|
Fatty acids nonesterified
|
$159.00 |
$159.00 |
$159.00 |
$57.60
|
|
#fecal-sodium
|
$29.38 |
$29.38 |
$95.00 |
$37.50
|
|
Feeding tube reposition
|
$918.00 |
$918.00 |
$918.00 |
$441.86
|
|
Felbamate (felbatol(r)) - sendout
|
$13.71 |
$13.71 |
$107.00 |
$66.43
|
|
Fem/popl revasc w/stent
|
$63,244.00 |
$63,244.00 |
$63,244.00 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$295.27 |
$295.27 |
$295.27 |
$120.15
|
|
Fern test
|
$398.35 |
$398.35 |
$398.35 |
$17.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$706.46 |
$706.46 |
$706.46 |
$2,027.60
|
|
Ferritin
|
$486.00 |
$486.00 |
$486.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,607.31 |
$2,607.31 |
$2,607.31 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$2,183.00 |
$2,183.00 |
$4,243.36 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$947.55 |
$947.55 |
$1,154.00 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$2,380.00 |
$2,380.00 |
$2,380.00 |
$540.54
|
|
Fetal fibronectin
|
$1,029.00 |
$3,367.32 |
$3,441.95 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.26 |
$33.40 |
$903.00 |
$88.80
|
|
Fetal hemoglobin rosette
|
$138.52 |
$138.52 |
$149.00 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$56.25 |
$56.25 |
$224.00 |
$64.28
|
|
Fetal non stress test
|
$976.00 |
$1,055.81 |
$2,061.10 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$289.00 |
$289.00 |
$289.00 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$440.20 |
$440.20 |
$622.00 |
$112.80
|
|
Fibrin degradation products
|
$437.00 |
$437.00 |
$437.00 |
$62.40
|
|
Fibrin degrade semiquant
|
$172.00 |
$945.71 |
$966.35 |
$92.00
|
|
Fibrinogen activity
|
$448.00 |
$448.00 |
$1,565.25 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$252.00 |
$252.00 |
$252.00 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$59.40 |
$59.40 |
$709.00 |
$56.00
|
|
Fibrinolytic plasminogen
|
$29.70 |
$29.70 |
$760.00 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$19.40 |
$19.40 |
$801.00 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$5,358.00 |
$5,358.00 |
$5,358.00 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,238.22 |
$2,238.22 |
$2,238.22 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,126.00 |
$1,126.00 |
$1,126.00 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,495.00 |
$2,495.00 |
$2,495.00 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$1,433.00 |
$1,433.00 |
$1,433.00 |
$547.53
|
|
Fitting of diaphragm/cap 57170
|
$642.00 |
$642.00 |
$642.00 |
$222.86
|
|
Fixation of knee joint
|
$10,356.00 |
$10,356.00 |
$10,356.00 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$3,666.00 |
$3,666.00 |
$3,666.00 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$14.60 |
$18.74 |
$121.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$2,996.00 |
$2,996.00 |
$2,996.00 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$194.00 |
$194.00 |
$194.00 |
$208.80
|
|
Flow cytometry marker each additional
|
$166.14 |
$166.14 |
$4,463.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$154.00 |
$154.00 |
$154.00 |
$194.04
|
|
Flt3 gene
|
$327.00 |
$327.00 |
$327.00 |
$352.95
|
|
Flt3 gene analysis
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$132.48 |
$132.48 |
$132.48 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$716.25 |
$716.25 |
$716.25 |
$601.96
|
|
Fluidotherapy charges pt
|
$198.00 |
$198.00 |
$198.00 |
$95.00
|
|
Fluid pressure muscle 20950
|
$4,732.00 |
$4,732.00 |
$4,732.00 |
$779.45
|
|
Fluorescent antibody titer dna
|
$3,472.00 |
$3,472.00 |
$3,472.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,078.00 |
$4,537.73 |
$5,155.35 |
$507.00
|
|
Fluoroguide needle placement
|
$1,606.00 |
$1,606.00 |
$4,537.73 |
$536.26
