|
Fibrin degrade semiquant
|
$71.12 |
$71.12 |
$71.12 |
$88.00
|
|
Fibrinogen activity
|
$33.04 |
$33.04 |
$33.04 |
$61.80
|
|
Fibrinolytic plasminogen
|
$20.16 |
$20.16 |
$20.16 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$7.84 |
$7.84 |
$7.84 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$0.92 |
$0.92 |
$0.92 |
$1,223.60
|
|
Filter spider fx 3mmx320cm
|
$4,480.00 |
$4,480.00 |
$4,480.00 |
$8,212.50
|
|
Filter vena cava fem denali
|
$1,647.52 |
$1,647.52 |
$1,647.52 |
$4,659.75
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$810.88 |
$810.88 |
$810.88 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$404.88 |
$404.88 |
$404.88 |
$612.97
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$404.32 |
$404.32 |
$404.32 |
$738.00
|
|
Flow cytometry marker each additional
|
$43.68 |
$43.68 |
$43.68 |
$103.00
|
|
Flow cytometry one marker technical component
|
$90.72 |
$90.72 |
$90.72 |
$304.43
|
|
Fluidotherapy charges pt
|
$66.64 |
$66.64 |
$66.64 |
$101.40
|
|
Fluorescent antibody titer dna
|
$140.00 |
$140.00 |
$140.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$157.92 |
$157.92 |
$157.92 |
$497.25
|
|
Fluoroguide needle placement
|
$109.20 |
$109.20 |
$109.20 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$156.24 |
$156.24 |
$156.24 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$12.27 |
$12.27 |
$12.27 |
$73.16
|
|
Folic acid
|
$34.16 |
$34.16 |
$34.16 |
$85.50
|
|
Follow-up angiography
|
$257.60 |
$257.60 |
$257.60 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6.10 |
$6.10 |
$6.10 |
$18.44
|
|
Foot X-ray
|
$180.88 |
$180.88 |
$180.88 |
$339.50
|
|
Forensic cytopathology
|
$13.44 |
$13.44 |
$13.44 |
$62.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3.11 |
$3.11 |
$3.11 |
$201.52
|
|
Foscarnet sodium injection
|
$37.00 |
$37.00 |
$37.00 |
$1,082.06
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$13.24 |
$13.24 |
$13.24 |
$66.38
|
|
Fractionation ketosteroids
|
$160.89 |
$160.89 |
$160.89 |
$128.26
|
|
Fracture assessment via dxa
|
$103.04 |
$103.04 |
$103.04 |
$170.40
|
|
_fragile x methylation-sendout
|
$55.44 |
$55.44 |
$55.44 |
$175.75
|
|
Fragmenting of kidney stone
|
$5,951.68 |
$5,951.68 |
$5,951.68 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$52.64 |
$52.64 |
$52.64 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$53.20 |
$53.20 |
$53.20 |
$217.30
|
|
Fructosamine glycated protein
|
$30.81 |
$30.81 |
$30.81 |
$69.55
|
|
Ga-67 gallium 0.1 mci
|
$20.72 |
$20.72 |
$20.72 |
$156.23
|
|
Ga-68 gallium 68 dotatate
|
$94.64 |
$94.64 |
$94.64 |
$118.19
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4.48 |
$4.48 |
$4.48 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$44.22 |
$44.22 |
$44.22 |
$15.60
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.56 |
$0.56 |
$0.56 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$11.20 |
$11.20 |
$11.20 |
$90.60
|
|
Galac-1-phosphate uridyltran - sendout
|
$48.96 |
$48.96 |
$48.96 |
$85.50
|
|
Gallbladder Removal (Laparoscopic)
|
$5,796.56 |
$5,796.56 |
$5,796.56 |
$6,870.89
|
|
Gammaglobulin iga
|
$57.12 |
$57.12 |
$57.12 |
$78.60
|
|
Gammaglobulin ige
|
$63.28 |
$63.28 |
$63.28 |
$87.10
|
|
Gamma glutamyltransferase
|
$23.80 |
$23.80 |
$23.80 |
$54.60
|
|
Gastric analy w/ph ea spec
|
$11.76 |
$11.76 |
$11.76 |
$25.61
|
|
Gastrin test
|
$112.00 |
$112.00 |
$112.00 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,014.16 |
$1,014.16 |
$1,014.16 |
$887.62
|
|
Gastroesophageal reflux test
|
$551.60 |
$551.60 |
$551.60 |
$1,110.80
|
|
Gated heart multiple
|
$1,060.08 |
$1,060.08 |
$1,060.08 |
$1,177.70
|
|
Gba gene
|
$61.04 |
$61.04 |
