|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$217.12 |
$217.12 |
$217.12 |
$393.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$30.82 |
$30.82 |
$30.82 |
$102.40
|
|
F-18 fdg pet diag
|
$276.00 |
$276.00 |
$276.00 |
$551.72
|
|
F-18 fluciclovine per mci
|
$1,254.88 |
$1,254.88 |
$1,254.88 |
$910.43
|
|
F-18 sodium fluoride
|
$131.79 |
$131.79 |
$131.79 |
$532.20
|
|
F9 full gene sequence
|
$462.76 |
$462.76 |
$462.76 |
$992.40
|
|
Facial bones <3
|
$64.63 |
$64.63 |
$64.63 |
$252.60
|
|
Factor ix
|
$32.66 |
$32.66 |
$32.66 |
$143.00
|
|
Factor viii
|
$30.82 |
$30.82 |
$30.82 |
$130.80
|
|
Family therapy without pt 50min 90846
|
$117.76 |
$117.76 |
$117.76 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$124.89 |
$124.89 |
$124.89 |
$230.36
|
|
Fat/lipids feces qualitative
|
$8.97 |
$8.97 |
$8.97 |
$36.75
|
|
Felbamate (felbatol(r)) - sendout
|
$23.69 |
$23.69 |
$23.69 |
$57.40
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$24.07 |
$24.07 |
$24.07 |
$101.40
|
|
Ferritin
|
$23.46 |
$23.46 |
$23.46 |
$97.29
|
|
Fetal hemoglobin rosette
|
$11.27 |
$11.27 |
$11.27 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$13.34 |
$13.34 |
$13.34 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$17.48 |
$17.48 |
$17.48 |
$113.40
|
|
Fibrin degradation products
|
$11.73 |
$11.73 |
$11.73 |
$61.80
|
|
Fibrinogen activity
|
$14.72 |
$14.72 |
$14.72 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$4.37 |
$4.37 |
$4.37 |
$68.40
|
|
Fibrinolytic plasminogen
|
$28.52 |
$28.52 |
$28.52 |
$94.36
|
|
Flecainide (tambocor)-sendout
|
$23.69 |
$23.69 |
$23.69 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$224.02 |
$224.02 |
$224.02 |
$528.62
|
|
Flow cytometry marker each additional
|
$60.72 |
$60.72 |
$60.72 |
$97.50
|
|
Flow cytometry one marker technical component
|
$99.36 |
$99.36 |
$99.36 |
$270.75
|
|
Fluidotherapy charges pt
|
$21.39 |
$21.39 |
$21.39 |
$98.40
|
|
Fluorescent antibody titer dna
|
$20.70 |
$20.70 |
$20.70 |
$123.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$501.46 |
$501.46 |
$501.46 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$2,492.74 |
$2,492.74 |
$2,492.74 |
$5,215.08
|
|
Folic acid
|
$25.30 |
$25.30 |
$25.30 |
$95.22
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,818.86 |
$1,818.86 |
$1,818.86 |
$2,481.61
|
|
Fondaparinux sodium
|
$80.44 |
$80.44 |
$80.44 |
$186.20
|
|
Foot X-ray
|
$75.21 |
$75.21 |
$75.21 |
$364.80
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$104.65 |
$104.65 |
$104.65 |
$551.20
|
|
Formoterol fumarate, inh
|
$31.75 |
$31.75 |
$31.75 |
$59.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$179.98 |
$179.98 |
$179.98 |
$94.85
|
|
_fragile x methylation-sendout
|
$94.99 |
$94.99 |
$94.99 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$58.42 |
$58.42 |
$58.42 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$106.26 |
$106.26 |
$106.26 |
$157.30
|
|
Fresh frozen plasma thawing ea un
|
$46.69 |
$46.69 |
$46.69 |
$115.29
|
|
Frozen blood thaw
|
$92.00 |
$92.00 |
$92.00 |
$202.78
|
|
Fructosamine glycated protein
|
$25.76 |
$25.76 |
$25.76 |
$56.40
|
|
Ftl cgen abnor four anal
|
$193.20 |
$193.20 |
$193.20 |
$210.60
|
|
Furosemide 10 mg/ml injection solution
|
$24.30 |
$24.30 |
$24.30 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$105.80 |
$105.80 |
$105.80 |
$153.56
|
|
Fxn gene full gene sequence
|
$212.06 |
$212.06 |
$212.06 |
$302.31
|
|
Ga-67 gallium 0.1 mci
|
$37.95 |
$37.95 |
$37.95 |
$125.70
|
|
Ga-68 gallium 68 dotatate
|
$506.00 |
$506.00 |
$506.00 |
$118.19
|
|
Gabapentin non-blood
|
$17.25 |
$17.25 |
$17.25 |
$35.95
|
|
Galectin-3
|
$23.00 |
$23.00 |
$23.00 |
$94.40
|
|
Gammaglobulin iga
|
$15.87 |
$15.87 |
$15.87 |
$67.20
|
|
