|
Fetal chrmoml microdeltj
|
$2,552.15 |
$2,552.15 |
$2,552.15 |
|
|
Fetal chrom aneuploidy gsa panel
|
$6,447.78 |
$6,447.78 |
$6,447.78 |
|
|
Fetal contract stress test 59020 - 26
|
$415.80 |
$477.00 |
$1,484.01 |
|
|
Fetal fibronectin
|
$138.62 |
$451.80 |
$1,143.00 |
|
|
Fetal fluid drainage w/us
|
$472.80 |
$585.60 |
$585.60 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$56.62 |
$108.50 |
$264.60 |
|
|
Fetal hemoglobin rosette
|
$34.00 |
$87.50 |
$121.80 |
|
|
Fetal lung maturity assess lam body dnst
|
$64.80 |
$90.60 |
$222.54 |
|
|
Fetal non stress test
|
$319.62 |
$705.00 |
$1,046.50 |
|
|
Fibrin degradation d dimer quantitative
|
$103.38 |
$194.40 |
$386.40 |
|
|
Fibrin degradation products
|
$112.80 |
$175.20 |
$694.52 |
|
|
Fibrin degrade semiquant
|
$21.00 |
$182.40 |
$260.40 |
|
|
Fibrinogen activity
|
$51.25 |
$146.40 |
$231.60 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$41.50 |
$43.50 |
$1,128.94 |
|
|
Fibrinolytic antiplasmin
|
$68.40 |
$274.20 |
$279.00 |
|
|
Fibrinolytic plasminogen
|
$53.50 |
$211.80 |
$342.58 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$81.63 |
$114.60 |
$246.60 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$537.36 |
$537.36 |
$537.36 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$844.70 |
$1,223.96 |
$1,350.98 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.24 |
$474.94 |
$1,581.46 |
|
|
Filter spider fx 3mmx320cm
|
$11,797.00 |
$11,797.05 |
$35,190.00 |
|
|
Filter vena cava fem denali
|
$5,360.00 |
$5,360.00 |
$17,551.01 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,236.60 |
$1,407.00 |
$2,068.80 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,249.80 |
$1,407.00 |
$2,068.80 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$931.50 |
$1,476.60 |
$2,557.20 |
|
|
Fine needle asp without image guide 10021
|
$756.00 |
$991.20 |
$1,015.80 |
|
|
Finger joint sz00 swanson w/grommets
|
$3,970.80 |
$4,413.60 |
$4,413.60 |
|
|
Finger X-ray (both hands)
|
$106.50 |
$303.60 |
$1,505.34 |
|
|
Fix g/colon tube w/device
|
$2,749.80 |
$2,749.80 |
$3,198.22 |
|
|
Flecainide (tambocor)-sendout
|
$111.50 |
$113.50 |
$464.96 |
|
|
Fl exam g/colon tube w contrast
|
$645.00 |
$931.80 |
$1,348.07 |
|
|
Florbetaben f18 diagnostic
|
$22,724.57 |
$22,724.57 |
$22,724.57 |
|
|
Flotufolastat f18 diag 1 mci
|
$5,988.08 |
$5,988.08 |
$5,988.08 |
|
|
Flow cytometry marker each additional
|
$31.00 |
$160.20 |
$429.00 |
|
|
Flow cytometry one marker technical component
|
$152.40 |
$260.00 |
$1,170.99 |
|
|
Floxuridine injection
|
$298.45 |
$298.45 |
$298.45 |
|
|
Flt3 gene
|
$306.00 |
$324.50 |
$421.80 |
|
|
Flt3 gene analysis
|
$217.80 |
$309.00 |
$403.52 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$52.68 |
$63.52 |
$193.07 |
|
|
Fludarabine 50 mg intravenous solution
|
$292.04 |
$493.35 |
$1,685.92 |
|
|
Fluidotherapy charges pt
|
$54.00 |
$111.60 |
$188.44 |
|
|
Fluid pressure muscle 20950
|
$3,634.01 |
$3,634.01 |
$3,634.01 |
|
|
Fluocinol acet intravit imp
|
$12,350.00 |
$12,350.00 |
$12,350.00 |
|
|
Fluocinolone acetonide implt
|
$20,888.95 |
$20,888.95 |
$20,888.95 |
|
|
Fluorescent antibody titer dna
|
$39.00 |
$184.80 |
$847.17 |
|
|
Fluoroestradiol f 18
|
$1,467.60 |
$1,467.60 |
$6,458.21 |
|
|
Fluoroguide for spine inject 77003-26
|
$276.00 |
$345.50 |
$1,647.61 |
|
|
Fluoroguide needle placement
|
$276.00 |
$348.50 |
$1,862.99 |
|
|
Fluoro polarize fetal lung
|
$738.79 |
$738.79 |
