|
Fat/lipids feces qualitative
|
$17.33 |
$17.33 |
$17.33 |
$37.39
|
|
Fatty acids nonesterified
|
$35.28 |
$35.28 |
$35.28 |
$56.70
|
|
#fecal-sodium
|
$25.20 |
$25.20 |
$25.20 |
$37.50
|
|
Feeding tube reposition
|
$3,372.99 |
$3,372.99 |
$3,372.99 |
$438.70
|
|
Fem/popl revasc w/stent
|
$8,453.55 |
$8,453.55 |
$8,453.55 |
$18,697.29
|
|
Fern test
|
$924.49 |
$924.49 |
$924.49 |
$17.72
|
|
Ferritin
|
$103.27 |
$103.27 |
$1,361.34 |
$103.95
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6,933.17 |
$6,933.17 |
$6,933.17 |
$1,934.11
|
|
Fetal contract stress test 59020 - 26
|
$1,599.94 |
$1,599.94 |
$1,599.94 |
$555.60
|
|
Fetal fibronectin
|
$1,973.56 |
$1,973.56 |
$1,973.56 |
$348.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$48.83 |
$48.83 |
$2,504.26 |
$87.55
|
|
Fetal hemoglobin rosette
|
$2,519.63 |
$2,519.63 |
$2,519.63 |
$78.00
|
|
Fibrin degradation d dimer quantitative
|
$184.10 |
$184.10 |
$1,344.42 |
$112.80
|
|
Fibrin degradation products
|
$79.07 |
$79.07 |
$1,239.83 |
$59.43
|
|
Fibrin degrade semiquant
|
$122.54 |
$122.54 |
$122.54 |
$90.35
|
|
Fibrinogen activity
|
$92.40 |
$92.40 |
$1,030.62 |
$82.38
|
|
Fibrinolytic plasminogen
|
$146.48 |
$146.48 |
$146.48 |
$112.02
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$19.53 |
$19.53 |
$19.53 |
$60.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$482.90 |
$482.90 |
$482.90 |
$1,411.44
|
|
Filter spider fx 3mmx320cm
|
$2,749.27 |
$2,749.27 |
$2,749.27 |
$5,280.63
|
|
Filter vena cava fem denali
|
$3,223.35 |
$3,223.35 |
$3,223.35 |
$3,223.35
|
|
Finasteride, 5 mg
|
$74.85 |
$74.85 |
$74.85 |
$4.87
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$991.90 |
$991.90 |
$991.90 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$646.10 |
$646.10 |
$646.10 |
$621.75
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$522.90 |
$522.90 |
$522.90 |
$785.65
|
|
Fine needle asp without image guide 10021
|
$292.60 |
$292.60 |
$292.60 |
$547.53
|
|
Fix g/colon tube w/device
|
$907.90 |
$907.90 |
$907.90 |
$1,204.00
|
|
Fl exam g/colon tube w contrast
|
$245.70 |
$245.70 |
$245.70 |
$555.00
|
|
Flow cytometry interp 16 or more
|
$90.09 |
$90.09 |
$90.09 |
$208.80
|
|
Flow cytometry marker each additional
|
$124.11 |
$124.11 |
$1,205.97 |
$102.00
|
|
Flow cytometry one marker technical component
|
$360.15 |
$360.15 |
$360.15 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$72.14 |
$72.14 |
$72.14 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$15.05 |
$15.05 |
$15.05 |
$84.72
|
|
Fludarabine 50 mg intravenous solution
|
$10,184.07 |
$10,184.07 |
$10,184.07 |
$599.82
|
|
Fluidotherapy charges pt
|
$143.15 |
$143.15 |
$143.15 |
$98.90
|
|
Fluorescein&icg angiography
|
$12,045.94 |
$12,045.94 |
$12,045.94 |
$368.50
|
|
Fluorescent antibody titer dna
|
$70.00 |
$70.00 |
$70.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$751.13 |
$751.13 |
$751.13 |
$507.00
|
|
Fluoroguide needle placement
|
$2,696.75 |
$2,696.75 |
$2,696.75 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$484.74 |
$484.74 |
$484.74 |
$492.75
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$161.92 |
$161.92 |
$161.92 |
$105.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$806.94 |
$806.94 |
$806.94 |
$148.04
|
|
Fna bx w/ct gdn 1st les
|
$760.55 |
$760.55 |
$760.55 |
$1,496.88
|
|
Fna bx w/ct gdn ea addl
|
$555.80 |
$555.80 |
$555.80 |
$767.47
|
|
Fna bx w/mr gdn 1st les
|
$811.30 |
$811.30 |
$811.30 |
$932.80
|
|
Fna bx w/mr gdn ea addl
|
$592.90 |
$592.90 |
$592.90 |
$612.30
|
|
Folic acid
|
$63.95 |
$63.95 |
$1,453.63 |
$87.75
|
|
Folic acid 5 mg/ml injection solution
|
$88.43 |
$88.43 |
$88.43 |
$50.70
|
|
Follow-up angiography
|
$334.85 |
$334.85 |
$334.85 |
$1,885.45
|
|
Fondaparinux sodium
|
$168.69 |
$168.69 |
$168.69 |
$172.35
|
|
Foot drp splt w/exp heel lg
|
$1,289.36 |
$1,289.36 |
$1,289.36 |
$120.31
|
|
