|
Fluorescent antibody titer dna
|
$178.20 |
$178.20 |
$178.20 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$276.00 |
$276.00 |
$276.00 |
$497.25
|
|
Fluoroguide needle placement
|
$276.00 |
$276.00 |
$276.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$439.20 |
$439.20 |
$439.20 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$183.33 |
$183.33 |
$183.33 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$191.10 |
$191.10 |
$191.10 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$1,839.60 |
$1,839.60 |
$1,839.60 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$1,839.00 |
$1,839.00 |
$1,839.00 |
$737.83
|
|
Folic acid
|
$209.40 |
$209.40 |
$209.40 |
$85.50
|
|
Fondaparinux sodium
|
$126.88 |
$126.88 |
$126.88 |
$121.83
|
|
Foot X-ray
|
$390.00 |
$390.00 |
$390.00 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$126.29 |
$126.29 |
$126.29 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$66.38
|
|
Fracture assessment via dxa
|
$180.60 |
$180.60 |
$180.60 |
$170.40
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$448.20 |
$448.20 |
$448.20 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$675.60 |
$675.60 |
$675.60 |
$217.30
|
|
Fructosamine glycated protein
|
$154.80 |
$154.80 |
$154.80 |
$69.55
|
|
Ftl cgen abnor four anal
|
$726.00 |
$726.00 |
$726.00 |
$267.15
|
|
Ga-67 gallium 0.1 mci
|
$99.00 |
$99.00 |
$99.00 |
$156.23
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4.59 |
$4.59 |
$4.59 |
$2.04
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$90.60
|
|
Galactose transferase test
|
$87.00 |
$87.00 |
$87.00 |
$25.00
|
|
Gamma globulin 1 cc inj
|
$657.42 |
$657.42 |
$657.42 |
$106.20
|
|
Gammaglobulin iga
|
$186.00 |
$186.00 |
$186.00 |
$78.60
|
|
Gammaglobulin ige
|
$345.00 |
$345.00 |
$345.00 |
$87.10
|
|
Gamma glutamyltransferase
|
$138.60 |
$138.60 |
$138.60 |
$54.60
|
|
Gamunex-c/gammaked
|
$6,963.60 |
$6,963.60 |
$6,963.60 |
$100.40
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$308.35 |
$308.35 |
$308.35 |
$154.86
|
|
Gardner vag dna quant
|
$124.20 |
$124.20 |
$124.20 |
$104.80
|
|
Gastric emptying imag study
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$1,270.00
|
|
Gastric emptying imag study
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$887.62
|
|
Gastroesophageal reflux test
|
$907.80 |
$907.80 |
$907.80 |
$1,110.80
|
|
Gated heart multiple
|
$3,077.40 |
$3,077.40 |
$3,077.40 |
$1,177.70
|
|
Gemcitabine 1 gram intravenous solution
|
$200.24 |
$200.24 |
$200.24 |
$168.02
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$329.89 |
$329.89 |
$329.89 |
$15,276.60
|
|
General health panel
|
$339.60 |
$339.60 |
$339.60 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$62.80 |
$62.80 |
$62.80 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$327.60 |
$327.60 |
$327.60 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$1,413.78
|
|
Ghs acetylcholinesterase, rbc
|
$30.00 |
$30.00 |
$30.00 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$186.60 |
$186.60 |
$186.60 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$641.40 |
$641.40 |
$641.40 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$606.00 |
$606.00 |
$606.00 |
$82.50
|
|
Ghs central line insert < age 5, failed
|
$3,636.60 |
$3,636.60 |
$3,636.60 |
$2,489.25
|
|
Ghs chemo >8 hrs
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$194.40 |
$194.40 |
$194.40 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.00 |
$63.00 |
$63.00 |
$135.85
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,895.20 |
$3,895.20 |
$3,895.20 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$58.20 |
$58.20 |
$58.20 |
$85.00
|
|
