|
Factor viii
|
$514.20 |
$514.20 |
$514.20 |
$152.50
|
|
Family therapy without pt 50min 90846
|
$204.60 |
$204.60 |
$204.60 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$228.60 |
$228.60 |
$228.60 |
$224.80
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$47.09 |
$47.09
|
|
Fat/lipids feces qualitative
|
$210.60 |
$210.60 |
$210.60 |
$43.66
|
|
#fecal-sodium
|
$90.60 |
$90.60 |
$90.60 |
$40.30
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$80.94 |
$80.94 |
$80.94 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,131.58 |
$2,131.58 |
$2,131.58 |
$2,131.58
|
|
Ferritin
|
$232.80 |
$232.80 |
$232.80 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,392.29 |
$1,392.29 |
$1,392.29 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$795.00 |
$795.00 |
$795.00 |
$525.33
|
|
Fetal fibronectin
|
$668.40 |
$668.40 |
$668.40 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$178.20 |
$178.20 |
$178.20 |
$59.85
|
|
Fetal hemoglobin rosette
|
$121.80 |
$121.80 |
$121.80 |
$48.35
|
|
Fibrin degradation d dimer quantitative
|
$208.20 |
$208.20 |
$208.20 |
$87.60
|
|
Fibrin degradation products
|
$154.20 |
$154.20 |
$154.20 |
$56.16
|
|
Fibrin degrade semiquant
|
$248.40 |
$248.40 |
$248.40 |
$88.00
|
|
Fibrinogen activity
|
$210.60 |
$210.60 |
$210.60 |
$61.80
|
|
Fibrinolytic plasminogen
|
$282.60 |
$282.60 |
$282.60 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$246.60 |
$246.60 |
$246.60 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,241.66 |
$1,241.66 |
$1,241.66 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.24 |
$2.24 |
$2.24 |
$998.68
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,068.80 |
$2,068.80 |
$2,068.80 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$2,068.80 |
$2,068.80 |
$2,068.80 |
$612.97
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,104.80 |
$2,104.80 |
$2,104.80 |
$738.00
|
|
Fl exam g/colon tube w contrast
|
$730.20 |
$730.20 |
$730.20 |
$522.75
|
|
Flow cytometry marker each additional
|
$165.60 |
$165.60 |
$165.60 |
$103.00
|
|
Flow cytometry one marker technical component
|
$244.80 |
$244.80 |
$244.80 |
$304.43
|
|
Flt3 gene
|
$407.40 |
$407.40 |
$407.40 |
$355.00
|
|
Flt3 gene analysis
|
$275.40 |
$275.40 |
$275.40 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$63.52 |
$63.52 |
$63.52 |
$48.56
|
|
Fluidotherapy charges pt
|
$143.40 |
$143.40 |
$143.40 |
$101.40
|
|
Fluorescent antibody titer dna
|
$255.60 |
$255.60 |
$255.60 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$379.80 |
$379.80 |
$379.80 |
$497.25
|
|
Fluoroguide needle placement
|
$566.40 |
$566.40 |
$566.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$569.40 |
$569.40 |
$569.40 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$185.09 |
$185.09 |
$185.09 |
$73.16
|
|
Fna bx w/ct gdn 1st les
|
$3,701.40 |
$3,701.40 |
$3,701.40 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$3,701.40 |
$3,701.40 |
$3,701.40 |
$737.83
|
|
Folic acid
|
$216.60 |
$216.60 |
$216.60 |
$85.50
|
|
Fondaparinux sodium
|
$126.88 |
$126.88 |
$126.88 |
$121.83
|
|
Foot X-ray
|
$522.00 |
$522.00 |
$522.00 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$126.29 |
$126.29 |
$126.29 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$66.38
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$420.00 |
$420.00 |
$420.00 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$387.00 |
$387.00 |
$387.00 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$100.20 |
$100.20 |
$100.20 |
$114.35
|
|
Frozen blood thaw
|
$146.40 |
$146.40 |
$146.40 |
$189.84
|
|
Fructosamine glycated protein
|
$99.60 |
$99.60 |
$99.60 |
$69.55
|
|
Ftl cgen abnor four anal
|
$712.80 |
$712.80 |
$712.80 |
$267.15
|
|
