|
Fetal hemoglobin (kleihauer betke)
|
$162.00 |
$162.00 |
$162.00 |
$104.00
|
|
Fetal hemoglobin rosette
|
$43.20 |
$43.20 |
$43.20 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$254.16 |
$254.16 |
$254.16 |
$67.00
|
|
Fetal non stress test
|
$1,003.68 |
$1,003.68 |
$1,003.68 |
$478.50
|
|
Fetal shunt placement w/us
|
$1,825.20 |
$1,825.20 |
$1,825.20 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$108.00 |
$108.00 |
$108.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$50.40 |
$50.40 |
$50.40 |
$120.05
|
|
Fibrin degradation products
|
$53.28 |
$53.28 |
$53.28 |
$74.25
|
|
Fibrinogen activity
|
$86.40 |
$86.40 |
$86.40 |
$85.86
|
|
Fibrinolytic plasminogen
|
$167.04 |
$167.04 |
$167.04 |
$105.60
|
|
Fibrinolytic plasminogen
|
$92.88 |
$92.88 |
$92.88 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$148.32 |
$148.32 |
$148.32 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,518.42 |
$2,518.42 |
$2,518.42 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,517.15 |
$1,517.15 |
$1,517.15 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$7,560.00 |
$7,560.00 |
$7,560.00 |
$7,188.75
|
|
Filter vena cava fem denali
|
$4,104.00 |
$4,104.00 |
$4,104.00 |
$3,816.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,025.28 |
$1,025.28 |
$1,025.28 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$863.28 |
$863.28 |
$863.28 |
$497.00
|
|
Fix g/colon tube w/device
|
$2,025.36 |
$2,025.36 |
$2,025.36 |
$1,165.45
|
|
Flecainide (tambocor)-sendout
|
$105.84 |
$105.84 |
$105.84 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$756.72 |
$756.72 |
$756.72 |
$523.95
|
|
Floor of mouth biopsy 41108
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$2,160.48
|
|
Flow cytometry interp 16 or more
|
$446.40 |
$446.40 |
$446.40 |
$194.00
|
|
Flow cytometry marker each additional
|
$290.88 |
$290.88 |
$290.88 |
$97.50
|
|
Flow cytometry one marker technical component
|
$404.64 |
$404.64 |
$404.64 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$158.40 |
$158.40 |
$158.40 |
$172.50
|
|
Flt3 gene
|
$634.32 |
$634.32 |
$634.32 |
$355.00
|
|
Flt3 gene analysis
|
$480.96 |
$480.96 |
$480.96 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$43.20 |
$43.20 |
$43.20 |
$64.15
|
|
Fluidotherapy charges pt
|
$388.08 |
$388.08 |
$388.08 |
$98.40
|
|
Fluid pressure muscle 20950
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$779.45
|
|
Fluorescent antibody titer dna
|
$675.36 |
$675.36 |
$675.36 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$365.04 |
$365.04 |
$365.04 |
$495.95
|
|
Fluoroguide needle placement
|
$203.04 |
$203.04 |
$203.04 |
$497.20
|
|
Fluoro polarize fetal lung
|
$463.68 |
$463.68 |
$463.68 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$63.14 |
$63.14 |
$63.14 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$133.89 |
$133.89 |
$133.89 |
$72.52
|
|
Fmri brain by phys/psych
|
$3,304.80 |
$3,304.80 |
$3,304.80 |
$1,560.51
|
|
Fna bx w/ct gdn 1st les
|
$1,931.04 |
$1,931.04 |
$1,931.04 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$1,110.24 |
$1,110.24 |
$1,110.24 |
$834.90
|
|
Foam drg >16<=48 sq in w/bdr
|
$15.84 |
$15.84 |
$15.84 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$15.12 |
$15.12 |
$15.12 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$179.28 |
$179.28 |
$179.28 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$22.32 |
$22.32 |
$22.32 |
$22.32
|
|
Folic acid
|
$133.20 |
$133.20 |
$133.20 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$4.32 |
$4.32 |
$4.32 |
$50.70
|
|
Follow-up angiography
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$1,939.14
|
|
Fondaparinux sodium
|
$39.36 |
$39.36 |
$39.36 |
$186.87
|
|
Foot X-ray
|
$522.00 |
$522.00 |
