|
Fem/popl revasc w/stent
|
$21,373.26 |
$21,373.26 |
$23,093.66 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$205.36 |
$205.36 |
$224.90 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$468.44 |
$468.44 |
$515.20 |
$2,027.60
|
|
Ferritin
|
$373.37 |
$373.37 |
$373.37 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$217.97 |
$2,571.00 |
$3,410.87 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,791.80 |
$1,791.80 |
$1,791.80 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$11,715.94 |
$11,715.94 |
$11,715.94 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$1,775.98 |
$2,089.82 |
$2,089.82 |
$540.54
|
|
Fetal fibronectin
|
$727.43 |
$727.43 |
$2,839.27 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$117.61 |
$117.61 |
$1,513.41 |
$88.80
|
|
Fetal hemoglobin rosette
|
$96.16 |
$96.16 |
$595.11 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$298.20 |
$298.20 |
$298.20 |
$64.28
|
|
Fetal non stress test
|
$730.46 |
$730.46 |
$1,725.16 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$121.52 |
$121.52 |
$121.52 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$477.15 |
$477.15 |
$1,425.99 |
$112.80
|
|
Fibrin degradation products
|
$87.69 |
$139.09 |
$139.09 |
$62.40
|
|
Fibrin degrade semiquant
|
$150.02 |
$150.02 |
$150.02 |
$92.00
|
|
Fibrinogen activity
|
$348.51 |
$348.51 |
$1,746.54 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$238.94 |
$238.94 |
$238.94 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$48.00 |
$119.01 |
$119.01 |
$56.00
|
|
Fibrinolytic plasminogen
|
$265.32 |
$265.32 |
$298.33 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$36.95 |
$36.95 |
$150.93 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$4,178.10 |
$4,178.10 |
$4,643.34 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,754.90 |
$1,754.90 |
$1,949.25 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$6,806.56 |
$6,806.56 |
$6,806.56 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,183.90 |
$1,183.90 |
$1,183.90 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$5,978.84 |
$5,978.84 |
$5,978.84 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$4,186.68 |
$4,186.68 |
$4,186.68 |
$547.53
|
|
Fitting of diaphragm/cap 57170
|
$2,089.82 |
$2,089.82 |
$2,089.82 |
$222.86
|
|
Fixation of knee joint
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$8,887.79 |
$8,887.79 |
$8,887.79 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$16.35 |
$287.71 |
$287.71 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$785.07 |
$785.07 |
$812.98 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$539.32 |
$539.32 |
$539.32 |
$208.80
|
|
Flow cytometry marker each additional
|
$25.87 |
$56.73 |
$56.73 |
$103.00
|
|
Flow cytometry one marker technical component
|
$149.50 |
$3,289.10 |
$3,289.10 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$194.04 |
$194.04 |
$194.04 |
$194.04
|
|
Flt3 gene
|
$2,554.65 |
$2,554.65 |
$2,554.65 |
$352.95
|
|
Flt3 gene analysis
|
$1,281.11 |
$1,281.11 |
$1,281.11 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$136.82 |
$136.82 |
$151.22 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$6,030.00 |
$6,030.00 |
$6,030.00 |
$601.96
|
|
Fluidotherapy charges pt
|
$294.06 |
$294.06 |
$470.05 |
$95.00
|
|
Fluocinolone acetonide implt
|
$79,219.68 |
$79,219.68 |
$79,219.68 |
$32,193.00
|
|
Fluorescent antibody titer dna
|
$186.00 |
$186.00 |
$665.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,587.20 |
$1,587.20 |
$1,587.20 |
$507.00
|
|
Fluoroguide needle placement
|
$1,698.36 |
$2,130.77 |
$2,592.00 |
$536.26
|
|
Fluoro polarize fetal lung
|
$163.50 |
$163.50 |
$163.50 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$1,525.57 |
$1,525.57 |
$1,525.57 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$133.25 |
