|
Fetal hemoglobin (kleihauer betke)
|
$152.01 |
$168.93 |
$295.58 |
$88.80
|
|
Fetal hemoglobin rosette
|
$39.51 |
$43.83 |
$82.43 |
$76.70
|
|
Fetal non stress test
|
$202.86 |
$202.86 |
$389.73 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$102.96 |
$102.96 |
$200.20 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$67.05 |
$67.05 |
$178.15 |
$112.80
|
|
Fibrinogen activity
|
$149.13 |
$165.60 |
$249.55 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$61.02 |
$61.02 |
$180.60 |
$66.00
|
|
Fibrinolytic plasminogen
|
$305.91 |
$339.84 |
$1,135.93 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$32.49 |
$32.49 |
$235.90 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$404.91 |
$404.91 |
$787.33 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$230.48 |
$230.48 |
$230.48 |
$973.70
|
|
Finger joint sz00 swanson w/grommets
|
$7,153.20 |
$7,153.20 |
$7,153.20 |
$3,605.86
|
|
Flecainide (tambocor)-sendout
|
$124.02 |
$137.88 |
$265.65 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$389.79 |
$389.79 |
$827.75 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$138.60 |
$138.60 |
$138.60 |
$208.80
|
|
Flow cytometry marker each additional
|
$99.81 |
$99.81 |
$235.38 |
$103.00
|
|
Flow cytometry one marker technical component
|
$146.34 |
$146.34 |
$598.15 |
$270.75
|
|
Floxuridine injection
|
$59.04 |
$59.04 |
$131.58 |
$774.69
|
|
Flt3 gene
|
$274.05 |
$274.05 |
$532.88 |
$352.95
|
|
Flt3 gene analysis
|
$162.36 |
$162.36 |
$315.70 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$126.36 |
$126.36 |
$245.70 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$417.96 |
$417.96 |
$812.70 |
$601.96
|
|
Fluidotherapy charges pt
|
$60.93 |
$76.86 |
$137.38 |
$95.00
|
|
Fluocinolone acetonide implt
|
$30,191.76 |
$30,191.76 |
$58,706.20 |
$32,193.00
|
|
Fluorescein angrph mltiframe
|
$1,090.60 |
$1,090.60 |
$1,090.60 |
$344.68
|
|
Fluorescent antibody titer dna
|
$93.69 |
$93.69 |
$182.18 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$472.77 |
$472.77 |
$919.28 |
$507.00
|
|
Fluoroguide needle placement
|
$325.26 |
$325.26 |
$632.45 |
$536.26
|
|
Fluoro polarize fetal lung
|
$221.49 |
$246.06 |
$430.68 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$569.16 |
$569.16 |
$1,106.70 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$97.74 |
$97.74 |
$190.05 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$50.31 |
$50.31 |
$97.83 |
$142.87
|
|
Fmri brain by phys/psych
|
$1,509.30 |
$1,509.30 |
$2,163.53 |
$1,112.67
|
|
Fmri brain by tech
|
$1,108.80 |
$1,108.80 |
$2,376.50 |
$1,486.75
|
|
Foam stability fetal lung
|
$66.06 |
$66.06 |
$66.06 |
$20.80
|
|
Folic acid
|
$61.92 |
$61.92 |
$258.65 |
$90.60
|
|
Follow-up angiography
|
$536.40 |
$536.40 |
$625.10 |
$1,939.14
|
|
Followup eval of foot pt lop
|
$213.75 |
$244.30 |
$258.12 |
$152.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$21.75 |
$22.77 |
$44.28 |
$2,860.43
|
|
Fondaparinux sodium
|
$15.30 |
$15.30 |
$29.75 |
$176.81
|
|
Foot X-ray
|
$541.44 |
$541.44 |
$676.90 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$425.16 |
$425.16 |
$826.70 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$9.18 |
$9.18 |
$17.85 |
$107.31
|
|
Fractionation ketosteroids
|
$277.56 |
$277.56 |
$630.00 |
$72.00
|
|
Fracture assessment via dxa
|
$131.40 |
$131.40 |
$255.50 |
$146.80
|
|
_fragile x methylation-sendout
|
$65.97 |
$65.97 |
$128.28 |
$174.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$133.38 |
$133.38 |
$254.80 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$43.83 |
$48.60 |
$85.23 |
$123.90
|
|
Fructosamine glycated protein
|
$79.02 |
$87.66 |
$344.75 |
$60.42
|
|
Ftl cgen abnor four anal
|
$146.70 |
$146.70 |
$285.25 |
$211.83
|
|
