|
Factor viii
|
$170.00 |
$170.00 |
$170.00 |
$133.81
|
|
Fatty acids nonesterified
|
$60.00 |
$60.00 |
$60.00 |
$64.28
|
|
#fecal-sodium
|
$25.00 |
$25.00 |
$25.00 |
$37.50
|
|
Fees w/laryngeal sense test
|
$550.00 |
$550.00 |
$550.00 |
$471.20
|
|
Felbamate (felbatol(r)) - sendout
|
$110.00 |
$110.00 |
$110.00 |
$65.00
|
|
Fem/popl revasc w/stent
|
$14,030.00 |
$14,030.00 |
$14,030.00 |
$16,843.00
|
|
Feno poc
|
$97.50 |
$97.50 |
$97.50 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$42.85 |
$42.85 |
$42.85 |
$101.40
|
|
Fern test
|
$22.50 |
$22.50 |
$22.50 |
$39.65
|
|
Ferritin
|
$90.00 |
$90.00 |
$90.00 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$615.00 |
$615.00 |
$615.00 |
$535.37
|
|
Fetal chrom aneuploidy gsa panel
|
$462.50 |
$462.50 |
$462.50 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$477.50 |
$477.50 |
$477.50 |
$475.50
|
|
Fetal fibronectin
|
$320.00 |
$320.00 |
$320.00 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$122.50 |
$122.50 |
$122.50 |
$105.12
|
|
Fetal hemoglobin rosette
|
$62.50 |
$62.50 |
$62.50 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$62.50 |
$62.50 |
$62.50 |
$69.60
|
|
Fetal non stress test
|
$275.00 |
$275.00 |
$275.00 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$65.00 |
$65.00 |
$65.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$60.00 |
$60.00 |
$60.00 |
$117.70
|
|
Fibrinogen activity
|
$65.00 |
$65.00 |
$65.00 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$47.50 |
$47.50 |
$47.50 |
$64.05
|
|
Fibrinolytic plasminogen
|
$105.00 |
$105.00 |
$105.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$122.50 |
$122.50 |
$122.50 |
$65.00
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.39 |
$1.39 |
$1.39 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$2,155.50 |
$2,155.50 |
$2,155.50 |
$7,160.28
|
|
Filter vena cava fem denali
|
$9,318.84 |
$9,318.84 |
$9,318.84 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$910.00 |
$910.00 |
$910.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$685.00 |
$685.00 |
$685.00 |
$685.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$277.50 |
$277.50 |
$277.50 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$840.00 |
$840.00 |
$840.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$377.50 |
$377.50 |
$377.50 |
$503.76
|
|
Fix g/colon tube w/device
|
$665.00 |
$665.00 |
$665.00 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$90.00 |
$90.00 |
$90.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$615.00 |
$615.00 |
$615.00 |
$511.92
|
|
Flow cytometry marker each additional
|
$97.50 |
$97.50 |
$97.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$195.00 |
$195.00 |
$195.00 |
$284.40
|
|
Flt3 gene
|
$367.50 |
$367.50 |
$367.50 |
$355.00
|
|
Flt3 gene analysis
|
$185.00 |
$185.00 |
$185.00 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$86.11 |
$86.11 |
$86.11 |
$64.22
|
|
Fluidotherapy charges pt
|
$102.50 |
$102.50 |
$102.50 |
$91.00
|
|
Fluid pressure muscle 20950
|
$515.00 |
$515.00 |
$515.00 |
$768.94
|
|
Fluorescent antibody titer dna
|
$307.50 |
$307.50 |
$307.50 |
$122.82
|
|
Fluoroestradiol f 18
|
$960.00 |
$960.00 |
$960.00 |
$1,491.00
|
|
Fluoroguide for spine inject 77003-26
|
$460.00 |
$460.00 |
$460.00 |
$496.03
|
|
Fluoroguide needle placement
|
$460.00 |
$460.00 |
$460.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$460.00 |
$460.00 |
$460.00 |
$492.00
|
|
Fmri brain by tech
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$833.25
|
