|
Exchange nephrostomy cath
|
$3,058.80 |
$3,058.80 |
$3,058.80 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$3,009.60 |
$3,009.60 |
$3,009.60 |
$1,072.24
|
|
Exemestane, 25 mg
|
$75.20 |
$75.20 |
$75.20 |
$43.20
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,675.40 |
$2,675.40 |
$2,675.40 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,841.00 |
$2,841.00 |
$2,841.00 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$4,908.60 |
$4,908.60 |
$4,908.60 |
$1,788.80
|
|
Explore/treat wrist joint
|
$4,640.40 |
$4,640.40 |
$4,640.40 |
$4,499.12
|
|
Ext ecg>48hr<7d scan a/r
|
$267.00 |
$267.00 |
$267.00 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$262.20 |
$262.20 |
$262.20 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$2,557.20 |
$2,557.20 |
$2,557.20 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$193.80 |
$193.80 |
$193.80 |
$63.70
|
|
External recharg sys intern
|
$4,392.60 |
$4,392.60 |
$4,392.60 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$267.00 |
$267.00 |
$267.00 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$436.20 |
$436.20 |
$436.20 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$436.20 |
$436.20 |
$436.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$436.20 |
$436.20 |
$436.20 |
$381.75
|
|
Factor ix
|
$299.40 |
$299.40 |
$299.40 |
$162.50
|
|
Factor viia recomb sevenfact
|
$4.20 |
$4.20 |
$4.20 |
$8.43
|
|
Factor viii
|
$267.00 |
$267.00 |
$267.00 |
$148.00
|
|
Factor viii recombinant nos
|
$7.20 |
$7.20 |
$7.20 |
$5.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.60 |
$0.60 |
$0.60 |
$22.20
|
|
Fat/lipids feces qualitative
|
$75.60 |
$75.60 |
$75.60 |
$36.00
|
|
Fatty acids nonesterified
|
$134.40 |
$134.40 |
$134.40 |
$72.15
|
|
#fecal-sodium
|
$94.80 |
$94.80 |
$94.80 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$370.80 |
$370.80 |
$370.80 |
$66.43
|
|
Fem/popl revasc w/stent
|
$67,293.00 |
$67,293.00 |
$67,293.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$240.00 |
$240.00 |
$240.00 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.80 |
$4.80 |
$4.80 |
$2,590.25
|
|
Ferritin
|
$202.80 |
$202.80 |
$202.80 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.40 |
$5.40 |
$5.40 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$1,077.00
|
|
Fibrin degradation d dimer quantitative
|
$156.60 |
$156.60 |
$156.60 |
$120.64
|
|
Fibrin degradation products
|
$102.60 |
$102.60 |
$102.60 |
$75.02
|
|
Fibrin degrade semiquant
|
$156.00 |
$156.00 |
$156.00 |
$84.50
|
|
Fibrinogen activity
|
$125.40 |
$125.40 |
$125.40 |
$87.00
|
|
Fibrinogen test
|
$105.00 |
$105.00 |
$105.00 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$180.00 |
$180.00 |
$180.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$91.80 |
$91.80 |
$91.80 |
$72.80
|
|
Fibrinolytic plasminogen
|
$141.00 |
$141.00 |
$141.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$138.00 |
$138.00 |
$138.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.20 |
$1.20 |
$1.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$1,197.83
|
|
Filter spider fx 3mmx320cm
|
$13,898.40 |
$13,898.40 |
$13,898.40 |
$7,358.16
|
|
Filter vena cava fem denali
|
$7,002.60 |
$7,002.60 |
$7,002.60 |
$3,718.18
|
|
Finasteride, 5 mg
|
$27.80 |
$27.80 |
$27.80 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$570.60 |
$570.60 |
$570.60 |
$1,081.52
|
|
Fine needle asp without image guide 10021
|
$978.60 |
$978.60 |
$978.60 |
$504.45
|
|
Finger X-ray (both hands)
|
$436.20 |
$436.20 |
$436.20 |
$241.50
|
|
Flebogamma injection
|
$400.80 |
$400.80 |
$400.80 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$171.00 |
$171.00 |
$171.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$1,223.40 |
$1,223.40 |
$1,223.40 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$1,274.40 |
$1,274.40 |
$1,274.40 |
$200.00
|
|
Flow cytometry marker each additional
|
$325.80 |
$325.80 |
$325.80 |
$97.50
|
|
Flow cytometry one marker technical component
|
$666.00 |
$666.00 |
$666.00 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$172.50
|
|
Flt3 gene
|
$1,032.60 |
$1,032.60 |
$1,032.60 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$64.22
|
|
Fluid pressure muscle 20950
|
$739.80 |
$739.80 |
$739.80 |
$779.45
|
|
Fluorescent antibody titer dna
|
$121.20 |
$121.20 |
$121.20 |
$123.65
|
|
Fluoroguide needle placement
|
$476.40 |
$476.40 |
$476.40 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$856.80 |
$856.80 |
$856.80 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$152.80 |
$152.80 |
$152.80 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$570.60 |
$570.60 |
$570.60 |
$1,462.20
|
|
Fna bx w/mr gdn ea addl
|
$570.60 |
$570.60 |
$570.60 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$19.80 |
$19.80 |
$19.80 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$14.40 |
$14.40 |
$14.40 |
$39.00
|
|
Foam drsg <=16 sq in without bdr
|
$118.20 |
$118.20 |
$118.20 |
$21.74
|
|
Folic acid
|
$222.00 |
$222.00 |
$222.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$45.00
|
|
Follow-up angiography
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,012.60 |
$6,012.60 |
$6,012.60 |
$2,511.73
|
|
Fondaparinux sodium
|
$1,379.40 |
$1,379.40 |
$1,379.40 |
$186.20
|
|
Foot X-ray
|
$436.20 |
$436.20 |
$436.20 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$436.20 |
$436.20 |
$436.20 |
$290.40
|
|
Forearm X-ray (both sides)
|
$436.20 |
$436.20 |
$436.20 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$2,790.00 |
$2,790.00 |
$2,790.00 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$490.67
|
|
Foscarnet sodium injection
|
$88.00 |
$88.00 |
$88.00 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$526.80 |
$526.80 |
$526.80 |
$103.62
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$338.40 |
$338.40 |
$338.40 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$249.60 |
$249.60 |
$249.60 |
$131.25
|
|
Fructosamine glycated protein
|
$201.00 |
$201.00 |
$201.00 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$732.60 |
$732.60 |
$732.60 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$0.60 |
$0.60 |
$0.60 |
$19.53
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$63.00 |
$63.00 |
$63.00 |
$249.80
|
|
Galectin-3
|
$66.00 |
$66.00 |
$66.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,615.00
|
|
Gammaglobulin iga
|
$138.60 |
$138.60 |
$138.60 |
$69.60
|
|
Gammaglobulin ige
|
$245.40 |
$245.40 |
$245.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$108.00 |
$108.00 |
$108.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$433.60 |
$433.60 |
$433.60 |
$7,435.88
|
