|
Fibrinolytic plasminogen xcpt antgnc asa
|
$93.60 |
$93.60 |
$93.60 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,241.66 |
$1,241.66 |
$1,241.66 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.24 |
$2.24 |
$2.24 |
$891.02
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,236.60 |
$1,236.60 |
$1,236.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,249.80 |
$1,249.80 |
$1,249.80 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,312.20 |
$1,312.20 |
$1,312.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$890.40 |
$890.40 |
$890.40 |
$504.45
|
|
Finger X-ray (both hands)
|
$281.40 |
$281.40 |
$281.40 |
$241.50
|
|
Fl exam g/colon tube w contrast
|
$645.00 |
$645.00 |
$645.00 |
$540.80
|
|
Flow cytometry marker each additional
|
$201.60 |
$201.60 |
$201.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$320.40 |
$320.40 |
$320.40 |
$285.00
|
|
Flt3 gene
|
$306.00 |
$306.00 |
$306.00 |
$366.29
|
|
Flt3 gene analysis
|
$217.80 |
$217.80 |
$217.80 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$103.18 |
$103.18 |
$103.18 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$292.04 |
$292.04 |
$292.04 |
$493.35
|
|
Fluidotherapy charges pt
|
$171.60 |
$171.60 |
$171.60 |
$101.40
|
|
Fluorescent antibody titer dna
|
$226.20 |
$226.20 |
$226.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,467.60 |
$1,467.60 |
$1,467.60 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$635.40 |
$635.40 |
$635.40 |
$495.00
|
|
Fluoroguide needle placement
|
$585.60 |
$585.60 |
$585.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$635.40 |
$635.40 |
$635.40 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$185.09 |
$185.09 |
$185.09 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$191.10 |
$191.10 |
$191.10 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$834.90
|
|
Foam drg <=16 sq in w/border
|
$44.40 |
$44.40 |
$44.40 |
$16.25
|
|
Folic acid
|
$194.40 |
$194.40 |
$194.40 |
$101.50
|
|
Follow-up angiography
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$1,983.00
|
|
Fondaparinux sodium
|
$126.88 |
$126.88 |
$126.88 |
$186.20
|
|
Foot X-ray
|
$281.40 |
$281.40 |
$281.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$281.40 |
$281.40 |
$281.40 |
$290.40
|
|
Forearm X-ray (both sides)
|
$281.40 |
$281.40 |
$281.40 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$93.53 |
$93.53 |
$93.53 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$155.40 |
$155.40 |
$155.40 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$348.60 |
$348.60 |
$348.60 |
$164.84
|
|
Fructosamine glycated protein
|
$64.20 |
$64.20 |
$64.20 |
$63.50
|
|
Ftl cgen abnor five anal
|
$344.40 |
$344.40 |
$344.40 |
$155.10
|
|
Ftl cgen abnor four anal
|
$600.00 |
$600.00 |
$600.00 |
$211.83
|
|
Ftl cgen abnor three anal
|
$224.40 |
$224.40 |
$224.40 |
$126.56
|
|
Full Spine X-ray (Scoliosis Survey)
|
$310.80 |
$310.80 |
$310.80 |
$355.00
|
|
Ga-67 gallium 0.1 mci
|
$163.80 |
$163.80 |
$163.80 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$135.60 |
$135.60 |
$135.60 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.59 |
$0.59 |
$0.59 |
$108.40
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$94.20 |
$94.20 |
$94.20 |
$100.00
|
|
Galactokinase - sendout
|
$404.40 |
$404.40 |
$404.40 |
$204.97
|
|
Galactose transferase test
|
$34.20 |
$34.20 |
$34.20 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,569.60 |
$1,569.60 |
$1,569.60 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,472.40 |
$1,472.40 |
$1,472.40 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$2,115.00 |
$2,115.00 |
$2,115.00 |
$1,696.55
|
|
Gamma globulin 1 cc inj
|
$490.33 |
$490.33 |
$490.33 |
$407.60
|
|
Gammaglobulin iga
|
$124.80 |
$124.80 |
$124.80 |
$69.60
|
|
Gammaglobulin ige
|
$66.60 |
$66.60 |
$66.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$73.20 |
$73.20 |
$73.20 |
$57.54
|
|
Gamunex-c/gammaked
|
$6,963.60 |
$6,963.60 |
$6,963.60 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$308.35 |
$308.35 |
$308.35 |
$197.40
|
|
Gardner vag dna quant
|
$119.40 |
$119.40 |
$119.40 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$36.60 |
$36.60 |
$36.60 |
$31.50
|
|
Gastroesophageal reflux study
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$406.80 |
$406.80 |
$406.80 |
$379.50
|
|
Gauze >16<=48 no w/sal without b
|
$10.20 |
$10.20 |
$10.20 |
$5.00
|
|
Gemcitabine 1 gram intravenous solution
|
$218.74 |
$218.74 |
$218.74 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$329.89 |
$329.89 |
$329.89 |
$19,305.62
|
|
General health panel
|
$318.60 |
$318.60 |
$318.60 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$62.91 |
$62.91 |
$62.91 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$187.20 |
$187.20 |
$187.20 |
$123.84
|
|
Ghs abscess postoperative iandd complex
|
$4,995.00 |
$4,995.00 |
$4,995.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$26.40 |
$26.40 |
$26.40 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$138.00 |
$138.00 |
$138.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$131.40 |
$131.40 |
$131.40 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$113.40 |
$113.40 |
$113.40 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$289.80 |
$289.80 |
$289.80 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$3,300.60 |
$3,300.60 |
$3,300.60 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$664.20 |
$664.20 |
$664.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$819.00 |
$819.00 |
$819.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$402.00 |
$402.00 |
$402.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.00 |
$63.00 |
$63.00 |
$133.70
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,477.20 |
$1,477.20 |
$1,477.20 |
$3,567.20
|
|
Ghs community re-entry 15 minutes
|
$72.60 |
$72.60 |
$72.60 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$42.00 |
$42.00 |
$42.00 |
$55.29
|
|
Ghs ed rmvl or bivalving cast
|
$260.40 |
$260.40 |
$260.40 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,432.20 |
$1,432.20 |
$1,432.20 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$480.60 |
$480.60 |
$480.60 |
$586.80
|
|
Ghs fb removal - incisional
|
$3,964.80 |
$3,964.80 |
$3,964.80 |
$2,323.75
|
|
Ghs febrile agglutinns(mayo)
|
$102.00 |
$102.00 |
$102.00 |
$48.10
|
|
Ghs fish cytogen
|
$153.60 |
$153.60 |
$153.60 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$300.60 |
$300.60 |
$300.60 |
$226.20
|
|
Ghs flow volume loop
|
$314.40 |
$314.40 |
$314.40 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$394.80 |
$394.80 |
$394.80 |
$368.50
|
|
Ghs hcv amplificaiton
|
$541.20 |
$541.20 |
$541.20 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$381.60 |
$381.60 |
$381.60 |
$144.54
|
|
Ghs hgb stability-thal
|
$70.20 |
$70.20 |
$70.20 |
$89.91
|
|
Ghs histoplasma antigen
|
$336.00 |
$336.00 |
$336.00 |
$142.00
|
|
Ghs HIV antibody
|
$125.40 |
$125.40 |
$125.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$513.64
|
|
Ghs inf midline insertion
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,238.25
|
|
Ghs inhibitor screen
|
$228.60 |
$228.60 |
$228.60 |
$191.88
|
