|
Fr frz plasma donor retested
|
$949.71 |
$949.71 |
$949.71 |
|
|
Frozen blood freeze/thaw
|
$179.01 |
$179.01 |
$179.01 |
|
|
Frozen blood prep
|
$512.07 |
$512.07 |
$512.07 |
|
|
Frozen blood thaw
|
$253.50 |
$253.50 |
$1,064.00 |
|
|
Fructosamine glycated protein
|
$58.91 |
$188.76 |
$344.00 |
|
|
Fth/gft fr trnk each addl
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
|
|
Ftl cgen abnor five anal
|
$726.18 |
$726.18 |
$726.18 |
|
|
Ftl cgen abnor four anal
|
$267.15 |
$267.15 |
$1,067.00 |
|
|
Ftl cgen abnor three anal
|
$267.15 |
$267.15 |
$267.15 |
|
|
Full field erg w/i&r
|
$393.12 |
$393.12 |
$773.00 |
|
|
Full mouth x-ray of teeth
|
$738.00 |
$738.00 |
$881.61 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$123.44 |
$341.25 |
$566.00 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,063.49 |
$2,063.49 |
$6,905.00 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,315.04 |
$2,315.04 |
$7,906.00 |
|
|
Functional brain mapping
|
$261.69 |
$261.69 |
$746.00 |
|
|
Fundus photography with i&r 92250
|
$214.50 |
$214.50 |
$321.00 |
|
|
Furosemide 10 mg/ml injection solution
|
$11.40 |
$11.40 |
$24.50 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$18.30 |
$18.30 |
$243.28 |
|
|
Fusion/graft of finger joint
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Fusion/graft of hand joint
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Fusion of ankle joint open
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Fusion of big toe joint
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Fusion of big toe joint
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
|
|
Fusion of finger jnt add-on
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Fusion of finger joint
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Fusion of finger tendons
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
|
|
Fusion of foot bones
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Fusion of foot bones
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Fusion of foot bones
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Fusion of hand joint
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Fusion of knuckle
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
|
|
Fusion of knuckle joint
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
|
|
Fusion of knuckle joints
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
|
|
Fusion of knuckle joints
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Fusion of knuckle with graft
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Fusion of spermatic ducts
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
|
|
Fusion of tendons at wrist
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Fusion of tendons at wrist
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
|
|
Fusion of thumb
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
|
|
Fusion of tibiofibular joint
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
|
|
Fusion of toes
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Fxn gene charac alleles
|
$452.40 |
$452.40 |
$452.40 |
|
|
Fxn gene detc abnor alleles
|
$225.42 |
$225.42 |
$225.42 |
|
|
Fxn gene full gene sequence
|
$452.40 |
$452.40 |
$452.40 |
|
|
Fxn gene known famil variant
|
$304.59 |
$304.59 |
$304.59 |
|
|
G6pd gene alys cmn variant
|
$1,665.30 |
$1,665.30 |
$1,665.30 |
|
|
Ga-67 gallium 0.1 mci
|
$37.30 |
$118.56 |
$1,402.00 |
|
|
Ga-68 gallium 68 dotatate
|
$66.01 |
$5,166.87 |
$5,166.87 |
|
|
Gabapentin non-blood
|
$220.24 |
$220.24 |
$220.24 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$237.73 |
$245.70 |
$245.70 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$30.59 |
$30.59 |
$441.42 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.16 |
$2.16 |
$561.37 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$72.56 |
$249.80 |
$1,064.70 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$29.64 |
$29.64 |
$97.00 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$823.18 |
$1,078.74 |
$6,716.47 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,004.04 |
$1,078.74 |
$7,748.96 |
|
|
Gallbladder Removal (Laparoscopic)
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Gallium illuccix 1 millicure
|
$796.24 |
$1,395.27 |
$1,696.55 |
|
|
Gamma globulin 1 cc inj
|
$436.98 |
$436.98 |
$436.98 |
|
|
Gammaglobulin iga
|
$18.36 |
$176.28 |
$558.04 |
|
|
Gammaglobulin ige
|
$75.91 |
$168.48 |
$793.70 |
|
|
Gamma glutamyltransferase
|
$19.24 |
$76.44 |
$655.07 |
|
|
Gamunex-c/gammaked
|
$209.53 |
$209.53 |
$55,861.12 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$73.19 |
$311.58 |
$408.53 |
|
|
Gardner vag dna quant
|
$150.54 |
$150.54 |
$192.00 |
|
|
Gastric emptying imag study
|
$989.82 |
$989.82 |
$989.82 |
|
|
Gastric emptying imag study
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
|
|
Gastric motility studies
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
|
|
Gastric mucosa imaging
|
$497.25 |
$497.25 |
$1,577.00 |
|
|
Gastroesophageal reflux study
|
$452.79 |
$452.79 |
$1,577.00 |
|
|
Gastroesophageal reflux test
|
$1,218.64 |
$4,235.01 |
$4,235.01 |
|
|
Gastro/jejuno tube, std
|
$529.26 |
$529.26 |
$529.26 |
|
|
Gated heart multiple
|
$1,157.91 |
$1,157.91 |
$4,709.99 |
|
|
Gba gene
|
$217.00 |
$217.00 |
$217.00 |
|
|
Gel cap app device for trach
|
$8.88 |
$8.88 |
$8.88 |
|
|
Gemcitabine 1 gram intravenous solution
|
$94.28 |
$94.28 |
$392.29 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$535.62 |
$535.62 |
$24,469.64 |
|
|
General health panel
|
$31.97 |
$329.55 |
$1,053.29 |
|
|
Generator barostim neo2 2014
|
$16,241.04 |
$70,637.61 |
$70,637.61 |
|
|
Generator emblem MRI sicd subq
|
$29,597.05 |
$39,114.89 |
$39,114.89 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$66,636.36 |
$66,636.36 |
$66,636.36 |
|
|
Genetic counseling 30 min
|
$291.00 |
$334.62 |
$334.62 |
|
|
Genetic tstg severe inh cond
|
$4,028.70 |
$4,028.70 |
$11,263.00 |
|
|
Gen, neuro, clo loop, rechg
|
$29,789.37 |
$29,789.37 |
$31,010.74 |
|
|
Genome sequence analysis
|
$6,404.58 |
$6,404.58 |
$6,404.58 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$22.60 |
$22.60 |
$239.24 |
|
|
Gentamicin peak therapeutic drug level
|
$76.00 |
$160.68 |
$1,216.56 |
|
|
G-esoph reflx tst w/electrod
|
$613.86 |
$613.86 |
$5,215.00 |
|
|
Ghs abscess perianal iandd
|
$920.86 |
$5,112.20 |
$10,898.94 |
|
|
Ghs abscess postoperative iandd complex
|
$708.92 |
$9,703.59 |
$10,379.00 |
|
|
Ghs acetylcholinesterase, rbc
|
$94.77 |
$94.77 |
$122.63 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$79.00 |
$182.13 |
$699.00 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$303.40 |
$470.00 |
$543.66 |
|
|
Ghs analysis neurostim without reprogramming
|
$386.00 |
$567.06 |
$567.06 |
|
|
Ghs antibodies (torch) igm
|
$13.03 |
$96.33 |
$771.23 |
|
|
Ghs aspiration bladder - needle
|
$590.85 |
$590.85 |
$6,653.00 |
|
|
Ghs bladder cath - complex-foley
|
$180.27 |
$587.73 |
$4,862.00 |
|
|
Ghs bleeding time (ivy)
|
$72.54 |
$72.54 |
$72.54 |
|