|
Fatty acids nonesterified
|
$41.00 |
$41.00 |
$41.00 |
$57.60
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$213.15 |
$213.15 |
$213.15 |
$13,726.88
|
|
#fecal-sodium
|
$71.00 |
$71.00 |
$71.00 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$3.34 |
$3.34 |
$3.34 |
$118.20
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$222.74 |
$222.74 |
$222.74 |
$2,131.58
|
|
Ferritin
|
$188.00 |
$188.00 |
$188.00 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$28.28 |
$28.28 |
$28.28 |
$1,426.50
|
|
Fetal biophys profile w/nst 76818
|
$1,734.00 |
$1,734.00 |
$1,734.00 |
$541.74
|
|
Fetal cord puncture prenatal
|
$2,354.00 |
$2,354.00 |
$2,354.00 |
$764.92
|
|
Fetal fibronectin
|
$374.00 |
$374.00 |
$374.00 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$85.00 |
$85.00 |
$85.00 |
$88.80
|
|
Fetal lung maturity assess lam body dnst
|
$26.00 |
$26.00 |
$26.00 |
$64.28
|
|
Fetal non stress test
|
$1,362.00 |
$1,362.00 |
$1,362.00 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$204.00 |
$204.00 |
$204.00 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$100.00 |
$100.00 |
$100.00 |
$112.80
|
|
Fibrinogen activity
|
$79.00 |
$79.00 |
$79.00 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$51.00 |
$51.00 |
$51.00 |
$56.00
|
|
Fibrinolytic plasminogen
|
$74.00 |
$74.00 |
$74.00 |
$109.45
|
|
Fibrinolytic plasminogen
|
$442.00 |
$442.00 |
$442.00 |
$11.20
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$958.23 |
$958.23 |
$958.23 |
$545.40
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,275.28 |
$2,275.28 |
$2,275.28 |
$1,231.20
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$973.70 |
$973.70 |
$973.70 |
$1,004.98
|
|
Fine needle asp without image guide 10021
|
$1,801.00 |
$1,801.00 |
$1,801.00 |
$547.53
|
|
Floor of mouth biopsy 41108
|
$5,317.00 |
$5,317.00 |
$5,317.00 |
$2,040.09
|
|
Florbetaben f18 diagnostic
|
$10,290.00 |
$10,290.00 |
$10,290.00 |
$4,030.00
|
|
Flow cytometry interp 16 or more
|
$485.00 |
$485.00 |
$485.00 |
$208.80
|
|
Flow cytometry marker each additional
|
$204.00 |
$204.00 |
$204.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$66.00 |
$66.00 |
$66.00 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$878.00 |
$878.00 |
$878.00 |
$194.04
|
|
Floxuridine injection
|
$387.17 |
$387.17 |
$387.17 |
$4,125.55
|
|
Flt3 gene
|
$273.00 |
$273.00 |
$273.00 |
$352.95
|
|
Flt3 gene analysis
|
$273.00 |
$273.00 |
$273.00 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.19 |
$0.19 |
$0.19 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$306.18 |
$306.18 |
$306.18 |
$601.96
|
|
Fluidotherapy charges pt
|
$412.00 |
$412.00 |
$412.00 |
$95.00
|
|
Fluocinol acet intravit imp
|
$21,290.50 |
$21,290.50 |
$21,290.50 |
$18,150.50
|
|
Fluocinolone acetonide implt
|
$63,875.00 |
$63,875.00 |
$63,875.00 |
$32,193.00
|
|
Fluorescein angrph mltiframe
|
$1,999.00 |
$1,999.00 |
$1,999.00 |
$344.68
|
|
Fluorescent antibody titer dna
|
$97.00 |
$97.00 |
$97.00 |
$123.65
|
|
Fluoroestradiol f 18
|
$14,790.48 |
$14,790.48 |
$14,790.48 |
$997.10
|
|
Fluoroguide for spine inject 77003-26
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$507.00
|
|
Fluoroguide needle placement
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,526.00 |
$1,526.00 |
$1,526.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$4.50 |
$4.50 |
$4.50 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$32.40 |
$32.40 |
$32.40 |
$79.52
|
|
Folic acid
|
$169.00 |
$169.00 |
$169.00 |
$90.60
|
|
Follow-up angiography
|
$5,262.00 |
$5,262.00 |
$5,262.00 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,229.06 |
$1,229.06 |
$1,229.06 |
$2,581.14
|
|
Fondaparinux sodium
|
$261.99 |
$261.99 |
$261.99 |
$176.54
|
|
Foot X-ray
|
$811.00 |
$811.00 |
$811.00 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$11,436.00 |
