|
Factor viii
|
$229.20 |
$229.20 |
$229.20 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$6.00 |
$6.00 |
$6.00 |
$22.20
|
|
Fancc gene
|
$316.20 |
$316.20 |
$316.20 |
$147.00
|
|
Fat/lipids feces qualitative
|
$49.20 |
$49.20 |
$49.20 |
$38.35
|
|
Fda ide #g240020 carry bag
|
$1,119.49 |
$1,119.49 |
$1,119.49 |
$956.25
|
|
#fecal-sodium
|
$25.80 |
$25.80 |
$25.80 |
$37.50
|
|
Feeding tube reposition
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$532.61
|
|
Felbamate (felbatol(r)) - sendout
|
$58.20 |
$58.20 |
$58.20 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$127.67 |
$127.67 |
$127.67 |
$126.42
|
|
Feno poc
|
$103.80 |
$103.80 |
$103.80 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$101.40
|
|
Ferritin
|
$120.60 |
$120.60 |
$120.60 |
$100.94
|
|
Fetal chrmoml microdeltj
|
$1,592.40 |
$1,592.40 |
$1,592.40 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$1,592.40 |
$1,592.40 |
$1,592.40 |
$1,206.81
|
|
Fetal fibronectin
|
$215.40 |
$215.40 |
$215.40 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$130.80 |
$130.80 |
$130.80 |
$105.12
|
|
Fetal hemoglobin rosette
|
$16.20 |
$16.20 |
$16.20 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$165.60 |
$165.60 |
$165.60 |
$117.70
|
|
Fibrin degrade semiquant
|
$66.60 |
$66.60 |
$66.60 |
$78.09
|
|
Fibrin degradj d-dimer
|
$39.60 |
$39.60 |
$39.60 |
$111.50
|
|
Fibrinogen activity
|
$36.00 |
$36.00 |
$36.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$104.40 |
$104.40 |
$104.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$79.80 |
$79.80 |
$79.80 |
$72.80
|
|
Fibrinolytic plasminogen
|
$79.80 |
$79.80 |
$79.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$72.00 |
$72.00 |
$72.00 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,581.06 |
$1,581.06 |
$1,581.06 |
$595.48
|
|
Filter spider fx 3mmx320cm
|
$39,264.89 |
$39,264.89 |
$39,264.89 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,434.76 |
$5,434.76 |
$5,434.76 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$963.00 |
$963.00 |
$963.00 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$6,017.39 |
$6,017.39 |
$6,017.39 |
$4,584.72
|
|
Fixation of knee joint
|
$11,096.52 |
$11,096.52 |
$11,096.52 |
$1,893.86
|
|
Fix g/colon tube w/device
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$84.00 |
$84.00 |
$84.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,420.80 |
$1,420.80 |
$1,420.80 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$6,002.16 |
$6,002.16 |
$6,002.16 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$407.54 |
$407.54 |
$407.54 |
$187.60
|
|
Flow cytometry marker each additional
|
$95.40 |
$95.40 |
$95.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$565.80 |
$565.80 |
$565.80 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$6,716.17 |
$6,716.17 |
$6,716.17 |
$6,814.14
|
|
Flt3 gene
|
$255.60 |
$255.60 |
$255.60 |
$355.00
|
|
Flt3 gene analysis
|
$183.60 |
$183.60 |
$183.60 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$84.42 |
$84.42 |
$84.42 |
$64.22
|
|
Fluidotherapy charges pt
|
$55.80 |
$55.80 |
$55.80 |
$91.00
|
|
Fluid pressure muscle 20950
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$768.94
|
|
Fluorescent antibody titer dna
|
$234.60 |
$234.60 |
$234.60 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$529.20 |
$529.20 |
$529.20 |
$496.03
|
|
Fluoroguide needle placement
|
$577.80 |
$577.80 |
$577.80 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$562.80 |
$562.80 |
$562.80 |
$492.00
|
|
Flurpiridaz f18, diag, 1 mci
|
$41,250.00 |
$41,250.00 |
$41,250.00 |
$1,033.50
|
|
Flutemetamol f18 diagnostic
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$5,215.08
|
|
Fna bx w/ct gdn 1st les
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$833.25
|
|
Folic acid
|
$93.60 |
$93.60 |
$93.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$54.75
|
|
Follow-up angiography
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,448.88 |
$4,448.88 |
$4,448.88 |
$2,581.14
|
|
Fondaparinux sodium
|
$261.72 |
$261.72 |
$261.72 |
$185.12
|
|
Fo nontorsion joint cf
|
$475.72 |
$475.72 |
$475.72 |
$217.50
|
|
Foot arch supp premold metat
|
$111.37 |
$111.37 |
$111.37 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$81.51 |
$81.51 |
$81.51 |
$143.87
|
|
Foot external keel sach foot
|
$482.25 |
$482.25 |
$482.25 |
$482.25
|
|
Foot insert plastazote or eq
|
$382.14 |
$382.14 |
$382.14 |
$365.48
|
|
Foot insert remov molded spe
|
$312.97 |
$312.97 |
$312.97 |
$312.97
|
|
Foot insert silicone gel eac
|
$412.24 |
$412.24 |
$412.24 |
$295.47
|
|
Foot lamin/prepreg composite
|
$289.76 |
$289.76 |
$289.76 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$120.35 |
$120.35 |
$120.35 |
$76.32
|
|
Foot plate molded stirrup at
|
$790.34 |
$790.34 |
$790.34 |
$714.12
|
|
Foot X-ray
|
$295.20 |
$295.20 |
$295.20 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,951.58 |
$1,951.58 |
$1,951.58 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
$901.60
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$547.32 |
$547.32 |
$547.32 |
$106.10
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$205.20 |
$205.20 |
$205.20 |
$122.00
|
|
Fructosamine glycated protein
|
$22.20 |
$22.20 |
$22.20 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$743.29 |
$743.29 |
$743.29 |
$743.29
|
|
Ftl cgen abnor four anal
|
$238.80 |
$238.80 |
$238.80 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$103.80 |
$103.80 |
$103.80 |
$110.00
|
|
Full sole/heel wedge btween
|
$129.40 |
$129.40 |
$129.40 |
$129.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$10,794.78 |
$10,794.78 |
$10,794.78 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$21,832.26 |
$21,832.26 |
$21,832.26 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$11,240.52 |
$11,240.52 |
$11,240.52 |
$2,703.50
|
|
Furnsh initial orthosis only
|
$4,234.18 |
$4,234.18 |
$4,234.18 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$7.68 |
$7.68 |
$7.68 |
$19.00
|
|
Fusion of big toe joint
|
$50,764.12 |
$50,764.12 |
$50,764.12 |
$5,488.00
|
|
G6pc gene
|
$123.00 |
$123.00 |
$123.00 |
$123.00
|
|
G6pd full gene sequence
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$279.60 |
$279.60 |
$279.60 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$4,500.00 |
$4,500.00 |
$4,500.00 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$68.46 |
$68.46 |
$68.46 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$678.42 |
$678.42 |
$678.42 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$188.40 |
$188.40 |
$188.40 |
$96.94
|
|
Galectin-3
|
$111.60 |
$111.60 |
$111.60 |
$111.60
|
|
Gammaglobulin iga
|
$60.60 |
$60.60 |
$60.60 |
$67.20
|
|
Gammaglobulin ige
|
$74.40 |
$74.40 |
$74.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$96.60 |
$96.60 |
$96.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$12,851.16 |
$12,851.16 |
$12,851.16 |
$7,634.20
|
|
Gastrin test
|
$37.80 |
$37.80 |
$37.80 |
$61.80
|
