|
Factor viii
|
$152.50 |
$152.50 |
$152.50 |
$148.00
|
|
Fancc gene
|
$140.00 |
$140.00 |
$140.00 |
$140.00
|
|
#fecal-sodium
|
$37.50 |
$37.50 |
$37.50 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$280.00 |
$280.00 |
$280.00 |
$66.43
|
|
Fem/popl revasc w/stent
|
$11,780.00 |
$11,780.00 |
$11,780.00 |
$16,129.60
|
|
Feno poc
|
$92.50 |
$92.50 |
$92.50 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$60.52 |
$60.52 |
$60.52 |
$101.40
|
|
Fern test
|
$32.50 |
$32.50 |
$32.50 |
$37.03
|
|
Ferritin
|
$80.00 |
$80.00 |
$80.00 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$615.00 |
$615.00 |
$615.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$462.50 |
$462.50 |
$462.50 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$452.50 |
$452.50 |
$452.50 |
$477.50
|
|
Fetal fibronectin
|
$282.50 |
$282.50 |
$282.50 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$55.00 |
$55.00 |
$55.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$40.00 |
$40.00 |
$40.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$92.50 |
$92.50 |
$92.50 |
$67.00
|
|
Fetal non stress test
|
$450.00 |
$450.00 |
$450.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$307.50 |
$307.50 |
$307.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$85.00 |
$85.00 |
$85.00 |
$120.64
|
|
Fibrinogen activity
|
$55.00 |
$55.00 |
$55.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$25.00 |
$25.00 |
$25.00 |
$61.00
|
|
Fibrinolytic plasminogen
|
$107.50 |
$107.50 |
$107.50 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$100.00 |
$100.00 |
$100.00 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.41 |
$1.41 |
$1.41 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$2,639.25 |
$2,639.25 |
$2,639.25 |
$7,358.16
|
|
Filter vena cava fem denali
|
$5,976.64 |
$5,976.64 |
$5,976.64 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,675.00 |
$1,675.00 |
$1,675.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$130.00 |
$130.00 |
$130.00 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$155.00 |
$155.00 |
$155.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$372.50 |
$372.50 |
$372.50 |
$504.45
|
|
Finger X-ray (both hands)
|
$205.00 |
$205.00 |
$205.00 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$77.50 |
$77.50 |
$77.50 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$430.00 |
$430.00 |
$430.00 |
$540.80
|
|
Flotufolastat f18 diag 1 mci
|
$836.50 |
$836.50 |
$836.50 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$150.00 |
$150.00 |
$150.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$355.00 |
$355.00 |
$355.00 |
$285.00
|
|
Flt3 gene
|
$355.00 |
$355.00 |
$355.00 |
$366.29
|
|
Flt3 gene analysis
|
$177.50 |
$177.50 |
$177.50 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$70.88 |
$70.88 |
$70.88 |
$64.22
|
|
Fluidotherapy charges pt
|
$70.00 |
$70.00 |
$70.00 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$779.45
|
|
Fluorescent antibody titer dna
|
$300.00 |
$300.00 |
$300.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$855.00 |
$855.00 |
$855.00 |
$495.00
|
|
Fluoroguide needle placement
|
$915.00 |
$915.00 |
$915.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$610.00 |
$610.00 |
$610.00 |
$503.80
|
|
Fmri brain by phys/psych
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,639.00
|
|
Fmri brain by tech
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$170.00 |
$170.00 |
$170.00 |
$834.90
|
|
Folic acid
|
$87.50 |
$87.50 |
$87.50 |
$101.50
|
|
Follow-up angiography
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,983.00
|
|
Foot X-ray
|
$225.00 |
$225.00 |
$225.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$180.00 |
$180.00 |
$180.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$265.00 |
$265.00 |
$265.00 |
$324.00
|
|
Fracture assessment via dxa
|
$182.50 |
$182.50 |
$182.50 |
$175.50
|
|
_fragile x methylation-sendout
|
$222.50 |
$222.50 |
$222.50 |
$183.74
|
|
Fragmenting of kidney stone
|
$11,820.00 |
$11,820.00 |
$11,820.00 |
$10,312.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$197.50 |
$197.50 |
$197.50 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$155.00 |
$155.00 |
$155.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$85.00 |
$85.00 |
$85.00 |
$131.25
|
|
Fructosamine glycated protein
|
$80.00 |
$80.00 |
$80.00 |
$63.50
|
|
Ftl cgen abnor four anal
|
$220.00 |
$220.00 |
$220.00 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$105.00 |
$105.00 |
$105.00 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$230.00 |
$230.00 |
$230.00 |
$355.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$2,798.50
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$51.28 |
$51.28 |
$51.28 |
$26.40
|
|
G6pc gene
|
$140.00 |
$140.00 |
$140.00 |
$138.40
|
|
Gabapentin non-blood
|
$247.50 |
$247.50 |
$247.50 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.62 |
$0.62 |
$0.62 |
$108.40
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$76.71 |
$76.71 |
$76.71 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Galactose transferase test
|
$25.00 |
$25.00 |
$25.00 |
$31.35
|
|
Galectin-3
|
$145.00 |
$145.00 |
$145.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$1,615.00
|
|
Gammaglobulin iga
|
$62.50 |
$62.50 |
$62.50 |
$69.60
|
|
Gammaglobulin ige
|
$85.00 |
$85.00 |
$85.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$47.50 |
$47.50 |
$47.50 |
$57.54
|
|
Gamunex-c/gammaked
|
$91.25 |
$91.25 |
$91.25 |
$7,435.88
|
|
Gba gene
|
$140.00 |
$140.00 |
$140.00 |
$160.72
|
|
General health panel
|
$280.00 |
$280.00 |
$280.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$25,824.00 |
$25,824.00 |
$25,824.00 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$24,210.00 |
$24,210.00 |
$24,210.00 |
$36,467.76
|
|
Gen, neuro, clo loop, rechg
|
$26,900.00 |
$26,900.00 |
$26,900.00 |
$38,632.78
|
|
Gentamicin peak therapeutic drug level
|
$110.00 |
$110.00 |
$110.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$780.00 |
$780.00 |
$780.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$67.50 |
$67.50 |
$67.50 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$140.00 |
$140.00 |
$140.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$492.50 |
$492.50 |
$492.50 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$315.00 |
$315.00 |
$315.00 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$82.50 |
$82.50 |
$82.50 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$242.50 |
$242.50 |
$242.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$470.00 |
$470.00 |
$470.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$370.00 |
$370.00 |
$370.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$430.00 |
$430.00 |
$430.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$207.50 |
$207.50 |
$207.50 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$180.00 |
$180.00 |
$180.00 |
$133.70
|
