|
Factor viii fc fusion recomb
|
$13.55 |
$13.55 |
$13.55 |
$8.28
|
|
Factor viii nuwiq recomb 1iu
|
$5.82 |
$5.82 |
$5.82 |
$5.20
|
|
Factor viii pegylated recomb
|
$7.72 |
$7.72 |
$7.72 |
$8.05
|
|
Factor viii recombinant nos
|
$11.26 |
$11.26 |
$11.26 |
$6.56
|
|
Factor viii recomb novoeight
|
$6.13 |
$6.13 |
$6.13 |
$7.39
|
|
Factor viii recomb obizur
|
$8.11 |
$8.11 |
$8.11 |
$8.11
|
|
Factor xiii anti-hem factor
|
$34.29 |
$34.29 |
$34.29 |
$23.98
|
|
Factor xiii recomb a-subunit
|
$40.57 |
$40.57 |
$40.57 |
$46.05
|
|
Fallopian tube recnl
|
$7,667.85 |
$7,667.85 |
$7,667.85 |
$3,762.53
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$23.62 |
$23.62 |
$23.62 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$8,223.58 |
$8,223.58 |
$8,223.58 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$21.25 |
$21.25 |
$21.25 |
$38.35
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$9,465.94 |
$9,465.94 |
$9,465.94 |
$14,956.68
|
|
Fees w/laryngeal sense test
|
$1,084.60 |
$1,084.60 |
$1,084.60 |
$471.20
|
|
Felbamate (felbatol(r)) - sendout
|
$76.50 |
$76.50 |
$76.50 |
$65.00
|
|
Femoral endovas graft add-on 34813
|
$2,946.95 |
$2,946.95 |
$2,946.95 |
$951.36
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$121.37 |
$121.37 |
$121.37 |
$101.40
|
|
Fern test
|
$43.35 |
$43.35 |
$43.35 |
$39.65
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,585.65 |
$1,585.65 |
$1,585.65 |
$2,590.25
|
|
Ferritin
|
$55.25 |
$55.25 |
$55.25 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,169.76 |
$3,169.76 |
$3,169.76 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$518.50 |
$518.50 |
$518.50 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$2,810.95 |
$2,810.95 |
$2,810.95 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$541.45 |
$541.45 |
$541.45 |
$475.50
|
|
Fetal fibronectin
|
$260.10 |
$260.10 |
$260.10 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$31.45 |
$31.45 |
$31.45 |
$105.12
|
|
Fetal hemoglobin rosette
|
$37.40 |
$37.40 |
$37.40 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$78.20 |
$78.20 |
$78.20 |
$69.60
|
|
Fetal non stress test
|
$541.45 |
$541.45 |
$541.45 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$40.80 |
$40.80 |
$40.80 |
$117.70
|
|
Fibrinogen activity
|
$39.10 |
$39.10 |
$39.10 |
$83.50
|
|
Fibrinolytic plasminogen
|
$69.70 |
$69.70 |
$69.70 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$26.35 |
$26.35 |
$26.35 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$933.52 |
$933.52 |
$933.52 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,413.60 |
$1,413.60 |
$1,413.60 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,168.43 |
$1,168.43 |
$1,168.43 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$17,825.57 |
$17,825.57 |
$17,825.57 |
$7,160.28
|
|
Filter vena cava fem denali
|
$3,580.88 |
$3,580.88 |
$3,580.88 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$678.30 |
$678.30 |
$678.30 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,076.95 |
$1,076.95 |
$1,076.95 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$1,116.90 |
$1,116.90 |
$1,116.90 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$1,199.52 |
$1,199.52 |
$1,199.52 |
$4,584.72
|
|
Fix g/colon tube w/device
|
$2,465.00 |
$2,465.00 |
$2,465.00 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$7,938.15 |
$7,938.15 |
$7,938.15 |
$4,242.15
|
|
Flebogamma injection
|
$5,620.31 |
$5,620.31 |
$5,620.31 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$76.50 |
$76.50 |
$76.50 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$560.15 |
$560.15 |
$560.15 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$2,485.40 |
$2,485.40 |
