|
Fluoroscopy up to 1 hour
|
$184.00 |
$184.00 |
$184.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$42.76 |
$42.76 |
$42.76 |
$105.07
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$29.27 |
$29.27 |
$29.27 |
$72.52
|
|
Folic acid
|
$46.08 |
$46.08 |
$46.08 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$1.22 |
$1.22 |
$1.22 |
$48.78
|
|
Follow-up angiography
|
$1,791.04 |
$1,791.04 |
$1,791.04 |
$1,983.00
|
|
Foot X-ray
|
$188.80 |
$188.80 |
$188.80 |
$359.55
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$59.67 |
$59.67 |
$59.67 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$61.96 |
$61.96 |
$61.96 |
$103.02
|
|
Fragmenting of kidney stone
|
$459.52 |
$459.52 |
$459.52 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$843.52 |
$843.52 |
$843.52 |
$2,062.20
|
|
Frenotomy 40806
|
$24.96 |
$24.96 |
$24.96 |
$729.70
|
|
Frenulotomy of penis
|
$160.32 |
$160.32 |
$160.32 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$50.88 |
$50.88 |
$50.88 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$91.84 |
$91.84 |
$91.84 |
$162.75
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$694.72 |
$694.72 |
$694.72 |
$3,026.40
|
|
Furosemide 10 mg/ml injection solution
|
$11.00 |
$11.00 |
$11.00 |
$19.53
|
|
Fuse bile ducts and bowel 47785
|
$2,452.16 |
$2,452.16 |
$2,452.16 |
$7,967.20
|
|
Fusion of big toe joint
|
$439.68 |
$439.68 |
$439.68 |
$5,488.00
|
|
G6pc gene
|
$191.36 |
$191.36 |
$191.36 |
$140.00
|
|
Ga-67 gallium 0.1 mci
|
$26.24 |
$26.24 |
$26.24 |
$118.56
|
|
Gabapentin non-blood
|
$10.24 |
$10.24 |
$10.24 |
$37.24
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$14.17 |
$14.17 |
$14.17 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$10.37 |
$10.37 |
$10.37 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$13.13 |
$13.13 |
$13.13 |
$249.80
|
|
Gallbladder Removal (Laparoscopic)
|
$518.08 |
$518.08 |
$518.08 |
$11,749.26
|
|
Gammaglobulin iga
|
$74.24 |
$74.24 |
$74.24 |
$68.75
|
|
Gammaglobulin ige
|
$42.57 |
$42.57 |
$42.57 |
$83.85
|
|
Gamma glutamyltransferase
|
$45.76 |
$45.76 |
$45.76 |
$57.54
|
|
Gastric emptying imag study
|
$176.32 |
$176.32 |
$176.32 |
$1,364.00
|
|
Gastric emptying imag study
|
$306.24 |
$306.24 |
$306.24 |
$1,665.50
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,041.28 |
$1,041.28 |
$1,041.28 |
$2,376.00
|
|
Gastroplasty duodenal switch
|
$1,507.52 |
$1,507.52 |
$1,507.52 |
$4,780.80
|
|
Gated heart multiple
|
$725.76 |
$725.76 |
$725.76 |
$1,405.04
|
|
Gba gene
|
$272.00 |
$272.00 |
$272.00 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$66.10 |
$66.10 |
$66.10 |
$207.51
|
|
General health panel
|
$119.04 |
$119.04 |
$119.04 |
$275.00
|
|
Generator barostim neo2 2014
|
$47,967.68 |
$47,967.68 |
$47,967.68 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$44,000.00 |
$44,000.00 |
$44,000.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$1,739.84 |
$1,739.84 |
$1,739.84 |
$3,915.78
|
|
Gen, neuro, clo loop, rechg
|
$32,000.00 |
$32,000.00 |
$32,000.00 |
$39,300.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$12.16 |
$12.16 |
$12.16 |
$56.35
|
|
Gentamicin peak therapeutic drug level
|
$72.32 |
$72.32 |
$72.32 |
$124.93
|
|
Ghs abscess perianal iandd
|
$83.84 |
$83.84 |
$83.84 |
$1,459.00
|
|
Ghs abscess postoperative iandd complex
|
$144.96 |
$144.96 |
$144.96 |
$3,638.88
|
|
Ghs acetylcholinesterase, rbc
|
$7.04 |
$7.04 |
$7.04 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$26.56 |
$26.56 |
$26.56 |
$96.00
|
|
Ghs alpha thalasemia, 7 deletions
|
$383.36 |
$383.36 |
$383.36 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$81.60 |
$81.60 |
$81.60 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$140.16 |
$140.16 |
$140.16 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$46.40 |
$46.40 |
$46.40 |
$62.40
|
