|
Follow-up angiography
|
$716.37 |
$716.37 |
$716.37 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$2,860.43
|
|
Fondaparinux sodium
|
$134.42 |
$134.42 |
$134.42 |
$176.81
|
|
Foot drp splt w/exp heel lg
|
$91.16 |
$91.16 |
$91.16 |
$120.31
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$807.01 |
$807.01 |
$807.01 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$1,157.21 |
$1,157.21 |
$1,157.21 |
$107.31
|
|
Fracture assessment via dxa
|
$103.52 |
$103.52 |
$103.52 |
$146.80
|
|
_fragile x methylation-sendout
|
$84.22 |
$84.22 |
$84.22 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$177.16 |
$177.16 |
$177.16 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$386.77 |
$386.77 |
$386.77 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$149.35 |
$149.35 |
$149.35 |
$123.90
|
|
Fructosamine glycated protein
|
$4.86 |
$4.86 |
$4.86 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$56.65 |
$56.65 |
$56.65 |
$27.69
|
|
G6pd full gene sequence
|
$218.40 |
$218.40 |
$218.40 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$238.45 |
$238.45 |
$238.45 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$1,890.05 |
$1,890.05 |
$1,890.05 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$253.90 |
$253.90 |
$253.90 |
$138.37
|
|
Galac-1-phosphate uridyltran - sendout
|
$92.12 |
$92.12 |
$92.12 |
$82.50
|
|
Galactose transferase test
|
$10.82 |
$10.82 |
$10.82 |
$22.40
|
|
Gammaglobulin iga
|
$18.54 |
$18.54 |
$18.54 |
$75.30
|
|
Gammaglobulin ige
|
$36.57 |
$36.57 |
$36.57 |
$85.00
|
|
Gamma glutamyltransferase
|
$155.02 |
$155.02 |
$155.02 |
$55.28
|
|
Gamunex-c/gammaked
|
$4,776.11 |
$4,776.11 |
$4,776.11 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$144.72 |
$144.72 |
$144.72 |
$209.07
|
|
Gastroesophageal reflux study
|
$525.30 |
$525.30 |
$525.30 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,315.83 |
$1,315.83 |
$1,315.83 |
$1,129.63
|
|
Gated heart multiple
|
$573.20 |
$573.20 |
$573.20 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$1,706.20 |
$1,706.20 |
$1,706.20 |
$252.84
|
|
Generator barostim neo2 2014
|
$39,433.04 |
$39,433.04 |
$39,433.04 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$23,372.76 |
$23,372.76 |
$23,372.76 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$27.81 |
$27.81 |
$27.81 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$207.55 |
$207.55 |
$207.55 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$792.59 |
$792.59 |
$792.59 |
$1,352.03
|
|
Ghs acetylcholinesterase, rbc
|
$7.72 |
$7.72 |
$7.72 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$23.69 |
$23.69 |
$23.69 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$144.05 |
$144.05 |
$144.05 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$133.39 |
$133.39 |
$133.39 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$44.29 |
$44.29 |
$44.29 |
$73.70
|
|
Ghs bleeding time (ivy)
|
$242.05 |
$242.05 |
$242.05 |
$55.90
|
|
Ghs central line insert < age 5, failed
|
$1,961.12 |
$1,961.12 |
$1,961.12 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$426.42 |
$426.42 |
$426.42 |
$699.60
|
|
Ghs chemo >8 hrs
|
$1,007.34 |
$1,007.34 |
$1,007.34 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$275.01 |
$275.01 |
$275.01 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$638.60 |
$638.60 |
$638.60 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$38.63 |
$38.63 |
$38.63 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$407.37 |
$407.37 |
$407.37 |
$596.55
|
|
Ghs conjunctiva foreign body-superf bil
|
$71.07 |
$71.07 |
$71.07 |
$316.25
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,281.84 |
$1,281.84 |
$1,281.84 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$97.85 |
$97.85 |
$97.85 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$949.66 |
