|
Fibrin degrade semiquant
|
$241.69 |
$241.69 |
$241.69 |
$92.00
|
|
Fibrinogen activity
|
$241.88 |
$241.88 |
$241.88 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$63.94 |
$63.94 |
$63.94 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$268.33 |
$268.33 |
$268.33 |
$56.00
|
|
Fibrinolytic plasminogen
|
$273.55 |
$273.55 |
$273.55 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$243.59 |
$243.59 |
$243.59 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,188.74 |
$2,188.74 |
$2,188.74 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$926.54 |
$926.54 |
$926.54 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$4,850.48 |
$4,850.48 |
$4,850.48 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,640.45 |
$1,640.45 |
$1,640.45 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$1,367.03 |
$1,367.03 |
$1,367.03 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,640.45 |
$1,640.45 |
$1,640.45 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$2,983.50 |
$2,983.50 |
$2,983.50 |
$547.53
|
|
Fitting of diaphragm/cap 57170
|
$519.18 |
$519.18 |
$519.18 |
$222.86
|
|
Fixation of knee joint
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,245.88 |
$1,245.88 |
$1,245.88 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$1,991.72 |
$1,991.72 |
$1,991.72 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$664.34 |
$664.34 |
$664.34 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$405.18 |
$405.18 |
$405.18 |
$208.80
|
|
Flow cytometry marker each additional
|
$194.90 |
$194.90 |
$194.90 |
$103.00
|
|
Flow cytometry one marker technical component
|
$3,275.82 |
$3,275.82 |
$3,275.82 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$3,090.47 |
$3,090.47 |
$3,090.47 |
$194.04
|
|
Flt3 gene
|
$750.75 |
$750.75 |
$750.75 |
$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 |
$208.38 |
$86.42
|
|
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
|
|
Fluoroscopy up to 1 hour
|
$1,705.74 |
$1,705.74 |
$1,705.74 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,539.22 |
$2,539.22 |
$2,539.22 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$215.63 |
$215.63 |
$215.63 |
$142.87
|
|
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 |
$235.50 |
$235.50 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$68.16 |
$68.16 |
$68.16 |
$55.66
|
|
Follow-up angiography
|
$5,065.33 |
$5,065.33 |
$5,065.33 |
$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 |
$130.61 |
$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
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$541.88 |
$541.88 |
$541.88 |
$107.31
|
|
Fracture assessment via dxa
|
$177.91 |
$177.91 |
$177.91 |
$146.80
|
|
_fragile x methylation-sendout
|
$419.56 |
$419.56 |
$419.56 |
$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
|
$1,948.08 |
$1,948.08 |
$1,948.08 |
$123.90
|
|
Fructosamine glycated protein
|
$31.73 |
$31.73 |
$31.73 |
$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
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$241.36 |
$241.36 |
$241.36 |
$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
|
$696.85 |
$696.85 |
$696.85 |
$210.50
|
|
Galactose transferase test
|
$19.42 |
$19.42 |
$19.42 |
$22.40
|
|
Galectin-3
|
$117.52 |
$117.52 |
$117.52 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$6,904.15
|
|
Gammaglobulin iga
|
$131.52 |
$131.52 |
$131.52 |
$75.30
|
|
Gammaglobulin ige
|
$263.81 |
$263.81 |
$263.81 |
$85.00
|
|
Gamma glutamyltransferase
|
$115.30 |
$115.30 |
$115.30 |
$55.28
|
|
Gamunex-c/gammaked
|
$11,361.73 |
$11,361.73 |
$11,361.73 |
$7,372.04
|
|
Gated heart multiple
|
$5,284.98 |
$5,284.98 |
$5,284.98 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$904.11 |
$904.11 |
$904.11 |
$252.84
|
|
General health panel
|
$410.65 |
$410.65 |
$410.65 |
$280.50
|
|
Genetic tstg severe inh cond
|
$3,368.94 |
$3,368.94 |
$3,368.94 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$360.25 |
$360.25 |
$360.25 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$498.95 |
$498.95 |
$498.95 |
$119.00
|
|
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 |
$115.64 |
$115.64 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$281.71 |
$281.71 |
$281.71 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$382.20 |
$382.20 |
$382.20 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$795.89 |
$795.89 |
$795.89 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$332.25 |
$332.25 |
$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 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 |
$923.21 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$1,943.46 |
$1,943.46 |
$1,943.46 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$972.91 |
$972.91 |
$972.91 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$749.52 |
$749.52 |
$749.52 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,241.93 |
$1,241.93 |
$1,241.93 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,617.33 |
$1,617.33 |
$1,617.33 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,520.36 |
$1,520.36 |
$1,520.36 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
$2,621.64
|
