|
Fetal shunt placement w/us
|
$3,116.75 |
$3,116.75 |
$3,116.75 |
$668.50
|
|
#_fet/norfentcnfrmur
|
$46.15 |
$46.15 |
$46.15 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$347.10 |
$347.10 |
$347.10 |
$112.80
|
|
Fibrinogen activity
|
$331.50 |
$331.50 |
$331.50 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.45 |
$86.45 |
$86.45 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$128.70 |
$128.70 |
$128.70 |
$56.00
|
|
Fibrinolytic plasminogen
|
$369.85 |
$369.85 |
$369.85 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$798.85 |
$798.85 |
$798.85 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$297.21 |
$297.21 |
$297.21 |
$460.87
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$891.02 |
$891.02 |
$891.02 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$3,578.25 |
$3,578.25 |
$3,578.25 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$2,149.55 |
$2,149.55 |
$2,149.55 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$167.05 |
$167.05 |
$167.05 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,719.90 |
$1,719.90 |
$1,719.90 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$442.65 |
$442.65 |
$442.65 |
$547.53
|
|
Fix g/colon tube w/device
|
$4,102.80 |
$4,102.80 |
$4,102.80 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$66.95 |
$66.95 |
$66.95 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,667.90 |
$1,667.90 |
$1,667.90 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$3,116.75 |
$3,116.75 |
$3,116.75 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$213.20 |
$213.20 |
$213.20 |
$103.00
|
|
Flow cytometry one marker technical component
|
$214.50 |
$214.50 |
$214.50 |
$270.75
|
|
Flt3 gene
|
$1,148.55 |
$1,148.55 |
$1,148.55 |
$352.95
|
|
Flt3 gene analysis
|
$581.75 |
$581.75 |
$581.75 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$49.11 |
$49.11 |
$49.11 |
$86.42
|
|
Fluidotherapy charges pt
|
$92.95 |
$92.95 |
$92.95 |
$95.00
|
|
Fluorescent antibody titer dna
|
$304.85 |
$304.85 |
$304.85 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$846.30 |
$846.30 |
$846.30 |
$507.00
|
|
Fluoroguide needle placement
|
$815.10 |
$815.10 |
$815.10 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,008.15 |
$1,008.15 |
$1,008.15 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$89.83 |
$89.83 |
$89.83 |
$107.46
|
|
Fmri brain by tech
|
$5,259.80 |
$5,259.80 |
$5,259.80 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$2,149.55 |
$2,149.55 |
$2,149.55 |
$775.14
|
|
Folic acid
|
$64.35 |
$64.35 |
$64.35 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$22.78 |
$22.78 |
$22.78 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,575.73 |
$1,575.73 |
$1,575.73 |
$2,860.43
|
|
Fondaparinux sodium
|
$185.12 |
$185.12 |
$185.12 |
$176.81
|
|
Foot X-ray
|
$906.10 |
$906.10 |
$906.10 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$87.78 |
$87.78 |
$87.78 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$82.32 |
$82.32 |
$82.32 |
$107.31
|
|
Fracture assessment via dxa
|
$439.40 |
$439.40 |
$439.40 |
$146.80
|
|
_fragile x methylation-sendout
|
$662.35 |
$662.35 |
$662.35 |
$174.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$157.30 |
$157.30 |
$157.30 |
$149.50
|
|
Fructosamine glycated protein
|
$46.15 |
$46.15 |
$46.15 |
$60.42
|
|
Ftl cgen abnor four anal
|
$172.90 |
$172.90 |
$172.90 |
$211.83
|
|
Furosemide 10 mg/ml injection solution
|
$22.30 |
$22.30 |
$22.30 |
$27.69
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$13.80 |
$13.80 |
$13.80 |
$26.40
|
|
G6pc gene
|
$107.90 |
$107.90 |
$107.90 |
$104.65
|
|
G6pd full gene sequence
|
$2,512.90 |
$2,512.90 |
$2,512.90 |
$1,320.00
|
|
G6pd known familial variant
|
$5,848.05 |
$5,848.05 |
$5,848.05 |
$412.78
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.44 |
$0.44 |
$0.44 |
$86.54
|
|
Galac-1-phosphate uridyltran - sendout
|
$109.20 |
$109.20 |
$109.20 |
$82.50
|
|
Galectin-3
|
$291.85 |
$291.85 |
$291.85 |
$110.65
|
|
Gammaglobulin iga
|
$107.25 |
$107.25 |
$107.25 |
$75.30
|
|
Gammaglobulin ige
|
$33.80 |
$33.80 |
$33.80 |
$85.00
|
|
Gamma glutamyltransferase
|
$54.60 |
$54.60 |
$54.60 |
$55.28
|
|
Gamunex-c/gammaked
|
$7,372.04 |
$7,372.04 |
$7,372.04 |
$7,372.04
|
|
Gastric emptying imag study
|
$2,941.25 |
$2,941.25 |
$2,941.25 |
$1,270.50
|
|
Gastric emptying imag study
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$1,664.33
|
|
Gastroesophageal reflux test
|
$1,875.90 |
$1,875.90 |
$1,875.90 |
$1,129.63
|
|
Gba gene
|
$757.90 |
$757.90 |
$757.90 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$184.57 |
$184.57 |
$184.57 |
$252.84
|
|
General health panel
|
$192.40 |
$192.40 |
$192.40 |
$280.50
|
|
Genetic tstg severe inh cond
|
$9,911.85 |
$9,911.85 |
$9,911.85 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$27.66 |
$27.66 |
$27.66 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$50.05 |
$50.05 |
$50.05 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,875.90 |
$1,875.90 |
$1,875.90 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$486.20 |
$486.20 |
$486.20 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$6,015.10 |
$6,015.10 |
$6,015.10 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$59.15 |
$59.15 |
$59.15 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$310.70 |
$310.70 |
$310.70 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$551.85 |
$551.85 |
$551.85 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$410.80 |
$410.80 |
$410.80 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$37.70 |
$37.70 |
$37.70 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$475.15 |
$475.15 |
$475.15 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$2,412.80 |
$2,412.80 |
$2,412.80 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$699.60
|
|
Ghs chemo >8 hrs
|
$1,966.25 |
$1,966.25 |
$1,966.25 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$339.95 |
$339.95 |
$339.95 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$572.00 |
$572.00 |
$572.00 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$89.70 |
$89.70 |
$89.70 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$743.60 |
$743.60 |
$743.60 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$780.00 |
$780.00 |
$780.00 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$812.50 |
$812.50 |
$812.50 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,199.25 |
$1,199.25 |
$1,199.25 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$84.50 |
$84.50 |
$84.50 |
$72.05
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$653.90 |
$653.90 |
$653.90 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$3,731.00 |
$3,731.00 |
$3,731.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$422.50 |
$422.50 |
$422.50 |
$457.60
|
|
Ghs fb removal from muscle - complicated
|
$1,711.45 |
$1,711.45 |
$1,711.45 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$955.50 |
$955.50 |
$955.50 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,393.60 |
$1,393.60 |
$1,393.60 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$53.30 |
$53.30 |
$53.30 |
$48.57
|
|
Ghs fish cytogen
|
$778.70 |
$778.70 |
$778.70 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$568.75 |
$568.75 |
$568.75 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
$403.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$569.40 |
$569.40 |
$569.40 |
$106.05
|
|
Ghs hgb stability-thal
|
$127.40 |
$127.40 |
$127.40 |
$85.28
|
