|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,131.58 |
$2,131.58 |
$2,131.58 |
$2,131.58
|
|
Ferritin
|
$250.20 |
$250.20 |
$250.20 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,392.29 |
$1,392.29 |
$1,392.29 |
$2,289.60
|
|
Fibrin degradation d dimer quantitative
|
$340.80 |
$340.80 |
$340.80 |
$87.60
|
|
Fibrin degradation products
|
$172.20 |
$172.20 |
$172.20 |
$56.16
|
|
Fibrin degrade semiquant
|
$260.40 |
$260.40 |
$260.40 |
$88.00
|
|
Fibrinogen activity
|
$206.40 |
$206.40 |
$206.40 |
$61.80
|
|
Fibrinolytic plasminogen
|
$211.80 |
$211.80 |
$211.80 |
$120.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,223.60 |
$1,223.60 |
$1,223.60 |
$1,223.60
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$738.00
|
|
Fl exam g/colon tube w contrast
|
$918.60 |
$918.60 |
$918.60 |
$522.75
|
|
Flow cytometry marker each additional
|
$147.00 |
$147.00 |
$147.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$229.80 |
$229.80 |
$229.80 |
$304.43
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$103.18 |
$103.18 |
$103.18 |
$48.56
|
|
Fluidotherapy charges pt
|
$126.60 |
$126.60 |
$126.60 |
$101.40
|
|
Fluorescent antibody titer dna
|
$112.80 |
$112.80 |
$112.80 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$612.00 |
$612.00 |
$612.00 |
$497.25
|
|
Fluoroguide needle placement
|
$562.80 |
$562.80 |
$562.80 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$426.00 |
$426.00 |
$426.00 |
$474.50
|
|
Folic acid
|
$254.40 |
$254.40 |
$254.40 |
$85.50
|
|
Foot X-ray
|
$573.60 |
$573.60 |
$573.60 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$66.38
|
|
Fractionation ketosteroids
|
$437.40 |
$437.40 |
$437.40 |
$128.26
|
|
Fracture assessment via dxa
|
$180.60 |
$180.60 |
$180.60 |
$170.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$250.80 |
$250.80 |
$250.80 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$336.00 |
$336.00 |
$336.00 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$83.40 |
$83.40 |
$83.40 |
$114.35
|
|
Fructosamine glycated protein
|
$178.20 |
$178.20 |
$178.20 |
$69.55
|
|
Ftl cgen abnor four anal
|
$754.80 |
$754.80 |
$754.80 |
$267.15
|
|
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
|
$0.25 |
$0.25 |
$0.25 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$90.60
|
|
Galactose transferase test
|
$25.80 |
$25.80 |
$25.80 |
$25.00
|
|
Gammaglobulin iga
|
$78.60 |
$78.60 |
$78.60 |
$78.60
|
|
Gammaglobulin ige
|
$255.60 |
$255.60 |
$255.60 |
$87.10
|
|
Gamma glutamyltransferase
|
$137.40 |
$137.40 |
$137.40 |
$54.60
|
|
Gardner vag dna quant
|
$80.40 |
$80.40 |
$80.40 |
$104.80
|
|
General health panel
|
$408.00 |
$408.00 |
$408.00 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$38.83 |
$38.83 |
$38.83 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$350.40 |
$350.40 |
$350.40 |
$114.00
|
|
Ghs abscess postoperative iandd complex
|
$5,977.20 |
$5,977.20 |
$5,977.20 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$30.60 |
$30.60 |
$30.60 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$224.40 |
$224.40 |
$224.40 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$187.80 |
$187.80 |
$187.80 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$424.80 |
$424.80 |
$424.80 |
$333.18
|
|
Ghs central line insert < age 5, failed
|
$4,432.80 |
$4,432.80 |
$4,432.80 |
$2,489.25
|
|
Ghs community re-entry 15 minutes
|
$78.60 |
$78.60 |
$78.60 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$181.20 |
$181.20 |
$181.20 |
$91.80
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,654.20 |
$1,654.20 |
$1,654.20 |
$1,360.20
|
|
Ghs fb removal from muscle - complicated
|
$863.40 |
$863.40 |
$863.40 |
$3,136.84
|
|
Ghs fb removal - incisional
