|
Fluorescent antibody titer dna
|
$61.25 |
$61.25 |
$61.25 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$245.41 |
$245.41 |
$245.41 |
$507.00
|
|
Fluoroguide needle placement
|
$437.96 |
$437.96 |
$437.96 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$409.83 |
$409.83 |
$409.83 |
$494.52
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$430.20 |
$430.20 |
$430.20 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$979.70 |
$979.70 |
$979.70 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$731.87 |
$731.87 |
$731.87 |
$775.14
|
|
Folic acid
|
$29.10 |
$29.10 |
$29.10 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$204.19 |
$204.19 |
$204.19 |
$55.66
|
|
Follow-up angiography
|
$2,948.80 |
$2,948.80 |
$2,948.80 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,657.80 |
$2,657.80 |
$2,657.80 |
$2,860.43
|
|
Fondaparinux sodium
|
$361.33 |
$361.33 |
$361.33 |
$176.81
|
|
Foscarnet sodium injection
|
$1,148.48 |
$1,148.48 |
$1,148.48 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$216.80 |
$216.80 |
$216.80 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$116.89 |
$116.89 |
$116.89 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$84.39 |
$84.39 |
$84.39 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$146.47 |
$146.47 |
$146.47 |
$123.90
|
|
Fundus photography with i&r 92250
|
$284.21 |
$284.21 |
$284.21 |
$200.42
|
|
Furosemide 10 mg/ml injection solution
|
$16.49 |
$16.49 |
$16.49 |
$27.69
|
|
G6pd full gene sequence
|
$436.50 |
$436.50 |
$436.50 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$12.61 |
$12.61 |
$12.61 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$1,415.72 |
$1,415.72 |
$1,415.72 |
$138.37
|
|
Gammaglobulin iga
|
$13.54 |
$13.54 |
$13.54 |
$75.30
|
|
Gammaglobulin ige
|
$2.91 |
$2.91 |
$2.91 |
$85.00
|
|
Gamma glutamyltransferase
|
$72.27 |
$72.27 |
$72.27 |
$55.28
|
|
Gamunex-c/gammaked
|
$3,373.66 |
$3,373.66 |
$3,373.66 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$270.15 |
$270.15 |
$270.15 |
$209.07
|
|
Gastric emptying imag study
|
$1,621.36 |
$1,621.36 |
$1,621.36 |
$1,270.50
|
|
Gastric emptying imag study
|
$1,621.36 |
$1,621.36 |
$1,621.36 |
$1,664.33
|
|
Gated heart multiple
|
$1,788.68 |
$1,788.68 |
$1,788.68 |
$1,370.99
|
|
General health panel
|
$686.76 |
$686.76 |
$686.76 |
$280.50
|
|
Generator barostim neo2 2014
|
$102,121.60 |
$102,121.60 |
$102,121.60 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$47,643.98 |
$47,643.98 |
$47,643.98 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$64.99 |
$64.99 |
$64.99 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$203.22 |
$203.22 |
$203.22 |
$119.00
|
|
Ghs abscess postoperative iandd complex
|
$2,628.70 |
$2,628.70 |
$2,628.70 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$8.62 |
$8.62 |
$8.62 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$7.90 |
$7.90 |
$7.90 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$241.53 |
$241.53 |
$241.53 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$68.87 |
$68.87 |
$68.87 |
$55.90
|
|
Ghs central line insert < age 5, failed
|
$1,783.83 |
$1,783.83 |
$1,783.83 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$383.15 |
$383.15 |
$383.15 |
$699.60
|
|
Ghs cutdown placement age 1 and over
|
$226.01 |
$226.01 |
$226.01 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$96.52 |
$96.52 |
$96.52 |
$152.54
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$594.61 |
$594.61 |
$594.61 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$983.58 |
$983.58 |
$983.58 |
$1,439.40
|
|
Ghs fb removal - incisional
|
$2,247.49 |
$2,247.49 |
$2,247.49 |
$2,425.20
|
|
Ghs fish cytogen
|
$56.95 |
$56.95 |
$56.95 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$35.91 |
$35.91 |
$35.91 |
$229.45
|
|
Ghs histoplasma antigen
|
$21.83 |
$21.83 |
$21.83 |
$137.80
|
|
Ghs HIV antibody
|
$83.91 |
