|
Fetal hemoglobin (kleihauer betke)
|
$122.50 |
$147.84 |
$147.84 |
$105.12
|
|
Fetal hemoglobin rosette
|
$59.40 |
$59.40 |
$62.50 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$62.50 |
$131.34 |
$131.34 |
$69.60
|
|
Fetal non stress test
|
$275.00 |
$413.82 |
$413.82 |
$463.03
|
|
#_fet/norfentcnfrmur
|
$65.00 |
$126.06 |
$126.06 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$60.00 |
$68.64 |
$68.64 |
$117.70
|
|
Fibrin degradation products
|
$47.52 |
$47.52 |
$47.52 |
$62.64
|
|
Fibrinogen activity
|
$65.00 |
$68.64 |
$68.64 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$47.50 |
$294.36 |
$294.36 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$178.86 |
$178.86 |
$178.86 |
$72.80
|
|
Fibrinolytic plasminogen
|
$105.00 |
$220.44 |
$220.44 |
$107.50
|
|
Fibrinolytic plasminogen
|
$126.06 |
$126.06 |
$126.06 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$122.50 |
$207.90 |
$207.90 |
$65.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$984.95 |
$984.95 |
$984.95 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$0.94 |
$0.94 |
$1,095.17 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$2,325.84 |
$2,325.84 |
$2,325.84 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,976.64 |
$5,976.64 |
$5,976.64 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$910.00 |
$1,087.02 |
$1,087.02 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$543.84 |
$543.84 |
$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
|
$543.84 |
$543.84 |
$840.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$482.50 |
$482.50 |
$482.50 |
$503.76
|
|
Fix g/colon tube w/device
|
$665.00 |
$1,083.06 |
$1,083.06 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$21.78 |
$21.78 |
$90.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$499.62 |
$499.62 |
$615.00 |
$511.92
|
|
Flow cytometry marker each additional
|
$97.50 |
$258.06 |
$258.06 |
$97.50
|
|
Flow cytometry one marker technical component
|
$195.00 |
$416.46 |
$416.46 |
$284.40
|
|
#flow interp 9 - 15 markers
|
$263.34 |
$263.34 |
$263.34 |
$172.50
|
|
Flt3 gene
|
$247.50 |
$247.50 |
$367.50 |
$355.00
|
|
Flt3 gene analysis
|
$185.00 |
$207.90 |
$207.90 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$64.25 |
$64.25 |
$64.25 |
$64.22
|
|
Fluidotherapy charges pt
|
$77.22 |
$77.22 |
$102.50 |
$91.00
|
|
Fluid pressure muscle 20950
|
$515.00 |
$515.00 |
$515.00 |
$768.94
|
|
Fluorescent antibody titer dna
|
$297.00 |
$297.00 |
$337.50 |
$122.82
|
|
Fluoroestradiol f 18
|
$960.00 |
$960.00 |
$960.00 |
$1,491.00
|
|
Fluoroguide for spine inject 77003-26
|
$460.00 |
$568.92 |
$568.92 |
$496.03
|
|
Fluoroguide needle placement
|
$460.00 |
$517.44 |
$517.44 |
$510.00
|
|
Fluoro polarize fetal lung
|
$434.94 |
$434.94 |
$434.94 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$460.00 |
$517.44 |
$517.44 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$83.95 |
$83.95 |
$83.95 |
$94.86
|
|
Fna bx w/ct gdn 1st les
|
$1,087.02 |
$1,087.02 |
$1,750.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$543.84 |
$543.84 |
$1,315.00 |
$833.25
|
|
Foam drg >16<=48 sq in w/bdr
|
$35.24 |
$35.24 |
$35.24 |
$62.09
|
|
Foam drg >16<=48 sq in without b
|
$23.22 |
$23.22 |
$23.22 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$90.92 |
$90.92 |
$90.92 |
$16.37
|
|
Foam drg > 48 sq in w/border
|
$42.50 |
$42.50 |
$42.50 |
$23.63
|
|
Foam drg > 48 sq in without brdr
|
$8.22 |
$8.22 |
$8.22 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$15.05 |