$2,485.40 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$3,976.30 |
$3,976.30 |
$3,976.30 |
$2,168.40
|
|
Florbetaben f18 diagnostic
|
$3,580.54 |
$3,580.54 |
$3,580.54 |
$4,339.98
|
|
Flotufolastat f18 diag 1 mci
|
$5,609.32 |
$5,609.32 |
$5,609.32 |
$2,324.00
|
|
Flow cytometry interp 16 or more
|
$413.10 |
$413.10 |
$413.10 |
$204.00
|
|
Flow cytometry marker each additional
|
$119.85 |
$119.85 |
$119.85 |
$97.50
|
|
Flow cytometry one marker technical component
|
$420.75 |
$420.75 |
$420.75 |
$284.40
|
|
#flow interp 9 - 15 markers
|
$305.15 |
$305.15 |
$305.15 |
$172.50
|
|
Floxuridine injection
|
$3,721.93 |
$3,721.93 |
$3,721.93 |
$5,929.92
|
|
Flt3 gene
|
$612.85 |
$612.85 |
$612.85 |
$355.00
|
|
Flt3 gene analysis
|
$308.55 |
$308.55 |
$308.55 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$30.26 |
$30.26 |
$30.26 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$768.27 |
$768.27 |
$768.27 |
$493.35
|
|
Fluocinol acet intravit imp
|
$24,415.91 |
$24,415.91 |
$24,415.91 |
$14,359.80
|
|
Fluocinolone acetonide implt
|
$50,458.55 |
$50,458.55 |
$50,458.55 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$48.45 |
$48.45 |
$48.45 |
$122.82
|
|
Fluorodopa f-18 diag per mci
|
$2,552.72 |
$2,552.72 |
$2,552.72 |
$4,070.21
|
|
Fluoroestradiol f 18
|
$12,609.21 |
$12,609.21 |
$12,609.21 |
$1,491.00
|
|
Fluoroguide for spine inject 77003-26
|
$732.70 |
$732.70 |
$732.70 |
$496.03
|
|
Fluoroguide needle placement
|
$647.70 |
$647.70 |
$647.70 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$139.98 |
$139.98 |
$139.98 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$415.24 |
$415.24 |
$415.24 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$3,272.50 |
$3,272.50 |
$3,272.50 |
$5,215.08
|
|
Fmri brain by phys/psych
|
$2,359.60 |
$2,359.60 |
$2,359.60 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$574.60 |
$574.60 |
$574.60 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$1,971.15 |
$1,971.15 |
$1,971.15 |
$1,135.40
|
|
Foam drg >16<=48 sq in w/bdr
|
$70.41 |
$70.41 |
$70.41 |
$62.09
|
|
Foam drg <=16 sq in w/border
|
$49.19 |
$49.19 |
$49.19 |
$16.37
|
|
Folic acid
|
$60.35 |
$60.35 |
$60.35 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$199.84 |
$199.84 |
$199.84 |
$54.75
|
|
Follow-up angiography
|
$15,025.45 |
$15,025.45 |
$15,025.45 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,596.48 |
$4,596.48 |
$4,596.48 |
$2,581.14
|
|
Fondaparinux sodium
|
$304.37 |
$304.37 |
$304.37 |
$185.12
|
|
Foot X-ray
|
$406.30 |
$406.30 |
$406.30 |
$362.40
|
|
Forensic cytopathology
|
$84.15 |
$84.15 |
$84.15 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$692.75 |
$692.75 |
$692.75 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$802.06 |
$802.06 |
$802.06 |
$457.50
|
|
Foscarnet sodium injection
|
$1,276.66 |
$1,276.66 |
$1,276.66 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$325.92 |
$325.92 |
$325.92 |
$106.10
|
|
Fracture assessment via dxa
|
$406.30 |
$406.30 |
$406.30 |
$173.18
|
|
Frenectomy 41115
|
$3,740.85 |
$3,740.85 |
$3,740.85 |
$1,752.89
|
|
Frenotomy 40806
|
$1,541.05 |
$1,541.05 |
$1,541.05 |
$729.70
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$67.15 |
$67.15 |
$67.15 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$67.15 |
$67.15 |
$67.15 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$62.05 |
$62.05 |
$62.05 |
$122.00
|
|
Frozen blood thaw
|
$272.85 |
$272.85 |
$272.85 |
$209.50
|
|
Frozen cell preparation
|
$48.45 |
$48.45 |
$48.45 |
$36.75
|
|
Fructosamine glycated protein
|
$68.00 |
$68.00 |
$68.00 |
$60.75
|
|
Functional brain mapping
|
$623.05 |
$623.05 |
$623.05 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$2,604.78 |
$2,604.78 |
$2,604.78 |
$19.00
|
