|
Fmri brain by tech
|
$468.55 |
$468.55 |
$468.55 |
|
|
Fna bx w/ct gdn 1st les
|
$2,398.05 |
$2,398.05 |
$2,398.05 |
|
|
Fna bx w/ct gdn ea addl
|
$785.65 |
$785.65 |
$785.65 |
|
|
Fna bx w/mr gdn 1st les
|
$2,655.00 |
$2,655.00 |
$2,655.00 |
|
|
Fna bx w/mr gdn ea addl
|
$785.65 |
$785.65 |
$785.65 |
|
|
Foam drg >16<=48 sq in without b
|
$83.00 |
$83.00 |
$83.00 |
|
|
Folic acid
|
$185.75 |
$185.75 |
$185.75 |
|
|
Folic acid 5 mg/ml injection solution
|
$5.21 |
$5.21 |
$5.21 |
|
|
Follow-up angiography
|
$1,464.30 |
$1,464.30 |
$1,464.30 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,683.83 |
$4,683.83 |
$4,683.83 |
|
|
Fondaparinux sodium
|
$562.93 |
$562.93 |
$562.93 |
|
|
Foot X-ray
|
$382.00 |
$382.00 |
$382.00 |
|
|
Foot X-ray (2 views, both feet)
|
$346.60 |
$346.60 |
$346.60 |
|
|
Forearm X-ray (both sides)
|
$393.95 |
$393.95 |
$393.95 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$554.15 |
$554.15 |
$554.15 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3,406.34 |
$3,406.34 |
$3,406.34 |
|
|
Foscarnet sodium injection
|
$4,812.32 |
$4,812.32 |
$4,812.32 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$504.79 |
$504.79 |
$504.79 |
|
|
Fracture assessment via dxa
|
$133.45 |
$133.45 |
$133.45 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$711.80 |
$711.80 |
$711.80 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$711.80 |
$711.80 |
$711.80 |
|
|
Fructosamine glycated protein
|
$167.00 |
$167.00 |
$167.00 |
|
|
Ftl cgen abnor 3 proteins
|
$2,712.50 |
$2,712.50 |
$2,712.50 |
|
|
Ftl cgen abnor four anal
|
$460.80 |
$460.80 |
$460.80 |
|
|
Ftl cgen abnor two proteins
|
$230.10 |
$230.10 |
$230.10 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$708.20 |
$708.20 |
$708.20 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$3,406.20 |
$3,406.20 |
$3,406.20 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$3,791.85 |
$3,791.85 |
$3,791.85 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,194.80 |
$3,194.80 |
$3,194.80 |
|
|
Furosemide 10 mg/ml injection solution
|
$90.60 |
$90.60 |
$90.60 |
|
|
Ga-68 gallium 68 dotatate
|
$374.73 |
$374.73 |
$374.73 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$162.68 |
$162.68 |
$162.68 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$116.95 |
$116.95 |
$116.95 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$464.86 |
$464.86 |
$464.86 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$285.35 |
$285.35 |
$285.35 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,894.00 |
$1,894.00 |
$1,894.00 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$3,863.55 |
$3,863.55 |
$3,863.55 |
|
|
Gammaglobulin iga
|
$115.75 |
$115.75 |
$115.75 |
|
|
Gammaglobulin ige
|
$204.65 |
$204.65 |
$204.65 |
|
|
Gamma glutamyltransferase
|
$138.05 |
$138.05 |
$138.05 |
|
|
Gamunex-c/gammaked
|
$10,478.45 |
$10,478.45 |
$10,478.45 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$696.28 |
$696.28 |
$696.28 |
|
|
Gardner vag dna amp probe
|
$489.30 |
$489.30 |
$489.30 |
|
|
Gastric emptying imag study
|
$1,637.80 |
$1,637.80 |
$1,637.80 |
|
|
Gastric emptying imag study
|
$2,169.05 |
$2,169.05 |
$2,169.05 |
|
|
Gastroesophageal reflux study
|
$1,162.50 |
$1,162.50 |
$1,162.50 |
|
|
Gastroesophageal reflux test
|
$852.30 |
$852.30 |
$852.30 |
|
|
Gated heart multiple
|
$2,248.40 |
$2,248.40 |
$2,248.40 |
|
|
Gba gene
|
$381.30 |
$381.30 |
$381.30 |
|
|
Gemcitabine 1 gram intravenous solution
|
$922.03 |
$922.03 |
$922.03 |
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$14,038.15 |
$14,038.15 |
$14,038.15 |
|
|
General health panel
|
