|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,560.65 |
$2,401.00 |
$5,043.05 |
|
|
Fetal biophys profile w/nst 76818
|
$350.35 |
$577.20 |
$845.65 |
|
|
Fetal chrom aneuploidy gsa panel
|
$1,120.60 |
$1,121.25 |
$1,665.30 |
|
|
Fetal contract stress test 59020 - 26
|
$1,085.50 |
$1,085.50 |
$1,492.40 |
|
|
Fetal fibronectin
|
$247.65 |
$405.60 |
$430.95 |
|
|
Fetal fluid drainage w/us
|
$547.30 |
$547.30 |
$547.30 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$96.20 |
$115.05 |
$142.35 |
|
|
Fetal hemoglobin rosette
|
$33.80 |
$81.90 |
$116.35 |
|
|
Fetal lung maturity assess lam body dnst
|
$66.95 |
$67.60 |
$137.80 |
|
|
Fetal non stress test
|
$394.55 |
$748.15 |
$1,790.10 |
|
|
#_fet/norfentcnfrmur
|
$38.35 |
$83.20 |
$120.90 |
|
|
Fibrin degradation d dimer quantitative
|
$96.20 |
$135.75 |
$201.50 |
|
|
Fibrin degrade semiquant
|
$98.80 |
$98.80 |
$98.80 |
|
|
Fibrinogen activity
|
$42.90 |
$96.20 |
$146.90 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$40.30 |
$44.20 |
$54.60 |
|
|
Fibrinolytic antiplasmin
|
$61.75 |
$63.70 |
$67.60 |
|
|
Fibrinolytic plasminogen
|
$66.95 |
$168.00 |
$185.25 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$55.90 |
$109.20 |
$145.60 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$685.56 |
$685.56 |
$854.10 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$650.71 |
$1,039.75 |
$1,295.37 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$856.01 |
$858.86 |
$1,070.02 |
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$841.75 |
$841.75 |
$841.75 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$1,600.95 |
$1,600.95 |
$1,600.95 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,815.80 |
$2,815.80 |
$2,884.70 |
|
|
Fine needle asp without image guide 10021
|
$174.00 |
$358.80 |
$2,414.75 |
|
|
Fixation of knee joint
|
$2,572.05 |
$2,572.05 |
$2,572.05 |
|
|
Fix g/colon tube w/device
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
|
|
Flecainide (tambocor)-sendout
|
$36.40 |
$123.50 |
$136.50 |
|
|
Fl exam g/colon tube w contrast
|
$142.35 |
$142.35 |
$51,748.61 |
|
|
Flexible Sigmoidoscopy
|
$359.45 |
$2,767.82 |
$7,119.65 |
|
|
Florbetaben f18 diagnostic
|
$7,737.60 |
$7,737.60 |
$7,737.60 |
|
|
Flow cytometry interp 16 or more
|
$156.00 |
$156.00 |
$162.00 |
|
|
Flow cytometry marker each additional
|
$12.00 |
$85.15 |
$119.60 |
|
|
Flow cytometry one marker technical component
|
$60.75 |
$188.50 |
$1,303.90 |
|
|
#flow interp 9 - 15 markers
|
$129.35 |
$131.95 |
$271.05 |
|
|
Flt3 gene
|
$130.65 |
$421.20 |
$422.50 |
|
|
Flt3 gene analysis
|
$130.65 |
$421.20 |
$466.70 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$29.25 |
$38.02 |
$45.50 |
|
|
Fludarabine 50 mg intravenous solution
|
$599.82 |
$599.82 |
$599.82 |
|
|
Fluidotherapy charges pt
|
$86.45 |
$93.60 |
$139.10 |
|
|
Fluorescein angrph mltiframe
|
$307.45 |
$307.45 |
$307.45 |
|
|
Fluorescent antibody titer dna
|
$24.00 |
$172.25 |
$210.60 |
|
|
Fluoroguide for spine inject 77003-26
|
$143.25 |
$432.90 |
$538.85 |
|
|
Fluoroguide needle placement
|
$190.50 |
$430.95 |
$766.35 |
|
|
Fluoroscopy up to 1 hour
|
$312.00 |
$488.15 |
$655.85 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$36.18 |
$55.41 |
$162.36 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$36.58 |
$46.85 |
$75.62 |
|
|
Fna bx w/ct gdn 1st les
|
$3,630.09 |
