|
Exchange drainage catheter
|
$3,422.37 |
$3,422.37 |
$3,422.37 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$5,941.85 |
$5,941.85 |
$5,941.85 |
$3,097.16
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,104.01 |
$2,104.01 |
$2,104.01 |
$1,064.30
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$9,000.55 |
$9,000.55 |
$9,000.55 |
$1,246.00
|
|
Exc thrombosed hemorrhoid 46320
|
$7,480.81 |
$7,480.81 |
$7,480.81 |
$2,491.20
|
|
Exome sequence analysis
|
$40,420.52 |
$40,420.52 |
$40,420.52 |
$5,258.00
|
|
Explore penetrating wnd/extremity 20103
|
$8,384.04 |
$8,384.04 |
$8,384.04 |
$1,917.33
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$19,616.87 |
$19,616.87 |
$19,616.87 |
$3,559.50
|
|
Ext ecg>48hr<7d scan a/r
|
$926.44 |
$926.44 |
$926.44 |
$251.71
|
|
Ext ecg>7d<15d scan a/r
|
$926.44 |
$926.44 |
$926.44 |
$262.20
|
|
External chromosome analysis 20-25 cells
|
$1,469.37 |
$1,469.37 |
$1,469.37 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$565.59 |
$565.59 |
$565.59 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$435.73 |
$435.73 |
$435.73 |
$102.78
|
|
Facial bones <3
|
$760.55 |
$760.55 |
$760.55 |
$248.60
|
|
Factor ix
|
$463.13 |
$463.13 |
$463.13 |
$131.30
|
|
Factor viii
|
$382.18 |
$382.18 |
$382.18 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$54.53 |
$54.53 |
$54.53 |
$27.81
|
|
Fat/lipids feces qualitative
|
$103.29 |
$103.29 |
$103.29 |
$34.56
|
|
Fatty acids nonesterified
|
$647.96 |
$647.96 |
$647.96 |
$57.60
|
|
#fecal-sodium
|
$319.65 |
$319.65 |
$319.65 |
$37.50
|
|
Fem/popl revasc w/stent
|
$24,067.55 |
$24,067.55 |
$24,067.55 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$330.02 |
$330.02 |
$330.02 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$767.15 |
$767.15 |
$767.15 |
$2,027.60
|
|
Ferritin
|
$227.41 |
$227.41 |
$227.41 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5,469.14 |
$5,469.14 |
$5,469.14 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,209.85 |
$1,209.85 |
$1,209.85 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$2,277.15 |
$2,277.15 |
$2,277.15 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$2,165.82 |
$2,165.82 |
$2,165.82 |
$540.54
|
|
Fetal fibronectin
|
$713.29 |
$713.29 |
$713.29 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$273.87 |
$273.87 |
$273.87 |
$88.80
|
|
Fetal hemoglobin rosette
|
$265.38 |
$265.38 |
$265.38 |
$76.70
|
|
Fetal non stress test
|
$783.22 |
$783.22 |
$783.22 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$374.50 |
$374.50 |
$374.50 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$248.63 |
$248.63 |
$248.63 |
$112.80
|
|
Fibrin degradation products
|
$146.04 |
$146.04 |
$146.04 |
$62.40
|
|
Fibrinogen activity
|
$251.77 |
$251.77 |
$251.77 |
$82.38
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$7,229.99 |
$7,229.99 |
$7,229.99 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3,029.59 |
$3,029.59 |
$3,029.59 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,408.85 |
$1,408.85 |
$1,408.85 |
$806.40
|
|
Fix g/colon tube w/device
|
$2,723.10 |
$2,723.10 |
$2,723.10 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$201.54 |
$201.54 |
$201.54 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$528.62 |
$528.62 |
$528.62 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$416.80 |
$416.80 |
$416.80 |
$208.80
|
|
Flow cytometry marker each additional
|
$587.36 |
$587.36 |
$587.36 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,026.40 |
$1,026.40 |
$1,026.40 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$564.21 |
$564.21 |
$564.21 |
$194.04
|
|
Flt3 gene
|
$3,014.49 |
$3,014.49 |
$3,014.49 |
$352.95
|
|
Flt3 gene analysis
|
$757.82 |
$757.82 |
$757.82 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$172.33 |
$172.33 |
$172.33 |
$86.42
|
|
Fluidotherapy charges pt
