|
Fluidotherapy charges pt
|
$53.10 |
$53.10 |
$53.10 |
$93.77
|
|
Fluorescent antibody titer dna
|
$97.35 |
$97.35 |
$97.35 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$618.91 |
$618.91 |
$618.91 |
$496.03
|
|
Fluoroguide needle placement
|
$1,036.04 |
$1,036.04 |
$1,036.04 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$528.05 |
$528.05 |
$528.05 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.71 |
$0.71 |
$0.71 |
$105.07
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$6.54 |
$6.54 |
$6.54 |
$72.52
|
|
Fmri brain by phys/psych
|
$1,852.01 |
$1,852.01 |
$1,852.01 |
$1,560.51
|
|
Fmri brain by tech
|
$1,696.25 |
$1,696.25 |
$1,696.25 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$762.28 |
$762.28 |
$762.28 |
$1,436.50
|
|
Fna bx w/ct gdn ea addl
|
$762.28 |
$762.28 |
$762.28 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$762.28 |
$762.28 |
$762.28 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$762.28 |
$762.28 |
$762.28 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$12.41 |
$12.41 |
$12.41 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$11.64 |
$11.64 |
$11.64 |
$13.62
|
|
Foam drsg <=16 sq in without bdr
|
$22.45 |
$22.45 |
$22.45 |
$21.74
|
|
Folic acid
|
$117.41 |
$117.41 |
$117.41 |
$101.50
|
|
Follow-up angiography
|
$961.70 |
$961.70 |
$961.70 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$539.62 |
$539.62 |
$539.62 |
$2,546.45
|
|
Fondaparinux sodium
|
$128.24 |
$128.24 |
$128.24 |
$186.20
|
|
Foot X-ray
|
$350.46 |
$350.46 |
$350.46 |
$364.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$177.00 |
$177.00 |
$177.00 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$180.55 |
$180.55 |
$180.55 |
$470.29
|
|
Foscarnet sodium injection
|
$0.92 |
$0.92 |
$0.92 |
$883.03
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$10.91 |
$10.91 |
$10.91 |
$104.81
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$148.09 |
$148.09 |
$148.09 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$136.29 |
$136.29 |
$136.29 |
$160.45
|
|
Fructosamine glycated protein
|
$112.69 |
$112.69 |
$112.69 |
$61.20
|
|
Ga-67 gallium 0.1 mci
|
$90.86 |
$90.86 |
$90.86 |
$117.50
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.80 |
$2.80 |
$2.80 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.64 |
$2.64 |
$2.64 |
$129.88
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$3.04 |
$3.04 |
$3.04 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$7.66 |
$7.66 |
$7.66 |
$249.80
|
|
Galactose transferase test
|
$37.17 |
$37.17 |
$37.17 |
$31.35
|
|
Gamma globulin 1 cc inj
|
$25.99 |
$25.99 |
$25.99 |
$363.35
|
|
Gammaglobulin iga
|
$105.61 |
$105.61 |
$105.61 |
$69.03
|
|
Gammaglobulin ige
|
$65.49 |
$65.49 |
$65.49 |
$84.00
|
|
Gamma glutamyltransferase
|
$54.28 |
$54.28 |
$54.28 |
$57.54
|
|
Gamunex-c/gammaked
|
$4.60 |
$4.60 |
$4.60 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$26.99 |
$26.99 |
$26.99 |
$197.40
|
|
Gastric emptying imag study
|
$372.88 |
$372.88 |
$372.88 |
$1,364.00
|
|
Gastric emptying imag study
|
$463.15 |
$463.15 |
$463.15 |
$1,669.23
|
|
Gastroesophageal reflux study
|
$613.60 |
$613.60 |
$613.60 |
$1,082.05
|
|
Gastro/jejuno tube, std
|
$234.58 |
$234.58 |
$234.58 |
$334.57
|
|
Gated heart multiple
|
$2,047.30 |
$2,047.30 |
$2,047.30 |
$1,405.04
|
|
Gemcitabine 1 gram intravenous solution
|
$61.21 |
$61.21 |
$61.21 |
$207.51
|
|
General health panel
|
$266.68 |
$266.68 |
$266.68 |
$275.00
|
|
Generator barostim neo2 2014
|
$52,268.28 |
$52,268.28 |
$52,268.28 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$44,267.70 |
$44,267.70 |
$44,267.70 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$0.92 |
$0.92 |
$0.92 |
$56.40
|
|
Gentamicin peak therapeutic drug level
|
$146.32 |
$146.32 |
$146.32 |
$126.00
|
|
Ghs abscess perianal iandd
|
$663.16 |
$663.16 |
$663.16 |
$1,436.80
|
