|
Fibrin degradation d dimer quantitative
|
$120.05 |
$120.05 |
$120.05 |
$120.64
|
|
Fibrinogen activity
|
$110.60 |
$110.60 |
$110.60 |
$87.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,328.78 |
$2,328.78 |
$2,328.78 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,548.99 |
$2,548.99 |
$2,548.99 |
$891.02
|
|
Filtered speech hearing test
|
$97.15 |
$97.15 |
$97.15 |
$99.32
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$674.85 |
$674.85 |
$674.85 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$674.85 |
$674.85 |
$674.85 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$298.25 |
$298.25 |
$298.25 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$674.85 |
$674.85 |
$674.85 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$298.25 |
$298.25 |
$298.25 |
$504.45
|
|
Finger X-ray (both hands)
|
$303.75 |
$303.75 |
$303.75 |
$241.50
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,239.05 |
$1,239.05 |
$1,239.05 |
$4,499.12
|
|
Flebogamma injection
|
$8,607.20 |
$8,607.20 |
$8,607.20 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$173.45 |
$173.45 |
$173.45 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$911.00 |
$911.00 |
$911.00 |
$540.80
|
|
Floor of mouth biopsy 41108
|
$272.75 |
$272.75 |
$272.75 |
$2,168.40
|
|
Flow cytometry marker each additional
|
$54.05 |
$54.05 |
$54.05 |
$97.50
|
|
Flow cytometry one marker technical component
|
$181.60 |
$181.60 |
$181.60 |
$285.00
|
|
Flt3 gene
|
$496.30 |
$496.30 |
$496.30 |
$366.29
|
|
Flt3 gene analysis
|
$291.00 |
$291.00 |
$291.00 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$126.59 |
$126.59 |
$126.59 |
$64.22
|
|
Fluidotherapy charges pt
|
$155.20 |
$155.20 |
$155.20 |
$101.40
|
|
Fluid pressure muscle 20950
|
$260.45 |
$260.45 |
$260.45 |
$779.45
|
|
Fluorescent antibody titer dna
|
$111.85 |
$111.85 |
$111.85 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,043.30 |
$1,043.30 |
$1,043.30 |
$495.00
|
|
Fluoroguide needle placement
|
$1,029.80 |
$1,029.80 |
$1,029.80 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$732.85 |
$732.85 |
$732.85 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$111.54 |
$111.54 |
$111.54 |
$107.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$28.35 |
$28.35 |
$28.35 |
$43.20
|
|
Fna bx w/ct gdn 1st les
|
$674.85 |
$674.85 |
$674.85 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$674.85 |
$674.85 |
$674.85 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$674.85 |
$674.85 |
$674.85 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$674.85 |
$674.85 |
$674.85 |
$766.70
|
|
Foam drg >16<=48 sq in without b
|
$29.00 |
$29.00 |
$29.00 |
$39.00
|
|
Foam drsg <=16 sq in without bdr
|
$29.00 |
$29.00 |
$29.00 |
$21.74
|
|
Folic acid
|
$191.65 |
$191.65 |
$191.65 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$4.14 |
$4.14 |
$4.14 |
$45.00
|
|
Follow-up angiography
|
$211.00 |
$211.00 |
$211.00 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$7,541.00 |
$7,541.00 |
$7,541.00 |
$2,511.73
|
|
Fondaparinux sodium
|
$224.69 |
$224.69 |
$224.69 |
$186.20
|
|
Fo nontorsion joint cf
|
$253.75 |
$253.75 |
$253.75 |
$217.50
|
|
Foot X-ray
|
$403.55 |
$403.55 |
$403.55 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$332.00 |
$332.00 |
$332.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$572.30 |
$572.30 |
$572.30 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$525.61 |
$525.61 |
$525.61 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$384.10 |
$384.10 |
$384.10 |
$103.62
|
|
Fracture assessment via dxa
|
$229.50 |
$229.50 |
$229.50 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$534.45 |
$534.45 |
$534.45 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$534.45 |
$534.45 |
$534.45 |
$164.84
|
|
Fructosamine glycated protein
|
$64.20 |
$64.20 |
$64.20 |