$11,436.00 |
$11,436.00 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$546.00 |
$546.00 |
$546.00 |
$595.80
|
|
Formoterol fumarate, inh
|
$8.07 |
$8.07 |
$8.07 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$189.39 |
$189.39 |
$189.39 |
$425.16
|
|
Foscarnet sodium injection
|
$3.63 |
$3.63 |
$3.63 |
$1,101.86
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$3.60 |
$3.60 |
$3.60 |
$86.40
|
|
_fragile x methylation-sendout
|
$925.00 |
$925.00 |
$925.00 |
$174.00
|
|
Frozen cell preparation
|
$3,487.00 |
$3,487.00 |
$3,487.00 |
$16.68
|
|
Fructosamine glycated protein
|
$81.00 |
$81.00 |
$81.00 |
$60.42
|
|
Ftl cgen abnor four anal
|
$113.00 |
$113.00 |
$113.00 |
$211.83
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$5,562.00 |
$5,562.00 |
$5,562.00 |
$2,501.10
|
|
Fundus photography with i&r 92250
|
$643.00 |
$643.00 |
$643.00 |
$200.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$1.10 |
$1.10 |
$1.10 |
$32.92
|
|
Ga-67 gallium 0.1 mci
|
$1,578.50 |
$1,578.50 |
$1,578.50 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$10,500.00 |
$10,500.00 |
$10,500.00 |
$119.90
|
|
Gabapentin non-blood
|
$83.00 |
$83.00 |
$83.00 |
$41.25
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$11.90 |
$11.90 |
$11.90 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$4.70 |
$4.70 |
$4.70 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$9.82 |
$9.82 |
$9.82 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$49.68 |
$49.68 |
$49.68 |
$210.50
|
|
Gallium illuccix 1 millicure
|
$16,450.00 |
$16,450.00 |
$16,450.00 |
$1,395.27
|
|
Gallium locametz 1 millicuri
|
$14,000.00 |
$14,000.00 |
$14,000.00 |
$873.44
|
|
Galsulfase injection
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$1,163.92
|
|
Gamma globulin 1 cc inj
|
$170.17 |
$170.17 |
$170.17 |
$158.67
|
|
Gammaglobulin iga
|
$257.00 |
$257.00 |
$257.00 |
$75.30
|
|
Gammaglobulin ige
|
$186.00 |
$186.00 |
$186.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$57.00 |
$57.00 |
$57.00 |
$55.28
|
|
Gammaplex injection
|
$55.06 |
$55.06 |
$55.06 |
$57.93
|
|
Gamunex-c/gammaked
|
$34.74 |
$34.74 |
$34.74 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$318.32 |
$318.32 |
$318.32 |
$197.40
|
|
Gastroesophageal reflux study
|
$3,786.00 |
$3,786.00 |
$3,786.00 |
$957.25
|
|
Gated heart multiple
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,370.99
|
|
Gel-one
|
$1,341.67 |
$1,341.67 |
$1,341.67 |
$897.00
|
|
Gel-syn injection 0.1 mg
|
$613.60 |
$613.60 |
$613.60 |
$613.60
|
|
Gemcitabine 1 gram intravenous solution
|
$78.54 |
$78.54 |
$78.54 |
$269.06
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$34,637.96 |
$34,637.96 |
$34,637.96 |
$20,893.87
|
|
General health panel
|
$522.00 |
$522.00 |
$522.00 |
$280.50
|
|
Genetic counseling 30 min
|
$306.00 |
$306.00 |
$306.00 |
$193.00
|
|
Genetic tstg severe inh cond
|
$11,606.00 |
$11,606.00 |
$11,606.00 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$7.58 |
$7.58 |
$7.58 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$188.00 |
$188.00 |
$188.00 |
$119.00
|
|
Genvisc 850, inj, 1mg
|
$524.86 |
$524.86 |
$524.86 |
$6.02
|
|
Ghs abscess perianal iandd
|
$6,650.00 |
$6,650.00 |
$6,650.00 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$2,537.00 |
$2,537.00 |
$2,537.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$22.00 |
$22.00 |
$22.00 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$90.00 |
$90.00 |
$90.00 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$198.00 |
$198.00 |
$198.00 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$18.00 |
$18.00 |
$18.00 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$722.00 |
$722.00 |
$722.00 |
$344.48
|
|
Ghs change cysto/gastrost
|
$1,126.00 |
$1,126.00 |
$1,126.00 |
$699.60
|
