|
Fibrinolysins/coagulopathy screen interpretation/report
|
$1,628.90 |
$1,628.90 |
$1,628.90 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$81.25 |
$81.25 |
$81.25 |
$72.80
|
|
Fibrinolytic plasminogen
|
$258.05 |
$258.05 |
$258.05 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$74.75 |
$74.75 |
$74.75 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,516.88 |
$1,516.88 |
$1,516.88 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,090.33 |
$1,090.33 |
$1,090.33 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,212.98 |
$2,212.98 |
$2,212.98 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$17,410.90 |
$17,410.90 |
$17,410.90 |
$7,358.16
|
|
Filter vena cava fem denali
|
$7,743.45 |
$7,743.45 |
$7,743.45 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$616.20 |
$616.20 |
$616.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$606.45 |
$606.45 |
$606.45 |
$504.45
|
|
Finger X-ray (both hands)
|
$423.15 |
$423.15 |
$423.15 |
$241.50
|
|
Fix g/colon tube w/device
|
$1,165.45 |
$1,165.45 |
$1,165.45 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$540.80 |
$540.80 |
$540.80 |
$540.80
|
|
Floor of mouth biopsy 41108
|
$4,570.80 |
$4,570.80 |
$4,570.80 |
$2,168.40
|
|
Flotufolastat f18 diag 1 mci
|
$1,743.95 |
$1,743.95 |
$1,743.95 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$196.30 |
$196.30 |
$196.30 |
$200.00
|
|
Flow cytometry marker each additional
|
$243.10 |
$243.10 |
$243.10 |
$97.50
|
|
Flow cytometry one marker technical component
|
$1,365.65 |
$1,365.65 |
$1,365.65 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$227.50 |
$227.50 |
$227.50 |
$172.50
|
|
Flt3 gene
|
$256.10 |
$256.10 |
$256.10 |
$366.29
|
|
Flt3 gene analysis
|
$256.10 |
$256.10 |
$256.10 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$31.57 |
$31.57 |
$31.57 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,059.22 |
$1,059.22 |
$1,059.22 |
$493.35
|
|
Fluidotherapy charges pt
|
$241.80 |
$241.80 |
$241.80 |
$101.40
|
|
Fluorescent antibody titer dna
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,981.20 |
$1,981.20 |
$1,981.20 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$444.60 |
$444.60 |
$444.60 |
$495.00
|
|
Fluoroguide needle placement
|
$2,371.20 |
$2,371.20 |
$2,371.20 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$783.25 |
$783.25 |
$783.25 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$9.75 |
$9.75 |
$9.75 |
$107.00
|
|
Fmri brain by phys/psych
|
$2,809.30 |
$2,809.30 |
$2,809.30 |
$1,639.00
|
|
Fmri brain by tech
|
$2,783.95 |
$2,783.95 |
$2,783.95 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,306.50 |
$1,306.50 |
$1,306.50 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$616.20 |
$616.20 |
$616.20 |
$834.90
|
|
Folic acid
|
$128.70 |
$128.70 |
$128.70 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$15.63 |
$15.63 |
$15.63 |
$45.00
|
|
Follow-up angiography
|
$1,979.90 |
$1,979.90 |
$1,979.90 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,997.94 |
$3,997.94 |
$3,997.94 |
$2,511.73
|
|
Fondaparinux sodium
|
$1,133.11 |
$1,133.11 |
$1,133.11 |
$186.20
|
|
Fo nontorsion joint cf
|
$851.50 |
$851.50 |
$851.50 |
$217.50
|
|
Foot arch support remov prem
|
$213.85 |
$213.85 |
$213.85 |
$141.41
|
|
Foot X-ray
|
$538.20 |
$538.20 |
$538.20 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$389.35 |
$389.35 |
$389.35 |
$290.40
|
|
Forearm X-ray (both sides)
|
$502.45 |
$502.45 |
$502.45 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$745.55 |
$745.55 |
$745.55 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,043.00 |
$1,043.00 |
$1,043.00 |
$490.67
|
|
Foscarnet sodium injection
|
$9.75 |
$9.75 |
$9.75 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$164.50 |
$164.50 |
$164.50 |
$103.62
|
|
Fracture assessment via dxa
|
$182.00 |
$182.00 |
$182.00 |
$175.50
|
|
