|
Factor ix
|
$173.25 |
$173.25 |
$173.25 |
$138.60
|
|
Factor ix alprolix recomb
|
$2.16 |
$2.16 |
$2.16 |
$3.59
|
|
Factor ix idelvion inj
|
$2.07 |
$2.07 |
$2.07 |
$5.05
|
|
Factor ix recomb gly rebinyn
|
$1.89 |
$1.89 |
$1.89 |
$4.57
|
|
Factor ix recombinant nos
|
$0.81 |
$0.81 |
$0.81 |
$3.55
|
|
Factor viii
|
$208.08 |
$208.08 |
$208.08 |
$144.82
|
|
Factor viii
|
$0.36 |
$0.36 |
$0.36 |
$1.61
|
|
Factor viii fc fusion recomb
|
$12,080.79 |
$12,080.79 |
$12,080.79 |
$2.42
|
|
Factor viii nuwiq recomb 1iu
|
$0.81 |
$0.81 |
$0.81 |
$1.24
|
|
Factor viii pegylated recomb
|
$0.99 |
$0.99 |
$0.99 |
$2.10
|
|
Factor viii recomb novoeight
|
$0.90 |
$0.90 |
$0.90 |
$1.52
|
|
Family therapy with patient 50 min 90847
|
$155.97 |
$155.97 |
$155.97 |
$239.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,006.74 |
$1,006.74 |
$1,006.74 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$62.91 |
$62.91 |
$62.91 |
$36.75
|
|
Fatty acids nonesterified
|
$56.70 |
$56.70 |
$56.70 |
$56.70
|
|
#fecal-sodium
|
$31.32 |
$31.32 |
$31.32 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$28.44 |
$28.44 |
$28.44 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$112.95 |
$112.95 |
$112.95 |
$123.82
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,741.41 |
$1,741.41 |
$1,741.41 |
$1,896.25
|
|
Ferritin
|
$42.84 |
$42.84 |
$42.84 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$515.70 |
$515.70 |
$515.70 |
$1,776.61
|
|
Fetal fibronectin
|
$540.63 |
$540.63 |
$540.63 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$225.09 |
$225.09 |
$225.09 |
$91.20
|
|
Fetal hemoglobin rosette
|
$106.38 |
$106.38 |
$106.38 |
$78.00
|
|
#_fet/norfentcnfrmur
|
$101.07 |
$101.07 |
$101.07 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$90.00 |
$90.00 |
$90.00 |
$113.40
|
|
Fibrinogen activity
|
$179.91 |
$179.91 |
$179.91 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$56.70 |
$56.70 |
$56.70 |
$66.00
|
|
Fibrinolytic plasminogen
|
$179.91 |
$179.91 |
$179.91 |
$110.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$39.60 |
$39.60 |
$39.60 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$229.59 |
$229.59 |
$229.59 |
$1,411.44
|
|
Flecainide (tambocor)-sendout
|
$159.03 |
$159.03 |
$159.03 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$821.97 |
$821.97 |
$821.97 |
$540.80
|
|
Flow cytometry marker each additional
|
$134.37 |
$134.37 |
$134.37 |
$103.00
|
|
Flow cytometry one marker technical component
|
$390.24 |
$390.24 |
$390.24 |
$270.75
|
|
Flt3 gene
|
$254.61 |
$254.61 |
$254.61 |
$352.95
|
|
Flt3 gene analysis
|
$150.84 |
$150.84 |
$150.84 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$32.01 |
$32.01 |
$32.01 |
$86.84
|
|
Fluidotherapy charges pt
|
$77.85 |
$77.85 |
$77.85 |
$95.40
|
|
Fluorescent antibody titer dna
|
$125.64 |
$125.64 |
$125.64 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$271.98 |
$271.98 |
$271.98 |
$507.00
|
|
Fluoroguide needle placement
|
$271.98 |
$271.98 |
$271.98 |
$539.38
|
|
Fluoro polarize fetal lung
|
$285.39 |
$285.39 |
$285.39 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$297.99 |
$297.99 |
$297.99 |
$492.75
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$107.46 |
$107.46 |
$107.46 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$50.31 |
$50.31 |
$50.31 |
$148.04
|
|
Folic acid
|
$47.61 |
$47.61 |
$47.61 |
$89.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$22.77 |
$22.77 |
$22.77 |
$2,860.43
|
|
Fondaparinux sodium
|
$228.78 |
$228.78 |
$228.78 |
$178.47
|
|
Foot X-ray
|
$184.32 |
$184.32 |
$184.32 |
$364.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.36 |
$0.36 |
$0.36 |
$445.85
