|
Fluidotherapy charges pt
|
$77.00 |
$77.00 |
$77.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$120.00 |
$120.00 |
$120.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$207.00 |
$207.00 |
$207.00 |
$495.00
|
|
Fluoroguide needle placement
|
$207.00 |
$207.00 |
$207.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$441.00 |
$441.00 |
$441.00 |
$503.80
|
|
Fmri brain by phys/psych
|
$2,059.00 |
$2,059.00 |
$2,059.00 |
$1,639.00
|
|
Fmri brain by tech
|
$1,710.00 |
$1,710.00 |
$1,710.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$3,142.00 |
$3,142.00 |
$3,142.00 |
$834.90
|
|
Folic acid
|
$59.00 |
$59.00 |
$59.00 |
$101.50
|
|
Follow-up angiography
|
$3,970.00 |
$3,970.00 |
$3,970.00 |
$1,983.00
|
|
Foot X-ray
|
$611.00 |
$611.00 |
$611.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$601.00 |
$601.00 |
$601.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$615.00 |
$615.00 |
$615.00 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$484.00 |
$484.00 |
$484.00 |
$534.00
|
|
Frenectomy 41115
|
$1,738.00 |
$1,738.00 |
$1,738.00 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$200.93 |
$200.93 |
$200.93 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$200.93 |
$200.93 |
$200.93 |
$164.84
|
|
Full Spine X-ray (Scoliosis Survey)
|
$515.00 |
$515.00 |
$515.00 |
$355.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,273.00 |
$2,273.00 |
$2,273.00 |
$2,798.50
|
|
Gabapentin non-blood
|
$7.50 |
$7.50 |
$7.50 |
$42.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$669.00 |
$669.00 |
$669.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$1,615.00
|
|
Gammaglobulin iga
|
$37.00 |
$37.00 |
$37.00 |
$69.60
|
|
Gammaglobulin ige
|
$66.00 |
$66.00 |
$66.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$28.00 |
$28.00 |
$28.00 |
$57.54
|
|
Gastric analy w/ph ea spec
|
$15.00 |
$15.00 |
$15.00 |
$31.50
|
|
Genetic counseling 30 min
|
$193.00 |
$193.00 |
$193.00 |
$193.00
|
|
Gentamicin peak therapeutic drug level
|
$126.00 |
$126.00 |
$126.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$2,710.00 |
$2,710.00 |
$2,710.00 |
$3,776.00
|
|
Ghs analysis neurostim without reprogramming
|
$380.00 |
$380.00 |
$380.00 |
$262.35
|
|
Ghs bladder cath - complex-foley
|
$379.00 |
$379.00 |
$379.00 |
$344.00
|
|
Ghs central line insert < age 5, failed
|
$3,320.00 |
$3,320.00 |
$3,320.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$794.00 |
$794.00 |
$794.00 |
$594.55
|
|
Ghs chemo infusion >8 hrs
|
$896.00 |
$896.00 |
$896.00 |
$655.65
|
|
Ghs chemo IV push, ea addtl
|
$272.00 |
$272.00 |
$272.00 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$110.00 |
$110.00 |
$110.00 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$412.00 |
$412.00 |
$412.00 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$520.00 |
$520.00 |
$520.00 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$461.00 |
$461.00 |
$461.00 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$2,227.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$5,993.00 |
$5,993.00 |
$5,993.00 |
$3,567.20
|
|
Ghs clsd red med malleolus fx without manip
|
$414.00 |
$414.00 |
$414.00 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$491.00 |
$491.00 |
$491.00 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$520.00 |
$520.00 |
$520.00 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$73.00 |
$73.00 |
$73.00 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$592.00 |
$592.00 |
$592.00 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$242.00 |
$242.00 |
$242.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$668.00 |
$668.00 |
$668.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$769.00 |
$769.00 |
$769.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$520.00 |
$520.00 |
$520.00 |
$602.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,074.00 |
$2,074.00 |
$2,074.00 |
$1,429.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,074.00 |
$1,074.00 |
$1,074.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$919.00 |
$919.00 |
$919.00 |
$322.00
|
|
Ghs elect torsion swing
|
$598.00 |
$598.00 |
$598.00 |
$266.29
|
|
Ghs excision ingrown nail
|
$415.00 |
$415.00 |
$415.00 |
$449.25
|
|
Ghs eyelid foreign body-embedded - bil
|
$943.00 |
$943.00 |
$943.00 |
$510.00
|
|
Ghs fb removal - incisional
|
$2,811.00 |
$2,811.00 |
$2,811.00 |
$2,323.75
|
|
Ghs fish cytogen
|
$166.00 |
$166.00 |
$166.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$389.00 |
$389.00 |
$389.00 |
$226.20
|
|
Ghs gastric intub aspiration lavage
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$368.50
|
|
Ghs hcv amplificaiton
|
$45.00 |
$45.00 |
$45.00 |
$196.20
|
|
Ghs HIV antibody
|
$107.00 |
$107.00 |
$107.00 |
$89.70
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,503.00
|
|
Ghs i and d perirectal abscess 46040
|
$3,034.00 |
$3,034.00 |
$3,034.00 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$894.00 |
$894.00 |
$894.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$588.00 |
$588.00 |
$588.00 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$350.90
|
|
Ghs inf midline insertion
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$1,238.25
|
|
Ghs init tx 1st degree burn
|
$278.00 |
$278.00 |
$278.00 |
$275.88
|
|
Ghs inj neurolytic intercostal nerve
|
$6,341.00 |
$6,341.00 |
$6,341.00 |
$2,047.92
|
|
Ghs inj tendon origin/insertion
|
$790.00 |
$790.00 |
$790.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,369.00 |
$1,369.00 |
$1,369.00 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,238.00 |
$1,238.00 |
$1,238.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$448.00 |
$448.00 |
$448.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$703.00 |
$703.00 |
$703.00 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,006.00 |
$1,006.00 |
$1,006.00 |
$1,051.20
|
|
Ghs intro needle/intracath vein - 36000
|
$693.00 |
$693.00 |
$693.00 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$512.00 |
$512.00 |
$512.00 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$204.00 |
$204.00 |
$204.00 |
$110.00
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$576.40
|
|
Ghs IV thrombolytics - cerebral
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$448.00 |
$448.00 |
$448.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$415.00 |
$415.00 |
$415.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$497.00 |
$497.00 |
$497.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$415.00 |
$415.00 |
$415.00 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$477.00 |
$477.00 |
$477.00 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$548.00 |
$548.00 |
$548.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$611.00 |
$611.00 |
$611.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$629.00 |
$629.00 |
$629.00 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$631.00 |
$631.00 |
$631.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$725.00 |
$725.00 |
$725.00 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,357.00 |
$1,357.00 |
$1,357.00 |
$1,016.25
|
