|
Etoposide 20 mg/ml intravenous solution
|
$92.70 |
$92.70 |
$92.70 |
$235.20
|
|
Etoposide 50 mg cap
|
$277.84 |
$277.84 |
$277.84 |
$135.02
|
|
Euglobulin lysis
|
$31.80 |
$31.80 |
$31.80 |
$56.70
|
|
Evaluation of speech fluency 92521
|
$213.00 |
$213.00 |
$213.00 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$286.80 |
$286.80 |
$286.80 |
$312.00
|
|
Event monitor
|
$720.00 |
$720.00 |
$720.00 |
$242.65
|
|
Ewhfo w/joint(s) cf
|
$4,409.85 |
$4,409.85 |
$4,409.85 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$2,543.50 |
$2,543.50 |
$2,543.50 |
$907.92
|
|
Exc benign tal 0.5 < cm 11400
|
$467.40 |
$467.40 |
$467.40 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$467.40 |
$467.40 |
$467.40 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,721.88 |
$3,721.88 |
$3,721.88 |
$2,166.78
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$268.80 |
$268.80 |
$268.80 |
$765.50
|
|
Excis partial tal calc
|
$7,321.57 |
$7,321.57 |
$7,321.57 |
$3,591.33
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$5,839.66 |
$5,839.66 |
$5,839.66 |
$1,917.33
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$3,107.80 |
$3,107.80 |
$3,107.80 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$3,247.15 |
$3,247.15 |
$3,247.15 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$5,839.66 |
$5,839.66 |
$5,839.66 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$3,386.84
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$3,837.08 |
$3,837.08 |
$3,837.08 |
$2,014.93
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$4,018.11 |
$4,018.11 |
$4,018.11 |
$1,917.33
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$8,628.22 |
$8,628.22 |
$8,628.22 |
$4,048.38
|
|
Exploration of toe joint
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,788.80
|
|
Explore/treat finger joint
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$2,146.20
|
|
Extended steel shank
|
$184.00 |
$184.00 |
$184.00 |
$122.00
|
|
Extension per extension per
|
$202.76 |
$202.76 |
$202.76 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$478.80 |
$478.80 |
$478.80 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$57.60 |
$57.60 |
$57.60 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$94.80 |
$94.80 |
$94.80 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$77.40 |
$77.40 |
$77.40 |
$108.60
|
|
Eye implant band 40
|
$5,641.12 |
$5,641.12 |
$5,641.12 |
$6,394.52
|
|
F-18 fdg pet diag
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,857.76 |
$6,857.76 |
$6,857.76 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$12,399.55 |
$12,399.55 |
$12,399.55 |
$940.00
|
|
Facial bones <3
|
$156.00 |
$156.00 |
$156.00 |
$252.60
|
|
Factor ix
|
$73.80 |
$73.80 |
$73.80 |
$156.13
|
|
Factor ix idelvion inj
|
$45,206.40 |
$45,206.40 |
$45,206.40 |
$14.35
|
|
Factor ix recombinant nos
|
$8,456.40 |
$8,456.40 |
$8,456.40 |
$4.65
|
|
Factor viii
|
$70.20 |
$70.20 |
$70.20 |
$133.81
|
|
Family therapy with patient 50 min 90847
|
$289.20 |
$289.20 |
$289.20 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.80 |
$4.80 |
$4.80 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,555.65 |
$5,555.65 |
$5,555.65 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$19.80 |
$19.80 |
$19.80 |
$38.35
|
|
Fatty acids nonesterified
|
$571.20 |
$571.20 |
$571.20 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,688.44 |
$1,688.44 |
$1,688.44 |
$956.25
|
|
#fecal-sodium
|
$18.60 |
$18.60 |
$18.60 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$59.40 |
$59.40 |
$59.40 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$192.55 |
$192.55 |
$192.55 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$77.52 |
$77.52 |
$77.52 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,385.61 |
