|
Evasc rpr ilio-iliac ndgft
|
$493.64 |
$493.64 |
$493.64 |
$8,412.85
|
|
Evasc rpr ilio-iliac rpt
|
$493.64 |
$493.64 |
$493.64 |
$9,122.40
|
|
Evoked auditory tst complete
|
$81.51 |
$81.51 |
$81.51 |
$368.50
|
|
Evoked potentials upper limbs
|
$134.84 |
$134.84 |
$169.89 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$399.83 |
$399.83 |
$399.83 |
$829.44
|
|
Exchange biliary drg cath
|
$1,829.62 |
$1,829.62 |
$2,305.16 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,133.19 |
$1,133.19 |
$1,427.72 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$3,083.57 |
$3,083.57 |
$3,083.57 |
$3,097.16
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$1,952.66 |
$1,952.66 |
$1,952.66 |
$2,731.46
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,501.61 |
$1,501.61 |
$1,501.61 |
$3,898.13
|
|
External chromosome analysis 20-25 cells
|
$299.64 |
$299.64 |
$377.52 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$93.76 |
$93.76 |
$118.12 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$299.64 |
$299.64 |
$377.52 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$73.55 |
$73.55 |
$92.67 |
$102.78
|
|
F-18 fdg pet diag
|
$343.91 |
$343.91 |
$433.29 |
$602.25
|
|
Facial bones <3
|
$231.54 |
$231.54 |
$291.72 |
$248.60
|
|
Factor ix
|
$20.21 |
$20.21 |
$25.46 |
$131.30
|
|
Factor ix complex
|
$1.59 |
$1.59 |
$1.59 |
$4.38
|
|
Factor viii
|
$60.39 |
$60.39 |
$76.08 |
$144.30
|
|
Factor viii
|
$1.82 |
$1.82 |
$1.82 |
$3.87
|
|
Factor viii recombinant nos
|
$5.91 |
$5.91 |
$5.91 |
$7.50
|
|
Factor viii recomb obizur
|
$1.14 |
$1.14 |
$1.14 |
$3.23
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.91 |
$5.91 |
$7.44 |
$23.64
|
|
Fat/lipids feces qualitative
|
$11.58 |
$11.58 |
$14.59 |
$34.56
|
|
Fatty acids nonesterified
|
$16.80 |
$16.80 |
$21.17 |
$57.60
|
|
#fecal-sodium
|
$14.31 |
$14.31 |
$18.02 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$16.35 |
$16.35 |
$20.60 |
$66.43
|
|
Fem/popl revasc w/stent
|
$10,521.68 |
$10,521.68 |
$10,521.68 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$7.44 |
$7.44 |
$36.32 |
$115.35
|
|
Ferritin
|
$50.17 |
$50.17 |
$63.21 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$138.47 |
$138.47 |
$138.47 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$311.22 |
$311.22 |
$311.22 |
$540.54
|
|
Fetal fibronectin
|
$488.51 |
$488.51 |
$615.48 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$88.53 |
$88.53 |
$111.54 |
$88.80
|
|
Fetal hemoglobin rosette
|
$49.94 |
$49.94 |
$62.92 |
$76.70
|
|
Fetal non stress test
|
$179.11 |
$179.11 |
$179.11 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$141.88 |
$141.88 |
$178.75 |
$112.80
|
|
Fibrin degradation products
|
$34.05 |
$34.05 |
$42.90 |
$62.40
|
|
Fibrinogen activity
|
$56.98 |
$56.98 |
$71.79 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$47.67 |
$47.67 |
$60.06 |
$66.00
|
|
Fibrinolytic plasminogen
|
$18.39 |
$18.39 |
$23.17 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$5.68 |
$5.68 |
$7.15 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$267.86 |
$267.86 |
$267.86 |
$519.20
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$632.64 |
$632.64 |
$632.64 |
$993.32
|
|
Filter spider fx 3mmx320cm
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$6,878.20
|
|
Filter vena cava fem denali
|
$2,539.23 |
$2,539.23 |
$2,539.23 |
$3,529.23
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,661.95 |
$1,661.95 |
$1,661.95 |
$806.40
|
|
Fix g/colon tube w/device
|
$372.74 |
$372.74 |
$372.74 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$29.97 |
$29.97 |
$37.76 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$469.62 |
$469.62 |
$738.21 |
$546.86
|
|
Flow cytometry marker each additional
|
