|
Fetal hemoglobin (kleihauer betke)
|
$122.50 |
$122.50 |
$122.50 |
$97.50
|
|
Fetal hemoglobin rosette
|
$62.50 |
$62.50 |
$62.50 |
$67.20
|
|
Fetal non stress test
|
$275.00 |
$275.00 |
$275.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$65.00 |
$65.00 |
$65.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$60.00 |
$60.00 |
$60.00 |
$113.40
|
|
Fibrinogen activity
|
$65.00 |
$65.00 |
$65.00 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$47.50 |
$47.50 |
$47.50 |
$63.94
|
|
Fibrinolytic plasminogen
|
$105.00 |
$105.00 |
$105.00 |
$94.36
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$122.50 |
$122.50 |
$122.50 |
$64.96
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1.05 |
$1.05 |
$1.05 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$2,220.75 |
$2,220.75 |
$2,220.75 |
$7,130.56
|
|
Filter vena cava fem denali
|
$6,369.84 |
$6,369.84 |
$6,369.84 |
$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 |
$266.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$840.00 |
$840.00 |
$840.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$482.50 |
$482.50 |
$482.50 |
$533.50
|
|
Flecainide (tambocor)-sendout
|
$90.00 |
$90.00 |
$90.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$615.00 |
$615.00 |
$615.00 |
$528.62
|
|
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 |
$270.75
|
|
Flt3 gene
|
$367.50 |
$367.50 |
$367.50 |
$355.00
|
|
Flt3 gene analysis
|
$185.00 |
$185.00 |
$185.00 |
$208.20
|
|
Fluidotherapy charges pt
|
$102.50 |
$102.50 |
$102.50 |
$98.40
|
|
Fluorescent antibody titer dna
|
$337.50 |
$337.50 |
$337.50 |
$123.00
|
|
Fluoroestradiol f 18
|
$960.00 |
$960.00 |
$960.00 |
$997.10
|
|
Fluoroguide for spine inject 77003-26
|
$460.00 |
$460.00 |
$460.00 |
$504.80
|
|
Fluoroguide needle placement
|
$460.00 |
$460.00 |
$460.00 |
$502.04
|
|
Fluoroscopy up to 1 hour
|
$460.00 |
$460.00 |
$460.00 |
$489.84
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$11.76 |
$11.76 |
$11.76 |
$94.86
|
|
Fna bx w/ct gdn 1st les
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$794.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$22.50 |
$22.50 |
$22.50 |
$62.09
|
|
Foam drg >16<=48 sq in without b
|
$31.28 |
$31.28 |
$31.28 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$48.60 |
$48.60 |
$48.60 |
$19.10
|
|
Foam drg > 48 sq in w/border
|
$42.50 |
$42.50 |
$42.50 |
$23.63
|
|
Foam drsg <=16 sq in without bdr
|
$15.00 |
$15.00 |
$15.00 |
$21.74
|
|
Folic acid
|
$137.50 |
$137.50 |
$137.50 |
$95.22
|
|
Follow-up angiography
|
$590.00 |
$590.00 |
$590.00 |
$1,939.14
|
|
Fo nontorsion joint cf
|
$145.00 |
$145.00 |
$145.00 |
$213.69
|
|
Foot arch support remov prem
|
$55.00 |
$55.00 |
$55.00 |
$111.56
|
|
Foot longitudinal arch suppo
|
$127.50 |
$127.50 |
$127.50 |
$329.48
|
|
Foot longitud/metatarsal sup
|
$145.00 |
$145.00 |
$145.00 |
$221.20
|
|
Foot X-ray
|
$510.00 |
$510.00 |
$510.00 |
$364.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1.09 |
$1.09 |
$1.09 |
$490.67
|
|
_fragile x methylation-sendout
|
$330.00 |
$330.00 |
$330.00 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$115.00 |
$115.00 |
$115.00 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$97.50 |
$97.50 |
$97.50 |
$157.30
|
|
Fructosamine glycated protein
|
$67.50 |
$67.50 |
$67.50 |
$56.40
|
|
Ftl cgen abnor two proteins
|
