|
Fem/popl revasc w/stent
|
$18,706.80 |
$18,706.80 |
$18,706.80 |
$21,553.12
|
|
Ferritin
|
$41.44 |
$41.44 |
$41.44 |
$86.45
|
|
Fetal biophys profile w/nst 76818
|
$228.48 |
$228.48 |
$228.48 |
$525.33
|
|
Fetal contract stress test 59020 - 26
|
$580.72 |
$580.72 |
$580.72 |
$555.60
|
|
Fetal cord puncture prenatal
|
$714.56 |
$714.56 |
$714.56 |
$626.34
|
|
Fetal fibronectin
|
$144.48 |
$144.48 |
$144.48 |
$309.40
|
|
Fetal hemoglobin (kleihauer betke)
|
$32.48 |
$32.48 |
$32.48 |
$59.85
|
|
Fetal hemoglobin rosette
|
$16.80 |
$16.80 |
$16.80 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$3.36 |
$3.36 |
$3.36 |
$64.28
|
|
Fetal non stress test
|
$572.88 |
$572.88 |
$572.88 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$31.36 |
$31.36 |
$31.36 |
$87.60
|
|
Fibrin degradation products
|
$39.20 |
$39.20 |
$39.20 |
$56.16
|
|
Fibrin degrade semiquant
|
$33.60 |
$33.60 |
$33.60 |
$88.00
|
|
Fibrinogen activity
|
$24.64 |
$24.64 |
$24.64 |
$61.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$417.76 |
$417.76 |
$417.76 |
$738.00
|
|
Fl exam g/colon tube w contrast
|
$694.40 |
$694.40 |
$694.40 |
$522.75
|
|
Flow cytometry marker each additional
|
$38.08 |
$38.08 |
$38.08 |
$103.00
|
|
Flow cytometry one marker technical component
|
$252.56 |
$252.56 |
$252.56 |
$304.43
|
|
Flt3 gene
|
$185.36 |
$185.36 |
$185.36 |
$355.00
|
|
Flt3 gene analysis
|
$92.96 |
$92.96 |
$92.96 |
$262.80
|
|
Fluorescent antibody titer dna
|
$54.32 |
$54.32 |
$54.32 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$202.72 |
$202.72 |
$202.72 |
$497.25
|
|
Fluoroguide needle placement
|
$190.96 |
$190.96 |
$190.96 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$202.72 |
$202.72 |
$202.72 |
$474.50
|
|
Fna bx w/ct gdn 1st les
|
$835.52 |
$835.52 |
$835.52 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$417.76 |
$417.76 |
$417.76 |
$737.83
|
|
Folic acid
|
$43.12 |
$43.12 |
$43.12 |
$85.50
|
|
Follow-up angiography
|
$471.52 |
$471.52 |
$471.52 |
$1,939.14
|
|
Foot X-ray
|
$288.40 |
$288.40 |
$288.40 |
$339.50
|
|
Fractionation ketosteroids
|
$132.16 |
$132.16 |
$132.16 |
$128.26
|
|
_fragile x methylation-sendout
|
$67.20 |
$67.20 |
$67.20 |
$175.75
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$67.20 |
$67.20 |
$67.20 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$325.36 |
$325.36 |
$325.36 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$52.08 |
$52.08 |
$52.08 |
$114.35
|
|
Ftl cgen abnor four anal
|
$31.86 |
$31.86 |
$31.86 |
$267.15
|
|
Ga-68 gallium 68 dotatate
|
$94.64 |
$94.64 |
$94.64 |
$118.19
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.12 |
$1.12 |
$1.12 |
$2.04
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.56 |
$0.56 |
$0.56 |
$13.18
|
|
Gallium illuccix 1 millicure
|
$1,052.80 |
$1,052.80 |
$1,052.80 |
$1,377.60
|
|
Gammaglobulin iga
|
$62.72 |
$62.72 |
$62.72 |
$78.60
|
|
Gammaglobulin ige
|
$69.44 |
$69.44 |
$69.44 |
$87.10
|
|
Gamma glutamyltransferase
|
$11.76 |
$11.76 |
$11.76 |
$54.60
|
|
Gastroesophageal reflux study
|
$446.88 |
$446.88 |
$446.88 |
$887.62
|
|
Gba gene
|
$36.40 |
$36.40 |
$36.40 |
$140.00
|
|
Gentamicin peak therapeutic drug level
|
$35.28 |
$35.28 |
$35.28 |
$114.00
|
|
Ghs abscess postoperative iandd complex
|
$3,009.44 |
$3,009.44 |
$3,009.44 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$8.40 |
$8.40 |
$8.40 |
$44.20
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$38.08 |
$38.08 |
$38.08 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$33.04 |
$33.04 |
$33.04 |
$82.50
|
|
Ghs chemo IV push, ea addtl
|
$100.24 |
$100.24 |
$100.24 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$42.00 |
