|
Flt3 gene
|
$383.35 |
$383.35 |
$383.35 |
$352.95
|
|
Flt3 gene analysis
|
$383.35 |
$383.35 |
$383.35 |
$229.92
|
|
Fluidotherapy charges pt
|
$115.50 |
$115.50 |
$115.50 |
$95.00
|
|
Fluorescent antibody titer dna
|
$423.50 |
$423.50 |
$423.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$507.00
|
|
Fluoroguide needle placement
|
$1,040.60 |
$1,040.60 |
$1,040.60 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$776.05 |
$776.05 |
$776.05 |
$494.52
|
|
Fna bx w/ct gdn 1st les
|
$1,112.10 |
$1,112.10 |
$1,112.10 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$327.25 |
$327.25 |
$327.25 |
$775.14
|
|
Folic acid
|
$161.70 |
$161.70 |
$161.70 |
$90.60
|
|
Follow-up angiography
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$1,939.14
|
|
Foot X-ray
|
$394.35 |
$394.35 |
$394.35 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$261.80 |
$261.80 |
$261.80 |
$595.80
|
|
_fragile x methylation-sendout
|
$891.55 |
$891.55 |
$891.55 |
$174.00
|
|
Fragmenting of kidney stone
|
$7,886.45 |
$7,886.45 |
$7,886.45 |
$9,827.25
|
|
Frenectomy 41115
|
$1,267.75 |
$1,267.75 |
$1,267.75 |
$1,744.44
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$202.40 |
$202.40 |
$202.40 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$207.35 |
$207.35 |
$207.35 |
$149.50
|
|
Fructosamine glycated protein
|
$47.30 |
$47.30 |
$47.30 |
$60.42
|
|
Ftl cgen abnor four anal
|
$162.80 |
$162.80 |
$162.80 |
$211.83
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,167.00 |
$2,167.00 |
$2,167.00 |
$2,919.95
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,167.00 |
$2,167.00 |
$2,167.00 |
$2,465.10
|
|
G6pd full gene sequence
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$227.70 |
$227.70 |
$227.70 |
$163.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$335.50 |
$335.50 |
$335.50 |
$82.50
|
|
Galectin-3
|
$139.15 |
$139.15 |
$139.15 |
$110.65
|
|
Gallium illuccix 1 millicure
|
$4,221.54 |
$4,221.54 |
$4,221.54 |
$1,395.27
|
|
Gammaglobulin iga
|
$191.95 |
$191.95 |
$191.95 |
$75.30
|
|
Gammaglobulin ige
|
$195.25 |
$195.25 |
$195.25 |
$85.00
|
|
Gamma glutamyltransferase
|
$129.25 |
$129.25 |
$129.25 |
$55.28
|
|
Generator barostim neo2 2014
|
$10,777.84 |
$10,777.84 |
$10,777.84 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$34,429.68 |
$34,429.68 |
$34,429.68 |
$35,824.13
|
|
Gentamicin peak therapeutic drug level
|
$215.05 |
$215.05 |
$215.05 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$524.15 |
$524.15 |
$524.15 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$1,273.80 |
$1,273.80 |
$1,273.80 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$2,759.90 |
$2,759.90 |
$2,759.90 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$119.90 |
$119.90 |
$119.90 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$191.40 |
$191.40 |
$191.40 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,134.10 |
$1,134.10 |
$1,134.10 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$243.10 |
$243.10 |
$243.10 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$539.00 |
$539.00 |
$539.00 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$103.40 |
$103.40 |
$103.40 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$675.95 |
$675.95 |
$675.95 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$594.55 |
$594.55 |
$594.55 |
$699.60
|
|
Ghs chemo >8 hrs
|
$568.70 |
$568.70 |
$568.70 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$375.65 |
$375.65 |
$375.65 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$218.90 |
$218.90 |
$218.90 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$358.05 |
$358.05 |
$358.05 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$346.50 |
$346.50 |
$346.50 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,531.75 |
$1,531.75 |
$1,531.75 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$1,914.55 |