|
$346.21 |
$346.21 |
$346.21 |
$95.00
|
|
Fluorescent antibody titer dna
|
$589.97 |
$589.97 |
$589.97 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$939.44 |
$939.44 |
$939.44 |
$507.00
|
|
Fluoroguide needle placement
|
$1,111.77 |
$1,111.77 |
$1,111.77 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$2,241.91 |
$2,241.91 |
$2,241.91 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,076.27 |
$2,076.27 |
$2,076.27 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$148.04 |
$148.04 |
$148.04 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$4,193.78 |
$4,193.78 |
$4,193.78 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$3,125.64 |
$3,125.64 |
$3,125.64 |
$775.14
|
|
Folic acid
|
$244.10 |
$244.10 |
$244.10 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$47.84 |
$47.84 |
$47.84 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,162.42 |
$5,162.42 |
$5,162.42 |
$2,860.43
|
|
Fondaparinux sodium
|
$230.58 |
$230.58 |
$230.58 |
$176.81
|
|
Foot X-ray
|
$965.52 |
$965.52 |
$965.52 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,353.58 |
$1,353.58 |
$1,353.58 |
$595.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$407.72 |
$407.72 |
$407.72 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$431.29 |
$431.29 |
$431.29 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$753.53 |
$753.53 |
$753.53 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$149.48 |
$149.48 |
$149.48 |
$123.90
|
|
Fructosamine glycated protein
|
$277.78 |
$277.78 |
$277.78 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$196.17 |
$196.17 |
$196.17 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$231.16 |
$231.16 |
$231.16 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$382.77 |
$382.77 |
$382.77 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$545.85 |
$545.85 |
$545.85 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$698.37 |
$698.37 |
$698.37 |
$210.50
|
|
Gammaglobulin iga
|
$505.14 |
$505.14 |
$505.14 |
$75.30
|
|
Gammaglobulin ige
|
$235.89 |
$235.89 |
$235.89 |
$85.00
|
|
Gamma glutamyltransferase
|
$140.97 |
$140.97 |
$140.97 |
$55.28
|
|
Gamunex-c/gammaked
|
$23,844.44 |
$23,844.44 |
$23,844.44 |
$7,372.04
|
|
Gemcitabine 1 gram intravenous solution
|
$864.57 |
$864.57 |
$864.57 |
$252.84
|
|
General health panel
|
$477.44 |
$477.44 |
$477.44 |
$280.50
|
|
Genetic tstg severe inh cond
|
$10,393.29 |
$10,393.29 |
$10,393.29 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$191.13 |
$191.13 |
$191.13 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$445.34 |
$445.34 |
$445.34 |
$119.00
|
|
Ghs abscess perianal iandd
|
$5,732.80 |
$5,732.80 |
$5,732.80 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$20,591.52 |
$20,591.52 |
$20,591.52 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$115.85 |
$115.85 |
$115.85 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$402.29 |
$402.29 |
$402.29 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$298.85 |
$298.85 |
$298.85 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,892.50 |
$1,892.50 |
$1,892.50 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,915.96 |
$1,915.96 |
$1,915.96 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$287.60 |
$287.60 |
$287.60 |
$699.60
|
|
Ghs chemo >8 hrs
|
$5,092.27 |
$5,092.27 |
$5,092.27 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$1,650.01 |
$1,650.01 |
$1,650.01 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$333.33 |
$333.33 |
$333.33 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,924.13 |
$1,924.13 |
$1,924.13 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,538.48 |
$1,538.48 |
$1,538.48 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$2,621.64
|
|
Ghs clsd red med malleolus fx w manip
|
$10,050.30 |
$10,050.30 |
$10,050.30 |
$2,459.25
|
