|
Factor viii recomb novoeight
|
$11.70 |
$11.70 |
$11.70 |
$7.21
|
|
Fallopian tube recnl
|
$4,084.60 |
$4,084.60 |
$4,084.60 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$3.25 |
$3.25 |
$3.25 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$116.35 |
$116.35 |
$116.35 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$32.50 |
$32.50 |
$32.50 |
$36.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$282.75 |
$282.75 |
$282.75 |
$14,956.68
|
|
#fecal-sodium
|
$116.35 |
$116.35 |
$116.35 |
$37.53
|
|
Feeding tube reposition
|
$1,426.10 |
$1,426.10 |
$1,426.10 |
$520.00
|
|
Fees w/laryngeal sense test
|
$506.35 |
$506.35 |
$506.35 |
$471.00
|
|
Femoral endovas graft add-on 34813
|
$13,832.00 |
$13,832.00 |
$13,832.00 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$56,202.90 |
$56,202.90 |
$56,202.90 |
$16,129.60
|
|
Feno poc
|
$114.40 |
$114.40 |
$114.40 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$251.55 |
$251.55 |
$251.55 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$11.70 |
$11.70 |
$11.70 |
$2,590.25
|
|
Ferritin
|
$339.95 |
$339.95 |
$339.95 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$10.40 |
$10.40 |
$10.40 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$1,025.05 |
$1,025.05 |
$1,025.05 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$878.80 |
$878.80 |
$878.80 |
$477.50
|
|
Fetal fibronectin
|
$904.80 |
$904.80 |
$904.80 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$442.65 |
$442.65 |
$442.65 |
$102.00
|
|
Fetal hemoglobin rosette
|
$245.05 |
$245.05 |
$245.05 |
$67.20
|
|
Fetal non stress test
|
$666.90 |
$666.90 |
$666.90 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$184.60 |
$184.60 |
$184.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$414.70 |
$414.70 |
$414.70 |
$120.64
|
|
Fibrin degradation products
|
$215.15 |
$215.15 |
$215.15 |
$75.02
|
|
Fibrinogen activity
|
$331.50 |
$331.50 |
$331.50 |
$87.00
|
|
Fibrinolytic plasminogen
|
$209.95 |
$209.95 |
$209.95 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$124.80 |
$124.80 |
$124.80 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$5.20 |
$5.20 |
$5.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$188.50 |
$188.50 |
$188.50 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.60 |
$2.60 |
$2.60 |
$891.02
|
|
Filleted finger/toe flap
|
$5,560.75 |
$5,560.75 |
$5,560.75 |
$2,431.38
|
|
Filter spider fx 3mmx320cm
|
$48,296.95 |
$48,296.95 |
$48,296.95 |
$7,358.16
|
|
Filter vena cava fem denali
|
$10,387.00 |
$10,387.00 |
$10,387.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$624.65 |
$624.65 |
$624.65 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$339.30 |
$339.30 |
$339.30 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$694.20 |
$694.20 |
$694.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$683.80 |
$683.80 |
$683.80 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$7,287.80 |
$7,287.80 |
$7,287.80 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$472.55 |
$472.55 |
$472.55 |
$241.50
|
|
Fix g/colon tube w/device
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$1,183.00
|
|
Flebogamma injection
|
$451.10 |
$451.10 |
$451.10 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$31.20 |
$31.20 |
$31.20 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$609.05 |
$609.05 |
$609.05 |
$540.80
|
|
Flotufolastat f18 diag 1 mci
|
$1,270.75 |
$1,270.75 |
$1,270.75 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$396.50 |
$396.50 |
$396.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$396.50 |
$396.50 |
$396.50 |
$285.00
|
|
Flt3 gene
|
$493.35 |
$493.35 |
$493.35 |
$366.29
|
|
Flt3 gene analysis
|
$432.25 |
$432.25 |
$432.25 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$161.20 |
$161.20 |
$161.20 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$493.35
|
|
Fluidotherapy charges pt
|
$269.10 |
$269.10 |
$269.10 |
$101.40
|
|
Fluorescent antibody titer dna
|
$326.30 |
$326.30 |
$326.30 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$495.95 |
$495.95 |
$495.95 |
$495.00
|
|
Fluoroguide needle placement
|
$2,644.85 |
$2,644.85 |
$2,644.85 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$873.60 |
$873.60 |
$873.60 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$38.35 |
$38.35 |
$38.35 |
$107.00
|
|
Flurpiridaz f18, diag, 1 mci
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,033.50
|
|
Flutemetamol f18 diagnostic
|
$4,774.90 |
$4,774.90 |
$4,774.90 |
$5,265.00
|
|
Fmri brain by phys/psych
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$1,639.00
|
|
Fmri brain by tech
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$624.65 |
$624.65 |
$624.65 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$1,051.70 |
$1,051.70 |
$1,051.70 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$631.15 |
$631.15 |
$631.15 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$208.65 |
$208.65 |
$208.65 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$39.00 |
$39.00 |
$39.00 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$167.05 |
$167.05 |
$167.05 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$85.15 |
$85.15 |
$85.15 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$208.65 |
$208.65 |
$208.65 |
$21.74
|
|
Folic acid
|
$163.15 |
$163.15 |
$163.15 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$3.25 |
$3.25 |
$3.25 |
$45.00
|
|
Follow-up angiography
|
$2,208.05 |
$2,208.05 |
$2,208.05 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$83.20 |
$83.20 |
$83.20 |
$2,511.73
|
|
Fondaparinux sodium
|
$486.20 |
$486.20 |
$486.20 |
$186.20
|
|
Foot X-ray
|
$600.60 |
$600.60 |
$600.60 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$434.85 |
$434.85 |
$434.85 |
$290.40
|
|
Forearm X-ray (both sides)
|
$560.30 |
$560.30 |
$560.30 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$5.20 |
$5.20 |
$5.20 |
$490.67
|
|
Foscarnet sodium injection
|
$559.65 |
$559.65 |
$559.65 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$785.85 |
$785.85 |
$785.85 |
$103.62
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$0.01 |
$0.01 |
$0.01 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$42.90 |
$42.90 |
$42.90 |
$131.25
|
|
Frozen blood freeze/thaw
|
$250.25 |
$250.25 |
$250.25 |
$179.01
|
|
Fructosamine glycated protein
|
$125.45 |
$125.45 |
$125.45 |
$63.50
|
|
Fth/gft fr n/e/e/l each addl
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$2,066.35 |
$2,066.35 |
$2,066.35 |
$1,368.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$433.55 |
$433.55 |
$433.55 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$5,120.05 |
$5,120.05 |
$5,120.05 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$5,630.95 |
$5,630.95 |
$5,630.95 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,527.20 |
$2,527.20 |
$2,527.20 |
$2,798.50
|
|
Functional brain mapping
|
$514.80 |
$514.80 |
$514.80 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$3.25 |
$3.25 |
$3.25 |
$19.53
|
|
Ga-67 gallium 0.1 mci
|
$204.75 |
$204.75 |
$204.75 |
$121.73
|
|
Gabapentin non-blood
|
$34.45 |
$34.45 |
$34.45 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.60 |
$2.60 |
$2.60 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$15.60 |
$15.60 |
$15.60 |
$120.00
|