$3,630.09 |
$3,630.09 |
|
|
Fna bx w/ct gdn ea addl
|
$541.45 |
$541.45 |
$541.45 |
|
|
Fna bx w/mr gdn 1st les
|
$1,002.30 |
$1,002.30 |
$1,002.30 |
|
|
Fna bx w/mr gdn ea addl
|
$2,063.75 |
$2,063.75 |
$2,063.75 |
|
|
Folic acid
|
$43.50 |
$120.90 |
$176.15 |
|
|
Folic acid 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$307.83 |
|
|
Follow-up angiography
|
$887.25 |
$887.25 |
$887.25 |
|
|
Follow-up surgery of eye
|
$17,411.50 |
$17,411.50 |
$17,411.50 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,929.11 |
$2,925.00 |
$3,376.65 |
|
|
Fondaparinux sodium
|
$75.01 |
$97.51 |
$176.54 |
|
|
Foot X-ray
|
$96.75 |
$392.60 |
$593.45 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$203.45 |
$203.45 |
$226.85 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$84.63 |
$152.52 |
$1,087.55 |
|
|
Foscarnet sodium injection
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$45.42 |
$366.63 |
$394.22 |
|
|
Fracture assessment via dxa
|
$174.85 |
$174.85 |
$298.35 |
|
|
_fragile x methylation-sendout
|
$177.45 |
$209.30 |
$369.20 |
|
|
Fragmenting of kidney stone
|
$11,182.43 |
$11,182.43 |
$28,655.54 |
|
|
Freeing of bowel adhesion 44005
|
$2,310.10 |
$2,310.10 |
$2,310.10 |
|
|
Frenectomy 41115
|
$5,129.80 |
$5,129.80 |
$5,129.80 |
|
|
Frenotomy 40806
|
$5,254.60 |
$5,254.60 |
$5,254.60 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$107.90 |
$177.45 |
$190.45 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$174.85 |
$185.25 |
$501.15 |
|
|
Fresh frozen plasma thawing ea un
|
$33.15 |
$72.15 |
$144.30 |
|
|
Frozen blood freeze/thaw
|
$231.40 |
$231.40 |
$231.40 |
|
|
Frozen blood prep
|
$283.40 |
$283.40 |
$283.40 |
|
|
Fructosamine glycated protein
|
$12.35 |
$67.60 |
$79.95 |
|
|
Ftl cgen abnor four anal
|
$186.55 |
$193.05 |
$324.35 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,329.60 |
$2,329.60 |
$2,329.60 |
|
|
Fundus photography with i&r 92250
|
$200.20 |
$200.20 |
$200.20 |
|
|
Furosemide 10 mg/ml injection solution
|
$2.07 |
$7.15 |
$11.11 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$3.75 |
$3.75 |
$3.75 |
|
|
G0180 home health certification
|
$80.25 |
$107.25 |
$107.25 |
|
|
Ga-67 gallium 0.1 mci
|
$109.20 |
$109.20 |
$109.20 |
|
|
Ga-68 gallium 68 dotatate
|
$161.20 |
$161.20 |
$161.20 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$350.67 |
$350.67 |
$397.47 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$89.60 |
$89.60 |
$89.60 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$429.08 |
$461.37 |
$599.78 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$87.10 |
$135.20 |
$318.50 |
|
|
Galactose transferase test
|
$7.80 |
$8.45 |
$15.60 |
|
|
Gallbladder Removal (Laparoscopic)
|
$9,589.79 |
$10,724.49 |
$21,845.50 |
|
|
Gallium illuccix 1 millicure
|
$747.50 |
$747.50 |
$2,031.90 |
|
|
Gamma globulin 1 cc inj
|
$927.01 |
$927.01 |
$927.01 |
|
|
Gammaglobulin iga
|
$29.25 |
$104.00 |
$182.00 |
|
|
Gammaglobulin ige
|
$39.75 |
$94.90 |
$146.90 |
|
|
Gamma glutamyltransferase
|
$24.00 |
$71.50 |
$98.15 |
|
|
Gamunex-c/gammaked
|
$5,994.72 |
$11,949.60 |
$14,937.00 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$222.30 |
$294.00 |
$410.97 |
|
|
Gardner vag dna quant
|
$50.05 |
$89.70 |
$112.45 |
|
|
Gastric analy w/ph ea spec
|
$49.40 |
$49.40 |
$49.40 |
|
|
Gastric emptying imag study
|
$744.90 |
$744.90 |
$744.90 |
|