|
#fecal-sodium
|
$87.12 |
$87.12 |
$87.12 |
$37.50
|
|
Femoral endovas graft add-on 34813
|
$2,440.80 |
$2,440.80 |
$2,440.80 |
$951.36
|
|
Fem/popl revasc w/stent
|
$23,392.08 |
$23,392.08 |
$23,392.08 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$65.12 |
$65.12 |
$65.12 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.91 |
$4.91 |
$4.91 |
$2,590.25
|
|
Ferritin
|
$200.88 |
$200.88 |
$200.88 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.63 |
$5.63 |
$5.63 |
$1,776.61
|
|
Fetal fibronectin
|
$635.76 |
$635.76 |
$635.76 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$236.88 |
$236.88 |
$236.88 |
$105.12
|
|
Fetal hemoglobin rosette
|
$145.44 |
$145.44 |
$145.44 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$239.76 |
$239.76 |
$239.76 |
$69.60
|
|
Fetal non stress test
|
$1,006.56 |
$1,006.56 |
$1,006.56 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$45.36 |
$45.36 |
$45.36 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$181.44 |
$181.44 |
$181.44 |
$117.70
|
|
Fibrin degradation products
|
$174.24 |
$174.24 |
$174.24 |
$62.64
|
|
Fibrinogen activity
|
$172.80 |
$172.80 |
$172.80 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$154.80 |
$154.80 |
$154.80 |
$64.05
|
|
Fibrinolytic plasminogen
|
$221.76 |
$221.76 |
$221.76 |
$107.50
|
|
Filter spider fx 3mmx320cm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,160.28
|
|
Filter vena cava fem denali
|
$3,240.00 |
$3,240.00 |
$3,240.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$628.56 |
$628.56 |
$628.56 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$871.92 |
$871.92 |
$871.92 |
$503.76
|
|
Flecainide (tambocor)-sendout
|
$104.40 |
$104.40 |
$104.40 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$956.88 |
$956.88 |
$956.88 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$337.68 |
$337.68 |
$337.68 |
$204.00
|
|
Flow cytometry marker each additional
|
$127.44 |
$127.44 |
$127.44 |
$97.50
|
|
Flow cytometry one marker technical component
|
$393.84 |
$393.84 |
$393.84 |
$284.40
|
|
#flow interp 9 - 15 markers
|
$522.00 |
$522.00 |
$522.00 |
$172.50
|
|
Flt3 gene
|
$634.32 |
$634.32 |
$634.32 |
$355.00
|
|
Flt3 gene analysis
|
$480.96 |
$480.96 |
$480.96 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$82.66 |
$82.66 |
$82.66 |
$64.22
|
|
Fluidotherapy charges pt
|
$169.92 |
$169.92 |
$169.92 |
$91.00
|
|
Fluorescent antibody titer dna
|
$173.52 |
$173.52 |
$173.52 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$1,118.88 |
$1,118.88 |
$1,118.88 |
$496.03
|
|
Fluoroguide needle placement
|
$501.84 |
$501.84 |
$501.84 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$668.88 |
$668.88 |
$668.88 |
$492.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$183.31 |
$183.31 |
$183.31 |
$72.52
|
|
Folic acid
|
$178.56 |
$178.56 |
$178.56 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$4.21 |
$4.21 |
$4.21 |
$54.75
|
|
Follow-up angiography
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$2,040.78
|
|
Foot X-ray
|
$558.72 |
$558.72 |
$558.72 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$2,027.52 |
$2,027.52 |
$2,027.52 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$6.31 |
$6.31 |
$6.31 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$140.27 |
$140.27 |
$140.27 |
$106.10
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$144.72 |
$144.72 |
$144.72 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$182.16 |
$182.16 |
$182.16 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$370.08 |
$370.08 |
$370.08 |
$122.00
|
|
Fructosamine glycated protein
|
$75.60 |
$75.60 |
$75.60 |
$60.75
|
|
Ftl cgen abnor five anal
|
$583.92 |
$583.92 |
$583.92 |
$155.10
|
|
Ftl cgen abnor four anal
|
$475.20 |
$475.20 |
$475.20 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$393.12 |
$393.12 |
$393.12 |
$110.00
|
|
Furosemide 10 mg/ml injection solution
|
$2.32 |
$2.32 |
$2.32 |
$19.00
|
|
G6pd full gene sequence
|
$1,537.20 |
$1,537.20 |
$1,537.20 |
$1,320.00
|
|
Gabapentin non-blood
|
$73.44 |
$73.44 |
$73.44 |
$36.30
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.07 |
$1.07 |
$1.07 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$181.44 |
$181.44 |
$181.44 |
$96.94
|
|
Gammaglobulin iga
|
$87.84 |
$87.84 |
$87.84 |
$67.20
|
|
Gammaglobulin ige
|
$120.24 |
$120.24 |
$120.24 |
$83.85
|
|
Gamma glutamyltransferase
|
$133.20 |
$133.20 |
$133.20 |
$57.54
|
|
Gastroesophageal reflux study
|
$988.56 |
$988.56 |
$988.56 |
$949.80
|
|
Gauze >16<=48 no w/sal without b
|
$7.92 |
$7.92 |
$7.92 |
$5.00
|
|
Gemcitabine 1 gram intravenous solution
|
$38.83 |
$38.83 |
$38.83 |
$207.51
|
|
General health panel
|
$685.44 |
$685.44 |
$685.44 |
$275.00
|
|
Generator barostim neo2 2014
|
$27,000.00 |
$27,000.00 |
$27,000.00 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$34,020.00 |
$34,020.00 |
$34,020.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$4,466.16 |
$4,466.16 |
$4,466.16 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$68.11 |
$68.11 |
$68.11 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$414.72 |
$414.72 |
$414.72 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,969.20 |
$1,969.20 |
$1,969.20 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$6,541.92 |
$6,541.92 |
$6,541.92 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$59.04 |
$59.04 |
$59.04 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$131.04 |
$131.04 |
$131.04 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$371.84
|
|
Ghs analysis neurostim without reprogramming
|
$617.76 |
$617.76 |
$617.76 |
$246.50
|
|
Ghs antibodies (torch) igm
|
$85.68 |
$85.68 |
$85.68 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$337.68 |
$337.68 |
$337.68 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,844.64 |
$1,844.64 |
$1,844.64 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$951.12 |
$951.12 |
$951.12 |
$565.49
|
|
Ghs chemo >8 hrs
|
$716.40 |
$716.40 |
$716.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$414.00 |
$414.00 |
$414.00 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$216.00 |
$216.00 |
$216.00 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$707.76 |
$707.76 |
$707.76 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$635.04 |
$635.04 |
$635.04 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$635.04 |
$635.04 |
$635.04 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$760.32 |
$760.32 |
$760.32 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$614.88 |
$614.88 |
$614.88 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$242.64 |
$242.64 |
$242.64 |
$88.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$799.92 |
$799.92 |
$799.92 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$928.80 |
$928.80 |
$928.80 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$442.80 |
$442.80 |
$442.80 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$143.28 |
$143.28 |
$143.28 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$2,442.24 |
$2,442.24 |
$2,442.24 |
$578.00
|
|
Ghs electrostagmgraphy
|
$432.72 |
$432.72 |
$432.72 |
$295.50
|
|
Ghs elect vertical elct
|
$211.68 |
$211.68 |
$211.68 |
$115.00
|
|
Ghs excision ingrown nail
|
$941.76 |
$941.76 |
$941.76 |
$439.50
|
|
Ghs fb removal foot - deep - left
|
$5,743.44 |
$5,743.44 |
$5,743.44 |
$2,538.75
|
