|
Fl exam g/colon tube w contrast
|
$723.17 |
$723.17 |
$723.17 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$370.59 |
$370.59 |
$370.59 |
$208.80
|
|
Flow cytometry marker each additional
|
$265.03 |
$265.03 |
$265.03 |
$103.00
|
|
Flow cytometry one marker technical component
|
$3,876.19 |
$3,876.19 |
$3,876.19 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$213.90 |
$213.90 |
$213.90 |
$194.04
|
|
Flt3 gene
|
$8,870.63 |
$8,870.63 |
$8,870.63 |
$352.95
|
|
Flt3 gene analysis
|
$4,448.45 |
$4,448.45 |
$4,448.45 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$359.08 |
$359.08 |
$359.08 |
$86.42
|
|
Fluorescent antibody titer dna
|
$1,429.73 |
$1,429.73 |
$1,429.73 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$7,138.23 |
$7,138.23 |
$7,138.23 |
$507.00
|
|
Fluoroguide needle placement
|
$7,138.23 |
$7,138.23 |
$7,138.23 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$523.24 |
$523.24 |
$523.24 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$923.15 |
$923.15 |
$923.15 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$199.27 |
$199.27 |
$199.27 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$1,538.62 |
$1,538.62 |
$1,538.62 |
$1,588.65
|
|
Folic acid
|
$346.60 |
$346.60 |
$346.60 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$60.30 |
$60.30 |
$60.30 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,111.34 |
$6,111.34 |
$6,111.34 |
$2,860.43
|
|
Fondaparinux sodium
|
$282.20 |
$282.20 |
$282.20 |
$176.81
|
|
Foot X-ray
|
$1,443.74 |
$1,443.74 |
$1,443.74 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$503.42 |
$503.42 |
$503.42 |
$107.31
|
|
Fragmenting of kidney stone
|
$63,816.62 |
$63,816.62 |
$63,816.62 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$719.40 |
$719.40 |
$719.40 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$719.40 |
$719.40 |
$719.40 |
$149.50
|
|
Fructosamine glycated protein
|
$201.02 |
$201.02 |
$201.02 |
$60.42
|
|
Full mouth x-ray of teeth
|
$881.61 |
$881.61 |
$881.61 |
$267.78
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$239.60 |
$239.60 |
$239.60 |
$26.40
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$237.73 |
$237.73 |
$237.73 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$393.65 |
$393.65 |
$393.65 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$561.37 |
$561.37 |
$561.37 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$718.22 |
$718.22 |
$718.22 |
$210.50
|
|
Gammaglobulin iga
|
$558.04 |
$558.04 |
$558.04 |
$75.30
|
|
Gammaglobulin ige
|
$793.70 |
$793.70 |
$793.70 |
$85.00
|
|
Gamma glutamyltransferase
|
$655.07 |
$655.07 |
$655.07 |
$55.28
|
|
Gamunex-c/gammaked
|
$55,620.39 |
$55,620.39 |
$55,620.39 |
$7,372.04
|
|
Gated heart multiple
|
$4,657.11 |
$4,657.11 |
$4,657.11 |
$1,370.99
|
|
Gemcitabine 1 gram intravenous solution
|
$392.29 |
$392.29 |
$392.29 |
$252.84
|
|
General health panel
|
$1,023.36 |
$1,023.36 |
$1,023.36 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$236.23 |
$236.23 |
$236.23 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$1,216.56 |
$1,216.56 |
$1,216.56 |
$119.00
|
|
Ghs abscess perianal iandd
|
$10,898.94 |
$10,898.94 |
$10,898.94 |
$1,530.50
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$402.04 |
$402.04 |
$402.04 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$771.23 |
$771.23 |
$771.23 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$2,012.62 |
$2,012.62 |
$2,012.62 |
$344.48
|
|
Ghs change cysto/gastrost
|
$1,600.78 |
$1,600.78 |
$1,600.78 |
$699.60
|
|
Ghs chemo IV push, ea addtl
|
$564.97 |
$564.97 |
$564.97 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$1,880.67 |
$1,880.67 |
$1,880.67 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$19,265.30 |
