|
F-18 sodium fluoride
|
$133.18 |
$133.18 |
$133.18 |
$564.20
|
|
Facial bones <3
|
$124.95 |
$124.95 |
$124.95 |
$248.60
|
|
Factor ix
|
$64.93 |
$64.93 |
$64.93 |
$131.30
|
|
Factor ix recombinant nos
|
$178.50 |
$178.50 |
$178.50 |
$3.04
|
|
Factor viii
|
$108.50 |
$108.50 |
$108.50 |
$144.30
|
|
Family therapy without pt 50min 90846
|
$61.25 |
$61.25 |
$61.25 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$68.25 |
$68.25 |
$68.25 |
$239.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$443.60 |
$443.60 |
$443.60 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$14.88 |
$14.88 |
$14.88 |
$34.56
|
|
Feeding tube reposition
|
$398.83 |
$398.83 |
$398.83 |
$441.86
|
|
Felbamate (felbatol(r)) - sendout
|
$67.90 |
$67.90 |
$67.90 |
$66.43
|
|
Fem/popl revasc w/stent
|
$7,118.30 |
$7,118.30 |
$7,118.30 |
$18,599.10
|
|
Feno poc
|
$4.55 |
$4.55 |
$4.55 |
$80.25
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.59 |
$0.59 |
$0.59 |
$120.15
|
|
Ferritin
|
$45.85 |
$45.85 |
$45.85 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$56.05 |
$56.05 |
$56.05 |
$1,776.61
|
|
Ferumoxytol, esrd use
|
$56.05 |
$56.05 |
$56.05 |
$0.34
|
|
Fetal contract stress test 59020 - 26
|
$829.50 |
$829.50 |
$829.50 |
$540.54
|
|
Fetal fibronectin
|
$301.00 |
$301.00 |
$301.00 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.43 |
$33.43 |
$33.43 |
$88.80
|
|
Fetal hemoglobin rosette
|
$106.05 |
$106.05 |
$106.05 |
$76.70
|
|
Fetal non stress test
|
$223.48 |
$223.48 |
$223.48 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$3.68 |
$3.68 |
$3.68 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$88.90 |
$88.90 |
$88.90 |
$112.80
|
|
Fibrin degradation products
|
$49.70 |
$49.70 |
$49.70 |
$62.40
|
|
Fibrinogen activity
|
$71.93 |
$71.93 |
$71.93 |
$82.38
|
|
Fibrinolytic plasminogen
|
$51.10 |
$51.10 |
$51.10 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$25.55 |
$25.55 |
$25.55 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$6,613.25 |
$6,613.25 |
$6,613.25 |
$6,152.59
|
|
Filter vena cava fem denali
|
$4,773.30 |
$4,773.30 |
$4,773.30 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$412.48 |
$412.48 |
$412.48 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$268.63 |
$268.63 |
$268.63 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$217.53 |
$217.53 |
$217.53 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$188.65 |
$188.65 |
$188.65 |
$547.53
|
|
Finger joint sz00 swanson w/grommets
|
$907.20 |
$907.20 |
$907.20 |
$3,605.86
|
|
Flecainide (tambocor)-sendout
|
$67.90 |
$67.90 |
$67.90 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$213.50 |
$213.50 |
$213.50 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$36.75 |
$36.75 |
$36.75 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$33.25 |
$33.25 |
$33.25 |
$2,040.09
|
|
Flow cytometry interp 16 or more
|
$53.38 |
$53.38 |
$53.38 |
$208.80
|
|
Flow cytometry marker each additional
|
$57.93 |
$57.93 |
$57.93 |
$103.00
|
|
Flow cytometry one marker technical component
|
$240.28 |
$240.28 |
$240.28 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$48.13 |
$48.13 |
$48.13 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$2.32 |
$2.32 |
$2.32 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$10.11 |
$10.11 |
$10.11 |
$601.96
|
|
Fluid pressure muscle 20950
|
$272.48 |
$272.48 |
$272.48 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$321.30 |
$321.30 |
$321.30 |
$507.00
|
|
Fluoroguide needle placement
|
$334.08 |
$334.08 |
$334.08 |
$536.26
|
|
Fluoro polarize fetal lung
|
$41.83 |
$41.83 |
$41.83 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$237.48 |
$237.48 |
$237.48 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.60 |
$0.60 |
