|
Fat/lipids feces qualitative
|
$71.66 |
$71.66 |
$71.66 |
$43.66
|
|
#fecal-sodium
|
$70.52 |
$70.52 |
$70.52 |
$40.30
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.26 |
$4.26 |
$4.26 |
$2,131.58
|
|
Ferritin
|
$44.07 |
$44.07 |
$44.07 |
$86.45
|
|
Fetal biophys profile w/nst 76818
|
$308.31 |
$308.31 |
$308.31 |
$525.33
|
|
Fetal fibronectin
|
$273.95 |
$273.95 |
$273.95 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$58.35 |
$58.35 |
$58.35 |
$59.85
|
|
Fetal hemoglobin rosette
|
$48.35 |
$48.35 |
$48.35 |
$48.35
|
|
Fetal non stress test
|
$500.57 |
$500.57 |
$500.57 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$52.41 |
$52.41 |
$52.41 |
$87.60
|
|
Fibrin degradation products
|
$111.41 |
$111.41 |
$111.41 |
$56.16
|
|
Fibrinogen activity
|
$48.21 |
$48.21 |
$48.21 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$20.51 |
$20.51 |
$20.51 |
$69.55
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,267.59 |
$1,267.59 |
$1,267.59 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$194.52 |
$194.52 |
$194.52 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$14.79 |
$14.79 |
$14.79 |
$86.40
|
|
Fl exam g/colon tube w contrast
|
$307.08 |
$307.08 |
$307.08 |
$522.75
|
|
Flexible Sigmoidoscopy
|
$672.71 |
$672.71 |
$672.71 |
$1,278.72
|
|
Flow cytometry marker each additional
|
$87.24 |
$87.24 |
$87.24 |
$103.00
|
|
Flow cytometry one marker technical component
|
$298.04 |
$298.04 |
$298.04 |
$304.43
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$16.04 |
$16.04 |
$16.04 |
$48.56
|
|
Fluidotherapy charges pt
|
$98.76 |
$98.76 |
$98.76 |
$101.40
|
|
Fluorescent antibody titer dna
|
$552.38 |
$552.38 |
$552.38 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$84.57 |
$84.57 |
$84.57 |
$497.25
|
|
Fluoroguide needle placement
|
$219.93 |
$219.93 |
$219.93 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$179.36 |
$179.36 |
$179.36 |
$474.50
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$66.60 |
$66.60 |
$66.60 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$1,822.79 |
$1,822.79 |
$1,822.79 |
$1,320.40
|
|
Folic acid
|
$49.34 |
$49.34 |
$49.34 |
$85.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$22.67 |
$22.67 |
$22.67 |
$18.44
|
|
Fondaparinux sodium
|
$19.58 |
$19.58 |
$19.58 |
$121.83
|
|
Foot X-ray
|
$121.28 |
$121.28 |
$121.28 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$43.46 |
$43.46 |
$43.46 |
$66.38
|
|
Fracture assessment via dxa
|
$48.18 |
$48.18 |
$48.18 |
$170.40
|
|
Fragmenting of kidney stone
|
$9,885.59 |
$9,885.59 |
$9,885.59 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$105.33 |
$105.33 |
$105.33 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$126.39 |
$126.39 |
$126.39 |
$217.30
|
|
Fructosamine glycated protein
|
$81.00 |
$81.00 |
$81.00 |
$69.55
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.79 |
$1.79 |
$1.79 |
$2.04
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.19 |
$1.19 |
$1.19 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$30.53 |
$30.53 |
$30.53 |
$90.60
|
|
Gammaglobulin iga
|
$99.06 |
$99.06 |
$99.06 |
$78.60
|
|
Gammaglobulin ige
|
$68.25 |
$68.25 |
$68.25 |
$87.10
|
|
Gamma glutamyltransferase
|
$92.03 |
$92.03 |
$92.03 |
$54.60
|
|
Gastroesophageal reflux test
|
$460.58 |
$460.58 |
$460.58 |
$1,110.80
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$9.98 |
$9.98 |
$9.98 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$54.89 |
$54.89 |
$54.89 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$546.59 |
$546.59 |
$546.59 |
$1,413.78
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$93.03 |
$93.03 |
