|
Fetal biophys profile w/nst 76818
|
$659.75 |
$659.75 |
$659.75 |
$541.74
|
|
Fetal fibronectin
|
$331.50 |
$331.50 |
$331.50 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$389.35 |
$389.35 |
$389.35 |
$102.00
|
|
Fetal hemoglobin rosette
|
$130.00 |
$130.00 |
$130.00 |
$67.20
|
|
Fetal non stress test
|
$806.00 |
$806.00 |
$806.00 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$211.90 |
$211.90 |
$211.90 |
$120.64
|
|
Fibrinogen activity
|
$123.50 |
$123.50 |
$123.50 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$268.45 |
$268.45 |
$268.45 |
$61.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,447.95 |
$1,447.95 |
$1,447.95 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,128.65 |
$2,128.65 |
$2,128.65 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$17,509.15 |
$17,509.15 |
$17,509.15 |
$7,358.16
|
|
Filter vena cava fem denali
|
$23,327.77 |
$23,327.77 |
$23,327.77 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$167.00 |
$167.00 |
$167.00 |
$825.00
|
|
Finger joint sz00 swanson w/grommets
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$317.20 |
$317.20 |
$317.20 |
$241.50
|
|
Flexible Sigmoidoscopy
|
$11,736.98 |
$11,736.98 |
$11,736.98 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$544.05 |
$544.05 |
$544.05 |
$97.50
|
|
Flow cytometry one marker technical component
|
$412.10 |
$412.10 |
$412.10 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$74.00 |
$74.00 |
$74.00 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$434.65 |
$434.65 |
$434.65 |
$493.35
|
|
Fluorescent antibody titer dna
|
$123.50 |
$123.50 |
$123.50 |
$123.65
|
|
Fluoroguide needle placement
|
$563.55 |
$563.55 |
$563.55 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$471.25 |
$471.25 |
$471.25 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$135.00 |
$135.00 |
$135.00 |
$107.00
|
|
Folic acid
|
$107.90 |
$107.90 |
$107.90 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$161.00 |
$161.00 |
$161.00 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,898.50 |
$6,898.50 |
$6,898.50 |
$2,511.73
|
|
Fondaparinux sodium
|
$110.40 |
$110.40 |
$110.40 |
$186.20
|
|
Foot drp splt w/exp heel lg
|
$275.11 |
$275.11 |
$275.11 |
$143.14
|
|
Foot X-ray
|
$532.35 |
$532.35 |
$532.35 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$302.90 |
$302.90 |
$302.90 |
$290.40
|
|
Forearm X-ray (both sides)
|
$438.10 |
$438.10 |
$438.10 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$66.70 |
$66.70 |
$66.70 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$92.00 |
$92.00 |
$92.00 |
$103.62
|
|
Fragmenting of kidney stone
|
$12,172.06 |
$12,172.06 |
$12,172.06 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$3,897.00 |
$3,897.00 |
$3,897.00 |
$2,062.20
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$242.45 |
$242.45 |
$242.45 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$154.70 |
$154.70 |
$154.70 |
$164.84
|
|
Fructosamine glycated protein
|
$49.40 |
$49.40 |
$49.40 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$284.70 |
$284.70 |
$284.70 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$10.15 |
$10.15 |
$10.15 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$6.75 |
$6.75 |
$6.75 |
$26.40
|
|
Fusion of big toe joint
|
$34,469.09 |
$34,469.09 |
$34,469.09 |
$5,488.00
|
|
G0180 home health certification
|
$118.00 |
$118.00 |
$118.00 |
$116.00
|
|
Ga-67 gallium 0.1 mci
|
$253.10 |
$253.10 |
$253.10 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$15,600.00 |
$15,600.00 |
$15,600.00 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$591.40 |
$591.40 |
$591.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$231.00 |
$231.00 |
$231.00 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$99.80 |
$99.80 |
$99.80 |
$177.52
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,935.70 |