$1,914.55 |
$1,914.55 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,568.50 |
$2,568.50 |
$2,568.50 |
$2,973.33
|
|
Ghs clsd red med malleolus fx w manip
|
$1,747.90 |
$1,747.90 |
$1,747.90 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,797.95 |
$1,797.95 |
$1,797.95 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$304.70 |
$304.70 |
$304.70 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$304.70 |
$304.70 |
$304.70 |
$547.94
|
|
Ghs conjunctiva foreign body-superf bil
|
$283.80 |
$283.80 |
$283.80 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$238.70 |
$238.70 |
$238.70 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$294.80 |
$294.80 |
$294.80 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$1,207.80
|
|
Ghs dislocation elbow closed treatment
|
$346.50 |
$346.50 |
$346.50 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$264.55 |
$264.55 |
$264.55 |
$351.46
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$372.90 |
$372.90 |
$372.90 |
$586.80
|
|
Ghs electrostagmgraphy
|
$910.80 |
$910.80 |
$910.80 |
$218.00
|
|
Ghs elect torsion swing
|
$317.35 |
$317.35 |
$317.35 |
$242.40
|
|
Ghs excision ingrown nail
|
$385.00 |
$385.00 |
$385.00 |
$457.60
|
|
Ghs eyelid foreign body-embedded - bil
|
$435.60 |
$435.60 |
$435.60 |
$536.77
|
|
Ghs fat & muscle
|
$27.50 |
$27.50 |
$27.50 |
$33.00
|
|
Ghs fb removal foot - deep - left
|
$1,563.10 |
$1,563.10 |
$1,563.10 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$1,844.15 |
$1,844.15 |
$1,844.15 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,541.10 |
$1,541.10 |
$1,541.10 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$39.60 |
$39.60 |
$39.60 |
$48.57
|
|
Ghs fish cytogen
|
$689.15 |
$689.15 |
$689.15 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$620.95 |
$620.95 |
$620.95 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$426.80 |
$426.80 |
$426.80 |
$403.20
|
|
Ghs hcv amplificaiton
|
$343.75 |
$343.75 |
$343.75 |
$187.00
|
|
Ghs histoplasma antigen
|
$180.40 |
$180.40 |
$180.40 |
$137.80
|
|
Ghs HIV antibody
|
$237.60 |
$237.60 |
$237.60 |
$91.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,042.70 |
$2,042.70 |
$2,042.70 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,300.10 |
$2,300.10 |
$2,300.10 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$975.15 |
$975.15 |
$975.15 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$856.90 |
$856.90 |
$856.90 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$363.00 |
$363.00 |
$363.00 |
$543.60
|
|
Ghs inf midline insertion
|
$1,830.40 |
$1,830.40 |
$1,830.40 |
$1,234.20
|
|
Ghs inhibitor screen
|
$321.75 |
$321.75 |
$321.75 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$277.20 |
$277.20 |
$277.20 |
$300.30
|
|
Ghs insertion of needle - bone
|
$341.55 |
$341.55 |
$341.55 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$642.95 |
$642.95 |
$642.95 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$845.35 |
$845.35 |
$845.35 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$318.45 |
$318.45 |
$318.45 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$75.90 |
$75.90 |
$75.90 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$450.45 |
$450.45 |
$450.45 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$479.05 |
$479.05 |
$479.05 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$510.95 |
$510.95 |
$510.95 |
$665.50
|
|
Ghs IV thrombolytics - cerebral
|
$566.50 |
$566.50 |
$566.50 |
$657.60
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$319.00 |
$319.00 |
$319.00 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$560.45 |
$560.45 |
$560.45 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$507.65 |
$507.65 |
$507.65 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$541.75 |
$541.75 |
$541.75 |
$648.00
|
