|
Fondaparinux sodium
|
$192.32 |
$192.32 |
$192.32 |
$186.87
|
|
Fo nontorsion joint cf
|
$368.90 |
$368.90 |
$368.90 |
$217.50
|
|
Foot X-ray
|
$594.30 |
$594.30 |
$594.30 |
$352.08
|
|
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
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$2,255.40 |
$2,255.40 |
$2,255.40 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$490.67
|
|
Foscarnet sodium injection
|
$826.35 |
$826.35 |
$826.35 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$116.37 |
$116.37 |
$116.37 |
$106.25
|
|
Fractionation ketosteroids
|
$275.10 |
$275.10 |
$275.10 |
$160.89
|
|
Fracture assessment via dxa
|
$411.60 |
$411.60 |
$411.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$772.10 |
$772.10 |
$772.10 |
$183.74
|
|
Fragmenting of kidney stone
|
$16,169.78 |
$16,169.78 |
$16,169.78 |
$10,312.25
|
|
Free omental flap microvasc
|
$79,108.15 |
$79,108.15 |
$79,108.15 |
$4,726.40
|
|
Frenectomy 41115
|
$18,616.45 |
$18,616.45 |
$18,616.45 |
$1,939.47
|
|
Frenotomy 40806
|
$4,971.68 |
$4,971.68 |
$4,971.68 |
$679.80
|
|
Frenulotomy of penis
|
$6,244.19 |
$6,244.19 |
$6,244.19 |
$3,897.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$287.00 |
$287.00 |
$287.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$231.70 |
$231.70 |
$231.70 |
$130.98
|
|
Frozen plasma, pooled, sd
|
$255.50 |
$255.50 |
$255.50 |
$170.00
|
|
Fructosamine glycated protein
|
$86.10 |
$86.10 |
$86.10 |
$61.75
|
|
Ftl cgen abnor four anal
|
$259.00 |
$259.00 |
$259.00 |
$205.80
|
|
Ftl cgen abnor three anal
|
$584.50 |
$584.50 |
$584.50 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$119.70 |
$119.70 |
$119.70 |
$109.00
|
|
Furosemide 10 mg/ml injection solution
|
$5.42 |
$5.42 |
$5.42 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$287.70 |
$287.70 |
$287.70 |
$200.88
|
|
Fxn gene full gene sequence
|
$576.80 |
$576.80 |
$576.80 |
$379.27
|
|
G6pc gene
|
$503.30 |
$503.30 |
$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
|
$240.10 |
$240.10 |
$240.10 |
$139.70
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2,953.30 |
$2,953.30 |
$2,953.30 |
$107.11
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$137.72 |
$137.72 |
$137.72 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,370.95 |
$1,370.95 |
$1,370.95 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$462.00 |
$462.00 |
$462.00 |
$100.00
|
|
Galactose transferase test
|
$23.10 |
$23.10 |
$23.10 |
$32.00
|
|
Galectin-3
|
$112.70 |
$112.70 |
$112.70 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$28,364.78 |
$28,364.78 |
$28,364.78 |
$12,906.50
|
|
Gallium illuccix 1 millicure
|
$2,375.10 |
$2,375.10 |
$2,375.10 |
$2,046.76
|
|
Gallium locametz 1 millicuri
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,853.80
|
|
Gamma globulin 1 cc inj
|
$2,554.12 |
$2,554.12 |
$2,554.12 |
$406.90
|
|
Gammaglobulin iga
|
$89.60 |
$89.60 |
$89.60 |
$69.42
|
|
Gammaglobulin ige
|
$148.40 |
$148.40 |
$148.40 |
$83.40
|
|
Gamma glutamyltransferase
|
$119.00 |
$119.00 |
$119.00 |
$57.54
|
|
Gammaplex injection
|
$4,455.50 |
$4,455.50 |
$4,455.50 |
$7,464.29
|
|
Gamunex-c/gammaked
|
$16,002.00 |
$16,002.00 |
$16,002.00 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$222.77 |
$222.77 |
$222.77 |
$197.40
|
|
Gastric motility studies
|
$2,331.70 |
$2,331.70 |
$2,331.70 |
$972.00
|
|
Gastroesophageal reflux study
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,031.60
|
|
Gba gene
|
$368.20 |
$368.20 |
$368.20 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$379.05 |
$379.05 |
$379.05 |
$208.92
|
|
Generator barostim neo2 2014
|
$236,041.52 |
$236,041.52 |
$236,041.52 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$144,243.47 |
$144,243.47 |
$144,243.47 |
$36,771.84
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$222,812.80 |
$222,812.80 |
$222,812.80 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$6,897.80 |
$6,897.80 |
$6,897.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$180,402.55 |
$180,402.55 |
$180,402.55 |
$40,800.00
|
|
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
|
$135.10 |
$135.10 |
$135.10 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$233.10 |
$233.10 |
$233.10 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$8,988.70 |
$8,988.70 |
$8,988.70 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$9,199.20 |
$9,199.20 |
$9,199.20 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$8,900.50 |
$8,900.50 |
$8,900.50 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$25.20 |
$25.20 |
$25.20 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$221.20 |
$221.20 |
$221.20 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,719.20 |
$1,719.20 |
$1,719.20 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$459.90 |
$459.90 |
$459.90 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$67.90 |
$67.90 |
$67.90 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$445.20 |
$445.20 |
$445.20 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$2,824.84 |
$2,824.84 |
$2,824.84 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$3,033.80 |
$3,033.80 |
$3,033.80 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$3,304.11 |
$3,304.11 |
$3,304.11 |
$594.55
|
|
Ghs chemo >8 hrs
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$402.50 |
$402.50 |
$402.50 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$133.70 |
$133.70 |
$133.70 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$686.70 |
$686.70 |
$686.70 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$1,554.70
|
|
Ghs closed tx radiocarpal disloc w manip
|
$653.10 |
$653.10 |
$653.10 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$3,446.10 |
$3,446.10 |
$3,446.10 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$21,061.10 |
$21,061.10 |
$21,061.10 |
$3,448.80
|
|
Ghs clsd red med malleolus fx w manip
|
$6,336.40 |
$6,336.40 |
$6,336.40 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,705.90 |
$1,705.90 |
$1,705.90 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$405.30 |
$405.30 |
$405.30 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$795.90 |
$795.90 |
$795.90 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$157.50 |
$157.50 |
$157.50 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$454.30 |
$454.30 |
$454.30 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$402.50 |
$402.50 |
$402.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$576.80 |
$576.80 |
$576.80 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$606.90 |
$606.90 |
$606.90 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,806.70 |
$1,806.70 |
$1,806.70 |
$1,103.75
|
|
Ghs diphtheria toxoid ab igg
|
$350.00 |
$350.00 |
$350.00 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$942.90 |
$942.90 |
$942.90 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$476.00 |
$476.00 |
$476.00 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,387.70 |
$2,387.70 |
$2,387.70 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$555.80 |
$555.80 |
$555.80 |
$560.00
|
|
Ghs excision ingrown nail
|
$494.20 |
$494.20 |
$494.20 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$343.70 |
$343.70 |
$343.70 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$4,672.50 |
$4,672.50 |
$4,672.50 |
$2,723.00
|
