|
Factor viii
|
$2.13 |
$2.13 |
$2.13 |
$1.35
|
|
Fancc gene
|
$47.04 |
$47.04 |
$47.04 |
$158.10
|
|
Fat/lipids feces qualitative
|
$20.72 |
$20.72 |
$20.72 |
$43.66
|
|
Fatty acids nonesterified
|
$17.21 |
$17.21 |
$17.21 |
$64.28
|
|
#fecal-sodium
|
$20.72 |
$20.72 |
$20.72 |
$40.30
|
|
Fem/popl revasc w/stent
|
$22,334.48 |
$22,334.48 |
$22,334.48 |
$21,553.12
|
|
Ferritin
|
$35.84 |
$35.84 |
$35.84 |
$86.45
|
|
Fetal chrom aneuploidy gsa panel
|
$948.08 |
$948.08 |
$948.08 |
$1,231.20
|
|
Fetal fibronectin
|
$151.20 |
$151.20 |
$151.20 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.32 |
$40.32 |
$40.32 |
$59.85
|
|
Fetal hemoglobin rosette
|
$18.48 |
$18.48 |
$18.48 |
$48.35
|
|
Fibrin degradation d dimer quantitative
|
$44.24 |
$44.24 |
$44.24 |
$87.60
|
|
Fibrin degradation products
|
$46.48 |
$46.48 |
$46.48 |
$56.16
|
|
Fibrin degrade semiquant
|
$77.84 |
$77.84 |
$77.84 |
$88.00
|
|
Fibrinogen activity
|
$26.32 |
$26.32 |
$26.32 |
$61.80
|
|
Fibrinolytic plasminogen
|
$21.84 |
$21.84 |
$21.84 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$12.33 |
$12.33 |
$12.33 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$0.74 |
$0.74 |
$0.74 |
$1,223.60
|
|
Filter spider fx 3mmx320cm
|
$2,117.36 |
$2,117.36 |
$2,117.36 |
$8,212.50
|
|
Filter vena cava fem denali
|
$1,761.76 |
$1,761.76 |
$1,761.76 |
$4,659.75
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$413.84 |
$413.84 |
$413.84 |
$738.00
|
|
Fix g/colon tube w/device
|
$1,137.92 |
$1,137.92 |
$1,137.92 |
$1,165.45
|
|
Fl exam g/colon tube w contrast
|
$836.08 |
$836.08 |
$836.08 |
$522.75
|
|
Flow cytometry marker each additional
|
$43.68 |
$43.68 |
$43.68 |
$103.00
|
|
Flow cytometry one marker technical component
|
$90.72 |
$90.72 |
$90.72 |
$304.43
|
|
Fluidotherapy charges pt
|
$54.32 |
$54.32 |
$54.32 |
$101.40
|
|
Fluorescent antibody titer dna
|
$140.00 |
$140.00 |
$140.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$201.04 |
$201.04 |
$201.04 |
$497.25
|
|
Fluoroguide needle placement
|
$139.44 |
$139.44 |
$139.44 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$218.40 |
$218.40 |
$218.40 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$9.02 |
$9.02 |
$9.02 |
$73.16
|
|
Fna bx w/ct gdn 1st les
|
$959.28 |
$959.28 |
$959.28 |
$1,320.40
|
|
Folic acid
|
$37.52 |
$37.52 |
$37.52 |
$85.50
|
|
Follow-up angiography
|
$613.76 |
$613.76 |
$613.76 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6.85 |
$6.85 |
$6.85 |
$18.44
|
|
Foot X-ray
|
$231.28 |
$231.28 |
$231.28 |
$339.50
|
|
Forensic cytopathology
|
$13.44 |
$13.44 |
$13.44 |
$62.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1.59 |
$1.59 |
$1.59 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$3.13 |
$3.13 |
$3.13 |
$66.38
|
|
Fractionation ketosteroids
|
$160.89 |
$160.89 |
$160.89 |
$128.26
|
|
Fracture assessment via dxa
|
$93.52 |
$93.52 |
$93.52 |
$170.40
|
|
_fragile x methylation-sendout
|
$55.44 |
$55.44 |
$55.44 |
$175.75
|
|
Fragmenting of kidney stone
|
$7,496.16 |
$7,496.16 |
$7,496.16 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$61.60 |
$61.60 |
$61.60 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$61.60 |
$61.60 |
$61.60 |
$217.30
|
|
Fructosamine glycated protein
|
$30.81 |
$30.81 |
$30.81 |
$69.55
|
|
Ga-68 gallium 68 dotatate
|
$94.64 |
$94.64 |
$94.64 |
$118.19
|
|
Galac-1-phosphate uridyltran - sendout
|
$48.96 |
$48.96 |
$48.96 |
$85.50
|
|
Gammaglobulin iga
|
$14.56 |
$14.56 |
$14.56 |
$78.60
|
|
Gammaglobulin ige
|
$35.28 |
$35.28 |
$35.28 |
$87.10
|
|
Gamma glutamyltransferase
|
$23.80 |
$23.80 |
$23.80 |
$54.60
|
|
Gastric analy w/ph ea spec
|
$12.88 |
$12.88 |
$12.88 |
$25.61
