|
Flow cytometry one marker technical component
|
$321.66 |
$321.66 |
$321.66 |
$285.00
|
|
Flt3 gene
|
$153.08 |
$153.08 |
$153.08 |
$366.29
|
|
Flt3 gene analysis
|
$76.69 |
$76.69 |
$76.69 |
$216.00
|
|
Fluorescent antibody titer dna
|
$340.66 |
$340.66 |
$340.66 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$218.70 |
$218.70 |
$218.70 |
$495.00
|
|
Fluoroguide needle placement
|
$303.75 |
$303.75 |
$303.75 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$337.50 |
$337.50 |
$337.50 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$1,262.24 |
$1,262.24 |
$1,262.24 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$737.83 |
$737.83 |
$737.83 |
$834.90
|
|
Folic acid
|
$14.85 |
$14.85 |
$14.85 |
$101.50
|
|
Foot X-ray
|
$199.80 |
$199.80 |
$199.80 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$139.50 |
$139.50 |
$139.50 |
$290.40
|
|
Forearm X-ray (both sides)
|
$144.90 |
$144.90 |
$144.90 |
$324.00
|
|
Fracture assessment via dxa
|
$158.85 |
$158.85 |
$158.85 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$42.59 |
$42.59 |
$42.59 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$42.59 |
$42.59 |
$42.59 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$181.63 |
$181.63 |
$181.63 |
$131.25
|
|
Fructosamine glycated protein
|
$17.49 |
$17.49 |
$17.49 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$224.10 |
$224.10 |
$224.10 |
$355.00
|
|
Gabapentin non-blood
|
$18.48 |
$18.48 |
$18.48 |
$42.35
|
|
Galactose transferase test
|
$11.88 |
$11.88 |
$11.88 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$753.02 |
$753.02 |
$753.02 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,031.22 |
$1,031.22 |
$1,031.22 |
$1,615.00
|
|
Gammaglobulin iga
|
$20.79 |
$20.79 |
$20.79 |
$69.60
|
|
Gammaglobulin ige
|
$19.14 |
$19.14 |
$19.14 |
$83.85
|
|
Gamma glutamyltransferase
|
$20.46 |
$20.46 |
$20.46 |
$57.54
|
|
Gastric emptying imag study
|
$1,014.50 |
$1,014.50 |
$1,014.50 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,035.99 |
$1,035.99 |
$1,035.99 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$487.95 |
$487.95 |
$487.95 |
$1,031.60
|
|
Gated heart multiple
|
$765.75 |
$765.75 |
$765.75 |
$1,405.04
|
|
Generator barostim neo2 2014
|
$51,028.86 |
$51,028.86 |
$51,028.86 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$44,926.84 |
$44,926.84 |
$44,926.84 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$0.83 |
$0.83 |
$0.83 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$16.50 |
$16.50 |
$16.50 |
$123.84
|
|
Ghs acetylcholinesterase, rbc
|
$19.47 |
$19.47 |
$19.47 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$17.16 |
$17.16 |
$17.16 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$17.91 |
$17.91 |
$17.91 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$138.02 |
$138.02 |
$138.02 |
$344.00
|
|
Ghs chemo >8 hrs
|
$147.13 |
$147.13 |
$147.13 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$95.23 |
$95.23 |
$95.23 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$141.04 |
$141.04 |
$141.04 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$68.60 |
$68.60 |
$68.60 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$25.64 |
$25.64 |
$25.64 |
$55.29
|
|
Ghs fish cytogen
|
$121.86 |
$121.86 |
$121.86 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$68.99 |
$68.99 |
$68.99 |
$226.20
|
|
Ghs flow volume loop
|
$124.42 |
$124.42 |
$124.42 |
$308.69
|
|
Ghs hcv amplificaiton
|
$45.58 |
$45.58 |
$45.58 |
$196.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$97.27 |
$97.27 |
$97.27 |
$144.54
|
|
Ghs histoplasma antigen
|
$65.36 |
$65.36 |
$65.36 |
$142.00
|
|
Ghs HIV antibody
|
$17.09 |
$17.09 |
$17.09 |
$89.70
|
|
Ghs immun0electrophoresis
