|
Fluorescent antibody titer dna
|
$36.90 |
$36.90 |
$36.90 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$280.20 |
$280.20 |
$280.20 |
$495.00
|
|
Fluoroguide needle placement
|
$272.20 |
$272.20 |
$272.20 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$1,157.40 |
$1,157.40 |
$1,157.40 |
$503.80
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$266.88 |
$266.88 |
$266.88 |
$72.52
|
|
Folic acid
|
$209.45 |
$209.45 |
$209.45 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$218.70 |
$218.70 |
$218.70 |
$45.00
|
|
Follow-up angiography
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,633.09 |
$2,633.09 |
$2,633.09 |
$2,511.73
|
|
Fondaparinux sodium
|
$198.79 |
$198.79 |
$198.79 |
$186.20
|
|
Foot X-ray
|
$225.70 |
$225.70 |
$225.70 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$195.00 |
$195.00 |
$195.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$197.15 |
$197.15 |
$197.15 |
$324.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$137.57 |
$137.57 |
$137.57 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$184.50 |
$184.50 |
$184.50 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$157.80 |
$157.80 |
$157.80 |
$164.84
|
|
Fructosamine glycated protein
|
$48.90 |
$48.90 |
$48.90 |
$63.50
|
|
Ftl cgen abnor four anal
|
$456.05 |
$456.05 |
$456.05 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$331.40 |
$331.40 |
$331.40 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$44.83 |
$44.83 |
$44.83 |
$19.53
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$922.00 |
$922.00 |
$922.00 |
$177.52
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,348.35 |
$1,348.35 |
$1,348.35 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,402.40 |
$1,402.40 |
$1,402.40 |
$1,615.00
|
|
Gammaglobulin iga
|
$46.05 |
$46.05 |
$46.05 |
$69.60
|
|
Gammaglobulin ige
|
$36.20 |
$36.20 |
$36.20 |
$83.85
|
|
Gamma glutamyltransferase
|
$62.00 |
$62.00 |
$62.00 |
$57.54
|
|
Gardner vag dna amp probe
|
$65.30 |
$65.30 |
$65.30 |
$72.15
|
|
Gastric emptying imag study
|
$1,094.60 |
$1,094.60 |
$1,094.60 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,453.30 |
$1,453.30 |
$1,453.30 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$3,459.90 |
$3,459.90 |
$3,459.90 |
$1,031.60
|
|
Gated heart multiple
|
$155.00 |
$155.00 |
$155.00 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$4.00 |
$4.00 |
$4.00 |
$5.00
|
|
Gba gene
|
$158.10 |
$158.10 |
$158.10 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$867.41 |
$867.41 |
$867.41 |
$207.51
|
|
General health panel
|
$400.50 |
$400.50 |
$400.50 |
$262.44
|
|
Generator barostim neo2 2014
|
$17,100.00 |
$17,100.00 |
$17,100.00 |
$52,020.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$31.08 |
$31.08 |
$31.08 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$178.30 |
$178.30 |
$178.30 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,928.90 |
$1,928.90 |
$1,928.90 |
$1,514.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$35.65 |
$35.65 |
$35.65 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$145.60 |
$145.60 |
$145.60 |
$394.20
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,824.05 |
$1,824.05 |
$1,824.05 |
$1,059.85
|
|
Ghs community re-entry 15 minutes
|
$79.65 |
$79.65 |
$79.65 |
$89.28
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,519.55 |
$2,519.55 |
$2,519.55 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$671.00 |
$671.00 |
$671.00 |
$586.80
|
|
Ghs fish cytogen
|
$252.10 |
$252.10 |
$252.10 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$152.05 |
$152.05 |
$152.05 |
$226.20
|
|
Ghs histoplasma antigen
|
$34.50 |
$34.50 |
$34.50 |
$142.00
|
|
Ghs HIV antibody
|
$21.95 |
$21.95 |
$21.95 |
$89.70
|
|
Ghs inf midline insertion
|
$678.25 |
$678.25 |
$678.25 |
$1,238.25
|
|
Ghs inhibitor screen
|
$168.80 |
$168.80 |
$168.80 |
$191.88
|
|
Ghs inj neurolytic intercostal nerve
|
$2,256.65 |
$2,256.65 |
