|
Flebogamma injection
|
$6,148.80 |
$6,148.80 |
$6,148.80 |
$2,827.01
|
|
Flecainide (tambocor)-sendout
|
$11.35 |
$11.35 |
$11.35 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$323.10 |
$323.10 |
$323.10 |
$546.86
|
|
Flow cytometry marker each additional
|
$48.60 |
$48.60 |
$48.60 |
$103.00
|
|
Flow cytometry one marker technical component
|
$80.10 |
$80.10 |
$80.10 |
$270.75
|
|
Floxuridine injection
|
$535.50 |
$535.50 |
$535.50 |
$774.69
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$550.80 |
$550.80 |
$550.80 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$408.60 |
$408.60 |
$408.60 |
$601.96
|
|
Fluorescent antibody titer dna
|
$112.50 |
$112.50 |
$112.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$507.00
|
|
Fluoroguide needle placement
|
$1,968.30 |
$1,968.30 |
$1,968.30 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$983.25 |
$983.25 |
$983.25 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$111.15 |
$111.15 |
$111.15 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$582.12 |
$582.12 |
$582.12 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$811.80 |
$811.80 |
$811.80 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$594.45 |
$594.45 |
$594.45 |
$775.14
|
|
Folic acid
|
$119.25 |
$119.25 |
$119.25 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$276.30 |
$276.30 |
$276.30 |
$55.66
|
|
Follow-up angiography
|
$2,659.50 |
$2,659.50 |
$2,659.50 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$2,860.43
|
|
Fondaparinux sodium
|
$488.88 |
$488.88 |
$488.88 |
$176.81
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,445.62 |
$1,445.62 |
$1,445.62 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$293.62 |
$293.62 |
$293.62 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$219.15 |
$219.15 |
$219.15 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$219.15 |
$219.15 |
$219.15 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$265.05 |
$265.05 |
$265.05 |
$123.90
|
|
Frozen blood thaw
|
$149.85 |
$149.85 |
$149.85 |
$189.84
|
|
Fructosamine glycated protein
|
$4.24 |
$4.24 |
$4.24 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$50.40 |
$50.40 |
$50.40 |
$27.69
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$454.32 |
$454.32 |
$454.32 |
$138.37
|
|
Gamma globulin 1 cc inj
|
$803.88 |
$803.88 |
$803.88 |
$158.67
|
|
Gammaglobulin iga
|
$8.87 |
$8.87 |
$8.87 |
$75.30
|
|
Gammaglobulin ige
|
$2.70 |
$2.70 |
$2.70 |
$85.00
|
|
Gamma glutamyltransferase
|
$313.20 |
$313.20 |
$313.20 |
$55.28
|
|
Gamunex-c/gammaked
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$365.66 |
$365.66 |
$365.66 |
$209.07
|
|
Gastric emptying imag study
|
$486.90 |
$486.90 |
$486.90 |
$1,270.50
|
|
Gastric emptying imag study
|
$646.20 |
$646.20 |
$646.20 |
$1,664.33
|
|
Gastroesophageal reflux study
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$957.25
|
|
Gated heart multiple
|
$2,461.05 |
$2,461.05 |
$2,461.05 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$556.20 |
$556.20 |
$556.20 |
$252.84
|
|
Generator barostim neo2 2014
|
$90,084.15 |
$90,084.15 |
$90,084.15 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$50,853.15 |
$50,853.15 |
$50,853.15 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$61,531.20 |
$61,531.20 |
$61,531.20 |
$40,028.69
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$87.84 |
$87.84 |
$87.84 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$465.30 |
$465.30 |
$465.30 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,772.10 |
$1,772.10 |
$1,772.10 |
$1,352.03
|
|
Ghs abscess postoperative iandd complex
|
$2,981.25 |
$2,981.25 |
$2,981.25 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$5.97 |
$5.97 |
$5.97 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$273.15 |
$273.15 |
