|
Fetal chrom aneuploidy gsa panel
|
$1,623.40 |
$1,623.40 |
$1,623.40 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$2,152.71 |
$2,152.71 |
$2,152.71 |
$540.54
|
|
Fetal fibronectin
|
$1,772.32 |
$1,772.32 |
$1,772.32 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$559.23 |
$559.23 |
$559.23 |
$88.80
|
|
Fetal hemoglobin rosette
|
$149.57 |
$149.57 |
$149.57 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$216.25 |
$216.25 |
$216.25 |
$64.28
|
|
Fetal non stress test
|
$447.62 |
$447.62 |
$447.62 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$135.41 |
$135.41 |
$135.41 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$473.90 |
$473.90 |
$473.90 |
$112.80
|
|
Fibrin degradation products
|
$143.28 |
$143.28 |
$143.28 |
$62.40
|
|
Fibrin degrade semiquant
|
$154.54 |
$154.54 |
$154.54 |
$92.00
|
|
Fibrinogen activity
|
$163.57 |
$163.57 |
$163.57 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$240.12 |
$240.12 |
$240.12 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$120.92 |
$120.92 |
$120.92 |
$56.00
|
|
Fibrinolytic plasminogen
|
$244.03 |
$244.03 |
$244.03 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$431.74 |
$431.74 |
$431.74 |
$59.89
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,788.44 |
$1,788.44 |
$1,788.44 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$755.46 |
$755.46 |
$755.46 |
$973.70
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$3,374.77 |
$3,374.77 |
$3,374.77 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$3,374.77 |
$3,374.77 |
$3,374.77 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$3,374.77 |
$3,374.77 |
$3,374.77 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$2,321.88 |
$2,321.88 |
$2,321.88 |
$547.53
|
|
Fitting of diaphragm/cap 57170
|
$1,088.90 |
$1,088.90 |
$1,088.90 |
$222.86
|
|
Fixation of knee joint
|
$11,055.50 |
$11,055.50 |
$11,055.50 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$5,327.52 |
$5,327.52 |
$5,327.52 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$101.67 |
$101.67 |
$101.67 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$977.96 |
$977.96 |
$977.96 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$4,890.82 |
$4,890.82 |
$4,890.82 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$353.37 |
$353.37 |
$353.37 |
$208.80
|
|
Flow cytometry marker each additional
|
$244.90 |
$244.90 |
$244.90 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,937.27 |
$1,937.27 |
$1,937.27 |
$270.75
|
|
Flt3 gene
|
$2,631.53 |
$2,631.53 |
$2,631.53 |
$352.95
|
|
Flt3 gene analysis
|
$801.18 |
$801.18 |
$801.18 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$94.11 |
$94.11 |
$94.11 |
$86.42
|
|
Fluidotherapy charges pt
|
$273.67 |
$273.67 |
$273.67 |
$95.00
|
|
Fluorescent antibody titer dna
|
$378.89 |
$378.89 |
$378.89 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$648.48 |
$648.48 |
$648.48 |
$507.00
|
|
Fluoroguide needle placement
|
$794.91 |
$794.91 |
$794.91 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$677.15 |
$677.15 |
$677.15 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1,206.03 |
$1,206.03 |
$1,206.03 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$61.75 |
$61.75 |
$61.75 |
$142.87
|
|
Fmri brain by phys/psych
|
$4,011.53 |
$4,011.53 |
$4,011.53 |
$1,112.67
|
|
Fmri brain by tech
|
$4,011.53 |
$4,011.53 |
$4,011.53 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$3,374.77 |
$3,374.77 |
$3,374.77 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$3,374.77 |
$3,374.77 |
$3,374.77 |
$775.14
|
|
Folic acid
|
$236.25 |
$236.25 |
$236.25 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$26.16 |
$26.16 |
$26.16 |
$55.66
|
|
Follow-up angiography
|
$4,483.71 |
$4,483.71 |
$4,483.71 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,279.98 |
$1,279.98 |
$1,279.98 |
$2,860.43
|
|
Fondaparinux sodium
|
$67.51 |
$67.51 |
$67.51 |
$176.81
