|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$97.28 |
$97.28 |
$97.28 |
$109.00
|
|
Eye implant band 40
|
$490.00 |
$490.00 |
$490.00 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$284.38 |
$284.38 |
$284.38 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,521.15 |
$2,521.15 |
$2,521.15 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,619.05 |
$1,619.05 |
$1,619.05 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,320.00
|
|
F-18 fdg pet diag
|
$750.58 |
$750.58 |
$750.58 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$8,572.20 |
$8,572.20 |
$8,572.20 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$15,499.50 |
$15,499.50 |
$15,499.50 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,379.98 |
$1,379.98 |
$1,379.98 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,552.60 |
$2,552.60 |
$2,552.60 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,054.78 |
$2,054.78 |
$2,054.78 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$201.78 |
$201.78 |
$201.78 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$337.95 |
$337.95 |
$337.95 |
$381.75
|
|
Factor ix
|
$350.90 |
$350.90 |
$350.90 |
$162.50
|
|
Factor ix alprolix recomb
|
$22.50 |
$22.50 |
$22.50 |
$9.46
|
|
Factor ix idelvion inj
|
$26.35 |
$26.35 |
$26.35 |
$14.35
|
|
Factor ix recomb gly rebinyn
|
$26.05 |
$26.05 |
$26.05 |
$13.36
|
|
Factor ix recombinan rixubis
|
$22.50 |
$22.50 |
$22.50 |
$7.03
|
|
Factor ix recombinant nos
|
$22.50 |
$22.50 |
$22.50 |
$4.65
|
|
Factor viii
|
$301.55 |
$301.55 |
$301.55 |
$148.00
|
|
Factor viii fc fusion recomb
|
$22.50 |
$22.50 |
$22.50 |
$8.28
|
|
Factor viii pegylated recomb
|
$22.50 |
$22.50 |
$22.50 |
$8.05
|
|
Factor viii recombinant nos
|
$22.50 |
$22.50 |
$22.50 |
$5.20
|
|
Factor viii recomb novoeight
|
$22.50 |
$22.50 |
$22.50 |
$7.21
|
|
Factor viii recomb obizur
|
$22.50 |
$22.50 |
$22.50 |
$7.29
|
|
Fallopian tube recnl
|
$1,389.18 |
$1,389.18 |
$1,389.18 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$56.90 |
$56.90 |
$56.90 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$27.68 |
$27.68 |
$27.68 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$26.35 |
$26.35 |
$26.35 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,894.50 |
$5,894.50 |
$5,894.50 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$66.50 |
$66.50 |
$66.50 |
$36.00
|
|
Fatty acids nonesterified
|
$51.08 |
$51.08 |
$51.08 |
$72.15
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$27,405.00 |
$27,405.00 |
$27,405.00 |
$14,956.68
|
|
#fecal-sodium
|
$52.40 |
$52.40 |
$52.40 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$168.45 |
$168.45 |
$168.45 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$1,496.68 |
$1,496.68 |
$1,496.68 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$19,039.38 |
$19,039.38 |
$19,039.38 |
$16,129.60
|
|
Feno poc
|
$97.18 |
$97.18 |
$97.18 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$386.88 |
$386.88 |
$386.88 |
$101.40
|
|
Fern test
|
$49.15 |
$49.15 |
$49.15 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,028.03 |
$2,028.03 |
$2,028.03 |
$2,590.25
|
|
Ferritin
|
$156.70 |
$156.70 |
$156.70 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$976.88 |
$976.88 |
$976.88 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$309.38 |
$309.38 |
$309.38 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$286.55 |
$286.55 |
$286.55 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$692.75 |
$692.75 |
$692.75 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$656.28 |
$656.28 |
$656.28 |
$477.50
|
|
Fetal cord puncture prenatal
|
$819.00 |
$819.00 |
$819.00 |
$751.20
|
|
Fetal fibronectin
|
$433.13 |
$433.13 |
$433.13 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$168.30 |
$168.30 |
$168.30 |
$102.00
|
|
