|
Fluoroguide for spine inject 77003-26
|
$495.00 |
$495.00 |
$495.00 |
$497.25
|
|
Fluoroguide needle placement
|
$463.20 |
$463.20 |
$463.20 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$464.40 |
$464.40 |
$464.40 |
$474.50
|
|
Folic acid
|
$181.20 |
$181.20 |
$181.20 |
$85.50
|
|
Foot X-ray
|
$523.20 |
$523.20 |
$523.20 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$168.29 |
$168.29 |
$168.29 |
$66.38
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$330.00 |
$330.00 |
$330.00 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$367.80 |
$367.80 |
$367.80 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$62.40 |
$62.40 |
$62.40 |
$114.35
|
|
Fructosamine glycated protein
|
$104.40 |
$104.40 |
$104.40 |
$69.55
|
|
Ftl cgen abnor four anal
|
$653.40 |
$653.40 |
$653.40 |
$267.15
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4.59 |
$4.59 |
$4.59 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3.20 |
$3.20 |
$3.20 |
$15.60
|
|
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
|
$33.00 |
$33.00 |
$33.00 |
$25.00
|
|
Gammaglobulin iga
|
$110.40 |
$110.40 |
$110.40 |
$78.60
|
|
Gammaglobulin ige
|
$194.40 |
$194.40 |
$194.40 |
$87.10
|
|
Gamma glutamyltransferase
|
$69.00 |
$69.00 |
$69.00 |
$54.60
|
|
Gardner vag dna quant
|
$90.00 |
$90.00 |
$90.00 |
$104.80
|
|
Gastric emptying imag study
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,270.00
|
|
Gastric emptying imag study
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$1,665.50
|
|
General health panel
|
$326.40 |
$326.40 |
$326.40 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$38.83 |
$38.83 |
$38.83 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$223.80 |
$223.80 |
$223.80 |
$114.00
|
|
Ghs abscess postoperative iandd complex
|
$5,977.20 |
$5,977.20 |
$5,977.20 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$123.60 |
$123.60 |
$123.60 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$146.40 |
$146.40 |
$146.40 |
$82.50
|
|
Ghs central line insert < age 5, failed
|
$876.00 |
$876.00 |
$876.00 |
$2,489.25
|
|
Ghs chemo >8 hrs
|
$837.60 |
$837.60 |
$837.60 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$273.00 |
$273.00 |
$273.00 |
$292.80
|
|
Ghs community re-entry 15 minutes
|
$81.60 |
$81.60 |
$81.60 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$177.60 |
$177.60 |
$177.60 |
$91.80
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,654.20 |
$1,654.20 |
$1,654.20 |
$1,360.20
|
|
Ghs fb removal from muscle - complicated
|
$863.40 |
$863.40 |
$863.40 |
$3,136.84
|
|
Ghs fb removal - incisional
|
$4,547.40 |
$4,547.40 |
$4,547.40 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$187.20 |
$187.20 |
$187.20 |
$51.99
|
|
Ghs fish cytogen
|
$360.00 |
$360.00 |
$360.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$419.40 |
$419.40 |
$419.40 |
$229.45
|
|
Ghs hcv amplificaiton
|
$505.80 |
$505.80 |
$505.80 |
$198.90
|
|
Ghs histoplasma antigen
|
$333.00 |
$333.00 |
$333.00 |
$157.30
|
|
Ghs HIV antibody
|
$147.60 |
$147.60 |
$147.60 |
$90.14
|
|
Ghs inhibitor screen
|
$306.60 |
$306.60 |
$306.60 |
$138.06
|
|
Ghs IV thrombolytics - cerebral
|
$2,205.60 |
$2,205.60 |
$2,205.60 |
$752.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$123.00 |
$123.00 |
$123.00 |
$62.28
|
|
Ghs low level laser therapy
|
$72.00 |
$72.00 |
$72.00 |
$106.00
|
|
Ghs mbp
|
$190.20 |
$190.20 |
$190.20 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$323.40 |
$323.40 |
$323.40 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$93.00 |
$93.00 |
$93.00 |
$125.34
|
|
Ghs ng placement w fluoro guidance
|
$291.00 |
$291.00 |
$291.00 |