$2,256.65 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$2,446.00 |
$2,446.00 |
$2,446.00 |
$1,710.80
|
|
Ghs inj transforaminal cerv ea add bil
|
$1.00 |
$1.00 |
$1.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$2,256.65 |
$2,256.65 |
$2,256.65 |
$1,814.80
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$556.40 |
$556.40 |
$556.40 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$981.55 |
$981.55 |
$981.55 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$702.55 |
$702.55 |
$702.55 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$389.60 |
$389.60 |
$389.60 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$79.45 |
$79.45 |
$79.45 |
$142.40
|
|
Ghs myocardial strain img spckl track
|
$650.10 |
$650.10 |
$650.10 |
$457.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$2,257.30 |
$2,257.30 |
$2,257.30 |
$1,556.24
|
|
Ghs nerve blk intercostal, single level
|
$1,826.80 |
$1,826.80 |
$1,826.80 |
$1,160.00
|
|
Ghs nerve block axillary nerve
|
$2,524.15 |
$2,524.15 |
$2,524.15 |
$1,563.66
|
|
Ghs nerve block brachial plexus
|
$2,498.00 |
$2,498.00 |
$2,498.00 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$2,596.95 |
$2,596.95 |
$2,596.95 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$2,259.25 |
$2,259.25 |
$2,259.25 |
$1,540.61
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,256.65 |
$2,256.65 |
$2,256.65 |
$1,704.63
|
|
Ghs nerve block sciatic nerve
|
$1,990.35 |
$1,990.35 |
$1,990.35 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,926.85 |
$1,926.85 |
$1,926.85 |
$1,198.62
|
|
Ghs ng placement w fluoro guidance
|
$719.75 |
$719.75 |
$719.75 |
$485.00
|
|
Ghs opcc repair cvp without subq port
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$1,236.67
|
|
Ghs opcc repair cvp w subq port
|
$3,389.65 |
$3,389.65 |
$3,389.65 |
$2,194.40
|
|
Ghs ot group caregiver training
|
$27.45 |
$27.45 |
$27.45 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$104.55 |
$104.55 |
$104.55 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$141.75 |
$141.75 |
$141.75 |
$96.20
|
|
Ghs ot work hardening-additional hours
|
$291.20 |
$291.20 |
$291.20 |
$126.40
|
|
Ghs pacing - transcutaneous
|
$115.65 |
$115.65 |
$115.65 |
$830.53
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1.00 |
$1.00 |
$1.00 |
$853.65
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$962.00
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$17.00 |
$17.00 |
$17.00 |
$74.10
|
|
Ghs phenylketonurid
|
$55.50 |
$55.50 |
$55.50 |
$53.76
|
|
Ghs picc line insert < 5
|
$2,411.75 |
$2,411.75 |
$2,411.75 |
$2,019.50
|
|
Ghs ppd (tb intradermal)
|
$119.00 |
$119.00 |
$119.00 |
$37.44
|
|
Ghs prostatic acid phosphatase (mayo)
|
$38.85 |
$38.85 |
$38.85 |
$43.55
|
|
Ghs protoporphyrins fract
|
$31.60 |
$31.60 |
$31.60 |
$60.75
|
|
Ghs pr without cont pulse ox
|
$165.30 |
$165.30 |
$165.30 |
$147.00
|
|
Ghs pt - work hardening/int 2hrs
|
$582.35 |
$582.35 |
$582.35 |
$285.60
|
|
Ghs respiratory syncytical virus igg/m
|
$41.30 |
$41.30 |
$41.30 |
$74.82
|
|
Ghs rsv eia (respir synctial vrs)
|
$535.70 |
$535.70 |
$535.70 |
$99.00
|
|
Ghs semen analysis fert
|
$30.80 |
$30.80 |
$30.80 |
$124.80
|
|
Ghs sensitivity (per antimicro)
|
$161.25 |
$161.25 |
$161.25 |
$57.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$89.90 |
$89.90 |
$89.90 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$413.40 |
$413.40 |
$413.40 |
$252.75
|
|
Ghs st - re-eval for alt comm
|
$548.15 |
$548.15 |
$548.15 |
$309.60
|
|
Ghs urine, porphyrins quant
|
$92.80 |
$92.80 |
$92.80 |
$73.80
|
|
Ghs veeg 12-26 hr intmt mont
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$1,932.00
|
|
Gi inhouse confirmation
|
$126.55 |
$126.55 |
$126.55 |
$87.75
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$2,529.65 |
$2,529.65 |
$2,529.65 |
$2,215.20
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$513.23 |
$513.23 |
$513.23 |
$491.67
|
