|
#flow interp 9 - 15 markers
|
$3,090.47 |
$3,090.47 |
$3,090.47 |
$194.04
|
|
Floxuridine injection
|
$582.24 |
$582.24 |
$582.24 |
$774.69
|
|
Flt3 gene
|
$750.75 |
$750.75 |
$1,346.00 |
$352.95
|
|
Flt3 gene analysis
|
$438.52 |
$438.52 |
$438.52 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$208.38 |
$208.38 |
$1,095.57 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$1,926.97 |
$5,280.25 |
$6,065.00 |
$601.96
|
|
Fluidotherapy charges pt
|
$357.89 |
$357.89 |
$357.89 |
$95.00
|
|
Fluid pressure muscle 20950
|
$2,478.00 |
$2,478.00 |
$2,478.00 |
$779.45
|
|
Fluorescent antibody titer dna
|
$192.73 |
$192.73 |
$192.73 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,599.89 |
$1,599.89 |
$1,599.89 |
$507.00
|
|
Fluoroguide needle placement
|
$1,935.50 |
$1,935.50 |
$1,935.50 |
$536.26
|
|
Fluoro polarize fetal lung
|
$1,308.50 |
$1,308.50 |
$1,993.00 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$1,705.74 |
$1,705.74 |
$1,705.74 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$644.00 |
$683.00 |
$2,539.22 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$27.00 |
$215.63 |
$703.75 |
$142.87
|
|
Flutemetamol f18 diagnostic
|
$9,741.75 |
$9,741.75 |
$9,741.75 |
$2,892.40
|
|
Fmri brain by phys/psych
|
$7,962.70 |
$7,962.70 |
$7,962.70 |
$1,112.67
|
|
Fmri brain by tech
|
$6,456.42 |
$6,456.42 |
$6,456.42 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$5,857.19 |
$5,857.19 |
$5,857.19 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,640.45 |
$1,640.45 |
$1,640.45 |
$775.14
|
|
Folic acid
|
$235.50 |
$301.26 |
$1,375.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$68.16 |
$68.16 |
$488.00 |
$55.66
|
|
Follow-up angiography
|
$5,065.33 |
$5,065.33 |
$9,834.00 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,567.45 |
$1,567.45 |
$1,567.45 |
$2,860.43
|
|
Fondaparinux sodium
|
$436.72 |
$436.72 |
$436.72 |
$176.81
|
|
Foot drp splt w/exp heel lg
|
$130.61 |
$130.61 |
$1,876.00 |
$120.31
|
|
Foot X-ray
|
$1,119.14 |
$1,119.14 |
$1,119.14 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$626.26 |
$626.26 |
$626.26 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,642.00 |
$1,642.00 |
$2,570.00 |
$470.29
|
|
Foscarnet sodium injection
|
$607.26 |
$607.26 |
$2,248.00 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$541.88 |
$541.88 |
$541.88 |
$107.31
|
|
Fractionation ketosteroids
|
$2,107.25 |
$2,107.25 |
$2,107.25 |
$72.00
|
|
Fracture assessment via dxa
|
$177.91 |
$710.50 |
$1,005.00 |
$146.80
|
|
_fragile x methylation-sendout
|
$419.56 |
$419.56 |
$2,251.00 |
$174.00
|
|
Fragmenting of kidney stone
|
$31,898.40 |
$31,898.40 |
$31,898.40 |
$9,827.25
|
|
Frenulotomy of penis
|
$5,406.23 |
$5,406.23 |
$5,406.23 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$720.35 |
$720.35 |
$720.35 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$720.35 |
$720.35 |
$720.35 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$26.87 |
$178.00 |
$1,948.08 |
$123.90
|
|
Frozen cell preparation
|
$2,192.50 |
$2,192.50 |
$2,192.50 |
$16.68
|
|
Fructosamine glycated protein
|
$31.73 |
$31.73 |
$337.00 |
$60.42
|
|
Ftl cgen abnor four anal
|
$239.21 |
$239.21 |
$239.21 |
$211.83
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$5,030.19 |
$5,030.19 |
$5,030.19 |
$2,501.10
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$370.01 |
$370.01 |
$370.01 |
$26.40
|
|
Fusion of ankle joint open
|
$38,029.94 |
$38,029.94 |
$38,029.94 |
$8,827.37
|
|
Fusion of finger joint
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,986.00
|
|
Fusion of knuckle
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$5,886.74
|
|
Fusion of toes
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,821.05
|
|
G6pc gene
|
$87.74 |
$87.74 |
$87.74 |
$104.65
|
|
G6pd gene alys cmn variant
|
$438.52 |
$438.52 |
