|
Factor ix recombinant nos
|
$106.72 |
$106.72 |
$106.72 |
$4.89
|
|
Factor viii
|
$34.34 |
$34.34 |
$34.34 |
$144.30
|
|
Fat/lipids feces qualitative
|
$8.59 |
$8.59 |
$8.59 |
$34.56
|
|
Fatty acids nonesterified
|
$25.16 |
$25.16 |
$25.16 |
$57.60
|
|
#fecal-sodium
|
$6.52 |
$6.52 |
$6.52 |
$37.50
|
|
Femoral endovas graft add-on 34813
|
$3,313.72 |
$3,313.72 |
$3,313.72 |
$1,304.00
|
|
Fem/popl revasc w/stent
|
$7,777.11 |
$7,777.11 |
$7,777.11 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$43.09 |
$43.09 |
$43.09 |
$118.20
|
|
Ferritin
|
$96.50 |
$96.50 |
$96.50 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$279.79 |
$279.79 |
$279.79 |
$1,426.50
|
|
Fetal hemoglobin (kleihauer betke)
|
$44.40 |
$44.40 |
$44.40 |
$88.80
|
|
Fibrin degradation d dimer quantitative
|
$161.62 |
$161.62 |
$161.62 |
$112.80
|
|
Fibrin degradation products
|
$8.88 |
$8.88 |
$8.88 |
$62.40
|
|
Fibrinogen activity
|
$121.66 |
$121.66 |
$121.66 |
$82.38
|
|
Fibrinogen test
|
$9.48 |
$9.48 |
$9.48 |
$13.67
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$13.32 |
$13.32 |
$13.32 |
$66.00
|
|
Fibrinolytic plasminogen
|
$61.28 |
$61.28 |
$61.28 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$162.51 |
$162.51 |
$162.51 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$172.77 |
$172.77 |
$172.77 |
$545.40
|
|
Filter spider fx 3mmx320cm
|
$1,022.98 |
$1,022.98 |
$1,022.98 |
$6,878.20
|
|
Filter vena cava fem denali
|
$1,215.97 |
$1,215.97 |
$1,215.97 |
$3,519.51
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$716.32 |
$716.32 |
$716.32 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$402.56 |
$402.56 |
$402.56 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$386.28 |
$386.28 |
$386.28 |
$547.53
|
|
Fixation of knee joint
|
$844.20 |
$844.20 |
$844.20 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$913.46 |
$913.46 |
$913.46 |
$1,236.90
|
|
Fl exam g/colon tube w contrast
|
$465.61 |
$465.61 |
$465.61 |
$546.86
|
|
Flow cytometry marker each additional
|
$36.71 |
$36.71 |
$36.71 |
$103.00
|
|
Flow cytometry one marker technical component
|
$336.26 |
$336.26 |
$336.26 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$93.54 |
$93.54 |
$93.54 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$38.86 |
$38.86 |
$38.86 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$300.63 |
$300.63 |
$300.63 |
$601.96
|
|
Fluidotherapy charges pt
|
$42.63 |
$42.63 |
$42.63 |
$95.00
|
|
Fluorescent antibody titer dna
|
$28.12 |
$28.12 |
$28.12 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$219.93 |
$219.93 |
$219.93 |
$507.00
|
|
Fluoroguide needle placement
|
$255.75 |
$255.75 |
$255.75 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$298.37 |
$298.37 |
$298.37 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$147.66 |
$147.66 |
$147.66 |
$136.92
|
|
Fna bx w/ct gdn 1st les
|
$394.57 |
$394.57 |
$394.57 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$402.56 |
$402.56 |
$402.56 |
$775.14
|
|
Folic acid
|
$37.30 |
$37.30 |
$37.30 |
$90.60
|
|
Follow-up angiography
|
$611.24 |
$611.24 |
$611.24 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,688.51 |
$2,688.51 |
$2,688.51 |
$2,581.14
|
|
Fondaparinux sodium
|
$56.70 |
$56.70 |
$56.70 |
$176.54
|
|
Foot X-ray
|
$283.28 |
$283.28 |
$283.28 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$265.66 |
$265.66 |
$265.66 |
$425.16
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$64.93 |
$64.93 |
$64.93 |
$86.40
|
|
Fracture assessment via dxa
|
$92.95 |
$92.95 |
$92.95 |
$146.80
|
|
_fragile x methylation-sendout
|
$53.28 |
$53.28 |
$53.28 |
$174.00
|
|
Fragmenting of kidney stone
|
$5,916.75 |
$5,916.75 |
$5,916.75 |
$9,827.25
|
|
Freeing of bowel adhesion 44005
|
$3,879.08 |
$3,879.08 |
$3,879.08 |