$19,265.30 |
$19,265.30 |
$1,707.42
|
|
Ghs cl tx knee disl; wo anesth
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$716.95
|
|
Ghs community re-entry 15 minutes
|
$156.48 |
$156.48 |
$156.48 |
$89.28
|
|
Ghs corneal fb without slit lamp bilat
|
$3,245.18 |
$3,245.18 |
$3,245.18 |
$435.07
|
|
Ghs dislocation elbow closed treatment
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$687.73
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$6,376.75 |
$6,376.75 |
$6,376.75 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$3,786.43 |
$3,786.43 |
$3,786.43 |
$586.80
|
|
Ghs fb removal - incisional
|
$19,379.35 |
$19,379.35 |
$19,379.35 |
$2,425.20
|
|
Ghs fish cytogen
|
$1,148.01 |
$1,148.01 |
$1,148.01 |
$175.00
|
|
Ghs histoplasma antigen
|
$1,873.38 |
$1,873.38 |
$1,873.38 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$22,162.89 |
$22,162.89 |
$22,162.89 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$14,338.64 |
$14,338.64 |
$14,338.64 |
$3,034.00
|
|
Ghs i and d pilonidal cyst simple
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$2,149.83 |
$2,149.83 |
$2,149.83 |
$543.60
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,519.91 |
$2,519.91 |
$2,519.91 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$9,504.85 |
$9,504.85 |
$9,504.85 |
$1,861.60
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$943.80
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$3,245.18 |
$3,245.18 |
$3,245.18 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$7,412.36 |
$7,412.36 |
$7,412.36 |
$795.20
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$879.60
|
|
Ghs mbp
|
$1,036.34 |
$1,036.34 |
$1,036.34 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$249.88 |
$249.88 |
$249.88 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$249.84 |
$249.84 |
$249.84 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$249.84 |
$249.84 |
$249.84 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$553.67 |
$553.67 |
$553.67 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$112.42 |
$112.42 |
$112.42 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$564.33 |
$564.33 |
$564.33 |
$349.80
|
|
Ghs myocardial strain img spckl track
|
$731.14 |
$731.14 |
$731.14 |
$503.85
|
|
Ghs nerve block celiac plexus
|
$10,987.27 |
$10,987.27 |
$10,987.27 |
$1,712.00
|
|
Ghs ng placement w fluoro guidance
|
$9,495.43 |
$9,495.43 |
$9,495.43 |
$468.75
|
|
Ghs o2 saturation
|
$105.70 |
$105.70 |
$105.70 |
$72.45
|
|
Ghs opcc repair cvp without subq port
|
$7,445.51 |
$7,445.51 |
$7,445.51 |
$1,302.54
|
|
Ghs ot group caregiver training
|
$59.63 |
$59.63 |
$59.63 |
$43.20
|
|
Ghs ot sensory integrative tech/15min
|
$421.85 |
$421.85 |
$421.85 |
$101.05
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,733.30 |
$1,733.30 |
$1,733.30 |
$1,003.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$221.57 |
$221.57 |
$221.57 |
$90.15
|
|
Ghs plngl fx pm cl
|
$2,989.50 |
$2,989.50 |
$2,989.50 |
$662.20
|
|
Ghs ppd (tb intradermal)
|
$328.14 |
$328.14 |
$328.14 |
$43.45
|
|
Ghs prostatic acid phosphatase (mayo)
|
$517.74 |
$517.74 |
$517.74 |
$40.56
|
|
Ghs pt - work hardening/int 2hrs
|
$1,378.54 |
$1,378.54 |
$1,378.54 |
$255.60
|
|
Ghs removal intranasal foreign body
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$324.35
|
|
Ghs rsv eia (respir synctial vrs)
|
$745.52 |
$745.52 |
$745.52 |
$101.15
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$5,001.27 |
$5,001.27 |
$5,001.27 |
$590.40
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$2,510.28 |
$2,510.28 |
$2,510.28 |
$487.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$2,510.28 |
$2,510.28 |
$2,510.28 |
$470.47
|