|
Factor ix recombinant nos
|
$0.47 |
$0.47 |
$0.51 |
$4.65
|
|
Factor viii
|
$45.54 |
$45.54 |
$86.00 |
$137.50
|
|
Factor viii
|
$0.43 |
$0.43 |
$0.46 |
$5.02
|
|
Factor viii recombinant nos
|
$0.83 |
$0.83 |
$0.90 |
$6.56
|
|
Fallopian tube recnl
|
$708.50 |
$708.50 |
$708.50 |
$3,762.53
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,345.27 |
$1,345.27 |
$1,462.24 |
$5,508.16
|
|
Fat/lipids feces qualitative
|
$28.00 |
$28.00 |
$28.00 |
$36.75
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$27.60 |
$27.60 |
$30.00 |
$14,956.68
|
|
#fecal-sodium
|
$20.00 |
$20.00 |
$20.00 |
$39.65
|
|
Felbamate (felbatol(r)) - sendout
|
$192.28 |
$192.28 |
$211.50 |
$62.00
|
|
Fem/popl revasc w/stent
|
$10,758.50 |
$10,758.50 |
$15,197.94 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.93 |
$0.93 |
$1.02 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$41.31 |
$41.31 |
$44.90 |
$2,590.25
|
|
Ferritin
|
$50.14 |
$50.14 |
$117.50 |
$102.60
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4.95 |
$4.95 |
$5.38 |
$1,713.43
|
|
Fetal biophys profile w/nst 76818
|
$194.12 |
$194.12 |
$535.50 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$116.38 |
$116.38 |
$136.50 |
$477.50
|
|
Fetal cord puncture prenatal
|
$309.58 |
$309.58 |
$336.50 |
$714.56
|
|
Fetal fibronectin
|
$488.00 |
$488.00 |
$488.00 |
$380.10
|
|
Fetal fluid drainage w/us
|
$592.48 |
$592.48 |
$644.00 |
$644.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$238.00 |
$238.00 |
$238.00 |
$105.30
|
|
Fetal hemoglobin rosette
|
$105.50 |
$105.50 |
$105.50 |
$68.00
|
|
Fetal monitor w/report
|
$77.74 |
$77.74 |
$86.50 |
$295.50
|
|
Fetal non stress test
|
$116.38 |
$116.38 |
$157.50 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$51.98 |
$51.98 |
$190.50 |
$120.96
|
|
Fibrin degradation products
|
$38.18 |
$38.18 |
$76.00 |
$67.55
|
|
Fibrin degrade semiquant
|
$52.00 |
$52.00 |
$52.00 |
$81.00
|
|
Fibrinogen activity
|
$34.96 |
$34.96 |
$124.50 |
$86.40
|
|
Fibrinolytic antiplasmin
|
$105.00 |
$105.00 |
$105.00 |
$72.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$146.00 |
$146.00 |
$146.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$72.25 |
$72.25 |
$78.54 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$53.84 |
$53.84 |
$58.52 |
$1,141.77
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$175.83 |
$175.83 |
$191.12 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$3,724.97 |
$3,724.97 |
$4,048.88 |
$7,180.66
|
|
Filter vena cava fem denali
|
$2,516.99 |
$2,516.99 |
$2,735.85 |
$3,816.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$292.00 |
$292.00 |
$292.00 |
$833.25
|
|
Fine needle asp without image guide 10021
|
$226.00 |
$226.00 |
$226.00 |
$515.55
|
|
Finger joint sz00 swanson w/grommets
|
$2,580.34 |
$2,580.34 |
$2,804.72 |
$4,584.72
|
|
Fixation of knee joint
|
$1,155.50 |
$1,155.50 |
$1,155.50 |
$1,893.86
|
|
Fix g/colon tube w/device
|
$401.50 |
$401.50 |
$401.50 |
$1,196.58
|
|
Flecainide (tambocor)-sendout
|
$50.50 |
$50.50 |
$50.50 |
$66.12
|
|
Fl exam g/colon tube w contrast
|
$160.50 |
$160.50 |
$160.50 |
$523.20
|
|
Floor of mouth biopsy 41108
|
$812.00 |
$812.00 |
$812.00 |
$2,112.60
|
|
Flow cytometry marker each additional
|
$62.50 |
$62.50 |
$63.48 |
$97.50
|
|
Flow cytometry one marker technical component
|
$142.60 |
$142.60 |
$224.50 |
$279.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.08 |
$0.08 |
$0.09 |
$64.41
|
|
Fludarabine 50 mg intravenous solution
|
$57.20 |
$57.20 |
$62.17 |
$493.35
|
|
Fluidotherapy charges pt
|
$41.40 |
$41.40 |
$45.00 |
$93.42
|
|
Fluid pressure muscle 20950
|
$843.50 |
$843.50 |
$843.50 |
$778.78
|
|
Fluorescent antibody titer dna
