|
Fat/lipids feces qualitative
|
$120.26 |
$120.26 |
$120.26 |
$34.56
|
|
#fecal-sodium
|
$75.01 |
$75.01 |
$75.01 |
$37.50
|
|
Fem/popl revasc w/stent
|
$21,373.26 |
$21,373.26 |
$21,373.26 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$430.65 |
$430.65 |
$430.65 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,007.66 |
$1,007.66 |
$1,007.66 |
$2,027.60
|
|
Ferritin
|
$373.37 |
$373.37 |
$373.37 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,498.74 |
$2,498.74 |
$2,498.74 |
$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
|
$2,089.82 |
$2,089.82 |
$2,089.82 |
$540.54
|
|
Fetal fibronectin
|
$727.43 |
$727.43 |
$727.43 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$117.61 |
$117.61 |
$117.61 |
$88.80
|
|
Fetal hemoglobin rosette
|
$96.16 |
$96.16 |
$96.16 |
$76.70
|
|
Fetal non stress test
|
$730.46 |
$730.46 |
$730.46 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$121.52 |
$121.52 |
$121.52 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$477.15 |
$477.15 |
$477.15 |
$112.80
|
|
Fibrin degradation products
|
$139.09 |
$139.09 |
$139.09 |
$62.40
|
|
Fibrinogen activity
|
$348.51 |
$348.51 |
$348.51 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$238.94 |
$238.94 |
$238.94 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$119.01 |
$119.01 |
$119.01 |
$56.00
|
|
Fibrinolytic plasminogen
|
$265.32 |
$265.32 |
$265.32 |
$109.45
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$9,449.05 |
$9,449.05 |
$9,449.05 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3,956.67 |
$3,956.67 |
$3,956.67 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$5,978.84 |
$5,978.84 |
$5,978.84 |
$806.40
|
|
Fix g/colon tube w/device
|
$8,887.79 |
$8,887.79 |
$8,887.79 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$287.71 |
$287.71 |
$287.71 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$785.07 |
$785.07 |
$785.07 |
$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
|
$56.73 |
$56.73 |
$56.73 |
$103.00
|
|
Flow cytometry one marker technical component
|
$3,289.10 |
$3,289.10 |
$3,289.10 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$234.73 |
$234.73 |
$234.73 |
$86.42
|
|
Fluidotherapy charges pt
|
$294.06 |
$294.06 |
$294.06 |
$95.00
|
|
Fluorescent antibody titer dna
|
$186.00 |
$186.00 |
$186.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,587.20 |
$1,587.20 |
$1,587.20 |
$507.00
|
|
Fluoroguide needle placement
|
$2,130.77 |
$2,130.77 |
$2,130.77 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,525.57 |
$1,525.57 |
$1,525.57 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1,238.13 |
$1,238.13 |
$1,238.13 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$217.28 |
$217.28 |
$217.28 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$8,219.25 |
$8,219.25 |
$8,219.25 |
$1,588.65
|
|
Folic acid
|
$303.91 |
$303.91 |
$303.91 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$64.18 |
$64.18 |
$64.18 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,745.53 |
$6,745.53 |
$6,745.53 |
$2,860.43
|
|
Fondaparinux sodium
|
$306.60 |
$306.60 |
$306.60 |
$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
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$533.22 |
$533.22 |
$533.22 |
$107.31
|
|
Fragmenting of kidney stone
|
$38,036.00 |
$38,036.00 |
$38,036.00 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$880.94 |
$880.94 |
$880.94 |
$168.75
|
|
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
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$260.01 |
$260.01 |
$260.01 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$233.48 |
$233.48 |
$233.48 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$386.61 |
$386.61 |
$386.61 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$551.33 |
$551.33 |
$551.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$705.38 |
$705.38 |
$705.38 |
$210.50
|
|
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 |
$354.59 |
$55.28
|
|
Gamunex-c/gammaked
|
$17,318.34 |
$17,318.34 |
$17,318.34 |
$7,372.04
|
|
Gated heart multiple
|
$5,440.42 |
$5,440.42 |
$5,440.42 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$489.51 |
$489.51 |
$489.51 |
$252.84
|
|
General health panel
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
$280.50
|
|
Genetic tstg severe inh cond
|
$37,793.52 |
$37,793.52 |
$37,793.52 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$253.20 |
$253.20 |
$253.20 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$484.53 |
$484.53 |
$484.53 |
$119.00
|
|
Ghs abscess perianal iandd
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,530.50
|
|
Ghs acetylcholinesterase, rbc
|
$151.42 |
$151.42 |
$151.42 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$264.10 |
$264.10 |
$264.10 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$222.11 |
$222.11 |
$222.11 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$344.48
|
|
Ghs change cysto/gastrost
|
$1,034.78 |
$1,034.78 |
$1,034.78 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$541.61 |
$541.61 |
$541.61 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,621.64
|
|
Ghs clsd red med malleolus fx w manip
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,459.25
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$117.75 |
$117.75 |
$117.75 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$2,753.67 |
$2,753.67 |
$2,753.67 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$2,601.70 |
$2,601.70 |
$2,601.70 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$3,151.65 |
$3,151.65 |
$3,151.65 |
$368.16
|
|
Ghs cricothyroidotomy
|
$839.00 |
$839.00 |
$839.00 |
$1,207.80
|
|
Ghs dislocation elbow closed treatment
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$687.73
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,493.06 |
$1,493.06 |
$1,493.06 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,076.75 |
$1,076.75 |
$1,076.75 |
$586.80
|
|
Ghs excision ingrown nail
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$457.60
|
|
Ghs fb removal from muscle - complicated
|
$27,561.20 |
$27,561.20 |
$27,561.20 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,425.20
|
|
Ghs fish cytogen
|
$330.61 |
$330.61 |
$330.61 |
$175.00
|
|
Ghs histoplasma antigen
|
$204.52 |
$204.52 |
$204.52 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$12,166.92 |
$12,166.92 |
$12,166.92 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$840.75 |
$840.75 |
$840.75 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$2,034.51 |
$2,034.51 |
$2,034.51 |
$293.58
|