|
Fna bx w/ct gdn ea addl
|
$397.50 |
$1,485.00 |
$2,434.60 |
$834.90
|
|
Folic acid
|
$41.58 |
$87.50 |
$130.90 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$361.72 |
$361.72 |
$361.72 |
$45.00
|
|
Follow-up angiography
|
$629.31 |
$1,575.00 |
$1,761.20 |
$1,983.00
|
|
Follow-up surgery of eye
|
$9,561.60 |
$9,561.60 |
$9,561.60 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,919.52 |
$2,919.52 |
$2,919.52 |
$2,511.73
|
|
Fondaparinux sodium
|
$242.98 |
$242.98 |
$1,007.82 |
$186.20
|
|
Fo nontorsion joint cf
|
$167.36 |
$217.50 |
$368.90 |
$217.50
|
|
Foot drp splt w/exp heel lg
|
$112.96 |
$112.96 |
$112.96 |
$143.14
|
|
Foot X-ray
|
$291.06 |
$300.00 |
$594.30 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$205.92 |
$240.00 |
$324.10 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$2,034.20 |
$2,034.20 |
$2,034.20 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$901.60
|
|
Forearm X-ray (both sides)
|
$215.82 |
$280.00 |
$515.90 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$340.00 |
$340.00 |
$2,050.30 |
$534.00
|
|
Formoterol fumarate, inh
|
$73.09 |
$73.09 |
$73.09 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1.22 |
$1.22 |
$1,715.52 |
$490.67
|
|
Foscarnet sodium injection
|
$1,212.05 |
$1,212.05 |
$1,212.05 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$19.86 |
$19.86 |
$227.15 |
$103.62
|
|
Fractionation ketosteroids
|
$275.10 |
$275.10 |
$275.10 |
$160.89
|
|
Fracture assessment via dxa
|
$56.10 |
$182.50 |
$411.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$53.79 |
$222.50 |
$772.10 |
$183.74
|
|
Fragmenting of kidney stone
|
$12,705.35 |
$12,705.35 |
$12,705.35 |
$10,312.25
|
|
Frenectomy 41115
|
$2,961.70 |
$2,961.70 |
$2,961.70 |
$1,939.47
|
|
Frenulotomy of penis
|
$22,714.59 |
$22,714.59 |
$22,714.59 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$197.50 |
$197.50 |
$197.50 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$155.00 |
$155.00 |
$287.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$85.00 |
$85.00 |
$231.70 |
$131.25
|
|
Frozen plasma, pooled, sd
|
$255.50 |
$255.50 |
$255.50 |
$170.00
|
|
Fructosamine glycated protein
|
$21.78 |
$80.00 |
$104.30 |
$63.50
|
|
Ftl cgen abnor four anal
|
$201.96 |
$220.00 |
$259.00 |
$211.83
|
|
Ftl cgen abnor three anal
|
$584.50 |
$584.50 |
$584.50 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$105.00 |
$105.00 |
$119.70 |
$109.00
|
|
Full mouth x-ray of teeth
|
$217.14 |
$217.14 |
$345.00 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$309.21 |
$442.50 |
$746.90 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$3,155.50
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$2,798.50
|
|
Functional brain mapping
|
$513.80 |
$513.80 |
$513.80 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$268.97 |
$268.97 |
$268.97 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$32.92 |
$32.92 |
$41.21 |
$26.40
|
|
Fusion of spermatic ducts
|
$118,864.82 |
$118,864.82 |
$118,864.82 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$97,641.11 |
$97,641.11 |
$97,641.11 |
$4,081.37
|
|
Fxn gene detc abnor alleles
|
$355.60 |
$355.60 |
$355.60 |
$200.88
|
|
Fxn gene full gene sequence
|
$713.30 |
$713.30 |
$713.30 |
$379.27
|
|
G6pc gene
|
$62.37 |
$140.00 |
$503.30 |
$138.40
|
|
G6pd full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$403.20 |
$403.20 |
$403.20 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$291.90 |
$291.90 |
$291.90 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$94.05 |
$94.05 |
$240.10 |
$140.35
|
|
Gabapentin non-blood
|
$247.50 |
$247.50 |
$247.50 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.62 |
$0.62 |
$2,120.30 |
$108.40
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$64.22 |
