|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$12.92 |
$12.92 |
$14.31 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$149.04 |
$149.04 |
$165.03 |
|
|
Fna bx w/ct gdn 1st les
|
$1,191.26 |
$1,191.26 |
$1,661.95 |
|
|
Fna bx w/ct gdn ea addl
|
$1,191.26 |
$1,191.26 |
$1,661.95 |
|
|
Fna bx w/mr gdn 1st les
|
$142.89 |
$142.89 |
$142.89 |
|
|
Fna bx w/mr gdn ea addl
|
$47.56 |
$47.56 |
$47.56 |
|
|
Folic acid
|
$21.69 |
$139.61 |
$194.77 |
|
|
Folic acid 5 mg/ml injection solution
|
$11.07 |
$11.07 |
$12.26 |
|
|
Follow-up angiography
|
$635.30 |
$635.30 |
$703.48 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Fondaparinux sodium
|
$131.61 |
$131.61 |
$145.74 |
|
|
Foot arch support remov prem
|
$108.65 |
$120.31 |
$151.58 |
|
|
Foot drp splt w/exp heel lg
|
$108.65 |
$120.31 |
$151.58 |
|
|
Foot insert plastazote or eq
|
$213.82 |
$236.77 |
$298.30 |
|
|
Foot longitud/metatarsal sup
|
$163.80 |
$181.38 |
$228.52 |
|
|
Foot X-ray
|
$216.01 |
$513.32 |
$716.15 |
|
|
Foot X-ray (2 views, both feet)
|
$101.30 |
$448.34 |
$625.49 |
|
|
Forearm X-ray (both sides)
|
$108.81 |
$452.23 |
$630.92 |
|
|
Formoterol fumarate, inh
|
$11.07 |
$11.07 |
$12.26 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$369.82 |
$369.82 |
$409.51 |
|
|
Foscarnet sodium injection
|
$397.70 |
$397.70 |
$440.38 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$75.24 |
$83.31 |
$104.97 |
|
|
Fracture assessment via dxa
|
$117.38 |
$117.38 |
$117.38 |
|
|
_fragile x methylation-sendout
|
$59.04 |
$65.38 |
$82.37 |
|
|
Fragmenting of kidney stone
|
$8,634.40 |
$8,634.40 |
$11,692.59 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$27.99 |
$62.32 |
$86.95 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$27.99 |
$115.01 |
$160.45 |
|
|
Fresh frozen plasma thawing ea un
|
$276.30 |
$276.30 |
$276.30 |
|
|
Frozen plasma, pooled, sd
|
$82.00 |
$90.80 |
$114.40 |
|
|
Fructosamine glycated protein
|
$10.46 |
$11.58 |
$25.55 |
|
|
Ft arch suprt premold longit
|
$71.55 |
$79.23 |
$99.82 |
|
|
Ftl cgen abnor two proteins
|
$126.36 |
$126.36 |
$126.36 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$68.88 |
$76.28 |
$233.70 |
|
|
Furosemide 10 mg/ml injection solution
|
$5.74 |
$6.36 |
$7.44 |
|
|
Fxn gene detc abnor alleles
|
$467.81 |
$518.02 |
$652.66 |
|
|
G6pd full gene sequence
|
$1,505.52 |
$1,667.09 |
$2,100.39 |
|
|
Ga-67 gallium 0.1 mci
|
$147.19 |
$162.99 |
$205.35 |
|
|
Gabapentin non-blood
|
$26.99 |
$26.99 |
$26.99 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$132.84 |
$147.10 |
$185.33 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$173.64 |
$192.27 |
$242.25 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$83.39 |
$83.39 |
$83.39 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$498.42 |
$1,497.94 |
$1,658.69 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,252.26 |
$2,052.26 |
$2,272.50 |
|
|
Gamma globulin 1 cc inj
|
$49.94 |
$49.94 |
$49.94 |
|
|
Gammaglobulin iga
|
$25.42 |
$28.15 |
$35.47 |
|
|
Gammaglobulin ige
|
$27.96 |
$32.80 |
$45.76 |
|
|
Gamma glutamyltransferase
|
$29.88 |
$75.03 |
$104.68 |
|
|
Gamunex-c/gammaked
|
$920.45 |
$920.45 |
$1,019.23 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$93.69 |
$103.74 |
$113.55 |
|
|
Gastroesophageal reflux study
|
$716.58 |
$716.58 |
$716.58 |
|
|
Gated heart multiple
|
$1,496.88 |
$1,496.88 |
$1,496.88 |
