|
Fluoroguide needle placement
|
$849.12 |
$849.12 |
$849.12 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,269.60 |
$1,269.60 |
$1,269.60 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$182.05 |
$182.05 |
$182.05 |
$107.46
|
|
Fna bx w/ct gdn 1st les
|
$1,782.72 |
$1,782.72 |
$1,782.72 |
$1,588.65
|
|
Fna bx w/mr gdn 1st les
|
$2,359.20 |
$2,359.20 |
$2,359.20 |
$973.71
|
|
Folic acid
|
$74.88 |
$74.88 |
$74.88 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$55.66
|
|
Follow-up angiography
|
$2,126.40 |
$2,126.40 |
$2,126.40 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,602.83 |
$2,602.83 |
$2,602.83 |
$2,860.43
|
|
Fondaparinux sodium
|
$221.58 |
$221.58 |
$221.58 |
$176.81
|
|
Foot X-ray
|
$452.64 |
$452.64 |
$452.64 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$6,019.20 |
$6,019.20 |
$6,019.20 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$483.36 |
$483.36 |
$483.36 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,030.78 |
$1,030.78 |
$1,030.78 |
$470.29
|
|
Foscarnet sodium injection
|
$820.58 |
$820.58 |
$820.58 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$151.24 |
$151.24 |
$151.24 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$36.96 |
$36.96 |
$36.96 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$42.24 |
$42.24 |
$42.24 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$121.44 |
$121.44 |
$121.44 |
$123.90
|
|
Fructosamine glycated protein
|
$18.24 |
$18.24 |
$18.24 |
$60.42
|
|
Ftl cgen abnor four anal
|
$232.80 |
$232.80 |
$232.80 |
$211.83
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,091.20 |
$3,091.20 |
$3,091.20 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$27.69
|
|
Fusion of finger joint
|
$4,307.52 |
$4,307.52 |
$4,307.52 |
$3,986.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$70.56 |
$70.56 |
$70.56 |
$162.68
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$189.46 |
$189.46 |
$189.46 |
$210.50
|
|
Gammaglobulin iga
|
$37.92 |
$37.92 |
$37.92 |
$75.30
|
|
Gammaglobulin ige
|
$28.80 |
$28.80 |
$28.80 |
$85.00
|
|
Gamma glutamyltransferase
|
$85.44 |
$85.44 |
$85.44 |
$55.28
|
|
Gamunex-c/gammaked
|
$3,124.32 |
$3,124.32 |
$3,124.32 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$186.98 |
$186.98 |
$186.98 |
$209.07
|
|
Gardner vag dna quant
|
$78.24 |
$78.24 |
$78.24 |
$89.70
|
|
Gastroesophageal reflux study
|
$1,085.28 |
$1,085.28 |
$1,085.28 |
$957.25
|
|
Gated heart multiple
|
$1,968.48 |
$1,968.48 |
$1,968.48 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$252.84
|
|
Generator barostim neo2 2014
|
$87,620.93 |
$87,620.93 |
$87,620.93 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$60,465.60 |
$60,465.60 |
$60,465.60 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$117.28 |
$117.28 |
$117.28 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$132.00 |
$132.00 |
$132.00 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,030.56 |
$1,030.56 |
$1,030.56 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$692.16 |
$692.16 |
$692.16 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$2,753.76 |
$2,753.76 |
$2,753.76 |
$3,776.00
|
|
Ghs alpha thalasemia, 7 deletions
|
$220.80 |
$220.80 |
$220.80 |
$382.20
|
|
Ghs aspiration bladder - needle
|
$420.48 |
$420.48 |
$420.48 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$343.68 |
$343.68 |
$343.68 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,352.64 |
$1,352.64 |
$1,352.64 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$3,075.84 |
$3,075.84 |
$3,075.84 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$252.48 |
$252.48 |
$252.48 |
$699.60
|
|
Ghs chemo >8 hrs
|
$250.08 |
$250.08 |
$250.08 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$224.16 |
$224.16 |
$224.16 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$95.52 |
$95.52 |
$95.52 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$149.43 |
$149.43 |
$149.43 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$325.44 |
$325.44 |
$325.44 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$399.36 |
$399.36 |
$399.36 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,496.64 |
$1,496.64 |
$1,496.64 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$390.72 |
$390.72 |
$390.72 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$1,496.64 |
$1,496.64 |
$1,496.64 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,553.60 |
$2,553.60 |
$2,553.60 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$337.92 |
$337.92 |
$337.92 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$1,496.64 |
$1,496.64 |
$1,496.64 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,750.08 |
$1,750.08 |
$1,750.08 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$429.12 |
$429.12 |
$429.12 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$294.72 |
$294.72 |
$294.72 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$104.16 |
$104.16 |
$104.16 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$673.92 |
$673.92 |
$673.92 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$330.24 |
$330.24 |
$330.24 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$673.92 |
$673.92 |
$673.92 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$673.92 |
$673.92 |
$673.92 |
$368.16
|
|
Ghs cricothyroidotomy
|
$430.08 |
$430.08 |
$430.08 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$391.20 |
$391.20 |
$391.20 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$236.16 |
$236.16 |
$236.16 |
$152.54
|
|
Ghs diphtheria toxoid ab igg
|
$43.76 |
$43.76 |
$43.76 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$362.88 |
$362.88 |
$362.88 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,497.60 |
$1,497.60 |
$1,497.60 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$180.48 |
$180.48 |
$180.48 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,131.36 |
$1,131.36 |
$1,131.36 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$274.08 |
$274.08 |
$274.08 |
$457.60
|
|
Ghs eye exam
|
$64.32 |
$64.32 |
$64.32 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$650.40 |
$650.40 |
$650.40 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$2,484.96 |
$2,484.96 |
$2,484.96 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$3,648.96 |
$3,648.96 |
$3,648.96 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$1,089.60 |
$1,089.60 |
$1,089.60 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,511.52 |
$1,511.52 |
$1,511.52 |
$1,794.93
|
|
Ghs flow volume loop
|
$309.12 |
$309.12 |
$309.12 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$458.88 |
$458.88 |
$458.88 |
$403.20
|
|
Ghs hcv amplificaiton
|
$28.32 |
$28.32 |
$28.32 |
$187.00
|
|
Ghs histoplasma antigen
|
$55.50 |
$55.50 |
$55.50 |
$137.80
|
|
Ghs HIV antibody
|
$39.19 |
$39.19 |
$39.19 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$4,860.96 |
$4,860.96 |
$4,860.96 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,163.04 |
$1,163.04 |
$1,163.04 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$779.04 |
$779.04 |
$779.04 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$668.64 |
$668.64 |
$668.64 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$964.32 |
$964.32 |
$964.32 |
$543.60
|
|
Ghs indirect laryngoscopy/w fb removal
|
$225.60 |
$225.60 |
$225.60 |
$293.58
|
|
Ghs inf midline insertion
|
$144.00 |
$144.00 |
$144.00 |
$1,234.20
|
|
Ghs inhibitor screen
|
$96.97 |
$96.97 |
$96.97 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$314.40 |
$314.40 |
$314.40 |
$300.30
|
|
Ghs inj neurolytic other perph nerve
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$474.72 |
$474.72 |
$474.72 |
$431.07
|