$110.00 |
$110.00 |
$110.00 |
$109.20
|
|
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
|
$14.88 |
$14.88 |
$14.88 |
$20.55
|
|
G6pc gene
|
$195.00 |
$195.00 |
$195.00 |
$123.00
|
|
Ga-67 gallium 0.1 mci
|
$67.50 |
$67.50 |
$67.50 |
$125.70
|
|
Ga-68 gallium 68 dotatate
|
$100.00 |
$100.00 |
$100.00 |
$118.19
|
|
Gabapentin non-blood
|
$185.00 |
$185.00 |
$185.00 |
$35.95
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.94 |
$1.94 |
$1.94 |
$110.22
|
|
Galac-1-phosphate uridyltran - sendout
|
$15.00 |
$15.00 |
$15.00 |
$94.25
|
|
Galectin-3
|
$92.50 |
$92.50 |
$92.50 |
$94.40
|
|
Gammaglobulin iga
|
$37.50 |
$37.50 |
$37.50 |
$67.20
|
|
Gammaglobulin ige
|
$107.50 |
$107.50 |
$107.50 |
$81.71
|
|
Gamma glutamyltransferase
|
$75.00 |
$75.00 |
$75.00 |
$57.00
|
|
Gamunex-c/gammaked
|
$75.18 |
$75.18 |
$75.18 |
$7,372.04
|
|
Gastroesophageal reflux test
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,315.83
|
|
Gastro/jejuno tube, std
|
$67.50 |
$67.50 |
$67.50 |
$379.50
|
|
Gauze >16<=48 no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$20.33 |
$20.33 |
$20.33 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$5.13
|
|
Gba gene
|
$160.00 |
$160.00 |
$160.00 |
$160.72
|
|
General health panel
|
$280.00 |
$280.00 |
$280.00 |
$275.00
|
|
Generator barostim neo2 2014
|
$29,068.88 |
$29,068.88 |
$29,068.88 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$15,390.00 |
$15,390.00 |
$15,390.00 |
$36,400.00
|
|
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 |
$121.22
|
|
G-esoph reflx tst w/electrod
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,466.88
|
|
Ghs acetylcholinesterase, rbc
|
$57.50 |
$57.50 |
$57.50 |
$42.25
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$117.50 |
$117.50 |
$117.50 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$337.50 |
$337.50 |
$337.50 |
$362.55
|
|
Ghs antibodies (torch) igm
|
$65.00 |
$65.00 |
$65.00 |
$67.35
|
|
Ghs bladder cath - complex-foley
|
$327.50 |
$327.50 |
$327.50 |
$344.48
|
|
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 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$365.00 |
$365.00 |
$365.00 |
$600.41
|
|
Ghs chemo >8 hrs
|
$470.00 |
$470.00 |
$470.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$207.50 |
$207.50 |
$207.50 |
$282.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$142.50 |
$142.50 |
$142.50 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$87.60
|
|
Ghs conjunctiva foreign body-superf bil
|
$137.50 |
$137.50 |
$137.50 |
$296.40
|
|
Ghs corneal fb without slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$355.00
|
|
Ghs cricothyroidotomy
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,138.20
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,485.00
|
|
Ghs excision ingrown nail
|
$247.50 |
$247.50 |
$247.50 |
$442.22
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$160.00 |
$160.00 |
$536.77
|
|
Ghs fb removal - incisional
|
$675.00 |
$675.00 |
$675.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$392.50 |
$392.50 |
$392.50 |
$1,767.48
|
|
Ghs fish cytogen
|
$462.50 |
$462.50 |
$462.50 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$182.50 |
$182.50 |
$182.50 |
$220.41
|
|
Ghs flow volume loop
|
$237.50 |
$237.50 |
$237.50 |
$303.75
|
|
Ghs hcv amplificaiton
|
$220.00 |
$220.00 |
$220.00 |
$178.15
|
