|
Flt3 gene analysis
|
$311.00 |
$311.00 |
$311.00 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$52.68 |
$52.68 |
$52.68 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$493.35 |
$493.35 |
$493.35 |
$493.35
|
|
Fluidotherapy charges pt
|
$75.50 |
$75.50 |
$75.50 |
$95.00
|
|
Fluocinol acet intravit imp
|
$12,350.00 |
$12,350.00 |
$12,350.00 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$60.50 |
$60.50 |
$60.50 |
$123.65
|
|
Fluoroguide needle placement
|
$348.50 |
$348.50 |
$348.50 |
$516.47
|
|
Fluoroscopy up to 1 hour
|
$613.00 |
$613.00 |
$613.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,593.09 |
$2,593.09 |
$2,593.09 |
$105.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$210.68 |
$210.68 |
$210.68 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$1,459.20
|
|
Folic acid
|
$98.50 |
$98.50 |
$98.50 |
$102.05
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,717.41 |
$1,717.41 |
$1,717.41 |
$2,581.14
|
|
Fondaparinux sodium
|
$80.92 |
$80.92 |
$80.92 |
$186.20
|
|
Fo nontorsion joint cf
|
$232.00 |
$232.00 |
$232.00 |
$221.31
|
|
Foot X-ray
|
$295.50 |
$295.50 |
$295.50 |
$364.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$185.08 |
$185.08 |
$185.08 |
$482.62
|
|
Foscarnet sodium injection
|
$1,458.38 |
$1,458.38 |
$1,458.38 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$106.25 |
$106.25 |
$106.25 |
$106.10
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$245.50 |
$245.50 |
$245.50 |
$157.20
|
|
Fresh frozen plasma thawing ea un
|
$410.50 |
$410.50 |
$410.50 |
$122.00
|
|
Fructosamine glycated protein
|
$93.50 |
$93.50 |
$93.50 |
$62.64
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$29.15 |
$29.15 |
$29.15 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$47.57 |
$47.57 |
$47.57 |
$116.09
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$84.04 |
$84.04 |
$84.04 |
$102.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$155.61 |
$155.61 |
$155.61 |
$136.16
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$844.12 |
$844.12 |
$844.12 |
$249.80
|
|
Gammaglobulin iga
|
$60.00 |
$60.00 |
$60.00 |
$69.60
|
|
Gammaglobulin ige
|
$77.00 |
$77.00 |
$77.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$28.00 |
$28.00 |
$28.00 |
$57.75
|
|
Gamunex-c/gammaked
|
$11,178.00 |
$11,178.00 |
$11,178.00 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$187.68 |
$187.68 |
$187.68 |
$197.40
|
|
Gastroesophageal reflux test
|
$2,372.00 |
$2,372.00 |
$2,372.00 |
$1,352.00
|
|
Gel-one
|
$5,274.00 |
$5,274.00 |
$5,274.00 |
$1,652.94
|
|
Gel-syn injection 0.1 mg
|
$1,605.26 |
$1,605.26 |
$1,605.26 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$88.86 |
$88.86 |
$88.86 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$24,767.40 |
$24,767.40 |
$24,767.40 |
$19,305.62
|
|
General health panel
|
$199.00 |
$199.00 |
$199.00 |
$276.76
|
|
Generator barostim neo2 2014
|
$84,737.50 |
$84,737.50 |
$84,737.50 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$53,750.00 |
$53,750.00 |
$53,750.00 |
$36,771.84
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$169.18 |
$169.18 |
$169.18 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$206.00 |
$206.00 |
$206.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,523.50 |
$1,523.50 |
$1,523.50 |
$1,466.88
|
|
Ghs abscess perianal iandd
|
$188.00 |
$188.00 |
$188.00 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$15.50 |
$15.50 |
$15.50 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$411.00 |
$411.00 |
$411.00 |
$100.30
|
|
Ghs change cysto/gastrost
|
$293.00 |
$293.00 |
$293.00 |
$585.00
|
|
Ghs chemo >8 hrs
|
$938.00 |
$938.00 |
$938.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$407.50 |
$407.50 |
$407.50 |
$287.76
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$615.00 |
$615.00 |
$615.00 |
$501.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
