|
Flebogamma injection
|
$927.01 |
$927.01 |
$927.01 |
$276.05
|
|
Flecainide (tambocor)-sendout
|
$27.06 |
$27.06 |
$27.06 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$666.66 |
$666.66 |
$666.66 |
$546.86
|
|
Flow cytometry marker each additional
|
$83.64 |
$83.64 |
$83.64 |
$103.00
|
|
Flow cytometry one marker technical component
|
$355.47 |
$355.47 |
$355.47 |
$270.75
|
|
Flt3 gene
|
$219.76 |
$219.76 |
$219.76 |
$352.95
|
|
Flt3 gene analysis
|
$219.76 |
$219.76 |
$219.76 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$140.84 |
$140.84 |
$140.84 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$104.55 |
$104.55 |
$104.55 |
$601.96
|
|
Fluidotherapy charges pt
|
$71.14 |
$71.14 |
$71.14 |
$95.00
|
|
Fluorescent antibody titer dna
|
$559.65 |
$559.65 |
$559.65 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$657.03 |
$657.03 |
$657.03 |
$507.00
|
|
Fluoroguide needle placement
|
$732.88 |
$732.88 |
$732.88 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$130.79 |
$130.79 |
$130.79 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$12.92 |
$12.92 |
$12.92 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$149.04 |
$149.04 |
$149.04 |
$79.52
|
|
Fna bx w/ct gdn 1st les
|
$1,191.26 |
$1,191.26 |
$1,191.26 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,191.26 |
$1,191.26 |
$1,191.26 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$142.89 |
$142.89 |
$142.89 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$47.56 |
$47.56 |
$47.56 |
$612.30
|
|
Folic acid
|
$139.61 |
$139.61 |
$139.61 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$11.07 |
$11.07 |
$11.07 |
$56.70
|
|
Follow-up angiography
|
$635.30 |
$635.30 |
$635.30 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$920.45 |
$920.45 |
$920.45 |
$2,581.14
|
|
Fondaparinux sodium
|
$131.61 |
$131.61 |
$131.61 |
$176.54
|
|
Foot drp splt w/exp heel lg
|
$108.65 |
$108.65 |
$108.65 |
$156.16
|
|
Foot X-ray
|
$513.32 |
$513.32 |
$513.32 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$369.82 |
$369.82 |
$369.82 |
$425.16
|
|
Foscarnet sodium injection
|
$397.70 |
$397.70 |
$397.70 |
$1,101.86
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$75.24 |
$75.24 |
$75.24 |
$86.40
|
|
_fragile x methylation-sendout
|
$59.04 |
$59.04 |
$59.04 |
$174.00
|
|
Fragmenting of kidney stone
|
$11,692.59 |
$11,692.59 |
$11,692.59 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$62.32 |
$62.32 |
$62.32 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$115.01 |
$115.01 |
$115.01 |
$164.16
|
|
Frozen plasma, pooled, sd
|
$82.00 |
$82.00 |
$82.00 |
$132.30
|
|
Fructosamine glycated protein
|
$10.46 |
$10.46 |
$10.46 |
$60.42
|
|
Furosemide 10 mg/ml injection solution
|
$5.74 |
$5.74 |
$5.74 |
$27.48
|
|
G6pd full gene sequence
|
$1,505.52 |
$1,505.52 |
$1,505.52 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$147.19 |
$147.19 |
$147.19 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$132.84 |
$132.84 |
$132.84 |
$138.37
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$173.64 |
$173.64 |
$173.64 |
$210.50
|
|
Gammaglobulin iga
|
$25.42 |
$25.42 |
$25.42 |
$75.30
|
|
Gammaglobulin ige
|
$32.80 |
$32.80 |
$32.80 |
$85.00
|
|
Gamma glutamyltransferase
|
$75.03 |
$75.03 |
$75.03 |
$55.28
|
|
Gamunex-c/gammaked
|
$920.45 |
$920.45 |
$920.45 |
$6,963.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$93.69 |
$93.69 |
$93.69 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$100.25 |
$100.25 |
$100.25 |
$269.06
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$3,116.62 |
$3,116.62 |
$3,116.62 |
$20,893.87
|
|
General health panel
|
$30.14 |
$30.14 |
$30.14 |
$280.50
|
|
Generator barostim neo2 2014
|
$34,910.48 |
$34,910.48 |
$34,910.48 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$21,677.11 |
$21,677.11 |