Full mouth x-ray of teeth
|
$149.40 |
$149.40 |
$149.40 |
$242.99
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4.59 |
$4.59 |
$4.59 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3.20 |
$3.20 |
$3.20 |
$15.60
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$13.18
|
|
Gammaglobulin iga
|
$175.80 |
$175.80 |
$175.80 |
$78.60
|
|
Gammaglobulin ige
|
$280.80 |
$280.80 |
$280.80 |
$87.10
|
|
Gamma glutamyltransferase
|
$139.80 |
$139.80 |
$139.80 |
$54.60
|
|
Gamunex-c/gammaked
|
$6,597.25 |
$6,597.25 |
$6,597.25 |
$100.40
|
|
Gardner vag dna quant
|
$124.20 |
$124.20 |
$124.20 |
$104.80
|
|
Gastric emptying imag study
|
$2,382.00 |
$2,382.00 |
$2,382.00 |
$1,270.00
|
|
Gastric emptying imag study
|
$2,382.00 |
$2,382.00 |
$2,382.00 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$887.62
|
|
Gemcitabine 1 gram intravenous solution
|
$200.24 |
$200.24 |
$200.24 |
$168.02
|
|
General health panel
|
$432.00 |
$432.00 |
$432.00 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$40.77 |
$40.77 |
$40.77 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$327.60 |
$327.60 |
$327.60 |
$114.00
|
|
Ghs abscess postoperative iandd complex
|
$5,977.20 |
$5,977.20 |
$5,977.20 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$61.20 |
$61.20 |
$61.20 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$218.40 |
$218.40 |
$218.40 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$183.60 |
$183.60 |
$183.60 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$422.40 |
$422.40 |
$422.40 |
$333.18
|
|
Ghs central line insert < age 5, failed
|
$4,270.80 |
$4,270.80 |
$4,270.80 |
$2,489.25
|
|
Ghs chemo >8 hrs
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$468.60 |
$468.60 |
$468.60 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$232.20 |
$232.20 |
$232.20 |
$135.85
|
|
Ghs community re-entry 15 minutes
|
$77.40 |
$77.40 |
$77.40 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$173.40 |
$173.40 |
$173.40 |
$91.80
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$631.20 |
$631.20 |
$631.20 |
$586.80
|
|
Ghs fat & muscle
|
$117.00 |
$117.00 |
$117.00 |
$45.75
|
|
Ghs fb removal from muscle - complicated
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$3,136.84
|
|
Ghs fb removal - incisional
|
$4,547.40 |
$4,547.40 |
$4,547.40 |
$2,454.00
|
|
Ghs fish cytogen
|
$276.00 |
$276.00 |
$276.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$397.20 |
$397.20 |
$397.20 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$443.40 |
$443.40 |
$443.40 |
$385.60
|
|
Ghs hcv amplificaiton
|
$756.60 |
$756.60 |
$756.60 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$378.60 |
$378.60 |
$378.60 |
$105.00
|
|
Ghs histoplasma antigen
|
$344.40 |
$344.40 |
$344.40 |
$157.30
|
|
Ghs HIV antibody
|
$228.00 |
$228.00 |
$228.00 |
$90.14
|
|
Ghs immun0electrophoresis
|
$318.00 |
$318.00 |
$318.00 |
$110.00
|
|
Ghs inhibitor screen
|
$276.60 |
$276.60 |
$276.60 |
$138.06
|
|
Ghs IV inf sq injection, on-body injector
|
$371.40 |
$371.40 |
$371.40 |
$117.42
|
|
Ghs IV thrombolytics - cerebral
|
$592.80 |
$592.80 |
$592.80 |
$752.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$219.00 |
$219.00 |
$219.00 |
$62.28
|
|
Ghs mbp
|
$290.40 |
$290.40 |
$290.40 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$306.00 |
$306.00 |
$306.00 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$309.00 |
$309.00 |
$309.00 |
$125.34
|
|
Ghs myocardial strain img spckl track
|
$573.00 |
$573.00 |
$573.00 |
$503.85
|
|
Ghs ng placement w fluoro guidance
|
$420.00 |
$420.00 |
$420.00 |
$423.76
|
|
Ghs o2 saturation
|
$28.80 |
$28.80 |
$28.80 |
$55.90
|
|
Ghs opcc repair cvp without subq port
|
$1,607.40 |
$1,607.40 |
$1,607.40 |
$1,289.00
|