$63.50
|
|
Ftl cgen abnor 3 proteins
|
$3,535.45 |
$3,535.45 |
$3,535.45 |
$2,389.10
|
|
Ftl cgen abnor four anal
|
$309.00 |
$309.00 |
$309.00 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$223.45 |
$223.45 |
$223.45 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$402.25 |
$402.25 |
$402.25 |
$355.00
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,434.25 |
$1,434.25 |
$1,434.25 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$254.65 |
$254.65 |
$254.65 |
$1,056.41
|
|
Furosemide 10 mg/ml injection solution
|
$133.55 |
$133.55 |
$133.55 |
$19.53
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$136.63 |
$136.63 |
$136.63 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$130.78 |
$130.78 |
$130.78 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$184.55 |
$184.55 |
$184.55 |
$249.80
|
|
Galectin-3
|
$70.35 |
$70.35 |
$70.35 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,433.45 |
$1,433.45 |
$1,433.45 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,055.55 |
$2,055.55 |
$2,055.55 |
$1,615.00
|
|
Gammaglobulin iga
|
$107.40 |
$107.40 |
$107.40 |
$69.60
|
|
Gammaglobulin ige
|
$86.35 |
$86.35 |
$86.35 |
$83.85
|
|
Gamma glutamyltransferase
|
$80.95 |
$80.95 |
$80.95 |
$57.54
|
|
Gamunex-c/gammaked
|
$15,259.34 |
$15,259.34 |
$15,259.34 |
$7,435.88
|
|
Gardner vag dna amp probe
|
$251.05 |
$251.05 |
$251.05 |
$72.15
|
|
Gastric mucosa imaging
|
$1,020.35 |
$1,020.35 |
$1,020.35 |
$565.00
|
|
Gastroesophageal reflux study
|
$1,784.30 |
$1,784.30 |
$1,784.30 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$688.40 |
$688.40 |
$688.40 |
$1,352.00
|
|
Gba gene
|
$87.10 |
$87.10 |
$87.10 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$131.00 |
$131.00 |
$131.00 |
$68.30
|
|
Gel cap for trach voice pros
|
$126.60 |
$126.60 |
$126.60 |
$2.80
|
|
Gemcitabine 1 gram intravenous solution
|
$218.84 |
$218.84 |
$218.84 |
$207.51
|
|
General health panel
|
$400.50 |
$400.50 |
$400.50 |
$262.44
|
|
Genetic tstg severe inh cond
|
$1,721.60 |
$1,721.60 |
$1,721.60 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$106.87 |
$106.87 |
$106.87 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$207.90 |
$207.90 |
$207.90 |
$123.84
|
|
Ghs abscess perianal iandd
|
$439.95 |
$439.95 |
$439.95 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$548.05 |
$548.05 |
$548.05 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$337.40 |
$337.40 |
$337.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$188.50 |
$188.50 |
$188.50 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$204.95 |
$204.95 |
$204.95 |
$262.35
|
|
Ghs aspiration bladder - needle
|
$114.65 |
$114.65 |
$114.65 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$496.70 |
$496.70 |
$496.70 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$286.10 |
$286.10 |
$286.10 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,485.95 |
$1,485.95 |
$1,485.95 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$411.65 |
$411.65 |
$411.65 |
$594.55
|
|
Ghs chemo >8 hrs
|
$290.15 |
$290.15 |
$290.15 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$167.35 |
$167.35 |
$167.35 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$596.55 |
$596.55 |
$596.55 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$803.05 |
$803.05 |
$803.05 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,016.30 |
$1,016.30 |
$1,016.30 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$917.80 |
$917.80 |
$917.80 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,129.85 |
$1,129.85 |
$1,129.85 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,836.90 |
$1,836.90 |
$1,836.90 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$616.80 |
$616.80 |
$616.80 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$874.60 |
$874.60 |
$874.60 |
$2,211.05
|