$273.15 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$7.33 |
$7.33 |
$7.33 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$249.30 |
$249.30 |
$249.30 |
$344.48
|
|
Ghs change cysto/gastrost
|
$319.95 |
$319.95 |
$319.95 |
$699.60
|
|
Ghs chemo >8 hrs
|
$510.30 |
$510.30 |
$510.30 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$291.60 |
$291.60 |
$291.60 |
$291.60
|
|
Ghs cricothyroidotomy
|
$355.95 |
$355.95 |
$355.95 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$414.90 |
$414.90 |
$414.90 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$91.35 |
$91.35 |
$91.35 |
$152.54
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,868.40 |
$1,868.40 |
$1,868.40 |
$1,439.40
|
|
Ghs fish cytogen
|
$56.25 |
$56.25 |
$56.25 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$56.25 |
$56.25 |
$56.25 |
$229.45
|
|
Ghs flow volume loop
|
$354.60 |
$354.60 |
$354.60 |
$309.12
|
|
Ghs histoplasma antigen
|
$20.25 |
$20.25 |
$20.25 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,855.80 |
$1,855.80 |
$1,855.80 |
$3,034.00
|
|
Ghs inf midline insertion
|
$1,801.35 |
$1,801.35 |
$1,801.35 |
$1,234.20
|
|
Ghs inhibitor screen
|
$41.63 |
$41.63 |
$41.63 |
$143.32
|
|
Ghs IV inf sq injection, on-body injector
|
$195.75 |
$195.75 |
$195.75 |
$117.00
|
|
Ghs IV thrombolytics - cerebral
|
$570.15 |
$570.15 |
$570.15 |
$657.60
|
|
Ghs mbp
|
$10.58 |
$10.58 |
$10.58 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$254.25 |
$254.25 |
$254.25 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$254.25 |
$254.25 |
$254.25 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$254.25 |
$254.25 |
$254.25 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$235.80 |
$235.80 |
$235.80 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$438.30 |
$438.30 |
$438.30 |
$140.00
|
|
Ghs myocardial strain img spckl track
|
$404.10 |
$404.10 |
$404.10 |
$503.85
|
|
Ghs nerve blk intercostal, single level
|
$987.30 |
$987.30 |
$987.30 |
$1,230.80
|
|
Ghs nerve block celiac plexus
|
$1,460.70 |
$1,460.70 |
$1,460.70 |
$1,712.00
|
|
Ghs ng placement w fluoro guidance
|
$317.25 |
$317.25 |
$317.25 |
$468.75
|
|
Ghs o2 uptake rest & indirect
|
$68.40 |
$68.40 |
$68.40 |
$195.00
|
|
Ghs opcc repair cvp without subq port
|
$1,409.85 |
$1,409.85 |
$1,409.85 |
$1,302.54
|
|
Ghs opcc repair cvp w subq port
|
$1,614.15 |
$1,614.15 |
$1,614.15 |
$2,430.56
|
|
Ghs pacing - transcutaneous
|
$353.70 |
$353.70 |
$353.70 |
$868.68
|
|
Ghs picc line insert < 5
|
$2,501.10 |
$2,501.10 |
$2,501.10 |
$2,060.40
|
|
Ghs ppd (tb intradermal)
|
$36.90 |
$36.90 |
$36.90 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$5.29 |
$5.29 |
$5.29 |
$40.56
|
|
Ghs pr without cont pulse ox
|
$181.80 |
$181.80 |
$181.80 |
$156.70
|
|
Ghs rsv eia (respir synctial vrs)
|
$291.60 |
$291.60 |
$291.60 |
$101.15
|
|
Ghs sensitivity (per antimicro)
|
$369.00 |
$369.00 |
$369.00 |
$59.90
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$305.55 |
$305.55 |
$305.55 |
$93.75
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$488.70 |
$488.70 |
$488.70 |
$351.45
|
|
Ghs tracheostomy emergency - transtracheal
|
$2,379.15 |
$2,379.15 |
$2,379.15 |
$2,225.73
|
|
Ghs urine, porphyrins quant
|
$10.80 |
$10.80 |
$10.80 |
$70.20
|
|
Gi inhouse confirmation
|
$409.50 |
$409.50 |
$409.50 |
$87.00
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,347.65 |
$2,347.65 |
$2,347.65 |
$2,382.90
|
|
Glove finger flexion right lg xl
|
$298.35 |
$298.35 |
$298.35 |
$93.10
|
|
Glucagon 1 mg solution for injection
|
$741.60 |
$741.60 |
$741.60 |
$613.00
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$559.62 |
$559.62 |
$559.62 |
$509.06
|
|
Glucagon plasma - sendout
|
$9.00 |
$9.00 |
$9.00 |
$58.56
|
|
Glucose 1 hr post dose
|
$42.75 |
$42.75 |
$42.75 |
$46.28
|
