|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$50.00 |
$50.00 |
$50.00 |
$101.40
|
|
Fern test
|
$13.60 |
$13.60 |
$13.60 |
$37.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2.01 |
$2.01 |
$2.01 |
$2,590.25
|
|
Ferritin
|
$34.00 |
$34.00 |
$34.00 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$0.74 |
$0.74 |
$0.74 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$913.20 |
$913.20 |
$913.20 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$420.40 |
$420.40 |
$420.40 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$531.60 |
$531.60 |
$531.60 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$433.60 |
$433.60 |
$433.60 |
$475.50
|
|
Fetal fibronectin
|
$149.60 |
$149.60 |
$149.60 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$9.20 |
$9.20 |
$9.20 |
$104.00
|
|
Fetal hemoglobin rosette
|
$18.00 |
$18.00 |
$18.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$48.00 |
$48.00 |
$48.00 |
$67.00
|
|
Fetal non stress test
|
$428.00 |
$428.00 |
$428.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$40.40 |
$40.40 |
$40.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$26.00 |
$26.00 |
$26.00 |
$120.05
|
|
Fibrin degradation products
|
$17.20 |
$17.20 |
$17.20 |
$74.25
|
|
Fibrinogen activity
|
$21.20 |
$21.20 |
$21.20 |
$85.86
|
|
Fibrinogen test
|
$24.00 |
$24.00 |
$24.00 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$18.00 |
$18.00 |
$18.00 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$21.60 |
$21.60 |
$21.60 |
$72.80
|
|
Fibrinolytic plasminogen
|
$33.60 |
$33.60 |
$33.60 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$16.00 |
$16.00 |
$16.00 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$24,933.60 |
$24,933.60 |
$24,933.60 |
$7,188.75
|
|
Filter vena cava fem denali
|
$4,026.00 |
$4,026.00 |
$4,026.00 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$530.80 |
$530.80 |
$530.80 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$346.00 |
$346.00 |
$346.00 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$280.80 |
$280.80 |
$280.80 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$350.40 |
$350.40 |
$350.40 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$4,912.00 |
$4,912.00 |
$4,912.00 |
$4,584.72
|
|
Fix g/colon tube w/device
|
$637.20 |
$637.20 |
$637.20 |
$1,165.45
|
|
Flecainide (tambocor)-sendout
|
$9.60 |
$9.60 |
$9.60 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$416.00 |
$416.00 |
$416.00 |
$523.95
|
|
Flex foot system
|
$2,530.40 |
$2,530.40 |
$2,530.40 |
$4,746.00
|
|
Flexible keel foot
|
$244.80 |
$244.80 |
$244.80 |
$590.47
|
|
Flex thermoplastic collar mo
|
$115.20 |
$115.20 |
$115.20 |
$187.60
|
|
Flex-walk sys low ext prosth
|
$2,044.40 |
$2,044.40 |
$2,044.40 |
$3,684.80
|
|
Flow cytometry interp 16 or more
|
$215.20 |
$215.20 |
$215.20 |
$194.00
|
|
Flow cytometry marker each additional
|
$60.40 |
$60.40 |
$60.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$231.20 |
$231.20 |
$231.20 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$164.00 |
$164.00 |
$164.00 |
$172.50
|
|
Flt3 gene
|
$221.60 |
$221.60 |
$221.60 |
$355.00
|
|
Flt3 gene analysis
|
$114.00 |
$114.00 |
$114.00 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$35.92 |
$35.92 |
$35.92 |
$64.15
|
|
Fluidotherapy charges pt
|
$40.40 |
$40.40 |
$40.40 |
$98.40
|
|
Fluorescent antibody titer dna
|
$31.20 |
$31.20 |
$31.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,752.00 |
$1,752.00 |
$1,752.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$161.20 |
$161.20 |
$161.20 |
$495.95
|
|
Fluoroguide needle placement
|
$197.20 |
$197.20 |
$197.20 |
$497.20
|
|
