|
Factor xiii anti-hem factor
|
$10,101.18 |
$10,101.18 |
$10,101.18 |
|
|
Family therapy without pt 50min 90846
|
$248.00 |
$248.00 |
$248.00 |
|
|
Family therapy with patient 50 min 90847
|
$224.80 |
$286.40 |
$320.80 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$60.52 |
$60.52 |
$311.87 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$2,907.57 |
$2,907.57 |
$6,628.72 |
|
|
Fat/lipids feces qualitative
|
$61.60 |
$68.80 |
$107.20 |
|
|
#fecal-sodium
|
$28.80 |
$28.80 |
$44.80 |
|
|
Felbamate (felbatol(r)) - sendout
|
$49.60 |
$49.60 |
$49.60 |
|
|
Feno poc
|
$149.60 |
$149.60 |
$149.60 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$60.48 |
$61.45 |
$343.41 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,219.42 |
$1,291.32 |
$1,670.06 |
|
|
Ferritin
|
$66.40 |
$107.20 |
$172.80 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$332.39 |
$608.36 |
$1,906.44 |
|
|
Ferumoxytol, esrd use
|
$1,906.44 |
$1,906.44 |
$1,906.44 |
|
|
Fetal biophys profile w/nst 76818
|
$732.80 |
$753.60 |
$1,010.40 |
|
|
Fetal contract stress test 59020 - 26
|
$631.20 |
$631.20 |
$631.20 |
|
|
Fetal cord puncture prenatal
|
$437.60 |
$437.60 |
$437.60 |
|
|
Fetal fibronectin
|
$337.60 |
$349.60 |
$615.20 |
|
|
Fetal fluid drainage w/us
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$58.40 |
$91.20 |
$153.60 |
|
|
Fetal hemoglobin rosette
|
$43.20 |
$67.20 |
$154.40 |
|
|
Fetal non stress test
|
$387.20 |
$492.00 |
$529.60 |
|
|
Fetal shunt placement w/us
|
$2,664.00 |
$2,664.00 |
$2,664.00 |
|
|
Fibrin degradation d dimer quantitative
|
$80.00 |
$123.20 |
$196.00 |
|
|
Fibrin degrade semiquant
|
$119.20 |
$137.60 |
$150.40 |
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.40 |
$86.40 |
$86.40 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$854.12 |
$854.12 |
$1,509.70 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$271.27 |
$395.62 |
$695.24 |
|
|
Filter spider fx 3mmx320cm
|
$3,480.00 |
$3,480.00 |
$12,740.00 |
|
|
Filter vena cava fem denali
|
$2,826.40 |
$4,020.00 |
$6,030.40 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,868.80 |
$1,868.80 |
$1,868.80 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$478.40 |
$478.40 |
$478.40 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$563.20 |
$563.20 |
$865.60 |
|
|
Fine needle asp without image guide 10021
|
$694.40 |
$694.40 |
$744.80 |
|
|
Finger X-ray (both hands)
|
$211.20 |
$251.20 |
$341.60 |
|
|
Fixation of knee joint
|
$3,740.00 |
$3,740.00 |
$3,740.00 |
|
|
Fix g/colon tube w/device
|
$771.20 |
$771.20 |
$1,204.00 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$5,920.00 |
$5,920.00 |
$5,920.00 |
|
|
Fl exam g/colon tube w contrast
|
$640.00 |
$640.00 |
$696.80 |
|
|
Flexible Sigmoidoscopy
|
$3,328.00 |
$3,328.00 |
$3,328.00 |
|
|
Flow cytometry interp 16 or more
|
$204.00 |
$204.00 |
$204.00 |
|
|
Flow cytometry marker each additional
|
$69.60 |
$140.80 |
$157.60 |
|
|
Flow cytometry one marker technical component
|
$180.80 |
$241.60 |
$558.40 |
|
|
#flow interp 9 - 15 markers
|
$229.60 |
$229.60 |
$229.60 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$79.89 |
$138.52 |
$326.24 |
|
|
Fludarabine 50 mg intravenous solution
|
$415.58 |
$415.58 |
$415.58 |
|
|
Fluidotherapy charges pt
|
$110.40 |
$131.20 |
$154.40 |
|
|
Fluid pressure muscle 20950
|
$596.00 |
$596.00 |
$936.80 |
|
|
Fluorescent antibody titer dna
|
$56.80 |
$56.80 |
$148.00 |
|
|
