|
Flow cytometry marker each additional
|
$55.25 |
$55.25 |
$55.25 |
$97.50
|
|
Flow cytometry one marker technical component
|
$244.40 |
$244.40 |
$244.40 |
$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
|
$118.30 |
$118.30 |
$118.30 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$623.35 |
$623.35 |
$623.35 |
$495.00
|
|
Fluoroguide needle placement
|
$2,255.80 |
$2,255.80 |
$2,255.80 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$910.00 |
$910.00 |
$910.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$57.50 |
$57.50 |
$57.50 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$23.10 |
$23.10 |
$23.10 |
$72.52
|
|
Fna bx w/mr gdn ea addl
|
$551.20 |
$551.20 |
$551.20 |
$766.70
|
|
Folic acid
|
$71.50 |
$71.50 |
$71.50 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$106.00 |
$106.00 |
$106.00 |
$45.00
|
|
Follow-up angiography
|
$5,853.25 |
$5,853.25 |
$5,853.25 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,152.35 |
$2,152.35 |
$2,152.35 |
$2,511.73
|
|
Fondaparinux sodium
|
$269.05 |
$269.05 |
$269.05 |
$186.20
|
|
Foot drp splt w/exp heel lg
|
$275.11 |
$275.11 |
$275.11 |
$143.14
|
|
Foot X-ray
|
$286.65 |
$286.65 |
$286.65 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$29,020.00 |
$29,020.00 |
$29,020.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$599.00 |
$599.00 |
$599.00 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$378.00 |
$378.00 |
$378.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$22.05 |
$22.05 |
$22.05 |
$103.62
|
|
_fragile x methylation-sendout
|
$766.35 |
$766.35 |
$766.35 |
$183.74
|
|
Frenectomy 41115
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$76.70 |
$76.70 |
$76.70 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$148.20 |
$148.20 |
$148.20 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$131.30 |
$131.30 |
$131.30 |
$131.25
|
|
Fructosamine glycated protein
|
$73.45 |
$73.45 |
$73.45 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$312.00 |
$312.00 |
$312.00 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$34,083.00 |
$34,083.00 |
$34,083.00 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$48,606.43 |
$48,606.43 |
$48,606.43 |
$2,499.37
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$60,413.52 |
$60,413.52 |
$60,413.52 |
$2,798.50
|
|
Furosemide 10 mg/ml injection solution
|
$3.50 |
$3.50 |
$3.50 |
$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
|
$69,172.62 |
$69,172.62 |
$69,172.62 |
$5,488.00
|
|
Fusion of foot bones
|
$68,134.88 |
$68,134.88 |
$68,134.88 |
$8,260.30
|
|
Fusion of foot bones
|
$102,264.65 |
$102,264.65 |
$102,264.65 |
$10,629.07
|
|
G0180 home health certification
|
$155.00 |
$155.00 |
$155.00 |
$116.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$3,377.75 |
$3,377.75 |
$3,377.75 |
$177.52
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$59,346.65 |
$59,346.65 |
$59,346.65 |
$13,208.00
|
|
Gammaglobulin iga
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$69.60
|
|
Gammaglobulin ige
|
$94.90 |
$94.90 |
$94.90 |
$83.85
|
|
Gamma glutamyltransferase
|
$58.50 |
$58.50 |
$58.50 |
$57.54
|
|
Gamunex-c/gammaked
|
$15,613.75 |
$15,613.75 |
$15,613.75 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$182.10 |
$182.10 |
$182.10 |
$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
|
$250.25 |
$250.25 |
$250.25 |
$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
|
$118.30 |
$118.30 |
$118.30 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$17,260.06 |
$17,260.06 |
$17,260.06 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$3,463.00 |
$3,463.00 |
$3,463.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$46,553.78 |
$46,553.78 |
$46,553.78 |
$3,776.00
|
|
Ghs analysis neurostim without reprogramming
|
$87.10 |
$87.10 |
$87.10 |
$262.35
|
|
Ghs bladder cath - complex-foley
|
$107.25 |
$107.25 |
$107.25 |
$344.00
|
|
Ghs change cysto/gastrost
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$1,454.05 |
$1,454.05 |
$1,454.05 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$280.80 |
$280.80 |
$280.80 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$925.00 |
$925.00 |
$925.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$18,798.00 |
$18,798.00 |
$18,798.00 |
$1,592.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$50,924.40 |
$50,924.40 |
$50,924.40 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$513.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$112.00 |
$112.00 |
$112.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$158.00 |
$158.00 |
$158.00 |
$422.25
|
|
Ghs dislocation elbow closed treatment
|
$1,201.00 |
$1,201.00 |
$1,201.00 |
$602.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,785.55 |
$1,785.55 |
$1,785.55 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$642.20 |
$642.20 |
$642.20 |
$586.80
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$213.85 |
$213.85 |
$213.85 |
$467.00
|
|
Ghs excision ingrown nail
|
$385.00 |
$385.00 |
$385.00 |
$449.25
|
|
Ghs fb removal foot - deep - left
|
$29,358.50 |
$29,358.50 |
$29,358.50 |
$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 flow volume loop
|
$215.80 |
$215.80 |
$215.80 |
$308.69
|
|
Ghs hgb stability-thal
|
$106.60 |
$106.60 |
$106.60 |
$89.91
|
|
Ghs histoplasma antigen
|
$235.95 |
$235.95 |
$235.95 |
$142.00
|
|
Ghs i and d perirectal abscess 46040
|
$31,020.75 |
$31,020.75 |
$31,020.75 |
$2,798.50
|
|
Ghs i and d pilonidal cyst simple
|
$2,766.00 |
$2,766.00 |
$2,766.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$566.19 |
$566.19 |
$566.19 |
$526.50
|
|
Ghs inf midline insertion
|
$24,898.66 |
$24,898.66 |
$24,898.66 |
$1,238.25
|
|
Ghs inhibitor screen
|
$344.50 |
$344.50 |
$344.50 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$168.17 |
$168.17 |
$168.17 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$196.95 |
$196.95 |
$196.95 |
$434.12
|
|
Ghs insertion of needle - bone
|
$198.00 |
$198.00 |
$198.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$786.00 |
$786.00 |
$786.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$914.00 |
$914.00 |
$914.00 |
$1,051.20
|
|
Ghs IV inf sq injection, on-body injector
|
$122.20 |
$122.20 |
$122.20 |
$110.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$646.00 |
$646.00 |
$646.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$710.00 |
$710.00 |
$710.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,478.00 |
$1,478.00 |
$1,478.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,778.00 |
$3,778.00 |
$3,778.00 |
$760.20
|