$64.22 |
$226.71 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$321.84 |
$321.84 |
$321.84 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$100.00 |
$100.00 |
$590.10 |
$100.00
|
|
Galactose transferase test
|
$11.22 |
$25.00 |
$116.20 |
$31.35
|
|
Galectin-3
|
$46.53 |
$145.00 |
$202.30 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$315.81 |
$1,280.00 |
$2,845.50 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,405.80 |
$1,410.00 |
$3,201.10 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$30,640.64 |
$30,640.64 |
$30,640.64 |
$13,208.00
|
|
Gallium illuccix 1 millicure
|
$945.00 |
$1,165.89 |
$2,375.10 |
$1,696.55
|
|
Gallium locametz 1 millicuri
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,853.80
|
|
Gammaglobulin iga
|
$46.20 |
$62.50 |
$89.60 |
$69.60
|
|
Gammaglobulin ige
|
$31.02 |
$85.00 |
$242.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$47.50 |
$47.50 |
$128.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$80.33 |
$104.05 |
$17,167.50 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$677.07 |
$677.07 |
$677.07 |
$197.40
|
|
Gardner vag dna quant
|
$420.70 |
$420.70 |
$420.70 |
$104.80
|
|
Gastric motility studies
|
$2,331.70 |
$2,331.70 |
$2,331.70 |
$972.00
|
|
Gastroesophageal reflux study
|
$418.77 |
$1,055.60 |
$1,130.00 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$345.51 |
$345.51 |
$955.50 |
$1,352.00
|
|
Gated heart multiple
|
$630.30 |
$630.30 |
$630.30 |
$1,405.04
|
|
Gba gene
|
$50.49 |
$140.00 |
$368.20 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$136.50 |
$136.50 |
$136.50 |
$68.30
|
|
Gemcitabine 1 gram intravenous solution
|
$47.00 |
$257.28 |
$312.55 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$63,840.00 |
$63,840.00 |
$63,840.00 |
$19,305.62
|
|
General health panel
|
$247.50 |
$247.50 |
$280.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$33,153.12 |
$38,208.00 |
$202,002.23 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$11,129.58 |
$18,905.00 |
$98,044.24 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,755.00 |
$2,755.00 |
$6,897.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$39,300.00 |
$39,300.00 |
$180,402.55 |
$38,632.78
|
|
Genome sequence analysis
|
$11,622.10 |
$11,622.10 |
$11,622.10 |
$5,031.20
|
|
Genome sequence analysis
|
$6,260.10 |
$6,260.10 |
$6,260.10 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$105.18 |
$105.18 |
$135.10 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$42.24 |
$110.00 |
$140.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$780.00 |
$780.00 |
$887.60 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,020.00 |
$1,020.00 |
$9,199.20 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$9.57 |
$25.20 |
$67.50 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$19.47 |
$140.00 |
$376.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$109.56 |
$492.50 |
$2,179.10 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$86.46 |
$315.00 |
$459.90 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$49.17 |
$82.50 |
$102.20 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$282.50 |
$282.50 |
$282.50 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$260.00 |
$320.00 |
$26,427.85 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$20.13 |
$20.13 |
$20.13 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$570.00 |
$735.00 |
$18,202.17 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$1,460.00 |
$1,460.00 |
$3,920.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$222.50 |
$432.50 |
$1,123.62 |
$594.55
|
|
Ghs chemo >8 hrs
|
$588.39 |
$615.00 |
$835.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$176.55 |
$295.00 |
$450.80 |
$277.00
|
