|
Fluoroguide for spine inject 77003-26
|
$306.60 |
$306.60 |
$334.80 |
$495.00
|
|
Fluoroguide needle placement
|
$193.80 |
$193.80 |
$211.80 |
$497.92
|
|
Fluoro polarize fetal lung
|
$193.80 |
$193.80 |
$216.00 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$265.80 |
$265.80 |
$291.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$43.75 |
$43.75 |
$142.88 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$67.31 |
$67.31 |
$67.31 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,420.80 |
$1,420.80 |
$1,641.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,263.00 |
$1,263.00 |
$1,459.20 |
$834.90
|
|
Folic acid
|
$109.20 |
$109.20 |
$121.80 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$14.68 |
$14.68 |
$14.68 |
$45.00
|
|
Follow-up angiography
|
$1,703.40 |
$1,703.40 |
$1,860.60 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$134.40 |
$134.40 |
$149.40 |
$170.95
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,742.73 |
$2,742.73 |
$2,742.73 |
$2,511.73
|
|
Fondaparinux sodium
|
$244.22 |
$244.22 |
$244.22 |
$186.20
|
|
Foot plas heel stabi pre ots
|
$18.60 |
$18.60 |
$19.80 |
$76.32
|
|
Foot X-ray
|
$256.80 |
$256.80 |
$280.80 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$167.40 |
$167.40 |
$183.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$264.60 |
$264.60 |
$289.20 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$1,644.60 |
$1,644.60 |
$1,726.80 |
$4,872.75
|
|
Forensic cytopathology
|
$55.80 |
$55.80 |
$62.40 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$131.40 |
$131.40 |
$138.00 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$605.12 |
$605.12 |
$605.12 |
$490.67
|
|
Foscarnet sodium injection
|
$879.58 |
$879.58 |
$879.58 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$217.03 |
$217.03 |
$227.26 |
$103.62
|
|
Fractionation ketosteroids
|
$393.60 |
$393.60 |
$438.00 |
$160.89
|
|
_fragile x methylation-sendout
|
$272.40 |
$272.40 |
$286.20 |
$183.74
|
|
Fragmenting of kidney stone
|
$8,122.80 |
$8,122.80 |
$9,382.20 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$1,963.80 |
$1,963.80 |
$2,062.20 |
$2,062.20
|
|
Free/remove chest lining 32320
|
$2,939.40 |
$2,939.40 |
$3,086.40 |
$3,890.40
|
|
Frenectomy 41115
|
$463.80 |
$463.80 |
$487.20 |
$1,939.47
|
|
Frenotomy 40806
|
$270.00 |
$270.00 |
$283.80 |
$679.80
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$157.20 |
$157.20 |
$175.20 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$45.00 |
$45.00 |
$57.00 |
$131.25
|
|
Fructosamine glycated protein
|
$70.80 |
$70.80 |
$79.20 |
$63.50
|
|
Ft arch suprt premold longit
|
$16.20 |
$16.20 |
$16.80 |
$94.69
|
|
Full Spine X-ray (Scoliosis Survey)
|
$246.00 |
$246.00 |
$268.80 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,845.60 |
$1,845.60 |
$2,620.20 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,403.40 |
$1,403.40 |
$1,473.60 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$249.60 |
$249.60 |
$262.20 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,699.80 |
$1,699.80 |
$1,785.00 |
$2,798.50
|
|
Fundus photography with i&r 92250
|
$128.40 |
$128.40 |
$135.00 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$17.98 |
$17.98 |
$17.98 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$56.12 |
$56.12 |
$56.12 |
$26.40
|
|
Fuse bile ducts and bowel 47785
|
$4,741.20 |
$4,741.20 |
$4,978.20 |
$7,967.20
|
|
Fuse pancreas cyst and bowel 48520
|
$1,961.40 |
$1,961.40 |
$2,059.20 |
$2,683.20
|
|
Fusion of ankle joint open
|
$1,406.40 |
$1,406.40 |
$1,406.40 |
$9,791.00
|
|
Fusion of big toe joint
|
$1,501.20 |
$1,501.20 |
$1,576.20 |
$5,488.00
|
|
Fusion of big toe joint
|
$918.60 |
$918.60 |
$964.80 |
$7,811.00
|
|
Fusion of finger joint
|
$1,006.80 |
$1,006.80 |
$1,057.20 |
$4,499.12
|
|
Fusion of foot bones
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$8,260.30
|
|
Fusion of foot bones
|
$1,551.00 |
