|
Exp w remove/deep fb/forearm/wrist 25248
|
$17,493.26 |
$17,493.26 |
$17,493.26 |
$3,559.50
|
|
Ext ecg>48hr<7d scan a/r
|
$892.27 |
$892.27 |
$892.27 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$892.27 |
$892.27 |
$892.27 |
$262.20
|
|
External chromosome analysis 20-25 cells
|
$786.44 |
$786.44 |
$786.44 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,229.67 |
$1,229.67 |
$1,229.67 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$538.50 |
$538.50 |
$538.50 |
$102.78
|
|
Facial bones <3
|
$333.85 |
$333.85 |
$333.85 |
$248.60
|
|
Factor ix
|
$656.71 |
$656.71 |
$656.71 |
$131.30
|
|
Factor viii
|
$656.71 |
$656.71 |
$656.71 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$69.67 |
$69.67 |
$69.67 |
$27.81
|
|
Fat/lipids feces qualitative
|
$164.82 |
$164.82 |
$164.82 |
$34.56
|
|
#fecal-sodium
|
$517.05 |
$517.05 |
$517.05 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$410.94 |
$410.94 |
$410.94 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$959.89 |
$959.89 |
$959.89 |
$2,027.60
|
|
Ferritin
|
$223.59 |
$223.59 |
$223.59 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6,805.59 |
$6,805.59 |
$6,805.59 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,173.29 |
$1,173.29 |
$1,173.29 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$1,400.36 |
$1,400.36 |
$1,400.36 |
$540.54
|
|
Fetal hemoglobin (kleihauer betke)
|
$704.70 |
$704.70 |
$704.70 |
$88.80
|
|
Fetal hemoglobin rosette
|
$515.23 |
$515.23 |
$515.23 |
$76.70
|
|
Fetal non stress test
|
$863.96 |
$863.96 |
$863.96 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$140.66 |
$140.66 |
$140.66 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$388.28 |
$388.28 |
$388.28 |
$112.80
|
|
Fibrin degradation products
|
$121.88 |
$121.88 |
$121.88 |
$62.40
|
|
Fibrinogen activity
|
$204.65 |
$204.65 |
$204.65 |
$82.38
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$646.40 |
$646.40 |
$646.40 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$7,389.11 |
$7,389.11 |
$7,389.11 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3,096.43 |
$3,096.43 |
$3,096.43 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$516.92 |
$516.92 |
$516.92 |
$806.40
|
|
Flecainide (tambocor)-sendout
|
$105.62 |
$105.62 |
$105.62 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$910.89 |
$910.89 |
$910.89 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$148.58 |
$148.58 |
$148.58 |
$208.80
|
|
Flow cytometry marker each additional
|
$493.60 |
$493.60 |
$493.60 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,020.67 |
$1,020.67 |
$1,020.67 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$26.27 |
$26.27 |
$26.27 |
$194.04
|
|
Flt3 gene
|
$2,733.72 |
$2,733.72 |
$2,733.72 |
$352.95
|
|
Flt3 gene analysis
|
$832.29 |
$832.29 |
$832.29 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$263.01 |
$263.01 |
$263.01 |
$86.42
|
|
Fluorescent antibody titer dna
|
$202.95 |
$202.95 |
$202.95 |
$123.65
|
|
Fluoroguide needle placement
|
$1,342.66 |
$1,342.66 |
$1,342.66 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,202.55 |
$1,202.55 |
$1,202.55 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$926.96 |
$926.96 |
$926.96 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$199.54 |
$199.54 |
$199.54 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$4,432.60 |
$4,432.60 |
$4,432.60 |
$1,588.65
|
|
Folic acid
|
$242.70 |
$242.70 |
$242.70 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$60.45 |
$60.45 |
$60.45 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,276.12 |
$5,276.12 |
$5,276.12 |
$2,860.43
|
|
Fondaparinux sodium
|
$286.58 |
$286.58 |
$286.58 |
$176.81
|
|
Foot X-ray
|
$443.28 |
$443.28 |
$443.28 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$508.52 |
$508.52 |
$508.52 |
$107.31
|
|
Fragmenting of kidney stone
|
$62,695.81 |
$62,695.81 |
$62,695.81 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$369.87 |