$226.00 |
$2,213.54 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$105.96 |
$114.42 |
$1,061.46 |
$142.87
|
|
Fmri brain by phys/psych
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$1,112.67
|
|
Fmri brain by tech
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$8,219.25 |
$8,219.25 |
$8,219.25 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$2,060.66 |
$2,060.66 |
$2,060.66 |
$775.14
|
|
Folic acid
|
$6.05 |
$303.91 |
$303.91 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$37.99 |
$40.01 |
$229.67 |
$55.66
|
|
Follow-up angiography
|
$2,486.04 |
$8,023.82 |
$8,333.83 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,985.33 |
$3,317.23 |
$12,047.00 |
$2,860.43
|
|
Fondaparinux sodium
|
$145.79 |
$145.79 |
$158.94 |
$176.81
|
|
Foot X-ray
|
$1,139.24 |
$1,139.24 |
$1,139.24 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$103.48 |
$103.48 |
$236.25 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$115.22 |
$252.12 |
$276.50 |
$107.31
|
|
Fractionation ketosteroids
|
$49.00 |
$49.00 |
$49.00 |
$72.00
|
|
Fracture assessment via dxa
|
$986.70 |
$986.70 |
$986.70 |
$146.80
|
|
_fragile x methylation-sendout
|
$692.87 |
$692.87 |
$692.87 |
$174.00
|
|
Fragmenting of kidney stone
|
$38,036.00 |
$38,036.00 |
$38,036.00 |
$9,827.25
|
|
Frenulotomy of penis
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$880.94 |
$880.94 |
$880.94 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$1,023.56 |
$1,023.56 |
$1,023.56 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$184.83 |
$185.44 |
$498.15 |
$123.90
|
|
Fructosamine glycated protein
|
$85.96 |
$85.96 |
$85.96 |
$60.42
|
|
Ftl cgen abnor four anal
|
$2,369.27 |
$2,369.27 |
$2,369.27 |
$211.83
|
|
Full mouth x-ray of teeth
|
$1,047.21 |
$1,047.21 |
$1,047.21 |
$267.78
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$11,624.04 |
$11,624.04 |
$11,624.04 |
$2,501.10
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$125.03 |
$125.03 |
$136.07 |
$26.40
|
|
Fusion of ankle joint open
|
$81,144.13 |
$81,144.13 |
$81,144.13 |
$8,827.37
|
|
Fusion of big toe joint
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,855.00
|
|
Fusion of big toe joint
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,419.00
|
|
Fusion of finger joint
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,986.00
|
|
Fusion of foot bones
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$5,419.00
|
|
Fusion of knuckle
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$5,886.74
|
|
Fusion of toes
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,821.05
|
|
G6pc gene
|
$273.45 |
$273.45 |
$902.79 |
$104.65
|
|
G6pd gene alys cmn variant
|
$2,698.20 |
$2,698.20 |
$2,698.20 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$3,013.60 |
$3,013.60 |
$3,293.32 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.10 |
$87.55 |
$233.48 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$144.98 |
$386.61 |
$571.29 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$180.93 |
$206.75 |
$551.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$76.00 |
$264.52 |
$705.38 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$102.30 |
$325.22 |
$325.22 |
$82.50
|
|
Galactokinase - sendout
|
$190.56 |
$190.56 |
$190.56 |
$175.00
|
|
Galactose transferase test
|
$13.35 |
$13.35 |
$13.35 |
$22.40
|
|
Galectin-3
|
$683.00 |
$683.00 |
$683.00 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$59,775.03 |
$59,775.03 |
$59,775.03 |
$6,904.15
|
|
Gammaglobulin iga
|
$143.55 |
$143.55 |
$143.55 |
$75.30
|
|
Gammaglobulin ige
|
$81.71 |
$81.71 |
$81.71 |
$85.00
|
|
Gamma glutamyltransferase
|
$354.59 |
$354.59 |
$1,913.29 |
$55.28
|
|
Gamunex-c/gammaked
|
$5,216.07 |
$24,941.37 |
$28,685.95 |
$7,372.04
|
