|
Fibrin degradation products
|
$38.40 |
$38.40 |
$38.40 |
|
|
Fibrin degrade semiquant
|
$64.40 |
$64.40 |
$64.40 |
|
|
Fibrinogen activity
|
$51.20 |
$76.05 |
$105.60 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$32.00 |
$32.00 |
$32.00 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$797.16 |
$797.16 |
$797.16 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,209.01 |
$1,209.01 |
$1,209.01 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$998.68 |
$998.68 |
$998.68 |
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,194.80 |
$1,194.80 |
$1,194.80 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$500.00 |
$500.00 |
$500.00 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$500.00 |
$500.00 |
$3,118.70 |
|
|
Flexible Sigmoidoscopy
|
$2,156.54 |
$2,156.54 |
$2,156.54 |
|
|
Flow cytometry marker each additional
|
$55.60 |
$92.95 |
$148.00 |
|
|
Flow cytometry one marker technical component
|
$176.80 |
$188.80 |
$245.05 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$38.02 |
$38.02 |
$38.02 |
|
|
Fluidotherapy charges pt
|
$24.40 |
$55.25 |
$77.20 |
|
|
Fluorescent antibody titer dna
|
$70.80 |
$70.80 |
$104.00 |
|
|
Fluoroguide for spine inject 77003-26
|
$200.40 |
$200.40 |
$426.80 |
|
|
Fluoroguide needle placement
|
$200.40 |
$648.00 |
$717.60 |
|
|
Fluoroscopy up to 1 hour
|
$81.20 |
$235.30 |
$298.00 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$60.18 |
$60.18 |
$60.18 |
|
|
Fna bx w/ct gdn 1st les
|
$1,320.40 |
$1,320.40 |
$1,320.40 |
|
|
Fna bx w/ct gdn ea addl
|
$500.00 |
$500.00 |
$500.00 |
|
|
Folic acid
|
$40.40 |
$86.00 |
$107.90 |
|
|
Folic acid 5 mg/ml injection solution
|
$147.87 |
$147.87 |
$147.87 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,243.15 |
$2,243.15 |
$2,243.15 |
|
|
Fondaparinux sodium
|
$229.50 |
$229.50 |
$229.50 |
|
|
Foot X-ray
|
$165.20 |
$233.60 |
$493.35 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$118.30 |
$118.30 |
$118.30 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$20.28 |
$20.28 |
$20.28 |
|
|
Fractionation ketosteroids
|
$92.80 |
$92.80 |
$92.80 |
|
|
Fragmenting of kidney stone
|
$16,967.74 |
$16,967.74 |
$16,967.74 |
|
|
Frenectomy 41115
|
$12,462.48 |
$12,462.48 |
$12,462.48 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$57.60 |
$68.00 |
$228.15 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$104.00 |
$104.00 |
$104.00 |
|
|
Fresh frozen plasma thawing ea un
|
$89.60 |
$89.60 |
$98.40 |
|
|
Fructosamine glycated protein
|
$61.20 |
$61.20 |
$61.20 |
|
|
Full mouth x-ray of teeth
|
$196.40 |
$196.40 |
$196.40 |
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$263.01 |
$263.01 |
$263.01 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$122.86 |
$122.86 |
$122.86 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$599.78 |
$599.78 |
$599.78 |
|
|
Gallbladder Removal (Laparoscopic)
|
$15,250.50 |
$15,250.50 |
$15,250.50 |
|
|
Gammaglobulin iga
|
$56.80 |
$66.40 |
$100.10 |
|
|
Gammaglobulin ige
|
$77.60 |
$105.60 |
$129.35 |
|
|
Gamma glutamyltransferase
|
$46.80 |
$50.00 |
$68.80 |
|
|
Gamunex-c/gammaked
|
$6,970.60 |
$6,970.60 |
$6,970.60 |
|
|
Gba gene
|
$156.00 |
$156.00 |
$156.00 |
|
|
Gemcitabine 1 gram intravenous solution
|
$88.76 |
$88.76 |
$88.76 |
|
|
General health panel
|
$215.60 |
$215.60 |
$215.60 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$29.70 |
$29.70 |
$29.70 |
|
|
Gentamicin peak therapeutic drug level
|
$39.60 |
$98.00 |