Fetal hemoglobin rosette
|
$168.30 |
$168.30 |
$168.30 |
$67.20
|
|
Fetal monitor w/report
|
$452.40 |
$452.40 |
$452.40 |
$295.50
|
|
Fetal non stress test
|
$507.90 |
$507.90 |
$507.90 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$120.85 |
$120.85 |
$120.85 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$144.50 |
$144.50 |
$144.50 |
$120.64
|
|
Fibrin degradation products
|
$138.95 |
$138.95 |
$138.95 |
$75.02
|
|
Fibrinogen activity
|
$82.38 |
$82.38 |
$82.38 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$91.33 |
$91.33 |
$91.33 |
$61.00
|
|
Fibrinolytic plasminogen
|
$208.20 |
$208.20 |
$208.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$151.10 |
$151.10 |
$151.10 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$519.20 |
$519.20 |
$519.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,214.53 |
$1,214.53 |
$1,214.53 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$755.90 |
$755.90 |
$755.90 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$807.50 |
$807.50 |
$807.50 |
$7,358.16
|
|
Filter vena cava fem denali
|
$887.50 |
$887.50 |
$887.50 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,058.25 |
$1,058.25 |
$1,058.25 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$416.40 |
$416.40 |
$416.40 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,036.13 |
$1,036.13 |
$1,036.13 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$416.40 |
$416.40 |
$416.40 |
$504.45
|
|
Finger X-ray (both hands)
|
$187.60 |
$187.60 |
$187.60 |
$241.50
|
|
Fixation of knee joint
|
$1,963.35 |
$1,963.35 |
$1,963.35 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$722.00 |
$722.00 |
$722.00 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,609.70 |
$4,609.70 |
$4,609.70 |
$4,499.12
|
|
Flebogamma injection
|
$3,385.10 |
$3,385.10 |
$3,385.10 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$236.60 |
$236.60 |
$236.60 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$242.25 |
$242.25 |
$242.25 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$1,284.13 |
$1,284.13 |
$1,284.13 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,036.20 |
$1,036.20 |
$1,036.20 |
$2,168.40
|
|
Flotufolastat f18 diag 1 mci
|
$18,236.90 |
$18,236.90 |
$18,236.90 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$135.63 |
$135.63 |
$135.63 |
$97.50
|
|
Flow cytometry one marker technical component
|
$227.58 |
$227.58 |
$227.58 |
$285.00
|
|
Floxuridine injection
|
$7,047.50 |
$7,047.50 |
$7,047.50 |
$5,871.79
|
|
Flt3 gene
|
$282.98 |
$282.98 |
$282.98 |
$366.29
|
|
Flt3 gene analysis
|
$268.40 |
$268.40 |
$268.40 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$33.50 |
$33.50 |
$33.50 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$5,497.00 |
$5,497.00 |
$5,497.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$103.73 |
$103.73 |
$103.73 |
$101.40
|
|
Fluid pressure muscle 20950
|
$188.38 |
$188.38 |
$188.38 |
$779.45
|
|
Fluocinol acet intravit imp
|
$18,150.50 |
$18,150.50 |
$18,150.50 |
$14,359.80
|
|
Fluocinolone acetonide implt
|
$38,050.00 |
$38,050.00 |
$38,050.00 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$123.65 |
$123.65 |
$123.65 |
$123.65
|
|
Fluoroestradiol f 18
|
$13,845.08 |
$13,845.08 |
$13,845.08 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$541.83 |
$541.83 |
$541.83 |
$495.00
|
|
Fluoroguide needle placement
|
$539.38 |
$539.38 |
$539.38 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$422.03 |
$422.03 |
$422.03 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$225.00 |
$225.00 |
$225.00 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$358.18 |
$358.18 |
$358.18 |
$72.52
|
|
Flurpiridaz f18, diag, 1 mci
|
$1,578.90 |
$1,578.90 |
$1,578.90 |
$1,033.50
|
|
Flutemetamol f18 diagnostic
|
$7,920.00 |
$7,920.00 |
$7,920.00 |
$5,265.00
|