Gammaglobulin ige
|
$28.29 |
$28.29 |
$28.29 |
$81.71
|
|
Gamma glutamyltransferase
|
$12.42 |
$12.42 |
$12.42 |
$57.00
|
|
General health panel
|
$48.30 |
$48.30 |
$48.30 |
$275.00
|
|
Genetic tstg severe inh cond
|
$3,083.61 |
$3,083.61 |
$3,083.61 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$70.50 |
$70.50 |
$70.50 |
$59.15
|
|
Gentamicin peak therapeutic drug level
|
$28.29 |
$28.29 |
$28.29 |
$121.22
|
|
Ghs abscess perianal iandd
|
$207.92 |
$207.92 |
$207.92 |
$1,472.88
|
|
Ghs abscess postoperative iandd complex
|
$742.67 |
$742.67 |
$742.67 |
$3,638.88
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$27.60 |
$27.60 |
$27.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$554.53 |
$554.53 |
$554.53 |
$362.55
|
|
Ghs analysis neurostim without reprogramming
|
$53.82 |
$53.82 |
$53.82 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$24.61 |
$24.61 |
$24.61 |
$67.35
|
|
Ghs central line insert < age 5, failed
|
$563.73 |
$563.73 |
$563.73 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$51.06 |
$51.06 |
$51.06 |
$600.41
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$60.03 |
$60.03 |
$60.03 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$127.42 |
$127.42 |
$127.42 |
$523.65
|
|
Ghs closed reduction ankle dislocation
|
$207.92 |
$207.92 |
$207.92 |
$712.33
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$207.92 |
$207.92 |
$207.92 |
$1,640.00
|
|
Ghs closed tx tibial fracture w/manip
|
$567.64 |
$567.64 |
$567.64 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$567.64 |
$567.64 |
$567.64 |
$2,260.50
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$278.76 |
$278.76 |
$278.76 |
$2,240.00
|
|
Ghs cl tx knee disl; wo anesth
|
$201.94 |
$201.94 |
$201.94 |
$633.28
|
|
Ghs cl tx metacarpophal disloc without anes
|
$77.74 |
$77.74 |
$77.74 |
$520.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$141.22 |
$141.22 |
$141.22 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$71.99 |
$71.99 |
$71.99 |
$296.40
|
|
Ghs corneal fb without slit lamp bilat
|
$71.99 |
$71.99 |
$71.99 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$71.53 |
$71.53 |
$71.53 |
$355.00
|
|
Ghs cricothyroidotomy
|
$231.15 |
$231.15 |
$231.15 |
$1,138.20
|
|
Ghs diphtheria toxoid ab igg
|
$25.53 |
$25.53 |
$25.53 |
$53.30
|
|
Ghs dislocation elbow closed treatment
|
$241.50 |
$241.50 |
$241.50 |
$644.88
|
|
Ghs ed rmvl or bivalving cast
|
$54.28 |
$54.28 |
$54.28 |
$351.46
|
|
Ghs excision ingrown nail
|
$67.85 |
$67.85 |
$67.85 |
$442.22
|
|
Ghs fb removal foot - deep - left
|
$411.01 |
$411.01 |
$411.01 |
$2,723.00
|
|
Ghs fb removal from muscle - complicated
|
$796.49 |
$796.49 |
$796.49 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$704.03 |
$704.03 |
$704.03 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$207.92 |
$207.92 |
$207.92 |
$1,767.48
|
|
Ghs fish hybrid in situ 100-300
|
$69.00 |
$69.00 |
$69.00 |
$220.41
|
|
Ghs flow volume loop
|
$90.62 |
$90.62 |
$90.62 |
$303.75
|
|
Ghs gastric intub aspiration lavage
|
$63.02 |
$63.02 |
$63.02 |
$368.50
|
|
Ghs hgb stability-thal
|
$14.26 |
$14.26 |
$14.26 |
$87.60
|
|
Ghs histoplasma antigen
|
$19.78 |
$19.78 |
$19.78 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$865.26 |
$865.26 |
$865.26 |
$2,633.28
|
|
Ghs i and d pilonidal cyst complex
|
$531.30 |
$531.30 |
$531.30 |
$1,418.78
|
|
Ghs i and d pilonidal cyst simple
|
$120.52 |
$120.52 |
$120.52 |
$691.95
|
|
Ghs incision thrombosed ext hemorrhoid
|
$241.50 |
$241.50 |
$241.50 |
$526.50
|
|
Ghs inhibitor screen
|
$22.08 |
$22.08 |
$22.08 |
$181.30
|
|
Ghs init tx 1st degree burn
|
$63.94 |
$63.94 |
$63.94 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$55.89 |
$55.89 |
$55.89 |
$431.07
|