$0.60 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$1.44 |
$1.44 |
$1.44 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$498.93 |
$498.93 |
$498.93 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$364.53 |
$364.53 |
$364.53 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$498.93 |
$498.93 |
$498.93 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$364.53 |
$364.53 |
$364.53 |
$612.30
|
|
Folic acid
|
$37.10 |
$37.10 |
$37.10 |
$90.60
|
|
Follow-up angiography
|
$493.85 |
$493.85 |
$493.85 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$103.60 |
$103.60 |
$103.60 |
$2,860.43
|
|
Fondaparinux sodium
|
$52.19 |
$52.19 |
$52.19 |
$176.81
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$247.63 |
$247.63 |
$247.63 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2.73 |
$2.73 |
$2.73 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$2.71 |
$2.71 |
$2.71 |
$107.31
|
|
Fragmenting of kidney stone
|
$2,561.30 |
$2,561.30 |
$2,561.30 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$134.05 |
$134.05 |
$134.05 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$96.25 |
$96.25 |
$96.25 |
$149.50
|
|
Frozen blood freeze/thaw
|
$99.23 |
$99.23 |
$99.23 |
$144.00
|
|
Frozen plasma, pooled, sd
|
$156.28 |
$156.28 |
$156.28 |
$122.15
|
|
Fructosamine glycated protein
|
$11.73 |
$11.73 |
$11.73 |
$60.42
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,023.58 |
$1,023.58 |
$1,023.58 |
$2,465.10
|
|
Fundus photography with i&r 92250
|
$60.38 |
$60.38 |
$60.38 |
$200.42
|
|
Furosemide 10 mg/ml injection solution
|
$0.70 |
$0.70 |
$0.70 |
$27.69
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$0.23 |
$0.23 |
$0.23 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$63.88 |
$63.88 |
$63.88 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$96.95 |
$96.95 |
$96.95 |
$138.37
|
|
Gammaglobulin iga
|
$45.50 |
$45.50 |
$45.50 |
$75.30
|
|
Gammaglobulin ige
|
$64.75 |
$64.75 |
$64.75 |
$85.00
|
|
Gamma glutamyltransferase
|
$32.38 |
$32.38 |
$32.38 |
$55.28
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$9.74 |
$9.74 |
$9.74 |
$209.07
|
|
Gastroesophageal reflux study
|
$509.60 |
$509.60 |
$509.60 |
$957.25
|
|
Gastroesophageal reflux test
|
$492.10 |
$492.10 |
$492.10 |
$1,129.63
|
|
Gated heart multiple
|
$614.60 |
$614.60 |
$614.60 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$4.66 |
$4.66 |
$4.66 |
$252.84
|
|
General health panel
|
$296.45 |
$296.45 |
$296.45 |
$280.50
|
|
Generator barostim neo2 2014
|
$54,780.43 |
$54,780.43 |
$54,780.43 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$37,300.73 |
$37,300.73 |
$37,300.73 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.10 |
$2.10 |
$2.10 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$42.35 |
$42.35 |
$42.35 |
$119.00
|
|
Ghs abscess perianal iandd
|
$484.75 |
$484.75 |
$484.75 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$767.38 |
$767.38 |
$767.38 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$44.98 |
$44.98 |
$44.98 |
$42.21
|
|
Ghs analysis neurostim without reprogramming
|
$44.10 |
$44.10 |
$44.10 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$28.00 |
$28.00 |
$28.00 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$308.00 |
$308.00 |
$308.00 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$82.08 |
$82.08 |
$82.08 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$256.38 |
$256.38 |
$256.38 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$233.10 |
$233.10 |
$233.10 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$169.93 |
$169.93 |
$169.93 |
$699.60
|
|
Ghs chemo >8 hrs
|
$238.18 |
$238.18 |
$238.18 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$49.88 |
$49.88 |
$49.88 |
$291.60
|