|
|
Foot X-ray
|
$655.72 |
$655.72 |
$655.72 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,161.93 |
$1,161.93 |
$1,161.93 |
$595.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$139.49 |
$139.49 |
$139.49 |
$107.31
|
|
Fracture assessment via dxa
|
$306.32 |
$306.32 |
$306.32 |
$146.80
|
|
_fragile x methylation-sendout
|
$426.89 |
$426.89 |
$426.89 |
$174.00
|
|
Fragmenting of kidney stone
|
$27,956.29 |
$27,956.29 |
$27,956.29 |
$9,827.25
|
|
Frenulotomy of penis
|
$10,263.24 |
$10,263.24 |
$10,263.24 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$329.67 |
$329.67 |
$329.67 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$329.67 |
$329.67 |
$329.67 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$380.55 |
$380.55 |
$380.55 |
$123.90
|
|
Fructosamine glycated protein
|
$177.98 |
$177.98 |
$177.98 |
$60.42
|
|
Ftl cgen abnor four anal
|
$156.62 |
$156.62 |
$156.62 |
$211.83
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$11,013.62 |
$11,013.62 |
$11,013.62 |
$2,501.10
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$60.99 |
$60.99 |
$60.99 |
$26.40
|
|
Fusion of ankle joint open
|
$47,477.40 |
$47,477.40 |
$47,477.40 |
$8,827.37
|
|
Fusion of big toe joint
|
$36,229.65 |
$36,229.65 |
$36,229.65 |
$5,855.00
|
|
Fusion of big toe joint
|
$28,032.01 |
$28,032.01 |
$28,032.01 |
$5,419.00
|
|
Fusion of finger joint
|
$20,480.11 |
$20,480.11 |
$20,480.11 |
$3,986.00
|
|
Fusion of foot bones
|
$36,229.65 |
$36,229.65 |
$36,229.65 |
$5,419.00
|
|
Fusion of knuckle
|
$29,961.06 |
$29,961.06 |
$29,961.06 |
$5,886.74
|
|
Fusion of toes
|
$18,821.15 |
$18,821.15 |
$18,821.15 |
$3,821.05
|
|
G6pc gene
|
$740.17 |
$740.17 |
$740.17 |
$104.65
|
|
G6pd gene alys cmn variant
|
$1,569.68 |
$1,569.68 |
$1,569.68 |
$243.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$229.22 |
$229.22 |
$229.22 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$379.57 |
$379.57 |
$379.57 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$541.29 |
$541.29 |
$541.29 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$692.53 |
$692.53 |
$692.53 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$425.16 |
$425.16 |
$425.16 |
$82.50
|
|
Galectin-3
|
$442.36 |
$442.36 |
$442.36 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$40,023.07 |
$40,023.07 |
$40,023.07 |
$6,904.15
|
|
Gammaglobulin iga
|
$273.68 |
$273.68 |
$273.68 |
$75.30
|
|
Gammaglobulin ige
|
$138.76 |
$138.76 |
$138.76 |
$85.00
|
|
Gamma glutamyltransferase
|
$200.22 |
$200.22 |
$200.22 |
$55.28
|
|
Gamunex-c/gammaked
|
$10,523.05 |
$10,523.05 |
$10,523.05 |
$7,372.04
|
|
Gastroesophageal reflux study
|
$4,070.67 |
$4,070.67 |
$4,070.67 |
$957.25
|
|
Gated heart multiple
|
$4,533.94 |
$4,533.94 |
$4,533.94 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$474.21 |
$474.21 |
$474.21 |
$252.84
|
|
General health panel
|
$1,652.71 |
$1,652.71 |
$1,652.71 |
$280.50
|
|
Genetic tstg severe inh cond
|
$20,087.95 |
$20,087.95 |
$20,087.95 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$79.23 |
$79.23 |
$79.23 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$264.99 |
$264.99 |
$264.99 |
$119.00
|
|
Ghs abscess perianal iandd
|
$4,921.10 |
$4,921.10 |
$4,921.10 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$17,676.03 |
$17,676.03 |
$17,676.03 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$118.05 |
$118.05 |
$118.05 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$272.04 |
$272.04 |
$272.04 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,118.72 |
$1,118.72 |
$1,118.72 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$542.76 |
$542.76 |
$542.76 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$126.60 |
$126.60 |
$126.60 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$1,146.29 |
$1,146.29 |
$1,146.29 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$1,624.54 |
$1,624.54 |
$1,624.54 |
$344.48
|
