|
Fluoroscopy up to 1 hour
|
$531.05 |
$531.05 |
$701.57 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$14.17 |
$14.17 |
$18.72 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$156.96 |
$156.96 |
$207.36 |
$88.00
|
|
Fna bx w/ct gdn 1st les
|
$441.24 |
$441.24 |
$582.92 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$330.93 |
$330.93 |
$437.19 |
$775.14
|
|
Folic acid
|
$179.85 |
$179.85 |
$237.60 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$66.93 |
$66.93 |
$88.42 |
$60.09
|
|
Follow-up angiography
|
$828.84 |
$828.84 |
$1,094.98 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,812.02 |
$1,812.02 |
$2,393.86 |
$2,471.57
|
|
Fondaparinux sodium
|
$137.13 |
$137.13 |
$181.16 |
$174.74
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$350.33 |
$350.33 |
$462.82 |
$383.97
|
|
Foscarnet sodium injection
|
$494.86 |
$494.86 |
$653.76 |
$1,101.86
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$502.28 |
$502.28 |
$663.56 |
$88.73
|
|
_fragile x methylation-sendout
|
$17.46 |
$17.46 |
$23.07 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$26.60 |
$26.60 |
$35.14 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$79.57 |
$79.57 |
$105.12 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$72.60 |
$72.60 |
$95.91 |
$123.90
|
|
Frozen blood thaw
|
$54.07 |
$54.07 |
$71.43 |
$189.84
|
|
Fructosamine glycated protein
|
$2.06 |
$2.06 |
$2.72 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$24.64 |
$24.64 |
$32.55 |
$33.95
|
|
Ga-67 gallium 0.1 mci
|
$41.21 |
$41.21 |
$54.44 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$800.06 |
$800.06 |
$1,056.96 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$110.09 |
$110.09 |
$145.44 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$52.76 |
$52.76 |
$69.70 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$143.01 |
$143.01 |
$188.93 |
$210.50
|
|
Gallium illuccix 1 millicure
|
$747.96 |
$747.96 |
$988.13 |
$1,395.27
|
|
Gammaglobulin iga
|
$4.49 |
$4.49 |
$5.93 |
$75.30
|
|
Gammaglobulin ige
|
$3.25 |
$3.25 |
$4.29 |
$85.00
|
|
Gamma glutamyltransferase
|
$49.71 |
$49.71 |
$65.67 |
$55.28
|
|
Gamunex-c/gammaked
|
$2,023.04 |
$2,023.04 |
$2,672.64 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$124.48 |
$124.48 |
$164.45 |
$197.40
|
|
Gastroesophageal reflux study
|
$1,010.43 |
$1,010.43 |
$1,334.88 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,089.13 |
$1,089.13 |
$1,438.85 |
$1,129.63
|
|
Gated heart multiple
|
$1,106.57 |
$1,106.57 |
$1,461.89 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$740.77 |
$740.77 |
$978.63 |
$276.26
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$7,692.35 |
$7,692.35 |
$7,692.35 |
$20,115.00
|
|
General health panel
|
$110.09 |
$110.09 |
$145.44 |
$280.50
|
|
Generator barostim neo2 2014
|
$45,902.08 |
$45,902.08 |
$60,641.28 |
$54,677.39
|
|
Generator emblem MRI sicd subq
|
$28,502.41 |
$28,502.41 |
$37,654.56 |
$37,300.73
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$31,352.76 |
$31,352.76 |
$41,420.16 |
$43,776.46
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$15.26 |
$15.26 |
$20.16 |
$65.88
|
|
Gentamicin peak therapeutic drug level
|
$93.74 |
$93.74 |
$123.84 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$494.86 |
$494.86 |
$653.76 |
$1,352.03
|
|
Ghs abscess postoperative iandd complex
|
$1,674.24 |
$1,674.24 |
$2,211.84 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$3.27 |
$3.27 |
$4.32 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$3.88 |
$3.88 |
$5.12 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$3.55 |
$3.55 |
$4.69 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$132.55 |
$132.55 |
$175.11 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$16.79 |
$16.79 |
$22.18 |
$55.90
|
|
Ghs change cysto/gastrost
|
$212.34 |
$212.34 |