|
|
Gastrin test
|
$122.64 |
$122.64 |
$122.64 |
$61.80
|
|
Gastroesophageal reflux test
|
$555.52 |
$555.52 |
$555.52 |
$1,110.80
|
|
Gated heart multiple
|
$927.36 |
$927.36 |
$927.36 |
$1,177.70
|
|
Gba gene
|
$61.04 |
$61.04 |
$61.04 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$24.23 |
$24.23 |
$24.23 |
$168.02
|
|
Generator barostim neo2 2014
|
$35,336.00 |
$35,336.00 |
$35,336.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$23,531.76 |
$23,531.76 |
$23,531.76 |
$61,875.00
|
|
Gentamicin peak therapeutic drug level
|
$42.56 |
$42.56 |
$42.56 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$482.72 |
$482.72 |
$482.72 |
$1,413.78
|
|
Ghs abscess postoperative iandd complex
|
$3,283.84 |
$3,283.84 |
$3,283.84 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$12.60 |
$12.60 |
$12.60 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$18.01 |
$18.01 |
$18.01 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$132.16 |
$132.16 |
$132.16 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$15.68 |
$15.68 |
$15.68 |
$82.50
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,556.24 |
$1,556.24 |
$1,556.24 |
$1,000.08
|
|
Ghs chemo >8 hrs
|
$155.12 |
$155.12 |
$155.12 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$69.44 |
$69.44 |
$69.44 |
$292.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,648.80 |
$2,648.80 |
$2,648.80 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$303.52 |
$303.52 |
$303.52 |
$581.60
|
|
Ghs community re-entry 15 minutes
|
$41.44 |
$41.44 |
$41.44 |
$85.00
|
|
Ghs ed rmvl or bivalving cast
|
$89.04 |
$89.04 |
$89.04 |
$351.46
|
|
Ghs fat & muscle
|
$6.25 |
$6.25 |
$6.25 |
$45.75
|
|
Ghs fb removal foot - deep - left
|
$2,438.80 |
$2,438.80 |
$2,438.80 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$1,729.28 |
$1,729.28 |
$1,729.28 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$52.08 |
$52.08 |
$52.08 |
$51.99
|
|
Ghs hepatitis c virus (hcv riba)
|
$64.40 |
$64.40 |
$64.40 |
$105.00
|
|
Ghs hgb stability-thal
|
$16.24 |
$16.24 |
$16.24 |
$85.20
|
|
Ghs histoplasma antigen
|
$61.60 |
$61.60 |
$61.60 |
$157.30
|
|
Ghs HIV antibody
|
$51.52 |
$51.52 |
$51.52 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$140.00 |
$140.00 |
$140.00 |
$475.80
|
|
Ghs i and d pilonidal cyst simple
|
$164.08 |
$164.08 |
$164.08 |
$762.75
|
|
Ghs immun0electrophoresis
|
$72.24 |
$72.24 |
$72.24 |
$110.00
|
|
Ghs inf midline insertion
|
$599.20 |
$599.20 |
$599.20 |
$1,580.00
|
|
Ghs inhibitor screen
|
$16.80 |
$16.80 |
$16.80 |
$138.06
|
|
Ghs inj tendon origin/insertion
|
$311.92 |
$311.92 |
$311.92 |
$412.50
|
|
Ghs inj transforaminal cerv single bil
|
$2,297.68 |
$2,297.68 |
$2,297.68 |
$1,706.32
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$173.04 |
$173.04 |
$173.04 |
$558.97
|
|
Ghs leukocyte alkaline phos (mayo)
|
$33.60 |
$33.60 |
$33.60 |
$62.28
|
|
Ghs mbp
|
$13.30 |
$13.30 |
$13.30 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$67.20 |
$67.20 |
$67.20 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$67.20 |
$67.20 |
$67.20 |
$125.34
|
|
Ghs musc test done w/n test comp
|
$116.48 |
$116.48 |
$116.48 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$116.48 |
$116.48 |
$116.48 |
$277.25
|
|
Ghs musc tst done w/n tst non ext
|
$61.04 |
$61.04 |
$61.04 |
$219.05
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,556.24 |
$1,556.24 |
$1,556.24 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$663.60 |
$663.60 |
$663.60 |
$1,232.23
|
|
Ghs nerve block brachial plexus
|
$803.04 |
$803.04 |
$803.04 |
$1,789.51
|
|
Ghs nerve block celiac plexus
|
$1,147.44 |
$1,147.44 |
$1,147.44 |
$1,681.24
|
