|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$83.50 |
$83.50 |
$83.50 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$203.00 |
$243.60 |
$737.20 |
|
|
Fine needle asp without image guide 10021
|
$83.00 |
$163.59 |
$526.08 |
|
|
Fixation of knee joint
|
$281.60 |
$281.60 |
$281.60 |
|
|
Fix g/colon tube w/device
|
$311.20 |
$365.25 |
$444.78 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
|
|
Flebogamma injection
|
$1,122.96 |
$1,403.70 |
$4,491.84 |
|
|
Flecainide (tambocor)-sendout
|
$15.40 |
$18.48 |
$40.04 |
|
|
Fl exam g/colon tube w contrast
|
$138.60 |
$160.02 |
$496.00 |
|
|
Flexible Sigmoidoscopy
|
$128.00 |
$128.00 |
$128.00 |
|
|
Flow cytometry interp 16 or more
|
$33.35 |
$33.35 |
$143.75 |
|
|
Flow cytometry marker each additional
|
$21.56 |
$127.47 |
$157.75 |
|
|
Flow cytometry one marker technical component
|
$133.54 |
$379.20 |
$474.00 |
|
|
#flow interp 9 - 15 markers
|
$78.10 |
$78.10 |
$142.00 |
|
|
Flt3 gene
|
$91.40 |
$97.65 |
$436.80 |
|
|
Flt3 gene analysis
|
$45.78 |
$46.46 |
$88.00 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$33.90 |
$40.68 |
$135.60 |
|
|
Fludarabine 50 mg intravenous solution
|
$1,380.00 |
$1,725.00 |
$5,520.00 |
|
|
Fluidotherapy charges pt
|
$23.10 |
$115.23 |
$328.12 |
|
|
Fluid pressure muscle 20950
|
$400.68 |
$464.50 |
$970.24 |
|
|
Fluorescent antibody titer dna
|
$29.70 |
$66.83 |
$122.82 |
|
|
Fluoroguide for spine inject 77003-26
|
$98.12 |
$178.40 |
$266.57 |
|
|
Fluoroguide needle placement
|
$98.12 |
$131.28 |
$233.91 |
|
|
Fluoroscopy up to 1 hour
|
$122.22 |
$155.84 |
$249.60 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$33.00 |
$39.60 |
$132.00 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$215.02 |
$258.03 |
$860.10 |
|
|
Fna bx w/ct gdn 1st les
|
$309.32 |
$466.67 |
$896.00 |
|
|
Fna bx w/ct gdn ea addl
|
$203.00 |
$233.45 |
$253.75 |
|
|
Folic acid
|
$11.88 |
$64.20 |
$109.50 |
|
|
Follow-up angiography
|
$376.20 |
$408.25 |
$454.48 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$547.28 |
$1,121.93 |
$3,744.00 |
|
|
Fondaparinux sodium
|
$76.74 |
$92.09 |
$306.95 |
|
|
Foot X-ray
|
$63.75 |
$105.60 |
$143.20 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$77.91 |
$90.00 |
$387.84 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$53.84 |
$64.61 |
$215.35 |
|
|
Foscarnet sodium injection
|
$590.25 |
$737.81 |
$2,361.00 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$31.23 |
$64.02 |
$435.96 |
|
|
Fracture assessment via dxa
|
$37.49 |
$37.49 |
$37.49 |
|
|
_fragile x methylation-sendout
|
$172.40 |
$198.26 |
$215.50 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$48.51 |
$99.82 |
$362.96 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$48.51 |
$138.17 |
$224.00 |
|
|
Fresh frozen plasma thawing ea un
|
$26.24 |
$110.88 |
$213.72 |
|
|
Fructosamine glycated protein
|
$10.12 |
$23.92 |
$104.20 |
|
|
Ftl cgen abnor four anal
|
$51.26 |
$93.20 |
$113.19 |
|
|
Ftl cgen abnor three anal
|
$84.84 |
$84.84 |
$84.84 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$876.00 |
$876.00 |
$876.00 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$23.55 |
$28.26 |
$94.20 |
|
|
Fusion of ankle joint open
|
$1,896.96 |
$1,896.96 |
$1,896.96 |
|
|
Fusion of big toe joint
|
$1,310.08 |
$1,310.08 |
$1,310.08 |
|
|
G0180 home health certification
|
$41.16 |
$41.16 |
$61.60 |
|
|
G6pd gene alys cmn variant
|
$2.42 |