|
|
Fluoro polarize fetal lung
|
$77.94 |
$77.94 |
$78.20 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$1,097.00 |
$1,097.00 |
$1,097.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$22.00 |
$23.75 |
$3,291.58 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$19.00 |
$20.50 |
$153.99 |
$142.87
|
|
Fmri brain by phys/psych
|
$8,906.00 |
$8,906.00 |
$8,906.00 |
$1,112.67
|
|
Fmri brain by tech
|
$8,906.00 |
$8,906.00 |
$8,906.00 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$2,494.00 |
$2,494.00 |
$2,494.00 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$2,495.00 |
$2,495.00 |
$2,495.00 |
$775.14
|
|
Folic acid
|
$5.79 |
$5.79 |
$450.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$36.83 |
$36.83 |
$141.15 |
$55.66
|
|
Follow-up angiography
|
$1,184.00 |
$1,271.46 |
$5,622.95 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,800.95 |
$3,822.35 |
$4,481.00 |
$2,860.43
|
|
Fondaparinux sodium
|
$222.24 |
$222.24 |
$222.24 |
$176.81
|
|
Foot X-ray
|
$743.00 |
$743.00 |
$743.00 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,005.00 |
$1,005.00 |
$1,005.00 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$158.00 |
$158.00 |
$1,340.50 |
$470.29
|
|
Foscarnet sodium injection
|
$3,789.50 |
$3,789.50 |
$3,789.50 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$368.36 |
$368.36 |
$368.36 |
$107.31
|
|
Fracture assessment via dxa
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$146.80
|
|
_fragile x methylation-sendout
|
$53.33 |
$53.33 |
$1,784.00 |
$174.00
|
|
Fragmenting of kidney stone
|
$22,747.00 |
$22,747.00 |
$22,747.00 |
$9,827.25
|
|
Frenulotomy of penis
|
$6,759.00 |
$6,759.00 |
$6,759.00 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$4,230.00 |
$4,230.00 |
$4,230.00 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$747.00 |
$747.00 |
$747.00 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$72.32 |
$73.55 |
$749.00 |
$123.90
|
|
Fructosamine glycated protein
|
$5.35 |
$5.35 |
$105.00 |
$60.42
|
|
Ftl cgen abnor four anal
|
$456.00 |
$456.00 |
$456.00 |
$211.83
|
|
Full mouth x-ray of teeth
|
$399.00 |
$399.00 |
$399.00 |
$267.78
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$5,499.00 |
$5,499.00 |
$5,499.00 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$8,886.00 |
$8,886.00 |
$8,886.00 |
$2,501.10
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$186.58 |
$186.58 |
$186.58 |
$26.40
|
|
Fusion of ankle joint open
|
$27,129.00 |
$27,129.00 |
$27,129.00 |
$8,827.37
|
|
Fusion of big toe joint
|
$17,370.00 |
$17,370.00 |
$17,370.00 |
$5,855.00
|
|
Fusion of big toe joint
|
$11,418.00 |
$11,418.00 |
$11,418.00 |
$5,419.00
|
|
Fusion of finger joint
|
$15,452.00 |
$15,452.00 |
$15,452.00 |
$3,986.00
|
|
Fusion of foot bones
|
$15,459.00 |
$15,459.00 |
$15,459.00 |
$5,419.00
|
|
Fusion of knuckle
|
$16,085.00 |
$16,085.00 |
$16,085.00 |
$5,886.74
|
|
Fusion of toes
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,821.05
|
|
G6pc gene
|
$76.00 |
$76.00 |
$1,168.00 |
$104.65
|
|
G6pd gene alys cmn variant
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$4,036.91 |
$4,036.91 |
$4,320.40 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$275.80 |
$275.80 |
$466.96 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$154.00 |
$154.00 |
$429.81 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$583.74 |
$583.74 |
$583.74 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$678.52 |
$733.30 |
$746.00 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$131.10 |
$131.10 |
$516.00 |
$82.50
|
|
Galectin-3
|
$424.00 |
$424.00 |
$424.00 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$19,100.00 |
$19,100.00 |
$19,100.00 |
$6,904.15
|
