|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$254.58 |
$254.58 |
$254.58 |
$106.25
|
|
Fracture assessment via dxa
|
$117.48 |
$117.48 |
$117.48 |
$175.50
|
|
Fragmenting of kidney stone
|
$1,304.82 |
$1,304.82 |
$1,304.82 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$2,401.08 |
$2,401.08 |
$2,401.08 |
$2,062.20
|
|
Free/remove chest lining 32320
|
$3,476.88 |
$3,476.88 |
$3,476.88 |
$3,890.40
|
|
Frenectomy 41115
|
$1,075.14 |
$1,075.14 |
$1,075.14 |
$1,939.47
|
|
Frenotomy 40806
|
$242.22 |
$242.22 |
$242.22 |
$679.80
|
|
Frenulotomy of penis
|
$453.42 |
$453.42 |
$453.42 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$160.38 |
$160.38 |
$160.38 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$182.16 |
$182.16 |
$182.16 |
$164.16
|
|
Fructosamine glycated protein
|
$41.91 |
$41.91 |
$41.91 |
$61.75
|
|
Fth/gft fr n/e/e/l each addl
|
$302.94 |
$302.94 |
$302.94 |
$1,368.50
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,344.98 |
$2,344.98 |
$2,344.98 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,413.06 |
$1,413.06 |
$1,413.06 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$153.12 |
$153.12 |
$153.12 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,174.70 |
$2,174.70 |
$2,174.70 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$67.32 |
$67.32 |
$67.32 |
$178.20
|
|
Furosemide 10 mg/ml injection solution
|
$18.62 |
$18.62 |
$18.62 |
$19.53
|
|
Fuse/graft added joint
|
$502.92 |
$502.92 |
$502.92 |
$1,011.40
|
|
Fuse pancreas and bowel
|
$3,659.04 |
$3,659.04 |
$3,659.04 |
$1,663.20
|
|
Fusion/graft of finger joint
|
$1,799.16 |
$1,799.16 |
$1,799.16 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$2,005.08 |
$2,005.08 |
$2,005.08 |
$5,886.74
|
|
Fusion of ankle joint open
|
$2,304.06 |
$2,304.06 |
$2,304.06 |
$10,629.07
|
|
Fusion of big toe joint
|
$1,333.86 |
$1,333.86 |
$1,333.86 |
$5,488.00
|
|
Fusion of big toe joint
|
$788.70 |
$788.70 |
$788.70 |
$6,839.00
|
|
Fusion of finger jnt add-on
|
$225.72 |
$225.72 |
$225.72 |
$192.40
|
|
Fusion of finger joint
|
$1,451.34 |
$1,451.34 |
$1,451.34 |
$4,350.00
|
|
Fusion of finger tendons
|
$1,558.26 |
$1,558.26 |
$1,558.26 |
$3,839.54
|
|
Fusion of finger tendons
|
$1,534.50 |
$1,534.50 |
$1,534.50 |
$1,893.86
|
|
Fusion of foot bones
|
$1,677.06 |
$1,677.06 |
$1,677.06 |
$6,411.60
|
|
Fusion of foot bones
|
$1,794.54 |
$1,794.54 |
$1,794.54 |
$14,061.89
|
|
Fusion of foot bones
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$5,110.00
|
|
Fusion of knee
|
$3,352.14 |
$3,352.14 |
$3,352.14 |
$5,486.00
|
|
Fusion of knuckle
|
$1,724.58 |
$1,724.58 |
$1,724.58 |
$6,311.00
|
|
Fusion of knuckle joint
|
$1,745.70 |
$1,745.70 |
$1,745.70 |
$3,786.00
|
|
Fusion of knuckle with graft
|
$1,952.94 |
$1,952.94 |
$1,952.94 |
$6,311.00
|
|
Fusion of tendons at wrist
|
$1,611.06 |
$1,611.06 |
$1,611.06 |
$3,545.97
|
|
Fusion of tendons at wrist
|
$1,504.14 |
$1,504.14 |
$1,504.14 |
$3,821.05
|
|
Fusion of thumb
|
$1,813.68 |
$1,813.68 |
$1,813.68 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$1,591.92 |
$1,591.92 |
$1,591.92 |
$8,299.09
|
|
Fusion of toes
|
$1,163.58 |
$1,163.58 |
$1,163.58 |
$3,839.54
|
|
Fusion of ureter & kidney
|
$2,702.04 |
$2,702.04 |
$2,702.04 |
$4,503.00
|
|
G0180 home health certification
|
$89.76 |
$89.76 |
$89.76 |
$116.00
|
|
G6pd full gene sequence
|
$594.00 |
$594.00 |
$594.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$115.37 |
$115.37 |
$115.37 |
$243.00
|
|
Gabapentin non-blood
|
$10.56 |
$10.56 |
$10.56 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$6.30 |
$6.30 |
$6.30 |
$121.12
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$3.50 |
$3.50 |
$3.50 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$28.38 |
$28.38 |
$28.38 |
$249.80
|
|
Galectin-3
|
$29.21 |
$29.21 |
$29.21 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$1,472.46 |