$61.04 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$23.58 |
$23.58 |
$23.58 |
$168.02
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$687.27 |
$687.27 |
$687.27 |
$15,276.60
|
|
Generator barostim neo2 2014
|
$35,336.00 |
$35,336.00 |
$35,336.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$21,756.00 |
$21,756.00 |
$21,756.00 |
$61,875.00
|
|
Gentamicin peak therapeutic drug level
|
$63.28 |
$63.28 |
$63.28 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$483.84 |
$483.84 |
$483.84 |
$1,413.78
|
|
Ghs abscess postoperative iandd complex
|
$3,771.04 |
$3,771.04 |
$3,771.04 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$9.14 |
$9.14 |
$9.14 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$18.01 |
$18.01 |
$18.01 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$132.16 |
$132.16 |
$132.16 |
$437.58
|
|
Ghs antibodies (torch) igm
|
$68.88 |
$68.88 |
$68.88 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$88.48 |
$88.48 |
$88.48 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$25.76 |
$25.76 |
$25.76 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$3,525.20 |
$3,525.20 |
$3,525.20 |
$2,489.25
|
|
Ghs chemo >8 hrs
|
$266.56 |
$266.56 |
$266.56 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$121.52 |
$121.52 |
$121.52 |
$292.80
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,022.72 |
$2,022.72 |
$2,022.72 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$327.60 |
$327.60 |
$327.60 |
$581.60
|
|
Ghs community re-entry 15 minutes
|
$52.64 |
$52.64 |
$52.64 |
$85.00
|
|
Ghs ed rmvl or bivalving cast
|
$84.56 |
$84.56 |
$84.56 |
$351.46
|
|
Ghs fb removal foot - deep - left
|
$2,511.04 |
$2,511.04 |
$2,511.04 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$668.64 |
$668.64 |
$668.64 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$53.14 |
$53.14 |
$53.14 |
$51.99
|
|
Ghs hepatitis c virus (hcv riba)
|
$64.40 |
$64.40 |
$64.40 |
$105.00
|
|
Ghs hgb stability-thal
|
$14.56 |
$14.56 |
$14.56 |
$85.20
|
|
Ghs histoplasma antigen
|
$15.68 |
$15.68 |
$15.68 |
$157.30
|
|
Ghs HIV antibody
|
$47.04 |
$47.04 |
$47.04 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$140.00 |
$140.00 |
$140.00 |
$475.80
|
|
Ghs i and d pilonidal cyst simple
|
$140.56 |
$140.56 |
$140.56 |
$762.75
|
|
Ghs immun0electrophoresis
|
$66.08 |
$66.08 |
$66.08 |
$110.00
|
|
Ghs inf midline insertion
|
$1,766.24 |
$1,766.24 |
$1,766.24 |
$1,580.00
|
|
Ghs inhibitor screen
|
$15.12 |
$15.12 |
$15.12 |
$138.06
|
|
Ghs inj transforaminal cerv single bil
|
$2,172.24 |
$2,172.24 |
$2,172.24 |
$1,706.32
|
|
Ghs intro needle/intracath vein - 36000
|
$715.68 |
$715.68 |
$715.68 |
$213.75
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$148.40 |
$148.40 |
$148.40 |
$558.97
|
|
Ghs leukocyte alkaline phos (mayo)
|
$26.32 |
$26.32 |
$26.32 |
$62.28
|
|
Ghs low level laser therapy
|
$45.92 |
$45.92 |
$45.92 |
$106.00
|
|
Ghs mbp
|
$20.16 |
$20.16 |
$20.16 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$81.76 |
$81.76 |
$81.76 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$81.76 |
$81.76 |
$81.76 |
$125.34
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$786.80 |
$786.80 |
$786.80 |
$1,232.23
|
|
Ghs nerve block brachial plexus
|
$786.80 |
$786.80 |
$786.80 |
$1,789.51
|
|
Ghs nerve block sciatic nerve
|
$1,523.76 |
$1,523.76 |
$1,523.76 |
$1,745.25
|
|
Ghs ng placement w fluoro guidance
|
$100.80 |
$100.80 |
$100.80 |
$423.76
|
|
Ghs o2 saturation
|
$36.96 |
$36.96 |
$36.96 |
$55.90
|
|
Ghs ot prosthetic training/15 min
|
$52.64 |
$52.64 |
$52.64 |
$92.35
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$849.47
|
