|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,083.50 |
$1,083.50 |
$1,083.50 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$580.00 |
$580.00 |
$580.00 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$546.00 |
$546.00 |
$546.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$580.00 |
$580.00 |
$580.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$241.50 |
$241.50 |
$241.50 |
$241.50
|
|
Fix g/colon tube w/device
|
$316.50 |
$316.50 |
$316.50 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$15,718.00 |
$15,718.00 |
$15,718.00 |
$4,499.12
|
|
Flecainide (tambocor)-sendout
|
$172.00 |
$172.00 |
$172.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$323.50 |
$323.50 |
$323.50 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$1,443.50 |
$1,443.50 |
$1,443.50 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$90.00 |
$90.00 |
$90.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$187.50 |
$187.50 |
$187.50 |
$285.00
|
|
Flt3 gene
|
$422.50 |
$422.50 |
$422.50 |
$366.29
|
|
Flt3 gene analysis
|
$302.50 |
$302.50 |
$302.50 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$39.93 |
$39.93 |
$39.93 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$93.99 |
$93.99 |
$93.99 |
$493.35
|
|
Fluidotherapy charges pt
|
$95.00 |
$95.00 |
$95.00 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,190.00 |
$1,190.00 |
$1,190.00 |
$779.45
|
|
Fluorescent antibody titer dna
|
$62.00 |
$62.00 |
$62.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$532.00 |
$532.00 |
$532.00 |
$495.00
|
|
Fluoroguide needle placement
|
$553.50 |
$553.50 |
$553.50 |
$497.92
|
|
Fluoro polarize fetal lung
|
$171.50 |
$171.50 |
$171.50 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$569.00 |
$569.00 |
$569.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$26.07 |
$26.07 |
$26.07 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$11.59 |
$11.59 |
$11.59 |
$72.52
|
|
Fmri brain by phys/psych
|
$731.00 |
$731.00 |
$731.00 |
$1,639.00
|
|
Fmri brain by tech
|
$731.00 |
$731.00 |
$731.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,083.50 |
$1,083.50 |
$1,083.50 |
$834.90
|
|
Foam stability fetal lung
|
$171.50 |
$171.50 |
$171.50 |
$48.00
|
|
Folic acid
|
$148.00 |
$148.00 |
$148.00 |
$101.50
|
|
Follow-up angiography
|
$1,646.50 |
$1,646.50 |
$1,646.50 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$19.32 |
$19.32 |
$19.32 |
$2,511.73
|
|
Fondaparinux sodium
|
$3.89 |
$3.89 |
$3.89 |
$186.20
|
|
Foot drp splt w/exp heel lg
|
$93.00 |
$93.00 |
$93.00 |
$143.14
|
|
Foot X-ray
|
$339.50 |
$339.50 |
$339.50 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$339.50 |
$339.50 |
$339.50 |
$290.40
|
|
Forearm X-ray (both sides)
|
$329.50 |
$329.50 |
$329.50 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$394.00 |
$394.00 |
$394.00 |
$534.00
|
|
Foscarnet sodium injection
|
$65.62 |
$65.62 |
$65.62 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$9.18 |
$9.18 |
$9.18 |
$103.62
|
|
Fractionation ketosteroids
|
$393.00 |
$393.00 |
$393.00 |
$160.89
|
|
Fracture assessment via dxa
|
$256.00 |
$256.00 |
$256.00 |
$175.50
|
|
_fragile x methylation-sendout
|
$245.50 |
$245.50 |
$245.50 |
$183.74
|
|
Frenectomy 41115
|
$6,038.50 |
$6,038.50 |
$6,038.50 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$351.00 |
$351.00 |
$351.00 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$295.50 |
$295.50 |
$295.50 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$56.50 |
$56.50 |
$56.50 |
$131.25
|
|
Frozen blood freeze/thaw
|
$209.50 |
$209.50 |
$209.50 |
$179.01
|
|
Frozen blood prep
|
$209.50 |
$209.50 |
$209.50 |
$209.50
|
|
Frozen blood thaw
|
$209.50 |
$209.50 |
$209.50 |
$212.30
|
|