$1,935.70 |
$1,935.70 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,528.15 |
$1,528.15 |
$1,528.15 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$26,382.62 |
$26,382.62 |
$26,382.62 |
$13,208.00
|
|
Gammaglobulin iga
|
$1,290.90 |
$1,290.90 |
$1,290.90 |
$69.60
|
|
Gammaglobulin ige
|
$141.70 |
$141.70 |
$141.70 |
$83.85
|
|
Gamma glutamyltransferase
|
$68.90 |
$68.90 |
$68.90 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$138.00 |
$138.00 |
$138.00 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$540.20 |
$540.20 |
$540.20 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$31,504.65 |
$31,504.65 |
$31,504.65 |
$19,305.62
|
|
General health panel
|
$113.10 |
$113.10 |
$113.10 |
$262.44
|
|
Generator barostim neo2 2014
|
$44,831.44 |
$44,831.44 |
$44,831.44 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$22,347.00 |
$22,347.00 |
$22,347.00 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$37,570.90 |
$37,570.90 |
$37,570.90 |
$66,636.36
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$114.80 |
$114.80 |
$114.80 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$232.70 |
$232.70 |
$232.70 |
$123.84
|
|
Ghs abscess perianal iandd
|
$228.00 |
$228.00 |
$228.00 |
$1,465.00
|
|
Ghs bladder cath - complex-foley
|
$244.00 |
$244.00 |
$244.00 |
$344.00
|
|
Ghs change cysto/gastrost
|
$940.55 |
$940.55 |
$940.55 |
$594.55
|
|
Ghs chemo >8 hrs
|
$403.65 |
$403.65 |
$403.65 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$167.70 |
$167.70 |
$167.70 |
$277.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$2,227.20
|
|
Ghs fb removal foot - deep - left
|
$1,255.15 |
$1,255.15 |
$1,255.15 |
$2,873.34
|
|
Ghs fish cytogen
|
$111.80 |
$111.80 |
$111.80 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$439.40 |
$439.40 |
$439.40 |
$226.20
|
|
Ghs i and d abscess/hematoma scrotum
|
$766.00 |
$766.00 |
$766.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,544.00 |
$1,544.00 |
$1,544.00 |
$2,798.50
|
|
Ghs inj neurolytic other perph nerve
|
$2,096.25 |
$2,096.25 |
$2,096.25 |
$1,710.80
|
|
Ghs IV inf sq injection, on-body injector
|
$100.75 |
$100.75 |
$100.75 |
$110.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$500.00 |
$500.00 |
$500.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$15,943.17 |
$15,943.17 |
$15,943.17 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,172.60 |
$1,172.60 |
$1,172.60 |
$603.20
|
|
Ghs mbp
|
$81.90 |
$81.90 |
$81.90 |
$76.00
|
|
Ghs nailbed repair/nail removal
|
$459.00 |
$459.00 |
$459.00 |
$724.37
|
|
Ghs o2 saturation
|
$55.90 |
$55.90 |
$55.90 |
$69.50
|
|
Ghs o2 uptake rest & exercise
|
$380.25 |
$380.25 |
$380.25 |
$230.01
|
|
Ghs picc line insert < 5
|
$1,106.95 |
$1,106.95 |
$1,106.95 |
$2,019.50
|
|
Ghs prostatic acid phosphatase (mayo)
|
$33.15 |
$33.15 |
$33.15 |
$43.55
|
|
Ghs protoporphyrins fract
|
$27.95 |
$27.95 |
$27.95 |
$60.75
|
|
Ghs removal intranasal foreign body
|
$193.05 |
$193.05 |
$193.05 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$741.00 |
$741.00 |
$741.00 |
$441.68
|
|
Ghs vaginal delivery only
|
$2,587.00 |
$2,587.00 |
$2,587.00 |
$3,341.93
|
|
Gi inhouse confirmation
|
$137.15 |
$137.15 |
$137.15 |
$87.75
|
|
Glove finger flexion right lg xl
|
$53.03 |
$53.03 |
$53.03 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$655.40 |
$655.40 |
$655.40 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$567.40 |
$567.40 |
$567.40 |
$491.67
|
|
Glucose 1 hr post dose
|
$111.80 |
$111.80 |
$111.80 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$22.75 |
$22.75 |
$22.75 |
$23.12
|
|
Glucose blood quantitative
|
$57.20 |
$57.20 |
$57.20 |
$42.25
|
|
Glucose body fluid
|
$63.70 |
$63.70 |
$63.70 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$139.10 |
$139.10 |
$139.10 |
$130.00
|