|
$4,547.40 |
$4,547.40 |
$4,547.40 |
$2,454.00
|
|
Ghs fish cytogen
|
$287.40 |
$287.40 |
$287.40 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$412.80 |
$412.80 |
$412.80 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$199.80 |
$199.80 |
$199.80 |
$385.60
|
|
Ghs hcv amplificaiton
|
$844.20 |
$844.20 |
$844.20 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$466.80 |
$466.80 |
$466.80 |
$105.00
|
|
Ghs histoplasma antigen
|
$484.20 |
$484.20 |
$484.20 |
$157.30
|
|
Ghs HIV antibody
|
$182.40 |
$182.40 |
$182.40 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$595.80 |
$595.80 |
$595.80 |
$475.80
|
|
Ghs immun0electrophoresis
|
$206.40 |
$206.40 |
$206.40 |
$110.00
|
|
Ghs inhibitor screen
|
$111.60 |
$111.60 |
$111.60 |
$138.06
|
|
Ghs intro needle/intracath vein - 36000
|
$222.00 |
$222.00 |
$222.00 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$657.60 |
$657.60 |
$657.60 |
$752.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$273.60 |
$273.60 |
$273.60 |
$62.28
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$309.60 |
$309.60 |
$309.60 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$262.80 |
$262.80 |
$262.80 |
$125.34
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$143.40 |
$143.40 |
$143.40 |
$123.30
|
|
Ghs myocardial strain img spckl track
|
$573.00 |
$573.00 |
$573.00 |
$503.85
|
|
Ghs ng placement w fluoro guidance
|
$467.40 |
$467.40 |
$467.40 |
$423.76
|
|
Ghs o2 saturation
|
$27.00 |
$27.00 |
$27.00 |
$55.90
|
|
Ghs ot prosthetic training/15 min
|
$90.00 |
$90.00 |
$90.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$78.60 |
$78.60 |
$78.60 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$349.20 |
$349.20 |
$349.20 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$1,307.40 |
$1,307.40 |
$1,307.40 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$84.60 |
$84.60 |
$84.60 |
$82.80
|
|
Ghs phenylketonurid
|
$145.80 |
$145.80 |
$145.80 |
$61.20
|
|
Ghs plt ct-manual
|
$97.20 |
$97.20 |
$97.20 |
$40.80
|
|
Ghs ppd (tb intradermal)
|
$54.00 |
$54.00 |
$54.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$151.20 |
$151.20 |
$151.20 |
$49.77
|
|
Ghs protein, misc fluid
|
$49.80 |
$49.80 |
$49.80 |
$24.60
|
|
Ghs protoporphyrins fract
|
$162.00 |
$162.00 |
$162.00 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$117.00 |
$117.00 |
$117.00 |
$165.60
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$97.20 |
$97.20 |
$97.20 |
$55.25
|
|
Ghs pt - work hardening/int 2hrs
|
$349.20 |
$349.20 |
$349.20 |
$230.40
|
|
Ghs quinidine
|
$188.40 |
$188.40 |
$188.40 |
$70.85
|
|
Ghs reticulocyte count
|
$103.80 |
$103.80 |
$103.80 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$300.60 |
$300.60 |
$300.60 |
$117.60
|
|
Ghs sedimentation rate
|
$125.40 |
$125.40 |
$125.40 |
$36.57
|
|
Ghs semen analysis fert
|
$343.20 |
$343.20 |
$343.20 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$151.20 |
$151.20 |
$151.20 |
$55.12
|
|
Ghs strapping shoulder - 29240
|
$150.00 |
$150.00 |
$150.00 |
$210.91
|
|
Ghs st - re-eval for alt comm
|
$313.80 |
$313.80 |
$313.80 |
$321.00
|
|
Ghs urine, hydroxproline total
|
$378.60 |
$378.60 |
$378.60 |
$119.40
|
|
Ghs urine, porphyrins quant
|
$248.40 |
$248.40 |
$248.40 |
$85.15
|
|
Gi inhouse confirmation
|
$280.20 |
$280.20 |
$280.20 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$351.53 |
$351.53 |
$351.53 |
$351.53
|
|
Glucagon plasma - sendout
|
$200.40 |
$200.40 |
$200.40 |
$67.50
|
|
Glucose 1 hr post dose
|
$129.00 |
$129.00 |
$129.00 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$59.40 |
$59.40 |
$59.40 |
$20.00
|
|
Glucose blood quantitative
|
$67.80 |
$67.80 |
$67.80 |
$40.80
|
