|
Etoposide 50 mg cap
|
$89.11 |
$89.11 |
$89.11 |
$135.02
|
|
Euflexxa inj per dose
|
$510.68 |
$510.68 |
$510.68 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$377.00 |
$377.00 |
$377.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$313.50 |
$313.50 |
$313.50 |
$219.60
|
|
Evaluation heart device
|
$6,662.00 |
$6,662.00 |
$6,662.00 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$302.50 |
$302.50 |
$302.50 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$256.00 |
$256.00 |
$256.00 |
$312.00
|
|
Evasc prlng admn rx agnt 1st
|
$5,421.00 |
$5,421.00 |
$5,421.00 |
$3,822.00
|
|
Evasc prlng admn rx agnt add
|
$4,839.50 |
$4,839.50 |
$4,839.50 |
$2,734.40
|
|
Event monitor
|
$256.50 |
$256.50 |
$256.50 |
$242.65
|
|
Evoked oa emissions ltd
|
$380.00 |
$380.00 |
$380.00 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$244.00 |
$244.00 |
$244.00 |
$249.71
|
|
Exam of vagina w/scope 57420
|
$57.40 |
$57.40 |
$57.40 |
$486.03
|
|
Exam pelvic add-on
|
$10.85 |
$10.85 |
$10.85 |
$41.60
|
|
Exc benign tal 0.5 < cm 11400
|
$48.12 |
$48.12 |
$48.12 |
$827.40
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$50.75 |
$50.75 |
$50.75 |
$765.50
|
|
Exchange biliary drg cath
|
$5,039.50 |
$5,039.50 |
$5,039.50 |
$3,909.56
|
|
Exchange drainage catheter
|
$2,982.00 |
$2,982.00 |
$2,982.00 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$7,749.00 |
$7,749.00 |
$7,749.00 |
$2,958.80
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$228.38 |
$228.38 |
$228.38 |
$2,623.00
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$67.55 |
$67.55 |
$67.55 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$138.78 |
$138.78 |
$138.78 |
$2,865.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$84.18 |
$84.18 |
$84.18 |
$889.20
|
|
Exercise tst brncspsm w/ecg
|
$810.00 |
$810.00 |
$810.00 |
$318.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,000.00 |
$6,000.00 |
$6,000.00 |
$4,048.38
|
|
External newborn metabolic screening panel
|
$75.00 |
$75.00 |
$75.00 |
$109.76
|
|
External recharg sys intern
|
$5,740.80 |
$5,740.80 |
$5,740.80 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$579.50 |
$579.50 |
$579.50 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$132.00 |
$132.00 |
$132.00 |
$108.60
|
|
F-18 fdg pet diag
|
$1,487.50 |
$1,487.50 |
$1,487.50 |
$551.72
|
|
Facial bones <3
|
$210.50 |
$210.50 |
$210.50 |
$252.60
|
|
Factor ix
|
$199.50 |
$199.50 |
$199.50 |
$156.13
|
|
Factor ix recombinant nos
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$4.65
|
|
Factor viii
|
$137.50 |
$137.50 |
$137.50 |
$133.81
|
|
Factor viii fc fusion recomb
|
$8,202.60 |
$8,202.60 |
$8,202.60 |
$8.28
|
|
Factor viii recombinant nos
|
$6,518.14 |
$6,518.14 |
$6,518.14 |
$6.56
|
|
Fallopian tube recnl
|
$3,622.50 |
$3,622.50 |
$3,622.50 |
$3,762.53
|
|
Family therapy without pt 50min 90846
|
$36.40 |
$36.40 |
$36.40 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$54.95 |
$54.95 |
$54.95 |
$230.36
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$7,046.92 |
$7,046.92 |
$7,046.92 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$65.50 |
$65.50 |
$65.50 |
$38.35
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$11,420.12 |
$11,420.12 |
$11,420.12 |
$14,956.68
|
|
Felbamate (felbatol(r)) - sendout
|
$130.50 |
$130.50 |
$130.50 |
$65.00
|
|
Feno poc
|
$35.00 |
$35.00 |
$35.00 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$107.80 |
$107.80 |
$107.80 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,367.34 |
$3,367.34 |
$3,367.34 |
$2,590.25
|
|
Ferritin
|
$126.50 |
$126.50 |
$126.50 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$650.20 |
$650.20 |
$650.20 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$486.00 |
$486.00 |
$486.00 |
$535.37
|
|
Fetal fibronectin
|
$360.00 |
