
|
|
Fructosamine glycated protein
|
$2.77 |
$2.77 |
$5.38 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$27.05 |
$27.05 |
$49.11 |
$27.69
|
|
G6pd full gene sequence
|
$124.68 |
$124.68 |
$242.14 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$212.57 |
$212.57 |
$212.57 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$1,078.98 |
$1,078.98 |
$1,078.98 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$120.84 |
$120.84 |
$120.84 |
$138.37
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$156.71 |
$156.71 |
$156.71 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$52.59 |
$52.59 |
$102.14 |
$82.50
|
|
Galactose transferase test
|
$6.18 |
$6.18 |
$10.85 |
$22.40
|
|
Gammaglobulin iga
|
$10.88 |
$10.88 |
$20.56 |
$75.30
|
|
Gammaglobulin ige
|
$20.88 |
$20.88 |
$40.55 |
$85.00
|
|
Gamma glutamyltransferase
|
$166.74 |
$166.74 |
$175.52 |
$55.28
|
|
Gamunex-c/gammaked
|
$4,430.58 |
$4,430.58 |
$4,430.58 |
$6,346.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$68.80 |
$68.80 |
$68.80 |
$197.40
|
|
Gastroesophageal reflux study
|
$261.37 |
$261.37 |
$261.37 |
$957.25
|
|
Gastroesophageal reflux test
|
$743.82 |
$743.82 |
$743.82 |
$1,129.63
|
|
Gated heart multiple
|
$3,473.91 |
$3,473.91 |
$3,473.91 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$811.74 |
$811.74 |
$811.74 |
$257.28
|
|
Generator barostim neo2 2014
|
$33,767.08 |
$33,767.08 |
$33,767.08 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$20,014.35 |
$20,014.35 |
$20,014.35 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$19.11 |
$19.11 |
$19.11 |
$63.02
|
|
Gentamicin peak therapeutic drug level
|
$223.84 |
$223.84 |
$271.95 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$490.40 |
$490.40 |
$490.40 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$4.41 |
$4.41 |
$8.56 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$13.53 |
$13.53 |
$26.27 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$82.24 |
$82.24 |
$159.71 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$105.55 |
$105.55 |
$105.55 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$25.29 |
$25.29 |
$49.11 |
$73.70
|
|
Ghs bleeding time (ivy)
|
$129.07 |
$129.07 |
$249.53 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$565.37 |
$565.37 |
$565.37 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$1,819.86 |
$1,819.86 |
$1,819.86 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,446.78 |
$1,446.78 |
$1,446.78 |
$699.60
|
|
Ghs chemo >8 hrs
|
$545.08 |
$545.08 |
$545.08 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$144.06 |
$144.06 |
$144.06 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$22.05 |
$22.05 |
$42.83 |
$134.55
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,029.59 |
$1,029.59 |
$1,029.59 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$596.24 |
$596.24 |
$596.24 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$193.46 |
$193.46 |
$428.25 |
$586.80
|
|
Ghs febrile agglutinns(mayo)
|
$19.41 |
$19.41 |
$37.69 |
$48.57
|
|
Ghs fish cytogen
|
$50.64 |
$50.64 |
$98.34 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$38.62 |
$38.62 |
$75.00 |
$229.45
|
|
Ghs flow volume loop
|
$150.18 |
$150.18 |
$220.80 |
$309.12
|