Foot X-ray
|
$620.90 |
$620.90 |
$620.90 |
$364.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$8.82 |
$8.82 |
$8.82 |
$104.97
|
|
Fractionation ketosteroids
|
$189.00 |
$189.00 |
$189.00 |
$72.00
|
|
Fracture assessment via dxa
|
$109.31 |
$109.31 |
$109.31 |
$137.80
|
|
Fragmenting of kidney stone
|
$7,211.82 |
$7,211.82 |
$7,211.82 |
$9,382.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$136.85 |
$136.85 |
$136.85 |
$149.73
|
|
Fructosamine glycated protein
|
$18.90 |
$18.90 |
$629.13 |
$59.76
|
|
Furosemide 10 mg/ml injection solution
|
$16.17 |
$16.17 |
$16.17 |
$22.49
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$8.82 |
$8.82 |
$8.82 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$81.90 |
$81.90 |
$966.22 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$874.98 |
$874.98 |
$874.98 |
$140.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$54.50 |
$54.50 |
$54.50 |
$82.50
|
|
Galactose transferase test
|
$49.77 |
$49.77 |
$801.42 |
$22.18
|
|
Gammaglobulin iga
|
$130.90 |
$130.90 |
$130.90 |
$75.30
|
|
Gammaglobulin ige
|
$124.95 |
$124.95 |
$1,364.41 |
$83.85
|
|
Gamma glutamyltransferase
|
$59.35 |
$59.35 |
$1,050.61 |
$55.28
|
|
Gamunex-c/gammaked
|
$1,962.09 |
$1,962.09 |
$1,962.09 |
$7,372.04
|
|
Gastric emptying imag study
|
$3,321.20 |
$3,321.20 |
$3,321.20 |
$1,270.50
|
|
Gastric emptying imag study
|
$4,410.00 |
$4,410.00 |
$4,410.00 |
$1,664.33
|
|
Gastroesophageal reflux study
|
$5,700.71 |
$5,700.71 |
$5,700.71 |
$917.28
|
|
Generator barostim neo2 2014
|
$37,150.95 |
$37,150.95 |
$37,150.95 |
$48,475.80
|
|
Generator emblem MRI sicd subq
|
$44,648.31 |
$44,648.31 |
$44,648.31 |
$34,856.64
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$7.72 |
$7.72 |
$7.72 |
$55.50
|
|
Gentamicin peak therapeutic drug level
|
$57.05 |
$57.05 |
$1,495.16 |
$118.30
|
|
Ghs abscess perianal iandd
|
$355.01 |
$355.01 |
$355.01 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$1,036.67 |
$1,036.67 |
$1,036.67 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$37.80 |
$37.80 |
$37.80 |
$39.60
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$50.09 |
$50.09 |
$521.47 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$30.56 |
$30.56 |
$2,327.37 |
$73.44
|
|
Ghs bladder cath - complex-foley
|
$154.04 |
$154.04 |
$154.04 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$27.41 |
$27.41 |
$27.41 |
$55.90
|
|
Ghs central line insert < age 5, failed
|
$505.75 |
$505.75 |
$505.75 |
$2,584.80
|
|
Ghs change cysto/gastrost
|
$144.59 |
$144.59 |
$144.59 |
$689.92
|
|
Ghs chemo IV push, ea addtl
|
$94.50 |
$94.50 |
$94.50 |
$295.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$166.95 |
$166.95 |
$166.95 |
$599.00
|
|
Ghs closed reduction ankle dislocation
|
$215.46 |
$215.46 |
$215.46 |
$732.75
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$461.16 |
$461.16 |
$461.16 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$126.95 |
$126.95 |
$126.95 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$472.19 |
$472.19 |
$472.19 |
$2,578.79
|
|
Ghs closure surg wound/dehiscence-13160
|
$950.99 |
$950.99 |
$950.99 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$126.95 |
$126.95 |
$126.95 |
$589.55
|
|
Ghs clsd red med malleolus fx w manip
|
$472.19 |
$472.19 |
$472.19 |
$2,347.20
|
|
Ghs cl tx knee disl; wo anesth
|
$126.95 |
$126.95 |
$126.95 |
$720.73
|
|
Ghs cl tx metacarpophal disloc without anes
|
$87.57 |
$87.57 |
$87.57 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$358.87 |
$358.87 |
$358.87 |
$89.70
|
|
Ghs conjunctiva foreign body-embed bil
|
$112.77 |
$112.77 |
$112.77 |
$445.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$54.50 |
$54.50 |
$54.50 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$159.08 |
$159.08 |
$159.08 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$164.43 |
$164.43 |
$164.43 |
$372.00
|