$42.00 |
$42.00 |
$135.85
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,266.32 |
$2,266.32 |
$2,266.32 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$249.76 |
$249.76 |
$249.76 |
$581.60
|
|
Ghs community re-entry 15 minutes
|
$61.60 |
$61.60 |
$61.60 |
$85.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,023.12 |
$1,023.12 |
$1,023.12 |
$1,568.40
|
|
Ghs ed rmvl or bivalving cast
|
$328.72 |
$328.72 |
$328.72 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$815.36 |
$815.36 |
$815.36 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$846.16 |
$846.16 |
$846.16 |
$586.80
|
|
Ghs electrostagmgraphy
|
$315.28 |
$315.28 |
$315.28 |
$247.20
|
|
Ghs elect torsion swing
|
$150.08 |
$150.08 |
$150.08 |
$242.40
|
|
Ghs elect vertical elct
|
$10.64 |
$10.64 |
$10.64 |
$116.00
|
|
Ghs fat & muscle
|
$11.76 |
$11.76 |
$11.76 |
$45.75
|
|
Ghs fb removal foot - deep - left
|
$2,002.56 |
$2,002.56 |
$2,002.56 |
$2,873.34
|
|
Ghs fb removal - incisional
|
$507.92 |
$507.92 |
$507.92 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$8.40 |
$8.40 |
$8.40 |
$51.99
|
|
Ghs fish cytogen
|
$83.44 |
$83.44 |
$83.44 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$214.48 |
$214.48 |
$214.48 |
$229.45
|
|
Ghs hcv amplificaiton
|
$53.76 |
$53.76 |
$53.76 |
$198.90
|
|
Ghs hepatitis c virus (hcv riba)
|
$35.28 |
$35.28 |
$35.28 |
$105.00
|
|
Ghs histoplasma antigen
|
$45.78 |
$45.78 |
$45.78 |
$157.30
|
|
Ghs HIV antibody
|
$51.52 |
$51.52 |
$51.52 |
$90.14
|
|
Ghs i and d pilonidal cyst simple
|
$187.04 |
$187.04 |
$187.04 |
$762.75
|
|
Ghs inf midline insertion
|
$1,109.92 |
$1,109.92 |
$1,109.92 |
$1,580.00
|
|
Ghs inhibitor screen
|
$60.48 |
$60.48 |
$60.48 |
$138.06
|
|
Ghs intro needle/intracath vein - 36000
|
$279.44 |
$279.44 |
$279.44 |
$213.75
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$193.20 |
$193.20 |
$193.20 |
$558.97
|
|
Ghs leukocyte alkaline phos (mayo)
|
$34.72 |
$34.72 |
$34.72 |
$62.28
|
|
Ghs mbp
|
$7.84 |
$7.84 |
$7.84 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$82.32 |
$82.32 |
$82.32 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$82.32 |
$82.32 |
$82.32 |
$125.34
|
|
Ghs myocardial strain img spckl track
|
$371.84 |
$371.84 |
$371.84 |
$503.85
|
|
Ghs nerve block axillary nerve
|
$801.92 |
$801.92 |
$801.92 |
$1,271.25
|
|
Ghs nerve block brachial plexus
|
$680.40 |
$680.40 |
$680.40 |
$1,789.51
|
|
Ghs nerve block celiac plexus
|
$1,076.32 |
$1,076.32 |
$1,076.32 |
$1,681.24
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,145.20 |
$1,145.20 |
$1,145.20 |
$2,079.21
|
|
Ghs nerve block sciatic nerve
|
$1,198.96 |
$1,198.96 |
$1,198.96 |
$1,745.25
|
|
Ghs ng placement w fluoro guidance
|
$226.24 |
$226.24 |
$226.24 |
$423.76
|
|
Ghs o2 saturation
|
$15.68 |
$15.68 |
$15.68 |
$55.90
|
|
Ghs optokenetic
|
$76.72 |
$76.72 |
$76.72 |
$198.98
|
|
Ghs oscillating trac
|
$76.72 |
$76.72 |
$76.72 |
$256.50
|
|
Ghs ot prosthetic training/15 min
|
$62.72 |
$62.72 |
$62.72 |
$92.35
|
|
Ghs pacing - transcutaneous
|
$1,243.76 |
$1,243.76 |
$1,243.76 |
$872.95
|
|
Ghs pos nystagmus
|
$76.72 |
$76.72 |
$76.72 |
$228.00
|
|
Ghs prostatic acid phosphatase (mayo)
|
$4.48 |
$4.48 |
$4.48 |
$49.77
|
|
Ghs protoporphyrins fract
|
$18.48 |
$18.48 |
$18.48 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$77.28 |
$77.28 |
$77.28 |
$165.60
|
|
Ghs quinidine
|
$5.60 |
$5.60 |
$5.60 |
$70.85
|
|
Ghs reticulocyte count
|
$19.60 |
$19.60 |
$19.60 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$32.48 |
$32.48 |
$32.48 |
$117.60
|
|
Ghs sedimentation rate
|
$11.76 |
$11.76 |
$11.76 |
$36.57
|
