|
Fetal chrom aneuploidy gsa panel
|
$2,207.80 |
$2,207.80 |
$2,207.80 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$1,586.90 |
$1,586.90 |
$1,586.90 |
$475.50
|
|
Fetal cord puncture prenatal
|
$648.90 |
$648.90 |
$648.90 |
$648.90
|
|
Fetal fibronectin
|
$431.20 |
$431.20 |
$431.20 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$183.40 |
$183.40 |
$183.40 |
$104.00
|
|
Fetal hemoglobin rosette
|
$55.30 |
$55.30 |
$55.30 |
$67.20
|
|
Fetal non stress test
|
$1,986.77 |
$1,986.77 |
$1,986.77 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$40.60 |
$40.60 |
$40.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$165.90 |
$165.90 |
$165.90 |
$120.05
|
|
Fibrin degradation products
|
$175.00 |
$175.00 |
$175.00 |
$74.25
|
|
Fibrinogen activity
|
$106.40 |
$106.40 |
$106.40 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$59.50 |
$59.50 |
$59.50 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$185.50 |
$185.50 |
$185.50 |
$72.80
|
|
Fibrinolytic plasminogen
|
$131.60 |
$131.60 |
$131.60 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$98.00 |
$98.00 |
$98.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,005.02 |
$1,005.02 |
$1,005.02 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$3,621.62 |
$3,621.62 |
$3,621.62 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,994.60 |
$2,994.60 |
$2,994.60 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$16,597.17 |
$16,597.17 |
$16,597.17 |
$7,188.75
|
|
Filter vena cava fem denali
|
$8,176.55 |
$8,176.55 |
$8,176.55 |
$3,816.40
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$536.20 |
$536.20 |
$536.20 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$4,088.00 |
$4,088.00 |
$4,088.00 |
$823.90
|
|
Fixation of knee joint
|
$4,830.00 |
$4,830.00 |
$4,830.00 |
$1,963.35
|
|
Flebogamma injection
|
$10,413.02 |
$10,413.02 |
$10,413.02 |
$3,438.30
|
|
Fl exam g/colon tube w contrast
|
$1,756.30 |
$1,756.30 |
$1,756.30 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$1,854.85 |
$1,854.85 |
$1,854.85 |
$1,284.13
|
|
Florbetaben f18 diagnostic
|
$8,003.80 |
$8,003.80 |
$8,003.80 |
$5,705.04
|
|
Flortaucipir inj 1 millicuri
|
$7,791.00 |
$7,791.00 |
$7,791.00 |
$3,710.00
|
|
Flotufolastat f18 diag 1 mci
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$2,215.03
|
|
Flow cytometry interp 16 or more
|
$337.40 |
$337.40 |
$337.40 |
$194.00
|
|
Flow cytometry marker each additional
|
$281.40 |
$281.40 |
$281.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$696.50 |
$696.50 |
$696.50 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$247.80 |
$247.80 |
$247.80 |
$172.50
|
|
Flt3 gene
|
$432.60 |
$432.60 |
$432.60 |
$355.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$267.92 |
$267.92 |
$267.92 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$1,265.25 |
$1,265.25 |
$1,265.25 |
$493.35
|
|
Fluidotherapy charges pt
|
$221.90 |
$221.90 |
$221.90 |
$98.40
|
|
Fluid pressure muscle 20950
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$779.45
|
|
Fluorescent antibody titer dna
|
$114.10 |
$114.10 |
$114.10 |
$123.65
|
|
Fluoroestradiol f 18
|
$2,907.10 |
$2,907.10 |
$2,907.10 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$495.95
|
|
Fluoroguide needle placement
|
$1,008.70 |
$1,008.70 |
$1,008.70 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$1,040.90 |
$1,040.90 |
$1,040.90 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,031.05 |
$2,031.05 |
$2,031.05 |
$107.00
|
|
Fmri brain by phys/psych
|
$4,162.20 |
$4,162.20 |
$4,162.20 |
$1,560.51
|
|
Fmri brain by tech
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$1,558.05
|
|
Fna bx w/ct gdn ea addl
|
$2,434.60 |
$2,434.60 |
$2,434.60 |
$834.90
|
|
Folic acid
|
$109.20 |
$109.20 |
$109.20 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$243.60 |
$243.60 |
$243.60 |
