|
#_fet/norfentcnfrmur
|
$101.80 |
$101.80 |
$101.80 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$151.20 |
$151.20 |
$151.20 |
$117.70
|
|
Fibrin degradation products
|
$1.18 |
$1.18 |
$1.18 |
$62.64
|
|
Fibrinogen activity
|
$209.40 |
$209.40 |
$209.40 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$8.00 |
$8.00 |
$8.00 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$1.37 |
$1.37 |
$1.37 |
$72.80
|
|
Fibrinolytic plasminogen
|
$3.06 |
$3.06 |
$3.06 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1.16 |
$1.16 |
$1.16 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$155.05 |
$155.05 |
$155.05 |
$595.48
|
|
Filter spider fx 3mmx320cm
|
$2,612.00 |
$2,612.00 |
$2,612.00 |
$7,160.28
|
|
Filter vena cava fem denali
|
$2,235.60 |
$2,235.60 |
$2,235.60 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$353.20 |
$353.20 |
$353.20 |
$823.90
|
|
Flecainide (tambocor)-sendout
|
$3.73 |
$3.73 |
$3.73 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$415.00 |
$415.00 |
$415.00 |
$511.92
|
|
Flow cytometry marker each additional
|
$4.29 |
$4.29 |
$4.29 |
$97.50
|
|
Flow cytometry one marker technical component
|
$60.00 |
$60.00 |
$60.00 |
$284.40
|
|
Flt3 gene
|
$26.48 |
$26.48 |
$26.48 |
$355.00
|
|
Flt3 gene analysis
|
$13.28 |
$13.28 |
$13.28 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$13.73 |
$13.73 |
$13.73 |
$64.22
|
|
Fluidotherapy charges pt
|
$16.40 |
$16.40 |
$16.40 |
$91.00
|
|
Fluorescent antibody titer dna
|
$56.00 |
$56.00 |
$56.00 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$563.40 |
$563.40 |
$563.40 |
$496.03
|
|
Fluoroguide needle placement
|
$456.40 |
$456.40 |
$456.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$544.20 |
$544.20 |
$544.20 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$3,368.00 |
$3,368.00 |
$3,368.00 |
$1,420.80
|
|
Folic acid
|
$160.20 |
$160.20 |
$160.20 |
$101.50
|
|
Foot X-ray
|
$420.60 |
$420.60 |
$420.60 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$85.88 |
$85.88 |
$85.88 |
$106.10
|
|
Fracture assessment via dxa
|
$29.60 |
$29.60 |
$29.60 |
$173.18
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$49.40 |
$49.40 |
$49.40 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$17.80 |
$17.80 |
$17.80 |
$156.60
|
|
Fructosamine glycated protein
|
$12.70 |
$12.70 |
$12.70 |
$60.75
|
|
Furosemide 10 mg/ml injection solution
|
$5.25 |
$5.25 |
$5.25 |
$19.00
|
|
G6pc gene
|
$31.80 |
$31.80 |
$31.80 |
$123.00
|
|
G6pd full gene sequence
|
$180.00 |
$180.00 |
$180.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$34.96 |
$34.96 |
$34.96 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$29.40 |
$29.40 |
$29.40 |
$118.56
|
|
Gabapentin non-blood
|
$3.20 |
$3.20 |
$3.20 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$5.80 |
$5.80 |
$5.80 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$101.80 |
$101.80 |
$101.80 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$250.83
|
|
Galectin-3
|
$8.85 |
$8.85 |
$8.85 |
$111.60
|
|
Gammaglobulin iga
|
$67.20 |
$67.20 |
$67.20 |
$67.20
|
|
Gammaglobulin ige
|
$46.80 |
$46.80 |
$46.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$118.80 |
$118.80 |
$118.80 |
$57.54
|
|
Gastroesophageal reflux study
|
$205.40 |
$205.40 |
$205.40 |
$949.80
|
|
Gastro/jejuno tube, std
|
$47.80 |
$47.80 |
$47.80 |
$334.57
|
|
Gated heart multiple
|
$265.20 |
$265.20 |
$265.20 |
$1,400.64
|
|
Gba gene
|
$63.50 |
$63.50 |
$63.50 |
$160.72
|
|
General health panel
|
$136.60 |
$136.60 |
$136.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$14,500.00 |
$14,500.00 |
$14,500.00 |
$48,147.60
|
|
Genetic tstg severe inh cond
|
$340.50 |
$340.50 |