Ghs corneal fb without slit lamp bilat
|
$376.20 |
$376.20 |
$376.20 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$376.20 |
$376.20 |
$376.20 |
$362.21
|
|
Ghs diphtheria toxoid ab igg
|
$168.60 |
$168.60 |
$168.60 |
$91.80
|
|
Ghs ed rmvl or bivalving cast
|
$592.80 |
$592.80 |
$592.80 |
$351.46
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$627.00 |
$627.00 |
$627.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$167.40 |
$167.40 |
$167.40 |
$247.20
|
|
Ghs febrile agglutinns(mayo)
|
$194.40 |
$194.40 |
$194.40 |
$51.99
|
|
Ghs fish cytogen
|
$299.40 |
$299.40 |
$299.40 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$432.00 |
$432.00 |
$432.00 |
$229.45
|
|
Ghs flow volume loop
|
$435.00 |
$435.00 |
$435.00 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$209.40 |
$209.40 |
$209.40 |
$385.60
|
|
Ghs hcv amplificaiton
|
$664.80 |
$664.80 |
$664.80 |
$198.90
|
|
Ghs histoplasma antigen
|
$403.20 |
$403.20 |
$403.20 |
$157.30
|
|
Ghs HIV antibody
|
$119.40 |
$119.40 |
$119.40 |
$90.14
|
|
Ghs inf midline insertion
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,580.00
|
|
Ghs inhibitor screen
|
$327.60 |
$327.60 |
$327.60 |
$138.06
|
|
Ghs IV inf sq injection, on-body injector
|
$393.60 |
$393.60 |
$393.60 |
$117.42
|
|
Ghs IV thrombolytics - cerebral
|
$748.80 |
$748.80 |
$748.80 |
$752.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$210.60 |
$210.60 |
$210.60 |
$62.28
|
|
Ghs mbp
|
$283.20 |
$283.20 |
$283.20 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$306.60 |
$306.60 |
$306.60 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$232.20 |
$232.20 |
$232.20 |
$125.34
|
|
Ghs musc test done w/n test comp
|
$1,111.20 |
$1,111.20 |
$1,111.20 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$665.40 |
$665.40 |
$665.40 |
$277.25
|
|
Ghs musc tst done w/n tst non ext
|
$256.20 |
$256.20 |
$256.20 |
$219.05
|
|
Ghs myocardial strain img spckl track
|
$568.80 |
$568.80 |
$568.80 |
$503.85
|
|
Ghs ng placement w fluoro guidance
|
$356.40 |
$356.40 |
$356.40 |
$423.76
|
|
Ghs o2 saturation
|
$26.40 |
$26.40 |
$26.40 |
$55.90
|
|
Ghs ob unlisted IV or art inj or infusion
|
$203.40 |
$203.40 |
$203.40 |
$118.40
|
|
Ghs opcc repair cvp without subq port
|
$2,063.40 |
$2,063.40 |
$2,063.40 |
$1,289.00
|
|
Ghs optokenetic
|
$153.60 |
$153.60 |
$153.60 |
$198.98
|
|
Ghs oscillating trac
|
$189.00 |
$189.00 |
$189.00 |
$256.50
|
|
Ghs ot dds rom
|
$43.20 |
$43.20 |
$43.20 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$57.60 |
$57.60 |
$57.60 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$49.80 |
$49.80 |
$49.80 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$62.40 |
$62.40 |
$62.40 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$840.00 |
$840.00 |
$840.00 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$106.20 |
$106.20 |
$106.20 |
$82.80
|
|
Ghs phenylketonurid
|
$93.00 |
$93.00 |
$93.00 |
$61.20
|
|
Ghs picc line insert < 5
|
$2,812.80 |
$2,812.80 |
$2,812.80 |
$1,990.40
|
|
Ghs plt ct-manual
|
$88.20 |
$88.20 |
$88.20 |
$40.80
|
|
Ghs polysom <6 yrs 4/> parameters
|
$6,083.40 |
$6,083.40 |
$6,083.40 |
$3,557.58
|
|
Ghs pos nystagmus
|
$226.80 |
$226.80 |
$226.80 |
$228.00
|
|
Ghs ppd (tb intradermal)
|
$69.00 |
$69.00 |
$69.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$161.40 |
$161.40 |
$161.40 |
$49.77
|
|
Ghs protein, misc fluid
|
$61.80 |
$61.80 |
$61.80 |
$24.60
|
|
Ghs protoporphyrins fract
|
$162.60 |
$162.60 |
$162.60 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$281.40 |
$281.40 |
$281.40 |
$165.60
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$63.00 |
$63.00 |
$63.00 |
$55.25
|
