|
Flow cytometry interp 16 or more
|
$153.03 |
$153.03 |
$153.03 |
$208.80
|
|
Flow cytometry marker each additional
|
$183.54 |
$183.54 |
$183.54 |
$103.00
|
|
Flow cytometry one marker technical component
|
$423.50 |
$423.50 |
$423.50 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$153.03 |
$153.03 |
$153.03 |
$194.04
|
|
Fluid pressure muscle 20950
|
$411.55 |
$411.55 |
$411.55 |
$779.45
|
|
Fluorescent antibody titer dna
|
$674.91 |
$674.91 |
$674.91 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$129.90 |
$129.90 |
$129.90 |
$507.00
|
|
Fluoroguide needle placement
|
$238.70 |
$238.70 |
$238.70 |
$536.26
|
|
Fluoro polarize fetal lung
|
$62.54 |
$62.54 |
$62.54 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$229.80 |
$229.80 |
$229.80 |
$494.52
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$44.46 |
$44.46 |
$44.46 |
$79.52
|
|
Fmri brain by phys/psych
|
$232.85 |
$232.85 |
$232.85 |
$1,112.67
|
|
Fmri brain by tech
|
$232.85 |
$232.85 |
$232.85 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$449.18 |
$449.18 |
$449.18 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$224.72 |
$224.72 |
$224.72 |
$775.14
|
|
Folic acid
|
$59.74 |
$59.74 |
$59.74 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$8.45 |
$8.45 |
$8.45 |
$56.70
|
|
Follow-up angiography
|
$1,411.83 |
$1,411.83 |
$1,411.83 |
$1,939.14
|
|
Fondaparinux sodium
|
$200.21 |
$200.21 |
$200.21 |
$176.54
|
|
Foot X-ray
|
$134.73 |
$134.73 |
$134.73 |
$362.40
|
|
Forensic cytopathology
|
$104.23 |
$104.23 |
$104.23 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$232.34 |
$232.34 |
$232.34 |
$595.80
|
|
Fracture assessment via dxa
|
$44.24 |
$44.24 |
$44.24 |
$146.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$153.54 |
$153.54 |
$153.54 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$149.73 |
$149.73 |
$149.73 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$435.70 |
$435.70 |
$435.70 |
$123.90
|
|
Frozen blood prep
|
$214.30 |
$214.30 |
$214.30 |
$202.78
|
|
Fructosamine glycated protein
|
$50.08 |
$50.08 |
$50.08 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$8.45 |
$8.45 |
$8.45 |
$27.48
|
|
Ga-67 gallium 0.1 mci
|
$21.36 |
$21.36 |
$21.36 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$53.70 |
$53.70 |
$53.70 |
$138.37
|
|
Galac-1-phosphate uridyltran - sendout
|
$69.66 |
$69.66 |
$69.66 |
$82.50
|
|
Gammaglobulin iga
|
$29.24 |
$29.24 |
$29.24 |
$75.30
|
|
Gammaglobulin ige
|
$59.23 |
$59.23 |
$59.23 |
$85.00
|
|
Gamma glutamyltransferase
|
$30.25 |
$30.25 |
$30.25 |
$55.28
|
|
Gastroesophageal reflux study
|
$361.48 |
$361.48 |
$361.48 |
$957.25
|
|
General health panel
|
$225.99 |
$225.99 |
$225.99 |
$280.50
|
|
Generator barostim neo2 2014
|
$33,984.00 |
$33,984.00 |
$33,984.00 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$20,844.40 |
$20,844.40 |
$20,844.40 |
$36,467.76
|
|
Gentamicin peak therapeutic drug level
|
$58.73 |
$58.73 |
$58.73 |
$119.00
|
|
Ghs abscess perianal iandd
|
$350.80 |
$350.80 |
$350.80 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$1,233.89 |
$1,233.89 |
$1,233.89 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$51.10 |
$51.10 |
$51.10 |
$103.14
|
|
Ghs analysis neurostim without reprogramming
|
$95.33 |
$95.33 |
$95.33 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$58.98 |
$58.98 |
$58.98 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$125.58 |
$125.58 |
$125.58 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$15.00 |
$15.00 |
$15.00 |
$55.90
|
|
Ghs central line insert < age 5, failed
|
$639.06 |
$639.06 |
$639.06 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$215.31 |
$215.31 |
$215.31 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$11.44 |
$11.44 |
$11.44 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$172.35 |
$172.35 |
$172.35 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$229.55 |
$229.55 |
$229.55 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$712.02 |
$712.02 |
$712.02 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$345.97 |
$345.97 |
$345.97 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$673.63 |
$673.63 |
$673.63 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$205.14 |
$205.14 |
$205.14 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$345.97 |
$345.97 |
$345.97 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$345.97 |
$345.97 |
$345.97 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$205.14 |
$205.14 |
$205.14 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$154.56 |
$154.56 |
$154.56 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$177.94 |
$177.94 |
$177.94 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$177.69 |
$177.69 |
$177.69 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$177.69 |
$177.69 |
$177.69 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$177.94 |
$177.94 |
$177.94 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$126.34 |
$126.34 |
$126.34 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$95.58 |
$95.58 |
$95.58 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$566.36 |
$566.36 |
$566.36 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$204.13 |
$204.13 |
$204.13 |
$586.80
|
|
Ghs excision ingrown nail
|
$177.44 |
$177.44 |
$177.44 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$82.62 |
$82.62 |
$82.62 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$1,087.47 |
$1,087.47 |
$1,087.47 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$1,815.50 |
$1,815.50 |
$1,815.50 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$294.62 |
$294.62 |
$294.62 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$5.34 |
$5.34 |
$5.34 |
$48.57
|
|
Ghs flow volume loop
|
$69.91 |
$69.91 |
$69.91 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$105.24 |
$105.24 |
$105.24 |
$403.20
|
|
Ghs hcv amplificaiton
|
$115.92 |
$115.92 |
$115.92 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$51.35 |
$51.35 |
$51.35 |
$106.05
|
|
Ghs hgb stability-thal
|
$27.97 |
$27.97 |
$27.97 |
$85.28
|
|
Ghs histoplasma antigen
|
$34.32 |
$34.32 |
$34.32 |
$137.80
|
|
Ghs HIV antibody
|
$51.10 |
$51.10 |
$51.10 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,949.72 |
$1,949.72 |
$1,949.72 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$866.32 |
$866.32 |
$866.32 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$486.29 |
$486.29 |
$486.29 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$311.65 |
$311.65 |
$311.65 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$350.80 |
$350.80 |
$350.80 |
$543.60
|
|
Ghs inf midline insertion
|
$495.19 |
$495.19 |
$495.19 |
$1,234.20
|
|
Ghs inhibitor screen
|
$117.45 |
$117.45 |
$117.45 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$86.43 |
$86.43 |
$86.43 |
$300.30
|
|
Ghs inj transforaminal cerv ea add bil
|
$339.62 |
$339.62 |
$339.62 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$488.83 |
$488.83 |
$488.83 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$107.02 |
$107.02 |
$107.02 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$281.91 |
$281.91 |
$281.91 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$535.60 |
$535.60 |
$535.60 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$555.43 |
$555.43 |
$555.43 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$138.29 |
$138.29 |
$138.29 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$184.05 |
$184.05 |
$184.05 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$243.02 |
$243.02 |
$243.02 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$125.58 |
$125.58 |
$125.58 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$281.91 |
$281.91 |
$281.91 |
$617.60
|
