|
Ext ecg>7d<15d scan a/r
|
$140.00 |
$140.00 |
$140.00 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$335.50 |
$335.50 |
$335.50 |
$403.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$475.00 |
$475.00 |
$475.00 |
$445.60
|
|
Extnd color vision xm
|
$67.00 |
$67.00 |
$67.00 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$235.13 |
$235.13 |
$235.13 |
$109.00
|
|
Extraction of lens
|
$4,082.00 |
$4,082.00 |
$4,082.00 |
$2,685.92
|
|
F-18 fdg pet diag
|
$512.00 |
$512.00 |
$512.00 |
$551.72
|
|
F-18 sodium fluoride
|
$193.00 |
$193.00 |
$193.00 |
$492.56
|
|
Facial bones <3
|
$217.50 |
$217.50 |
$217.50 |
$252.60
|
|
Factor ix
|
$146.50 |
$146.50 |
$146.50 |
$154.50
|
|
Factor viii
|
$36.50 |
$36.50 |
$36.50 |
$144.82
|
|
Family therapy without pt 50min 90846
|
$217.00 |
$217.00 |
$217.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$217.00 |
$217.00 |
$217.00 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.78 |
$1.78 |
$1.78 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$16,049.65 |
$16,049.65 |
$16,049.65 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$28.00 |
$28.00 |
$28.00 |
$36.00
|
|
Fatty acids nonesterified
|
$116.00 |
$116.00 |
$116.00 |
$64.28
|
|
#fecal-sodium
|
$12.50 |
$12.50 |
$12.50 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$34.00 |
$34.00 |
$34.00 |
$61.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10.50 |
$10.50 |
$10.50 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,252.75 |
$2,252.75 |
$2,252.75 |
$2,590.25
|
|
Ferritin
|
$53.50 |
$53.50 |
$53.50 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$857.84 |
$857.84 |
$857.84 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$166.00 |
$166.00 |
$166.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$800.00 |
$800.00 |
$800.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$482.50 |
$482.50 |
$482.50 |
$475.50
|
|
Fetal fibronectin
|
$239.00 |
$239.00 |
$239.00 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$106.00 |
$106.00 |
$106.00 |
$104.00
|
|
Fetal hemoglobin rosette
|
$82.00 |
$82.00 |
$82.00 |
$67.20
|
|
Fetal non stress test
|
$274.00 |
$274.00 |
$274.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$88.00 |
$88.00 |
$88.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$31.00 |
$31.00 |
$31.00 |
$120.05
|
|
Fibrin degradation products
|
$36.00 |
$36.00 |
$36.00 |
$74.25
|
|
Fibrin degradj d-dimer
|
$79.00 |
$79.00 |
$79.00 |
$111.50
|
|
Fibrinogen activity
|
$39.50 |
$39.50 |
$39.50 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$321.50 |
$321.50 |
$321.50 |
$61.02
|
|
Fibrinolytic plasminogen
|
$58.50 |
$58.50 |
$58.50 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$41.00 |
$41.00 |
$41.00 |
$66.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$487.94 |
$487.94 |
$487.94 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$1,698.50 |
$1,698.50 |
$1,698.50 |
$7,188.75
|
|
Filter vena cava fem denali
|
$2,053.50 |
$2,053.50 |
$2,053.50 |
$3,816.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$4,882.50 |
$4,882.50 |
$4,882.50 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$353.00 |
$353.00 |
$353.00 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$2,647.82 |
$2,647.82 |
$2,647.82 |
$4,584.72
|
|
Fixation of knee joint
|
$2,170.50 |
$2,170.50 |
$2,170.50 |
$1,963.35
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$14.00 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$594.50 |
$594.50 |
$594.50 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$1,088.50 |
$1,088.50 |
$1,088.50 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$2,497.00 |
$2,497.00 |
$2,497.00 |
$2,160.48
|
|