$369.87 |
$369.87 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$487.09 |
$487.09 |
$487.09 |
$149.50
|
|
Fructosamine glycated protein
|
$93.63 |
$93.63 |
$93.63 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$243.28 |
$243.28 |
$243.28 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$237.73 |
$237.73 |
$237.73 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$393.65 |
$393.65 |
$393.65 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$561.37 |
$561.37 |
$561.37 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$718.22 |
$718.22 |
$718.22 |
$210.50
|
|
Gammaglobulin iga
|
$290.76 |
$290.76 |
$290.76 |
$75.30
|
|
Gammaglobulin ige
|
$75.91 |
$75.91 |
$75.91 |
$85.00
|
|
Gamma glutamyltransferase
|
$131.46 |
$131.46 |
$131.46 |
$55.28
|
|
Gamunex-c/gammaked
|
$55,861.12 |
$55,861.12 |
$55,861.12 |
$7,372.04
|
|
Gated heart multiple
|
$4,709.99 |
$4,709.99 |
$4,709.99 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$377.84 |
$377.84 |
$377.84 |
$252.84
|
|
General health panel
|
$1,053.29 |
$1,053.29 |
$1,053.29 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$239.24 |
$239.24 |
$239.24 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$343.56 |
$343.56 |
$343.56 |
$119.00
|
|
Ghs abscess perianal iandd
|
$5,112.20 |
$5,112.20 |
$5,112.20 |
$1,530.50
|
|
Ghs acetylcholinesterase, rbc
|
$122.63 |
$122.63 |
$122.63 |
$42.21
|
|
Ghs antibodies (torch) igm
|
$171.83 |
$171.83 |
$171.83 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,687.63 |
$1,687.63 |
$1,687.63 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$3,547.92 |
$3,547.92 |
$3,547.92 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$405.84 |
$405.84 |
$405.84 |
$699.60
|
|
Ghs chemo >8 hrs
|
$2,016.04 |
$2,016.04 |
$2,016.04 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$688.24 |
$688.24 |
$688.24 |
$291.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,715.84 |
$1,715.84 |
$1,715.84 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,884.98 |
$1,884.98 |
$1,884.98 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$8,962.32 |
$8,962.32 |
$8,962.32 |
$1,707.42
|
|
Ghs clsd red med malleolus fx without manip
|
$1,371.94 |
$1,371.94 |
$1,371.94 |
$581.60
|
|
Ghs cl tx knee disl; wo anesth
|
$4,085.62 |
$4,085.62 |
$4,085.62 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,715.84 |
$1,715.84 |
$1,715.84 |
$547.94
|
|
Ghs conjunctiva foreign body-superf bil
|
$744.80 |
$744.80 |
$744.80 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,587.25 |
$1,587.25 |
$1,587.25 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$955.19 |
$955.19 |
$955.19 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$1,884.98 |
$1,884.98 |
$1,884.98 |
$687.73
|
|
Ghs fb removal - incisional
|
$12,968.45 |
$12,968.45 |
$12,968.45 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$9,686.50 |
$9,686.50 |
$9,686.50 |
$1,794.93
|
|
Ghs fish cytogen
|
$255.11 |
$255.11 |
$255.11 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$639.88 |
$639.88 |
$639.88 |
$229.45
|
|
Ghs histoplasma antigen
|
$361.73 |
$361.73 |
$361.73 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$10,661.78 |
$10,661.78 |
$10,661.78 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$6,670.98 |
$6,670.98 |
$6,670.98 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,950.70 |
$3,950.70 |
$3,950.70 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$3,964.75 |
$3,964.75 |
$3,964.75 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,236.10 |
$1,236.10 |
$1,236.10 |
$543.60
|
|
Ghs inf midline insertion
|
$2,285.37 |
$2,285.37 |
$2,285.37 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$848.53 |
$848.53 |
$848.53 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$5,835.31 |
$5,835.31 |
$5,835.31 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$2,945.37 |
$2,945.37 |
$2,945.37 |
$1,972.69
|
