|
#_fet/norfentcnfrmur
|
$85.00 |
$85.00 |
$85.00 |
$94.05
|
|
Fibrin degradation d dimer quantitative
|
$69.50 |
$69.50 |
$69.50 |
$119.40
|
|
Fibrin degradation products
|
$44.00 |
$44.00 |
$44.00 |
$63.90
|
|
Fibrinogen activity
|
$58.00 |
$58.00 |
$58.00 |
$83.89
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$25.00 |
$25.00 |
$25.00 |
$61.80
|
|
Fibrinolytic plasminogen
|
$58.50 |
$58.50 |
$58.50 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$52.89 |
$52.89 |
$52.89 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$303.33 |
$303.33 |
$303.33 |
$571.09
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$487.94 |
$487.94 |
$487.94 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$1,933.00 |
$1,933.00 |
$1,933.00 |
$7,180.66
|
|
Filter vena cava fem denali
|
$1,672.50 |
$1,672.50 |
$1,672.50 |
$3,860.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$1,064.50 |
$1,064.50 |
$1,064.50 |
$504.45
|
|
Fitting of diaphragm/cap 57170
|
$232.50 |
$232.50 |
$232.50 |
$238.06
|
|
Fixation of knee joint
|
$1,848.50 |
$1,848.50 |
$1,848.50 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$1,188.80
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,162.00 |
$4,162.00 |
$4,162.00 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$14.00 |
$62.00
|
|
Fl exam g/colon tube w contrast
|
$621.50 |
$621.50 |
$621.50 |
$532.80
|
|
Flexible Sigmoidoscopy
|
$1,069.00 |
$1,069.00 |
$1,069.00 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,898.50 |
$1,898.50 |
$1,898.50 |
$2,112.60
|
|
Flotufolastat f18 diag 1 mci
|
$844.00 |
$844.00 |
$844.00 |
$2,324.00
|
|
Flow cytometry interp 16 or more
|
$198.94 |
$198.94 |
$198.94 |
$200.90
|
|
Flow cytometry marker each additional
|
$847.00 |
$847.00 |
$847.00 |
$97.25
|
|
Flow cytometry one marker technical component
|
$206.50 |
$206.50 |
$206.50 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$11.70 |
$11.70 |
$11.70 |
$64.15
|
|
Fluidotherapy charges pt
|
$49.00 |
$49.00 |
$49.00 |
$93.42
|
|
Fluid pressure muscle 20950
|
$955.50 |
$955.50 |
$955.50 |
$784.80
|
|
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
|
$1,234.50 |
$1,234.50 |
$1,234.50 |
$495.95
|
|
Fluoroguide needle placement
|
$400.50 |
$400.50 |
$400.50 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$495.50 |
$495.50 |
$495.50 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$130.98 |
$130.98 |
$130.98 |
$106.20
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$43.20
|
|
Foam drg >16<=48 sq in w/bdr
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Folic acid
|
$100.50 |
$100.50 |
$100.50 |
$100.00
|
|
Follow-up angiography
|
$946.50 |
$946.50 |
$946.50 |
$1,983.00
|
|
Foot X-ray
|
$385.00 |
$385.00 |
$385.00 |
$360.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$287.50 |
$287.50 |
$287.50 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$691.70 |
$691.70 |
$691.70 |
$470.29
|
|
Foscarnet sodium injection
|
$59.00 |
$59.00 |
$59.00 |
$883.03
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$134.88 |
$134.88 |
$134.88 |
$104.81
|
|
_fragile x methylation-sendout
|
$99.00 |
$99.00 |
$99.00 |
$175.75
|
|
Fragmenting of kidney stone
|
$8,273.00 |
$8,273.00 |
$8,273.00 |
$10,312.25
|
|
Frenectomy 41115
|
$2,109.50 |
$2,109.50 |
$2,109.50 |
$1,822.00
|
|
Frenotomy 40806
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$729.70
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$142.50 |
$142.50 |
$142.50 |
$157.20
|
|
Fructosamine glycated protein
|
$4.50 |
$4.50 |
$4.50 |
$60.75
|
|
Fth/gft fr trnk each addl
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$1,331.00
|
|
Ftl cgen abnor five anal