|
Ghs change cysto/gastrost
|
$28.48 |
$28.48 |
$28.48 |
$590.17
|
|
Ghs chemo >8 hrs
|
$468.48 |
$468.48 |
$468.48 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$91.52 |
$91.52 |
$91.52 |
$282.75
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$32.00 |
$32.00 |
$32.00 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$42.56 |
$42.56 |
$42.56 |
$89.00
|
|
Ghs diphtheria toxoid ab igg
|
$15.04 |
$15.04 |
$15.04 |
$54.39
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$407.04 |
$407.04 |
$407.04 |
$1,388.18
|
|
Ghs fish cytogen
|
$400.32 |
$400.32 |
$400.32 |
$173.26
|
|
Ghs fish hybrid in situ 100-300
|
$122.88 |
$122.88 |
$122.88 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$211.52 |
$211.52 |
$211.52 |
$368.50
|
|
Ghs hcv amplificaiton
|
$477.12 |
$477.12 |
$477.12 |
$196.30
|
|
Ghs histoplasma antigen
|
$14.08 |
$14.08 |
$14.08 |
$138.00
|
|
Ghs HIV antibody
|
$15.68 |
$15.68 |
$15.68 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$171.84 |
$171.84 |
$171.84 |
$3,320.80
|
|
Ghs i and d perirectal abscess 46040
|
$349.44 |
$349.44 |
$349.44 |
$2,637.00
|
|
Ghs i and d pilonidal cyst complex
|
$173.76 |
$173.76 |
$173.76 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$400.32 |
$400.32 |
$400.32 |
$696.80
|
|
Ghs inf midline insertion
|
$978.24 |
$978.24 |
$978.24 |
$1,241.85
|
|
Ghs inhibitor screen
|
$67.20 |
$67.20 |
$67.20 |
$191.88
|
|
Ghs inj neurolytic other perph nerve
|
$719.36 |
$719.36 |
$719.36 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$168.00 |
$168.00 |
$168.00 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$407.04 |
$407.04 |
$407.04 |
$1,814.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$224.64 |
$224.64 |
$224.64 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$101.76 |
$101.76 |
$101.76 |
$211.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$104.64 |
$104.64 |
$104.64 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$51.84 |
$51.84 |
$51.84 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$301.76 |
$301.76 |
$301.76 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$160.00 |
$160.00 |
$160.00 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$153.60 |
$153.60 |
$153.60 |
$579.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$160.00 |
$160.00 |
$160.00 |
$614.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$160.32 |
$160.32 |
$160.32 |
$703.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$176.32 |
$176.32 |
$176.32 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$173.76 |
$173.76 |
$173.76 |
$755.08
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$254.40 |
$254.40 |
$254.40 |
$1,033.85
|
|
Ghs low level laser therapy
|
$40.64 |
$40.64 |
$40.64 |
$77.70
|
|
Ghs mbp
|
$96.64 |
$96.64 |
$96.64 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$246.08 |
$246.08 |
$246.08 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$246.08 |
$246.08 |
$246.08 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$246.08 |
$246.08 |
$246.08 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$148.16 |
$148.16 |
$148.16 |
$151.50
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$49.28 |
$49.28 |
$49.28 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$76.48 |
$76.48 |
$76.48 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$76.48 |
$76.48 |
$76.48 |
$266.59
|
|
Ghs ng placement w fluoro guidance
|
$266.88 |
$266.88 |
$266.88 |
$485.00
|
|
Ghs o2 saturation
|
$11.52 |
$11.52 |
$11.52 |
$72.45
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$13.44 |
$13.44 |
$13.44 |
$58.80
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$13.44 |
$13.44 |
$13.44 |
$64.50
|
|
Ghs ot prosthetic training/15 min
|
$47.36 |
$47.36 |
$47.36 |
$91.50
|
|
Ghs ot sensory integrative tech/15min
|
$40.64 |
$40.64 |
$40.64 |
$96.00
|