|
Foam drg >16<=48 sq in w/bdr
|
$43.79 |
$43.79 |
$43.79 |
$62.09
|
|
Foam drg >16<=48 sq in without b
|
$22.50 |
$22.50 |
$22.50 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$49.42 |
$49.42 |
$49.42 |
$16.37
|
|
Foam drg > 48 sq in w/border
|
$42.50 |
$42.50 |
$42.50 |
$23.63
|
|
Foam drsg <=16 sq in without bdr
|
$16.08 |
$16.08 |
$16.08 |
$21.74
|
|
Folic acid
|
$137.50 |
$137.50 |
$137.50 |
$101.50
|
|
Follow-up angiography
|
$590.00 |
$590.00 |
$590.00 |
$2,040.78
|
|
Fo nontorsion joint cf
|
$145.00 |
$145.00 |
$145.00 |
$217.50
|
|
Foot arch support remov prem
|
$55.00 |
$55.00 |
$55.00 |
$106.20
|
|
Foot longitudinal arch suppo
|
$127.50 |
$127.50 |
$127.50 |
$295.47
|
|
Foot longitud/metatarsal sup
|
$145.00 |
$145.00 |
$145.00 |
$221.20
|
|
Foot X-ray
|
$650.00 |
$650.00 |
$650.00 |
$362.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$115.00 |
$115.00 |
$115.00 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$97.50 |
$97.50 |
$97.50 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$50.00 |
$50.00 |
$50.00 |
$122.00
|
|
Fructosamine glycated protein
|
$67.50 |
$67.50 |
$67.50 |
$60.75
|
|
Ftl cgen abnor two proteins
|
$110.00 |
$110.00 |
$110.00 |
$110.00
|
|
Full mouth x-ray of teeth
|
$222.50 |
$222.50 |
$222.50 |
$286.04
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$14.35 |
$14.35 |
$14.35 |
$27.08
|
|
G6pc gene
|
$195.00 |
$195.00 |
$195.00 |
$123.00
|
|
Ga-67 gallium 0.1 mci
|
$67.50 |
$67.50 |
$67.50 |
$118.56
|
|
Ga-68 gallium 68 dotatate
|
$100.00 |
$100.00 |
$100.00 |
$119.90
|
|
Gabapentin non-blood
|
$185.00 |
$185.00 |
$185.00 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.23 |
$1.23 |
$1.23 |
$102.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$15.00 |
$15.00 |
$15.00 |
$96.94
|
|
Galectin-3
|
$92.50 |
$92.50 |
$92.50 |
$111.60
|
|
Gallium illuccix 1 millicure
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,395.27
|
|
Gammaglobulin iga
|
$37.50 |
$37.50 |
$37.50 |
$67.20
|
|
Gammaglobulin ige
|
$107.50 |
$107.50 |
$107.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$75.00 |
$75.00 |
$75.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$108.92 |
$108.92 |
$108.92 |
$7,634.20
|
|
Gastroesophageal reflux test
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,321.45
|
|
Gauze >16<=48 no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$14.70 |
$14.70 |
$14.70 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$7.08
|
|
Gemcitabine 1 gram intravenous solution
|
$19.12 |
$19.12 |
$19.12 |
$207.51
|
|
General health panel
|
$280.00 |
$280.00 |
$280.00 |
$275.00
|
|
Generator barostim neo2 2014
|
$38,692.50 |
$38,692.50 |
$38,692.50 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$46,900.00 |
$46,900.00 |
$46,900.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$142.50 |
$142.50 |
$142.50 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,418.18
|
|
Ghs acetylcholinesterase, rbc
|
$57.50 |
$57.50 |
$57.50 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$117.50 |
$117.50 |
$117.50 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$337.50 |
$337.50 |
$337.50 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$65.00 |
$65.00 |
$65.00 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$280.00 |
$280.00 |
$280.00 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$327.50 |
$327.50 |
$327.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$515.00 |
$515.00 |
$515.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,535.60
|
