|
Evasc prlng admn rx agnt 1st
|
$718.80 |
$718.80 |
$790.68 |
$3,885.63
|
|
Evasc prlng admn rx agnt add
|
$718.80 |
$718.80 |
$790.68 |
$2,765.60
|
|
Evasc rpr a-ao ndgft 34701
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$5,230.40
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$4,537.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$940.20 |
$940.20 |
$940.20 |
$4,846.34
|
|
Evasc rpr a-unilac ndgft 34703
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$5,608.35
|
|
Evasc rpr ilio-iliac ndgft
|
$1,129.50 |
$1,129.50 |
$1,129.50 |
$7,150.44
|
|
Evasc rpr ilio-iliac rpt
|
$1,129.50 |
$1,129.50 |
$1,129.50 |
$8,996.13
|
|
Event monitor
|
$47.85 |
$47.85 |
$47.85 |
$237.60
|
|
Evoked potentials upper limbs
|
$337.80 |
$337.80 |
$371.58 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$214.20 |
$214.20 |
$235.62 |
$812.40
|
|
Ewho w/joint(s) cf
|
$275.10 |
$275.10 |
$302.61 |
$830.70
|
|
Exchange biliary drg cath
|
$1,759.20 |
$1,759.20 |
$1,935.12 |
$3,797.76
|
|
Exchange drainage catheter
|
$501.00 |
$501.00 |
$551.10 |
$2,191.20
|
|
Exchange nephrostomy cath
|
$2,443.20 |
$2,443.20 |
$2,687.52 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$325.50 |
$325.50 |
$358.05 |
$1,064.30
|
|
Exc malig feenl <0.5cm 11640
|
$358.05 |
$358.05 |
$358.05 |
$1,055.20
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$563.31 |
$563.31 |
$563.31 |
$1,294.80
|
|
Exercise w/hemodynamic meas
|
$1,923.60 |
$1,923.60 |
$2,115.96 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,667.50 |
$3,667.50 |
$4,034.25 |
$4,136.83
|
|
External chromosome analysis 20-25 cells
|
$118.47 |
$118.47 |
$252.00 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$120.12 |
$120.12 |
$478.80 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$34.65 |
$34.65 |
$66.00 |
$109.00
|
|
F-18 fdg pet diag
|
$102.88 |
$102.88 |
$113.17 |
$551.72
|
|
F-18 fluciclovine per mci
|
$351.53 |
$351.53 |
$351.53 |
$1,042.30
|
|
F-18 sodium fluoride
|
$102.88 |
$102.88 |
$113.17 |
$492.56
|
|
Facial bones <3
|
$48.60 |
$48.60 |
$53.46 |
$252.60
|
|
Factor ix
|
$55.11 |
$55.11 |
$105.21 |
$154.50
|
|
Factor ix complex
|
$1.58 |
$1.58 |
$1.74 |
$5.91
|
|
Factor ix recombinant nos
|
$3.66 |
$3.66 |
$4.03 |
$4.65
|
|
Factor viii
|
$43.89 |
$43.89 |
$83.79 |
$144.82
|
|
Factor viii recombinant nos
|
$4.25 |
$4.25 |
$4.67 |
$5.40
|
|
Fam adapt bhv tx gdn phy/qhp
|
$20.13 |
$20.13 |
$20.13 |
$66.40
|
|
Family therapy without pt 50min 90846
|
$151.20 |
$151.20 |
$151.20 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$79.20 |
$79.20 |
$151.20 |
$230.36
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,155.61 |
$3,155.61 |
$3,471.17 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$21.45 |
$21.45 |
$40.95 |
$36.00
|
|
Felbamate (felbatol(r)) - sendout
|
$29.70 |
$29.70 |
$29.70 |
$61.00
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,568.31 |
$1,568.31 |
$1,725.14 |
$2,590.25
|
|
Ferritin
|
$45.21 |
$45.21 |
$86.31 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,019.18 |
$2,019.18 |
$2,221.10 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$145.20 |
$145.20 |
$172.92 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$97.50 |
$97.50 |
$107.25 |
$475.50
|
|
Fetal fibronectin
|
$214.17 |
$214.17 |
$408.87 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$45.54 |
$45.54 |
$86.94 |
$104.00
|
|
Fetal hemoglobin rosette
|
$22.11 |
$22.11 |
$42.21 |
$67.20
|
|
Fetal non stress test
|
$93.00 |
$93.00 |
$102.30 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$49.50 |
$49.50 |
$94.50 |
$120.05
|
|
Fibrin degradation products
|
$10.56 |
$10.56 |
$10.56 |
$74.25
|
|
Fibrinogen activity
|
$28.38 |
$28.38 |
$54.18 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$27.72 |
