|
Fees w/laryngeal sense test
|
$2,172.43 |
$2,172.43 |
$2,172.43 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$535.17 |
$535.17 |
$535.17 |
$61.00
|
|
Femoral lgth sock fx or equa
|
$807.00 |
$807.00 |
$807.00 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$18.40 |
$18.40 |
$18.40 |
$101.40
|
|
Ferritin
|
$189.50 |
$189.50 |
$376.52 |
$102.07
|
|
Fetal fibronectin
|
$599.25 |
$599.25 |
$1,203.60 |
$387.60
|
|
Fetal hemoglobin rosette
|
$365.41 |
$365.41 |
$365.41 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$325.30 |
$325.30 |
$325.30 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$426.50 |
$426.50 |
$854.57 |
$120.05
|
|
Fibrin degradation products
|
$229.25 |
$229.25 |
$457.43 |
$74.25
|
|
Fibrin degrade semiquant
|
$229.25 |
$229.25 |
$457.43 |
$78.80
|
|
Fibrinogen activity
|
$229.25 |
$229.25 |
$457.43 |
$85.86
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$221.57 |
$221.57 |
$221.57 |
$66.60
|
|
Flecainide (tambocor)-sendout
|
$531.69 |
$531.69 |
$531.69 |
$65.24
|
|
Florbetaben f18 diagnostic
|
$3,563.23 |
$3,563.23 |
$3,563.23 |
$5,705.04
|
|
Flotufolastat f18 diag 1 mci
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$2,215.03
|
|
Floxuridine injection
|
$375.00 |
$375.00 |
$586.75 |
$5,929.92
|
|
Flt3 gene
|
$1,931.35 |
$1,931.35 |
$1,931.35 |
$355.00
|
|
Flt3 gene analysis
|
$1,710.62 |
$1,710.62 |
$1,710.62 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$99.00 |
$99.00 |
$99.00 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$147.57 |
$147.57 |
$147.57 |
$493.35
|
|
Fluoroguide for spine inject 77003-26
|
$1,694.75 |
$1,694.75 |
$1,694.75 |
$495.95
|
|
Fluoro polarize fetal lung
|
$577.50 |
$577.50 |
$1,159.16 |
$153.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$14.02 |
$14.02 |
$14.02 |
$72.52
|
|
Fluzone vacc, 3 yrs & >, im
|
$93.45 |
$93.45 |
$97.64 |
$60.00
|
|
Folic acid
|
$145.25 |
$145.25 |
$362.23 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$2.28 |
$2.28 |
$2.28 |
$50.70
|
|
Follow-up angiography
|
$10,835.20 |
$10,835.20 |
$10,835.20 |
$1,939.14
|
|
Formoterol fumarate, inh
|
$5.48 |
$5.48 |
$5.48 |
$59.40
|
|
Foscarnet sodium injection
|
$1,257.66 |
$1,257.66 |
$1,257.66 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$3.50 |
$3.50 |
$3.50 |
$106.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$196.00 |
$196.00 |
$196.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$92.95 |
$92.95 |
$92.95 |
$130.98
|
|
Fructosamine glycated protein
|
$201.00 |
$201.00 |
$407.71 |
$61.75
|
|
Ft arch suprt premold longit
|
$706.00 |
$706.00 |
$706.00 |
$94.69
|
|
Full mouth x-ray of teeth
|
$2,809.18 |
$2,809.18 |
$2,809.18 |
$286.04
|
|
Ga-68 gallium 68 dotatate
|
$153.65 |
$153.65 |
$153.65 |
$139.70
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$17.50 |
$17.50 |
$17.50 |
$121.12
|
|
Galactose transferase test
|
$71.50 |
$71.50 |
$147.53 |
$32.00
|
|
Gallium illuccix 1 millicure
|
$2,090.19 |
$2,090.19 |
$2,090.19 |
$2,046.76
|
|
Gallium locametz 1 millicuri
|
$2,090.19 |
$2,090.19 |
$2,090.19 |
$1,853.80
|
|
Gammaglobulin ige
|
$247.25 |
$247.25 |
$497.08 |
$83.40
|
|
Gamma glutamyltransferase
|
$62.00 |
$62.00 |
$457.43 |
$57.54
|
|
Gamunex-c/gammaked
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$183.50 |
$183.50 |
$183.50 |
$197.40
|
|
Gastric emptying imag study
|
$9,853.75 |
$9,853.75 |
$9,853.75 |
$1,364.00
|
|
Gastric emptying imag study
|
$10,348.30 |
$10,348.30 |
$10,348.30 |
$1,665.50
|
|
Gastroesophageal reflux test
|
$5,200.23 |
$5,200.23 |
$5,200.23 |
$1,352.00
|
|
Gemcitabine 1 gram intravenous solution
|
$22.54 |
$22.54 |
$22.54 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$31,838.62 |
$31,838.62 |
$31,838.62 |
$19,305.62
|
|
General health panel
