|
F-18 fdg pet diag
|
$296.24 |
$296.24 |
$296.24 |
$551.72
|
|
F-18 sodium fluoride
|
$251.39 |
$251.39 |
$251.39 |
$392.60
|
|
Facial bones <3
|
$88.78 |
$88.78 |
$88.78 |
$252.60
|
|
Factor ix
|
$133.86 |
$133.86 |
$133.86 |
$156.13
|
|
Factor viii
|
$112.47 |
$112.47 |
$112.47 |
$133.81
|
|
Fat/lipids feces qualitative
|
$21.16 |
$21.16 |
$21.16 |
$38.35
|
|
#fecal-sodium
|
$76.59 |
$76.59 |
$76.59 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$17.71 |
$17.71 |
$17.71 |
$65.00
|
|
Fem/popl revasc w/stent
|
$12,108.81 |
$12,108.81 |
$12,108.81 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$44.99 |
$44.99 |
$44.99 |
$101.40
|
|
Ferritin
|
$49.45 |
$49.45 |
$49.45 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$159.59 |
$159.59 |
$159.59 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$196.42 |
$196.42 |
$196.42 |
$535.37
|
|
Fetal fibronectin
|
$143.52 |
$143.52 |
$143.52 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$69.92 |
$69.92 |
$69.92 |
$105.12
|
|
Fetal hemoglobin rosette
|
$35.19 |
$35.19 |
$35.19 |
$67.20
|
|
Fetal non stress test
|
$251.62 |
$251.62 |
$251.62 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$73.83 |
$73.83 |
$73.83 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$43.01 |
$43.01 |
$43.01 |
$117.70
|
|
Fibrin degradation products
|
$57.96 |
$57.96 |
$57.96 |
$62.64
|
|
Fibrin degrade semiquant
|
$60.49 |
$60.49 |
$60.49 |
$78.09
|
|
Fibrinogen activity
|
$106.95 |
$106.95 |
$106.95 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.36 |
$7.36 |
$7.36 |
$64.05
|
|
Fibrinolytic plasminogen
|
$15.18 |
$15.18 |
$15.18 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$5.29 |
$5.29 |
$5.29 |
$65.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$466.67 |
$466.67 |
$466.67 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$233.45 |
$233.45 |
$233.45 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$233.45 |
$233.45 |
$233.45 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$95.45 |
$95.45 |
$95.45 |
$503.76
|
|
Flebogamma injection
|
$1,291.40 |
$1,291.40 |
$1,291.40 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$17.71 |
$17.71 |
$17.71 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$151.57 |
$151.57 |
$151.57 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$33.35 |
$33.35 |
$33.35 |
$204.00
|
|
Flow cytometry marker each additional
|
$146.28 |
$146.28 |
$146.28 |
$97.50
|
|
Flow cytometry one marker technical component
|
$436.31 |
$436.31 |
$436.31 |
$284.40
|
|
Flt3 gene
|
$92.46 |
$92.46 |
$92.46 |
$355.00
|
|
Flt3 gene analysis
|
$46.46 |
$46.46 |
$46.46 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$38.98 |
$38.98 |
$38.98 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$115.23 |
$115.23 |
$115.23 |
$91.00
|
|
Fluid pressure muscle 20950
|
$455.63 |
$455.63 |
$455.63 |
$768.94
|
|
Fluorescent antibody titer dna
|
$122.82 |
$122.82 |
$122.82 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$266.57 |
$266.57 |
$266.57 |
$496.03
|
|
Fluoroguide needle placement
|
$233.91 |
$233.91 |
$233.91 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$194.81 |
$194.81 |
$194.81 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$37.95 |
$37.95 |
$37.95 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$247.28 |
$247.28 |
$247.28 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$466.67 |
$466.67 |
$466.67 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$233.45 |
$233.45 |
$233.45 |
$833.25
|
|
Folic acid
|
$79.81 |
$79.81 |
$79.81 |
$101.50
|
|
Follow-up angiography
|
$454.48 |
$454.48 |
$454.48 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$629.38 |
$629.38 |
$629.38 |
$2,581.14
|
|
Fondaparinux sodium
|
$88.25 |
$88.25 |
$88.25 |
$185.12
|
|
Foot X-ray
|
$82.11 |
$82.11 |
$82.11 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$88.78 |
$88.78 |
$88.78 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$61.91 |
$61.91 |
$61.91 |
$457.50
|
|
Foscarnet sodium injection
|
$678.79 |
$678.79 |
$678.79 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$35.91 |
$35.91 |
$35.91 |
$106.10
|
|
Fracture assessment via dxa
|
$37.49 |
$37.49 |
$37.49 |
$173.18
|
|
_fragile x methylation-sendout
|
$198.26 |
$198.26 |
$198.26 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$99.82 |
$99.82 |
$99.82 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$99.82 |
$99.82 |
$99.82 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$123.97 |
$123.97 |
$123.97 |
$122.00
|
|
Fructosamine glycated protein
|
$23.92 |
$23.92 |
$23.92 |
$60.75
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$27.08 |
$27.08 |
$27.08 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$22.54 |
$22.54 |
$22.54 |
$118.56
|
|
Gabapentin non-blood
|
$15.41 |
$15.41 |
$15.41 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$54.03 |
$54.03 |
$54.03 |
$102.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$272.38 |
$272.38 |
$272.38 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$89.01 |
$89.01 |
$89.01 |
$96.94
|
|
Galactose transferase test
|
$31.05 |
$31.05 |
$31.05 |
$31.35
|
|
Gammaglobulin iga
|
$58.65 |
$58.65 |
$58.65 |
$67.20
|
|
Gammaglobulin ige
|
$35.19 |
$35.19 |
$35.19 |
$83.85
|
|
Gamma glutamyltransferase
|
$31.74 |
$31.74 |
$31.74 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$46.63 |
$46.63 |
$46.63 |
$197.40
|
|
Gastroesophageal reflux test
|
$405.26 |
$405.26 |
$405.26 |
$1,321.45
|
|
Gefitinib oral
|
$39.36 |
$39.36 |
$39.36 |
$423.82
|
|
Gemcitabine 1 gram intravenous solution
|
$82.14 |
$82.14 |
$82.14 |
$207.51
|
|
General health panel
|
$197.80 |
$197.80 |
$197.80 |
$275.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$39.85 |
$39.85 |
$39.85 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$69.46 |
$69.46 |
$69.46 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$405.26 |
$405.26 |
$405.26 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$485.30 |
$485.30 |
$485.30 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$6.21 |
$6.21 |
$6.21 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$82.11 |
$82.11 |
$82.11 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$332.35 |
$332.35 |
$332.35 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$98.90 |
$98.90 |
$98.90 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$222.64 |
$222.64 |
$222.64 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$53.82 |
$53.82 |
$53.82 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$21.16 |
$21.16 |
$21.16 |
$64.40
|
|
Ghs central line insert < age 5, failed
|
$862.96 |
$862.96 |
$862.96 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$201.71 |
$201.71 |
$201.71 |
$565.49
|
|
Ghs chemo >8 hrs
|
$143.75 |
$143.75 |
$143.75 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$119.83 |
$119.83 |
$119.83 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$25.30 |
$25.30 |
$25.30 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$82.80 |
$82.80 |
$82.80 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$178.94 |
$178.94 |
$178.94 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$454.48 |
$454.48 |
$454.48 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$72.22 |
$72.22 |
$72.22 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$575.92 |
$575.92 |
$575.92 |
$2,148.00
|
