|
Flow cytometry marker each additional
|
$194.40 |
$194.40 |
$194.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$393.84 |
$393.84 |
$393.84 |
$284.40
|
|
Fluorescent antibody titer dna
|
$226.80 |
$226.80 |
$226.80 |
$122.82
|
|
Fluoroguide needle placement
|
$210.96 |
$210.96 |
$210.96 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$522.00 |
$522.00 |
$522.00 |
$492.00
|
|
Folic acid
|
$90.72 |
$90.72 |
$90.72 |
$101.50
|
|
Foot X-ray
|
$352.08 |
$352.08 |
$352.08 |
$362.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$248.40 |
$248.40 |
$248.40 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$240.48 |
$240.48 |
$240.48 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$370.08 |
$370.08 |
$370.08 |
$122.00
|
|
Fructosamine glycated protein
|
$75.60 |
$75.60 |
$75.60 |
$60.75
|
|
Ftl cgen abnor five anal
|
$961.20 |
$961.20 |
$961.20 |
$155.10
|
|
Ftl cgen abnor four anal
|
$336.24 |
$336.24 |
$336.24 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$212.40 |
$212.40 |
$212.40 |
$110.00
|
|
Furosemide 10 mg/ml injection solution
|
$25.20 |
$25.20 |
$25.20 |
$19.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$12.49 |
$12.49 |
$12.49 |
$144.98
|
|
Gammaglobulin iga
|
$118.80 |
$118.80 |
$118.80 |
$67.20
|
|
Gammaglobulin ige
|
$198.00 |
$198.00 |
$198.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$109.44 |
$109.44 |
$109.44 |
$57.54
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$25.20 |
$25.20 |
$25.20 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$662.40 |
$662.40 |
$662.40 |
$126.00
|
|
Ghs bladder cath - complex-foley
|
$507.60 |
$507.60 |
$507.60 |
$344.00
|
|
Ghs change cysto/gastrost
|
$653.04 |
$653.04 |
$653.04 |
$565.49
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$207.36 |
$207.36 |
$207.36 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$456.48 |
$456.48 |
$456.48 |
$512.40
|
|
Ghs cl tx knee disl; wo anesth
|
$522.72 |
$522.72 |
$522.72 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$518.40 |
$518.40 |
$518.40 |
$495.55
|
|
Ghs conjunctiva foreign body-superf bil
|
$510.48 |
$510.48 |
$510.48 |
$283.80
|
|
Ghs diphtheria toxoid ab igg
|
$127.44 |
$127.44 |
$127.44 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$518.40 |
$518.40 |
$518.40 |
$578.00
|
|
Ghs fb removal - incisional
|
$3,481.92 |
$3,481.92 |
$3,481.92 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$3,499.92 |
$3,499.92 |
$3,499.92 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$307.44 |
$307.44 |
$307.44 |
$48.57
|
|
Ghs fish cytogen
|
$72.72 |
$72.72 |
$72.72 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$136.80 |
$136.80 |
$136.80 |
$223.00
|
|
Ghs hcv amplificaiton
|
$920.88 |
$920.88 |
$920.88 |
$187.00
|
|
Ghs histoplasma antigen
|
$483.12 |
$483.12 |
$483.12 |
$141.00
|
|
Ghs i and d pilonidal cyst simple
|
$1,519.92 |
$1,519.92 |
$1,519.92 |
$703.15
|
|
Ghs init tx 1st degree burn
|
$429.12 |
$429.12 |
$429.12 |
$275.50
|
|
Ghs inj tendon origin/insertion
|
$637.92 |
$637.92 |
$637.92 |
$431.07
|
|
Ghs insertion of needle - bone
|
$861.84 |
$861.84 |
$861.84 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$863.28 |
$863.28 |
$863.28 |
$863.28
|
|
Ghs IV thrombolytics - cerebral
|
$755.28 |
$755.28 |
$755.28 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$861.84 |
$861.84 |
$861.84 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$889.20 |
$889.20 |
$889.20 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$863.28 |
$863.28 |
$863.28 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$863.28 |
$863.28 |
$863.28 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$750.24 |
$750.24 |
$750.24 |
$689.04
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$863.28 |
$863.28 |