Frozen cell preparation
|
$74.50 |
$74.50 |
$74.50 |
$31.81
|
|
Frozen plasma, pooled, sd
|
$182.00 |
$182.00 |
$182.00 |
$170.00
|
|
Fructosamine glycated protein
|
$114.50 |
$114.50 |
$114.50 |
$63.50
|
|
Ftl cgen abnor four anal
|
$525.50 |
$525.50 |
$525.50 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$346.50 |
$346.50 |
$346.50 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,896.00 |
$2,896.00 |
$2,896.00 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,469.00 |
$2,469.00 |
$2,469.00 |
$2,499.37
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,221.50 |
$3,221.50 |
$3,221.50 |
$2,798.50
|
|
Furosemide 10 mg/ml injection solution
|
$13.47 |
$13.47 |
$13.47 |
$19.53
|
|
G6pc gene
|
$353.00 |
$353.00 |
$353.00 |
$138.40
|
|
G6pd full gene sequence
|
$1,763.00 |
$1,763.00 |
$1,763.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$513.50 |
$513.50 |
$513.50 |
$243.00
|
|
G6pd known familial variant
|
$1,102.00 |
$1,102.00 |
$1,102.00 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$7.72 |
$7.72 |
$7.72 |
$121.73
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.82 |
$1.82 |
$1.82 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$9.67 |
$9.67 |
$9.67 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.64 |
$2.64 |
$2.64 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$22.50 |
$22.50 |
$22.50 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$182.00 |
$182.00 |
$182.00 |
$100.00
|
|
Galactokinase - sendout
|
$193.50 |
$193.50 |
$193.50 |
$204.97
|
|
Galactose transferase test
|
$43.50 |
$43.50 |
$43.50 |
$31.35
|
|
Galectin-3
|
$92.50 |
$92.50 |
$92.50 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,135.50 |
$1,135.50 |
$1,135.50 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,387.00 |
$1,387.00 |
$1,387.00 |
$1,615.00
|
|
Gammaglobulin iga
|
$142.00 |
$142.00 |
$142.00 |
$69.60
|
|
Gammaglobulin ige
|
$134.50 |
$134.50 |
$134.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$126.50 |
$126.50 |
$126.50 |
$57.54
|
|
Gamunex-c/gammaked
|
$81.25 |
$81.25 |
$81.25 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$44.89 |
$44.89 |
$44.89 |
$197.40
|
|
Gardner vag dna quant
|
$201.50 |
$201.50 |
$201.50 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$72.00 |
$72.00 |
$72.00 |
$31.50
|
|
Gastric emptying imag study
|
$1,442.50 |
$1,442.50 |
$1,442.50 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,665.50 |
$1,665.50 |
$1,665.50 |
$1,665.50
|
|
Gastrin test
|
$159.50 |
$159.50 |
$159.50 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,329.00 |
$1,329.00 |
$1,329.00 |
$1,031.60
|
|
Gba gene
|
$396.50 |
$396.50 |
$396.50 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$17.18 |
$17.18 |
$17.18 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$309.31 |
$309.31 |
$309.31 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$85,279.40 |
$85,279.40 |
$85,279.40 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$47,086.11 |
$47,086.11 |
$47,086.11 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$6,981.00 |
$6,981.00 |
$6,981.00 |
$3,978.65
|
|
Genome sequence analysis
|
$7,547.00 |
$7,547.00 |
$7,547.00 |
$5,031.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$38.75 |
$38.75 |
$38.75 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$179.00 |
$179.00 |
$179.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,530.50 |
$1,530.50 |
$1,530.50 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,776.00 |
$3,776.00 |
$3,776.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$118.00 |
$118.00 |
$118.00 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$145.50 |
$145.50 |
$145.50 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$394.20
|