$27.72 |
$52.92 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$62.70 |
$62.70 |
$62.70 |
$72.80
|
|
Fibrinolytic plasminogen
|
$110.22 |
$110.22 |
$201.60 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$48.84 |
$48.84 |
$48.84 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$358.25 |
$358.25 |
$394.07 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$543.33 |
$543.33 |
$597.66 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$448.82 |
$448.82 |
$493.70 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$5,602.50 |
$5,602.50 |
$6,162.75 |
$7,188.75
|
|
Filter vena cava fem denali
|
$2,512.50 |
$2,512.50 |
$2,763.75 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$523.50 |
$523.50 |
$575.85 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$575.85 |
$575.85 |
$575.85 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$588.00 |
$588.00 |
$646.80 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$205.59 |
$205.59 |
$205.59 |
$497.00
|
|
Fix g/colon tube w/device
|
$421.80 |
$421.80 |
$463.98 |
$1,165.45
|
|
Flebogamma injection
|
$3,390.75 |
$3,390.75 |
$3,729.83 |
$3,438.30
|
|
Fl exam g/colon tube w contrast
|
$109.80 |
$109.80 |
$120.78 |
$523.95
|
|
Flow cytometry marker each additional
|
$23.10 |
$23.10 |
$44.10 |
$97.50
|
|
Flow cytometry one marker technical component
|
$106.59 |
$106.59 |
$203.49 |
$276.60
|
|
Floxuridine injection
|
$4,270.22 |
$4,270.22 |
$4,697.25 |
$5,929.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$29.43 |
$29.43 |
$32.38 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$222.37 |
$222.37 |
$244.61 |
$493.35
|
|
Fluidotherapy charges pt
|
$25.80 |
$25.80 |
$28.38 |
$98.40
|
|
Fluorescent antibody titer dna
|
$313.50 |
$313.50 |
$598.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$61.50 |
$61.50 |
$67.65 |
$495.95
|
|
Fluoroguide needle placement
|
$61.50 |
$61.50 |
$67.65 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$109.80 |
$109.80 |
$120.78 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$61.60 |
$61.60 |
$67.76 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$27.18 |
$27.18 |
$29.90 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$868.50 |
$868.50 |
$955.35 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$868.50 |
$868.50 |
$955.35 |
$834.90
|
|
Folic acid
|
$48.84 |
$48.84 |
$93.24 |
$99.96
|
|
Follow-up angiography
|
$514.80 |
$514.80 |
$566.28 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,770.40 |
$1,770.40 |
$1,947.44 |
$2,481.61
|
|
Fondaparinux sodium
|
$115.70 |
$115.70 |
$127.27 |
$186.87
|
|
Fo nontorsion joint cf
|
$76.80 |
$76.80 |
$84.48 |
$217.50
|
|
Foot drp splt w/exp heel lg
|
$561.83 |
$561.83 |
$561.83 |
$143.87
|
|
Foot X-ray
|
$131.40 |
$131.40 |
$144.54 |
$352.08
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$273.71 |
$273.71 |
$301.08 |
$490.67
|
|
Foscarnet sodium injection
|
$1,008.91 |
$1,008.91 |
$1,109.80 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$211.34 |
$211.34 |
$232.48 |
$106.25
|
|
Fracture assessment via dxa
|
$75.57 |
$75.57 |
$75.57 |
$175.50
|
|
_fragile x methylation-sendout
|
$142.89 |
$142.89 |
$142.89 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$114.84 |
$114.84 |
$219.24 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$73.59 |
$73.59 |
$140.49 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$304.92 |
$304.92 |
$582.12 |
$130.98
|
|
Fructosamine glycated protein
|
$16.83 |
$16.83 |
$32.13 |
$61.75
|
|
Ftl cgen abnor four anal
|
$35.97 |
$35.97 |
$68.67 |
$205.80
|
|
Furosemide 10 mg/ml injection solution
|
$6.17 |
$6.17 |
$6.78 |
$19.53
|
|
Ga-67 gallium 0.1 mci
|
$62.49 |
$62.49 |
$68.74 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$58.61 |
$58.61 |
$64.47 |
$139.70
|
