|
Fetal non stress test
|
$446.45 |
$446.45 |
$446.45 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$59.45 |
$59.45 |
$59.45 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$111.55 |
$111.55 |
$111.55 |
$120.64
|
|
Fibrinogen activity
|
$302.10 |
$302.10 |
$302.10 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$38.70 |
$38.70 |
$38.70 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$85.45 |
$85.45 |
$85.45 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,411.85 |
$1,411.85 |
$1,411.85 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,003.51 |
$2,003.51 |
$2,003.51 |
$891.02
|
|
Filtered speech hearing test
|
$64.70 |
$64.70 |
$64.70 |
$99.32
|
|
Filter vena cava fem denali
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,243.15 |
$1,243.15 |
$1,243.15 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$621.65 |
$621.65 |
$621.65 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$1,352.40 |
$1,352.40 |
$1,352.40 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$621.65 |
$621.65 |
$621.65 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$333.35 |
$333.35 |
$333.35 |
$504.45
|
|
Finger X-ray (both hands)
|
$275.35 |
$275.35 |
$275.35 |
$241.50
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$5,652.55 |
$5,652.55 |
$5,652.55 |
$4,499.12
|
|
Flebogamma injection
|
$5,056.41 |
$5,056.41 |
$5,056.41 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$96.15 |
$96.15 |
$96.15 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$605.20 |
$605.20 |
$605.20 |
$540.80
|
|
Floor of mouth biopsy 41108
|
$2,337.80 |
$2,337.80 |
$2,337.80 |
$2,168.40
|
|
Flow cytometry marker each additional
|
$5,952.95 |
$5,952.95 |
$5,952.95 |
$97.50
|
|
Flow cytometry one marker technical component
|
$738.05 |
$738.05 |
$738.05 |
$285.00
|
|
Flt3 gene
|
$430.35 |
$430.35 |
$430.35 |
$366.29
|
|
Flt3 gene analysis
|
$215.80 |
$215.80 |
$215.80 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$241.34 |
$241.34 |
$241.34 |
$64.22
|
|
Fluidotherapy charges pt
|
$167.35 |
$167.35 |
$167.35 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,222.45 |
$1,222.45 |
$1,222.45 |
$779.45
|
|
Fluorescent antibody titer dna
|
$36.90 |
$36.90 |
$36.90 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$377.95 |
$377.95 |
$377.95 |
$495.00
|
|
Fluoroguide needle placement
|
$377.95 |
$377.95 |
$377.95 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$579.73 |
$579.73 |
$579.73 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$118.09 |
$118.09 |
$118.09 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,243.15 |
$1,243.15 |
$1,243.15 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$621.65 |
$621.65 |
$621.65 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$1,243.15 |
$1,243.15 |
$1,243.15 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$621.65 |
$621.65 |
$621.65 |
$766.70
|
|
Folic acid
|
$209.45 |
$209.45 |
$209.45 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$4.99 |
$4.99 |
$4.99 |
$45.00
|
|
Follow-up angiography
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$1,983.00
|
|
Fondaparinux sodium
|
$570.93 |
$570.93 |
$570.93 |
$186.20
|
|
Fo nontorsion joint cf
|
$253.75 |
$253.75 |
$253.75 |
$217.50
|
|
Foot longitudinal arch suppo
|
$90.85 |
$90.85 |
$90.85 |
$322.85
|
|
Foot X-ray
|
$566.90 |
$566.90 |
$566.90 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$413.05 |
$413.05 |
$413.05 |
$290.40
|
|
Forearm X-ray (both sides)
|
$333.35 |
$333.35 |
$333.35 |
$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
|
$634.39 |
$634.39 |
$634.39 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$1,183.86 |
$1,183.86 |
$1,183.86 |
$103.62
|
|
Fracture assessment via dxa
|
$133.65 |
$133.65 |
$133.65 |
$175.50
|
|
Fragmenting of kidney stone
|
$2,675.05 |
$2,675.05 |
$2,675.05 |
$10,312.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$280.80 |
$280.80 |
$280.80 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$425.20 |
$425.20 |
$425.20 |
$164.84
|
|
Fructosamine glycated protein
|
$48.90 |
$48.90 |
$48.90 |
$63.50
|
|
Ftl cgen abnor four anal
|
$844.95 |
$844.95 |
$844.95 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$1,166.15 |
$1,166.15 |
$1,166.15 |
$355.00
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$3,355.55 |
$3,355.55 |
$3,355.55 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$3,639.30 |
$3,639.30 |
$3,639.30 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,112.60 |
$3,112.60 |
$3,112.60 |
$2,798.50
|
|
Furosemide 10 mg/ml injection solution
|
$116.03 |
$116.03 |
$116.03 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$126.16 |
$126.16 |
$126.16 |
$108.40
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$185.97 |
$185.97 |
$185.97 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,348.35 |
$1,348.35 |
$1,348.35 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,402.40 |
$1,402.40 |
$1,402.40 |
$1,615.00
|
|
Gammaglobulin iga
|
$46.05 |
$46.05 |
$46.05 |
$69.60
|
|
Gammaglobulin ige
|
$36.20 |
$36.20 |
$36.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$62.00 |
$62.00 |
$62.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$13,944.75 |
$13,944.75 |
$13,944.75 |
$7,435.88
|
|
Gardner vag dna amp probe
|
$65.30 |
$65.30 |
$65.30 |
$72.15
|
|
Gastric emptying imag study
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,453.30 |
$1,453.30 |
$1,453.30 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$3,459.90 |
$3,459.90 |
$3,459.90 |
$1,031.60
|
|
Gba gene
|
$158.10 |
$158.10 |
$158.10 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$991.21 |
$991.21 |
$991.21 |
$207.51
|
|
General health panel
|
$400.50 |
$400.50 |
$400.50 |
$262.44
|
|
Generator barostim neo2 2014
|
$11,680.00 |
$11,680.00 |
$11,680.00 |
$52,020.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$325.20 |
$325.20 |
$325.20 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$178.30 |
$178.30 |
$178.30 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,928.90 |
$1,928.90 |
$1,928.90 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$2,494.20 |
$2,494.20 |
$2,494.20 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$4,182.65 |
$4,182.65 |
$4,182.65 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$35.65 |
$35.65 |
$35.65 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$145.60 |
$145.60 |
$145.60 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$204.95 |
$204.95 |
$204.95 |
$262.35
|
|
Ghs aspiration bladder - needle
|
$458.90 |
$458.90 |
$458.90 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$703.15 |
$703.15 |
$703.15 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,824.05 |
$1,824.05 |
$1,824.05 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,730.40 |
$2,730.40 |
$2,730.40 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$770.75 |
$770.75 |
$770.75 |
$594.55
|
|
Ghs chemo >8 hrs
|
$811.20 |
$811.20 |
$811.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$365.75 |
$365.75 |
$365.75 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$649.20 |
$649.20 |
$649.20 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$998.70 |
$998.70 |
$998.70 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,414.45 |
$1,414.45 |
$1,414.45 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$784.15 |
$784.15 |
$784.15 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,472.55 |
$1,472.55 |
$1,472.55 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,351.25 |
$3,351.25 |
$3,351.25 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$774.75 |
$774.75 |
$774.75 |
$513.80
|
