|
Folic acid
|
$114.40 |
$114.40 |
$114.40 |
$85.50
|
|
Folic acid 5 mg/ml injection solution
|
$307.83 |
$307.83 |
$307.83 |
$3.00
|
|
Fondaparinux sodium
|
$97.51 |
$97.51 |
$97.51 |
$121.83
|
|
Foot X-ray
|
$365.30 |
$365.30 |
$365.30 |
$339.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$90.84 |
$90.84 |
$90.84 |
$66.38
|
|
_fragile x methylation-sendout
|
$209.30 |
$209.30 |
$209.30 |
$175.75
|
|
Freeing of bowel adhesion 44005
|
$2,310.10 |
$2,310.10 |
$2,310.10 |
$2,684.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$190.45 |
$190.45 |
$190.45 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$180.05 |
$180.05 |
$180.05 |
$217.30
|
|
Fructosamine glycated protein
|
$79.95 |
$79.95 |
$79.95 |
$69.55
|
|
Ftl cgen abnor four anal
|
$187.20 |
$187.20 |
$187.20 |
$267.15
|
|
Furosemide 10 mg/ml injection solution
|
$8.87 |
$8.87 |
$8.87 |
$7.15
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$350.67 |
$350.67 |
$350.67 |
$2.04
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$599.78 |
$599.78 |
$599.78 |
$90.60
|
|
Galac-1-phosphate uridyltran - sendout
|
$126.10 |
$126.10 |
$126.10 |
$85.50
|
|
Galactose transferase test
|
$8.45 |
$8.45 |
$8.45 |
$25.00
|
|
Gallbladder Removal (Laparoscopic)
|
$9,589.79 |
$9,589.79 |
$9,589.79 |
$6,870.89
|
|
Gammaglobulin iga
|
$102.70 |
$102.70 |
$102.70 |
$78.60
|
|
Gammaglobulin ige
|
$56.55 |
$56.55 |
$56.55 |
$87.10
|
|
Gamma glutamyltransferase
|
$53.95 |
$53.95 |
$53.95 |
$54.60
|
|
Gamunex-c/gammaked
|
$13,941.20 |
$13,941.20 |
$13,941.20 |
$100.40
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$410.97 |
$410.97 |
$410.97 |
$154.86
|
|
Gardner vag dna quant
|
$112.45 |
$112.45 |
$112.45 |
$104.80
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$15.26 |
$15.26 |
$15.26 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$209.30 |
$209.30 |
$209.30 |
$114.00
|
|
Ghs abscess perianal iandd
|
$8,103.50 |
$8,103.50 |
$8,103.50 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$516.75 |
$516.75 |
$516.75 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$52.65 |
$52.65 |
$52.65 |
$44.20
|
|
Ghs alpha thalasemia, 7 deletions
|
$200.20 |
$200.20 |
$200.20 |
$437.58
|
|
Ghs analysis neurostim without reprogramming
|
$275.60 |
$275.60 |
$275.60 |
$275.60
|
|
Ghs antibodies (torch) igm
|
$112.45 |
$112.45 |
$112.45 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$291.20 |
$291.20 |
$291.20 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$62.40 |
$62.40 |
$62.40 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,158.97 |
$1,158.97 |
$1,158.97 |
$1,000.08
|
|
Ghs change cysto/gastrost
|
$582.40 |
$582.40 |
$582.40 |
$727.35
|
|
Ghs chemo IV push, ea addtl
|
$248.30 |
$248.30 |
$248.30 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$134.55 |
$134.55 |
$134.55 |
$135.85
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$461.50 |
$461.50 |
$461.50 |
$540.80
|
|
Ghs closed reduction ankle dislocation
|
$795.60 |
$795.60 |
$795.60 |
$720.00
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,254.50 |
$1,254.50 |
$1,254.50 |
$1,655.78
|
|
Ghs closed tx tibial fracture w/manip
|
$1,212.25 |
$1,212.25 |
$1,212.25 |
$2,275.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,543.10 |
$1,543.10 |
$1,543.10 |
$2,973.33
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,049.75 |
$1,049.75 |
$1,049.75 |
$2,418.00
|
|
Ghs cl tx knee disl; wo anesth
|
$797.55 |
$797.55 |
$797.55 |
$750.17
|
|
Ghs cl tx metacarpophal disloc without anes
|
$554.45 |
$554.45 |
$554.45 |
$544.70
|
|
Ghs community re-entry 15 minutes
|
$82.55 |
$82.55 |
$82.55 |
$85.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$119.60 |
$119.60 |
$119.60 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$128.05 |
$128.05 |
$128.05 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$185.25 |
$185.25 |
$185.25 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$190.45 |
$190.45 |
$190.45 |
$362.21
|
|
Ghs dislocation elbow closed treatment