|
$36.63 |
$36.63 |
$36.63 |
$110.00
|
|
Ghs inhibitor screen
|
$75.38 |
$75.38 |
$75.38 |
$191.88
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,179.59 |
$1,179.59 |
$1,179.59 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,298.02 |
$1,298.02 |
$1,298.02 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$240.25 |
$240.25 |
$240.25 |
$431.28
|
|
Ghs IV inf sq injection, on-body injector
|
$51.88 |
$51.88 |
$51.88 |
$110.00
|
|
Ghs mbp
|
$20.79 |
$20.79 |
$20.79 |
$76.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$191.13 |
$191.13 |
$191.13 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$191.13 |
$191.13 |
$191.13 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$271.46 |
$271.46 |
$271.46 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$96.95 |
$96.95 |
$96.95 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$96.95 |
$96.95 |
$96.95 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$244.76 |
$244.76 |
$244.76 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,021.56 |
$1,021.56 |
$1,021.56 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$768.08 |
$768.08 |
$768.08 |
$1,160.00
|
|
Ghs ng placement w fluoro guidance
|
$220.67 |
$220.67 |
$220.67 |
$485.00
|
|
Ghs o2 saturation
|
$32.34 |
$32.34 |
$32.34 |
$69.50
|
|
Ghs ot dds rom
|
$48.86 |
$48.86 |
$48.86 |
$69.00
|
|
Ghs ot group caregiver training
|
$56.42 |
$56.42 |
$56.42 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$72.03 |
$72.03 |
$72.03 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$91.24 |
$91.24 |
$91.24 |
$96.20
|
|
Ghs pacing - transcutaneous
|
$502.38 |
$502.38 |
$502.38 |
$830.53
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,167.67 |
$1,167.67 |
$1,167.67 |
$962.00
|
|
Ghs phenylketonurid
|
$5.61 |
$5.61 |
$5.61 |
$53.76
|
|
Ghs picc line insert < 5
|
$857.36 |
$857.36 |
$857.36 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$20.35 |
$20.35 |
$20.35 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$19.80 |
$19.80 |
$19.80 |
$43.55
|
|
Ghs protoporphyrins fract
|
$36.63 |
$36.63 |
$36.63 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$98.47 |
$98.47 |
$98.47 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$140.99 |
$140.99 |
$140.99 |
$285.60
|
|
Ghs quinidine
|
$19.80 |
$19.80 |
$19.80 |
$85.00
|
|
Ghs respiratory syncytical virus igg/m
|
$29.30 |
$29.30 |
$29.30 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$18.06 |
$18.06 |
$18.06 |
$99.00
|
|
Ghs sedimentation rate
|
$4.36 |
$4.36 |
$4.36 |
$45.50
|
|
Ghs sleep study unattended
|
$466.25 |
$466.25 |
$466.25 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$57.93 |
$57.93 |
$57.93 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$225.68 |
$225.68 |
$225.68 |
$252.75
|
|
Ghs urine, porphyrins quant
|
$20.46 |
$20.46 |
$20.46 |
$73.80
|
|
Giardia lamblia antibody
|
$27.27 |
$27.27 |
$27.27 |
$83.44
|
|
Gi inhouse confirmation
|
$27.09 |
$27.09 |
$27.09 |
$87.75
|
|
Glucagon plasma - sendout
|
$22.11 |
$22.11 |
$22.11 |
$64.35
|
|
Glucose 1 hr post dose
|
$4.95 |
$4.95 |
$4.95 |
$49.00
|
|
Glucose body fluid
|
$18.48 |
$18.48 |
$18.48 |
$51.30
|
|
Glucose tolerance test (gtt) 3 specimens
|
$12.87 |
$12.87 |
$12.87 |
$105.60
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$3.96 |
$3.96 |
$3.96 |
$36.00
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$19.14 |
$19.14 |
$19.14 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$19.14 |
$19.14 |
$19.14 |
$129.03
|
|
Graft axiofill 1000mg
|
$24.21 |
$24.21 |
$24.21 |
$5,125.68
|
|
Graft nerve adv 3-4x70mm
|
$25,515.36 |
$25,515.36 |
$25,515.36 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$25,515.36 |
$25,515.36 |
$25,515.36 |
$29,293.39
|