$1,551.00 |
$1,628.40 |
$6,288.57
|
|
Fusion of knuckle joint
|
$1,260.00 |
$1,260.00 |
$1,323.00 |
$3,839.54
|
|
G0180 home health certification
|
$82.80 |
$82.80 |
$87.00 |
$116.00
|
|
Ga-67 gallium 0.1 mci
|
$291.60 |
$291.60 |
$306.60 |
$121.73
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$176.62 |
$176.62 |
$176.62 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$764.66 |
$764.66 |
$764.66 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$128.80 |
$128.80 |
$128.80 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$281.05 |
$281.05 |
$281.05 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$268.20 |
$268.20 |
$298.80 |
$100.00
|
|
Galactokinase - sendout
|
$309.00 |
$309.00 |
$344.40 |
$204.97
|
|
Galactose transferase test
|
$21.00 |
$21.00 |
$23.40 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$703.20 |
$703.20 |
$768.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,108.80 |
$1,108.80 |
$1,211.40 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,340.40 |
$1,340.40 |
$1,407.60 |
$13,208.00
|
|
Gallium illuccix 1 millicure
|
$5,811.00 |
$5,811.00 |
$6,102.00 |
$1,696.55
|
|
Gamma globulin 1 cc inj
|
$84.56 |
$84.56 |
$84.56 |
$407.60
|
|
Gammaglobulin iga
|
$214.80 |
$214.80 |
$225.60 |
$69.60
|
|
Gammaglobulin ige
|
$118.20 |
$118.20 |
$124.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$48.00 |
$48.00 |
$54.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$6,873.35 |
$6,873.35 |
$6,873.35 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$205.72 |
$205.72 |
$205.72 |
$197.40
|
|
Gastroesophageal reflux study
|
$754.20 |
$754.20 |
$823.80 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$509.40 |
$509.40 |
$588.60 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$2,262.60 |
$2,262.60 |
$2,376.00 |
$2,376.00
|
|
Gauze <=16 in no w/sal without b
|
$0.60 |
$0.60 |
$0.60 |
$6.40
|
|
Gauze <= 16 sq in w/border
|
$7.80 |
$7.80 |
$8.40 |
$13.65
|
|
Gc stocking thighlngth 18-30
|
$46.20 |
$46.20 |
$48.60 |
$68.30
|
|
Gc stocking waistlngth 18-30
|
$24.60 |
$24.60 |
$25.80 |
$42.00
|
|
Gel-one
|
$2,049.30 |
$2,049.30 |
$2,049.30 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$341.64 |
$341.64 |
$363.17 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$95.66 |
$95.66 |
$1,324.79 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$18,100.00 |
$18,100.00 |
$18,100.00 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$25,256.40 |
$25,256.40 |
$70,875.00 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$45,000.00 |
$45,000.00 |
$45,000.00 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$78,750.00 |
$78,750.00 |
$78,750.00 |
$66,636.36
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$113.05 |
$113.05 |
$113.05 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$102.00 |
$102.00 |
$113.40 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$909.60 |
$909.60 |
$955.20 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$796.80 |
$796.80 |
$962.40 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$1,119.60 |
$1,119.60 |
$1,352.40 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$102.00 |
$102.00 |
$113.40 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$155.40 |
$155.40 |
$173.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$244.80 |
$244.80 |
$257.40 |
$394.20
|
|
Ghs analysis neurostim without reprogramming
|
$116.40 |
$116.40 |
$122.40 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$233.40 |
$233.40 |
$245.40 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$265.80 |
$265.80 |
$307.20 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$245.40 |
$245.40 |
$257.40 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$41.40 |
$41.40 |
$46.20 |
$61.29
|
|
Ghs block ilioinguinal/gentitofemoral
|
$528.60 |
$528.60 |
$610.80 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$504.00 |
$504.00 |
$567.00 |
$2,519.49
|
