|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$862.98 |
$862.98 |
$862.98 |
$2,027.60
|
|
Ferritin
|
$373.37 |
$373.37 |
$373.37 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5,971.85 |
$5,971.85 |
$5,971.85 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,791.80 |
$1,791.80 |
$1,791.80 |
$541.74
|
|
Fetal fibronectin
|
$727.43 |
$727.43 |
$727.43 |
$352.95
|
|
Fetal hemoglobin rosette
|
$96.16 |
$96.16 |
$96.16 |
$76.70
|
|
Fetal non stress test
|
$730.46 |
$730.46 |
$730.46 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$121.52 |
$121.52 |
$121.52 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$477.15 |
$477.15 |
$477.15 |
$112.80
|
|
Fibrin degradation products
|
$139.09 |
$139.09 |
$139.09 |
$62.40
|
|
Fibrinogen activity
|
$348.51 |
$348.51 |
$348.51 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$238.94 |
$238.94 |
$238.94 |
$66.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$7,858.25 |
$7,858.25 |
$7,858.25 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3,291.69 |
$3,291.69 |
$3,291.69 |
$973.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$5,978.84 |
$5,978.84 |
$5,978.84 |
$806.40
|
|
Fl exam g/colon tube w contrast
|
$785.07 |
$785.07 |
$785.07 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$539.32 |
$539.32 |
$539.32 |
$208.80
|
|
Flow cytometry marker each additional
|
$56.73 |
$56.73 |
$56.73 |
$103.00
|
|
Flow cytometry one marker technical component
|
$3,289.10 |
$3,289.10 |
$3,289.10 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$194.04 |
$194.04 |
$194.04 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$164.83 |
$164.83 |
$164.83 |
$86.42
|
|
Fluidotherapy charges pt
|
$294.06 |
$294.06 |
$294.06 |
$95.00
|
|
Fluorescent antibody titer dna
|
$186.00 |
$186.00 |
$186.00 |
$123.65
|
|
Fluoroguide needle placement
|
$2,130.77 |
$2,130.77 |
$2,130.77 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,525.57 |
$1,525.57 |
$1,525.57 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,065.96 |
$2,065.96 |
$2,065.96 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$183.57 |
$183.57 |
$183.57 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$8,219.25 |
$8,219.25 |
$8,219.25 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$2,060.66 |
$2,060.66 |
$2,060.66 |
$775.14
|
|
Folic acid
|
$303.91 |
$303.91 |
$303.91 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$55.66 |
$55.66 |
$55.66 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,610.45 |
$5,610.45 |
$5,610.45 |
$2,860.43
|
|
Fondaparinux sodium
|
$258.91 |
$258.91 |
$258.91 |
$176.81
|
|
Foot X-ray
|
$1,139.24 |
$1,139.24 |
$1,139.24 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$457.40 |
$457.40 |
$457.40 |
$107.31
|
|
Fragmenting of kidney stone
|
$38,036.00 |
$38,036.00 |
$38,036.00 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$880.94 |
$880.94 |
$880.94 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$1,023.56 |
$1,023.56 |
$1,023.56 |
$149.50
|
|
Fructosamine glycated protein
|
$85.96 |
$85.96 |
$85.96 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$219.85 |
$219.85 |
$219.85 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$233.48 |
$233.48 |
$233.48 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$386.61 |
$386.61 |
$386.61 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$551.33 |
$551.33 |
$551.33 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$705.38 |
$705.38 |
$705.38 |
$210.50
|
|
Gallbladder Removal (Laparoscopic)
|
$59,775.03 |
$59,775.03 |
$59,775.03 |
$6,904.15
|
|
Gammaglobulin iga
|
$143.55 |
$143.55 |
$143.55 |
$75.30
|
|
Gammaglobulin ige
|
$81.71 |
$81.71 |
$81.71 |
$85.00
|
|
Gamma glutamyltransferase
|
$354.59 |
$354.59 |
$354.59 |
$55.28
|
|
Gamunex-c/gammaked
|
$28,337.48 |
$28,337.48 |
$28,337.48 |
$7,372.04
|
|
Gemcitabine 1 gram intravenous solution
|
$659.74 |
$659.74 |
$659.74 |
$252.84
|
|
General health panel
|
$1,270.31 |
$1,270.31 |
$1,270.31 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$214.14 |
$214.14 |
$214.14 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$484.53 |
$484.53 |
$484.53 |
$119.00
|
|
Ghs abscess perianal iandd
|
$9,248.19 |
$9,248.19 |
$9,248.19 |
$1,530.50
|
|
Ghs antibodies (torch) igm
|
$222.11 |
$222.11 |
$222.11 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,707.79 |
$1,707.79 |
$1,707.79 |
$344.48
|
|
Ghs change cysto/gastrost
|
$1,034.78 |
$1,034.78 |
$1,034.78 |
$699.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$541.61 |
$541.61 |
$541.61 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,621.64
|
|
Ghs clsd red med malleolus fx without manip
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$581.60
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$547.94
|
|
Ghs conjunctiva foreign body-embed bil
|
$2,753.67 |
$2,753.67 |
$2,753.67 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$1,252.04 |
$1,252.04 |
$1,252.04 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$2,601.70 |
$2,601.70 |
$2,601.70 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$3,151.65 |
$3,151.65 |
$3,151.65 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$2,536.71 |
$2,536.71 |
$2,536.71 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$2,976.33 |
$2,976.33 |
$2,976.33 |
$351.46
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,076.75 |
$1,076.75 |
$1,076.75 |
$586.80
|
|
Ghs excision ingrown nail
|
$1,276.11 |
$1,276.11 |
$1,276.11 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$892.78 |
$892.78 |
$892.78 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$1,794.93
|
|
Ghs i and d perirectal abscess 46040
|
$12,166.92 |
$12,166.92 |
$12,166.92 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$7,165.65 |
$7,165.65 |
$7,165.65 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$840.75 |
$840.75 |
$840.75 |
$543.60
|
|
Ghs inf midline insertion
|
$5,052.05 |
$5,052.05 |
$5,052.05 |
$1,234.20
|
|
Ghs init tx 1st degree burn
|
$618.20 |
$618.20 |
$618.20 |
$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
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$1,160.28
|
|
Ghs intro needle/intracath vein - 36000
|
$508.43 |
$508.43 |
$508.43 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,824.22 |
$1,824.22 |
$1,824.22 |
$637.92
|
|
Ghs IV thrombolytics - cerebral
|
$18.57 |
$18.57 |
$18.57 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,061.91 |
$1,061.91 |
$1,061.91 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$6,289.69 |
$6,289.69 |
$6,289.69 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$4,243.77 |
$4,243.77 |
$4,243.77 |
$779.35
|
|
Ghs mbp
|
$85.41 |
$85.41 |
$85.41 |
$74.19
|
