|
Felbamate (felbatol(r)) - sendout
|
$97.50 |
$97.50 |
$97.50 |
$83.85
|
|
Feno poc
|
$153.75 |
$153.75 |
$153.75 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.94 |
$35.94 |
$35.94 |
$35.94
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,736.68 |
$3,736.68 |
$3,736.68 |
$3,736.68
|
|
Ferritin
|
$242.25 |
$242.25 |
$242.25 |
$97.20
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,030.11 |
$4,030.11 |
$4,030.11 |
$4,030.11
|
|
Fetal biophys profile w/nst 76818
|
$831.75 |
$831.75 |
$831.75 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$267.75 |
$267.75 |
$267.75 |
$559.32
|
|
Fetal hemoglobin rosette
|
$204.00 |
$204.00 |
$204.00 |
$78.65
|
|
Fetal non stress test
|
$478.50 |
$478.50 |
$478.50 |
$507.90
|
|
Fetal shunt placement w/us
|
$355.50 |
$355.50 |
$355.50 |
$668.50
|
|
#_fet/norfentcnfrmur
|
$171.00 |
$171.00 |
$171.00 |
$148.00
|
|
Fibrin degradation d dimer quantitative
|
$162.00 |
$162.00 |
$162.00 |
$93.00
|
|
Fibrin degradation products
|
$171.00 |
$171.00 |
$171.00 |
$49.84
|
|
Fibrinogen activity
|
$113.25 |
$113.25 |
$113.25 |
$65.40
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$72.00 |
$72.00 |
$72.00 |
$73.00
|
|
Fibrinolytic antiplasmin
|
$103.50 |
$103.50 |
$103.50 |
$40.20
|
|
Fibrinolytic plasminogen
|
$650.25 |
$650.25 |
$650.25 |
$138.06
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$544.50 |
$544.50 |
$544.50 |
$75.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$492.48 |
$492.48 |
$492.48 |
$492.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,964.97 |
$1,964.97 |
$1,964.97 |
$1,964.97
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,504.82 |
$1,504.82 |
$1,504.82 |
$1,504.82
|
|
Filtered speech hearing test
|
$237.00 |
$237.00 |
$237.00 |
$65.00
|
|
Filter spider fx 3mmx320cm
|
$8,212.50 |
$8,212.50 |
$8,212.50 |
$8,212.50
|
|
Filter vena cava fem denali
|
$4,659.75 |
$4,659.75 |
$4,659.75 |
$4,659.75
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,219.50 |
$1,219.50 |
$1,219.50 |
$1,058.25
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$612.30
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$226.50 |
$226.50 |
$226.50 |
$227.17
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$694.20
|
|
Fine needle asp without image guide 10021
|
$642.75 |
$642.75 |
$642.75 |
$550.05
|
|
Fixation of knee joint
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$1,863.67
|
|
Flebogamma injection
|
$3,562.92 |
$3,562.92 |
$3,562.92 |
$3,562.92
|
|
Flecainide (tambocor)-sendout
|
$96.00 |
$96.00 |
$96.00 |
$83.85
|
|
Fl exam g/colon tube w contrast
|
$565.50 |
$565.50 |
$565.50 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$1,763.25 |
$1,763.25 |
$1,763.25 |
$1,278.72
|
|
Flow cytometry marker each additional
|
$181.50 |
$181.50 |
$181.50 |
$124.00
|
|
Flow cytometry one marker technical component
|
$270.75 |
$270.75 |
$270.75 |
$330.02
|
|
Floxuridine injection
|
$14,923.11 |
$14,923.11 |
$14,923.11 |
$14,923.11
|
|
Flt3 gene
|
$206.25 |
$206.25 |
$206.25 |
$430.35
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$24.41 |
$24.41 |
$24.41 |
$24.41
|
|
Fludarabine 50 mg intravenous solution
|
$601.96 |
$601.96 |
$601.96 |
$601.96
|
|
Fluidotherapy charges pt
|
$139.50 |
$139.50 |
$139.50 |
$103.73
|
|
Fluid pressure muscle 20950
|
$445.50 |
$445.50 |
$445.50 |
$738.87
|
|
Fluocinolone acetonide implt
|
$70,344.94 |
$70,344.94 |
$70,344.94 |
$70,344.94
|
|
Fluorescent antibody titer dna
|
$429.75 |
$429.75 |
$429.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$843.75 |
$843.75 |
$843.75 |
$541.50
|
|
Fluoroguide needle placement
|
$599.25 |
$599.25 |
$599.25 |
$544.70
|
|
Fluoroscopy up to 1 hour
|
$818.25 |
$818.25 |
$818.25 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$203.74 |
$203.74 |
$203.74 |
$203.74
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$380.85 |
$380.85 |
$380.85 |
$380.85
|
|
Fmri brain by tech
