|
#fecal-sodium
|
$35.05 |
$35.05 |
$35.05 |
$37.50
|
|
Fem/popl revasc w/stent
|
$28,529.08 |
$28,529.08 |
$28,529.08 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$207.47 |
$207.47 |
$207.47 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$474.77 |
$474.77 |
$474.77 |
$2,027.60
|
|
Ferritin
|
$234.81 |
$234.81 |
$234.81 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,216.95 |
$3,216.95 |
$3,216.95 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$527.88 |
$527.88 |
$527.88 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$604.24 |
$604.24 |
$604.24 |
$540.54
|
|
Fetal fibronectin
|
$882.43 |
$882.43 |
$882.43 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$205.81 |
$205.81 |
$205.81 |
$88.80
|
|
Fetal hemoglobin rosette
|
$81.43 |
$81.43 |
$81.43 |
$76.70
|
|
Fetal non stress test
|
$594.64 |
$594.64 |
$594.64 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$188.44 |
$188.44 |
$188.44 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$532.10 |
$532.10 |
$532.10 |
$112.80
|
|
Fibrin degradation products
|
$36.75 |
$36.75 |
$36.75 |
$62.40
|
|
Fibrinogen activity
|
$427.77 |
$427.77 |
$427.77 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$230.95 |
$230.95 |
$230.95 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$121.56 |
$121.56 |
$121.56 |
$56.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$4,095.37 |
$4,095.37 |
$4,095.37 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,719.81 |
$1,719.81 |
$1,719.81 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,435.19 |
$2,435.19 |
$2,435.19 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,327.83 |
$1,327.83 |
$1,327.83 |
$806.40
|
|
Fl exam g/colon tube w contrast
|
$3,648.70 |
$3,648.70 |
$3,648.70 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$303.88 |
$303.88 |
$303.88 |
$208.80
|
|
Flow cytometry marker each additional
|
$59.62 |
$59.62 |
$59.62 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,033.01 |
$1,033.01 |
$1,033.01 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$203.24 |
$203.24 |
$203.24 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$152.22 |
$152.22 |
$152.22 |
$86.42
|
|
Fluidotherapy charges pt
|
$234.59 |
$234.59 |
$234.59 |
$95.00
|
|
Fluorescent antibody titer dna
|
$239.45 |
$239.45 |
$239.45 |
$123.65
|
|
Fluoroguide needle placement
|
$587.31 |
$587.31 |
$587.31 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1,763.81 |
$1,763.81 |
$1,763.81 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$104.71 |
$104.71 |
$104.71 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$3,855.42 |
$3,855.42 |
$3,855.42 |
$1,588.65
|
|
Folic acid
|
$209.52 |
$209.52 |
$209.52 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$37.04 |
$37.04 |
$37.04 |
$55.66
|
|
Follow-up angiography
|
$1,586.24 |
$1,586.24 |
$1,586.24 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,926.05 |
$2,926.05 |
$2,926.05 |
$2,860.43
|
|
Fondaparinux sodium
|
$145.71 |
$145.71 |
$145.71 |
$176.81
|
|
Foot X-ray
|
$1,143.04 |
$1,143.04 |
$1,143.04 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$943.82 |
$943.82 |
$943.82 |
$595.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$254.98 |
$254.98 |
$254.98 |
$107.31
|
|
Fragmenting of kidney stone
|
$53,276.32 |
$53,276.32 |
$53,276.32 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$133.46 |
$133.46 |
$133.46 |
$168.75
|
|
Fructosamine glycated protein
|
$19.55 |
$19.55 |
$19.55 |
$60.42
|
|
Ftl cgen abnor four anal
|
$466.45 |
$466.45 |
$466.45 |
$211.83
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$124.82 |
$124.82 |
$124.82 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$87.55 |
$87.55 |
$87.55 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$144.98 |
$144.98 |
