|
Flow cytometry interp 16 or more
|
$620.22 |
$620.22 |
$620.22 |
$208.80
|
|
Flow cytometry marker each additional
|
$1,075.87 |
$1,075.87 |
$1,075.87 |
$103.00
|
|
Flow cytometry one marker technical component
|
$2,151.75 |
$2,151.75 |
$2,151.75 |
$270.75
|
|
Flt3 gene
|
$1,105.21 |
$1,105.21 |
$1,105.21 |
$352.95
|
|
Flt3 gene analysis
|
$554.27 |
$554.27 |
$554.27 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$361.00 |
$361.00 |
$361.00 |
$86.42
|
|
Fluidotherapy charges pt
|
$218.15 |
$218.15 |
$218.15 |
$95.00
|
|
Fluorescent antibody titer dna
|
$258.75 |
$258.75 |
$258.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,427.98 |
$1,427.98 |
$1,427.98 |
$507.00
|
|
Fluoroguide needle placement
|
$2,276.69 |
$2,276.69 |
$2,276.69 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$974.94 |
$974.94 |
$974.94 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$201.76 |
$201.76 |
$201.76 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$403.26 |
$403.26 |
$403.26 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$6,927.94 |
$6,927.94 |
$6,927.94 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$531.30 |
$531.30 |
$531.30 |
$775.14
|
|
Folic acid
|
$108.32 |
$108.32 |
$108.32 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$342.27 |
$342.27 |
$342.27 |
$55.66
|
|
Follow-up angiography
|
$5,789.29 |
$5,789.29 |
$5,789.29 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,843.73 |
$5,843.73 |
$5,843.73 |
$2,860.43
|
|
Fondaparinux sodium
|
$385.38 |
$385.38 |
$385.38 |
$176.81
|
|
Foot X-ray
|
$1,706.91 |
$1,706.91 |
$1,706.91 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$2,095.39 |
$2,095.39 |
$2,095.39 |
$107.31
|
|
Fracture assessment via dxa
|
$360.61 |
$360.61 |
$360.61 |
$146.80
|
|
Fragmenting of kidney stone
|
$39,444.17 |
$39,444.17 |
$39,444.17 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$525.63 |
$525.63 |
$525.63 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$610.57 |
$610.57 |
$610.57 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$996.14 |
$996.14 |
$996.14 |
$123.90
|
|
Fructosamine glycated protein
|
$112.41 |
$112.41 |
$112.41 |
$60.42
|
|
Ftl cgen abnor four anal
|
$537.25 |
$537.25 |
$537.25 |
$211.83
|
|
Full mouth x-ray of teeth
|
$1,047.21 |
$1,047.21 |
$1,047.21 |
$267.78
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$456.29 |
$456.29 |
$456.29 |
$27.69
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$418.81 |
$418.81 |
$418.81 |
$26.40
|
|
G6pc gene
|
$390.66 |
$390.66 |
$390.66 |
$104.65
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$80.80 |
$80.80 |
$80.80 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$84.70 |
$84.70 |
$84.70 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$73.87 |
$73.87 |
$73.87 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$198.08 |
$198.08 |
$198.08 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$140.24 |
$140.24 |
$140.24 |
$82.50
|
|
Gammaglobulin iga
|
$68.94 |
$68.94 |
$68.94 |
$75.30
|
|
Gammaglobulin ige
|
$121.87 |
$121.87 |
$121.87 |
$85.00
|
|
Gamma glutamyltransferase
|
$52.93 |
$52.93 |
$52.93 |
$55.28
|
|
Gamunex-c/gammaked
|
$8,325.20 |
$8,325.20 |
$8,325.20 |
$7,372.04
|
|
Gardner vag dna quant
|
$279.36 |
$279.36 |
$279.36 |
$89.70
|
|
Gastroesophageal reflux study
|
$1,678.40 |
$1,678.40 |
$1,678.40 |
$957.25
|
|
Gated heart multiple
|
$4,267.24 |
$4,267.24 |
$4,267.24 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$195.80 |
$195.80 |
$195.80 |
$252.84
|
|
General health panel
|
$111.30 |
$111.30 |
$111.30 |
$280.50
|
|
Genetic tstg severe inh cond
|
$8,569.96 |
$8,569.96 |