$738.79 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$270.62 |
$468.00 |
$1,346.12 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$183.33 |
$189.67 |
$2,593.09 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$187.76 |
$191.10 |
$210.68 |
|
|
Fmri brain by phys/psych
|
$582.60 |
$582.60 |
$3,910.93 |
|
|
Fmri brain by tech
|
$582.60 |
$582.60 |
$3,872.58 |
|
|
Fna bx w/ct gdn 1st les
|
$1,539.60 |
$1,743.60 |
$3,701.40 |
|
|
Fna bx w/ct gdn ea addl
|
$1,001.50 |
$1,742.40 |
$3,701.40 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$30.00 |
$35.40 |
$35.40 |
|
|
Foam drg <=16 sq in w/border
|
$34.80 |
$34.80 |
$44.40 |
|
|
Foam drg > 48 sq in without brdr
|
$80.40 |
$80.40 |
$80.40 |
|
|
Folic acid
|
$93.38 |
$194.40 |
$285.60 |
|
|
Follow-up angiography
|
$687.60 |
$687.60 |
$5,351.96 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,717.41 |
$1,717.41 |
$6,251.47 |
|
|
Fondaparinux sodium
|
$80.92 |
$126.88 |
$1,297.34 |
|
|
Fo nontorsion joint cf
|
$230.50 |
$234.00 |
$242.00 |
|
|
Foot arch support remov prem
|
$106.20 |
$106.20 |
$106.20 |
|
|
Foot lamin/prepreg composite
|
$482.71 |
$482.71 |
$482.71 |
|
|
Foot X-ray
|
$281.40 |
$390.00 |
$2,054.42 |
|
|
Foot X-ray (2 views, both feet)
|
$167.88 |
$290.40 |
$1,929.97 |
|
|
Forearm/arm cuffs ext/flex a
|
$70.80 |
$70.80 |
$70.80 |
|
|
Forearm X-ray (both sides)
|
$238.50 |
$367.20 |
$2,012.57 |
|
|
Formoterol fumarate, inh
|
$45.77 |
$45.77 |
$45.77 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$4.51 |
$126.29 |
$3,473.46 |
|
|
Foscarnet sodium injection
|
$1,082.06 |
$1,458.38 |
$1,484.34 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$106.25 |
$168.29 |
$607.85 |
|
|
Fractionation ketosteroids
|
$437.40 |
$437.40 |
$587.35 |
|
|
Fracture assessment via dxa
|
$180.60 |
$180.60 |
$627.00 |
|
|
_fragile x methylation-sendout
|
$934.62 |
$934.62 |
$934.62 |
|
|
Fragmenting of kidney stone
|
$12,915.60 |
$12,915.60 |
$12,915.60 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$155.40 |
$407.40 |
$471.00 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$184.22 |
$352.20 |
$2,186.18 |
|
|
Fresh frozen plasma thawing ea un
|
$56.40 |
$233.75 |
$428.50 |
|
|
Frozen blood thaw
|
$111.60 |
$111.60 |
$146.40 |
|
|
Frozen plasma, pooled, sd
|
$306.95 |
$306.95 |
$306.95 |
|
|
Fructosamine glycated protein
|
$52.62 |
$104.40 |
$196.20 |
|
|
Ft arch suprt premold longit
|
$193.68 |
$193.68 |
$193.68 |
|
|
Ftl cgen abnor five anal
|
$344.40 |
$473.40 |
$511.80 |
|
|
Ftl cgen abnor four anal
|
$245.84 |
$720.60 |
$756.00 |
|
|
Ftl cgen abnor three anal
|
$224.40 |
$306.60 |
$510.60 |
|
|
Full mouth x-ray of teeth
|
$149.40 |
$149.40 |
$149.40 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$250.12 |
$386.40 |
$3,501.08 |
|
|
Functional brain mapping
|
$656.69 |
$656.69 |
$656.69 |
|
|
Furosemide 10 mg/ml injection solution
|
$33.74 |
$33.74 |
$33.74 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$29.15 |
$29.15 |
$29.15 |
|
|
G6pc gene
|
$331.56 |
$331.56 |
$331.56 |
|
|
Ga-67 gallium 0.1 mci
|
$47.57 |
$47.57 |
$163.80 |
|
|
Ga-68 gallium 68 dotatate
|
$103.80 |
$103.80 |
$528.09 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.59 |
$4.59 |
$232.77 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3.20 |
$155.61 |
$155.61 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.18 |
$0.18 |
$1,245.60 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$844.12 |
|