|
|
Gemcitabine 1 gram intravenous solution
|
$60.84 |
$60.84 |
$100.25 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$3,116.62 |
$3,116.62 |
$3,451.09 |
|
|
General health panel
|
$30.14 |
$33.37 |
$42.05 |
|
|
Generator barostim neo2 2014
|
$33,266.38 |
$34,910.48 |
$62,964.80 |
|
|
Generator emblem MRI sicd subq
|
$17,071.34 |
$21,677.11 |
$49,772.21 |
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$28,851.91 |
$28,851.91 |
$31,948.21 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$5.91 |
$5.91 |
$11.07 |
|
|
Gentamicin peak therapeutic drug level
|
$39.52 |
$125.67 |
$175.32 |
|
|
G-esoph reflx tst w/electrod
|
$1,351.62 |
$1,351.62 |
$1,351.62 |
|
|
Ghs abscess perianal iandd
|
$277.16 |
$277.16 |
$386.68 |
|
|
Ghs abscess postoperative iandd complex
|
$903.03 |
$903.03 |
$934.56 |
|
|
Ghs acetylcholinesterase, rbc
|
$5.33 |
$5.91 |
$28.44 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$88.69 |
$88.69 |
$88.69 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$145.14 |
$160.72 |
$403.38 |
|
|
Ghs antibodies (torch) igm
|
$25.34 |
$39.16 |
$54.63 |
|
|
Ghs bladder cath - complex-foley
|
$85.27 |
$1,314.46 |
$1,455.53 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$206.23 |
$287.72 |
$407.95 |
|
|
Ghs central line insert < age 5, failed
|
$1,290.68 |
$1,290.68 |
$1,429.20 |
|
|
Ghs change cysto/gastrost
|
$320.01 |
$320.01 |
$354.35 |
|
|
Ghs chemo >8 hrs
|
$104.81 |
$151.50 |
$483.06 |
|
|
Ghs chemo IV push, ea addtl
|
$75.81 |
$75.81 |
$158.47 |
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$30.75 |
$34.05 |
$174.17 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$999.58 |
$999.58 |
$1,106.86 |
|
|
Ghs community re-entry 15 minutes
|
$46.13 |
$51.08 |
$64.35 |
|
|
Ghs cricothyroidotomy
|
$896.06 |
$896.06 |
$992.22 |
|
|
Ghs diphtheria toxoid ab igg
|
$36.29 |
$36.29 |
$36.29 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$697.21 |
$772.03 |
$972.69 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$474.99 |
$474.99 |
$525.96 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$159.49 |
$176.61 |
$222.51 |
|
|
Ghs fat & muscle
|
$15.79 |
$17.48 |
$117.34 |
|
|
Ghs fb removal - incisional
|
$741.28 |
$741.28 |
$741.28 |
|
|
Ghs fb removal - non-incisional
|
$1,266.29 |
$1,266.29 |
$1,402.18 |
|
|
Ghs febrile agglutinns(mayo)
|
$12.10 |
$47.97 |
$66.93 |
|
|
Ghs fish cytogen
|
$58.75 |
$415.13 |
$579.15 |
|
|
Ghs fish hybrid in situ 100-300
|
$33.26 |
$415.13 |
$579.15 |
|
|
Ghs flow volume loop
|
$93.74 |
$282.08 |
$393.54 |
|
|
Ghs hcv amplificaiton
|
$56.29 |
$56.29 |
$56.29 |
|
|
Ghs hepatitis c virus (hcv riba)
|
$137.66 |
$137.66 |
$137.66 |
|
|
Ghs histoplasma antigen
|
$9.23 |
$10.22 |
$80.71 |
|
|
Ghs HIV antibody
|
$24.19 |
$130.18 |
$181.61 |
|
|
Ghs i and d perirectal abscess 46040
|
$2,170.95 |
$2,170.95 |
$2,403.93 |
|
|
Ghs immun0electrophoresis
|
$51.84 |
$51.84 |
$51.84 |
|
|
Ghs inf midline insertion
|
$1,048.17 |
$1,048.17 |
$1,160.66 |
|
|
Ghs inhibitor screen
|
$65.19 |
$72.19 |
$108.45 |
|
|
Ghs insertion of needle - bone
|
$157.60 |
$157.60 |
$157.60 |
|
|
Ghs intro needle/intracath vein - 36000
|
$536.69 |
$536.69 |
$748.75 |
|
|
Ghs IV thrombolytics - cerebral
|
$914.10 |
$914.10 |
$1,012.20 |
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$129.97 |
$129.97 |
$129.97 |
|
|
Ghs mbp
|
$18.04 |
$19.98 |
$30.37 |
|