Fundus photography with i&r 92250
|
$296.98 |
$296.98 |
$296.98 |
$200.42
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$943.47 |
$943.47 |
$1,834.53 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.88 |
$2.88 |
$3.15 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.16 |
$2.16 |
$4.20 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$17.73 |
$17.73 |
$34.48 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$84.06 |
$93.42 |
$545.48 |
$82.50
|
|
Galactokinase - sendout
|
$102.78 |
$114.03 |
$381.85 |
$175.00
|
|
Gallium illuccix 1 millicure
|
$1,306.80 |
$1,306.80 |
$1,306.80 |
$1,395.27
|
|
Gamma globulin 1 cc inj
|
$158.67 |
$158.67 |
$308.53 |
$158.67
|
|
Gammaglobulin iga
|
$69.03 |
$76.59 |
$136.50 |
$75.30
|
|
Gammaglobulin ige
|
$92.70 |
$92.70 |
$170.45 |
$85.00
|
|
Gamma glutamyltransferase
|
$36.18 |
$36.18 |
$135.10 |
$55.28
|
|
Gamunex-c/gammaked
|
$66.78 |
$66.78 |
$129.85 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$69.03 |
$69.03 |
$134.23 |
$209.07
|
|
Gastric emptying imag study
|
$705.15 |
$705.15 |
$1,371.13 |
$1,270.50
|
|
Gastric emptying imag study
|
$888.48 |
$1,018.89 |
$1,727.60 |
$1,664.33
|
|
Gastric mucosa imaging
|
$917.28 |
$917.28 |
$917.28 |
$497.25
|
|
Gastroesophageal reflux study
|
$917.28 |
$917.28 |
$1,551.03 |
$957.25
|
|
Gastroesophageal reflux test
|
$330.93 |
$330.93 |
$406.70 |
$1,129.63
|
|
Gated heart multiple
|
$1,806.21 |
$1,806.21 |
$3,053.93 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$152.10 |
$152.10 |
$295.75 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$15,276.60 |
$15,276.60 |
$29,704.50 |
$23,897.53
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$10.35 |
$10.35 |
$37.98 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$46.26 |
$46.26 |
$237.48 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,577.97 |
$1,577.97 |
$1,622.25 |
$1,352.03
|
|
Ghs abscess postoperative iandd complex
|
$1,855.80 |
$1,855.80 |
$1,855.80 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$38.16 |
$42.21 |
$123.03 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$106.92 |
$106.92 |
$256.20 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$66.06 |
$73.44 |
$172.90 |
$73.70
|
|
Ghs bleeding time (ivy)
|
$61.29 |
$61.29 |
$119.18 |
$55.90
|
|
Ghs chemo >8 hrs
|
$158.22 |
$158.22 |
$995.40 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$449.01 |
$449.01 |
$449.01 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$43.20 |
$43.20 |
$350.00 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$40.68 |
$40.68 |
$79.10 |
$134.55
|
|
Ghs community re-entry 15 minutes
|
$32.13 |
$32.13 |
$63.70 |
$89.28
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$593.91 |
$593.91 |
$700.18 |
$586.80
|
|
Ghs febrile agglutinns(mayo)
|
$61.02 |
$118.65 |
$128.34 |
$48.57
|
|
Ghs fish cytogen
|
$196.83 |
$196.83 |
$382.73 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$173.16 |
$173.16 |
$428.58 |
$229.45
|
|
Ghs flow volume loop
|
$103.68 |
$103.68 |
$208.60 |
$309.12
|
|
Ghs hcv amplificaiton
|
$201.06 |
$223.38 |
$519.23 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$176.85 |
$176.85 |
$343.88 |
$106.05
|
|
Ghs hgb stability-thal
|
$45.72 |
$45.72 |
$174.83 |
$85.28
|
|
Ghs histoplasma antigen
|
$90.27 |
$100.26 |
$175.53 |
$137.80
|
|
Ghs HIV antibody
|
$115.56 |
$115.56 |
$224.70 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$783.18 |
$870.21 |
$1,522.85 |
$462.60
|
|
Ghs immun0electrophoresis
|
$126.45 |
$126.45 |
$318.68 |
$110.00
|
|
Ghs inf midline insertion
|
$325.85 |
$671.85 |
$671.85 |
$1,234.20
|
|
Ghs inhibitor screen
|
$177.57 |
$177.57 |
$345.28 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$233.91 |
$233.91 |
$233.91 |
$300.30
|