$50.70
|
|
Follow-up angiography
|
$1,761.20 |
$1,761.20 |
$1,761.20 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,384.02 |
$2,384.02 |
$2,384.02 |
$2,481.61
|
|
Fondaparinux sodium
|
$1,007.82 |
$1,007.82 |
$1,007.82 |
$186.87
|
|
Fo nontorsion joint cf
|
$368.90 |
$368.90 |
$368.90 |
$217.50
|
|
Foot X-ray
|
$594.30 |
$594.30 |
$594.30 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$2,034.20 |
$2,034.20 |
$2,034.20 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$20,514.14 |
$20,514.14 |
$20,514.14 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2,049.07 |
$2,049.07 |
$2,049.07 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$489.30 |
$489.30 |
$489.30 |
$106.25
|
|
Fractionation ketosteroids
|
$275.10 |
$275.10 |
$275.10 |
$160.89
|
|
Fracture assessment via dxa
|
$411.60 |
$411.60 |
$411.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$772.10 |
$772.10 |
$772.10 |
$183.74
|
|
Fragmenting of kidney stone
|
$17,460.97 |
$17,460.97 |
$17,460.97 |
$10,312.25
|
|
Frenectomy 41115
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,939.47
|
|
Frenulotomy of penis
|
$19,374.09 |
$19,374.09 |
$19,374.09 |
$3,897.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$287.00 |
$287.00 |
$287.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$231.70 |
$231.70 |
$231.70 |
$130.98
|
|
Frozen plasma, pooled, sd
|
$255.50 |
$255.50 |
$255.50 |
$170.00
|
|
Fructosamine glycated protein
|
$63.70 |
$63.70 |
$63.70 |
$61.75
|
|
Ftl cgen abnor four anal
|
$259.00 |
$259.00 |
$259.00 |
$205.80
|
|
Ftl cgen abnor three anal
|
$584.50 |
$584.50 |
$584.50 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$119.70 |
$119.70 |
$119.70 |
$109.00
|
|
Furosemide 10 mg/ml injection solution
|
$268.97 |
$268.97 |
$268.97 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$287.70 |
$287.70 |
$287.70 |
$200.88
|
|
Fxn gene full gene sequence
|
$576.80 |
$576.80 |
$576.80 |
$379.27
|
|
G6pc gene
|
$503.30 |
$503.30 |
$503.30 |
$138.40
|
|
G6pd full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$403.20 |
$403.20 |
$403.20 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$291.90 |
$291.90 |
$291.90 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$240.10 |
$240.10 |
$240.10 |
$139.70
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$3,537.62 |
$3,537.62 |
$3,537.62 |
$107.11
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$546.00 |
$546.00 |
$546.00 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$886.37 |
$886.37 |
$886.37 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$285.60 |
$285.60 |
$285.60 |
$100.00
|
|
Galactose transferase test
|
$88.90 |
$88.90 |
$88.90 |
$32.00
|
|
Galectin-3
|
$112.70 |
$112.70 |
$112.70 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$35,620.15 |
$35,620.15 |
$35,620.15 |
$12,906.50
|
|
Gallium illuccix 1 millicure
|
$2,375.10 |
$2,375.10 |
$2,375.10 |
$2,046.76
|
|
Gallium locametz 1 millicuri
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,853.80
|
|
Gamma globulin 1 cc inj
|
$1,076.07 |
$1,076.07 |
$1,076.07 |
$406.90
|
|
Gammaglobulin iga
|
$89.60 |
$89.60 |
$89.60 |
$69.42
|
|
Gammaglobulin ige
|
$101.50 |
$101.50 |
$101.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$77.00 |
$77.00 |
$77.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$14,912.80 |
$14,912.80 |
$14,912.80 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$296.80 |
$296.80 |
$296.80 |
$197.40
|
|
Gastric motility studies
|
$2,331.70 |
$2,331.70 |
$2,331.70 |
$972.00
|
|
Gastroesophageal reflux study
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,031.60
|
|
Gba gene
|
$128.10 |
$128.10 |
$128.10 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$824.07 |
$824.07 |
$824.07 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$29,808.80 |
$29,808.80 |
$29,808.80 |
$19,305.62
|
