|
Eth estr and eton monthly
|
$37.37 |
$37.37 |
$37.37 |
$266.45
|
|
Ethylene glycol -sendout
|
$57.96 |
$57.96 |
$57.96 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$85.84 |
$85.84 |
$85.84 |
$235.20
|
|
Etoposide 50 mg cap
|
$20.04 |
$20.04 |
$20.04 |
$135.02
|
|
Euflexxa inj per dose
|
$575.49 |
$575.49 |
$575.49 |
$587.51
|
|
Evaluation of speech fluency 92521
|
$82.11 |
$82.11 |
$82.11 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$100.97 |
$100.97 |
$100.97 |
$312.00
|
|
Evoked potentials auditory screening automated analysis
|
$68.08 |
$68.08 |
$68.08 |
$249.71
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$727.03 |
$727.03 |
$727.03 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$254.84 |
$254.84 |
$254.84 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$421.13 |
$421.13 |
$421.13 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$451.95 |
$451.95 |
$451.95 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$278.53 |
$278.53 |
$278.53 |
$1,247.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$1,119.18 |
$1,119.18 |
$1,119.18 |
$3,230.00
|
|
Exchange biliary drg cath
|
$1,799.75 |
$1,799.75 |
$1,799.75 |
$3,909.56
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$489.67 |
$489.67 |
$489.67 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$198.03 |
$198.03 |
$198.03 |
$1,012.86
|
|
Excision olecranon bursa
|
$1,948.56 |
$1,948.56 |
$1,948.56 |
$2,889.60
|
|
Exc malig feenl 1.1-2 11642
|
$506.23 |
$506.23 |
$506.23 |
$1,082.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$815.81 |
$815.81 |
$815.81 |
$3,322.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$948.98 |
$948.98 |
$948.98 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$51.52 |
$51.52 |
$51.52 |
$318.50
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,002.11 |
$1,002.11 |
$1,002.11 |
$3,623.43
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$2,779.32 |
$2,779.32 |
$2,779.32 |
$4,260.30
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$89.70 |
$89.70 |
$89.70 |
$108.60
|
|
F-18 sodium fluoride
|
$218.95 |
$218.95 |
$218.95 |
$392.60
|
|
Facial bones <3
|
$189.29 |
$189.29 |
$189.29 |
$252.60
|
|
Factor ix
|
$42.32 |
$42.32 |
$42.32 |
$156.13
|
|
Factor viii
|
$37.49 |
$37.49 |
$37.49 |
$133.81
|
|
Fat/lipids feces qualitative
|
$28.29 |
$28.29 |
$28.29 |
$38.35
|
|
#fecal-sodium
|
$23.00 |
$23.00 |
$23.00 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$17.71 |
$17.71 |
$17.71 |
$65.00
|
|
Fem/popl revasc w/stent
|
$11,259.19 |
$11,259.19 |
$11,259.19 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$44.99 |
$44.99 |
$44.99 |
$101.40
|
|
Ferritin
|
$53.13 |
$53.13 |
$53.13 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$159.59 |
$159.59 |
$159.59 |
$1,776.61
|
|
#_fet/norfentcnfrmur
|
$73.83 |
$73.83 |
$73.83 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$81.42 |
$81.42 |
$81.42 |
$117.70
|
|
Fibrin degradation products
|
$43.01 |
$43.01 |
$43.01 |
$62.64
|
|
Fibrinogen activity
|
$11.50 |
$11.50 |
$11.50 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.36 |
$7.36 |
$7.36 |
$64.05
|
|
Fibrinolytic plasminogen
|
$84.41 |
$84.41 |
$84.41 |
$107.50
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$466.67 |
$466.67 |
$466.67 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$233.45 |
$233.45 |
$233.45 |
$685.00
|
|
Fine needle asp without image guide 10021
|
$95.45 |
$95.45 |
$95.45 |
$503.76
|
|
Flebogamma injection
|
$1,291.40 |
$1,291.40 |
$1,291.40 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$17.71 |
$17.71 |
$17.71 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$159.39 |
$159.39 |
$159.39 |
$511.92
|
|
Flow cytometry marker each additional
|
$33.35 |
$33.35 |
$33.35 |
$97.50
|
|
Flow cytometry one marker technical component
