|
Ext ecg>7d<15d scan a/r
|
$217.50 |
$217.50 |
$217.50 |
$262.20
|
|
External chromosome analysis 20-25 cells
|
$106.25 |
$106.25 |
$106.25 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$128.75 |
$128.75 |
$128.75 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$55.00 |
$55.00 |
$55.00 |
$102.78
|
|
F-18 fdg pet diag
|
$414.00 |
$414.00 |
$414.00 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$7,886.42 |
$7,886.42 |
$7,886.42 |
$4,960.80
|
|
Facial bones <3
|
$87.50 |
$87.50 |
$87.50 |
$248.60
|
|
Factor ix
|
$40.00 |
$40.00 |
$40.00 |
$131.30
|
|
Factor ix alprolix recomb
|
$2,573.20 |
$2,573.20 |
$2,573.20 |
$3.59
|
|
Factor ix complex
|
$1,410.71 |
$1,410.71 |
$1,410.71 |
$3.23
|
|
Factor ix non-recombinant
|
$1,077.24 |
$1,077.24 |
$1,077.24 |
$1.41
|
|
Factor ix recombinant nos
|
$3,215.80 |
$3,215.80 |
$3,215.80 |
$3.04
|
|
Factor viii
|
$40.00 |
$40.00 |
$40.00 |
$144.30
|
|
Factor viii fc fusion recomb
|
$3,659.19 |
$3,659.19 |
$3,659.19 |
$2.42
|
|
Factor viii recombinant nos
|
$4,092.49 |
$4,092.49 |
$4,092.49 |
$4.68
|
|
Factor viii recomb novoeight
|
$691.30 |
$691.30 |
$691.30 |
$1.38
|
|
Factor xiii recomb a-subunit
|
$51.11 |
$51.11 |
$51.11 |
$18.29
|
|
Family therapy with patient 50 min 90847
|
$79.75 |
$79.75 |
$79.75 |
$239.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$11,797.70 |
$11,797.70 |
$11,797.70 |
$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 microbiota, live-jslm 150 ml rectal suspension enema
|
$33,982.20 |
$33,982.20 |
$33,982.20 |
$63.30
|
|
#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
|
$5,919.83 |
$5,919.83 |
$5,919.83 |
$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
|
$2,817.22 |
$2,817.22 |
$2,817.22 |
$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
|
$1,764.70 |
$1,764.70 |
$1,764.70 |
$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
|
$4,256.38 |
$4,256.38 |
$4,256.38 |
$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
|
|
Florbetaben f18 diagnostic
|
$9,384.00 |
$9,384.00 |
$9,384.00 |
$1,273.76
|
|
Flotufolastat f18 diag 1 mci
|
$18,663.81 |
$18,663.81 |
$18,663.81 |
$926.28
|
|
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
|
$115.80 |
$115.80 |
$115.80 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$296.15 |
$296.15 |
$296.15 |
$601.96
|
|
Fluocinol acet intravit imp
|
$36,457.38 |
$36,457.38 |
$36,457.38 |
$495.38
|
|
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
|
|
Fluoroestradiol f 18
|
$13,222.13 |
$13,222.13 |
$13,222.13 |
$997.10
|
|
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
|
|
Flutemetamol f18 diagnostic
|
$7,728.00 |
$7,728.00 |
$7,728.00 |
$2,892.40
|
|
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
|
$6,030.00 |
$6,030.00 |
$6,030.00 |
$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
|
$261.30 |
$261.30 |
$261.30 |
$470.29
|
|
Foscarnet sodium injection
|
$1,929.60 |
$1,929.60 |
$1,929.60 |
$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
|
|
Ga-68 gallium 68 dotatate
|
$9,200.00 |
$9,200.00 |
$9,200.00 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$333.66 |
$333.66 |
$333.66 |
$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
|
$404.41 |
$404.41 |
$404.41 |
$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
|
|
Gallium locametz 1 millicuri
|
$2,494.35 |
$2,494.35 |
$2,494.35 |
$873.44
|
|
Gamma globulin > 10 cc inj
|
$1,911.07 |
$1,911.07 |
$1,911.07 |
$498.52
|
|
Gamma globulin 1 cc inj
|
$418.24 |
$418.24 |
$418.24 |
$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
|
$16,528.63 |
$16,528.63 |
$16,528.63 |
$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-one
|
$4,623.00 |
$4,623.00 |
$4,623.00 |
$534.48
|
