|
Fetal hemoglobin (kleihauer betke)
|
$356.40 |
$356.40 |
$356.40 |
$102.00
|
|
Fetal hemoglobin rosette
|
$105.60 |
$105.60 |
$105.60 |
$67.20
|
|
Fetal non stress test
|
$307.20 |
$307.20 |
$307.20 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$62.40 |
$62.40 |
$62.40 |
$120.64
|
|
Fibrin degradation products
|
$159.00 |
$159.00 |
$159.00 |
$75.02
|
|
Fibrinogen activity
|
$124.80 |
$124.80 |
$124.80 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$61.80 |
$61.80 |
$61.80 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$103.20 |
$103.20 |
$103.20 |
$72.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$66.60 |
$66.60 |
$66.60 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$2.40 |
$2.40 |
$2.40 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,602.00 |
$1,602.00 |
$1,602.00 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$964.80 |
$964.80 |
$964.80 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$36,062.40 |
$36,062.40 |
$36,062.40 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,116.60 |
$4,116.60 |
$4,116.60 |
$3,718.18
|
|
Finasteride, 5 mg
|
$4.80 |
$4.80 |
$4.80 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$559.20 |
$559.20 |
$559.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$559.20 |
$559.20 |
$559.20 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$559.20 |
$559.20 |
$559.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$501.00 |
$501.00 |
$501.00 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$1,825.80 |
$1,825.80 |
$1,825.80 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$120.00 |
$120.00 |
$120.00 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$189.00 |
$189.00 |
$189.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$934.20 |
$934.20 |
$934.20 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,284.13
|
|
Flotufolastat f18 diag 1 mci
|
$1,220.40 |
$1,220.40 |
$1,220.40 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$936.00 |
$936.00 |
$936.00 |
$200.00
|
|
Flow cytometry marker each additional
|
$129.00 |
$129.00 |
$129.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$213.00 |
$213.00 |
$213.00 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$288.00 |
$288.00 |
$288.00 |
$172.50
|
|
Flt3 gene
|
$586.80 |
$586.80 |
$586.80 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$61.40 |
$61.40 |
$61.40 |
$64.22
|
|
Fluorescent antibody titer dna
|
$44.40 |
$44.40 |
$44.40 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$373.20 |
$373.20 |
$373.20 |
$495.00
|
|
Fluoroguide needle placement
|
$318.60 |
$318.60 |
$318.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$172.80 |
$172.80 |
$172.80 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$11.80 |
$11.80 |
$11.80 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$368.80 |
$368.80 |
$368.80 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$559.20 |
$559.20 |
$559.20 |
$1,462.20
|
|
Fna bx w/mr gdn 1st les
|
$559.20 |
$559.20 |
$559.20 |
$1,294.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$10.20 |
$10.20 |
$10.20 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$7.20 |
$7.20 |
$7.20 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$4.20 |
$4.20 |
$4.20 |
$21.74
|
|
Folic acid
|
$120.00 |
$120.00 |
$120.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.00 |
$1.00 |
$1.00 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$2,511.73
|
|
Fondaparinux sodium
|
$222.60 |
$222.60 |
$222.60 |
$186.20
|
|
Foot X-ray
|
$179.40 |
$179.40 |
$179.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$172.80 |
$172.80 |
$172.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$179.40 |
$179.40 |
$179.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$3,384.00 |
$3,384.00 |
$3,384.00 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$920.40 |
$920.40 |
$920.40 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$128.40 |
$128.40 |
$128.40 |
$103.62
|
|
Fracture assessment via dxa
|
$99.60 |
$99.60 |
$99.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$544.80 |
$544.80 |
$544.80 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$197.40 |
$197.40 |
$197.40 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$351.60 |
$351.60 |
$351.60 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$71.40 |
$71.40 |
$71.40 |
$131.25
|
|
Frozen blood thaw
|
$351.00 |
$351.00 |
$351.00 |
$212.30
|
|
Frozen cell preparation
|
$132.60 |
$132.60 |
$132.60 |
$31.81
|
|
Fructosamine glycated protein
|
$123.00 |
$123.00 |
$123.00 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$621.60 |
$621.60 |
$621.60 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$0.40 |
$0.40 |
$0.40 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$10.80 |
$10.80 |
$10.80 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$117.00 |
$117.00 |
$117.00 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$161.40 |
$161.40 |
$161.40 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$7.20 |
$7.20 |
$7.20 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$14.40 |
$14.40 |
$14.40 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$42.00 |
$42.00 |
$42.00 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$34.20 |
$34.20 |
$34.20 |
$100.00
|
|
Galectin-3
|
$78.00 |
$78.00 |
$78.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$473.40 |
$473.40 |
$473.40 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$1,615.00
|
|
Gammaglobulin iga
|
$77.40 |
$77.40 |
$77.40 |
$69.60
|
|
Gammaglobulin ige
|
$135.00 |
$135.00 |
$135.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$54.60 |
$54.60 |
$54.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$359.20 |
$359.20 |
$359.20 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$260.80 |
$260.80 |
$260.80 |
$197.40
|
|
Gardner vag dna quant
|
$544.80 |
$544.80 |
$544.80 |
$104.80
|
|
Gastro/jejuno tube, std
|
$790.80 |
$790.80 |
$790.80 |
$379.50
|
|
Gauze >16<=48 no w/sal without b
|
$1,523.40 |
$1,523.40 |
$1,523.40 |
$5.00
|
|
Gemcitabine 1 gram intravenous solution
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$621.60 |
$621.60 |
$621.60 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$79,492.80 |
$79,492.80 |
$79,492.80 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$58,640.40 |
$58,640.40 |
$58,640.40 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$4,117.20 |
$4,117.20 |
$4,117.20 |
$3,978.65
|
|
Genome sequence analysis
|
$4,397.40 |
$4,397.40 |
$4,397.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,397.40 |
$4,397.40 |
$4,397.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$20.20 |
$20.20 |
$20.20 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$134.40 |
$134.40 |
$134.40 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$2,027.40 |
$2,027.40 |
$2,027.40 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,794.40 |
$3,794.40 |
$3,794.40 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$100.20 |
$100.20 |
$100.20 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,593.00 |
$1,593.00 |
$1,593.00 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$126.00 |
$126.00 |
$126.00 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$1,272.60 |
$1,272.60 |
$1,272.60 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$1,098.60 |
$1,098.60 |
$1,098.60 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$402.00 |
$402.00 |
$402.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$369.60 |
$369.60 |
$369.60 |
$277.00
|