$1,472.46 |
$1,472.46 |
$12,906.50
|
|
Gammaglobulin iga
|
$19.80 |
$19.80 |
$19.80 |
$69.42
|
|
Gammaglobulin ige
|
$5.30 |
$5.30 |
$5.30 |
$83.40
|
|
Gamma glutamyltransferase
|
$44.22 |
$44.22 |
$44.22 |
$57.54
|
|
Gamunex-c/gammaked
|
$6,579.45 |
$6,579.45 |
$6,579.45 |
$7,435.88
|
|
Gastric emptying imag study
|
$1,268.52 |
$1,268.52 |
$1,268.52 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,585.32 |
$1,585.32 |
$1,585.32 |
$1,665.50
|
|
Gastroduodenostomy
|
$2,240.04 |
$2,240.04 |
$2,240.04 |
$2,265.07
|
|
Gastroesophageal reflux study
|
$83.82 |
$83.82 |
$83.82 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$79.20 |
$79.20 |
$79.20 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$2,962.74 |
$2,962.74 |
$2,962.74 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$2,886.18 |
$2,886.18 |
$2,886.18 |
$2,919.94
|
|
Gated heart multiple
|
$370.92 |
$370.92 |
$370.92 |
$1,395.35
|
|
Gauze >16<=48 no w/sal without b
|
$5.28 |
$5.28 |
$5.28 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$4.62 |
$4.62 |
$4.62 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$8.58 |
$8.58 |
$8.58 |
$7.08
|
|
Gel-syn injection 0.1 mg
|
$3.30 |
$3.30 |
$3.30 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$211.68 |
$211.68 |
$211.68 |
$208.92
|
|
General health panel
|
$392.04 |
$392.04 |
$392.04 |
$262.44
|
|
Genetic tstg severe inh cond
|
$1,123.65 |
$1,123.65 |
$1,123.65 |
$3,978.65
|
|
Genome sequence analysis
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$5,031.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$14.41 |
$14.41 |
$14.41 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$102.96 |
$102.96 |
$102.96 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$129.36 |
$129.36 |
$129.36 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$558.36 |
$558.36 |
$558.36 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$611.82 |
$611.82 |
$611.82 |
$3,515.40
|
|
Ghs analysis neurostim without reprogramming
|
$61.38 |
$61.38 |
$61.38 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$6.87 |
$6.87 |
$6.87 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$346.50 |
$346.50 |
$346.50 |
$343.68
|
|
Ghs bleeding time (ivy)
|
$106.26 |
$106.26 |
$106.26 |
$64.08
|
|
Ghs block ilioinguinal/gentitofemoral
|
$258.06 |
$258.06 |
$258.06 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$185.46 |
$185.46 |
$185.46 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$526.02 |
$526.02 |
$526.02 |
$594.55
|
|
Ghs chemo >8 hrs
|
$456.72 |
$456.72 |
$456.72 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$326.04 |
$326.04 |
$326.04 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$196.02 |
$196.02 |
$196.02 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$209.88 |
$209.88 |
$209.88 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$706.86 |
$706.86 |
$706.86 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$920.70 |
$920.70 |
$920.70 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,017.06 |
$1,017.06 |
$1,017.06 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,079.76 |
$1,079.76 |
$1,079.76 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,272.48 |
$1,272.48 |
$1,272.48 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,816.98 |
$1,816.98 |
$1,816.98 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$820.38 |
$820.38 |
$820.38 |
$494.40
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,298.88 |
$1,298.88 |
$1,298.88 |
$2,319.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$826.98 |
$826.98 |
$826.98 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$246.18 |
$246.18 |
$246.18 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$88.44 |
$88.44 |
$88.44 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$66.00 |
$66.00 |
$66.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$140.58 |
$140.58 |
$140.58 |
$422.25
|