|
Fibrinogen activity
|
$18.06 |
$108.36 |
$124.50 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$28.29 |
$179.76 |
$266.90 |
|
|
Fibrinolytic antiplasmin
|
$105.00 |
$108.36 |
$179.35 |
|
|
Fibrinolytic plasminogen
|
$57.27 |
$132.72 |
$228.65 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$42.74 |
$126.84 |
$236.30 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$72.25 |
$263.87 |
$534.03 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$41.79 |
$53.84 |
$97.15 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$175.83 |
$940.30 |
$1,902.98 |
|
|
Filter spider fx 3mmx320cm
|
$3,724.97 |
$6,883.09 |
$7,717.50 |
|
|
Filter vena cava fem denali
|
$2,516.99 |
$2,735.85 |
$6,161.23 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$636.30 |
$636.30 |
$788.12 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$636.30 |
$636.30 |
$788.12 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$292.00 |
$636.30 |
$1,122.99 |
|
|
Fine needle asp without image guide 10021
|
$52.43 |
$254.52 |
$404.21 |
|
|
Finger joint sz00 swanson w/grommets
|
$2,355.97 |
$2,580.34 |
$4,768.02 |
|
|
Finger X-ray (both hands)
|
$84.18 |
$146.91 |
$231.87 |
|
|
Fitting of diaphragm/cap 57170
|
$1,337.28 |
$1,337.28 |
$1,353.20 |
|
|
Fixation of knee joint
|
$1,155.50 |
$1,826.16 |
$1,826.16 |
|
|
Fix g/colon tube w/device
|
$360.78 |
$360.78 |
$660.02 |
|
|
Flecainide (tambocor)-sendout
|
$50.50 |
$50.50 |
$50.50 |
|
|
Fl exam g/colon tube w contrast
|
$160.50 |
$347.76 |
$553.61 |
|
|
Flexible Sigmoidoscopy
|
$444.05 |
$449.40 |
$732.61 |
|
|
Floor of mouth biopsy 41108
|
$82.26 |
$1,207.92 |
$1,277.37 |
|
|
Florbetaben f18 diagnostic
|
$2,074.38 |
$2,074.38 |
$2,074.38 |
|
|
Flow cytometry marker each additional
|
$57.96 |
$63.48 |
$131.14 |
|
|
Flow cytometry one marker technical component
|
$142.60 |
$428.82 |
$711.45 |
|
|
Flt3 gene
|
$366.29 |
$366.29 |
$366.29 |
|
|
Flt3 gene analysis
|
$183.51 |
$183.51 |
$183.51 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.08 |
$86.84 |
$175.74 |
|
|
Fludarabine 50 mg intravenous solution
|
$57.20 |
$522.19 |
$1,056.81 |
|
|
Fluidotherapy charges pt
|
$41.16 |
$45.00 |
$148.57 |
|
|
Fluid pressure muscle 20950
|
$450.66 |
$450.66 |
$843.50 |
|
|
Fluorescent antibody titer dna
|
$73.87 |
$100.80 |
$642.82 |
|
|
Fluoroguide for spine inject 77003-26
|
$66.55 |
$438.90 |
$618.91 |
|
|
Fluoroguide needle placement
|
$139.38 |
$538.44 |
$1,036.04 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$426.50 |
$438.38 |
$588.04 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.55 |
$124.74 |
$252.45 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$5.10 |
$116.34 |
$235.45 |
|
|
Flutemetamol f18 diagnostic
|
$2,191.14 |
$2,191.14 |
$2,191.14 |
|
|
Fmri brain by phys/psych
|
$1,186.08 |
$1,186.08 |
$1,852.01 |
|
|
Fmri brain by tech
|
$1,138.62 |
$1,138.62 |
$1,696.25 |
|
|
Fna bx w/ct gdn 1st les
|
$636.30 |
$636.30 |
$788.12 |
|
|
Fna bx w/ct gdn ea addl
|
$636.30 |
$636.30 |
$788.12 |
|
|
Fna bx w/mr gdn 1st les
|
$636.30 |
$636.30 |
$762.28 |
|
|
Fna bx w/mr gdn ea addl
|
$636.30 |
$636.30 |
$762.28 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$9.68 |
$37.30 |
$75.48 |
|
|
Foam drg <=16 sq in w/border
|
$8.29 |
$9.08 |
$20.74 |
|
|
Foam drg > 48 sq in without brdr
|
$24.11 |
$24.11 |
$24.40 |
|
|
Foam drsg <=16 sq in without bdr
|
$17.51 |
$31.97 |
$63.42 |
|
|
Folic acid
|
