|
Flecainide (tambocor)-sendout
|
$31.96 |
$31.96 |
$31.96 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$106.78 |
$106.78 |
$106.78 |
$540.80
|
|
Flow cytometry marker each additional
|
$62.87 |
$62.87 |
$62.87 |
$97.50
|
|
Flow cytometry one marker technical component
|
$380.24 |
$380.24 |
$380.24 |
$285.00
|
|
Flt3 gene
|
$222.66 |
$222.66 |
$222.66 |
$366.29
|
|
Flt3 gene analysis
|
$111.55 |
$111.55 |
$111.55 |
$216.00
|
|
Fluidotherapy charges pt
|
$16.31 |
$16.31 |
$16.31 |
$101.40
|
|
Fluid pressure muscle 20950
|
$299.11 |
$299.11 |
$299.11 |
$779.45
|
|
Fluorescent antibody titer dna
|
$306.34 |
$306.34 |
$306.34 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$143.63 |
$143.63 |
$143.63 |
$495.00
|
|
Fluoroguide needle placement
|
$239.56 |
$239.56 |
$239.56 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$192.39 |
$192.39 |
$192.39 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$649.83 |
$649.83 |
$649.83 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$617.60 |
$617.60 |
$617.60 |
$834.90
|
|
Folic acid
|
$21.15 |
$21.15 |
$21.15 |
$101.50
|
|
Foot X-ray
|
$115.54 |
$115.54 |
$115.54 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$82.15 |
$82.15 |
$82.15 |
$290.40
|
|
Forearm X-ray (both sides)
|
$103.35 |
$103.35 |
$103.35 |
$324.00
|
|
Fracture assessment via dxa
|
$81.09 |
$81.09 |
$81.09 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$44.45 |
$44.45 |
$44.45 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$44.45 |
$44.45 |
$44.45 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$167.17 |
$167.17 |
$167.17 |
$131.25
|
|
Fructosamine glycated protein
|
$24.91 |
$24.91 |
$24.91 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$195.57 |
$195.57 |
$195.57 |
$355.00
|
|
Gabapentin non-blood
|
$26.32 |
$26.32 |
$26.32 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$81.31 |
$81.31 |
$81.31 |
$100.00
|
|
Galactose transferase test
|
$16.92 |
$16.92 |
$16.92 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$475.20 |
$475.20 |
$475.20 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$661.58 |
$661.58 |
$661.58 |
$1,615.00
|
|
Gammaglobulin iga
|
$29.61 |
$29.61 |
$29.61 |
$69.60
|
|
Gammaglobulin ige
|
$27.26 |
$27.26 |
$27.26 |
$83.85
|
|
Gamma glutamyltransferase
|
$29.14 |
$29.14 |
$29.14 |
$57.54
|
|
Gastric emptying imag study
|
$686.93 |
$686.93 |
$686.93 |
$1,364.00
|
|
Gastric emptying imag study
|
$885.46 |
$885.46 |
$885.46 |
$1,665.50
|
|
Gastroesophageal reflux test
|
$265.08 |
$265.08 |
$265.08 |
$1,352.00
|
|
Gated heart multiple
|
$796.22 |
$796.22 |
$796.22 |
$1,405.04
|
|
Generator barostim neo2 2014
|
$66,359.02 |
$66,359.02 |
$66,359.02 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$52,890.43 |
$52,890.43 |
$52,890.43 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$4.38 |
$4.38 |
$4.38 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$23.50 |
$23.50 |
$23.50 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$695.18 |
$695.18 |
$695.18 |
$1,514.00
|
|
Ghs abscess postoperative iandd complex
|
$175.87 |
$175.87 |
$175.87 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$27.73 |
$27.73 |
$27.73 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$24.44 |
$24.44 |
$24.44 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$371.84 |
$371.84 |
$371.84 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$16.10 |
$16.10 |
$16.10 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$32.71 |
$32.71 |
$32.71 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$102.93 |
$102.93 |
$102.93 |
$344.00
|
|
Ghs chemo >8 hrs
|
$33.13 |
$33.13 |
$33.13 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$42.13 |
$42.13 |