$83.91 |
$83.91 |
$91.00
|
|
Ghs inf midline insertion
|
$413.71 |
$413.71 |
$413.71 |
$1,234.20
|
|
Ghs IV thrombolytics - cerebral
|
$1,018.02 |
$1,018.02 |
$1,018.02 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$715.38 |
$715.38 |
$715.38 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$738.66 |
$738.66 |
$738.66 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$725.08 |
$725.08 |
$725.08 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$725.08 |
$725.08 |
$725.08 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$725.08 |
$725.08 |
$725.08 |
$741.00
|
|
Ghs mbp
|
$11.40 |
$11.40 |
$11.40 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$211.46 |
$211.46 |
$211.46 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$211.46 |
$211.46 |
$211.46 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$211.46 |
$211.46 |
$211.46 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$211.46 |
$211.46 |
$211.46 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$211.46 |
$211.46 |
$211.46 |
$140.00
|
|
Ghs ng placement w fluoro guidance
|
$237.17 |
$237.17 |
$237.17 |
$468.75
|
|
Ghs o2 saturation
|
$147.44 |
$147.44 |
$147.44 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$442.32 |
$442.32 |
$442.32 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,292.04 |
$1,292.04 |
$1,292.04 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$601.89 |
$601.89 |
$601.89 |
$868.68
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$110.10 |
$110.10 |
$110.10 |
$90.15
|
|
Ghs picc line insert < 5
|
$2,272.23 |
$2,272.23 |
$2,272.23 |
$2,060.40
|
|
Ghs plt ct-manual
|
$52.38 |
$52.38 |
$52.38 |
$39.20
|
|
Ghs reticulocyte count
|
$87.79 |
$87.79 |
$87.79 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$141.62 |
$141.62 |
$141.62 |
$101.15
|
|
Ghs sedimentation rate
|
$80.51 |
$80.51 |
$80.51 |
$45.50
|
|
Ghs semen analysis fert
|
$196.43 |
$196.43 |
$196.43 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$181.39 |
$181.39 |
$181.39 |
$59.90
|
|
Ghs superficial wnd dehis w packing12021
|
$270.63 |
$270.63 |
$270.63 |
$761.28
|
|
Ghs urine, porphyrins quant
|
$11.64 |
$11.64 |
$11.64 |
$70.20
|
|
Giardia lamblia antibody
|
$90.70 |
$90.70 |
$90.70 |
$81.60
|
|
Gi inhouse confirmation
|
$159.57 |
$159.57 |
$159.57 |
$87.00
|
|
Glucagon 1 mg solution for injection
|
$547.57 |
$547.57 |
$547.57 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$413.22 |
$413.22 |
$413.22 |
$509.06
|
|
Glucagon plasma - sendout
|
$9.70 |
$9.70 |
$9.70 |
$58.56
|
|
Glucose 1 hr post dose
|
$110.10 |
$110.10 |
$110.10 |
$46.28
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$35.89 |
$35.89 |
$35.89 |
$22.00
|
|
Glucose blood quantitative
|
$82.94 |
$82.94 |
$82.94 |
$44.76
|
|
Glucose body fluid
|
$93.61 |
$93.61 |
$93.61 |
$50.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$275.00 |
$275.00 |
$275.00 |
$100.10
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$44.14 |
$44.14 |
$44.14 |
$34.45
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$182.85 |
$182.85 |
$182.85 |
$56.70
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$87.30 |
$87.30 |
$87.30 |
$110.04
|
|
Gonadotropin luteinizing hormone (lh)
|
$28.62 |
$28.62 |
$28.62 |
$123.75
|
|
Goserelin 10.8 mg subcutaneous implant
|
$2,657.80 |
$2,657.80 |
$2,657.80 |
$2,802.00
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$47,643.98 |
$47,643.98 |
$47,643.98 |
$25,762.70
|
|
Graft nerve adv 3-4x70mm
|
$47,643.98 |
$47,643.98 |
$47,643.98 |
$27,495.00
|
|
Graft patch felt ptfe 2x2
|
$29,582.58 |
$29,582.58 |
$29,582.58 |
$25,728.84
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$6,581.45 |
$6,581.45 |
$6,581.45 |
$2,369.10
|
|
Graft tis hmatrix dermis 10x5 -cost per sq cm
|
$2,301.33 |
$2,301.33 |
$2,301.33 |
$3,431.03
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$24,448.85 |
$24,448.85 |
$24,448.85 |
$35,824.13
|