|
Factor ix
|
$81.36 |
$81.36 |
$81.36 |
$156.13
|
|
Factor viii
|
$102.96 |
$102.96 |
$102.96 |
$133.81
|
|
Family therapy without pt 50min 90846
|
$227.52 |
$227.52 |
$227.52 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$248.40 |
$248.40 |
$248.40 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.17 |
$0.17 |
$0.17 |
$22.20
|
|
Fat/lipids feces qualitative
|
$107.28 |
$107.28 |
$107.28 |
$38.35
|
|
Fatty acids nonesterified
|
$23.76 |
$23.76 |
$23.76 |
$64.28
|
|
#fecal-sodium
|
$33.12 |
$33.12 |
$33.12 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$12.96 |
$12.96 |
$12.96 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$7.07 |
$7.07 |
$7.07 |
$2,590.25
|
|
Ferritin
|
$156.24 |
$156.24 |
$156.24 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$8.09 |
$8.09 |
$8.09 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,391.04 |
$1,391.04 |
$1,391.04 |
$535.37
|
|
Fetal hemoglobin (kleihauer betke)
|
$182.16 |
$182.16 |
$182.16 |
$105.12
|
|
Fetal non stress test
|
$346.32 |
$346.32 |
$346.32 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$362.16 |
$362.16 |
$362.16 |
$117.70
|
|
Fibrinogen activity
|
$85.68 |
$85.68 |
$85.68 |
$83.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$823.90
|
|
Fl exam g/colon tube w contrast
|
$499.68 |
$499.68 |
$499.68 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$539.28 |
$539.28 |
$539.28 |
$204.00
|
|
Flow cytometry marker each additional
|
$77.04 |
$77.04 |
$77.04 |
$97.50
|
|
Flow cytometry one marker technical component
|
$453.60 |
$453.60 |
$453.60 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$32.76 |
$32.76 |
$32.76 |
$64.22
|
|
Fluorescent antibody titer dna
|
$112.32 |
$112.32 |
$112.32 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$452.88 |
$452.88 |
$452.88 |
$496.03
|
|
Fluoroguide needle placement
|
$462.24 |
$462.24 |
$462.24 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$638.64 |
$638.64 |
$638.64 |
$492.00
|
|
Folic acid
|
$157.68 |
$157.68 |
$157.68 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.30 |
$1.30 |
$1.30 |
$54.75
|
|
Foot X-ray
|
$446.40 |
$446.40 |
$446.40 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$25.32 |
$25.32 |
$25.32 |
$106.10
|
|
_fragile x methylation-sendout
|
$133.92 |
$133.92 |
$133.92 |
$174.00
|
|
Fragmenting of kidney stone
|
$13,629.60 |
$13,629.60 |
$13,629.60 |
$10,057.42
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$136.80 |
$136.80 |
$136.80 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$136.80 |
$136.80 |
$136.80 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$306.00 |
$306.00 |
$306.00 |
$122.00
|
|
Fructosamine glycated protein
|
$135.36 |
$135.36 |
$135.36 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$12.96 |
$12.96 |
$12.96 |
$19.00
|
|
G6pd gene alys cmn variant
|
$220.32 |
$220.32 |
$220.32 |
$243.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.61 |
$1.61 |
$1.61 |
$177.52
|
|
Gammaglobulin iga
|
$79.20 |
$79.20 |
$79.20 |
$67.20
|
|
Gammaglobulin ige
|
$154.08 |
$154.08 |
$154.08 |
$83.85
|
|
Gamma glutamyltransferase
|
$71.28 |
$71.28 |
$71.28 |
$57.54
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$85.30 |
$85.30 |
$85.30 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$182.16 |
$182.16 |
$182.16 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$984.96 |
$984.96 |
$984.96 |
$1,410.90
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$48.24 |
$48.24 |
$48.24 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$177.12 |
$177.12 |
$177.12 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$192.96 |
$192.96 |
$192.96 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$3,399.12 |
$3,399.12 |
$3,399.12 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$501.12 |
$501.12 |
$501.12 |
$565.49
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$207.36 |
$207.36 |
$207.36 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$494.64 |
$494.64 |
$494.64 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$259.20 |
$259.20 |
$259.20 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$446.40 |
$446.40 |
$446.40 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,728.72 |
$1,728.72 |
$1,728.72 |
$2,148.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,733.12 |
$2,733.12 |
$2,733.12 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,733.12 |
$2,733.12 |
$2,733.12 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$259.20 |
$259.20 |
$259.20 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$286.56 |
$286.56 |
$286.56 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$869.76 |
$869.76 |
$869.76 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$298.08 |
$298.08 |
$298.08 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$431.28 |
$431.28 |
$431.28 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$249.84 |
$249.84 |
$249.84 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$115.92 |
$115.92 |
$115.92 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$259.20 |
$259.20 |
$259.20 |
$578.00
|
|
Ghs eyelid foreign body-embedded - bil
|
$322.56 |
$322.56 |
$322.56 |
$501.04
|
|
Ghs fb removal - incisional
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$2,271.01
|
|
Ghs febrile agglutinns(mayo)
|
$20.16 |
$20.16 |
$20.16 |
$48.57
|
|
Ghs fish cytogen
|
$123.84 |
$123.84 |
$123.84 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$144.72 |
$144.72 |
$144.72 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$336.24 |
$336.24 |
$336.24 |
$368.50
|
|
Ghs histoplasma antigen
|
$152.64 |
$152.64 |
$152.64 |
$141.00
|
|
Ghs HIV antibody
|
$185.04 |
$185.04 |
$185.04 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,043.52 |
$4,043.52 |
$4,043.52 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,427.12 |
$2,427.12 |
$2,427.12 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,322.64 |
$1,322.64 |
$1,322.64 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$376.56 |
$376.56 |
$376.56 |
$523.73
|
|
Ghs inhibitor screen
|
$216.00 |
$216.00 |
$216.00 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$214.56 |
$214.56 |
$214.56 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$2,391.12 |
$2,391.12 |
$2,391.12 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$570.96 |
$570.96 |
$570.96 |
$431.07
|
|
Ghs insertion of needle - bone
|
$431.28 |
$431.28 |
$431.28 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$431.28 |
$431.28 |
$431.28 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$660.96 |
$660.96 |
$660.96 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,975.68 |
$1,975.68 |
$1,975.68 |
$2,164.64
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$817.20 |
$817.20 |
$817.20 |
$553.80
|
|
Ghs IV infusion sotrovimab
|
$1,185.12 |
$1,185.12 |
$1,185.12 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$626.40 |
$626.40 |
$626.40 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$431.28 |
$431.28 |
$431.28 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$431.28 |
$431.28 |
$431.28 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$431.28 |
$431.28 |
$431.28 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$431.28 |
$431.28 |
$431.28 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$431.28 |
$431.28 |
$431.28 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$431.28 |
$431.28 |
$431.28 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$431.28 |
$431.28 |
$431.28 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$431.28 |
$431.28 |
$431.28 |
$770.22
|