|
Ghs abscess postoperative iandd complex
|
$1,970.01 |
$1,970.01 |
$1,970.01 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$66.08 |
$66.08 |
$66.08 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$130.39 |
$130.39 |
$130.39 |
$100.20
|
|
Ghs analysis neurostim without reprogramming
|
$109.15 |
$109.15 |
$109.15 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$86.73 |
$86.73 |
$86.73 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$229.51 |
$229.51 |
$229.51 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$594.72 |
$594.72 |
$594.72 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,077.39 |
$2,077.39 |
$2,077.39 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$421.85 |
$421.85 |
$421.85 |
$591.50
|
|
Ghs chemo >8 hrs
|
$1,119.23 |
$1,119.23 |
$1,119.23 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$496.78 |
$496.78 |
$496.78 |
$286.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$204.73 |
$204.73 |
$204.73 |
$501.50
|
|
Ghs closed reduction ankle dislocation
|
$299.72 |
$299.72 |
$299.72 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,377.06 |
$1,377.06 |
$1,377.06 |
$1,568.40
|
|
Ghs closed tx tibial fracture w/manip
|
$1,558.78 |
$1,558.78 |
$1,558.78 |
$2,179.20
|
|
Ghs clsd red med malleolus fx w manip
|
$1,048.43 |
$1,048.43 |
$1,048.43 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,310.98 |
$1,310.98 |
$1,310.98 |
$2,240.00
|
|
Ghs cl tx knee disl; wo anesth
|
$485.57 |
$485.57 |
$485.57 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$256.06 |
$256.06 |
$256.06 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$56.05 |
$56.05 |
$56.05 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$201.19 |
$201.19 |
$201.19 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$283.20 |
$283.20 |
$283.20 |
$288.96
|
|
Ghs corneal fb without slit lamp bilat
|
$397.07 |
$397.07 |
$397.07 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$413.00 |
$413.00 |
$413.00 |
$339.60
|
|
Ghs cutdown placement age 1 and over
|
$55.46 |
$55.46 |
$55.46 |
$377.89
|
|
Ghs cutdown placement under 1 yr
|
$248.98 |
$248.98 |
$248.98 |
$189.07
|
|
Ghs dislocation elbow closed treatment
|
$515.66 |
$515.66 |
$515.66 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$195.29 |
$195.29 |
$195.29 |
$330.85
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$56.05 |
$56.05 |
$56.05 |
$1,388.18
|
|
Ghs eyelid foreign body-embedded - bil
|
$381.73 |
$381.73 |
$381.73 |
$529.80
|
|
Ghs fb removal from muscle - complicated
|
$2,311.03 |
$2,311.03 |
$2,311.03 |
$3,338.50
|
|
Ghs fb removal - incisional
|
$1,053.15 |
$1,053.15 |
$1,053.15 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,028.96 |
$1,028.96 |
$1,028.96 |
$1,706.20
|
|
Ghs fish cytogen
|
$90.86 |
$90.86 |
$90.86 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$202.96 |
$202.96 |
$202.96 |
$225.00
|
|
Ghs flow volume loop
|
$223.61 |
$223.61 |
$223.61 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$402.97 |
$402.97 |
$402.97 |
$368.50
|
|
Ghs hcv amplificaiton
|
$293.82 |
$293.82 |
$293.82 |
$198.90
|
|
Ghs hgb stability-thal
|
$128.62 |
$128.62 |
$128.62 |
$87.60
|
|
Ghs histoplasma antigen
|
$237.18 |
$237.18 |
$237.18 |
$141.26
|
|
Ghs hla-dr/dq, multiple antigens
|
$60.18 |
$60.18 |
$60.18 |
$476.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$342.79 |
$342.79 |
$342.79 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$1,440.19 |
$1,440.19 |
$1,440.19 |
$2,633.28
|
|
Ghs i and d pilonidal cyst simple
|
$417.13 |
$417.13 |
$417.13 |
$674.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$173.46 |
$173.46 |
$173.46 |
$526.50
|
|
Ghs inf midline insertion
|
$424.21 |
$424.21 |
$424.21 |
$1,241.85
|
|
Ghs init tx 1st degree burn
|
$83.78 |
$83.78 |
$83.78 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,325.73 |
$1,325.73 |
$1,325.73 |
$1,710.80
|