$949.66 |
$949.66 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$342.48 |
$342.48 |
$342.48 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$297.67 |
$297.67 |
$297.67 |
$470.51
|
|
Ghs excision ingrown nail
|
$216.82 |
$216.82 |
$216.82 |
$457.60
|
|
Ghs fb removal - incisional
|
$53.56 |
$53.56 |
$53.56 |
$2,425.20
|
|
Ghs febrile agglutinns(mayo)
|
$33.99 |
$33.99 |
$33.99 |
$48.57
|
|
Ghs fish cytogen
|
$88.70 |
$88.70 |
$88.70 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$67.65 |
$67.65 |
$67.65 |
$229.45
|
|
Ghs flow volume loop
|
$120.00 |
$120.00 |
$120.00 |
$309.12
|
|
Ghs histoplasma antigen
|
$45.32 |
$45.32 |
$45.32 |
$137.80
|
|
Ghs HIV antibody
|
$114.33 |
$114.33 |
$114.33 |
$91.00
|
|
Ghs inf midline insertion
|
$764.78 |
$764.78 |
$764.78 |
$1,234.20
|
|
Ghs inhibitor screen
|
$78.40 |
$78.40 |
$78.40 |
$143.32
|
|
Ghs inj neurolytic other perph nerve
|
$1,478.05 |
$1,478.05 |
$1,478.05 |
$1,972.69
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$1,861.60
|
|
Ghs intro needle/intracath vein - 36000
|
$144.72 |
$144.72 |
$144.72 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$61.29 |
$61.29 |
$61.29 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$797.22 |
$797.22 |
$797.22 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$570.11 |
$570.11 |
$570.11 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$570.11 |
$570.11 |
$570.11 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$582.47 |
$582.47 |
$582.47 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$777.14 |
$777.14 |
$777.14 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$567.02 |
$567.02 |
$567.02 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$570.11 |
$570.11 |
$570.11 |
$779.35
|
|
Ghs mbp
|
$12.11 |
$12.11 |
$12.11 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$332.69 |
$332.69 |
$332.69 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$506.25 |
$506.25 |
$506.25 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$372.35 |
$372.35 |
$372.35 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$337.33 |
$337.33 |
$337.33 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$442.90 |
$442.90 |
$442.90 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$173.04 |
$173.04 |
$173.04 |
$503.85
|
|
Ghs nerve block axillary nerve
|
$1,364.75 |
$1,364.75 |
$1,364.75 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,364.75 |
$1,364.75 |
$1,364.75 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$1,712.00
|
|
Ghs nerve block interscaline
|
$1,351.36 |
$1,351.36 |
$1,351.36 |
$1,607.45
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,474.45 |
$1,474.45 |
$1,474.45 |
$2,042.60
|
|
Ghs nerve block sciatic nerve
|
$1,053.18 |
$1,053.18 |
$1,053.18 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$282.74 |
$282.74 |
$282.74 |
$468.75
|
|
Ghs o2 saturation
|
$126.18 |
$126.18 |
$126.18 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$1,061.42 |
$1,061.42 |
$1,061.42 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,893.66 |
$1,893.66 |
$1,893.66 |
$2,430.56
|
|
Ghs ot work hardening-additional hours
|
$159.65 |
$159.65 |
$159.65 |
$121.54
|
|
Ghs pacing - transcutaneous
|
$687.01 |
$687.01 |
$687.01 |
$868.68
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,170.60 |
$1,170.60 |
$1,170.60 |
$1,003.00
|
|
Ghs picc line insert < 5
|
$2,130.56 |
$2,130.56 |
$2,130.56 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$167.38 |
$167.38 |
$167.38 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$6.06 |
$6.06 |
$6.06 |
$40.56
|
|
Ghs protoporphyrins fract
|
$27.25 |
$27.25 |
$27.25 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$112.27 |
$112.27 |
$112.27 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$6.22 |
$6.22 |
$6.22 |
$45.05
|