$42.13 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$155.14 |
$155.14 |
$155.14 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$18.17 |
$18.17 |
$18.17 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$23.06 |
$23.06 |
$23.06 |
$55.29
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$350.17 |
$350.17 |
$350.17 |
$1,429.20
|
|
Ghs febrile agglutinns(mayo)
|
$7.69 |
$7.69 |
$7.69 |
$48.10
|
|
Ghs fish cytogen
|
$403.69 |
$403.69 |
$403.69 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$76.85 |
$76.85 |
$76.85 |
$226.20
|
|
Ghs hcv amplificaiton
|
$50.14 |
$50.14 |
$50.14 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$17.20 |
$17.20 |
$17.20 |
$144.54
|
|
Ghs histoplasma antigen
|
$71.90 |
$71.90 |
$71.90 |
$142.00
|
|
Ghs HIV antibody
|
$15.37 |
$15.37 |
$15.37 |
$89.70
|
|
Ghs immun0electrophoresis
|
$32.94 |
$32.94 |
$32.94 |
$110.00
|
|
Ghs inhibitor screen
|
$111.15 |
$111.15 |
$111.15 |
$191.88
|
|
Ghs insertion of needle - bone
|
$113.74 |
$113.74 |
$113.74 |
$431.28
|
|
Ghs intro needle/intracath vein - 36000
|
$8.66 |
$8.66 |
$8.66 |
$200.20
|
|
Ghs IV inf sq injection, on-body injector
|
$41.28 |
$41.28 |
$41.28 |
$110.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$12.84 |
$12.84 |
$12.84 |
$75.00
|
|
Ghs mbp
|
$29.61 |
$29.61 |
$29.61 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$184.23 |
$184.23 |
$184.23 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$80.10 |
$80.10 |
$80.10 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$50.73 |
$50.73 |
$50.73 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$42.72 |
$42.72 |
$42.72 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$40.05 |
$40.05 |
$40.05 |
$142.40
|
|
Ghs nerve blk intercostal, ea addtl level
|
$402.20 |
$402.20 |
$402.20 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$338.32 |
$338.32 |
$338.32 |
$1,160.00
|
|
Ghs nerve block celiac plexus
|
$341.51 |
$341.51 |
$341.51 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$416.06 |
$416.06 |
$416.06 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$416.55 |
$416.55 |
$416.55 |
$1,450.80
|
|
Ghs ng placement w fluoro guidance
|
$123.14 |
$123.14 |
$123.14 |
$485.00
|
|
Ghs o2 saturation
|
$14.10 |
$14.10 |
$14.10 |
$69.50
|
|
Ghs opcc repair cvp without subq port
|
$410.29 |
$410.29 |
$410.29 |
$1,236.67
|
|
Ghs ot dds rom
|
$15.15 |
$15.15 |
$15.15 |
$69.00
|
|
Ghs ot prosthetic training/15 min
|
$13.98 |
$13.98 |
$13.98 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$15.38 |
$15.38 |
$15.38 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$21.44 |
$21.44 |
$21.44 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$261.84 |
$261.84 |
$261.84 |
$830.53
|
|
Ghs phenylketonurid
|
$7.99 |
$7.99 |
$7.99 |
$53.76
|
|
Ghs picc line insert < 5
|
$406.93 |
$406.93 |
$406.93 |
$2,019.50
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,318.81 |
$3,318.81 |
$3,318.81 |
$3,557.58
|
|
Ghs ppd (tb intradermal)
|
$19.40 |
$19.40 |
$19.40 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$28.20 |
$28.20 |
$28.20 |
$43.55
|
|
Ghs protoporphyrins fract
|
$52.17 |
$52.17 |
$52.17 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$114.47 |
$114.47 |
$114.47 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$42.64 |
$42.64 |
$42.64 |
$285.60
|
|
Ghs quinidine
|
$28.20 |
$28.20 |
$28.20 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$26.35 |
$26.35 |
$26.35 |
$74.82
|
|
Ghs reticulocyte count
|
$6.42 |
$6.42 |
$6.42 |
$34.50
|
|
Ghs sedimentation rate
|
$6.42 |
$6.42 |
$6.42 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$10.88 |
$10.88 |
$10.88 |
$57.60
|
|
Ghs sleep study unattended
|
$497.50 |
$497.50 |
$497.50 |
$503.38
|