$4.40 |
$180.50 |
|
|
Ga-67 gallium 0.1 mci
|
$12.18 |
$19.60 |
$24.50 |
|
|
Gabapentin non-blood
|
$13.40 |
$16.08 |
$34.84 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$46.98 |
$54.03 |
$93.96 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$236.85 |
$272.38 |
$473.70 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$89.01 |
$89.01 |
$124.08 |
|
|
Galactose transferase test
|
$12.39 |
$26.55 |
$33.75 |
|
|
Galectin-3
|
$27.25 |
$31.50 |
$67.50 |
|
|
Gallbladder Removal (Laparoscopic)
|
$1,172.48 |
$1,172.48 |
$1,172.48 |
|
|
Gammaglobulin iga
|
$19.76 |
$49.20 |
$87.00 |
|
|
Gammaglobulin ige
|
$23.52 |
$45.00 |
$128.50 |
|
|
Gamma glutamyltransferase
|
$9.46 |
$34.84 |
$69.00 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$40.54 |
$48.65 |
$162.18 |
|
|
Gardner vag dna amp probe
|
$15.75 |
$16.50 |
$30.00 |
|
|
Gastroesophageal reflux study
|
$133.44 |
$133.44 |
$345.60 |
|
|
Gastroesophageal reflux test
|
$387.64 |
$405.26 |
$704.80 |
|
|
Gba gene
|
$27.60 |
$27.60 |
$28.75 |
|
|
Gefitinib oral
|
$34.23 |
$42.78 |
$164.28 |
|
|
Gemcitabine 1 gram intravenous solution
|
$71.43 |
$85.72 |
$333.99 |
|
|
General health panel
|
$172.00 |
$215.00 |
$447.20 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$34.65 |
$41.58 |
$138.60 |
|
|
Gentamicin peak therapeutic drug level
|
$24.42 |
$62.88 |
$121.75 |
|
|
G-esoph reflx tst w/electrod
|
$329.28 |
$387.64 |
$704.80 |
|
|
Ghs abscess perianal iandd
|
$177.00 |
$210.25 |
$1,247.36 |
|
|
Ghs abscess postoperative iandd complex
|
$1,058.82 |
$1,105.20 |
$1,151.25 |
|
|
Ghs acetylcholinesterase, rbc
|
$6.21 |
$59.20 |
$71.75 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$11.88 |
$48.51 |
$82.11 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$254.50 |
$259.44 |
$332.35 |
|
|
Ghs analysis neurostim without reprogramming
|
$65.52 |
$66.00 |
$120.00 |
|
|
Ghs antibodies (torch) igm
|
$15.33 |
$106.80 |
$210.40 |
|
|
Ghs aspiration bladder - needle
|
$193.60 |
$242.00 |
$503.36 |
|
|
Ghs bladder cath - complex-foley
|
$34.32 |
$81.60 |
$227.84 |
|
|
Ghs bleeding time (ivy)
|
$21.16 |
$32.40 |
$50.40 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$206.08 |
$293.75 |
$494.10 |
|
|
Ghs central line insert < age 5, failed
|
$434.00 |
$872.34 |
$1,951.20 |
|
|
Ghs change cysto/gastrost
|
$164.01 |
$201.71 |
$677.04 |
|
|
Ghs chemo >8 hrs
|
$126.21 |
$156.25 |
$723.20 |
|
|
Ghs chemo IV push, ea addtl
|
$42.42 |
$125.04 |
$245.60 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$17.82 |
$27.50 |
$51.45 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$62.50 |
$143.20 |
$524.00 |
|
|
Ghs closed reduction ankle dislocation
|
$142.80 |
$194.50 |
$713.60 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$402.60 |
$541.20 |
$2,199.68 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$62.80 |
$78.50 |
$376.96 |
|
|
Ghs closed tx tibial fracture w/manip
|
$500.80 |
$626.00 |
$1,865.25 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,887.74 |
$2,887.74 |
$2,887.74 |
|
|
Ghs clsd red med malleolus fx without manip
|
$62.80 |
$78.76 |
$575.36 |
|
|
Ghs clsd red med malleolus fx w manip
|
$500.80 |
$626.00 |
$2,700.80 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$500.80 |
$626.00 |
$1,083.60 |
|
|
Ghs cl tx knee disl; wo anesth
|
$62.80 |
$150.88 |
$429.79 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$62.80 |
$118.90 |
$376.96 |
|