|
$506.00 |
$506.00 |
$3,297.19 |
$262.44
|
|
Gentamicin peak therapeutic drug level
|
$313.00 |
$313.00 |
$631.43 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$14,222.86 |
$14,222.86 |
$14,222.86 |
$1,500.00
|
|
Ghs acetylcholinesterase, rbc
|
$205.00 |
$205.00 |
$410.35 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$101.50 |
$101.50 |
$101.50 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,785.00 |
$1,785.00 |
$4,212.06 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$1,345.33 |
$1,345.33 |
$1,345.33 |
$247.06
|
|
Ghs bleeding time (ivy)
|
$201.00 |
$201.00 |
$407.71 |
$64.08
|
|
Ghs chemo >8 hrs
|
$2,617.44 |
$2,617.44 |
$2,617.44 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$2,963.69 |
$2,963.69 |
$2,963.69 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$580.12 |
$580.12 |
$580.12 |
$133.00
|
|
Ghs diphtheria toxoid ab igg
|
$356.75 |
$356.75 |
$714.98 |
$55.02
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,393.89 |
$1,393.89 |
$1,393.89 |
$560.00
|
|
Ghs fat & muscle
|
$141.25 |
$141.25 |
$285.03 |
$38.08
|
|
Ghs febrile agglutinns(mayo)
|
$69.75 |
$69.75 |
$142.40 |
$48.10
|
|
Ghs fish cytogen
|
$1,402.42 |
$1,402.42 |
$1,402.42 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$2,154.92 |
$2,154.92 |
$2,154.92 |
$225.00
|
|
Ghs hcv amplificaiton
|
$721.00 |
$721.00 |
$1,444.21 |
$203.45
|
|
Ghs hepatitis c virus (hcv riba)
|
$346.75 |
$346.75 |
$695.40 |
$144.60
|
|
Ghs histoplasma antigen
|
$330.50 |
$330.50 |
$660.51 |
$141.00
|
|
Ghs HIV antibody
|
$376.52 |
$376.52 |
$376.52 |
$90.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$2,358.25 |
$2,358.25 |
$4,719.21 |
$507.65
|
|
Ghs inhibitor screen
|
$587.75 |
$587.75 |
$1,277.09 |
$191.88
|
|
Ghs intro needle/intracath vein - 36000
|
$135.50 |
$135.50 |
$135.50 |
$202.47
|
|
Ghs leukocyte alkaline phos (mayo)
|
$181.00 |
$181.00 |
$362.23 |
$73.50
|
|
Ghs mbp
|
$601.50 |
$601.50 |
$1,206.77 |
$75.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$714.99 |
$714.99 |
$714.99 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$822.24 |
$822.24 |
$822.24 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$782.41 |
$782.41 |
$782.41 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$699.93 |
$699.93 |
$699.93 |
$272.25
|
|
Ghs musc tst done w/n tst non ext
|
$368.36 |
$368.36 |
$368.36 |
$184.80
|
|
Ghs nerve block celiac plexus
|
$1,697.25 |
$1,697.25 |
$1,697.25 |
$1,556.40
|
|
Ghs o2 saturation
|
$215.76 |
$215.76 |
$215.76 |
$69.50
|
|
Ghs o2 uptake rest & indirect
|
$2,363.74 |
$2,363.74 |
$2,363.74 |
$173.50
|
|
Ghs optokenetic
|
$404.88 |
$404.88 |
$404.88 |
$211.20
|
|
Ghs oscillating trac
|
$404.88 |
$404.88 |
$404.88 |
$291.75
|
|
Ghs phenylketonurid
|
$71.50 |
$71.50 |
$147.53 |
$53.76
|
|
Ghs pos nystagmus
|
$404.88 |
$404.88 |
$404.88 |
$229.10
|
|
Ghs ppd (tb intradermal)
|
$84.69 |
$84.69 |
$179.27 |
$37.44
|
|
Ghs protoporphyrins fract
|
$737.69 |
$737.69 |
$737.69 |
$60.75
|
|
Ghs quinidine
|
$225.25 |
$225.25 |
$453.74 |
$83.20
|
|
Ghs respiratory syncytical virus igg/m
|
$646.22 |
$646.22 |
$2,296.25 |
$74.82
|
|
Ghs sedimentation rate
|
$49.75 |
$49.75 |
$588.57 |
$45.50
|
|
Ghs somatosensory testing lower extremit
|
$4,355.16 |
$4,355.16 |
$4,355.16 |
$917.80
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,540.89 |
$1,540.89 |
$1,540.89 |
$1,405.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$950.01 |
$950.01 |
$950.01 |
$161.76
|
|
Ghs spont nystagmus
|
$404.88 |
$404.88 |
$404.88 |
$228.00
|
|
Ghs sp train/fitting sp device - kx
|
$664.94 |
$664.94 |
$664.94 |
$249.60
|
|
Ghs trypsin (fecal)
|
$477.01 |
$477.01 |
$477.01 |
$55.59
|
|
Ghs urine, hydroxproline total
|
$267.00 |
$267.00 |
$535.17 |
$110.77
|