_fragile x methylation-sendout
|
$534.95 |
$534.95 |
$534.95 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$232.70 |
$232.70 |
$232.70 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$215.80 |
$215.80 |
$215.80 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$237.90 |
$237.90 |
$237.90 |
$131.25
|
|
Frozen blood freeze/thaw
|
$276.25 |
$276.25 |
$276.25 |
$179.01
|
|
Frozen blood thaw
|
$276.25 |
$276.25 |
$276.25 |
$212.30
|
|
Fructosamine glycated protein
|
$46.80 |
$46.80 |
$46.80 |
$63.50
|
|
Ftl cgen abnor four anal
|
$86.45 |
$86.45 |
$86.45 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$388.05 |
$388.05 |
$388.05 |
$355.00
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$4,986.15 |
$4,986.15 |
$4,986.15 |
$2,499.37
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,532.45 |
$4,532.45 |
$4,532.45 |
$2,798.50
|
|
Furosemide 10 mg/ml injection solution
|
$10.76 |
$10.76 |
$10.76 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$79.95 |
$79.95 |
$79.95 |
$200.88
|
|
Fxn gene full gene sequence
|
$161.85 |
$161.85 |
$161.85 |
$379.27
|
|
G6pd gene alys cmn variant
|
$299.65 |
$299.65 |
$299.65 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$161.85 |
$161.85 |
$161.85 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$215.15 |
$215.15 |
$215.15 |
$140.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$21.04 |
$21.04 |
$21.04 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$228.57 |
$228.57 |
$228.57 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$66.30 |
$66.30 |
$66.30 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$143.00 |
$143.00 |
$143.00 |
$100.00
|
|
Galactose transferase test
|
$26.65 |
$26.65 |
$26.65 |
$31.35
|
|
Galectin-3
|
$170.30 |
$170.30 |
$170.30 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,813.50 |
$1,813.50 |
$1,813.50 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,813.50 |
$1,813.50 |
$1,813.50 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$2,750.80 |
$2,750.80 |
$2,750.80 |
$1,696.55
|
|
Gallium locametz 1 millicuri
|
$2,414.75 |
$2,414.75 |
$2,414.75 |
$1,853.80
|
|
Gammaglobulin iga
|
$195.00 |
$195.00 |
$195.00 |
$69.60
|
|
Gammaglobulin ige
|
$184.60 |
$184.60 |
$184.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$102.70 |
$102.70 |
$102.70 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$411.97 |
$411.97 |
$411.97 |
$197.40
|
|
Gardner vag dna quant
|
$108.55 |
$108.55 |
$108.55 |
$104.80
|
|
Gba gene
|
$640.90 |
$640.90 |
$640.90 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$2,329.78 |
$2,329.78 |
$2,329.78 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$30,127.70 |
$30,127.70 |
$30,127.70 |
$19,305.62
|
|
General health panel
|
$270.40 |
$270.40 |
$270.40 |
$262.44
|
|
Generator barostim neo2 2014
|
$125,796.45 |
$125,796.45 |
$125,796.45 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$68,769.35 |
$68,769.35 |
$68,769.35 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$7,215.65 |
$7,215.65 |
$7,215.65 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$89,980.80 |
$89,980.80 |
$89,980.80 |
$38,632.78
|
|
Gentamicin peak therapeutic drug level
|
$321.10 |
$321.10 |
$321.10 |
$123.84
|
|
Ghs abscess perianal iandd
|
$2,180.10 |
$2,180.10 |
$2,180.10 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$5,544.50 |
$5,544.50 |
$5,544.50 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$30.55 |
$30.55 |
$30.55 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$57.20 |
$57.20 |
$57.20 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$1,718.60 |
$1,718.60 |
$1,718.60 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$33.80 |
$33.80 |
$33.80 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$178.75 |
$178.75 |
$178.75 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,752.40 |
$1,752.40 |
$1,752.40 |
$1,059.85
|