$2,385.61 |
$2,385.61 |
$2,590.25
|
|
Ferritin
|
$53.40 |
$53.40 |
$53.40 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$865.91 |
$865.91 |
$865.91 |
$1,776.61
|
|
Fetal chrmoml microdeltj
|
$694.80 |
$694.80 |
$694.80 |
$834.96
|
|
Fetal fibronectin
|
$237.00 |
$237.00 |
$237.00 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$29.40 |
$29.40 |
$29.40 |
$105.12
|
|
Fetal hemoglobin rosette
|
$31.80 |
$31.80 |
$31.80 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$148.20 |
$148.20 |
$148.20 |
$117.70
|
|
Fibrin degradation products
|
$28.20 |
$28.20 |
$28.20 |
$62.64
|
|
Fibrinogen activity
|
$36.60 |
$36.60 |
$36.60 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$48.60 |
$48.60 |
$48.60 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$168.60 |
$168.60 |
$168.60 |
$72.80
|
|
Fibrinolytic plasminogen
|
$460.20 |
$460.20 |
$460.20 |
$107.50
|
|
Fibrinolytic plasminogen
|
$150.00 |
$150.00 |
$150.00 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$24.60 |
$24.60 |
$24.60 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,429.63 |
$1,429.63 |
$1,429.63 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$860.92 |
$860.92 |
$860.92 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$711.15 |
$711.15 |
$711.15 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$59,220.08 |
$59,220.08 |
$59,220.08 |
$7,160.28
|
|
Filter vena cava fem denali
|
$8,196.81 |
$8,196.81 |
$8,196.81 |
$3,718.18
|
|
Fine needle asp without image guide 10021
|
$326.40 |
$326.40 |
$326.40 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$9,075.55 |
$9,075.55 |
$9,075.55 |
$4,584.72
|
|
Flebogamma injection
|
$14,349.50 |
$14,349.50 |
$14,349.50 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$59.40 |
$59.40 |
$59.40 |
$66.43
|
|
Flex thermoplastic collar mo
|
$614.66 |
$614.66 |
$614.66 |
$187.60
|
|
Flow cytometry one marker technical component
|
$1,218.60 |
$1,218.60 |
$1,218.60 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$10,129.45 |
$10,129.45 |
$10,129.45 |
$6,814.14
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$57.12 |
$57.12 |
$57.12 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$170.10 |
$170.10 |
$170.10 |
$493.35
|
|
Fluid pressure muscle 20950
|
$467.40 |
$467.40 |
$467.40 |
$768.94
|
|
Fluorescent antibody titer dna
|
$95.40 |
$95.40 |
$95.40 |
$122.82
|
|
Fluoroestradiol f 18
|
$11,076.00 |
$11,076.00 |
$11,076.00 |
$1,491.00
|
|
Fluoroscopy up to 1 hour
|
$665.40 |
$665.40 |
$665.40 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$39.19 |
$39.19 |
$39.19 |
$72.52
|
|
Folic acid
|
$57.60 |
$57.60 |
$57.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$4.80 |
$4.80 |
$4.80 |
$54.75
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,022.88 |
$4,022.88 |
$4,022.88 |
$2,581.14
|
|
Fondaparinux sodium
|
$221.63 |
$221.63 |
$221.63 |
$185.12
|
|
Fo nontorsion joint cf
|
$717.49 |
$717.49 |
$717.49 |
$217.50
|
|
Foot arch supp premold metat
|
$167.98 |
$167.98 |
$167.98 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$122.93 |
$122.93 |
$122.93 |
$143.87
|
|
Foot external keel sach foot
|
$727.34 |
$727.34 |
$727.34 |
$482.25
|
|
Foot insert plastazote or eq
|
$576.35 |
$576.35 |
$576.35 |
$365.48
|
|
Foot insert remov molded spe
|
$472.02 |
$472.02 |
$472.02 |
$312.97
|
|
Foot insert silicone gel eac
|
$621.74 |
$621.74 |
$621.74 |
$295.47
|
|
Foot lamin/prepreg composite
|
$437.03 |
$437.03 |
$437.03 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$181.51 |
$181.51 |
$181.51 |
$76.32
|
|
Foot plate molded stirrup at
|
$1,192.00 |
$1,192.00 |
$1,192.00 |
$714.12
|
|
Foot X-ray
|
$240.00 |
$240.00 |
$240.00 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$2,943.41 |
$2,943.41 |
$2,943.41 |
$580.42
|