$438.52 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$771.01 |
$771.01 |
$771.01 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$153.27 |
$153.27 |
$398.50 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4.00 |
$241.36 |
$557.81 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$389.17 |
$389.17 |
$389.17 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$548.16 |
$548.16 |
$548.16 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$458.85 |
$696.85 |
$874.50 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$82.50
|
|
Galactokinase - sendout
|
$1,890.00 |
$1,890.00 |
$4,694.00 |
$175.00
|
|
Galactose transferase test
|
$19.42 |
$210.00 |
$325.00 |
$22.40
|
|
Galectin-3
|
$117.52 |
$117.52 |
$1,917.25 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$6,904.15
|
|
Gallium ga-68 psma-11, ucla
|
$2,813.25 |
$2,813.25 |
$2,813.25 |
$372.17
|
|
Gallium illuccix 1 millicure
|
$3,247.20 |
$3,247.20 |
$3,247.20 |
$1,395.27
|
|
Gammaglobulin iga
|
$131.52 |
$131.52 |
$131.52 |
$75.30
|
|
Gammaglobulin ige
|
$33.25 |
$223.73 |
$1,129.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$115.30 |
$146.15 |
$277.00 |
$55.28
|
|
Gammaplex injection
|
$3,050.00 |
$3,050.00 |
$3,050.00 |
$57.93
|
|
Gamunex-c/gammaked
|
$11,361.73 |
$11,361.73 |
$11,361.73 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$423.78 |
$423.78 |
$423.78 |
$209.07
|
|
Gastric emptying imag study
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$1,270.50
|
|
Gastric emptying imag study
|
$10,734.42 |
$10,734.42 |
$10,734.42 |
$1,664.33
|
|
Gastric motility studies
|
$2,047.25 |
$2,047.25 |
$2,047.25 |
$627.89
|
|
Gastrin test
|
$327.00 |
$327.00 |
$327.00 |
$44.80
|
|
Gastroesophageal reflux study
|
$9,555.00 |
$9,555.00 |
$9,555.00 |
$957.25
|
|
Gastroesophageal reflux test
|
$2,266.50 |
$2,266.50 |
$4,553.00 |
$1,129.63
|
|
Gated heart multiple
|
$5,284.98 |
$5,284.98 |
$5,284.98 |
$1,370.99
|
|
Gba gene
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$904.11 |
$2,034.00 |
$2,691.00 |
$252.84
|
|
General health panel
|
$410.65 |
$410.65 |
$4,840.00 |
$280.50
|
|
Genetic tstg severe inh cond
|
$3,368.94 |
$3,368.94 |
$3,368.94 |
$4,156.20
|
|
Genome sequence analysis
|
$9,321.75 |
$9,321.75 |
$9,321.75 |
$5,534.32
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$161.94 |
$161.94 |
$360.25 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$498.95 |
$498.95 |
$498.95 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$3,958.00 |
$3,958.00 |
$3,958.00 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$12,205.65 |
$12,205.65 |
$12,205.65 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$1,262.85 |
$1,262.85 |
$1,262.85 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$115.64 |
$1,119.00 |
$1,424.00 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$231.43 |
$281.71 |
$1,326.75 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$382.20 |
$3,014.00 |
$3,727.50 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$795.89 |
$795.89 |
$795.89 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$149.15 |
$230.00 |
$332.25 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$1,402.98 |
$1,402.98 |
$1,402.98 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$1,951.55 |
$1,951.55 |
$1,951.55 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$271.18 |
$792.50 |
$1,002.00 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,188.92 |
$1,188.92 |
$1,188.92 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$3,185.45 |
$3,185.45 |
$3,185.45 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$4,096.00 |
$4,096.00 |
$4,096.00 |
$699.60
|
|
Ghs chemo >8 hrs
|
$923.21 |
$923.21 |
$2,376.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$918.00 |
$918.00 |
$1,943.46 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$335.48 |
$598.50 |
$3,342.00 |
$134.55
|