$530.85 |
$530.85 |
$530.85 |
|
|
Generator barostim neo2 2014
|
$38,190.00 |
$38,190.00 |
$38,190.00 |
|
|
Generator emblem MRI sicd subq
|
$21,500.00 |
$21,500.00 |
$21,500.00 |
|
|
Genetic tstg severe inh cond
|
$4,465.40 |
$4,465.40 |
$4,465.40 |
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$62.81 |
$62.81 |
$62.81 |
|
|
Gentamicin peak therapeutic drug level
|
$313.15 |
$313.15 |
$313.15 |
|
|
G-esoph reflx tst w/electrod
|
$866.40 |
$866.40 |
$866.40 |
|
|
Ghs abscess perianal iandd
|
$1,517.10 |
$1,517.10 |
$1,517.10 |
|
|
Ghs abscess postoperative iandd complex
|
$4,395.70 |
$4,395.70 |
$4,395.70 |
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$419.10 |
$419.10 |
$419.10 |
|
|
Ghs alpha thalasemia, 7 deletions
|
$824.90 |
$824.90 |
$824.90 |
|
|
Ghs analysis neurostim without reprogramming
|
$269.35 |
$269.35 |
$269.35 |
|
|
Ghs aspiration bladder - needle
|
$3,587.55 |
$3,587.55 |
$3,587.55 |
|
|
Ghs bladder cath - complex-foley
|
$371.15 |
$371.15 |
$371.15 |
|
|
Ghs block ilioinguinal/gentitofemoral
|
$959.90 |
$959.90 |
$959.90 |
|
|
Ghs central line insert < age 5, failed
|
$1,152.85 |
$1,152.85 |
$1,152.85 |
|
|
Ghs change cysto/gastrost
|
$624.25 |
$624.25 |
$624.25 |
|
|
Ghs chemo >8 hrs
|
$1,342.40 |
$1,342.40 |
$1,342.40 |
|
|
Ghs chemo IV push, ea addtl
|
$448.05 |
$448.05 |
$448.05 |
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$1,022.25 |
$1,022.25 |
$1,022.25 |
|
|
Ghs closed reduction ankle dislocation
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,394.35 |
$1,394.35 |
$1,394.35 |
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,361.70 |
$1,361.70 |
$1,361.70 |
|
|
Ghs closed tx tibial fracture w/manip
|
$3,226.90 |
$3,226.90 |
$3,226.90 |
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,655.60 |
$2,655.60 |
$2,655.60 |
|
|
Ghs clsd red med malleolus fx without manip
|
$863.45 |
$863.45 |
$863.45 |
|
|
Ghs clsd red med malleolus fx w manip
|
$2,620.80 |
$2,620.80 |
$2,620.80 |
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,867.80 |
$1,867.80 |
$1,867.80 |
|
|
Ghs cl tx knee disl; wo anesth
|
$1,320.35 |
$1,320.35 |
$1,320.35 |
|
|
Ghs cl tx metacarpophal disloc without anes
|
$907.95 |
$907.95 |
$907.95 |
|
|
Ghs community re-entry 15 minutes
|
$240.55 |
$240.55 |
$240.55 |
|
|
Ghs conjunctiva foreign body-embed bil
|
$723.70 |
$723.70 |
$723.70 |
|
|
Ghs conjunctiva foreign body-superf bil
|
$248.60 |
$248.60 |
$248.60 |
|
|
Ghs corneal fb without slit lamp bilat
|
$567.55 |
$567.55 |
$567.55 |
|
|
Ghs corneal fb with slit lamp bilat
|
$557.35 |
$557.35 |
$557.35 |
|
|
Ghs cricothyroidotomy
|
$3,874.50 |
$3,874.50 |
$3,874.50 |
|
|
Ghs cutdown placement age 1 and over
|
$744.70 |
$744.70 |
$744.70 |
|
|
Ghs dislocation elbow closed treatment
|
$1,423.55 |
$1,423.55 |
$1,423.55 |
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$292.25 |
$292.25 |
$292.25 |
|
|
Ghs ed rmvl or bivalving cast
|
$330.85 |
$330.85 |
$330.85 |
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,395.45 |
$1,395.45 |
$1,395.45 |
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$523.40 |
$523.40 |
$523.40 |
|
|
Ghs excision ingrown nail
|
$491.55 |
$491.55 |
$491.55 |
|
|
Ghs eyelid foreign body-embedded - bil
|
$559.45 |
$559.45 |
$559.45 |
|
|
Ghs fb removal foot - deep - left
|
$6,688.10 |
$6,688.10 |
$6,688.10 |
|
|
Ghs fb removal - incisional
|
$3,990.20 |
$3,990.20 |
$3,990.20 |
|
|
Ghs fb removal - non-incisional
|
$2,322.15 |
$2,322.15 |
$2,322.15 |
|
|
Ghs fish cytogen
|
$265.10 |
$265.10 |
$265.10 |
|
|
Ghs fish hybrid in situ 100-300
|
$230.20 |
$230.20 |
$230.20 |
|