$522.00 |
$352.08
|
|
Forearm/arm cuffs free motio
|
$1,254.96 |
$1,254.96 |
$1,254.96 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,111.68 |
$1,111.68 |
$1,111.68 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$8.68 |
$8.68 |
$8.68 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$21.60 |
$21.60 |
$21.60 |
$106.25
|
|
_fragile x methylation-sendout
|
$172.08 |
$172.08 |
$172.08 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$268.56 |
$268.56 |
$268.56 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$236.88 |
$236.88 |
$236.88 |
$164.16
|
|
Frozen plasma, pooled, sd
|
$197.28 |
$197.28 |
$197.28 |
$170.00
|
|
Fructosamine glycated protein
|
$62.64 |
$62.64 |
$62.64 |
$61.75
|
|
Ftl cgen abnor four anal
|
$193.68 |
$193.68 |
$193.68 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$187.20 |
$187.20 |
$187.20 |
$109.00
|
|
Full mouth x-ray of teeth
|
$522.00 |
$522.00 |
$522.00 |
$286.04
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$4,697.28 |
$4,697.28 |
$4,697.28 |
$3,026.40
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$2,706.60
|
|
Functional brain mapping
|
$667.44 |
$667.44 |
$667.44 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$2.16 |
$2.16 |
$2.16 |
$19.53
|
|
Fusion of finger joint
|
$8,881.92 |
$8,881.92 |
$8,881.92 |
$4,350.00
|
|
Fusion of knuckle joint
|
$6,661.44 |
$6,661.44 |
$6,661.44 |
$3,786.00
|
|
G6pd full gene sequence
|
$1,244.16 |
$1,244.16 |
$1,244.16 |
$1,320.00
|
|
Gabapentin non-blood
|
$60.48 |
$60.48 |
$60.48 |
$42.35
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.35 |
$2.35 |
$2.35 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$64.93 |
$64.93 |
$64.93 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$333.36 |
$333.36 |
$333.36 |
$100.00
|
|
Galectin-3
|
$199.44 |
$199.44 |
$199.44 |
$111.60
|
|
Gammaglobulin iga
|
$120.96 |
$120.96 |
$120.96 |
$69.42
|
|
Gammaglobulin ige
|
$175.68 |
$175.68 |
$175.68 |
$83.40
|
|
Gamma glutamyltransferase
|
$110.16 |
$110.16 |
$110.16 |
$57.54
|
|
Gamunex-c/gammaked
|
$192.77 |
$192.77 |
$192.77 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$259.20 |
$259.20 |
$259.20 |
$197.40
|
|
Gastroesophageal reflux study
|
$2,011.68 |
$2,011.68 |
$2,011.68 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$1,352.00
|
|
Gauze >16<=48 no w/sal without b
|
$23.04 |
$23.04 |
$23.04 |
$5.00
|
|
Gemcitabine 1 gram intravenous solution
|
$44.35 |
$44.35 |
$44.35 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$587.28 |
$587.28 |
$587.28 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$52,020.00 |
$52,020.00 |
$52,020.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$42,120.00 |
$42,120.00 |
$42,120.00 |
$36,771.84
|
|
Genetic tstg severe inh cond
|
$3,883.68 |
$3,883.68 |
$3,883.68 |
$3,978.65
|
|
Genome sequence analysis
|
$4,256.64 |
$4,256.64 |
$4,256.64 |
$5,031.20
|
|
Genome sequence analysis
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$43.20 |
$43.20 |
$43.20 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$123.84 |
$123.84 |
$123.84 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$2,442.24 |
$2,442.24 |
$2,442.24 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$6,181.92 |
$6,181.92 |
$6,181.92 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$24.48 |
$24.48 |
$24.48 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$40.32 |
$40.32 |
$40.32 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$259.20 |
$259.20 |
$259.20 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$109.44 |
$109.44 |
$109.44 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$604.80 |
$604.80 |
$604.80 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$64.08 |
$64.08 |
$64.08 |
$64.08
|
