|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$326.40 |
$326.40 |
$326.40 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$991.20 |
$991.20 |
$991.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$576.00 |
$576.00 |
$576.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$412.80 |
$412.80 |
$412.80 |
$241.50
|
|
Flow cytometry marker each additional
|
$187.20 |
$187.20 |
$187.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$2,998.40 |
$2,998.40 |
$2,998.40 |
$285.00
|
|
Flt3 gene
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$366.29
|
|
Flt3 gene analysis
|
$1,122.40 |
$1,122.40 |
$1,122.40 |
$216.00
|
|
Fluidotherapy charges pt
|
$83.20 |
$83.20 |
$83.20 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$779.45
|
|
Fluorescein angrph mltiframe
|
$344.00 |
$344.00 |
$344.00 |
$336.50
|
|
Fluorescent antibody titer dna
|
$1,263.20 |
$1,263.20 |
$1,263.20 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$1,812.00 |
$1,812.00 |
$1,812.00 |
$495.00
|
|
Fluoroguide needle placement
|
$1,661.60 |
$1,661.60 |
$1,661.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$944.80 |
$944.80 |
$944.80 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$1,917.60 |
$1,917.60 |
$1,917.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$2,004.80 |
$2,004.80 |
$2,004.80 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$766.70
|
|
Folic acid
|
$166.40 |
$166.40 |
$166.40 |
$101.50
|
|
Follow-up angiography
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$1,983.00
|
|
Fo nontorsion joint cf
|
$160.00 |
$160.00 |
$160.00 |
$217.50
|
|
Foot X-ray
|
$752.00 |
$752.00 |
$752.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$692.80 |
$692.80 |
$692.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$742.40 |
$742.40 |
$742.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$356.00 |
$356.00 |
$356.00 |
$534.00
|
|
Fracture assessment via dxa
|
$1,317.60 |
$1,317.60 |
$1,317.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$851.20 |
$851.20 |
$851.20 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$230.40 |
$230.40 |
$230.40 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$258.40 |
$258.40 |
$258.40 |
$164.84
|
|
Fructosamine glycated protein
|
$129.60 |
$129.60 |
$129.60 |
$63.50
|
|
Ftl cgen abnor four anal
|
$499.20 |
$499.20 |
$499.20 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$731.20 |
$731.20 |
$731.20 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$341.60 |
$341.60 |
$341.60 |
$355.00
|
|
Fundus photography with i&r 92250
|
$185.60 |
$185.60 |
$185.60 |
$182.95
|
|
G6pc gene
|
$192.80 |
$192.80 |
$192.80 |
$138.40
|
|
G6pd full gene sequence
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$1,320.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$17.60 |
$17.60 |
$17.60 |
$120.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$616.80 |
$616.80 |
$616.80 |
$100.00
|
|
Galactose transferase test
|
$52.00 |
$52.00 |
$52.00 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$990.40 |
$990.40 |
$990.40 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$922.40 |
$922.40 |
$922.40 |
$1,615.00
|
|
Gammaglobulin iga
|
$439.20 |
$439.20 |
$439.20 |
$69.60
|
|
Gammaglobulin ige
|
$204.00 |
$204.00 |
$204.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$158.40 |
$158.40 |
$158.40 |
$57.54
|
|
Gastroesophageal reflux study
|
$1,836.00 |
$1,836.00 |
$1,836.00 |
$1,031.60
|
|
Gated heart multiple
|
$2,960.80 |
$2,960.80 |
$2,960.80 |
$1,405.04
|
|
Genetic tstg severe inh cond
|
$10,480.00 |
$10,480.00 |
$10,480.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$299.20 |
$299.20 |
$299.20 |
$123.84
|
|
Ghs abscess perianal iandd
|
$2,975.20 |
$2,975.20 |
$2,975.20 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$6,316.80 |
$6,316.80 |
$6,316.80 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$174.40 |
$174.40 |
$174.40 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$198.40 |
$198.40 |
$198.40 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$167.20 |
$167.20 |
$167.20 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$934.40 |
$934.40 |
$934.40 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$1,440.80 |
$1,440.80 |
$1,440.80 |
$594.55
|
|
Ghs chemo >8 hrs
|
$592.80 |
$592.80 |
$592.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$333.60 |
$333.60 |
$333.60 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$464.80 |
$464.80 |
$464.80 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$768.80 |
$768.80 |
$768.80 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$1,429.60 |
$1,429.60 |
$1,429.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,503.20 |
$1,503.20 |
$1,503.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,979.20 |
$2,979.20 |
$2,979.20 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$327.20 |
$327.20 |
$327.20 |
$513.80
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,332.80 |
$3,332.80 |
$3,332.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$1,110.40 |
$1,110.40 |
$1,110.40 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$974.40 |
$974.40 |
$974.40 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$144.00 |
$144.00 |
$144.00 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$623.20 |
$623.20 |
$623.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$366.40 |
$366.40 |
$366.40 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$441.60 |
$441.60 |
$441.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$4,148.00 |
$4,148.00 |
$4,148.00 |
$1,104.00
|
|
Ghs cutdown placement age 1 and over
|
$335.20 |
$335.20 |
$335.20 |
$372.73
|
|
Ghs diphtheria toxoid ab igg
|
$195.20 |
$195.20 |
$195.20 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$1,670.40 |
$1,670.40 |
$1,670.40 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$463.20 |
$463.20 |
$463.20 |
$338.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,119.20 |
$1,119.20 |
$1,119.20 |
$586.80
|
|
Ghs excision ingrown nail
|
$1,004.80 |
$1,004.80 |
$1,004.80 |
$449.25
|
|
Ghs fb removal foot - deep - left
|
$9,235.20 |
$9,235.20 |
$9,235.20 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$7,913.60 |
$7,913.60 |
$7,913.60 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$7,235.20 |
$7,235.20 |
$7,235.20 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$1,706.20
|
|
Ghs fish cytogen
|
$1,961.60 |
$1,961.60 |
$1,961.60 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$226.20
|
|
Ghs hcv amplificaiton
|
$520.80 |
$520.80 |
$520.80 |
$196.20
|
|
Ghs hgb stability-thal
|
$652.00 |
$652.00 |
$652.00 |
$89.91
|
|
Ghs histoplasma antigen
|
$463.20 |
$463.20 |
$463.20 |
$142.00
|
|
Ghs HIV antibody
|
$224.80 |
$224.80 |
$224.80 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,131.20 |
$3,131.20 |
$3,131.20 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$4,494.40 |
$4,494.40 |
$4,494.40 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,061.60 |
$1,061.60 |
$1,061.60 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$568.80 |
$568.80 |
$568.80 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$691.20 |
$691.20 |
$691.20 |
$526.50
|
|
Ghs inhibitor screen
|
$1,289.60 |
$1,289.60 |
$1,289.60 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$296.80 |
$296.80 |
$296.80 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$238.40 |
$238.40 |
$238.40 |
$434.12
|
|
Ghs inj transforaminal cerv single bil
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$682.40 |
$682.40 |
$682.40 |
$431.28
|