$423.76
|
|
Ghs o2 saturation
|
$24.00 |
$24.00 |
$24.00 |
$55.90
|
|
Ghs ot dds rom
|
$69.00 |
$69.00 |
$69.00 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$87.60 |
$87.60 |
$87.60 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$82.20 |
$82.20 |
$82.20 |
$89.73
|
|
Ghs ot work hardening-additional hours
|
$222.00 |
$222.00 |
$222.00 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$1,457.40 |
$1,457.40 |
$1,457.40 |
$872.95
|
|
Ghs phenylketonurid
|
$195.60 |
$195.60 |
$195.60 |
$61.20
|
|
Ghs ppd (tb intradermal)
|
$48.60 |
$48.60 |
$48.60 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$70.20 |
$70.20 |
$70.20 |
$49.77
|
|
Ghs protein, misc fluid
|
$16.20 |
$16.20 |
$16.20 |
$24.60
|
|
Ghs protoporphyrins fract
|
$69.00 |
$69.00 |
$69.00 |
$68.38
|
|
Ghs pt - work hardening/int 2hrs
|
$402.60 |
$402.60 |
$402.60 |
$230.40
|
|
Ghs reticulocyte count
|
$58.80 |
$58.80 |
$58.80 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$177.60 |
$177.60 |
$177.60 |
$117.60
|
|
Ghs sedimentation rate
|
$66.00 |
$66.00 |
$66.00 |
$36.57
|
|
Ghs semen analysis fert
|
$90.00 |
$90.00 |
$90.00 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$114.00 |
$114.00 |
$114.00 |
$55.12
|
|
Ghs st - eval for alt comm
|
$91.20 |
$91.20 |
$91.20 |
$100.98
|
|
Ghs st - re-eval for alt comm
|
$265.80 |
$265.80 |
$265.80 |
$321.00
|
|
Ghs urine, porphyrins quant
|
$154.80 |
$154.80 |
$154.80 |
$85.15
|
|
Gi inhouse confirmation
|
$154.80 |
$154.80 |
$154.80 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$351.53 |
$351.53 |
$351.53 |
$351.53
|
|
Glucagon plasma - sendout
|
$123.60 |
$123.60 |
$123.60 |
$67.50
|
|
Glucose 1 hr post dose
|
$81.60 |
$81.60 |
$81.60 |
$40.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$45.00 |
$45.00 |
$45.00 |
$20.00
|
|
Glucose blood quantitative
|
$60.60 |
$60.60 |
$60.60 |
$40.80
|
|
Glucose body fluid
|
$76.80 |
$76.80 |
$76.80 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$184.80 |
$184.80 |
$184.80 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$37.20 |
$37.20 |
$37.20 |
$33.15
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$40.84 |
$40.84 |
$40.84 |
$11.60
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$61.21 |
$61.21 |
$61.21 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$240.60 |
$240.60 |
$240.60 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$264.00 |
$264.00 |
$264.00 |
$117.65
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$38.87 |
$38.87 |
$38.87 |
$11.25
|
|
Hand X-ray
|
$542.40 |
$542.40 |
$542.40 |
$317.78
|
|
Haptoglobin quantitative
|
$151.20 |
$151.20 |
$151.20 |
$75.00
|
|
Hcg qualitative
|
$120.60 |
$120.60 |
$120.60 |
$72.50
|
|
Hcg quantitative
|
$199.80 |
$199.80 |
$199.80 |
$105.00
|
|
Hc hearing aid chck binaurl
|
$75.60 |
$75.60 |
$75.60 |
$75.00
|
|
Hc hearing aid chck monarl
|
$56.40 |
$56.40 |
$56.40 |
$48.00
|
|
Hc hearing aid exam both ears
|
$205.80 |
$205.80 |
$205.80 |
$175.20
|
|
Hc hearing aid exam one ear
|
$154.80 |
$154.80 |
$154.80 |
$150.00
|
|
Hc nm kidney imaging with flow
|
$1,545.00 |
$1,545.00 |
$1,545.00 |
$917.40
|
|
Head CT scan (with and without contrast)
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$1,732.80
|
|
Head CT scan (with contrast)
|
$1,443.60 |
$1,443.60 |
$1,443.60 |
$1,496.25
|
|
Head CT scan (without contrast)
|
$1,155.60 |
$1,155.60 |
$1,155.60 |
$1,252.80
|
|
Heart infarct image
|
$1,331.40 |
$1,331.40 |
$1,331.40 |
$840.74
|
|
Helicobacter pylori antibody igm
|
$200.40 |
$200.40 |
$200.40 |
$84.80
|
|
Hematocrit
|
$39.60 |
$39.60 |
$39.60 |
$32.50
|
|
Hemoglobin
|
$42.00 |
$42.00 |
$42.00 |
$28.60
|
