|
Flow cytometry marker each additional
|
$150.00 |
$150.00 |
$150.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$355.00 |
$355.00 |
$355.00 |
$285.00
|
|
Flt3 gene
|
$355.00 |
$355.00 |
$355.00 |
$366.29
|
|
Flt3 gene analysis
|
$177.50 |
$177.50 |
$177.50 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$70.57 |
$70.57 |
$70.57 |
$64.22
|
|
Fluidotherapy charges pt
|
$70.00 |
$70.00 |
$70.00 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$779.45
|
|
Fluorescent antibody titer dna
|
$300.00 |
$300.00 |
$300.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$455.00 |
$455.00 |
$455.00 |
$495.00
|
|
Fluoroguide needle placement
|
$800.00 |
$800.00 |
$800.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$610.00 |
$610.00 |
$610.00 |
$503.80
|
|
Fmri brain by phys/psych
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,639.00
|
|
Fmri brain by tech
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$525.00 |
$525.00 |
$525.00 |
$834.90
|
|
Folic acid
|
$87.50 |
$87.50 |
$87.50 |
$101.50
|
|
Follow-up angiography
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,983.00
|
|
Fo nontorsion joint cf
|
$217.50 |
$217.50 |
$217.50 |
$217.50
|
|
Foot X-ray
|
$355.00 |
$355.00 |
$355.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$280.00 |
$280.00 |
$280.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$405.00 |
$405.00 |
$405.00 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$340.00 |
$340.00 |
$340.00 |
$534.00
|
|
_fragile x methylation-sendout
|
$222.50 |
$222.50 |
$222.50 |
$183.74
|
|
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 |
$155.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$85.00 |
$85.00 |
$85.00 |
$131.25
|
|
Fructosamine glycated protein
|
$80.00 |
$80.00 |
$80.00 |
$63.50
|
|
Ftl cgen abnor four anal
|
$220.00 |
$220.00 |
$220.00 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$105.00 |
$105.00 |
$105.00 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$510.00 |
$510.00 |
$510.00 |
$355.00
|
|
Functional brain mapping
|
$3,370.00 |
$3,370.00 |
$3,370.00 |
$514.80
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$53.35 |
$53.35 |
$53.35 |
$26.40
|
|
G6pc gene
|
$140.00 |
$140.00 |
$140.00 |
$138.40
|
|
Gabapentin non-blood
|
$247.50 |
$247.50 |
$247.50 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.62 |
$0.62 |
$0.62 |
$108.40
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$76.70 |
$76.70 |
$76.70 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Galactose transferase test
|
$25.00 |
$25.00 |
$25.00 |
$31.35
|
|
Galectin-3
|
$145.00 |
$145.00 |
$145.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$1,615.00
|
|
Gammaglobulin iga
|
$62.50 |
$62.50 |
$62.50 |
$69.60
|
|
Gammaglobulin ige
|
$85.00 |
$85.00 |
$85.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$47.50 |
$47.50 |
$47.50 |
$57.54
|
|
Gamunex-c/gammaked
|
$102.83 |
$102.83 |
$102.83 |
$7,435.88
|
|
Gastroesophageal reflux study
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$1,031.60
|
|
Gba gene
|
$140.00 |
$140.00 |
$140.00 |
$160.72
|
|
Generator barostim neo2 2014
|
$40,368.38 |
$40,368.38 |
$40,368.38 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$27,133.75 |
$27,133.75 |
$27,133.75 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$2,755.00 |
$2,755.00 |
$2,755.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$110.00 |
$110.00 |
$110.00 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$780.00 |
$780.00 |
$780.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$67.50 |
$67.50 |
$67.50 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$140.00 |
$140.00 |
$140.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$492.50 |
$492.50 |
$492.50 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$82.50 |
$82.50 |
$82.50 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$260.00 |
$260.00 |
$260.00 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$675.00 |
$675.00 |
$675.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$665.00 |
$665.00 |
$665.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$400.00 |
$400.00 |
$400.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$180.00 |
$180.00 |
$180.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$270.00 |
$270.00 |
$270.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$270.00 |
$270.00 |
$270.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,790.00 |
$1,790.00 |
$1,790.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$270.00 |
$270.00 |
$270.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$270.00 |
$270.00 |
$270.00 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$85.00 |
$85.00 |
$85.00 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$385.00 |
$385.00 |
$385.00 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$187.50 |
$187.50 |
$187.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$417.50 |
$417.50 |
$417.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$265.00 |
$265.00 |
$265.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$307.50 |
$307.50 |
$307.50 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$270.00 |
$270.00 |
$270.00 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,985.00 |
$1,985.00 |
$1,985.00 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$225.00 |
$225.00 |
$225.00 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$755.00 |
$755.00 |
$755.00 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$445.00 |
$445.00 |
$445.00 |
$586.80
|
|
Ghs excision ingrown nail
|
$485.00 |
$485.00 |
$485.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$447.50 |
$447.50 |
$447.50 |
$510.00
|
|
Ghs fb removal from muscle - complicated
|
$3,035.00 |
$3,035.00 |
$3,035.00 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$1,735.00 |
$1,735.00 |
$1,735.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$940.00 |
$940.00 |
$940.00 |
$1,706.20
|
|
Ghs fish cytogen
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$225.00 |
$225.00 |
$225.00 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$340.00 |
$340.00 |
$340.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$180.00 |
$180.00 |
$180.00 |
$196.20
|
|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$89.91
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$142.00
|
|
Ghs HIV antibody
|
$82.50 |
$82.50 |
$82.50 |
$89.70
|
|
Ghs i and d perirectal abscess 46040
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$800.00 |
$800.00 |
$800.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$570.00 |
$570.00 |
$570.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$470.00 |
$470.00 |
$470.00 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$215.00 |
$215.00 |
$215.00 |
$350.90
|