$1,568.40
|
|
Ghs closed tx tibial fracture w/manip
|
$1,335.00 |
$1,335.00 |
$1,335.00 |
$2,179.20
|
|
Ghs community re-entry 15 minutes
|
$89.50 |
$89.50 |
$89.50 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$131.00 |
$131.00 |
$131.00 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$57.00 |
$57.00 |
$57.00 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$76.00 |
$76.00 |
$76.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$153.50 |
$153.50 |
$153.50 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$119.00 |
$119.00 |
$119.00 |
$54.43
|
|
Ghs dislocation elbow closed treatment
|
$868.00 |
$868.00 |
$868.00 |
$583.80
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$371.50 |
$371.50 |
$371.50 |
$586.80
|
|
Ghs fb removal foot - deep - left
|
$527.00 |
$527.00 |
$527.00 |
$2,593.97
|
|
Ghs fb removal - incisional
|
$309.50 |
$309.50 |
$309.50 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$452.00 |
$452.00 |
$452.00 |
$1,616.45
|
|
Ghs fish cytogen
|
$101.50 |
$101.50 |
$101.50 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$279.50 |
$279.50 |
$279.50 |
$228.50
|
|
Ghs histoplasma antigen
|
$153.50 |
$153.50 |
$153.50 |
$141.60
|
|
Ghs i and d abscess/hematoma scrotum
|
$312.00 |
$312.00 |
$312.00 |
$3,245.90
|
|
Ghs i and d pilonidal cyst simple
|
$204.50 |
$204.50 |
$204.50 |
$691.95
|
|
Ghs incision thrombosed ext hemorrhoid
|
$214.00 |
$214.00 |
$214.00 |
$526.50
|
|
Ghs inhibitor screen
|
$194.00 |
$194.00 |
$194.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$89.50 |
$89.50 |
$89.50 |
$275.50
|
|
Ghs IV inf sq injection, on-body injector
|
$181.50 |
$181.50 |
$181.50 |
$108.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$238.50 |
$238.50 |
$238.50 |
$503.48
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$313.50 |
$313.50 |
$313.50 |
$602.70
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$419.00 |
$419.00 |
$419.00 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$462.00 |
$462.00 |
$462.00 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$487.00 |
$487.00 |
$487.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$427.50 |
$427.50 |
$427.50 |
$703.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$421.50 |
$421.50 |
$421.50 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$438.00 |
$438.00 |
$438.00 |
$741.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$460.00 |
$460.00 |
$460.00 |
$972.30
|
|
Ghs mbp
|
$59.00 |
$59.00 |
$59.00 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$268.00 |
$268.00 |
$268.00 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$268.00 |
$268.00 |
$268.00 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$268.00 |
$268.00 |
$268.00 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$268.00 |
$268.00 |
$268.00 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$268.00 |
$268.00 |
$268.00 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$304.00 |
$304.00 |
$304.00 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$293.50 |
$293.50 |
$293.50 |
$724.37
|
|
Ghs ng placement w fluoro guidance
|
$1,022.00 |
$1,022.00 |
$1,022.00 |
$485.00
|
|
Ghs o2 saturation
|
$66.50 |
$66.50 |
$66.50 |
$72.45
|
|
Ghs ot prosthetic training/15 min
|
$89.50 |
$89.50 |
$89.50 |
$91.65
|
|
Ghs ot sensory integrative tech/15min
|
$89.50 |
$89.50 |
$89.50 |
$96.00
|
|
Ghs picc line insert < 5
|
$1,544.50 |
$1,544.50 |
$1,544.50 |
$2,022.90
|
|
Ghs plngl fx pm cl
|
$648.00 |
$648.00 |
$648.00 |
$580.32
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,218.50 |
$3,218.50 |
$3,218.50 |
$3,587.50
|
|
Ghs ppd (tb intradermal)
|
$17.00 |
$17.00 |
$17.00 |
$37.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$30.00 |
$30.00 |
$30.00 |
$43.55
|
|
Ghs protoporphyrins fract
|
$51.00 |
$51.00 |
$51.00 |
$64.28
|
|
Ghs pseudocholinesterase,dibucain-inhibi
|
$13.50 |
$13.50 |
$13.50 |
$50.05
|
