|
#fecal-sodium
|
$43.80 |
$43.80 |
$43.80 |
$37.53
|
|
Fem/popl revasc w/stent
|
$34,620.00 |
$34,620.00 |
$34,620.00 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$144.00 |
$144.00 |
$144.00 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.60 |
$4.60 |
$4.60 |
$2,590.25
|
|
Ferritin
|
$76.20 |
$76.20 |
$76.20 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6.20 |
$6.20 |
$6.20 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$1,077.00
|
|
Fetal chrom aneuploidy gsa panel
|
$3,621.60 |
$3,621.60 |
$3,621.60 |
$1,166.15
|
|
Fetal hemoglobin (kleihauer betke)
|
$121.20 |
$121.20 |
$121.20 |
$102.00
|
|
Fetal non stress test
|
$266.40 |
$266.40 |
$266.40 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$93.60 |
$93.60 |
$93.60 |
$120.64
|
|
Fibrin degradation products
|
$45.00 |
$45.00 |
$45.00 |
$75.02
|
|
Fibrin degrade semiquant
|
$70.20 |
$70.20 |
$70.20 |
$84.50
|
|
Fibrinogen activity
|
$105.00 |
$105.00 |
$105.00 |
$87.00
|
|
Fibrinogen test
|
$126.60 |
$126.60 |
$126.60 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$180.00 |
$180.00 |
$180.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$130.20 |
$130.20 |
$130.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$124.20 |
$124.20 |
$124.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$97.20 |
$97.20 |
$97.20 |
$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
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,093.80 |
$1,093.80 |
$1,093.80 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$3,649.20 |
$3,649.20 |
$3,649.20 |
$7,358.16
|
|
Filter vena cava fem denali
|
$5,991.00 |
$5,991.00 |
$5,991.00 |
$3,718.18
|
|
Finasteride, 5 mg
|
$32.20 |
$32.20 |
$32.20 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$777.00 |
$777.00 |
$777.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$777.00 |
$777.00 |
$777.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$478.80 |
$478.80 |
$478.80 |
$504.45
|
|
Finger X-ray (both hands)
|
$93.60 |
$93.60 |
$93.60 |
$241.50
|
|
Fix g/colon tube w/device
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$141.00 |
$141.00 |
$141.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$602.40 |
$602.40 |
$602.40 |
$540.80
|
|
Flotufolastat f18 diag 1 mci
|
$1,173.60 |
$1,173.60 |
$1,173.60 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$699.60 |
$699.60 |
$699.60 |
$200.00
|
|
Flow cytometry marker each additional
|
$141.00 |
$141.00 |
$141.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$288.60 |
$288.60 |
$288.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$303.00 |
$303.00 |
$303.00 |
$172.50
|
|
Flt3 gene
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$907.80 |
$907.80 |
$907.80 |
$64.22
|
|
Fluidotherapy charges pt
|
$85.80 |
$85.80 |
$85.80 |
$101.40
|
|
Fluorescent antibody titer dna
|
$39.00 |
$39.00 |
$39.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$511.80 |
$511.80 |
$511.80 |
$495.00
|
|
Fluoroguide needle placement
|
$429.60 |
$429.60 |
$429.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$496.20 |
$496.20 |
$496.20 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$49.80 |
$49.80 |
$49.80 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$346.20 |
$346.20 |
$346.20 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$777.00 |
$777.00 |
$777.00 |
$1,462.20
|
|
Folic acid
|
$89.40 |
$89.40 |
$89.40 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.40 |
$1.40 |
$1.40 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$80.80 |
$80.80 |
$80.80 |
$2,511.73
|
|
Fondaparinux sodium
|
$490.80 |
$490.80 |
$490.80 |
$186.20
|
|
Foot X-ray
|
$118.20 |
$118.20 |
$118.20 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$99.00 |
$99.00 |
$99.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$105.00 |
$105.00 |
$105.00 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,366.80 |
$1,366.80 |
$1,366.80 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$84.60 |
$84.60 |
$84.60 |
$103.62
|
|
_fragile x methylation-sendout
|
$475.80 |
$475.80 |
$475.80 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$602.40 |
$602.40 |
$602.40 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$229.20 |
$229.20 |
$229.20 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$199.80 |
$199.80 |
$199.80 |
$131.25
|
|
Fructosamine glycated protein
|
$66.60 |
$66.60 |
$66.60 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$218.40 |
$218.40 |
$218.40 |
$355.00
|
|
Fundus photography with i&r 92250
|
$169.20 |
$169.20 |
$169.20 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$0.40 |
$0.40 |
$0.40 |
$19.53
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$19.20 |
$19.20 |
$19.20 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$108.60 |
$108.60 |
$108.60 |
$249.80
|
|
Galectin-3
|
$96.00 |
$96.00 |
$96.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$855.60 |
$855.60 |
$855.60 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$855.60 |
$855.60 |
$855.60 |
$1,615.00
|
|
Gammaglobulin iga
|
$80.40 |
$80.40 |
$80.40 |
$69.60
|
|
Gammaglobulin ige
|
$80.40 |
$80.40 |
$80.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$45.00 |
$45.00 |
$45.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$345.60 |
$345.60 |
$345.60 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$415.20 |
$415.20 |
$415.20 |
$197.40
|
|
Gastro/jejuno tube, std
|
$526.20 |
$526.20 |
$526.20 |
$379.50
|
|
Gauze >16<=48 no w/sal without b
|
$1,614.60 |
$1,614.60 |
$1,614.60 |
$5.00
|
|
Gemcitabine 1 gram intravenous solution
|
$1,180.80 |
$1,180.80 |
$1,180.80 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$74.40 |
$74.40 |
$74.40 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$42,237.00 |
$42,237.00 |
$42,237.00 |
$52,020.00
|
|
Genetic tstg severe inh cond
|
$14,904.00 |
$14,904.00 |
$14,904.00 |
$3,978.65
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$46.00 |
$46.00 |
$46.00 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$96.00 |
$96.00 |
$96.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$3,449.40 |
$3,449.40 |
$3,449.40 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$4,281.00 |
$4,281.00 |
$4,281.00 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$147.60 |
$147.60 |
$147.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,687.20 |
$1,687.20 |
$1,687.20 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$574.80 |
$574.80 |
$574.80 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$62.40 |
$62.40 |
$62.40 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$605.40 |
$605.40 |
$605.40 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,260.60 |
$1,260.60 |
$1,260.60 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$3,106.20 |
$3,106.20 |
$3,106.20 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$378.00 |
$378.00 |
$378.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$591.00 |
$591.00 |
$591.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$280.20 |
$280.20 |
$280.20 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$3,032.40 |
$3,032.40 |
$3,032.40 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,032.40 |
$3,032.40 |
$3,032.40 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,884.60 |
$1,884.60 |
$1,884.60 |
$2,227.20
|
