|
Fat/lipids feces qualitative
|
$28.00 |
$28.00 |
$28.00 |
$38.35
|
|
Fatty acids nonesterified
|
$116.00 |
$116.00 |
$116.00 |
$64.28
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$2.00 |
$2.00 |
$2.00 |
$101.40
|
|
Ferritin
|
$103.00 |
$103.00 |
$103.00 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1.50 |
$1.50 |
$1.50 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$193.00 |
$193.00 |
$193.00 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$800.00 |
$800.00 |
$800.00 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$401.50 |
$401.50 |
$401.50 |
$475.50
|
|
Fetal fibronectin
|
$392.50 |
$392.50 |
$392.50 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$100.00 |
$100.00 |
$100.00 |
$105.12
|
|
Fetal non stress test
|
$267.00 |
$267.00 |
$267.00 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$85.00 |
$85.00 |
$85.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$66.00 |
$66.00 |
$66.00 |
$117.70
|
|
Fibrinogen activity
|
$55.00 |
$55.00 |
$55.00 |
$83.50
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.00 |
$1.00 |
$1.00 |
$869.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$50.00 |
$50.00 |
$50.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$503.76
|
|
Fistula repair transperine 57308
|
$710.50 |
$710.50 |
$710.50 |
$1,245.00
|
|
Fitg c-lens keratoconus 1st
|
$86.00 |
$86.00 |
$86.00 |
$127.00
|
|
Fixation of knee joint
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$1,893.86
|
|
Flecainide (tambocor)-sendout
|
$14.00 |
$14.00 |
$14.00 |
$66.43
|
|
Flexible Sigmoidoscopy
|
$60.00 |
$60.00 |
$60.00 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$88.50 |
$88.50 |
$88.50 |
$204.00
|
|
Flow cytometry marker each additional
|
$115.00 |
$115.00 |
$115.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$206.50 |
$206.50 |
$206.50 |
$284.40
|
|
#flow interp 9 - 15 markers
|
$65.50 |
$65.50 |
$65.50 |
$172.50
|
|
Fluocinol acet intravit imp
|
$727.00 |
$727.00 |
$727.00 |
$14,359.80
|
|
Fluorescein angrph mltiframe
|
$45.50 |
$45.50 |
$45.50 |
$344.00
|
|
Fluorescent antibody titer dna
|
$65.00 |
$65.00 |
$65.00 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$249.00 |
$249.00 |
$249.00 |
$496.03
|
|
Fluoroguide needle placement
|
$303.00 |
$303.00 |
$303.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$427.50 |
$427.50 |
$427.50 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$3.50 |
$3.50 |
$3.50 |
$94.86
|
|
Fluzone vacc, 3 yrs & >, im
|
$27.00 |
$27.00 |
$27.00 |
$50.00
|
|
Folic acid
|
$90.00 |
$90.00 |
$90.00 |
$101.50
|
|
Follow-up surgery of eye
|
$522.00 |
$522.00 |
$522.00 |
$3,572.40
|
|
Foot X-ray
|
$173.00 |
$173.00 |
$173.00 |
$362.40
|
|
Forensic cytopathology
|
$14.00 |
$14.00 |
$14.00 |
$63.23
|
|
Foscarnet sodium injection
|
$39.50 |
$39.50 |
$39.50 |
$879.58
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$68.50 |
$68.50 |
$68.50 |
$151.58
|
|
Ftl cgen abnor four anal
|
$40.00 |
$40.00 |
$40.00 |
$204.52
|
|
Full field erg w/i&r
|
$38.00 |
$38.00 |
$38.00 |
$393.12
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$809.00 |
$809.00 |
$809.00 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$67.50 |
$67.50 |
$67.50 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$773.50 |
$773.50 |
$773.50 |
$2,703.50
|
|
Fundus photography with i&r 92250
|
$22.50 |
$22.50 |
$22.50 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$0.50 |
$0.50 |
$0.50 |
$19.00
|
|
G0180 home health certification
|
$61.00 |
$61.00 |
$61.00 |
$116.00
|
|
Gabapentin non-blood
|
$20.00 |
$20.00 |
$20.00 |
$36.30
|
|
Galac-1-phosphate uridyltran - sendout
|
$27.50 |
$27.50 |
$27.50 |
$96.94
|
|
Gamma globulin 1 cc inj
|
$71.50 |
$71.50 |
$71.50 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$67.20
|
|
Gammaglobulin ige
|
$90.50 |
$90.50 |
$90.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$21.50 |
$21.50 |
$21.50 |
$57.54
|
|
Gammagraft
|
$119.50 |
$119.50 |
$119.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$89.00 |
$89.00 |
$89.00 |
$7,634.20
|
|
Gel-one
|
$742.50 |
$742.50 |
$742.50 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$3.50 |
$3.50 |
$3.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$207.51
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.00 |
$2.00 |
$2.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$146.50 |
$146.50 |
$146.50 |
$126.00
|
|
Ghs abscess perianal iandd
|
$891.00 |
$891.00 |
$891.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$2,782.50 |
$2,782.50 |
$2,782.50 |
$3,515.40
|
|
Ghs analysis neurostim without reprogramming
|
$127.50 |
$127.50 |
$127.50 |
$246.50
|
|
Ghs bladder cath - complex-foley
|
$78.50 |
$78.50 |
$78.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$676.50 |
$676.50 |
$676.50 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$91.50 |
$91.50 |
$91.50 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$434.50 |
$434.50 |
$434.50 |
$565.49
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$336.50 |
$336.50 |
$336.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$497.50 |
$497.50 |
$497.50 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$513.00 |
$513.00 |
$513.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,272.50 |
$2,272.50 |
$2,272.50 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$841.50 |
$841.50 |
$841.50 |
$3,086.00
|
|
Ghs clsd red med malleolus fx without manip
|
$346.50 |
$346.50 |
$346.50 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$541.50 |
$541.50 |
$541.50 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$538.50 |
$538.50 |
$538.50 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$578.00 |
$578.00 |
$578.00 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$383.00 |
$383.00 |
$383.00 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$33.50 |
$33.50 |
$33.50 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$154.00 |
$154.00 |
$154.00 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$500.50 |
$500.50 |
$500.50 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$160.50 |
$160.50 |
$160.50 |
$339.60
|
|
Ghs cricothyroidotomy
|
$362.00 |
$362.00 |
$362.00 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$20.00 |
$20.00 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$443.50 |
$443.50 |
$443.50 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$34.50 |
$34.50 |
$34.50 |
$329.60
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$66.50 |
$66.50 |
$66.50 |
$467.00
|
|
Ghs excision ingrown nail
|
$96.50 |
$96.50 |
$96.50 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$108.00 |
$108.00 |
$108.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$325.50 |
$325.50 |
$325.50 |
$2,538.75
|
|
Ghs fb removal - incisional
|
$192.50 |
$192.50 |
$192.50 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$156.50 |
$156.50 |
$156.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$68.00 |
$68.00 |
$68.00 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$130.50 |
$130.50 |
$130.50 |
$223.00
|
|
Ghs flow volume loop
|
$16.00 |
$16.00 |
$16.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$24.00 |
$24.00 |
$24.00 |
$368.50
|
|
Ghs histoplasma antigen
|
$55.00 |
$55.00 |
$55.00 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,036.00 |
$2,036.00 |
$2,036.00 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,969.50 |
$1,969.50 |
$1,969.50 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,028.00 |
$1,028.00 |
$1,028.00 |
$1,372.15
|