|
$746.20 |
$746.20 |
$746.20 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$272.35 |
$272.35 |
$272.35 |
$1,568.40
|
|
Ghs excision ingrown nail
|
$208.00 |
$208.00 |
$208.00 |
$436.80
|
|
Ghs fb removal from muscle - complicated
|
$780.65 |
$780.65 |
$780.65 |
$3,136.84
|
|
Ghs fb removal - incisional
|
$467.35 |
$467.35 |
$467.35 |
$2,454.00
|
|
Ghs febrile agglutinns(mayo)
|
$57.85 |
$57.85 |
$57.85 |
$51.99
|
|
Ghs fish cytogen
|
$284.05 |
$284.05 |
$284.05 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$112.45 |
$112.45 |
$112.45 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$283.40 |
$283.40 |
$283.40 |
$385.60
|
|
Ghs hgb stability-thal
|
$92.95 |
$92.95 |
$92.95 |
$85.20
|
|
Ghs histoplasma antigen
|
$159.25 |
$159.25 |
$159.25 |
$157.30
|
|
Ghs HIV antibody
|
$95.55 |
$95.55 |
$95.55 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$578.50 |
$578.50 |
$578.50 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$915.85 |
$915.85 |
$915.85 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$515.45 |
$515.45 |
$515.45 |
$1,468.35
|
|
Ghs i and d pilonidal cyst simple
|
$293.80 |
$293.80 |
$293.80 |
$762.75
|
|
Ghs immun0electrophoresis
|
$134.55 |
$134.55 |
$134.55 |
$110.00
|
|
Ghs incision thrombosed ext hemorrhoid
|
$364.65 |
$364.65 |
$364.65 |
$534.60
|
|
Ghs inhibitor screen
|
$204.10 |
$204.10 |
$204.10 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$170.30 |
$170.30 |
$170.30 |
$295.00
|
|
Ghs inj neurolytic intercostal nerve
|
$572.00 |
$572.00 |
$572.00 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$1,158.97 |
$1,158.97 |
$1,158.97 |
$1,838.37
|
|
Ghs inj tendon origin/insertion
|
$280.15 |
$280.15 |
$280.15 |
$412.50
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,567.54 |
$2,567.54 |
$2,567.54 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$2,890.87 |
$2,890.87 |
$2,890.87 |
$1,706.32
|
|
Ghs insertion of needle - bone
|
$243.10 |
$243.10 |
$243.10 |
$436.10
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$764.40 |
$764.40 |
$764.40 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$757.25 |
$757.25 |
$757.25 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$12,478.99 |
$12,478.99 |
$12,478.99 |
$2,026.46
|
|
Ghs irrigate corpora cavernosa for priapism
|
$488.15 |
$488.15 |
$488.15 |
$615.58
|
|
Ghs IV inf sq injection, on-body injector
|
$105.30 |
$105.30 |
$105.30 |
$117.42
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$408.85 |
$408.85 |
$408.85 |
$536.80
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$4,295.05 |
$4,295.05 |
$4,295.05 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$497.90 |
$497.90 |
$497.90 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$535.60 |
$535.60 |
$535.60 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$618.15 |
$618.15 |
$618.15 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$570.70 |
$570.70 |
$570.70 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$718.90 |
$718.90 |
$718.90 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$8,351.17 |
$8,351.17 |
$8,351.17 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$588.90 |
$588.90 |
$588.90 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$776.10 |
$776.10 |
$776.10 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$635.05 |
$635.05 |
$635.05 |
$993.00
|
|
Ghs mbp
|
$140.40 |
$140.40 |
$140.40 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$159.90 |
$159.90 |
$159.90 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$95.55 |
$95.55 |
$95.55 |
$219.95
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$169.00 |
$169.00 |
$169.00 |
$216.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$146.25 |
$146.25 |
$146.25 |
$125.34
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$131.30 |
$131.30 |
$131.30 |
$123.30
|
|
Ghs musc test done w/n test comp
|
$301.60 |
$301.60 |
$301.60 |
$352.97
|
|
Ghs musc tst done w/nerv tst lim
|
$287.30 |
$287.30 |
$287.30 |
$277.25
|