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$28.43 |
$28.43 |
$28.43 |
$110.69
|
|
Fractionation ketosteroids
|
$301.05 |
$301.05 |
$301.05 |
$72.00
|
|
Fracture assessment via dxa
|
$114.48 |
$114.48 |
$114.48 |
$137.80
|
|
_fragile x methylation-sendout
|
$64.08 |
$64.08 |
$64.08 |
$175.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$34.74 |
$34.74 |
$34.74 |
$149.73
|
|
Fresh frozen plasma thawing ea un
|
$108.09 |
$108.09 |
$108.09 |
$123.90
|
|
Fructosamine glycated protein
|
$164.70 |
$164.70 |
$164.70 |
$61.20
|
|
Ftl cgen abnor four anal
|
$136.26 |
$136.26 |
$136.26 |
$211.83
|
|
Ga-67 gallium 0.1 mci
|
$171.54 |
$171.54 |
$171.54 |
$163.80
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1,037.88 |
$1,037.88 |
$1,037.88 |
$176.62
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.16 |
$2.16 |
$2.16 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$19.44 |
$19.44 |
$19.44 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$108.63 |
$108.63 |
$108.63 |
$82.50
|
|
Galactokinase - sendout
|
$132.84 |
$132.84 |
$132.84 |
$175.00
|
|
Gammaglobulin iga
|
$121.23 |
$121.23 |
$121.23 |
$76.59
|
|
Gammaglobulin ige
|
$147.87 |
$147.87 |
$147.87 |
$85.00
|
|
Gamma glutamyltransferase
|
$64.53 |
$64.53 |
$64.53 |
$55.28
|
|
Gamunex-c/gammaked
|
$28.17 |
$28.17 |
$28.17 |
$7,372.04
|
|
Gastric emptying imag study
|
$539.37 |
$539.37 |
$539.37 |
$1,270.50
|
|
Gastric emptying imag study
|
$715.68 |
$715.68 |
$715.68 |
$1,664.33
|
|
Gastroesophageal reflux study
|
$982.44 |
$982.44 |
$982.44 |
$923.65
|
|
Gemcitabine 1 gram intravenous solution
|
$152.10 |
$152.10 |
$152.10 |
$257.28
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$15,276.60 |
$15,276.60 |
$15,276.60 |
$21,522.99
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$17.73 |
$17.73 |
$17.73 |
$62.80
|
|
Gentamicin peak therapeutic drug level
|
$61.56 |
$61.56 |
$61.56 |
$119.90
|
|
Ghs acetylcholinesterase, rbc
|
$48.96 |
$48.96 |
$48.96 |
$41.87
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$144.18 |
$144.18 |
$144.18 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$77.85 |
$77.85 |
$77.85 |
$74.88
|
|
Ghs bleeding time (ivy)
|
$79.65 |
$79.65 |
$79.65 |
$55.90
|
|
Ghs chemo >8 hrs
|
$392.76 |
$392.76 |
$392.76 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$198.00 |
$198.00 |
$198.00 |
$291.87
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$37.71 |
$37.71 |
$37.71 |
$134.21
|
|
Ghs community re-entry 15 minutes
|
$33.21 |
$33.21 |
$33.21 |
$87.60
|
|
Ghs febrile agglutinns(mayo)
|
$56.70 |
$56.70 |
$56.70 |
$48.57
|
|
Ghs fish cytogen
|
$219.87 |
$219.87 |
$219.87 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$269.64 |
$269.64 |
$269.64 |
$229.45
|
|
Ghs hcv amplificaiton
|
$307.71 |
$307.71 |
$307.71 |
$195.60
|
|
Ghs hepatitis c virus (hcv riba)
|
$227.43 |
$227.43 |
$227.43 |
$113.75
|
|
Ghs hgb stability-thal
|
$52.11 |
$52.11 |
$52.11 |
$85.28
|
|
Ghs histoplasma antigen
|
$99.63 |
$99.63 |
$99.63 |
$137.80
|
|
Ghs HIV antibody
|
$150.21 |
$150.21 |
$150.21 |
$92.58
|
|
Ghs hla-dr/dq, multiple antigens
|
$833.31 |
$833.31 |
$833.31 |
$462.60
|
|
Ghs immun0electrophoresis
|
$152.28 |
$152.28 |
$152.28 |
$110.00
|
|
Ghs inhibitor screen
|
$164.97 |
$164.97 |
$164.97 |
$152.10
|
|
Ghs leukocyte alkaline phos (mayo)
|
$53.10 |
$53.10 |
$53.10 |
$59.40
|
|
Ghs mbp
|
$175.50 |
$175.50 |
$175.50 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$153.18 |
$153.18 |
$153.18 |
$257.56
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$153.18 |
$153.18 |
$153.18 |
$251.20
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$153.18 |
$153.18 |
$153.18 |
$239.20
|