$340.50 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$23,000.00 |
$23,000.00 |
$23,000.00 |
$36,800.00
|
|
Genome sequence analysis
|
$620.00 |
$620.00 |
$620.00 |
$5,534.32
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$7.40 |
$7.40 |
$7.40 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$88.80 |
$88.80 |
$88.80 |
$126.00
|
|
Ghs abscess postoperative iandd complex
|
$1,643.00 |
$1,643.00 |
$1,643.00 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$24.60 |
$24.60 |
$24.60 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$26.80 |
$26.80 |
$26.80 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$156.00 |
$156.00 |
$156.00 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$3.00 |
$3.00 |
$3.00 |
$69.30
|
|
Ghs central line insert < age 5, failed
|
$999.80 |
$999.80 |
$999.80 |
$2,535.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$6.24 |
$6.24 |
$6.24 |
$132.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$469.40 |
$469.40 |
$469.40 |
$3,086.00
|
|
Ghs community re-entry 15 minutes
|
$16.60 |
$16.60 |
$16.60 |
$88.50
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$94.00 |
$94.00 |
$94.00 |
$593.91
|
|
Ghs excision ingrown nail
|
$251.80 |
$251.80 |
$251.80 |
$439.50
|
|
Ghs fb removal foot - deep - left
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$2,538.75
|
|
Ghs fb removal - incisional
|
$514.60 |
$514.60 |
$514.60 |
$2,271.01
|
|
Ghs febrile agglutinns(mayo)
|
$6.80 |
$6.80 |
$6.80 |
$48.57
|
|
Ghs fish cytogen
|
$21.35 |
$21.35 |
$21.35 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$34.82 |
$34.82 |
$34.82 |
$223.00
|
|
Ghs hgb stability-thal
|
$1.67 |
$1.67 |
$1.67 |
$87.60
|
|
Ghs histoplasma antigen
|
$22.80 |
$22.80 |
$22.80 |
$141.00
|
|
Ghs HIV antibody
|
$105.20 |
$105.20 |
$105.20 |
$90.14
|
|
Ghs i and d pilonidal cyst complex
|
$223.40 |
$223.40 |
$223.40 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$435.80 |
$435.80 |
$435.80 |
$703.15
|
|
Ghs inf midline insertion
|
$468.20 |
$468.20 |
$468.20 |
$1,219.20
|
|
Ghs inhibitor screen
|
$2.29 |
$2.29 |
$2.29 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$109.00 |
$109.00 |
$109.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$977.60 |
$977.60 |
$977.60 |
$1,702.20
|
|
Ghs intro needle/intracath vein - 36000
|
$42.20 |
$42.20 |
$42.20 |
$213.75
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$110.80 |
$110.80 |
$110.80 |
$584.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.20 |
$2.20 |
$2.20 |
$76.20
|
|
Ghs low level laser therapy
|
$14.20 |
$14.20 |
$14.20 |
$77.70
|
|
Ghs mbp
|
$4.00 |
$4.00 |
$4.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$38.80 |
$38.80 |
$38.80 |
$242.31
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$51.80 |
$51.80 |
$51.80 |
$230.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$51.80 |
$51.80 |
$51.80 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$51.80 |
$51.80 |
$51.80 |
$147.75
|
|
Ghs nerve block axillary nerve
|
$282.80 |
$282.80 |
$282.80 |
$1,549.80
|
|
Ghs nerve block celiac plexus
|
$1,931.60 |
$1,931.60 |
$1,931.60 |
$1,661.40
|
|
Ghs nerve block lumbar or thoracic symp
|
$282.80 |
$282.80 |
$282.80 |
$1,710.80
|
|
Ghs ng placement w fluoro guidance
|
$604.20 |
$604.20 |
$604.20 |
$478.50
|
|
Ghs o2 saturation
|
$39.00 |
$39.00 |
$39.00 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$57.40 |
$57.40 |
$57.40 |
$75.00
|
|
Ghs ot dds rom
|
$45.80 |
$45.80 |
$45.80 |
$62.28
|
|
Ghs ot prosthetic training/15 min
|
$28.20 |
$28.20 |
$28.20 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$17.40 |
$17.40 |
$17.40 |
$94.80
|
|
Ghs pacing - transcutaneous
|
$207.80 |
$207.80 |
$207.80 |
$815.20
|