|
$115.23 |
$115.23 |
$115.23 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$38.98 |
$38.98 |
$38.98 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$79.81 |
$79.81 |
$79.81 |
$91.00
|
|
Fluid pressure muscle 20950
|
$434.70 |
$434.70 |
$434.70 |
$768.94
|
|
Fluorescent antibody titer dna
|
$143.75 |
$143.75 |
$143.75 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$139.38 |
$139.38 |
$139.38 |
$496.03
|
|
Fluoroguide needle placement
|
$233.91 |
$233.91 |
$233.91 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$130.18 |
$130.18 |
$130.18 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$37.95 |
$37.95 |
$37.95 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$247.28 |
$247.28 |
$247.28 |
$72.52
|
|
Folic acid
|
$63.48 |
$63.48 |
$63.48 |
$101.50
|
|
Follow-up angiography
|
$437.00 |
$437.00 |
$437.00 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$629.38 |
$629.38 |
$629.38 |
$2,581.14
|
|
Fondaparinux sodium
|
$88.25 |
$88.25 |
$88.25 |
$185.12
|
|
Foot X-ray
|
$99.82 |
$99.82 |
$99.82 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$81.42 |
$81.42 |
$81.42 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$61.91 |
$61.91 |
$61.91 |
$457.50
|
|
Foscarnet sodium injection
|
$678.79 |
$678.79 |
$678.79 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$35.91 |
$35.91 |
$35.91 |
$106.10
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$166.98 |
$166.98 |
$166.98 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$181.93 |
$181.93 |
$181.93 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$98.44 |
$98.44 |
$98.44 |
$122.00
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$27.08 |
$27.08 |
$27.08 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$22.54 |
$22.54 |
$22.54 |
$118.56
|
|
Gabapentin non-blood
|
$15.41 |
$15.41 |
$15.41 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$54.03 |
$54.03 |
$54.03 |
$102.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$272.38 |
$272.38 |
$272.38 |
$177.52
|
|
Gammaglobulin iga
|
$37.49 |
$37.49 |
$37.49 |
$67.20
|
|
Gammaglobulin ige
|
$60.95 |
$60.95 |
$60.95 |
$83.85
|
|
Gamma glutamyltransferase
|
$39.79 |
$39.79 |
$39.79 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$46.63 |
$46.63 |
$46.63 |
$197.40
|
|
Gastric emptying imag study
|
$570.86 |
$570.86 |
$570.86 |
$1,291.55
|
|
Gastroesophageal reflux test
|
$405.26 |
$405.26 |
$405.26 |
$1,321.45
|
|
Gefitinib oral
|
$39.36 |
$39.36 |
$39.36 |
$423.82
|
|
Gemcitabine 1 gram intravenous solution
|
$82.14 |
$82.14 |
$82.14 |
$207.51
|
|
General health panel
|
$197.80 |
$197.80 |
$197.80 |
$275.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$39.85 |
$39.85 |
$39.85 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$66.01 |
$66.01 |
$66.01 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$405.26 |
$405.26 |
$405.26 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$183.31 |
$183.31 |
$183.31 |
$1,410.90
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$9.20 |
$9.20 |
$9.20 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$28.98 |
$28.98 |
$28.98 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$222.64 |
$222.64 |
$222.64 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$49.68 |
$49.68 |
$49.68 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$270.25 |
$270.25 |
$270.25 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$499.10 |
$499.10 |
$499.10 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$176.87 |
$176.87 |
$176.87 |
$565.49
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$57.50 |
$57.50 |
$57.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$178.94 |
$178.94 |
$178.94 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$422.05 |
$422.05 |
$422.05 |
$1,592.00
|
