|
#_fet/norfentcnfrmur
|
$44.85 |
$44.85 |
$44.85 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$347.10 |
$347.10 |
$347.10 |
$112.80
|
|
Fibrin degradation products
|
$267.80 |
$267.80 |
$267.80 |
$62.40
|
|
Fibrinogen activity
|
$331.50 |
$331.50 |
$331.50 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$75.40 |
$75.40 |
$75.40 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$107.25 |
$107.25 |
$107.25 |
$56.00
|
|
Fibrinolytic plasminogen
|
$308.10 |
$308.10 |
$308.10 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$540.80 |
$540.80 |
$540.80 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$297.18 |
$297.21 |
$297.21 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,411.44 |
$1,411.44 |
$1,608.78 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$891.02 |
$891.02 |
$891.02 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$2,869.94 |
$2,869.94 |
$2,869.94 |
$6,152.59
|
|
Filter vena cava fem denali
|
$1,861.69 |
$1,861.69 |
$1,861.69 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$319.15 |
$319.15 |
$319.15 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$839.15 |
$839.15 |
$839.15 |
$547.53
|
|
Fix g/colon tube w/device
|
$9,395.75 |
$9,395.75 |
$9,395.75 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$65.65 |
$65.65 |
$65.65 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$4,606.55 |
$4,606.55 |
$4,606.55 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$2,563.60 |
$2,563.60 |
$2,563.60 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$213.20 |
$213.20 |
$213.20 |
$103.00
|
|
Flow cytometry one marker technical component
|
$222.95 |
$222.95 |
$222.95 |
$270.75
|
|
Flt3 gene
|
$835.90 |
$835.90 |
$835.90 |
$352.95
|
|
Flt3 gene analysis
|
$434.85 |
$434.85 |
$434.85 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$49.11 |
$49.11 |
$55.09 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$2,250.22 |
$2,250.22 |
$2,250.22 |
$601.96
|
|
Fluidotherapy charges pt
|
$87.75 |
$87.75 |
$87.75 |
$95.00
|
|
Fluorescent antibody titer dna
|
$273.00 |
$273.00 |
$273.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$245.70 |
$245.70 |
$245.70 |
$507.00
|
|
Fluoroguide needle placement
|
$290.55 |
$290.55 |
$290.55 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$357.50 |
$357.50 |
$357.50 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$97.47 |
$97.47 |
$202.31 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$33.48 |
$33.48 |
$142.87
|
|
Fmri brain by phys/psych
|
$1,870.05 |
$1,870.05 |
$1,870.05 |
$1,112.67
|
|
Fmri brain by tech
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$775.14
|
|
Folic acid
|
$40.30 |
$40.30 |
$40.30 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$22.78 |
$22.78 |
$23.20 |
$55.66
|
|
Follow-up angiography
|
$2,280.85 |
$2,280.85 |
$2,280.85 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,575.73 |
$1,603.91 |
$2,993.41 |
$2,860.43
|
|
Fondaparinux sodium
|
$54.02 |
$117.91 |
$188.08 |
$176.81
|
|
Foot X-ray
|
$490.10 |
$490.10 |
$490.10 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$92.14 |
$93.31 |
$157.04 |
$470.29
|
|
Foscarnet sodium injection
|
$1,045.98 |
$1,045.98 |
$1,357.20 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$72.41 |
$387.01 |
$387.01 |
$107.31
|
|
Fracture assessment via dxa
|
$116.35 |
$116.35 |
$116.35 |
$146.80
|
|
_fragile x methylation-sendout
|
$533.65 |
$533.65 |
$533.65 |
$174.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$142.35 |
$142.35 |
$142.35 |
$149.50
|
|
Fructosamine glycated protein
|
$37.05 |
$37.05 |
$37.05 |
$60.42
|
|
Ftl cgen abnor four anal
|
$172.25 |
$172.25 |
$172.25 |
$211.83
|
|
Furosemide 10 mg/ml injection solution
|
$22.49 |
$25.71 |
$27.69 |
$27.69
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$10.89 |
$10.89 |
$10.89 |
$26.40
|
|
G6pc gene
|
$87.10 |
$87.10 |
$87.10 |
$104.65
|
|
G6pd full gene sequence
|
$2,037.75 |
$2,037.75 |
$2,037.75 |
$1,320.00
|
|
G6pd known familial variant
|
$4,743.05 |
$4,743.05 |
$4,743.05 |
$412.78
|
|
Ga-67 gallium 0.1 mci
|
$16.58 |
$16.58 |
$16.58 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$52.62 |
$52.62 |
$52.62 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$6.14 |
$6.14 |
$113.78 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.29 |
$0.29 |
$0.29 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$45.35 |
$45.35 |
$64.19 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$85.15 |
$85.15 |
$85.15 |
$82.50
|
|
Galectin-3
|
$226.85 |
$226.85 |
$226.85 |
$110.65
|
|
Gallium illuccix 1 millicure
|
$1,641.67 |
$1,641.67 |
$1,641.67 |
$1,395.27
|
|
Gammaglobulin iga
|
$81.25 |
$81.25 |
$81.25 |
$75.30
|
|
Gammaglobulin ige
|
$26.65 |
$26.65 |
$26.65 |
$85.00
|
|
Gamma glutamyltransferase
|
$33.15 |
$33.15 |
$33.15 |
$55.28
|
|
Gamunex-c/gammaked
|
$7,372.04 |
$7,372.04 |
$7,372.04 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$174.30 |
$174.30 |
$178.65 |
$209.07
|
|
Gastric emptying imag study
|
$2,206.10 |
$2,206.10 |
$2,206.10 |
$1,270.50
|
|
Gastric emptying imag study
|
$2,206.10 |
$2,206.10 |
$2,206.10 |
$1,664.33
|
|
Gastroesophageal reflux test
|
$5,125.90 |
$5,125.90 |
$5,125.90 |
$1,129.63
|
|
Gated heart multiple
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,370.99
|
|
Gba gene
|
$612.95 |
$612.95 |
$612.95 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$124.41 |
$176.18 |
$337.61 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$611.17 |
$611.17 |
$27,543.62 |
$23,897.53
|
|
General health panel
|
$142.35 |
$142.35 |
$142.35 |
$280.50
|
|
Generator barostim neo2 2014
|
$30,770.74 |
$30,770.74 |
$30,770.74 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$30,499.15 |
$30,499.15 |
$30,499.15 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$39,832.27 |
$39,832.27 |
$39,832.27 |
$40,028.69
|
|
Genetic tstg severe inh cond
|
$9,636.90 |
$9,636.90 |
$9,636.90 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$43.78 |
$96.62 |
$96.62 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$38.35 |
$38.35 |
$38.35 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$5,330.65 |
$5,330.65 |
$5,330.65 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$901.55 |
$901.55 |
$901.55 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$9,460.10 |
$9,460.10 |
$9,460.10 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$42.25 |
$42.25 |
$42.25 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$200.85 |
$200.85 |
$200.85 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$630.50 |
$630.50 |
$630.50 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$413.40 |
$413.40 |
$413.40 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$31.85 |
$31.85 |
$31.85 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$881.40 |
$881.40 |
$881.40 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$4,557.80 |
$4,557.80 |
$4,557.80 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$2,149.55 |
$2,149.55 |
$2,149.55 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,664.65 |
$1,664.65 |
$1,664.65 |
$699.60
|
|
Ghs chemo >8 hrs
|
$2,892.50 |
$2,892.50 |
$2,892.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$508.95 |
$508.95 |
$508.95 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$618.80 |
$618.80 |
$618.80 |
$134.55
|