|
$116.00 |
$116.00 |
$132.48 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$520.50 |
$520.50 |
$520.50 |
$507.00
|
|
Fluoroguide needle placement
|
$139.38 |
$139.38 |
$749.50 |
$517.44
|
|
Fluoroscopy up to 1 hour
|
$426.50 |
$426.50 |
$438.38 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.55 |
$0.55 |
$0.60 |
$97.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$5.10 |
$5.10 |
$5.54 |
$72.52
|
|
Fmri brain by tech
|
$1,253.50 |
$1,253.50 |
$1,253.50 |
$1,558.05
|
|
Foam drg >16<=48 sq in w/bdr
|
$9.68 |
$9.68 |
$10.52 |
$62.09
|
|
Foam drg <=16 sq in w/border
|
$9.08 |
$9.08 |
$9.86 |
$16.37
|
|
Foam drsg <=16 sq in without bdr
|
$17.51 |
$17.51 |
$19.03 |
$21.74
|
|
Folic acid
|
$60.26 |
$60.26 |
$114.00 |
$102.90
|
|
Follow-up angiography
|
$1,834.48 |
$1,834.48 |
$1,994.00 |
$2,040.78
|
|
Followup eval of foot pt lop
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
$170.95
|
|
Fomepizole 1 gram/ml intravenous solution
|
$420.72 |
$420.72 |
$457.30 |
$2,602.83
|
|
Fondaparinux sodium
|
$99.99 |
$99.99 |
$108.68 |
$186.20
|
|
Foot drp splt w/exp heel lg
|
$95.67 |
$95.67 |
$95.67 |
$143.87
|
|
Foot X-ray
|
$237.36 |
$237.36 |
$255.50 |
$365.31
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$166.06 |
$166.06 |
$180.50 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$140.77 |
$140.77 |
$153.01 |
$470.29
|
|
Foscarnet sodium injection
|
$0.72 |
$0.72 |
$0.78 |
$975.28
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$8.51 |
$8.51 |
$9.25 |
$106.25
|
|
Fracture assessment via dxa
|
$121.50 |
$121.50 |
$121.50 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$114.08 |
$114.08 |
$124.50 |
$152.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$95.22 |
$95.22 |
$100.00 |
$155.55
|
|
Fresh frozen plasma thawing ea un
|
$91.54 |
$91.54 |
$91.54 |
$122.00
|
|
Fructosamine glycated protein
|
$35.50 |
$35.50 |
$35.50 |
$63.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$722.50 |
$722.50 |
$722.50 |
$1,056.41
|
|
Ga-67 gallium 0.1 mci
|
$58.00 |
$58.00 |
$58.00 |
$118.56
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.18 |
$2.18 |
$2.37 |
$102.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.06 |
$2.06 |
$2.24 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.37 |
$2.37 |
$2.58 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$5.98 |
$5.98 |
$6.50 |
$250.83
|
|
Galactose transferase test
|
$42.00 |
$42.00 |
$42.00 |
$32.00
|
|
Gamma globulin 1 cc inj
|
$20.27 |
$20.27 |
$22.03 |
$363.35
|
|
Gammaglobulin iga
|
$28.06 |
$28.06 |
$63.50 |
$68.94
|
|
Gammaglobulin ige
|
$36.34 |
$36.34 |
$105.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$28.52 |
$28.52 |
$65.50 |
$58.56
|
|
Gamunex-c/gammaked
|
$3.59 |
$3.59 |
$3.90 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$21.04 |
$21.04 |
$22.87 |
$197.40
|
|
Gastric emptying imag study
|
$288.42 |
$288.42 |
$288.42 |
$1,364.00
|
|
Gastroesophageal reflux test
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$182.90 |
$182.90 |
$198.80 |
$334.57
|
|
Gated heart multiple
|
$1,309.62 |
$1,309.62 |
$1,423.50 |
$1,432.12
|
|
Gemcitabine 1 gram intravenous solution
|
$47.73 |
$47.73 |
$51.87 |
$207.51
|
|
General health panel
|
$131.10 |
$131.10 |
$203.50 |
$277.76
|
|
Generator barostim neo2 2014
|
$40,751.54 |
$40,751.54 |
$44,295.15 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$34,513.80 |
$34,513.80 |
$37,515.00 |
$36,764.70
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$672.75 |
$672.75 |
$672.75 |
$66,636.36
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$0.72 |
$0.72 |
$0.78 |
$59.15
|
|
Gentamicin peak therapeutic drug level
|
$54.28 |
$54.28 |
$76.50 |
$128.00
|