|
Explore/treat wrist joint
|
$5,383.80 |
$5,383.80 |
$5,383.80 |
$4,499.12
|
|
External chromosome analysis 20-25 cells
|
$942.60 |
$942.60 |
$942.60 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$121.20 |
$121.20 |
$121.20 |
$63.70
|
|
External recharg sys intern
|
$4,167.60 |
$4,167.60 |
$4,167.60 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$354.60 |
$354.60 |
$354.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$132.60 |
$132.60 |
$132.60 |
$109.00
|
|
Eye implant band 40
|
$2,963.40 |
$2,963.40 |
$2,963.40 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$399.00 |
$399.00 |
$399.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,712.60 |
$2,712.60 |
$2,712.60 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,151.00 |
$2,151.00 |
$2,151.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,804.00 |
$3,804.00 |
$3,804.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,398.20 |
$2,398.20 |
$2,398.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$320.40 |
$320.40 |
$320.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$444.00 |
$444.00 |
$444.00 |
$381.75
|
|
Factor ix
|
$321.60 |
$321.60 |
$321.60 |
$162.50
|
|
Factor viii
|
$289.80 |
$289.80 |
$289.80 |
$148.00
|
|
Factor viii recomb novoeight
|
$3.40 |
$3.40 |
$3.40 |
$7.21
|
|
Fallopian tube recnl
|
$804.60 |
$804.60 |
$804.60 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.40 |
$0.40 |
$0.40 |
$22.20
|
|
Fat/lipids feces qualitative
|
$199.80 |
$199.80 |
$199.80 |
$36.00
|
|
Fatty acids nonesterified
|
$153.60 |
$153.60 |
$153.60 |
$72.15
|
|
#fecal-sodium
|
$82.80 |
$82.80 |
$82.80 |
$37.53
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$218.40 |
$218.40 |
$218.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,580.60 |
$5,580.60 |
$5,580.60 |
$2,590.25
|
|
Ferritin
|
$223.20 |
$223.20 |
$223.20 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,963.60 |
$3,963.60 |
$3,963.60 |
$1,636.50
|
|
Fetal fibronectin
|
$851.40 |
$851.40 |
$851.40 |
$389.95
|
|
Fibrin degradation d dimer quantitative
|
$148.20 |
$148.20 |
$148.20 |
$120.64
|
|
Fibrin degradation products
|
$91.80 |
$91.80 |
$91.80 |
$75.02
|
|
Fibrinogen activity
|
$133.20 |
$133.20 |
$133.20 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$61.80 |
$61.80 |
$61.80 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$66.60 |
$66.60 |
$66.60 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$582.00 |
$582.00 |
$582.00 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,461.20 |
$2,461.20 |
$2,461.20 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,032.80 |
$2,032.80 |
$2,032.80 |
$891.02
|
|
Finasteride, 5 mg
|
$20.60 |
$20.60 |
$20.60 |
$11.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$726.00 |
$726.00 |
$726.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$722.40 |
$722.40 |
$722.40 |
$504.45
|
|
Finger X-ray (both hands)
|
$294.60 |
$294.60 |
$294.60 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$205.80 |
$205.80 |
$205.80 |
$65.65
|
|
Flexible Sigmoidoscopy
|
$659.40 |
$659.40 |
$659.40 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$374.40 |
$374.40 |
$374.40 |
$200.00
|
|
Flow cytometry marker each additional
|
$276.60 |
$276.60 |
$276.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$276.60 |
$276.60 |
$276.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$288.00 |
$288.00 |
$288.00 |
$172.50
|
|
Floxuridine injection
|
$555.60 |
$555.60 |
$555.60 |
$5,871.79
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$42.00 |
$42.00 |
$42.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,258.80 |
$1,258.80 |
$1,258.80 |
$493.35
|
|
Fluidotherapy charges pt
|
$118.20 |
$118.20 |
$118.20 |
$101.40
|
|
Fluorescent antibody titer dna
|
$202.20 |
$202.20 |
$202.20 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$495.00
|
|
Fluoroguide needle placement
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$534.60 |
$534.60 |
$534.60 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$318.60 |
$318.60 |
$318.60 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$718.20 |
$718.20 |
$718.20 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$971.40 |
$971.40 |
$971.40 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$726.00 |
$726.00 |
$726.00 |
$834.90
|
|
Foam drg <=16 sq in w/border
|
$15.60 |
$15.60 |
$15.60 |
$16.25
|
|
Folic acid
|
$202.20 |
$202.20 |
$202.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,244.60 |
$5,244.60 |
$5,244.60 |
$2,511.73
|
|
Fondaparinux sodium
|
$595.80 |
$595.80 |
$595.80 |
$186.20
|
|
Foot X-ray
|
$364.80 |
$364.80 |
$364.80 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$627.60 |
$627.60 |
$627.60 |
$290.40
|
|
Forearm X-ray (both sides)
|
$545.40 |
$545.40 |
$545.40 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,549.20 |
$1,549.20 |
$1,549.20 |
$490.67
|
|
Foscarnet sodium injection
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$122.40 |
$122.40 |
$122.40 |
$103.62
|
|
Fracture assessment via dxa
|
$561.60 |
$561.60 |
$561.60 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$243.00 |
$243.00 |
$243.00 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$303.00 |
$303.00 |
$303.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$71.40 |
$71.40 |
$71.40 |
$131.25
|
|
Fructosamine glycated protein
|
$209.40 |
$209.40 |
$209.40 |
$63.50
|
|
Ftl cgen abnor five anal
|
$373.80 |
$373.80 |
$373.80 |
$155.10
|
|
Ftl cgen abnor two proteins
|
$126.00 |
$126.00 |
$126.00 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$718.20 |
$718.20 |
$718.20 |
$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
|
$26.40 |
$26.40 |
$26.40 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$42.60 |
$42.60 |
$42.60 |
$121.73
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.40 |
$2.40 |
$2.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$70.20 |
$70.20 |
$70.20 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$22.20 |
$22.20 |
$22.20 |
$249.80
|
|
Galectin-3
|
$78.00 |
$78.00 |
$78.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,956.60 |
$1,956.60 |
$1,956.60 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$381.00 |
$381.00 |
$381.00 |
$407.60
|
|
Gammaglobulin iga
|
$280.80 |
$280.80 |
$280.80 |
$69.60
|
|
Gammaglobulin ige
|
$226.80 |
$226.80 |
$226.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$111.00 |
$111.00 |
$111.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$10,154.40 |
$10,154.40 |
$10,154.40 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$735.20 |
$735.20 |
$735.20 |
$197.40
|
|
Gardner vag dna quant
|
$290.40 |
$290.40 |
$290.40 |
$104.80
|
|
Gastroesophageal reflux study
|
$1,621.80 |
$1,621.80 |
$1,621.80 |
$1,031.60
|
|
Gated heart multiple
|
$2,298.00 |
$2,298.00 |
$2,298.00 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$14.40 |
$14.40 |
$14.40 |
$5.00
|
|
Gauze >16 <=48 sq in w/bordr
|
$4.20 |
$4.20 |
$4.20 |
$4.20
|
|
Gemcitabine 1 gram intravenous solution
|
$365.40 |
$365.40 |
$365.40 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$37,978.20 |
$37,978.20 |
$37,978.20 |
$19,305.62
|