$21,677.11 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$28,851.91 |
$28,851.91 |
$28,851.91 |
$56,470.28
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$11.07 |
$11.07 |
$11.07 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$125.67 |
$125.67 |
$125.67 |
$119.00
|
|
Ghs abscess perianal iandd
|
$277.16 |
$277.16 |
$277.16 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$903.03 |
$903.03 |
$903.03 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$5.33 |
$5.33 |
$5.33 |
$42.21
|
|
Ghs alpha thalasemia, 7 deletions
|
$145.14 |
$145.14 |
$145.14 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$39.16 |
$39.16 |
$39.16 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,314.46 |
$1,314.46 |
$1,314.46 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$206.23 |
$206.23 |
$206.23 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$1,290.68 |
$1,290.68 |
$1,290.68 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$320.01 |
$320.01 |
$320.01 |
$699.60
|
|
Ghs chemo >8 hrs
|
$151.50 |
$151.50 |
$151.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$158.47 |
$158.47 |
$158.47 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$30.75 |
$30.75 |
$30.75 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$999.58 |
$999.58 |
$999.58 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$46.13 |
$46.13 |
$46.13 |
$89.28
|
|
Ghs cricothyroidotomy
|
$896.06 |
$896.06 |
$896.06 |
$1,207.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$697.21 |
$697.21 |
$697.21 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$474.99 |
$474.99 |
$474.99 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$159.49 |
$159.49 |
$159.49 |
$586.80
|
|
Ghs fat & muscle
|
$15.79 |
$15.79 |
$15.79 |
$33.00
|
|
Ghs fb removal - incisional
|
$741.28 |
$741.28 |
$741.28 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,266.29 |
$1,266.29 |
$1,266.29 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$47.97 |
$47.97 |
$47.97 |
$48.57
|
|
Ghs fish cytogen
|
$415.13 |
$415.13 |
$415.13 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$415.13 |
$415.13 |
$415.13 |
$229.45
|
|
Ghs flow volume loop
|
$282.08 |
$282.08 |
$282.08 |
$309.12
|
|
Ghs histoplasma antigen
|
$9.23 |
$9.23 |
$9.23 |
$137.80
|
|
Ghs HIV antibody
|
$130.18 |
$130.18 |
$130.18 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,170.95 |
$2,170.95 |
$2,170.95 |
$3,034.00
|
|
Ghs inf midline insertion
|
$1,048.17 |
$1,048.17 |
$1,048.17 |
$1,234.20
|
|
Ghs inhibitor screen
|
$65.19 |
$65.19 |
$65.19 |
$143.32
|
|
Ghs intro needle/intracath vein - 36000
|
$536.69 |
$536.69 |
$536.69 |
$213.75
|
|
Ghs IV thrombolytics - cerebral
|
$914.10 |
$914.10 |
$914.10 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$129.97 |
$129.97 |
$129.97 |
$617.60
|
|
Ghs mbp
|
$18.04 |
$18.04 |
$18.04 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$242.31 |
$242.31 |
$242.31 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$242.31 |
$242.31 |
$242.31 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$242.31 |
$242.31 |
$242.31 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$121.16 |
$121.16 |
$121.16 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$121.16 |
$121.16 |
$121.16 |
$140.00
|
|
Ghs nerve blk intercostal, ea addtl level
|
$705.61 |
$705.61 |
$705.61 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$542.43 |
$542.43 |
$542.43 |
$1,230.80
|
|
Ghs nerve block brachial plexus
|
$606.60 |
$606.60 |
$606.60 |
$1,768.00
|
|
Ghs nerve block celiac plexus
|
$371.46 |
$371.46 |
$371.46 |
$1,712.00
|
|
Ghs nerve block sciatic nerve
|
$486.26 |
$486.26 |
$486.26 |
$1,636.80
|
|
Ghs ng placement w fluoro guidance
|
$151.70 |
$151.70 |
$151.70 |
$468.75
|
|
Ghs opcc repair cvp without subq port
|
$917.38 |
$917.38 |
$917.38 |
$1,302.54
|