$92.62 |
$92.62 |
$116.69 |
$103.00
|
|
Flow cytometry one marker technical component
|
$393.62 |
$393.62 |
$495.93 |
$270.75
|
|
Flt3 gene
|
$243.35 |
$243.35 |
$306.60 |
$352.95
|
|
Flt3 gene analysis
|
$243.35 |
$243.35 |
$306.60 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$24.03 |
$24.03 |
$155.95 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$115.77 |
$115.77 |
$115.77 |
$599.46
|
|
Fluidotherapy charges pt
|
$99.25 |
$99.25 |
$99.25 |
$95.00
|
|
Fluorescent antibody titer dna
|
$619.71 |
$619.71 |
$780.78 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$727.54 |
$727.54 |
$916.63 |
$507.00
|
|
Fluoroguide needle placement
|
$811.53 |
$811.53 |
$1,022.45 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$144.83 |
$144.83 |
$144.83 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$14.31 |
$14.31 |
$14.31 |
$131.15
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$165.03 |
$165.03 |
$165.03 |
$89.36
|
|
Fna bx w/ct gdn 1st les
|
$1,661.95 |
$1,661.95 |
$1,661.95 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,661.95 |
$1,661.95 |
$1,661.95 |
$775.14
|
|
Folic acid
|
$154.59 |
$154.59 |
$194.77 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$12.26 |
$12.26 |
$12.26 |
$56.70
|
|
Follow-up angiography
|
$703.48 |
$703.48 |
$703.48 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$2,602.83
|
|
Fondaparinux sodium
|
$145.74 |
$145.74 |
$145.74 |
$174.74
|
|
Foot drp splt w/exp heel lg
|
$120.31 |
$120.31 |
$151.58 |
$179.20
|
|
Foot X-ray
|
$568.41 |
$568.41 |
$716.15 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$409.51 |
$409.51 |
$409.51 |
$409.51
|
|
Foscarnet sodium injection
|
$440.38 |
$440.38 |
$440.38 |
$1,082.06
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$83.31 |
$83.31 |
$104.97 |
$94.05
|
|
_fragile x methylation-sendout
|
$65.38 |
$65.38 |
$82.37 |
$174.00
|
|
Fragmenting of kidney stone
|
$8,634.40 |
$8,634.40 |
$8,634.40 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$69.01 |
$69.01 |
$86.95 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$127.35 |
$127.35 |
$160.45 |
$162.75
|
|
Frozen plasma, pooled, sd
|
$90.80 |
$90.80 |
$114.40 |
$140.80
|
|
Fructosamine glycated protein
|
$11.58 |
$11.58 |
$14.59 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$6.36 |
$6.36 |
$7.44 |
$27.82
|
|
G6pd full gene sequence
|
$1,667.09 |
$1,667.09 |
$2,100.39 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$162.99 |
$162.99 |
$205.35 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$147.10 |
$147.10 |
$185.33 |
$138.37
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$192.27 |
$192.27 |
$242.25 |
$210.50
|
|
Gamma globulin 1 cc inj
|
$49.94 |
$49.94 |
$49.94 |
$158.67
|
|
Gammaglobulin iga
|
$28.15 |
$28.15 |
$35.47 |
$75.30
|
|
Gammaglobulin ige
|
$36.32 |
$36.32 |
$45.76 |
$85.00
|
|
Gamma glutamyltransferase
|
$83.09 |
$83.09 |
$104.68 |
$55.28
|
|
Gamunex-c/gammaked
|
$1,019.23 |
$1,019.23 |
$1,019.23 |
$7,119.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$103.74 |
$103.74 |
$113.55 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$60.84 |
$60.84 |
$60.84 |
$272.87
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$3,451.09 |
$3,451.09 |
$3,451.09 |
$20,115.00
|
|
General health panel
|
$33.37 |
$33.37 |
$42.05 |
$280.50
|
|
Generator barostim neo2 2014
|
$33,266.38 |
$33,266.38 |
$38,656.97 |
$54,649.93
|
|
Generator emblem MRI sicd subq
|
$17,071.34 |
$17,071.34 |
$24,003.44 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$31,948.21 |
$31,948.21 |
$31,948.21 |
$43,776.46
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$5.91 |
$5.91 |
$5.91 |
$63.06
|
|
Gentamicin peak therapeutic drug level
|
$139.16 |
$139.16 |
$175.32 |
$119.00
|