|
$367.00 |
$367.00 |
$367.00 |
$159.04
|
|
Ftl cgen abnor four anal
|
$40.00 |
$40.00 |
$40.00 |
$205.80
|
|
Ftl cgen abnor three anal
|
$198.00 |
$198.00 |
$198.00 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$31.00 |
$31.00 |
$31.00 |
$109.80
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,508.25 |
$2,508.25 |
$2,508.25 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,021.00 |
$1,021.00 |
$1,021.00 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$2,706.60
|
|
Furosemide 10 mg/ml injection solution
|
$60.00 |
$60.00 |
$60.00 |
$19.53
|
|
Fusion of ankle joint open
|
$12,511.00 |
$12,511.00 |
$12,511.00 |
$10,629.07
|
|
Fusion of big toe joint
|
$8,551.50 |
$8,551.50 |
$8,551.50 |
$5,488.00
|
|
Fusion of big toe joint
|
$10,090.50 |
$10,090.50 |
$10,090.50 |
$6,839.00
|
|
Fusion of finger joint
|
$15,860.00 |
$15,860.00 |
$15,860.00 |
$4,350.00
|
|
Fusion of foot bones
|
$14,087.00 |
$14,087.00 |
$14,087.00 |
$6,411.60
|
|
Fusion of foot bones
|
$13,693.00 |
$13,693.00 |
$13,693.00 |
$14,061.89
|
|
Fusion of foot bones
|
$8,466.00 |
$8,466.00 |
$8,466.00 |
$4,881.00
|
|
Ga-67 gallium 0.1 mci
|
$84.00 |
$84.00 |
$84.00 |
$118.56
|
|
Gabapentin non-blood
|
$20.00 |
$20.00 |
$20.00 |
$37.24
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$186.00 |
$186.00 |
$186.00 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$4.28 |
$4.28 |
$4.28 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$419.18 |
$419.18 |
$419.18 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$256.00 |
$256.00 |
$256.00 |
$100.00
|
|
Gallbladder Removal (Laparoscopic)
|
$30,946.50 |
$30,946.50 |
$30,946.50 |
$11,854.50
|
|
Gamma globulin 1 cc inj
|
$107.00 |
$107.00 |
$107.00 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$68.94
|
|
Gammaglobulin ige
|
$101.00 |
$101.00 |
$101.00 |
$84.00
|
|
Gamma glutamyltransferase
|
$26.00 |
$26.00 |
$26.00 |
$57.54
|
|
Gammagraft
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$133.00 |
$133.00 |
$133.00 |
$7,372.04
|
|
Gardner vag dna quant
|
$43.00 |
$43.00 |
$43.00 |
$104.80
|
|
Gastroplasty duodenal switch
|
$16,526.00 |
$16,526.00 |
$16,526.00 |
$4,780.80
|
|
Gba gene
|
$594.00 |
$594.00 |
$594.00 |
$160.72
|
|
Gel-one
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$5.50 |
$5.50 |
$5.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$100.13 |
$100.13 |
$100.13 |
$208.92
|
|
General health panel
|
$305.50 |
$305.50 |
$305.50 |
$275.00
|
|
Generator barostim neo2 2014
|
$13,480.50 |
$13,480.50 |
$13,480.50 |
$48,153.93
|
|
Generator emblem MRI sicd subq
|
$10,998.50 |
$10,998.50 |
$10,998.50 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,146.50 |
$2,146.50 |
$2,146.50 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.70 |
$30.70 |
$30.70 |
$56.40
|
|
Gentamicin peak therapeutic drug level
|
$315.00 |
$315.00 |
$315.00 |
$125.67
|
|
G-esoph reflx tst w/electrod
|
$205.00 |
$205.00 |
$205.00 |
$1,466.88
|
|
Ghs abscess perianal iandd
|
$3,066.00 |
$3,066.00 |
$3,066.00 |
$1,461.76
|
|
Ghs abscess postoperative iandd complex
|
$4,116.00 |
$4,116.00 |
$4,116.00 |
$3,638.88
|
|
Ghs acetylcholinesterase, rbc
|
$37.00 |
$37.00 |
$37.00 |
$42.72
|
|
Ghs analysis neurostim without reprogramming
|
$153.00 |
$153.00 |
$153.00 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$87.00 |
$87.00 |
$87.00 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$422.50 |
$422.50 |
$422.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,262.50 |
$1,262.50 |
$1,262.50 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$2,535.44
|
|
Ghs change cysto/gastrost
|
$474.00 |
$474.00 |
$474.00 |
$591.50
|