Flow cytometry marker each additional
|
$240.00 |
$240.00 |
$240.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$225.50 |
$225.50 |
$225.50 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$104.50 |
$104.50 |
$104.50 |
$172.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$20.25 |
$20.25 |
$20.25 |
$64.15
|
|
Fluidotherapy charges pt
|
$63.50 |
$63.50 |
$63.50 |
$98.40
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$786.00 |
$786.00 |
$786.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$266.00 |
$266.00 |
$266.00 |
$495.95
|
|
Fluoroguide needle placement
|
$468.50 |
$468.50 |
$468.50 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$480.50 |
$480.50 |
$480.50 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$130.98 |
$130.98 |
$130.98 |
$107.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$60.00
|
|
Fmri brain by phys/psych
|
$370.50 |
$370.50 |
$370.50 |
$1,560.51
|
|
Foam drg >16<=48 sq in w/bdr
|
$105.08 |
$105.08 |
$105.08 |
$58.10
|
|
Folic acid
|
$34.50 |
$34.50 |
$34.50 |
$99.96
|
|
Follow-up angiography
|
$2,669.50 |
$2,669.50 |
$2,669.50 |
$1,939.14
|
|
Follow-up surgery of eye
|
$3,996.50 |
$3,996.50 |
$3,996.50 |
$3,572.40
|
|
Foot drp splt w/exp heel lg
|
$177.50 |
$177.50 |
$177.50 |
$143.87
|
|
Foot X-ray
|
$435.00 |
$435.00 |
$435.00 |
$352.08
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$278.50 |
$278.50 |
$278.50 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$45.48 |
$45.48 |
$45.48 |
$490.67
|
|
Foscarnet sodium injection
|
$59.00 |
$59.00 |
$59.00 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$96.24 |
$96.24 |
$96.24 |
$106.25
|
|
_fragile x methylation-sendout
|
$139.50 |
$139.50 |
$139.50 |
$183.74
|
|
Fragmenting of kidney stone
|
$6,864.50 |
$6,864.50 |
$6,864.50 |
$10,312.25
|
|
Frenectomy 41115
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$1,939.47
|
|
Frenotomy 40806
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$679.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$125.00 |
$125.00 |
$125.00 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$78.00 |
$78.00 |
$78.00 |
$164.16
|
|
Frozen cell preparation
|
$13.00 |
$13.00 |
$13.00 |
$31.81
|
|
Fructosamine glycated protein
|
$9.50 |
$9.50 |
$9.50 |
$61.75
|
|
Fth/gft fr n/e/e/l each addl
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,232.00 |
$1,232.00 |
$1,232.00 |
$1,331.00
|
|
Ftl cgen abnor five anal
|
$319.00 |
$319.00 |
$319.00 |
$155.10
|
|
Ftl cgen abnor four anal
|
$40.00 |
$40.00 |
$40.00 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$31.00 |
$31.00 |
$31.00 |
$109.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$3,414.00 |
$3,414.00 |
$3,414.00 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,075.50 |
$1,075.50 |
$1,075.50 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,262.50 |
$3,262.50 |
$3,262.50 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$249.50 |
$249.50 |
$249.50 |
$178.20
|
|
Furosemide 10 mg/ml injection solution
|
$2.27 |
$2.27 |
$2.27 |
$19.53
|
|
Fusion of ankle joint open
|
$17,821.67 |
$17,821.67 |
$17,821.67 |
$10,629.07
|
|
Fusion of big toe joint
|
$10,326.00 |
$10,326.00 |
$10,326.00 |
$5,488.00
|
|
Fusion of foot bones
|
$16,805.00 |
$16,805.00 |
$16,805.00 |
$6,411.60
|
|
Fusion of foot bones
|
$11,969.67 |
$11,969.67 |
$11,969.67 |
$5,110.00
|
|
Ga-67 gallium 0.1 mci
|
$69.50 |
$69.50 |
$69.50 |
$121.73
|
|
Gabapentin non-blood
|
$29.50 |
$29.50 |
$29.50 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$54.17 |
$54.17 |
$54.17 |
$121.12
|
|
Galac-1-phosphate uridyltran - sendout
|
$256.00 |
$256.00 |
$256.00 |
$100.00
|
|
Galactose transferase test
|
$19.50 |
$19.50 |
$19.50 |
$32.00
|
