|
F-18 sodium fluoride
|
$184.34 |
$184.34 |
$184.34 |
$492.56
|
|
Facial bones <3
|
$215.60 |
$215.60 |
$215.60 |
$252.60
|
|
Factor ix
|
$98.80 |
$98.80 |
$98.80 |
$154.50
|
|
Factor viii
|
$58.00 |
$58.00 |
$58.00 |
$144.82
|
|
Family therapy with patient 50 min 90847
|
$210.80 |
$210.80 |
$210.80 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.76 |
$0.76 |
$0.76 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$44.24 |
$44.24 |
$44.24 |
$5,894.50
|
|
Fatty acids nonesterified
|
$19.60 |
$19.60 |
$19.60 |
$64.28
|
|
#fecal-sodium
|
$8.80 |
$8.80 |
$8.80 |
$37.50
|
|
Femoral lgth sock fx or equa
|
$105.20 |
$105.20 |
$105.20 |
$126.42
|
|
Feno poc
|
$46.40 |
$46.40 |
$46.40 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$50.00 |
$50.00 |
$50.00 |
$101.40
|
|
Fern test
|
$10.80 |
$10.80 |
$10.80 |
$37.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2.01 |
$2.01 |
$2.01 |
$2,590.25
|
|
Ferritin
|
$56.80 |
$56.80 |
$56.80 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4.24 |
$4.24 |
$4.24 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$4.24 |
$4.24 |
$4.24 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$426.40 |
$426.40 |
$426.40 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$321.20 |
$321.20 |
$321.20 |
$475.50
|
|
Fetal fibronectin
|
$300.40 |
$300.40 |
$300.40 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$42.40 |
$42.40 |
$42.40 |
$104.00
|
|
Fetal hemoglobin rosette
|
$14.00 |
$14.00 |
$14.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$39.60 |
$39.60 |
$39.60 |
$67.00
|
|
Fetal non stress test
|
$248.80 |
$248.80 |
$248.80 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$58.40 |
$58.40 |
$58.40 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$65.20 |
$65.20 |
$65.20 |
$120.05
|
|
Fibrin degradation products
|
$18.00 |
$18.00 |
$18.00 |
$74.25
|
|
Fibrinogen activity
|
$66.00 |
$66.00 |
$66.00 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$81.60 |
$81.60 |
$81.60 |
$61.02
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$3.99 |
$3.99 |
$3.99 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.82 |
$1.82 |
$1.82 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$16,664.40 |
$16,664.40 |
$16,664.40 |
$7,188.75
|
|
Filter vena cava fem denali
|
$1,809.20 |
$1,809.20 |
$1,809.20 |
$3,816.40
|
|
Finger joint sz00 swanson w/grommets
|
$2,438.80 |
$2,438.80 |
$2,438.80 |
$4,584.72
|
|
Fix g/colon tube w/device
|
$1,408.00 |
$1,408.00 |
$1,408.00 |
$1,165.45
|
|
Flexible Sigmoidoscopy
|
$894.80 |
$894.80 |
$894.80 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$115.20 |
$115.20 |
$115.20 |
$187.60
|
|
Flow cytometry interp 16 or more
|
$186.40 |
$186.40 |
$186.40 |
$194.00
|
|
Flow cytometry marker each additional
|
$41.60 |
$41.60 |
$41.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$370.00 |
$370.00 |
$370.00 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$25.54 |
$25.54 |
$25.54 |
$64.15
|
|
Fluidotherapy charges pt
|
$32.00 |
$32.00 |
$32.00 |
$98.40
|
|
Fluid pressure muscle 20950
|
$790.40 |
$790.40 |
$790.40 |
$779.45
|
|
Fluorescent antibody titer dna
|
$106.80 |
$106.80 |
$106.80 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,142.80 |
$1,142.80 |
$1,142.80 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$340.80 |
$340.80 |
$340.80 |
$495.95
|
|
Fluoroguide needle placement
|
$331.60 |
$331.60 |
$331.60 |
$497.20
|
|
Fluoro polarize fetal lung
|
$54.00 |
$54.00 |
$54.00 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$346.40 |
$346.40 |
$346.40 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$258.24 |