$103.35 |
|
|
Ghs abscess perianal iandd
|
$542.00 |
$542.00 |
$10,576.23 |
|
|
Ghs acetylcholinesterase, rbc
|
$66.80 |
$66.80 |
$66.80 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$29.60 |
$40.40 |
$87.10 |
|
|
Ghs antibodies (torch) igm
|
$62.00 |
$62.00 |
$62.00 |
|
|
Ghs bladder cath - complex-foley
|
$622.70 |
$622.70 |
$622.70 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$714.80 |
$714.80 |
$750.40 |
|
|
Ghs change cysto/gastrost
|
$406.80 |
$406.80 |
$5,539.44 |
|
|
Ghs chemo IV push, ea addtl
|
$174.80 |
$174.80 |
$206.05 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$68.40 |
$68.40 |
$68.40 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$402.40 |
$402.40 |
$402.40 |
|
|
Ghs closed reduction ankle dislocation
|
$402.40 |
$402.40 |
$402.40 |
|
|
Ghs community re-entry 15 minutes
|
$23.60 |
$58.00 |
$59.15 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$55.60 |
$55.60 |
$55.60 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$63.20 |
$63.20 |
$63.20 |
|
|
Ghs corneal fb without slit lamp bilat
|
$68.00 |
$68.00 |
$269.20 |
|
|
Ghs diphtheria toxoid ab igg
|
$32.00 |
$32.00 |
$32.00 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$808.00 |
$808.00 |
$808.00 |
|
|
Ghs fat & muscle
|
$70.00 |
$70.00 |
$70.00 |
|
|
Ghs fb removal from muscle - complicated
|
$689.20 |
$689.20 |
$689.20 |
|
|
Ghs febrile agglutinns(mayo)
|
$33.60 |
$61.75 |
$95.60 |
|
|
Ghs fish cytogen
|
$104.65 |
$104.65 |
$152.00 |
|
|
Ghs fish hybrid in situ 100-300
|
$180.00 |
$180.00 |
$180.00 |
|
|
Ghs gastric intub aspiration lavage
|
$499.20 |
$499.20 |
$499.20 |
|
|
Ghs hcv amplificaiton
|
$304.80 |
$304.80 |
$304.80 |
|
|
Ghs histoplasma antigen
|
$77.60 |
$77.60 |
$105.20 |
|
|
Ghs HIV antibody
|
$66.00 |
$66.00 |
$66.00 |
|
|
Ghs i and d perirectal abscess 46040
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
|
|
Ghs i and d pilonidal cyst simple
|
$488.80 |
$488.80 |
$488.80 |
|
|
Ghs immun0electrophoresis
|
$84.80 |
$84.80 |
$84.80 |
|
|
Ghs inf midline insertion
|
$17,297.68 |
$17,297.68 |
$17,297.68 |
|
|
Ghs inhibitor screen
|
$33.20 |
$33.20 |
$72.80 |
|
|
Ghs init tx 1st degree burn
|
$85.60 |
$85.60 |
$204.80 |
|
|
Ghs inj neurolytic other perph nerve
|
$1,004.00 |
$1,004.00 |
$1,054.40 |
|
|
Ghs inj tendon origin/insertion
|
$398.80 |
$398.80 |
$398.80 |
|
|
Ghs inj transforaminal cerv ea add bil
|
$809.60 |
$809.60 |
$809.60 |
|
|
Ghs inj transforaminal cerv single bil
|
$1,365.20 |
$1,365.20 |
$1,365.20 |
|
|
Ghs insertion of needle - bone
|
$204.80 |
$204.80 |
$204.80 |
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$907.20 |
$907.20 |
$907.20 |
|
|
Ghs IV inf sq injection, on-body injector
|
$47.45 |
$47.45 |
$47.45 |
|
|
Ghs IV thrombolytics - cerebral
|
$220.40 |
$220.40 |
$220.40 |
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$236.40 |
$236.40 |
$236.40 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$224.80 |
$224.80 |
$227.20 |
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$264.80 |
$264.80 |
$264.80 |
|
|
Ghs layer closure 2.5cm or less - 12051
|
$355.60 |
$355.60 |
$11,198.51 |
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$224.80 |
$224.80 |
$11,797.77 |
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$351.60 |
$351.60 |
$351.60 |
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$484.00 |
$484.00 |
$11,675.51 |
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$770.40 |
$770.40 |
$770.40 |
|