Fluoro polarize fetal lung
|
$48.00 |
$48.00 |
$48.00 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$571.20 |
$571.20 |
$571.20 |
$497.40
|
|
Fna bx w/ct gdn 1st les
|
$643.20 |
$643.20 |
$643.20 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$470.40 |
$470.40 |
$470.40 |
$834.90
|
|
Folic acid
|
$30.40 |
$30.40 |
$30.40 |
$99.96
|
|
Follow-up angiography
|
$929.60 |
$929.60 |
$929.60 |
$1,939.14
|
|
Foot drp splt w/exp heel lg
|
$371.20 |
$371.20 |
$371.20 |
$143.87
|
|
Foot lamin/prepreg composite
|
$78.00 |
$78.00 |
$78.00 |
$289.76
|
|
Foot longitud/metatarsal sup
|
$121.20 |
$121.20 |
$121.20 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$31.20 |
$31.20 |
$31.20 |
$76.32
|
|
Foot plate molded stirrup at
|
$277.60 |
$277.60 |
$277.60 |
$620.64
|
|
Foot single axis ankle/foot
|
$194.00 |
$194.00 |
$194.00 |
$350.00
|
|
Foot X-ray
|
$266.40 |
$266.40 |
$266.40 |
$352.08
|
|
Forearm/arm cuffs free motio
|
$448.00 |
$448.00 |
$448.00 |
$901.60
|
|
Fracture assessment via dxa
|
$241.60 |
$241.60 |
$241.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$31.60 |
$31.60 |
$31.60 |
$183.74
|
|
Frame typ socket bel elbow/w
|
$360.00 |
$360.00 |
$360.00 |
$658.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$247.60 |
$247.60 |
$247.60 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$215.60 |
$215.60 |
$215.60 |
$164.16
|
|
Frozen cell preparation
|
$37.20 |
$37.20 |
$37.20 |
$31.81
|
|
Fructosamine glycated protein
|
$32.40 |
$32.40 |
$32.40 |
$61.75
|
|
Ft insert ucb berkeley shell
|
$192.00 |
$192.00 |
$192.00 |
$660.30
|
|
Ftl cgen abnor four anal
|
$297.20 |
$297.20 |
$297.20 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$68.40 |
$68.40 |
$68.40 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$220.80 |
$220.80 |
$220.80 |
$439.60
|
|
Full sole/heel wedge btween
|
$33.60 |
$33.60 |
$33.60 |
$113.14
|
|
Furnsh initial orthosis only
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$1.56 |
$1.56 |
$1.56 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$31.02 |
$31.02 |
$31.02 |
$27.08
|
|
Fxn gene detc abnor alleles
|
$183.20 |
$183.20 |
$183.20 |
$200.88
|
|
Fxn gene full gene sequence
|
$549.60 |
$549.60 |
$549.60 |
$379.27
|
|
G6pd full gene sequence
|
$432.40 |
$432.40 |
$432.40 |
$1,320.00
|
|
G6pd known familial variant
|
$528.40 |
$528.40 |
$528.40 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$167.20 |
$167.20 |
$167.20 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$234.00 |
$234.00 |
$234.00 |
$139.70
|
|
Gabapentin non-blood
|
$122.00 |
$122.00 |
$122.00 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$108.40 |
$108.40 |
$108.40 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$30.22 |
$30.22 |
$30.22 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$34.00 |
$34.00 |
$34.00 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$53.20 |
$53.20 |
$53.20 |
$100.00
|
|
Galectin-3
|
$49.60 |
$49.60 |
$49.60 |
$111.60
|
|
Gallium illuccix 1 millicure
|
$2,338.80 |
$2,338.80 |
$2,338.80 |
$2,046.76
|
|
Gammaglobulin iga
|
$23.20 |
$23.20 |
$23.20 |
$69.42
|
|
Gammaglobulin ige
|
$41.60 |
$41.60 |
$41.60 |
$83.40
|
|
Gamma glutamyltransferase
|
$18.00 |
$18.00 |
$18.00 |
$57.54
|
|
Gastric analy w/ph ea spec
|
$13.20 |
$13.20 |
$13.20 |
$31.50
|
|
Gastroesophageal reflux study
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,031.60
|
|
Gastro/jejuno tube, std
|
$3,424.00 |
$3,424.00 |
$3,424.00 |
$337.96
|
|
Gated heart multiple
|
$1,249.20 |
$1,249.20 |
$1,249.20 |
$1,395.35
|
|
Gba gene
|
$83.20 |
$83.20 |
$83.20 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$45.20 |
$45.20 |
$45.20 |
$68.30
|
