|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$4,049.00 |
$4,049.00 |
$4,049.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$3,491.00 |
$3,491.00 |
$3,491.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$1,768.20 |
$1,768.20 |
$1,768.20 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$15,145.00 |
$15,145.00 |
$15,145.00 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$27,455.00 |
$27,455.00 |
$27,455.00 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,391.25 |
$1,391.25 |
$1,391.25 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$8,039.00 |
$8,039.00 |
$8,039.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$4,905.00 |
$4,905.00 |
$4,905.00 |
$1,883.25
|
|
Facial Bones X-ray (complete)
|
$626.00 |
$626.00 |
$626.00 |
$381.75
|
|
Factor ix
|
$572.00 |
$572.00 |
$572.00 |
$162.50
|
|
Factor viii
|
$657.00 |
$657.00 |
$657.00 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.10 |
$4.10 |
$4.10 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,722.40 |
$9,722.40 |
$9,722.40 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$65.00 |
$65.00 |
$65.00 |
$36.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$28,233.45 |
$28,233.45 |
$28,233.45 |
$14,956.68
|
|
#fecal-sodium
|
$20.00 |
$20.00 |
$20.00 |
$37.53
|
|
Fem/popl revasc w/stent
|
$97,392.00 |
$97,392.00 |
$97,392.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$78.50 |
$78.50 |
$78.50 |
$101.40
|
|
Fern test
|
$315.00 |
$315.00 |
$315.00 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,262.00 |
$5,262.00 |
$5,262.00 |
$2,590.25
|
|
Ferritin
|
$415.00 |
$415.00 |
$415.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,333.80 |
$1,333.80 |
$1,333.80 |
$1,636.50
|
|
Fetal fibronectin
|
$945.00 |
$945.00 |
$945.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$75.00 |
$75.00 |
$75.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$200.00 |
$200.00 |
$200.00 |
$67.20
|
|
Fetal non stress test
|
$1,078.25 |
$1,078.25 |
$1,078.25 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$351.00 |
$351.00 |
$351.00 |
$120.64
|
|
Fibrinogen activity
|
$259.00 |
$259.00 |
$259.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$200.00 |
$200.00 |
$200.00 |
$61.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,447.95 |
$1,447.95 |
$1,447.95 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$26,937.16 |
$26,937.16 |
$26,937.16 |
$7,358.16
|
|
Filter vena cava fem denali
|
$35,888.87 |
$35,888.87 |
$35,888.87 |
$3,718.18
|
|
Finger joint sz00 swanson w/grommets
|
$3,239.60 |
$3,239.60 |
$3,239.60 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$689.00 |
$689.00 |
$689.00 |
$241.50
|
|
Fixation of knee joint
|
$10,412.40 |
$10,412.40 |
$10,412.40 |
$1,963.35
|
|
Fl exam g/colon tube w contrast
|
$877.00 |
$877.00 |
$877.00 |
$540.80
|
|
Flow cytometry marker each additional
|
$298.00 |
$298.00 |
$298.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$285.00
|
|
Flt3 gene analysis
|
$249.00 |
$249.00 |
$249.00 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$74.00 |
$74.00 |
$74.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$434.65 |
$434.65 |
$434.65 |
$493.35
|
|
Fluorescent antibody titer dna
|
$120.00 |
$120.00 |
$120.00 |
$123.65
|
|
Fluoroguide needle placement
|
$1,070.00 |
$1,070.00 |
$1,070.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$31,924.76 |
$31,924.76 |
$31,924.76 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$147.00 |
$147.00 |
$147.00 |
$107.00
|
|
Fna bx w/mr gdn ea addl
|
$557.00 |
$557.00 |
$557.00 |
$766.70
|
|
Folic acid
|
$214.00 |
$214.00 |
$214.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$106.00 |
$106.00 |
$106.00 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,534.65 |
$4,534.65 |
$4,534.65 |
$2,511.73
|
|
Fondaparinux sodium
|
$43.30 |
$43.30 |
$43.30 |
