|
Family therapy without pt 50min 90846
|
$104.40 |
$104.40 |
$104.40 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$104.40 |
$104.40 |
$104.40 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.30 |
$0.30 |
$0.30 |
$22.20
|
|
Fat/lipids feces qualitative
|
$12.60 |
$12.60 |
$12.60 |
$36.00
|
|
#fecal-sodium
|
$12.00 |
$12.00 |
$12.00 |
$37.53
|
|
Fem/popl revasc w/stent
|
$7,234.80 |
$7,234.80 |
$7,234.80 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$118.20 |
$118.20 |
$118.20 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$2,590.25
|
|
Ferritin
|
$33.60 |
$33.60 |
$33.60 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$10.60 |
$10.60 |
$10.60 |
$1,636.50
|
|
Fetal chrom aneuploidy gsa panel
|
$3,416.40 |
$3,416.40 |
$3,416.40 |
$1,166.15
|
|
Fetal fibronectin
|
$158.40 |
$158.40 |
$158.40 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$18.60 |
$18.60 |
$18.60 |
$102.00
|
|
Fetal hemoglobin rosette
|
$16.20 |
$16.20 |
$16.20 |
$67.20
|
|
Fetal non stress test
|
$268.80 |
$268.80 |
$268.80 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$24.60 |
$24.60 |
$24.60 |
$120.64
|
|
Fibrin degradation products
|
$16.80 |
$16.80 |
$16.80 |
$75.02
|
|
Fibrinogen activity
|
$20.40 |
$20.40 |
$20.40 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$197.40 |
$197.40 |
$197.40 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$116.40 |
$116.40 |
$116.40 |
$72.80
|
|
Fibrinolytic plasminogen
|
$190.20 |
$190.20 |
$190.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$16.20 |
$16.20 |
$16.20 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.20 |
$1.20 |
$1.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$712.20 |
$712.20 |
$712.20 |
$891.02
|
|
Filter vena cava fem denali
|
$4,035.60 |
$4,035.60 |
$4,035.60 |
$3,718.18
|
|
Finasteride, 5 mg
|
$4.20 |
$4.20 |
$4.20 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$810.00 |
$810.00 |
$810.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$810.00 |
$810.00 |
$810.00 |
$825.00
|
|
Finger X-ray (both hands)
|
$91.20 |
$91.20 |
$91.20 |
$241.50
|
|
Fix g/colon tube w/device
|
$393.00 |
$393.00 |
$393.00 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$31.20 |
$31.20 |
$31.20 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$130.80 |
$130.80 |
$130.80 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,284.13
|
|
Flotufolastat f18 diag 1 mci
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$408.60 |
$408.60 |
$408.60 |
$200.00
|
|
Flow cytometry marker each additional
|
$100.20 |
$100.20 |
$100.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$165.60 |
$165.60 |
$165.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$961.20 |
$961.20 |
$961.20 |
$172.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$56.20 |
$56.20 |
$56.20 |
$64.22
|
|
Fluorescent antibody titer dna
|
$29.40 |
$29.40 |
$29.40 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$217.80 |
$217.80 |
$217.80 |
$495.00
|
|
Fluoroguide needle placement
|
$229.80 |
$229.80 |
$229.80 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$252.00 |
$252.00 |
$252.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$23.40 |
$23.40 |
$23.40 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$386.40 |
$386.40 |
$386.40 |
$72.52
|
|
Fna bx w/mr gdn 1st les
|
$810.00 |
$810.00 |
$810.00 |
$1,294.80
|
|
Folic acid
|
$36.00 |
$36.00 |
$36.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$45.00
|
|
Follow-up angiography
|
$198.60 |
$198.60 |
$198.60 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$2,511.73
|
|
Fondaparinux sodium
|
$11.80 |
$11.80 |
$11.80 |
$186.20
|
|
Foot X-ray
|
$122.40 |
$122.40 |
$122.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$50.40 |
$50.40 |
$50.40 |
$290.40
|
|
Forearm X-ray (both sides)
|
$108.60 |
$108.60 |
$108.60 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$7.20 |
$7.20 |
$7.20 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$72.00 |
$72.00 |
$72.00 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$143.40 |
$143.40 |
$143.40 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$22.20 |
$22.20 |
$22.20 |
$131.25
|
|
Fructosamine glycated protein
|
$36.60 |
$36.60 |
$36.60 |
$63.50
|
|
Ftl cgen abnor five anal
|
$403.80 |
$403.80 |
$403.80 |
$155.10
|
|
Ftl cgen abnor four anal
|
$309.00 |
$309.00 |
$309.00 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$136.20 |
$136.20 |
$136.20 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$0.42 |
$0.42 |
$0.42 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$3.00 |
$3.00 |
$3.00 |
$26.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$16.80 |
$16.80 |
$16.80 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$137.40 |
$137.40 |
$137.40 |
$249.80
|
|
Galectin-3
|
$79.80 |
$79.80 |
$79.80 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$636.60 |
$636.60 |
$636.60 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$636.60 |
$636.60 |
$636.60 |
$1,615.00
|
|
Gammaglobulin iga
|
$22.80 |
$22.80 |
$22.80 |
$69.60
|
|
Gammaglobulin ige
|
$40.20 |
$40.20 |
$40.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$18.00 |
$18.00 |
$18.00 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$248.80 |
$248.80 |
$248.80 |
$197.40
|
|
Gardner vag dna quant
|
$356.40 |
$356.40 |
$356.40 |
$104.80
|
|
Gastroesophageal reflux test
|
$501.00 |
$501.00 |
$501.00 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$508.20 |
$508.20 |
$508.20 |
$379.50
|
|
Gated heart multiple
|
$2,320.80 |
$2,320.80 |
$2,320.80 |
$1,405.04
|
|
Gauze >16 <=48 sq in w/bordr
|
$3.00 |
$3.00 |
$3.00 |
$4.20
|
|
Gemcitabine 1 gram intravenous solution
|
$375.20 |
$375.20 |
$375.20 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$74.40 |
$74.40 |
$74.40 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$27,562.80 |
$27,562.80 |
$27,562.80 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$28,865.40 |
$28,865.40 |
$28,865.40 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$4,156.20 |
$4,156.20 |
$4,156.20 |
$3,978.65
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$33.00 |
$33.00 |
$33.00 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$40.20 |
$40.20 |
$40.20 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$671.40 |
$671.40 |
$671.40 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$771.60 |
$771.60 |
$771.60 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$1,323.60 |
$1,323.60 |
$1,323.60 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$39.60 |
$39.60 |
$39.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,532.40 |
$1,532.40 |
$1,532.40 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$480.00 |
$480.00 |
$480.00 |
$262.35
|
|
Ghs aspiration bladder - needle
|
$625.80 |
$625.80 |
$625.80 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$66.00 |
$66.00 |
$66.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$856.80 |
$856.80 |
$856.80 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$698.40 |
$698.40 |
$698.40 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$348.60 |
$348.60 |
$348.60 |
$594.55
|