Fluoroguide for spine inject 77003-26
|
$636.80 |
$636.80 |
$702.40 |
|
|
Fluoroguide needle placement
|
$621.60 |
$627.20 |
$787.20 |
|
|
Fluoro polarize fetal lung
|
$451.20 |
$451.20 |
$451.20 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$598.40 |
$637.60 |
$811.20 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$215.47 |
$249.56 |
$277.20 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$331.40 |
$331.40 |
$331.40 |
|
|
Flutemetamol f18 diagnostic
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
|
|
Fmri brain by phys/psych
|
$2,097.60 |
$2,097.60 |
$2,097.60 |
|
|
Fmri brain by tech
|
$2,805.60 |
$2,805.60 |
$2,805.60 |
|
|
Fna bx w/ct gdn 1st les
|
$3,100.80 |
$3,100.80 |
$3,100.80 |
|
|
Fna bx w/ct gdn ea addl
|
$563.20 |
$563.20 |
$563.20 |
|
|
Folic acid
|
$71.20 |
$104.80 |
$116.80 |
|
|
Folic acid 5 mg/ml injection solution
|
$60.09 |
$60.13 |
$311.38 |
|
|
Follow-up angiography
|
$1,687.20 |
$1,687.20 |
$1,855.20 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$816.00 |
$950.40 |
$4,047.00 |
|
|
Fondaparinux sodium
|
$66.33 |
$66.33 |
$388.19 |
|
|
Foot arch support remov prem
|
$104.00 |
$104.00 |
$178.40 |
|
|
Foot lamin/prepreg composite
|
$162.40 |
$162.40 |
$162.40 |
|
|
Foot longitud/metatarsal sup
|
$312.00 |
$312.00 |
$312.00 |
|
|
Foot plas heel stabi pre ots
|
$21.60 |
$21.60 |
$21.60 |
|
|
Foot X-ray
|
$252.00 |
$362.40 |
$488.00 |
|
|
Foot X-ray (2 views, both feet)
|
$228.00 |
$260.00 |
$340.80 |
|
|
Forearm X-ray (both sides)
|
$218.40 |
$308.80 |
$407.20 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$737.60 |
$737.60 |
$737.60 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$219.91 |
$556.76 |
$990.13 |
|
|
Foscarnet sodium injection
|
$1,464.00 |
$1,464.00 |
$1,464.00 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$71.24 |
$77.85 |
$339.94 |
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$300.80 |
$300.80 |
$300.80 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$186.40 |
$304.00 |
$324.80 |
|
|
Fresh frozen plasma thawing ea un
|
$68.00 |
$148.80 |
$153.60 |
|
|
Fructosamine glycated protein
|
$43.20 |
$51.20 |
$51.20 |
|
|
Ft insert ucb berkeley shell
|
$225.60 |
$225.60 |
$268.80 |
|
|
Ftl cgen abnor four anal
|
$371.20 |
$371.20 |
$371.20 |
|
|
Full mouth x-ray of teeth
|
$353.60 |
$353.60 |
$353.60 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$442.40 |
$576.00 |
$634.40 |
|
|
Functional brain mapping
|
$652.80 |
$652.80 |
$652.80 |
|
|
Furosemide 10 mg/ml injection solution
|
$60.27 |
$60.90 |
$312.69 |
|
|
Ga-67 gallium 0.1 mci
|
$192.80 |
$192.80 |
$192.80 |
|
|
Ga-68 gallium 68 dotatate
|
$170.40 |
$170.40 |
$170.40 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$60.00 |
$72.00 |
$132.00 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$120.00 |
$140.00 |
$264.00 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$48.00 |
$80.00 |
$176.00 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$71.20 |
$71.20 |
$71.20 |
|
|
Galactose transferase test
|
$32.00 |
$32.00 |
$36.00 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,758.40 |
$1,889.60 |
$2,272.00 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,691.20 |
$2,068.80 |
$2,279.20 |
|
|
Gallium illuccix 1 millicure
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
|
|
Galsulfase injection
|
$6,386.40 |
$6,386.40 |
$6,386.40 |
|
|
Gamma globulin 1 cc inj
|
$1,382.69 |
$1,382.69 |
$1,382.69 |
|