$186.20
|
|
Foot drp splt w/exp heel lg
|
$423.24 |
$423.24 |
$423.24 |
$143.14
|
|
Foot X-ray
|
$947.00 |
$947.00 |
$947.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$777.00 |
$777.00 |
$777.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$6,145.00 |
$6,145.00 |
$6,145.00 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$378.00 |
$378.00 |
$378.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$106.10 |
$106.10 |
$106.10 |
$103.62
|
|
Fragmenting of kidney stone
|
$20,727.07 |
$20,727.07 |
$20,727.07 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$3,897.00 |
$3,897.00 |
$3,897.00 |
$2,062.20
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$288.00 |
$288.00 |
$288.00 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$249.00 |
$249.00 |
$249.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$157.00 |
$157.00 |
$157.00 |
$131.25
|
|
Fructosamine glycated protein
|
$76.00 |
$76.00 |
$76.00 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$961.00 |
$961.00 |
$961.00 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$9.20 |
$9.20 |
$9.20 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$48.25 |
$48.25 |
$48.25 |
$26.40
|
|
Fusion of ankle joint open
|
$59,707.78 |
$59,707.78 |
$59,707.78 |
$9,791.00
|
|
Fusion of big toe joint
|
$25,903.00 |
$25,903.00 |
$25,903.00 |
$7,811.00
|
|
Fusion of foot bones
|
$56,940.34 |
$56,940.34 |
$56,940.34 |
$8,260.30
|
|
Fusion of foot bones
|
$35,705.67 |
$35,705.67 |
$35,705.67 |
$6,288.57
|
|
Ga-67 gallium 0.1 mci
|
$253.10 |
$253.10 |
$253.10 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$15,600.00 |
$15,600.00 |
$15,600.00 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$591.40 |
$591.40 |
$591.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$231.00 |
$231.00 |
$231.00 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$99.80 |
$99.80 |
$99.80 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$674.30 |
$674.30 |
$674.30 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$2,567.00 |
$2,567.00 |
$2,567.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,567.00 |
$2,567.00 |
$2,567.00 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$28,549.52 |
$28,549.52 |
$28,549.52 |
$13,208.00
|
|
Gammaglobulin iga
|
$185.00 |
$185.00 |
$185.00 |
$69.60
|
|
Gammaglobulin ige
|
$247.00 |
$247.00 |
$247.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$162.00 |
$162.00 |
$162.00 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$138.00 |
$138.00 |
$138.00 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$540.20 |
$540.20 |
$540.20 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$31,504.65 |
$31,504.65 |
$31,504.65 |
$19,305.62
|
|
General health panel
|
$439.00 |
$439.00 |
$439.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$68,971.44 |
$68,971.44 |
$68,971.44 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$34,380.00 |
$34,380.00 |
$34,380.00 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$57,801.38 |
$57,801.38 |
$57,801.38 |
$66,636.36
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$21.60 |
$21.60 |
$21.60 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$438.00 |
$438.00 |
$438.00 |
$123.84
|
|
Ghs abscess postoperative iandd complex
|
$580.00 |
$580.00 |
$580.00 |
$3,776.00
|
|
Ghs central line insert < age 5, failed
|
$5,746.00 |
$5,746.00 |
$5,746.00 |
$2,519.49
|
|
Ghs fb removal - incisional
|
$606.00 |
$606.00 |
$606.00 |
$2,323.75
|
|
Ghs gastric intub aspiration lavage
|
$825.00 |
$825.00 |
$825.00 |
$368.50
|
|
Ghs histoplasma antigen
|
$363.00 |
$363.00 |
$363.00 |
$142.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$2,798.50
|
|
Ghs inf midline insertion
|
$3,439.00 |
$3,439.00 |
$3,439.00 |
$1,238.25
|
|
Ghs inj neurolytic other perph nerve
|
$3,143.00 |
$3,143.00 |
$3,143.00 |
$1,710.80
|
