|
Fibrinogen activity
|
$79.68 |
$79.68 |
$79.68 |
$82.38
|
|
Fibrinolytic plasminogen
|
$55.44 |
$55.44 |
$55.44 |
$109.45
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$421.44 |
$421.44 |
$421.44 |
$582.00
|
|
Filleted finger/toe flap
|
$2,529.12 |
$2,529.12 |
$2,529.12 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$7,980.78 |
$7,980.78 |
$7,980.78 |
$6,785.40
|
|
Filter vena cava fem denali
|
$4,840.08 |
$4,840.08 |
$4,840.08 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,011.20 |
$2,011.20 |
$2,011.20 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$568.32 |
$568.32 |
$568.32 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,011.20 |
$2,011.20 |
$2,011.20 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$652.32 |
$652.32 |
$652.32 |
$547.53
|
|
Fixation of knee joint
|
$1,720.32 |
$1,720.32 |
$1,720.32 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$5,866.08 |
$5,866.08 |
$5,866.08 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$601.92 |
$601.92 |
$601.92 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,296.96 |
$1,296.96 |
$1,296.96 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$2,557.92 |
$2,557.92 |
$2,557.92 |
$2,040.09
|
|
Flow cytometry marker each additional
|
$33.75 |
$33.75 |
$33.75 |
$103.00
|
|
Flow cytometry one marker technical component
|
$33.76 |
$33.76 |
$33.76 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$119.28 |
$119.28 |
$119.28 |
$73.89
|
|
Fluid pressure muscle 20950
|
$522.24 |
$522.24 |
$522.24 |
$779.45
|
|
Fluorescent antibody titer dna
|
$24.00 |
$24.00 |
$24.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,281.12 |
$1,281.12 |
$1,281.12 |
$507.00
|
|
Fluoroguide needle placement
|
$1,647.36 |
$1,647.36 |
$1,647.36 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$915.84 |
$915.84 |
$915.84 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$128.69 |
$128.69 |
$128.69 |
$135.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$75.62
|
|
Fna bx w/ct gdn 1st les
|
$5,300.64 |
$5,300.64 |
$5,300.64 |
$1,588.65
|
|
Fna bx w/mr gdn 1st les
|
$5,300.64 |
$5,300.64 |
$5,300.64 |
$973.71
|
|
Folic acid
|
$73.44 |
$73.44 |
$73.44 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$56.70
|
|
Follow-up angiography
|
$1,224.96 |
$1,224.96 |
$1,224.96 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,602.83 |
$2,602.83 |
$2,602.83 |
$2,511.73
|
|
Fondaparinux sodium
|
$119.22 |
$119.22 |
$119.22 |
$174.74
|
|
Foot X-ray
|
$338.88 |
$338.88 |
$338.88 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$5,270.40 |
$5,270.40 |
$5,270.40 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$431.04 |
$431.04 |
$431.04 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$168.26 |
$168.26 |
$168.26 |
$383.97
|
|
Foscarnet sodium injection
|
$1,144.22 |
$1,144.22 |
$1,144.22 |
$1,082.06
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$90.74 |
$90.74 |
$90.74 |
$86.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$51.84 |
$51.84 |
$51.84 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$51.84 |
$51.84 |
$51.84 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$98.88 |
$98.88 |
$98.88 |
$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
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,707.20 |
$2,707.20 |
$2,707.20 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$44.76 |
$44.76 |
$44.76 |
$32.04
|
|
Fusion of finger joint
|
$4,596.00 |
$4,596.00 |
$4,596.00 |
$3,986.00
|
|
Gammaglobulin iga
|
$62.88 |
$62.88 |
$62.88 |
$75.30
|
|
Gammaglobulin ige
|
$28.80 |
$28.80 |
$28.80 |
$85.00
|
|
Gamma glutamyltransferase
|
$56.16 |
$56.16 |
$56.16 |
$55.28
|
|
Gamunex-c/gammaked
|
$6,248.64 |
$6,248.64 |
$6,248.64 |
$6,873.35
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$182.54 |
$182.54 |
$182.54 |
$197.40
|
|
Gardner vag dna quant
|
$78.24 |
$78.24 |
$78.24 |
$89.70
|
|
Gastroesophageal reflux study
|
$1,087.20 |
$1,087.20 |
$1,087.20 |
$957.25
|
|
Gated heart multiple
|
$3,522.24 |
$3,522.24 |
$3,522.24 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$229.01 |
$229.01 |
$229.01 |
$269.75
|
|
Generator barostim neo2 2014
|
$45,620.81 |
$45,620.81 |
$45,620.81 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$38,448.96 |
$38,448.96 |
$38,448.96 |
$36,348.04
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$117.28 |
$117.28 |
$117.28 |
$63.53
|
|
Gentamicin peak therapeutic drug level
|
$189.12 |
$189.12 |
$189.12 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$563.04 |
$563.04 |
$563.04 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$1,613.28 |
$1,613.28 |
$1,613.28 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$4,959.84 |
$4,959.84 |
$4,959.84 |
$3,776.00
|
|
Ghs alpha thalasemia, 7 deletions
|
$220.80 |
$220.80 |
$220.80 |
$382.20
|
|
Ghs aspiration bladder - needle
|
$519.36 |
$519.36 |
$519.36 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$314.40 |
$314.40 |
$314.40 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,345.44 |
$1,345.44 |
$1,345.44 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$3,194.40 |
$3,194.40 |
$3,194.40 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$974.40 |
$974.40 |
$974.40 |
$699.60
|
|
Ghs chemo >8 hrs
|
$985.44 |
$985.44 |
$985.44 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$1,100.64 |
$1,100.64 |
$1,100.64 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$281.28 |
$281.28 |
$281.28 |
$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
|
$489.60 |
$489.60 |
$489.60 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$629.28 |
$629.28 |
$629.28 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$462.24 |
$462.24 |
$462.24 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$2,003.04 |
$2,003.04 |
$2,003.04 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,202.40 |
$1,202.40 |
$1,202.40 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$465.60 |
$465.60 |
$465.60 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$4,320.00 |
$4,320.00 |
$4,320.00 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$5,029.92 |
$5,029.92 |
$5,029.92 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$489.60 |
$489.60 |
$489.60 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$489.60 |
$489.60 |
$489.60 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$73.44 |
$73.44 |
$73.44 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$673.92 |
$673.92 |
$673.92 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$324.48 |
$324.48 |
$324.48 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$324.48 |
$324.48 |
$324.48 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$324.48 |
$324.48 |
$324.48 |
$368.16
|
|
Ghs cricothyroidotomy
|
$397.44 |
$397.44 |
$397.44 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$387.36 |
$387.36 |
$387.36 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$265.44 |
$265.44 |
$265.44 |
$152.54
|
|
Ghs diphtheria toxoid ab igg
|
$43.76 |
$43.76 |
$43.76 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$489.60 |
$489.60 |
$489.60 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$492.96 |
$492.96 |
$492.96 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,788.96 |
$1,788.96 |
$1,788.96 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$339.84 |
$339.84 |
$339.84 |
$586.80
|
|
Ghs excision ingrown nail
|
$266.40 |
$266.40 |
$266.40 |
$457.60
|