|
$1,157.25 |
$1,157.25 |
$1,157.25 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$900.75 |
$900.75 |
$900.75 |
$1,306.50
|
|
Fna bx w/ct gdn ea addl
|
$847.50 |
$847.50 |
$847.50 |
$737.83
|
|
Fna bx w/mr gdn 1st les
|
$900.75 |
$900.75 |
$900.75 |
$908.69
|
|
Fna bx w/mr gdn ea addl
|
$847.50 |
$847.50 |
$847.50 |
$612.30
|
|
Folic acid
|
$85.50 |
$85.50 |
$85.50 |
$87.50
|
|
Folic acid 5 mg/ml injection solution
|
$78.99 |
$78.99 |
$78.99 |
$1.05
|
|
Follow-up angiography
|
$2,599.50 |
$2,599.50 |
$2,599.50 |
$2,208.05
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,261.49 |
$1,261.49 |
$1,261.49 |
$1,261.49
|
|
Fondaparinux sodium
|
$121.83 |
$121.83 |
$121.83 |
$121.83
|
|
Foot X-ray
|
$420.00 |
$420.00 |
$420.00 |
$339.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$285.00 |
$285.00 |
$285.00 |
$696.15
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,233.17 |
$1,233.17 |
$1,233.17 |
$1,233.17
|
|
Foscarnet sodium injection
|
$1,101.86 |
$1,101.86 |
$1,101.86 |
$1,101.86
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$94.85 |
$94.85 |
$94.85 |
$94.85
|
|
Fracture assessment via dxa
|
$771.00 |
$771.00 |
$771.00 |
$182.50
|
|
Fragmenting of kidney stone
|
$9,827.25 |
$9,827.25 |
$9,827.25 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$168.75 |
$168.75 |
$168.75 |
$243.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$223.50 |
$223.50 |
$223.50 |
$223.50
|
|
Fresh frozen plasma thawing ea un
|
$131.25 |
$131.25 |
$131.25 |
$131.25
|
|
Fructosamine glycated protein
|
$76.50 |
$76.50 |
$76.50 |
$75.00
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,910.75 |
$2,910.75 |
$2,910.75 |
$2,469.00
|
|
Furosemide 10 mg/ml injection solution
|
$19.53 |
$19.53 |
$19.53 |
$0.60
|
|
Ga-68 gallium 68 dotatate
|
$156.00 |
$156.00 |
$156.00 |
$156.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$177.43 |
$177.43 |
$177.43 |
$177.43
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$119.29 |
$119.29 |
$119.29 |
$99.80
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$486.60 |
$486.60 |
$486.60 |
$95.55
|
|
Galac-1-phosphate uridyltran - sendout
|
$85.50 |
$85.50 |
$85.50 |
$79.50
|
|
Galectin-3
|
$280.50 |
$280.50 |
$280.50 |
$110.65
|
|
Gammaglobulin iga
|
$183.00 |
$183.00 |
$183.00 |
$75.20
|
|
Gammaglobulin ige
|
$148.50 |
$148.50 |
$148.50 |
$88.80
|
|
Gamma glutamyltransferase
|
$77.25 |
$77.25 |
$77.25 |
$54.60
|
|
Gamunex-c/gammaked
|
$8,519.04 |
$8,519.04 |
$8,519.04 |
$8,519.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$94.28 |
$94.28 |
$94.28 |
$94.28
|
|
Gastric motility studies
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$972.00
|
|
Gastrin test
|
$138.00 |
$138.00 |
$138.00 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,232.25 |
$1,232.25 |
$1,232.25 |
$823.80
|
|
Gastroesophageal reflux test
|
$1,635.75 |
$1,635.75 |
$1,635.75 |
$1,115.40
|
|
Gel-syn injection 0.1 mg
|
$1,330.04 |
$1,330.04 |
$1,330.04 |
$1,330.04
|
|
Gemcitabine 1 gram intravenous solution
|
$168.02 |
$168.02 |
$168.02 |
$168.02
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$37,698.54 |
$37,698.54 |
$37,698.54 |
$37,698.54
|
|
Generator barostim neo2 2014
|
$83,687.18 |
$83,687.18 |
$83,687.18 |
$83,687.18
|
|
Generator emblem MRI sicd subq
|
$61,875.00 |
$61,875.00 |
$61,875.00 |
$61,875.00
|
|
Genetic tstg severe inh cond
|
$11,208.75 |
$11,208.75 |
$11,208.75 |
$4,897.60
|
|
Genome sequence analysis
|
$8,306.25 |
$8,306.25 |
$8,306.25 |
$6,404.58
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$85.57 |
$85.57 |
$85.57 |
$80.40
|
|
Gentamicin peak therapeutic drug level
|
$156.75 |
$156.75 |
$156.75 |
$118.30
|
|
G-esoph reflx tst w/electrod
|
$1,684.50 |
$1,684.50 |
$1,684.50 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$2,153.25 |
$2,153.25 |
$2,153.25 |
$1,569.82
|
|
Ghs abscess postoperative iandd complex
|
$4,318.50 |
$4,318.50 |
$4,318.50 |
$3,834.59
|