$27.59 |
$105.42 |
$226.95 |
|
|
Follow-up angiography
|
$924.76 |
$2,040.78 |
$2,040.78 |
|
|
Followup eval of foot pt lop
|
$1,556.00 |
$1,556.00 |
$1,556.00 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$420.72 |
$2,880.99 |
$5,830.58 |
|
|
Fondaparinux sodium
|
$99.99 |
$182.67 |
$369.68 |
|
|
Foot drp splt w/exp heel lg
|
$95.67 |
$95.67 |
$95.67 |
|
|
Foot plas heel stabi pre ots
|
$133.56 |
$133.56 |
$135.15 |
|
|
Foot X-ray
|
$189.00 |
$255.50 |
$359.55 |
|
|
Foot X-ray (2 views, both feet)
|
$117.86 |
$157.08 |
$291.55 |
|
|
Forearm X-ray (both sides)
|
$120.98 |
$210.50 |
$304.30 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$166.06 |
$204.96 |
$314.57 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$140.77 |
$642.63 |
$1,300.55 |
|
|
Foscarnet sodium injection
|
$0.72 |
$653.94 |
$1,323.45 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$8.51 |
$232.96 |
$471.46 |
|
|
Fracture assessment via dxa
|
$22.41 |
$121.50 |
$383.35 |
|
|
Frenotomy 40806
|
$467.88 |
$467.88 |
$473.45 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$52.92 |
$114.08 |
$148.09 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$78.54 |
$95.22 |
$169.32 |
|
|
Fresh frozen plasma thawing ea un
|
$37.80 |
$90.72 |
$224.63 |
|
|
Fructosamine glycated protein
|
$32.49 |
$149.94 |
$153.85 |
|
|
Ftl cgen abnor two proteins
|
$191.62 |
$191.62 |
$191.62 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$133.63 |
$301.98 |
$606.95 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,029.20 |
$1,029.20 |
$1,029.20 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$722.50 |
$722.50 |
$722.50 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$891.61 |
$3,352.86 |
$5,362.63 |
|
|
Functional brain mapping
|
$143.22 |
$143.22 |
$143.22 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$0.16 |
$41.79 |
$84.58 |
|
|
Ga-67 gallium 0.1 mci
|
$58.00 |
$95.76 |
$204.96 |
|
|
Ga-68 gallium 68 dotatate
|
$141.54 |
$141.54 |
$141.54 |
|
|
Gabapentin non-blood
|
$34.33 |
$34.33 |
$34.33 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.18 |
$76.55 |
$154.92 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.06 |
$93.69 |
$189.60 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.37 |
$159.43 |
$322.65 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$5.98 |
$272.65 |
$551.78 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$106.05 |
$122.64 |
$200.60 |
|
|
Galactose transferase test
|
$22.07 |
$36.54 |
$58.93 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$343.16 |
$965.50 |
$2,323.90 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$899.30 |
$1,097.50 |
$2,472.65 |
|
|
Gallbladder Removal (Laparoscopic)
|
$1,477.40 |
$1,495.20 |
$1,513.00 |
|
|
Gallium illuccix 1 millicure
|
$987.00 |
$987.00 |
$987.00 |
|
|
Gamma globulin 1 cc inj
|
$20.27 |
$925.01 |
$1,872.04 |
|
|
Gammaglobulin iga
|
$28.06 |
$55.02 |
$200.86 |
|
|
Gammaglobulin ige
|
$35.55 |
$91.56 |
$131.14 |
|
|
Gamma glutamyltransferase
|
$26.23 |
$57.54 |
$81.60 |
|
|
Gamunex-c/gammaked
|
$3.59 |
$6,543.60 |
$13,243.00 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$21.04 |
$96.04 |
$194.36 |
|
|
Gastric emptying imag study
|
$288.42 |
$288.42 |
$372.88 |
|
|
Gastric emptying imag study
|
$463.15 |
$463.15 |
$463.15 |
|
|
Gastric motility studies
|
$1,073.94 |
$1,073.94 |
$1,073.94 |
|
|
Gastroduodenostomy
|
$2,265.07 |
$2,292.36 |
$2,319.65 |
|