|
Evoked auditory tst complete
|
$244.80 |
$244.80 |
$244.80 |
$374.62
|
|
Evoked oa emissions ltd
|
$219.60 |
$219.60 |
$219.60 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$521.40 |
$521.40 |
$521.40 |
$328.16
|
|
Evoked potentials upper limbs
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$1,640.40 |
$1,640.40 |
$1,640.40 |
$852.80
|
|
Evok oa screening qual
|
$163.80 |
$163.80 |
$163.80 |
$127.03
|
|
Exchange drainage catheter
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$2,178.16
|
|
External chromosome analysis 20-25 cells
|
$918.60 |
$918.60 |
$918.60 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$946.80 |
$946.80 |
$946.80 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$234.60 |
$234.60 |
$234.60 |
$102.50
|
|
F-18 fdg pet diag
|
$211.20 |
$211.20 |
$211.20 |
$750.58
|
|
Facial bones <3
|
$208.20 |
$208.20 |
$208.20 |
$216.45
|
|
Factor ix
|
$485.40 |
$485.40 |
$485.40 |
$139.75
|
|
Factor ix alprolix recomb
|
$5.61 |
$5.61 |
$5.61 |
$3.63
|
|
Factor ix complex
|
$3.23 |
$3.23 |
$3.23 |
$3.23
|
|
Factor ix recombinant nos
|
$3.46 |
$3.46 |
$3.46 |
$1.88
|
|
Factor viii
|
$509.40 |
$509.40 |
$509.40 |
$152.50
|
|
Factor viii fc fusion recomb
|
$3.87 |
$3.87 |
$3.87 |
$17,969.85
|
|
Factor viii nuwiq recomb 1iu
|
$3.32 |
$3.32 |
$3.32 |
$1.18
|
|
Factor viii recombinant nos
|
$3.30 |
$3.30 |
$3.30 |
$3.30
|
|
Factor viii recomb obizur
|
$4.43 |
$4.43 |
$4.43 |
$3.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$47.09 |
$47.09
|
|
Fat/lipids feces qualitative
|
$267.00 |
$267.00 |
$267.00 |
$43.66
|
|
Fatty acids nonesterified
|
$141.00 |
$141.00 |
$141.00 |
$64.28
|
|
#fecal-sodium
|
$75.60 |
$75.60 |
$75.60 |
$40.30
|
|
Feeding tube reposition
|
$258.00 |
$258.00 |
$258.00 |
$295.20
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$134.40 |
$134.40 |
$134.40 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,131.58 |
$2,131.58 |
$2,131.58 |
$2,131.58
|
|
Ferritin
|
$247.80 |
$247.80 |
$247.80 |
$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
|
$480.00 |
$480.00 |
$480.00 |
$525.33
|
|
Fetal fibronectin
|
$1,060.20 |
$1,060.20 |
$1,060.20 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$199.20 |
$199.20 |
$199.20 |
$59.85
|
|
Fetal lung maturity assess lam body dnst
|
$90.60 |
$90.60 |
$90.60 |
$64.28
|
|
Fetal non stress test
|
$770.40 |
$770.40 |
$770.40 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$386.40 |
$386.40 |
$386.40 |
$87.60
|
|
Fibrin degradation products
|
$175.20 |
$175.20 |
$175.20 |
$56.16
|
|
Fibrin degrade semiquant
|
$238.20 |
$238.20 |
$238.20 |
$88.00
|
|
Fibrinogen activity
|
$207.00 |
$207.00 |
$207.00 |
$61.80
|
|
Fibrinolytic antiplasmin
|
$274.20 |
$274.20 |
$274.20 |
$68.40
|
|
Fibrinolytic plasminogen
|
$238.20 |
$238.20 |
$238.20 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$114.60 |
$114.60 |
$114.60 |
$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
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$612.97
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,476.60 |
$1,476.60 |
$1,476.60 |
$738.00
|
|
Fl exam g/colon tube w contrast
|
$923.40 |
$923.40 |
$923.40 |
$522.75
|
|
Flow cytometry marker each additional
|
$226.80 |
$226.80 |
$226.80 |
$103.00
|
|
Flow cytometry one marker technical component
|
$304.80 |
$304.80 |
$304.80 |
$304.43
|
|
Floxuridine injection
|
$298.45 |
$298.45 |
$298.45 |
$4,125.55
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$103.18 |
$103.18 |
$103.18 |
