|
Explore penetrating wnd/extremity 20103
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$1,788.80
|
|
Explore/repair chest 32110
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$3,698.00
|
|
Explore wound abdomen 20102
|
$2,195.00 |
$2,195.00 |
$2,195.00 |
$2,784.80
|
|
External chromosome analysis 20-25 cells
|
$635.00 |
$635.00 |
$635.00 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$75.00 |
$75.00 |
$75.00 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$630.00 |
$630.00 |
$630.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$102.50 |
$102.50 |
$102.50 |
$109.00
|
|
Eye implant band 40
|
$1,366.50 |
$1,366.50 |
$1,366.50 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$322.50 |
$322.50 |
$322.50 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,815.00 |
$1,815.00 |
$1,815.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,140.00 |
$1,140.00 |
$1,140.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$875.50 |
$875.50 |
$875.50 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,765.00 |
$1,765.00 |
$1,765.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$230.00 |
$230.00 |
$230.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$342.50 |
$342.50 |
$342.50 |
$381.75
|
|
Factor ix
|
$202.50 |
$202.50 |
$202.50 |
$162.50
|
|
Factor viii
|
$152.50 |
$152.50 |
$152.50 |
$148.00
|
|
Fallopian tube recnl
|
$2,720.00 |
$2,720.00 |
$2,720.00 |
$3,740.75
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$71.90 |
$71.90 |
$71.90 |
$5,894.50
|
|
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
|
$12,760.00 |
$12,760.00 |
$12,760.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$60.65 |
$60.65 |
$60.65 |
$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
|
$670.00 |
$670.00 |
$670.00 |
$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
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,261.98 |
$3,261.98 |
$3,261.98 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,805.00 |
$1,805.00 |
$1,805.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$795.00 |
$795.00 |
$795.00 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$157.50 |
$157.50 |
$157.50 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$825.00 |
$825.00 |
$825.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$372.50 |
$372.50 |
$372.50 |
$504.45
|
|
Finger X-ray (both hands)
|
$305.00 |
$305.00 |
$305.00 |
$241.50
|
|
Fix g/colon tube w/device
|
$925.00 |
$925.00 |
$925.00 |
$1,183.00
|
|
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
|
|
Florbetaben f18 diagnostic
|
$4,339.99 |
$4,339.99 |
$4,339.99 |
$4,950.00
|
|
Flotufolastat f18 diag 1 mci
|
$840.87 |
$840.87 |
$840.87 |
$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
|
$72.39 |
$72.39 |
$72.39 |
$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
|
$625.00 |
$625.00 |
$625.00 |
$495.00
|
|
Fluoroguide needle placement
|
$570.00 |
$570.00 |
$570.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$610.00 |
$610.00 |
$610.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$52.10 |
$52.10 |
$52.10 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$2,035.00 |
$2,035.00 |
$2,035.00 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$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 arch support remov prem
|
$40.00 |
$40.00 |
$40.00 |
$141.41
|
|
Foot longitud/metatarsal sup
|
$165.00 |
$165.00 |
$165.00 |
$221.20
|
|
Foot X-ray
|
$325.00 |
$325.00 |
$325.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$255.00 |
$255.00 |
$255.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$375.00 |
$375.00 |
$375.00 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$340.00 |
$340.00 |
$340.00 |
$534.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$35.50 |
$35.50 |
$35.50 |
$103.62
|
|
_fragile x methylation-sendout
|
$222.50 |
$222.50 |
$222.50 |
$183.74
|
|
Fragmenting of kidney stone
|
$7,515.00 |
$7,515.00 |
$7,515.00 |
$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)
|
$520.00 |
$520.00 |
$520.00 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$3,155.50
|
|
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
|
$48.10 |
$48.10 |
$48.10 |
$26.40
|
|
G6pc gene
|
$140.00 |
$140.00 |
$140.00 |
$138.40
|
|
Ga-68 gallium 68 dotatate
|
$130.56 |
$130.56 |
$130.56 |
$140.35
|
|
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
|
$76.66 |
$76.66 |
$76.66 |
$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
|