$8,569.96 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$413.92 |
$413.92 |
$413.92 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$120.63 |
$120.63 |
$120.63 |
$119.00
|
|
Ghs abscess perianal iandd
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$34.34 |
$34.34 |
$34.34 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$114.64 |
$114.64 |
$114.64 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$683.38 |
$683.38 |
$683.38 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$95.72 |
$95.72 |
$95.72 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$344.48
|
|
Ghs central line insert < age 5, failed
|
$5,826.45 |
$5,826.45 |
$5,826.45 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$2,099.48 |
$2,099.48 |
$2,099.48 |
$699.60
|
|
Ghs chemo >8 hrs
|
$1,383.46 |
$1,383.46 |
$1,383.46 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$276.02 |
$276.02 |
$276.02 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$234.84 |
$234.84 |
$234.84 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$596.55
|
|
Ghs closed tx tibial fracture w/manip
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,973.33
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$572.08 |
$572.08 |
$572.08 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$2,753.67 |
$2,753.67 |
$2,753.67 |
$448.80
|
|
Ghs corneal fb without slit lamp bilat
|
$2,601.70 |
$2,601.70 |
$2,601.70 |
$435.07
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$3,603.89 |
$3,603.89 |
$3,603.89 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$896.11 |
$896.11 |
$896.11 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,375.14 |
$2,375.14 |
$2,375.14 |
$1,439.40
|
|
Ghs excision ingrown nail
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$457.60
|
|
Ghs fb removal from muscle - complicated
|
$10,035.94 |
$10,035.94 |
$10,035.94 |
$3,386.84
|
|
Ghs fb removal - non-incisional
|
$3,692.93 |
$3,692.93 |
$3,692.93 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$46.75 |
$46.75 |
$46.75 |
$48.57
|
|
Ghs fish cytogen
|
$143.58 |
$143.58 |
$143.58 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$341.69 |
$341.69 |
$341.69 |
$229.45
|
|
Ghs flow volume loop
|
$537.94 |
$537.94 |
$537.94 |
$309.12
|
|
Ghs hcv amplificaiton
|
$234.84 |
$234.84 |
$234.84 |
$187.00
|
|
Ghs histoplasma antigen
|
$89.04 |
$89.04 |
$89.04 |
$137.80
|
|
Ghs HIV antibody
|
$161.25 |
$161.25 |
$161.25 |
$91.00
|
|
Ghs hla-dr/dq, multiple antigens
|
$708.98 |
$708.98 |
$708.98 |
$462.60
|
|
Ghs i and d pilonidal cyst complex
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$794.82
|
|
Ghs immun0electrophoresis
|
$200.34 |
$200.34 |
$200.34 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$1,242.59 |
$1,242.59 |
$1,242.59 |
$543.60
|
|
Ghs inf midline insertion
|
$5,052.05 |
$5,052.05 |
$5,052.05 |
$1,234.20
|
|
Ghs inhibitor screen
|
$51.00 |
$51.00 |
$51.00 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$1,230.98 |
$1,230.98 |
$1,230.98 |
$300.30
|
|
Ghs insertion of needle - bone
|
$1,061.91 |
$1,061.91 |
$1,061.91 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$2,092.66 |
$2,092.66 |
$2,092.66 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$6,154.89 |
$6,154.89 |
$6,154.89 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$483.01 |
$483.01 |
$483.01 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$637.92
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,051.79 |
$1,051.79 |
$1,051.79 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$2,842.36 |
$2,842.36 |
$2,842.36 |
$665.50
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,061.91 |
$1,061.91 |
$1,061.91 |
$547.95
|