$280.52 |
$699.60
|
|
Ghs chemo >8 hrs
|
$391.53 |
$391.53 |
$517.25 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$252.67 |
$252.67 |
$333.80 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$147.59 |
$147.59 |
$194.98 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$16.35 |
$16.35 |
$21.60 |
$134.55
|
|
Ghs cricothyroidotomy
|
$163.94 |
$163.94 |
$216.58 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$651.17 |
$651.17 |
$860.26 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$415.29 |
$415.29 |
$548.64 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$241.77 |
$241.77 |
$319.40 |
$586.80
|
|
Ghs fish cytogen
|
$47.64 |
$47.64 |
$62.93 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$100.67 |
$100.67 |
$132.99 |
$229.45
|
|
Ghs hcv amplificaiton
|
$8.46 |
$8.46 |
$11.18 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$3.74 |
$3.74 |
$4.94 |
$106.05
|
|
Ghs histoplasma antigen
|
$2.21 |
$2.21 |
$2.91 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$854.35 |
$854.35 |
$1,128.68 |
$3,034.00
|
|
Ghs inf midline insertion
|
$759.30 |
$759.30 |
$1,003.11 |
$1,234.20
|
|
Ghs inj neurolytic other perph nerve
|
$836.91 |
$836.91 |
$1,105.64 |
$1,972.69
|
|
Ghs intro needle/intracath vein - 36000
|
$42.08 |
$42.08 |
$55.59 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$29.87 |
$29.87 |
$39.46 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$262.26 |
$262.26 |
$346.47 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$206.23 |
$206.23 |
$272.45 |
$617.60
|
|
Ghs leukocyte alkaline phos (mayo)
|
$2.08 |
$2.08 |
$2.74 |
$59.40
|
|
Ghs mbp
|
$5.13 |
$5.13 |
$6.77 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$204.92 |
$204.92 |
$270.72 |
$261.80
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$141.49 |
$141.49 |
$186.92 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$169.17 |
$169.17 |
$223.49 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$141.49 |
$141.49 |
$186.92 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$133.86 |
$133.86 |
$176.84 |
$503.85
|
|
Ghs nerve blk intercostal, single level
|
$572.91 |
$572.91 |
$756.87 |
$1,230.80
|
|
Ghs nerve block lumbar or thoracic symp
|
$601.47 |
$601.47 |
$794.60 |
$2,042.60
|
|
Ghs nerve block suprascapular
|
$539.55 |
$539.55 |
$712.80 |
$1,223.00
|
|
Ghs ng placement w fluoro guidance
|
$482.87 |
$482.87 |
$637.92 |
$468.75
|
|
Ghs o2 saturation
|
$117.72 |
$117.72 |
$155.52 |
$72.45
|
|
Ghs pacing - transcutaneous
|
$197.95 |
$197.95 |
$261.51 |
$868.68
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$644.19 |
$644.19 |
$851.04 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$772.81 |
$772.81 |
$1,020.96 |
$1,003.00
|
|
Ghs picc line insert < 5
|
$1,120.52 |
$1,120.52 |
$1,480.32 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$12.87 |
$12.87 |
$17.00 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$2.30 |
$2.30 |
$3.03 |
$40.56
|
|
Ghs protein, misc fluid
|
$3.25 |
$3.25 |
$4.30 |
$24.60
|
|
Ghs protoporphyrins fract
|
$3.49 |
$3.49 |
$4.61 |
$64.35
|
|
Ghs pr without cont pulse ox
|
$134.29 |
$134.29 |
$177.41 |
$156.70
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$2.39 |
$2.39 |
$3.16 |
$45.05
|
|
Ghs reticulocyte count
|
$9.81 |
$9.81 |
$12.96 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$73.47 |
$73.47 |
$97.06 |
$101.15
|
|
Ghs sedimentation rate
|
$96.80 |
$96.80 |
$127.88 |
$45.50
|
|
Ghs semen analysis fert
|
$42.51 |
$42.51 |
$56.16 |
$123.20
|
|
Ghs sensitivity (per antimicro)
|
$18.32 |
$18.32 |
$24.20 |
$59.90
|
|
Ghs somatosensory testing upper & lower limbs
|
$485.27 |
$485.27 |
$641.09 |
$1,435.00
|
|
Ghs tracheostomy emergency - transtracheal
|
$1,095.02 |
$1,095.02 |
$1,446.63 |
$2,225.73
|
|
Ghs urine, hydroxproline total
|
$5.86 |
$5.86 |
$7.74 |
$61.60
|