$2,684.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$108.64 |
$108.64 |
$108.64 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$250.72 |
$250.72 |
$250.72 |
$164.16
|
|
Fructosamine glycated protein
|
$58.91 |
$58.91 |
$58.91 |
$60.42
|
|
Ga-67 gallium 0.1 mci
|
$37.30 |
$37.30 |
$37.30 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$66.01 |
$66.01 |
$66.01 |
$119.90
|
|
Gallium illuccix 1 millicure
|
$796.24 |
$796.24 |
$796.24 |
$1,395.27
|
|
Gammaglobulin iga
|
$18.36 |
$18.36 |
$18.36 |
$75.30
|
|
Gammaglobulin ige
|
$123.44 |
$123.44 |
$123.44 |
$85.00
|
|
Gamma glutamyltransferase
|
$19.24 |
$19.24 |
$19.24 |
$55.28
|
|
Gamunex-c/gammaked
|
$3,425.91 |
$3,425.91 |
$3,425.91 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$73.19 |
$73.19 |
$73.19 |
$197.40
|
|
Gastroesophageal reflux study
|
$557.08 |
$557.08 |
$557.08 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,218.64 |
$1,218.64 |
$1,218.64 |
$1,129.63
|
|
Gemcitabine 1 gram intravenous solution
|
$248.38 |
$248.38 |
$248.38 |
$269.06
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$21,306.71 |
$21,306.71 |
$21,306.71 |
$20,893.87
|
|
General health panel
|
$31.97 |
$31.97 |
$31.97 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$44.64 |
$44.64 |
$44.64 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$134.68 |
$134.68 |
$134.68 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$840.35 |
$840.35 |
$840.35 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$920.86 |
$920.86 |
$920.86 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$708.92 |
$708.92 |
$708.92 |
$3,776.00
|
|
Ghs alpha thalasemia, 7 deletions
|
$303.40 |
$303.40 |
$303.40 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$13.03 |
$13.03 |
$13.03 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$180.27 |
$180.27 |
$180.27 |
$344.48
|
|
Ghs central line insert < age 5, failed
|
$1,788.44 |
$1,788.44 |
$1,788.44 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$253.08 |
$253.08 |
$253.08 |
$699.60
|
|
Ghs chemo >8 hrs
|
$317.32 |
$317.32 |
$317.32 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$90.28 |
$90.28 |
$90.28 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.64 |
$63.64 |
$63.64 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,017.06 |
$1,017.06 |
$1,017.06 |
$2,973.33
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$726.98 |
$726.98 |
$726.98 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$311.10 |
$311.10 |
$311.10 |
$586.80
|
|
Ghs excision ingrown nail
|
$391.91 |
$391.91 |
$391.91 |
$457.60
|
|
Ghs fat & muscle
|
$48.55 |
$48.55 |
$48.55 |
$33.00
|
|
Ghs hcv amplificaiton
|
$42.63 |
$42.63 |
$42.63 |
$187.00
|
|
Ghs histoplasma antigen
|
$43.22 |
$43.22 |
$43.22 |
$137.80
|
|
Ghs HIV antibody
|
$19.24 |
$19.24 |
$19.24 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$394.87 |
$394.87 |
$394.87 |
$462.60
|
|
Ghs incision thrombosed ext hemorrhoid
|
$273.80 |
$273.80 |
$273.80 |
$543.60
|
|
Ghs inf midline insertion
|
$693.24 |
$693.24 |
$693.24 |
$1,234.20
|
|
Ghs inhibitor screen
|
$112.19 |
$112.19 |
$112.19 |
$143.32
|
|
Ghs inj transforaminal cerv ea add bil
|
$700.64 |
$700.64 |
$700.64 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,406.60 |
$1,406.60 |
$1,406.60 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$427.13 |
$427.13 |
$427.13 |
$461.58
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$375.33 |
$375.33 |
$375.33 |
$1,160.28
|
|
Ghs IV thrombolytics - cerebral
|
$359.94 |
$359.94 |
$359.94 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$95.91 |
$95.91 |
$95.91 |
$617.60
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$246.57 |
$246.57 |
$246.57 |
$810.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$31.38 |
$31.38 |
$31.38 |
$59.40
|