$360.00 |
$360.00 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$110.50 |
$110.50 |
$110.50 |
$105.12
|
|
Fetal hemoglobin rosette
|
$91.50 |
$91.50 |
$91.50 |
$67.20
|
|
Fetal non stress test
|
$705.00 |
$705.00 |
$705.00 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$128.00 |
$128.00 |
$128.00 |
$117.70
|
|
Fibrinogen activity
|
$70.00 |
$70.00 |
$70.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$43.50 |
$43.50 |
$43.50 |
$64.05
|
|
Fibrinolytic plasminogen
|
$179.00 |
$179.00 |
$179.00 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$537.36 |
$537.36 |
$537.36 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,223.96 |
$1,223.96 |
$1,223.96 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$474.94 |
$474.94 |
$474.94 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$11,797.05 |
$11,797.05 |
$11,797.05 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,360.00 |
$5,360.00 |
$5,360.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$978.50 |
$978.50 |
$978.50 |
$823.90
|
|
Flecainide (tambocor)-sendout
|
$117.00 |
$117.00 |
$117.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,073.00 |
$1,073.00 |
$1,073.00 |
$511.92
|
|
Flow cytometry marker each additional
|
$87.50 |
$87.50 |
$87.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$260.00 |
$260.00 |
$260.00 |
$284.40
|
|
Flt3 gene
|
$324.50 |
$324.50 |
$324.50 |
$355.00
|
|
Flt3 gene analysis
|
$324.50 |
$324.50 |
$324.50 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$52.68 |
$52.68 |
$52.68 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$493.35 |
$493.35 |
$493.35 |
$493.35
|
|
Fluidotherapy charges pt
|
$79.00 |
$79.00 |
$79.00 |
$91.00
|
|
Fluocinol acet intravit imp
|
$12,350.00 |
$12,350.00 |
$12,350.00 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$63.00 |
$63.00 |
$63.00 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$407.00 |
$407.00 |
$407.00 |
$496.03
|
|
Fluoroguide needle placement
|
$364.00 |
$364.00 |
$364.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$640.00 |
$640.00 |
$640.00 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,593.09 |
$2,593.09 |
$2,593.09 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$210.68 |
$210.68 |
$210.68 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,772.50 |
$1,772.50 |
$1,772.50 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$833.25
|
|
Folic acid
|
$103.00 |
$103.00 |
$103.00 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,717.41 |
$1,717.41 |
$1,717.41 |
$2,581.14
|
|
Fondaparinux sodium
|
$80.92 |
$80.92 |
$80.92 |
$185.12
|
|
Fo nontorsion joint cf
|
$242.00 |
$242.00 |
$242.00 |
$217.50
|
|
Foot X-ray
|
$308.50 |
$308.50 |
$308.50 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$185.08 |
$185.08 |
$185.08 |
$457.50
|
|
Foscarnet sodium injection
|
$1,458.38 |
$1,458.38 |
$1,458.38 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$106.25 |
$106.25 |
$106.25 |
$106.10
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$256.50 |
$256.50 |
$256.50 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$428.50 |
$428.50 |
$428.50 |
$122.00
|
|
Fructosamine glycated protein
|
$97.50 |
$97.50 |
$97.50 |
$60.75
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$29.15 |
$29.15 |
$29.15 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$47.57 |
$47.57 |
$47.57 |
$118.56
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$84.04 |
$84.04 |
$84.04 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$155.61 |
$155.61 |
$155.61 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$844.12 |
$844.12 |
$844.12 |
$250.83
|
|
Gammaglobulin iga
|
$62.50 |
$62.50 |
$62.50 |
$67.20
|
|
Gammaglobulin ige
|
$80.50 |
$80.50 |
$80.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$29.00 |
$29.00 |
$29.00 |
$57.54
|
