|
Fibrin degradation products
|
$67.65 |
$67.65 |
$67.65 |
$62.64
|
|
Fibrinogen activity
|
$67.65 |
$67.65 |
$67.65 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$154.16 |
$154.16 |
$154.16 |
$72.80
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$831.89 |
$831.89 |
$831.89 |
$1,081.52
|
|
Fine needle asp without image guide 10021
|
$163.59 |
$163.59 |
$163.59 |
$503.76
|
|
Flebogamma injection
|
$2,302.07 |
$2,302.07 |
$2,302.07 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$31.57 |
$31.57 |
$31.57 |
$66.43
|
|
Flow cytometry one marker technical component
|
$364.08 |
$364.08 |
$364.08 |
$284.40
|
|
Fludarabine 50 mg intravenous solution
|
$2,829.00 |
$2,829.00 |
$2,829.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$30.75 |
$30.75 |
$30.75 |
$91.00
|
|
Fluid pressure muscle 20950
|
$812.21 |
$812.21 |
$812.21 |
$768.94
|
|
Fluorescent antibody titer dna
|
$66.83 |
$66.83 |
$66.83 |
$122.82
|
|
Fluoroscopy up to 1 hour
|
$170.97 |
$170.97 |
$170.97 |
$492.00
|
|
Folic acid
|
$65.19 |
$65.19 |
$65.19 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,121.93 |
$1,121.93 |
$1,121.93 |
$2,581.14
|
|
Foot X-ray
|
$107.83 |
$107.83 |
$107.83 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$152.11 |
$152.11 |
$152.11 |
$532.80
|
|
Foscarnet sodium injection
|
$1,210.01 |
$1,210.01 |
$1,210.01 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$64.02 |
$64.02 |
$64.02 |
$106.10
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$94.71 |
$94.71 |
$94.71 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$138.17 |
$138.17 |
$138.17 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$26.24 |
$26.24 |
$26.24 |
$122.00
|
|
Fructosamine glycated protein
|
$48.79 |
$48.79 |
$48.79 |
$60.75
|
|
Gabapentin non-blood
|
$27.47 |
$27.47 |
$27.47 |
$36.30
|
|
Galactose transferase test
|
$24.19 |
$24.19 |
$24.19 |
$31.35
|
|
Galectin-3
|
$61.50 |
$61.50 |
$61.50 |
$111.60
|
|
Gammaglobulin iga
|
$49.20 |
$49.20 |
$49.20 |
$67.20
|
|
Gammaglobulin ige
|
$41.00 |
$41.00 |
$41.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$52.89 |
$52.89 |
$52.89 |
$57.54
|
|
Gefitinib oral
|
$70.16 |
$70.16 |
$70.16 |
$423.82
|
|
General health panel
|
$352.60 |
$352.60 |
$352.60 |
$275.00
|
|
Gentamicin peak therapeutic drug level
|
$77.08 |
$77.08 |
$77.08 |
$126.00
|
|
Ghs abscess perianal iandd
|
$189.01 |
$189.01 |
$189.01 |
$1,410.90
|
|
Ghs antibodies (torch) igm
|
$72.57 |
$72.57 |
$72.57 |
$69.30
|
|
Ghs aspiration bladder - needle
|
$381.71 |
$381.71 |
$381.71 |
$583.80
|
|
Ghs bladder cath - complex-foley
|
$115.62 |
$115.62 |
$115.62 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$450.18 |
$450.18 |
$450.18 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$889.70 |
$889.70 |
$889.70 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$320.21 |
$320.21 |
$320.21 |
$565.49
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$34.85 |
$34.85 |
$34.85 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$396.88 |
$396.88 |
$396.88 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$264.45 |
$264.45 |
$264.45 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$793.76 |
$793.76 |
$793.76 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$123.82 |
$123.82 |
$123.82 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$1,699.45 |
$1,699.45 |
$1,699.45 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$114.39 |
$114.39 |
$114.39 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$987.28 |
$987.28 |
$987.28 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$987.28 |
$987.28 |
$987.28 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$150.88 |
$150.88 |
$150.88 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$118.90 |
$118.90 |
$118.90 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$45.10 |
$45.10 |
$45.10 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$348.09 |
$348.09 |
$348.09 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$83.64 |
$83.64 |
$83.64 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$75.44 |
$75.44 |
$75.44 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$78.31 |
$78.31 |
$78.31 |
$339.60
|
|
Ghs cricothyroidotomy
|
$373.51 |
$373.51 |
$373.51 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$114.39 |
$114.39 |
$114.39 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$67.24 |
$67.24 |
$67.24 |
$329.60
|
|
Ghs excision ingrown nail
|
$203.36 |
$203.36 |
$203.36 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$172.20 |
$172.20 |
$172.20 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$906.92 |
$906.92 |
$906.92 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$2,482.55 |
$2,482.55 |
$2,482.55 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,939.71 |
$1,939.71 |
$1,939.71 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$258.71 |
$258.71 |
$258.71 |
$1,706.20
|
|
Ghs fish cytogen
|
$139.40 |
$139.40 |
$139.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$139.40 |
$139.40 |
$139.40 |
$223.00
|
|
Ghs flow volume loop
|
$119.72 |
$119.72 |
$119.72 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$180.40 |
$180.40 |
$180.40 |
$368.50
|
|
Ghs hcv amplificaiton
|
$40.18 |
$40.18 |
$40.18 |
$187.00
|
|
Ghs histoplasma antigen
|
$108.65 |
$108.65 |
$108.65 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$1,048.37 |
$1,048.37 |
$1,048.37 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$748.25 |
$748.25 |
$748.25 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$225.91 |
$225.91 |
$225.91 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$187.78 |
$187.78 |
$187.78 |
$703.15
|
|
Ghs immun0electrophoresis
|
$95.12 |
$95.12 |
$95.12 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$227.96 |
$227.96 |
$227.96 |
$523.73
|
|
Ghs init tx 1st degree burn
|
$583.43 |
$583.43 |
$583.43 |
$275.50
|
|
Ghs inj transforaminal cerv single bil
|
$864.69 |
$864.69 |
$864.69 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$109.88 |
$109.88 |
$109.88 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$114.39 |
$114.39 |
$114.39 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$115.21 |
$115.21 |
$115.21 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$361.62 |
$361.62 |
$361.62 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$131.20 |
$131.20 |
$131.20 |
$544.80
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$647.39 |
$647.39 |
$647.39 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$647.39 |
$647.39 |
$647.39 |
$582.60
|
|
Ghs IV infusion sotrovimab
|
$647.39 |
$647.39 |
$647.39 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$145.96 |
$145.96 |
$145.96 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$115.62 |
$115.62 |
$115.62 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$82.82 |
$82.82 |
$82.82 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$140.22 |
$140.22 |
$140.22 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$163.59 |
$163.59 |
$163.59 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$169.74 |
$169.74 |
$169.74 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$134.48 |
$134.48 |
$134.48 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$169.74 |
$169.74 |
$169.74 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$174.66 |
$174.66 |
$174.66 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$134.48 |
$134.48 |
$134.48 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$128.74 |
$128.74 |
$128.74 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$375.97 |
$375.97 |
$375.97 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$170.97 |
$170.97 |
$170.97 |
$790.40
|
|
Ghs mbp
|
$45.92 |
$45.92 |
$45.92 |
$77.35
|