$863.28 |
$770.22
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$890.64 |
$890.64 |
$890.64 |
$790.40
|
|
Ghs mbp
|
$93.60 |
$93.60 |
$93.60 |
$77.35
|
|
Ghs musc test done w/n test comp
|
$230.40 |
$230.40 |
$230.40 |
$318.75
|
|
Ghs musc tst done w/nerv tst lim
|
$331.92 |
$331.92 |
$331.92 |
$266.59
|
|
Ghs nailbed repair/nail removal
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$724.37
|
|
Ghs nerve block axillary nerve
|
$2,108.88 |
$2,108.88 |
$2,108.88 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$1,923.12 |
$1,923.12 |
$1,923.12 |
$1,689.00
|
|
Ghs ng placement w fluoro guidance
|
$861.84 |
$861.84 |
$861.84 |
$478.50
|
|
Ghs phenylketonurid
|
$102.96 |
$102.96 |
$102.96 |
$53.76
|
|
Ghs plngl fx pm cl
|
$516.96 |
$516.96 |
$516.96 |
$564.80
|
|
Ghs prostatic acid phosphatase (mayo)
|
$56.88 |
$56.88 |
$56.88 |
$43.55
|
|
Ghs protoporphyrins fract
|
$127.44 |
$127.44 |
$127.44 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$136.08 |
$136.08 |
$136.08 |
$146.86
|
|
Ghs quinidine
|
$154.08 |
$154.08 |
$154.08 |
$85.00
|
|
Ghs removal intranasal foreign body
|
$392.40 |
$392.40 |
$392.40 |
$287.50
|
|
Ghs respiratory syncytical virus igg/m
|
$176.40 |
$176.40 |
$176.40 |
$71.20
|
|
Ghs rsv eia (respir synctial vrs)
|
$448.56 |
$448.56 |
$448.56 |
$96.60
|
|
Ghs sedimentation rate
|
$76.32 |
$76.32 |
$76.32 |
$45.50
|
|
Ghs sensitivity (per antimicro)
|
$69.84 |
$69.84 |
$69.84 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$863.28 |
$863.28 |
$863.28 |
$553.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$863.28 |
$863.28 |
$863.28 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$863.28 |
$863.28 |
$863.28 |
$575.00
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$568.08 |
$568.08 |
$568.08 |
$448.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$653.04 |
$653.04 |
$653.04 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$568.08 |
$568.08 |
$568.08 |
$484.80
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$861.75
|
|
Ghs superficial wnd dehis w packing12021
|
$863.28 |
$863.28 |
$863.28 |
$661.50
|
|
Ghs urine, porphyrins quant
|
$146.88 |
$146.88 |
$146.88 |
$75.00
|
|
Gi inhouse confirmation
|
$146.16 |
$146.16 |
$146.16 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$483.84 |
$483.84 |
$483.84 |
$601.79
|
|
Glucagon plasma - sendout
|
$136.80 |
$136.80 |
$136.80 |
$63.00
|
|
Glucose 1 hr post dose
|
$70.56 |
$70.56 |
$70.56 |
$47.20
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$41.76 |
$41.76 |
$41.76 |
$23.86
|
|
Glucose blood quantitative
|
$53.28 |
$53.28 |
$53.28 |
$40.00
|
|
Glucose body fluid
|
$88.56 |
$88.56 |
$88.56 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$163.44 |
$163.44 |
$163.44 |
$100.16
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$112.28 |
$112.28 |
$112.28 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$98.64 |
$98.64 |
$98.64 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$98.64 |
$98.64 |
$98.64 |
$129.00
|
|
Hand X-ray
|
$352.08 |
$352.08 |
$352.08 |
$356.00
|
|
Haptoglobin quantitative
|
$49.68 |
$49.68 |
$49.68 |
$91.14
|
|
Hcg qualitative
|
$109.44 |
$109.44 |
$109.44 |
$89.70
|
|
Hcg quantitative
|
$166.32 |
$166.32 |
$166.32 |
$139.20
|
|
Head CT scan (with and without contrast)
|
$2,004.48 |
$2,004.48 |
$2,004.48 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$1,721.52 |
$1,721.52 |
$1,721.52 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$239.76 |
$239.76 |
$239.76 |
$91.98
|
|
Hematocrit
|
$36.72 |
$36.72 |
$36.72 |
$33.57
|
|
Hemoglobin
|
$40.32 |
$40.32 |
$40.32 |
$31.80
|
|
Hemoglobin methemoglobin quantitative
|
$82.08 |
$82.08 |
$82.08 |
$53.60
|
|
Hemoglobin plasma
|
$79.92 |
$79.92 |
$79.92 |
$41.25
|