$258.24 |
$258.24 |
$107.00
|
|
Fmri brain by tech
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$1,558.05
|
|
Folic acid
|
$66.40 |
$66.40 |
$66.40 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$2.88 |
$2.88 |
$2.88 |
$50.70
|
|
Follow-up angiography
|
$1,074.80 |
$1,074.80 |
$1,074.80 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$8.30 |
$8.30 |
$8.30 |
$2,481.61
|
|
Fondaparinux sodium
|
$8.30 |
$8.30 |
$8.30 |
$186.87
|
|
Foot drp splt w/exp heel lg
|
$248.00 |
$248.00 |
$248.00 |
$143.87
|
|
Foot lamin/prepreg composite
|
$78.00 |
$78.00 |
$78.00 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$31.20 |
$31.20 |
$31.20 |
$76.32
|
|
Foot X-ray
|
$303.20 |
$303.20 |
$303.20 |
$352.08
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$338.00 |
$338.00 |
$338.00 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3.93 |
$3.93 |
$3.93 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$18.08 |
$18.08 |
$18.08 |
$106.25
|
|
Fracture assessment via dxa
|
$102.80 |
$102.80 |
$102.80 |
$175.50
|
|
Frame typ socket bel elbow/w
|
$360.00 |
$360.00 |
$360.00 |
$658.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$147.60 |
$147.60 |
$147.60 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$202.00 |
$202.00 |
$202.00 |
$130.98
|
|
Frozen cell preparation
|
$16.00 |
$16.00 |
$16.00 |
$31.81
|
|
Fructosamine glycated protein
|
$26.80 |
$26.80 |
$26.80 |
$61.75
|
|
Ftl cgen abnor four anal
|
$184.40 |
$184.40 |
$184.40 |
$205.80
|
|
Full mouth x-ray of teeth
|
$418.40 |
$418.40 |
$418.40 |
$286.04
|
|
Furnsh initial orthosis only
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$3.04 |
$3.04 |
$3.04 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$5.70 |
$5.70 |
$5.70 |
$27.08
|
|
Fxn gene full gene sequence
|
$439.60 |
$439.60 |
$439.60 |
$379.27
|
|
G6pd known familial variant
|
$414.40 |
$414.40 |
$414.40 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$65.60 |
$65.60 |
$65.60 |
$121.73
|
|
Gabapentin non-blood
|
$97.60 |
$97.60 |
$97.60 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.43 |
$2.43 |
$2.43 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$30.54 |
$30.54 |
$30.54 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$27.50 |
$27.50 |
$27.50 |
$249.80
|
|
Galectin-3
|
$48.80 |
$48.80 |
$48.80 |
$111.60
|
|
Gammaglobulin iga
|
$24.40 |
$24.40 |
$24.40 |
$69.42
|
|
Gammaglobulin ige
|
$31.60 |
$31.60 |
$31.60 |
$83.40
|
|
Gamma glutamyltransferase
|
$48.00 |
$48.00 |
$48.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$134.00 |
$134.00 |
$134.00 |
$7,435.88
|
|
Gastric emptying imag study
|
$594.40 |
$594.40 |
$594.40 |
$1,364.00
|
|
Gastro/jejuno tube, std
|
$1,381.20 |
$1,381.20 |
$1,381.20 |
$337.96
|
|
Gemcitabine 1 gram intravenous solution
|
$66.48 |
$66.48 |
$66.48 |
$208.92
|
|
General health panel
|
$139.20 |
$139.20 |
$139.20 |
$262.44
|
|
Generator barostim neo2 2014
|
$54,614.00 |
$54,614.00 |
$54,614.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$23,220.00 |
$23,220.00 |
$23,220.00 |
$36,771.84
|
|
Gen, neuro, clo loop, rechg
|
$23,736.40 |
$23,736.40 |
$23,736.40 |
$40,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$35.08 |
$35.08 |
$35.08 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$36.00 |
$36.00 |
$36.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,008.40 |
$1,008.40 |
$1,008.40 |
$1,452.00
|
|
Ghs acetylcholinesterase, rbc
|
$44.80 |
$44.80 |
$44.80 |
$43.06
|
|
Ghs analysis neurostim without reprogramming
|
$142.40 |
$142.40 |
$142.40 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$30.00 |
$30.00 |
$30.00 |
$69.12
|
