|
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)
|
$189.67 |
$189.67 |
$189.67 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$191.10 |
$191.10 |
$191.10 |
$66.60
|
|
Fmri brain by phys/psych
|
$582.60 |
$582.60 |
$582.60 |
$1,500.00
|
|
Fmri brain by tech
|
$582.60 |
$582.60 |
$582.60 |
$1,157.25
|
|
Fna bx w/ct gdn 1st les
|
$1,743.60 |
$1,743.60 |
$1,743.60 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$1,742.40 |
$1,742.40 |
$1,742.40 |
$737.83
|
|
Folic acid
|
$255.00 |
$255.00 |
$255.00 |
$85.50
|
|
Follow-up angiography
|
$687.60 |
$687.60 |
$687.60 |
$1,939.14
|
|
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
|
$93.53 |
$93.53 |
$126.29 |
$201.52
|
|
Foscarnet sodium injection
|
$1,082.06 |
$1,082.06 |
$1,082.06 |
$1,082.06
|
|
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
|
$407.40 |
$407.40 |
$407.40 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$388.20 |
$388.20 |
$388.20 |
$217.30
|
|
Fructosamine glycated protein
|
$195.00 |
$195.00 |
$195.00 |
$69.55
|
|
Ftl cgen abnor four anal
|
$720.60 |
$720.60 |
$720.60 |
$267.15
|
|
Full mouth x-ray of teeth
|
$149.40 |
$149.40 |
$149.40 |
$242.99
|
|
Ga-67 gallium 0.1 mci
|
$99.00 |
$99.00 |
$99.00 |
$156.23
|
|
Ga-68 gallium 68 dotatate
|
$103.80 |
$103.80 |
$103.80 |
$118.19
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.59 |
$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 |
$0.19 |
$1.53 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$25.56 |
$25.56 |
$25.56 |
$90.60
|
|
Galactokinase - sendout
|
$556.80 |
$556.80 |
$556.80 |
$193.50
|
|
Galactose transferase test
|
$61.80 |
$61.80 |
$61.80 |
$25.00
|
|
Gallium illuccix 1 millicure
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$1,377.60
|
|
Gamma globulin 1 cc inj
|
$657.42 |
$657.42 |
$657.42 |
$106.20
|
|
Gammaglobulin iga
|
$198.60 |
$198.60 |
$198.60 |
$78.60
|
|
Gammaglobulin ige
|
$247.80 |
$247.80 |
$247.80 |
$87.10
|
|
Gamma glutamyltransferase
|
$140.40 |
$140.40 |
$140.40 |
$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
|
$135.00 |
$135.00 |
$135.00 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$49.80 |
$49.80 |
$49.80 |
$25.61
|
|
Gastric emptying imag study
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,270.00
|
|
Gastric emptying imag study
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,525.80 |
$1,525.80 |
$1,525.80 |
$887.62
|
|
Gastroesophageal reflux test
|
$1,686.00 |
$1,686.00 |
$1,686.00 |
$1,110.80
|
|
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 |
$6,032.97 |
$15,276.60
|
|
General health panel
|
$423.60 |
$423.60 |
$423.60 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$40.16 |
$63.02 |
$63.02 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$359.40 |
$359.40 |
$359.40 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$2,013.00 |
$2,013.00 |
$2,013.00 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$2,505.60 |
$2,505.60 |
$2,505.60 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$6,183.60 |
$6,183.60 |
$6,183.60 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$29.40 |
$29.40 |
$29.40 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$220.20 |
$220.20 |
$220.20 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$612.00 |
$612.00 |
$612.00 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$155.40 |
$155.40 |
$155.40 |
$82.50
|
|
Ghs aspiration bladder - needle
|
$1,641.60 |
$1,641.60 |
$1,641.60 |
$590.85
|
|
Ghs bladder cath - complex-foley
|
$382.20 |
$382.20 |
$382.20 |
$333.18
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,623.60 |
$1,623.60 |
$1,623.60 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$2,841.00 |
$2,841.00 |
$4,831.80 |
$2,489.25
|
|
Ghs change cysto/gastrost
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$727.35
|
|
Ghs chemo >8 hrs
|
$1,543.20 |
$1,543.20 |
$1,543.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$433.80 |
$433.80 |
$433.80 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$63.00 |
$63.00 |
$63.00 |
$135.85
|
|
Ghs closure surg wound/dehiscence-13160
|
$6,739.20 |
$6,739.20 |
$6,739.20 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$87.60 |
$87.60 |
$87.60 |
$85.00
|
|
Ghs diphtheria toxoid ab igg
|
$177.60 |
$177.60 |
$177.60 |
$91.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,346.40 |
$1,346.40 |
$1,346.40 |
$1,568.40
|
|
Ghs ed rmvl or bivalving cast
|
$655.20 |
$655.20 |
$655.20 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,576.20 |
$1,576.20 |
$1,576.20 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$616.80 |
$616.80 |
$616.80 |
$586.80
|
|
Ghs electrostagmgraphy
|
$208.20 |
$208.20 |
$208.20 |
$247.20
|
|
Ghs elect vertical elct
|
$170.40 |
$170.40 |
$170.40 |
$116.00
|
|
Ghs fb removal - incisional
|
$5,637.00 |
$5,637.00 |
$5,637.00 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$154.80 |
$154.80 |
$154.80 |
$51.99
|
|
Ghs fish cytogen
|
$255.00 |
$255.00 |
$255.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$360.00 |
$360.00 |
$360.00 |
$229.45
|
|
Ghs flow volume loop
|
$357.00 |
$357.00 |
$357.00 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$437.40 |
$437.40 |
$437.40 |
$385.60
|
|
Ghs hcv amplificaiton
|
$743.40 |
$743.40 |
$743.40 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$525.60 |
$525.60 |
$525.60 |
$105.00
|
|
Ghs hgb stability-thal
|
$97.80 |
$97.80 |
$97.80 |
$85.20
|
|
Ghs histoplasma antigen
|
$435.00 |
$435.00 |
$435.00 |
$157.30
|
|
Ghs HIV antibody
|
$223.80 |
$223.80 |
$223.80 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$1,951.20 |
$1,951.20 |
$1,951.20 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$5,920.80 |
$5,920.80 |
$5,920.80 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$4,725.60 |
$4,725.60 |
$4,725.60 |
$3,034.00
|
|
Ghs inf midline insertion
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,580.00
|
|
Ghs inhibitor screen
|
$308.40 |
$308.40 |
$308.40 |
$138.06
|
|
Ghs inj neurolytic intercostal nerve
|
$2,696.40 |
$2,696.40 |
$2,696.40 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$1,838.37
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,628.40 |
$1,628.40 |
$1,628.40 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$5,077.20 |
$5,077.20 |
$5,077.20 |
$1,706.32
|
|
Ghs intro needle/intracath vein - 36000
|
$587.40 |
$587.40 |
$587.40 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$464.40 |
$464.40 |
$464.40 |
$117.42
|
|
Ghs IV thrombolytics - cerebral
|
$823.20 |
$823.20 |
$823.20 |
$752.80
|
|
Ghs leukocyte alkaline phos (mayo)
|
$175.20 |
$175.20 |
$274.80 |
$62.28
|
|
Ghs mbp
|
$274.20 |
$274.20 |
$274.20 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$293.40 |
$293.40 |
$293.40 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$293.40 |
$293.40 |
$293.40 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$216.00 |
$216.00 |
$293.40 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$292.80 |
$292.80 |
$292.80 |
$125.34
|