$93.03 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$83.06 |
$83.06 |
$83.06 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$333.18 |
$333.18 |
$333.18 |
$333.18
|
|
Ghs change cysto/gastrost
|
$607.29 |
$607.29 |
$607.29 |
$727.35
|
|
Ghs chemo IV push, ea addtl
|
$126.77 |
$126.77 |
$126.77 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$161.01 |
$161.01 |
$161.01 |
$135.85
|
|
Ghs community re-entry 15 minutes
|
$56.19 |
$56.19 |
$56.19 |
$85.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$796.05 |
$796.05 |
$796.05 |
$1,360.20
|
|
Ghs febrile agglutinns(mayo)
|
$81.45 |
$81.45 |
$81.45 |
$51.99
|
|
Ghs flow volume loop
|
$308.69 |
$308.69 |
$308.69 |
$291.75
|
|
Ghs hcv amplificaiton
|
$276.87 |
$276.87 |
$276.87 |
$198.90
|
|
Ghs histoplasma antigen
|
$265.31 |
$265.31 |
$265.31 |
$157.30
|
|
Ghs HIV antibody
|
$90.14 |
$90.14 |
$90.14 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$156.38 |
$156.38 |
$156.38 |
$475.80
|
|
Ghs insertion of needle - bone
|
$315.50 |
$315.50 |
$315.50 |
$436.10
|
|
Ghs leukocyte alkaline phos (mayo)
|
$114.66 |
$114.66 |
$114.66 |
$62.28
|
|
Ghs mbp
|
$117.84 |
$117.84 |
$117.84 |
$97.20
|
|
Ghs ng placement w fluoro guidance
|
$348.78 |
$348.78 |
$348.78 |
$423.76
|
|
Ghs o2 saturation
|
$76.52 |
$76.52 |
$76.52 |
$55.90
|
|
Ghs ot dds rom
|
$10.71 |
$10.71 |
$10.71 |
$53.01
|
|
Ghs ot sensory integrative tech/15min
|
$41.73 |
$41.73 |
$41.73 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$67.71 |
$67.71 |
$67.71 |
$113.35
|
|
Ghs ppd (tb intradermal)
|
$23.06 |
$23.06 |
$23.06 |
$39.77
|
|
Ghs protoporphyrins fract
|
$60.74 |
$60.74 |
$60.74 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$105.44 |
$105.44 |
$105.44 |
$165.60
|
|
Ghs pt - work hardening/int 2hrs
|
$108.45 |
$108.45 |
$108.45 |
$230.40
|
|
Ghs sedimentation rate
|
$48.89 |
$48.89 |
$48.89 |
$36.57
|
|
Ghs semen analysis fert
|
$62.78 |
$62.78 |
$62.78 |
$129.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$36.90 |
$36.90 |
$36.90 |
$72.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$148.44 |
$148.44 |
$148.44 |
$342.40
|
|
Ghs urine, porphyrins quant
|
$100.26 |
$100.26 |
$100.26 |
$85.15
|
|
Gi inhouse confirmation
|
$7.97 |
$7.97 |
$7.97 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$601.79 |
$601.79 |
$601.79 |
$351.53
|
|
Glucagon plasma - sendout
|
$95.67 |
$95.67 |
$95.67 |
$67.50
|
|
Glucose 1 hr post dose
|
$50.82 |
$50.82 |
$50.82 |
$40.00
|
|
Glucose blood quantitative
|
$36.75 |
$36.75 |
$36.75 |
$40.80
|
|
Glucose body fluid
|
$50.82 |
$50.82 |
$50.82 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$48.56 |
$48.56 |
$48.56 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.42 |
$29.42 |
$29.42 |
$33.15
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$62.25 |
$62.25 |
$62.25 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$62.01 |
$62.01 |
$62.01 |
$117.65
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$148.74 |
$148.74 |
$148.74 |
$9,693.72
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$543.99 |
$543.99 |
$543.99 |
$1,123.34
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$108.21 |
$108.21 |
$108.21 |
$5,533.20
|
|
Guided cath fluid drainage 10030
|
$1,465.77 |
$1,465.77 |
$1,465.77 |
$1,451.40
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$60.35 |
$60.35 |
$60.35 |
$120.02
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$12.87 |
$12.87 |
$12.87 |
$11.25
|
|
Hand X-ray
|
$112.23 |
$112.23 |
$112.23 |
$317.78
|
|
Haptoglobin quantitative
|
$64.41 |
$64.41 |
$64.41 |
$75.00
|
|
Hcg qualitative
|
$62.90 |
$62.90 |
$62.90 |
$72.50
|
|
Hcg quantitative
|
$104.48 |
$104.48 |
$104.48 |
$105.00
|