|
Exc benign tal 0.5 < cm 11400
|
$158.40 |
$158.40 |
$158.40 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$158.40 |
$158.40 |
$158.40 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$383.00 |
$383.00 |
$383.00 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$232.80 |
$232.80 |
$232.80 |
$1,247.50
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$973.20 |
$973.20 |
$973.20 |
$3,230.00
|
|
Exchange biliary drg cath
|
$1,565.00 |
$1,565.00 |
$1,565.00 |
$3,909.56
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$173.20 |
$173.20 |
$173.20 |
$1,012.86
|
|
Excision olecranon bursa
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$2,889.60
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$709.40 |
$709.40 |
$709.40 |
$3,322.80
|
|
Exercise tst brncspsm w/ecg
|
$43.00 |
$43.00 |
$43.00 |
$318.50
|
|
Exercise tst brncspsm wo ecg
|
$34.40 |
$34.40 |
$34.40 |
$114.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$235.40 |
$235.40 |
$235.40 |
$4,048.38
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$837.80 |
$837.80 |
$837.80 |
$3,623.43
|
|
External chromosome analysis 20-25 cells
|
$268.00 |
$268.00 |
$268.00 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$17.40 |
$17.40 |
$17.40 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$2,416.80 |
$2,416.80 |
$2,416.80 |
$4,260.30
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$146.40 |
$146.40 |
$146.40 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$126.00 |
$126.00 |
$126.00 |
$108.60
|
|
F-18 fdg pet diag
|
$218.60 |
$218.60 |
$218.60 |
$551.72
|
|
F-18 sodium fluoride
|
$190.39 |
$190.39 |
$190.39 |
$392.60
|
|
Facial bones <3
|
$77.40 |
$77.40 |
$77.40 |
$252.60
|
|
Factor ix
|
$114.40 |
$114.40 |
$114.40 |
$156.13
|
|
Factor viii
|
$101.20 |
$101.20 |
$101.20 |
$133.81
|
|
Fat/lipids feces qualitative
|
$26.20 |
$26.20 |
$26.20 |
$38.35
|
|
Fatty acids nonesterified
|
$9.60 |
$9.60 |
$9.60 |
$64.28
|
|
#fecal-sodium
|
$30.60 |
$30.60 |
$30.60 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$14.80 |
$14.80 |
$14.80 |
$65.00
|
|
Fem/popl revasc w/stent
|
$9,790.60 |
$9,790.60 |
$9,790.60 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$39.12 |
$39.12 |
$39.12 |
$101.40
|
|
Ferritin
|
$45.00 |
$45.00 |
$45.00 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$138.77 |
$138.77 |
$138.77 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$290.00 |
$290.00 |
$290.00 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$279.40 |
$279.40 |
$279.40 |
$475.50
|
|
Fetal fibronectin
|
$120.00 |
$120.00 |
$120.00 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$48.60 |
$48.60 |
$48.60 |
$105.12
|
|
Fetal hemoglobin rosette
|
$40.00 |
$40.00 |
$40.00 |
$67.20
|
|
Fetal non stress test
|
$210.40 |
$210.40 |
$210.40 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$78.60 |
$78.60 |
$78.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$45.20 |
$45.20 |
$45.20 |
$117.70
|
|
Fibrin degradation products
|
$31.80 |
$31.80 |
$31.80 |
$62.64
|
|
Fibrinogen activity
|
$63.40 |
$63.40 |
$63.40 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$6.40 |
$6.40 |
$6.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$5.00 |
$5.00 |
$5.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$70.60 |
$70.60 |
$70.60 |
$107.50
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$390.20 |
$390.20 |
$390.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$195.20 |
$195.20 |
$195.20 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$195.20 |
$195.20 |
$195.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$79.80 |
$79.80 |
$79.80 |
$503.76
|
|
Flebogamma injection
|
$1,122.96 |
$1,122.96 |
$1,122.96 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$14.80 |
$14.80 |
$14.80 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$133.20 |
$133.20 |
$133.20 |
$511.92
|
|
Flow cytometry interp 16 or more
|
$430.80 |
$430.80 |
$430.80 |
$204.00
|
|
Flow cytometry marker each additional
|
$50.40 |
$50.40 |
$50.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$184.80 |
$184.80 |
$184.80 |
$284.40
|
|
Flt3 gene
|
$90.40 |
$90.40 |
$90.40 |
$355.00
|
|
Flt3 gene analysis
|
$44.00 |
$44.00 |
$44.00 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$33.90 |
$33.90 |
$33.90 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$130.40 |
$130.40 |
$130.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$363.40 |
$363.40 |
$363.40 |
$768.94
|
|
Fluorescent antibody titer dna
|
$120.00 |
$120.00 |
$120.00 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$190.80 |
$190.80 |
$190.80 |
$496.03
|
|
Fluoroguide needle placement
|
$195.60 |
$195.60 |
$195.60 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$192.40 |
$192.40 |
$192.40 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$33.00 |
$33.00 |
$33.00 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$215.02 |
$215.02 |
$215.02 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$390.20 |
$390.20 |
$390.20 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$195.20 |
$195.20 |
$195.20 |
$833.25
|
|
Folic acid
|
$61.80 |
$61.80 |
$61.80 |
$101.50
|
|
Follow-up angiography
|
$380.00 |
$380.00 |
$380.00 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$547.28 |
$547.28 |
$547.28 |
$2,581.14
|
|
Fondaparinux sodium
|
$76.74 |
$76.74 |
$76.74 |
$185.12
|
|
Foot X-ray
|
$83.40 |
$83.40 |
$83.40 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$70.80 |
$70.80 |
$70.80 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$53.84 |
$53.84 |
$53.84 |
$457.50
|
|
Foscarnet sodium injection
|
$590.25 |
$590.25 |
$590.25 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$31.23 |
$31.23 |
$31.23 |
$106.10
|
|
_fragile x methylation-sendout
|
$30.40 |
$30.40 |
$30.40 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$47.20 |
$47.20 |
$47.20 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$145.60 |
$145.60 |
$145.60 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$98.80 |
$98.80 |
$98.80 |
$122.00
|
|
Fructosamine glycated protein
|
$12.40 |
$12.40 |
$12.40 |
$60.75
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$609.40 |
$609.40 |
$609.40 |
$2,703.50
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$23.55 |
$23.55 |
$23.55 |
$27.08
|
|
Gabapentin non-blood
|
$12.80 |
$12.80 |
$12.80 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$46.98 |
$46.98 |
$46.98 |
$102.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$236.85 |
$236.85 |
$236.85 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$96.40 |
$96.40 |
$96.40 |
$96.94
|
|
Gammaglobulin iga
|
$31.80 |
$31.80 |
$31.80 |
$67.20
|
|
Gammaglobulin ige
|
$58.80 |
$58.80 |
$58.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$33.20 |
$33.20 |
$33.20 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$40.54 |
$40.54 |
$40.54 |
$197.40
|
|
Gba gene
|
$22.20 |
$22.20 |
$22.20 |
$160.72
|
|
Gefitinib oral
|
$34.23 |
$34.23 |
$34.23 |
$423.82
|
|
Gemcitabine 1 gram intravenous solution
|
$71.43 |
$71.43 |
$71.43 |
$207.51
|
|
General health panel
|
$165.40 |
$165.40 |
$165.40 |
$275.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$34.65 |
$34.65 |
$34.65 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$71.60 |
$71.60 |
$71.60 |
$126.00
|
|
Ghs abscess perianal iandd
|
$157.20 |
$157.20 |
$157.20 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$31.80 |
$31.80 |
$31.80 |
$42.72
|
