|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$2,217.40 |
$2,217.40 |
$2,217.40 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$22.50 |
$22.50 |
$22.50 |
$34.56
|
|
Fatty acids nonesterified
|
$40.00 |
$40.00 |
$40.00 |
$57.60
|
|
#fecal-sodium
|
$20.00 |
$20.00 |
$20.00 |
$37.50
|
|
Fem/popl revasc w/stent
|
$6,125.00 |
$6,125.00 |
$6,125.00 |
$18,599.10
|
|
Feno poc
|
$25.00 |
$25.00 |
$25.00 |
$80.25
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$4,409.20 |
$4,409.20 |
$4,409.20 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$180.47 |
$180.47 |
$180.47 |
$2,027.60
|
|
Ferritin
|
$50.00 |
$50.00 |
$50.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$161.98 |
$161.98 |
$161.98 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$175.00 |
$175.00 |
$175.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$400.00 |
$400.00 |
$400.00 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$162.50 |
$162.50 |
$162.50 |
$540.54
|
|
Fetal fibronectin
|
$92.50 |
$92.50 |
$92.50 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$31.25 |
$31.25 |
$31.25 |
$88.80
|
|
Fetal hemoglobin rosette
|
$22.50 |
$22.50 |
$22.50 |
$76.70
|
|
Fetal non stress test
|
$118.75 |
$118.75 |
$118.75 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$30.00 |
$30.00 |
$30.00 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$35.00 |
$35.00 |
$35.00 |
$112.80
|
|
Fibrin degradation products
|
$31.25 |
$31.25 |
$31.25 |
$62.40
|
|
Fibrinogen activity
|
$32.50 |
$32.50 |
$32.50 |
$82.38
|
|
Fibrinolytic plasminogen
|
$25.00 |
$25.00 |
$25.00 |
$109.45
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$136.47 |
$136.47 |
$136.47 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$494.48 |
$494.48 |
$494.48 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$411.24 |
$411.24 |
$411.24 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$225.00 |
$225.00 |
$225.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$100.00 |
$100.00 |
$100.00 |
$806.40
|
|
Flebogamma injection
|
$29.46 |
$29.46 |
$29.46 |
$2,827.01
|
|
Flecainide (tambocor)-sendout
|
$40.00 |
$40.00 |
$40.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$198.75 |
$198.75 |
$198.75 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$21.25 |
$21.25 |
$21.25 |
$208.80
|
|
Flow cytometry marker each additional
|
$21.25 |
$21.25 |
$21.25 |
$103.00
|
|
Flow cytometry one marker technical component
|
$250.00 |
$250.00 |
$250.00 |
$270.75
|
|
Floxuridine injection
|
$207.00 |
$207.00 |
$207.00 |
$774.69
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$3.21 |
$3.21 |
$3.21 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$296.15 |
$296.15 |
$296.15 |
$601.96
|
|
Fluocinolone acetonide implt
|
$14,411.38 |
$14,411.38 |
$14,411.38 |
$32,193.00
|
|
Fluorescent antibody titer dna
|
$35.00 |
$35.00 |
$35.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$162.50 |
$162.50 |
$162.50 |
$507.00
|
|
Fluoroguide needle placement
|
$162.50 |
$162.50 |
$162.50 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$125.00 |
$125.00 |
$125.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$10.74 |
$10.74 |
$10.74 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$67.13 |
$67.13 |
$67.13 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$225.00 |
$225.00 |
$225.00 |
$1,588.65
|
|
Folic acid
|
$45.00 |
$45.00 |
$45.00 |
$90.60
|
|
Follow-up angiography
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$811.11 |
$811.11 |
$811.11 |
$2,860.43
|
|
Fondaparinux sodium
|
$187.33 |
$187.33 |
$187.33 |
$176.81
|
|
Foot X-ray
|
$137.50 |
$137.50 |
$137.50 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$236.35 |
$236.35 |
$236.35 |
$470.29
|
|
Foscarnet sodium injection
|
$13.62 |
$13.62 |
$13.62 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$56.76 |
$56.76 |
$56.76 |
$107.31
|
|
Fracture assessment via dxa
|
$125.00 |
$125.00 |
$125.00 |
$146.80
|
|
Fragmenting of kidney stone
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$62.50 |
$62.50 |
$62.50 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$57.50 |
$57.50 |
$57.50 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$75.00 |
$75.00 |
$75.00 |
$123.90
|
|
Fructosamine glycated protein
|
$20.00 |
$20.00 |
$20.00 |
$60.42
|
|
Ftl cgen abnor four anal
|
$137.50 |
$137.50 |
$137.50 |
$211.83
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$5.71 |
$5.71 |
$5.71 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$8.66 |
$8.66 |
$8.66 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$14.31 |
$14.31 |
$14.31 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$12.55 |
$12.55 |
$12.55 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$35.62 |
$35.62 |
$35.62 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$37.50 |
$37.50 |
$37.50 |
$82.50
|
|
Gamma globulin 1 cc inj
|
$101.98 |
$101.98 |
$101.98 |
$158.67
|
|
Gammaglobulin iga
|
$46.25 |
$46.25 |
$46.25 |
$75.30
|
|
Gammaglobulin ige
|
$46.25 |
$46.25 |
$46.25 |
$85.00
|
|
Gamma glutamyltransferase
|
$31.25 |
$31.25 |
$31.25 |
$55.28
|
|
Gamunex-c/gammaked
|
$55.70 |
$55.70 |
$55.70 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$153.00 |
$153.00 |
$153.00 |
$209.07
|
|
Gated heart multiple
|
$433.75 |
$433.75 |
$433.75 |
$1,370.99
|
|
Gel-syn injection 0.1 mg
|
$138.20 |
$138.20 |
$138.20 |
$1,330.04
|
|
Gemcitabine 1 gram intravenous solution
|
$294.48 |
$294.48 |
$294.48 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$7,966.40 |
$7,966.40 |
$7,966.40 |
$23,897.53
|
|
General health panel
|
$78.75 |
$78.75 |
$78.75 |
$280.50
|
|
Generator emblem MRI sicd subq
|
$15,964.57 |
$15,964.57 |
$15,964.57 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$17.94 |
$17.94 |
$17.94 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$119.00
|
|
Ghs abscess perianal iandd
|
$250.00 |
$250.00 |
$250.00 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$975.00 |
$975.00 |
$975.00 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$34.00 |
$34.00 |
$34.00 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$35.00 |
$35.00 |
$35.00 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$93.75 |
$93.75 |
$93.75 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$435.00 |
$435.00 |
$435.00 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$131.25 |
$131.25 |
$131.25 |
$699.60
|
|
Ghs chemo >8 hrs
|
$237.50 |
$237.50 |
$237.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$187.50 |
$187.50 |
$187.50 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$37.50 |
$37.50 |
$37.50 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$131.25 |
$131.25 |
$131.25 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$131.25 |
$131.25 |
$131.25 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$131.25 |
$131.25 |
$131.25 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,621.64
|
|
Ghs clsd red med malleolus fx w manip
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$2,459.25
|
|
Ghs cl tx metacarpophal disloc without anes
|
$131.25 |
$131.25 |
$131.25 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$32.50 |
$32.50 |
$32.50 |
$89.28
|
|
Ghs corneal fb without slit lamp bilat
|
$235.00 |
$235.00 |
$235.00 |
$435.07
|
|
Ghs dislocation elbow closed treatment
|
$131.25 |
$131.25 |
$131.25 |
$687.73
|
|
Ghs excision ingrown nail
|
$112.50 |
$112.50 |
$112.50 |
$457.60
|