$15.05 |
$15.05 |
$21.74
|
|
Folic acid
|
$89.76 |
$89.76 |
$137.50 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.36 |
$0.36 |
$3.23 |
$54.75
|
|
Follow-up angiography
|
$590.00 |
$3,161.40 |
$3,161.40 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$37.42 |
$37.42 |
$37.42 |
$2,581.14
|
|
Fondaparinux sodium
|
$29.94 |
$29.94 |
$29.94 |
$185.12
|
|
Fo nontorsion joint cf
|
$145.00 |
$170.28 |
$170.28 |
$217.50
|
|
Foot arch support remov prem
|
$55.00 |
$55.00 |
$118.80 |
$106.20
|
|
Foot drp splt w/exp heel lg
|
$118.80 |
$118.80 |
$118.80 |
$143.87
|
|
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
|
$335.94 |
$335.94 |
$610.00 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$711.48 |
$711.48 |
$711.48 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.74 |
$6.28 |
$6.98 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$56.96 |
$56.96 |
$95.36 |
$106.10
|
|
_fragile x methylation-sendout
|
$330.00 |
$330.00 |
$330.00 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$115.00 |
$1,226.28 |
$1,226.28 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$97.50 |
$188.76 |
$188.76 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$50.00 |
$198.00 |
$198.00 |
$122.00
|
|
Fructosamine glycated protein
|
$67.50 |
$72.60 |
$72.60 |
$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
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,930.30 |
$3,930.30 |
$3,930.30 |
$3,026.40
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,976.50 |
$3,976.50 |
$3,976.50 |
$2,703.50
|
|
Furosemide 10 mg/ml injection solution
|
$1.62 |
$1.62 |
$16.17 |
$19.00
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$5.05 |
$5.05 |
$5.05 |
$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
|
$109.50 |
$109.50 |
$109.50 |
$119.90
|
|
Gabapentin non-blood
|
$36.30 |
$36.30 |
$185.00 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.55 |
$1.55 |
$1.55 |
$102.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$24.18 |
$24.18 |
$24.18 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$15.00 |
$224.40 |
$224.40 |
$96.94
|
|
Galectin-3
|
$92.50 |
$147.84 |
$147.84 |
$111.60
|
|
Gallium illuccix 1 millicure
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,395.27
|
|
Gammaglobulin iga
|
$37.50 |
$54.12 |
$54.12 |
$67.20
|
|
Gammaglobulin ige
|
$99.00 |
$99.00 |
$107.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$44.22 |
$44.22 |
$75.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$74.02 |
$74.02 |
$135.48 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$333.17 |
$333.17 |
$333.17 |
$197.40
|
|
Gastroesophageal reflux study
|
$731.28 |
$731.28 |
$731.28 |
$949.80
|
|
Gastroesophageal reflux test
|
$790.68 |
$790.68 |
$1,500.00 |
$1,321.45
|
|
Gastro/jejuno tube, std
|
$40.92 |
$40.92 |
$40.92 |
$334.57
|
|
Gauze >16<=48 no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$19.13 |
$19.13 |
$19.13 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$7.08
|
|
Gba gene
|
$160.00 |
$160.00 |
$160.00 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$71.12 |
$71.12 |
$71.12 |
$207.51
|
|
General health panel
|
$280.00 |
$300.30 |
$300.30 |
$275.00
|
|
Generator barostim neo2 2014
|
$53,985.50 |
$53,985.50 |
$53,985.50 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$26,910.00 |
$26,910.00 |
$26,910.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$1,870.00 |
$3,915.78 |
$3,915.78 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$29,900.00 |
$29,900.00 |
$29,900.00 |
$36,800.00
|