$48.56
|
|
Fludarabine 50 mg intravenous solution
|
$301.45 |
$301.45 |
$301.45 |
$417.96
|
|
Fluidotherapy charges pt
|
$111.60 |
$111.60 |
$111.60 |
$101.40
|
|
Fluocinolone acetonide implt
|
$20,888.95 |
$20,888.95 |
$20,888.95 |
$34,587.60
|
|
Fluorescent antibody titer dna
|
$274.80 |
$274.80 |
$274.80 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$276.00 |
$276.00 |
$276.00 |
$497.25
|
|
Fluoroguide needle placement
|
$276.00 |
$276.00 |
$276.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$439.20 |
$439.20 |
$439.20 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$189.67 |
$189.67 |
$189.67 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$191.10 |
$191.10 |
$191.10 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$1,743.60 |
$1,743.60 |
$1,743.60 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$737.83
|
|
Folic acid
|
$255.00 |
$255.00 |
$255.00 |
$85.50
|
|
Fondaparinux sodium
|
$126.88 |
$126.88 |
$126.88 |
$121.83
|
|
Foot X-ray
|
$390.00 |
$390.00 |
$390.00 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$126.29 |
$126.29 |
$126.29 |
$201.52
|
|
Foscarnet sodium injection
|
$1,082.06 |
$1,082.06 |
$1,082.06 |
$1,082.06
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$66.38
|
|
Fracture assessment via dxa
|
$180.60 |
$180.60 |
$180.60 |
$170.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$407.40 |
$407.40 |
$407.40 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$388.20 |
$388.20 |
$388.20 |
$217.30
|
|
Fructosamine glycated protein
|
$195.00 |
$195.00 |
$195.00 |
$69.55
|
|
Ga-67 gallium 0.1 mci
|
$99.00 |
$99.00 |
$99.00 |
$156.23
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4.59 |
$4.59 |
$4.59 |
$2.04
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$90.60
|
|
Galactose transferase test
|
$31.80 |
$31.80 |
$31.80 |
$25.00
|
|
Gamma globulin 1 cc inj
|
$657.42 |
$657.42 |
$657.42 |
$106.20
|
|
Gammaglobulin iga
|
$198.60 |
$198.60 |
$198.60 |
$78.60
|
|
Gammaglobulin ige
|
$247.80 |
$247.80 |
$247.80 |
$87.10
|
|
Gamma glutamyltransferase
|
$140.40 |
$140.40 |
$140.40 |
$54.60
|
|
Gamunex-c/gammaked
|
$6,963.60 |
$6,963.60 |
$6,963.60 |
$100.40
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$308.35 |
$308.35 |
$308.35 |
$154.86
|
|
Gardner vag dna quant
|
$135.00 |
$135.00 |
$135.00 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$49.80 |
$49.80 |
$49.80 |
$25.61
|
|
Gastric emptying imag study
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,270.00
|
|
Gastric emptying imag study
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$887.62
|
|
Gemcitabine 1 gram intravenous solution
|
$200.24 |
$200.24 |
$200.24 |
$168.02
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$329.89 |
$329.89 |
$329.89 |
$15,276.60
|
|
General health panel
|
$423.60 |
$423.60 |
$423.60 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$63.02 |
$63.02 |
$63.02 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$359.40 |
$359.40 |
$359.40 |
$114.00
|
|
Ghs acetylcholinesterase, rbc
|
$29.40 |
$29.40 |
$29.40 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$220.20 |
$220.20 |
$220.20 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$155.40 |
$155.40 |
$155.40 |
$82.50
|
|
Ghs aspiration bladder - needle
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$590.85
|
|
Ghs bladder cath - complex-foley
|
$382.20 |
$382.20 |
$382.20 |
$333.18
|
|
Ghs central line insert < age 5, failed
|
$2,841.00 |
$2,841.00 |
$2,841.00 |
$2,489.25
|
