|
Fibrin degradation products
|
$85.75 |
$85.75 |
$85.75 |
$62.40
|
|
Fibrinogen activity
|
$94.50 |
$94.50 |
$94.50 |
$82.38
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$491.69 |
$491.69 |
$491.69 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,197.83 |
$1,197.83 |
$1,197.83 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$512.62 |
$512.62 |
$512.62 |
$973.70
|
|
Filleted finger/toe flap
|
$1,626.10 |
$1,626.10 |
$1,626.10 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$5,280.63 |
$5,280.63 |
$5,280.63 |
$6,152.59
|
|
Filter vena cava fem denali
|
$2,638.13 |
$2,638.13 |
$2,638.13 |
$3,467.25
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$236.25 |
$236.25 |
$236.25 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$513.10 |
$513.10 |
$513.10 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$268.10 |
$268.10 |
$268.10 |
$547.53
|
|
Fixation of knee joint
|
$1,058.05 |
$1,058.05 |
$1,058.05 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,832.60 |
$1,832.60 |
$1,832.60 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$308.00 |
$308.00 |
$308.00 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$498.40 |
$498.40 |
$498.40 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,040.09
|
|
Flow cytometry one marker technical component
|
$6.56 |
$6.56 |
$6.56 |
$270.75
|
|
Flt3 gene
|
$52.50 |
$52.50 |
$52.50 |
$352.95
|
|
Flt3 gene analysis
|
$52.50 |
$52.50 |
$52.50 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$86.84 |
$86.84 |
$86.84 |
$86.42
|
|
Fluidotherapy charges pt
|
$80.85 |
$80.85 |
$80.85 |
$95.00
|
|
Fluid pressure muscle 20950
|
$438.20 |
$438.20 |
$438.20 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$725.20 |
$725.20 |
$725.20 |
$507.00
|
|
Fluoroguide needle placement
|
$325.50 |
$325.50 |
$325.50 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$695.80 |
$695.80 |
$695.80 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$92.54 |
$92.54 |
$92.54 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.64 |
$33.64 |
$33.64 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$1,588.65 |
$1,588.65 |
$1,588.65 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$794.15 |
$794.15 |
$794.15 |
$775.14
|
|
Folic acid
|
$142.80 |
$142.80 |
$142.80 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$32.83 |
$32.83 |
$32.83 |
$55.66
|
|
Follow-up angiography
|
$2,494.10 |
$2,494.10 |
$2,494.10 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,228.12 |
$2,228.12 |
$2,228.12 |
$2,860.43
|
|
Fondaparinux sodium
|
$209.80 |
$209.80 |
$209.80 |
$176.81
|
|
Foot X-ray
|
$229.60 |
$229.60 |
$229.60 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$3,623.20 |
$3,623.20 |
$3,623.20 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$275.80 |
$275.80 |
$275.80 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$83.85 |
$83.85 |
$83.85 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$34.39 |
$34.39 |
$34.39 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$42.00 |
$42.00 |
$42.00 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$34.30 |
$34.30 |
$34.30 |
$149.50
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$440.30 |
$440.30 |
$440.30 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$33.95 |
$33.95 |
$33.95 |
$27.69
|
|
Fusion of finger joint
|
$2,150.75 |
$2,150.75 |
$2,150.75 |
$3,986.00
|
|
Gamma globulin 1 cc inj
|
$379.96 |
$379.96 |
$379.96 |
$158.67
|
|
Gammaglobulin iga
|
$42.35 |
$42.35 |
$42.35 |
$75.30
|
|
Gammaglobulin ige
|
$45.50 |
$45.50 |
$45.50 |
$85.00
|
|
Gamma glutamyltransferase
|
$122.85 |
$122.85 |
$122.85 |
$55.28
|
|
Gamunex-c/gammaked
|
$5,103.06 |
$5,103.06 |
$5,103.06 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$173.44 |
$173.44 |
$173.44 |
$209.07
|
|
Gastric emptying imag study
|
$1,345.40 |
$1,345.40 |
$1,345.40 |
$1,270.50
|
|
Gastric emptying imag study
|
$1,478.05 |
$1,478.05 |
$1,478.05 |
$1,664.33
|
|
Gastroesophageal reflux study
|
$825.65 |
$825.65 |
$825.65 |
$957.25
|
|
Gastroesophageal reflux test
|
$2,722.65 |
$2,722.65 |
$2,722.65 |
$1,129.63
|
|
Gemcitabine 1 gram intravenous solution
|
$506.09 |
$506.09 |
$506.09 |
$252.84
|
|
Generator barostim neo2 2014
|
$54,121.91 |
$54,121.91 |
$54,121.91 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$28,469.00 |
$28,469.00 |
$28,469.00 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$89.61 |
$89.61 |
$89.61 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$260.40 |
$260.40 |
$260.40 |
$119.00
|
|
Ghs abscess perianal iandd
|
$686.00 |
$686.00 |
$686.00 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$2,048.55 |
$2,048.55 |
$2,048.55 |
$3,776.00
|
|
Ghs aspiration bladder - needle
|
$385.35 |
$385.35 |
$385.35 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$192.50 |
$192.50 |
$192.50 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$64.40 |
$64.40 |
$64.40 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$482.30 |
$482.30 |
$482.30 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$4,216.10 |
$4,216.10 |
$4,216.10 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$438.20 |
$438.20 |
$438.20 |
$699.60
|
|
Ghs chemo IV push, ea addtl
|
$364.70 |
$364.70 |
$364.70 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$82.34 |
$82.34 |
$82.34 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$275.80 |
$275.80 |
$275.80 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$275.80 |
$275.80 |
$275.80 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,203.65 |
$1,203.65 |
$1,203.65 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$103.25 |
$103.25 |
$103.25 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$1,203.65 |
$1,203.65 |
$1,203.65 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,480.50 |
$1,480.50 |
$1,480.50 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$242.20 |
$242.20 |
$242.20 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$1,203.65 |
$1,203.65 |
$1,203.65 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,203.65 |
$1,203.65 |
$1,203.65 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$275.80 |
$275.80 |
$275.80 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$275.80 |
$275.80 |
$275.80 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$80.85 |
$80.85 |
$80.85 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$280.35 |
$280.35 |
$280.35 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$423.85 |
$423.85 |
$423.85 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$423.85 |
$423.85 |
$423.85 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$423.85 |
$423.85 |
$423.85 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$242.20 |
$242.20 |
$242.20 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$165.90 |
$165.90 |
$165.90 |
$152.54
|
|
Ghs dislocation elbow closed treatment
|
$275.80 |
$275.80 |
$275.80 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$803.25 |
$803.25 |
$803.25 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$275.80 |
$275.80 |
$275.80 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,196.30 |
$1,196.30 |
$1,196.30 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$322.70 |
$322.70 |
$322.70 |
$586.80
|
|
Ghs excision ingrown nail
|
$275.80 |
$275.80 |
$275.80 |
$457.60
|
|
Ghs eye exam
|
$76.65 |
$76.65 |
$76.65 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$423.85 |
$423.85 |
$423.85 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$1,216.25 |
$1,216.25 |
$1,216.25 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$1,429.05 |
$1,429.05 |
$1,429.05 |
$3,386.84
|