$144.98 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$206.75 |
$206.75 |
$206.75 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$264.52 |
$264.52 |
$264.52 |
$210.50
|
|
Gammaglobulin iga
|
$32.85 |
$32.85 |
$32.85 |
$75.30
|
|
Gammaglobulin ige
|
$16.99 |
$16.99 |
$16.99 |
$85.00
|
|
Gamma glutamyltransferase
|
$233.92 |
$233.92 |
$233.92 |
$55.28
|
|
Gamunex-c/gammaked
|
$32,750.74 |
$32,750.74 |
$32,750.74 |
$7,372.04
|
|
Gated heart multiple
|
$3,737.91 |
$3,737.91 |
$3,737.91 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$685.62 |
$685.62 |
$685.62 |
$252.84
|
|
General health panel
|
$955.01 |
$955.01 |
$955.01 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$127.07 |
$127.07 |
$127.07 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$286.47 |
$286.47 |
$286.47 |
$119.00
|
|
Ghs abscess perianal iandd
|
$2,814.69 |
$2,814.69 |
$2,814.69 |
$1,530.50
|
|
Ghs antibodies (torch) igm
|
$49.98 |
$49.98 |
$49.98 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$932.30 |
$932.30 |
$932.30 |
$344.48
|
|
Ghs central line insert < age 5, failed
|
$10,153.40 |
$10,153.40 |
$10,153.40 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$600.41 |
$600.41 |
$600.41 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$262.51 |
$262.51 |
$262.51 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$872.38 |
$872.38 |
$872.38 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$939.50 |
$939.50 |
$939.50 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$731.04 |
$731.04 |
$731.04 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$4,940.21 |
$4,940.21 |
$4,940.21 |
$2,621.64
|
|
Ghs clsd red med malleolus fx without manip
|
$731.04 |
$731.04 |
$731.04 |
$581.60
|
|
Ghs cl tx knee disl; wo anesth
|
$1,006.64 |
$1,006.64 |
$1,006.64 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$872.38 |
$872.38 |
$872.38 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$131.28 |
$131.28 |
$131.28 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$751.24 |
$751.24 |
$751.24 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$593.21 |
$593.21 |
$593.21 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$962.62 |
$962.62 |
$962.62 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$593.21 |
$593.21 |
$593.21 |
$368.16
|
|
Ghs cricothyroidotomy
|
$520.46 |
$520.46 |
$520.46 |
$1,207.80
|
|
Ghs dislocation elbow closed treatment
|
$939.50 |
$939.50 |
$939.50 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$608.21 |
$608.21 |
$608.21 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,529.12 |
$1,529.12 |
$1,529.12 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,130.43 |
$1,130.43 |
$1,130.43 |
$586.80
|
|
Ghs excision ingrown nail
|
$676.48 |
$676.48 |
$676.48 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$593.21 |
$593.21 |
$593.21 |
$536.77
|
|
Ghs fb removal - incisional
|
$7,317.35 |
$7,317.35 |
$7,317.35 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$4,990.49 |
$4,990.49 |
$4,990.49 |
$1,794.93
|
|
Ghs fish cytogen
|
$85.03 |
$85.03 |
$85.03 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$364.74 |
$364.74 |
$364.74 |
$229.45
|
|
Ghs histoplasma antigen
|
$180.45 |
$180.45 |
$180.45 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$3,677.98 |
$3,677.98 |
$3,677.98 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$2,207.15 |
$2,207.15 |
$2,207.15 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$700.81 |
$700.81 |
$700.81 |
$543.60
|
|
Ghs inf midline insertion
|
$1,320.69 |
$1,320.69 |
$1,320.69 |
$1,234.20
|
|
Ghs inhibitor screen
|
$940.81 |
$940.81 |
$940.81 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$243.13 |
$243.13 |
$243.13 |
$300.30
|
|
Ghs insertion of needle - bone
|
$461.58 |
$461.58 |
$461.58 |
$461.58
|
