|
Fluoroguide needle placement
|
$162.17 |
$162.17 |
$162.17 |
$536.26
|
|
Fluoro polarize fetal lung
|
$20.80 |
$20.80 |
$20.80 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$165.92 |
$165.92 |
$165.92 |
$494.52
|
|
Fna bx w/ct gdn 1st les
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,588.65
|
|
Fna bx w/mr gdn 1st les
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$973.71
|
|
Foam stability fetal lung
|
$20.80 |
$20.80 |
$20.80 |
$20.80
|
|
Folic acid
|
$16.17 |
$16.17 |
$16.17 |
$90.60
|
|
Follow-up angiography
|
$531.75 |
$531.75 |
$531.75 |
$1,939.14
|
|
Follow-up surgery of eye
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,954.80
|
|
Forehead flap w/vasc pedicle 15731
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$595.80
|
|
Fractionation ketosteroids
|
$31.35 |
$31.35 |
$31.35 |
$72.00
|
|
Fracture assessment via dxa
|
$55.18 |
$55.18 |
$55.18 |
$146.80
|
|
_fragile x methylation-sendout
|
$49.38 |
$49.38 |
$49.38 |
$174.00
|
|
Fragmenting of kidney stone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,827.25
|
|
Frenectomy 41115
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,744.44
|
|
Frenotomy 40806
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$599.72
|
|
Frenulotomy of penis
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$28.71 |
$28.71 |
$28.71 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$28.71 |
$28.71 |
$28.71 |
$149.50
|
|
Frozen cell preparation
|
$13.30 |
$13.30 |
$13.30 |
$16.68
|
|
Fructosamine glycated protein
|
$18.44 |
$18.44 |
$18.44 |
$60.42
|
|
Ftl cgen abnor four anal
|
$168.85 |
$168.85 |
$168.85 |
$211.83
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,919.95
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,465.10
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,501.10
|
|
Fusion/graft of finger joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Fusion of ankle joint open
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,827.37
|
|
Fusion of big toe joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Fusion of big toe joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Fusion of finger joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,986.00
|
|
Fusion of finger tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Fusion of finger tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,893.86
|
|
Fusion of foot bones
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,697.18
|
|
Fusion of foot bones
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,144.39
|
|
Fusion of foot bones
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Fusion of hand joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Fusion of knuckle
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Fusion of knuckle joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,545.97
|
|
Fusion of knuckle joints
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,110.40
|
|
Fusion of knuckle joints
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Fusion of knuckle with graft
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Fusion of spermatic ducts
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,424.12
|
|
Fusion of spermatic ducts
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,986.00
|
|
Fusion of tendons at wrist
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Fusion of tendons at wrist
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Fusion of thumb
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,299.09
|
|
Fusion of toes
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,821.05
|
|
G6pc gene
|
$64.34 |
$64.34 |
$64.34 |
$104.65
|
|
G6pd full gene sequence
|
$660.00 |
$660.00 |
$660.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$192.29 |
$192.29 |
$192.29 |
$243.00
|
|
G6pd known familial variant
|
$412.78 |
$412.78 |
$412.78 |
$412.78
|
|
Galac-1-phosphate uridyltran - sendout
|
$23.18 |
$23.18 |
$23.18 |
$82.50
|
|
Galactokinase - sendout
|
$23.63 |
$23.63 |
$23.63 |
$175.00
|
|
Galactose transferase test
|
$12.91 |
$12.91 |
$12.91 |
$22.40
|
|
Galectin-3
|
$48.68 |
$48.68 |
$48.68 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,904.15
|
|
Gammaglobulin iga
|
$10.23 |
$10.23 |
$10.23 |
$75.30
|
|
Gammaglobulin ige
|
$18.11 |
$18.11 |
$18.11 |
$85.00
|
|
Gamma glutamyltransferase
|
$7.92 |
$7.92 |
$7.92 |
$55.28
|
|
Gardner vag dna quant
|
$45.94 |
$45.94 |
$45.94 |
$89.70
|
|
Gastric analy w/ph ea spec
|
$7.38 |
$7.38 |
$7.38 |
$23.01
|
|
Gastric motility studies
|
$346.11 |
$346.11 |
$346.11 |
$627.89
|
|
Gastric mucosa imaging
|
$221.67 |
$221.67 |
$221.67 |
$497.25
|
|
Gastrin test
|
$19.46 |
$19.46 |
$19.46 |
$44.80
|
|
Gastroesophageal reflux test
|
$429.26 |
$429.26 |
$429.26 |
$1,129.63
|
|
Gastrostomy open neonatal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,154.78
|
|
Gated heart multiple
|
$638.36 |
$638.36 |
$638.36 |
$1,370.99
|
|
Gba gene
|
$51.98 |
$51.98 |
$51.98 |
$140.00
|
|
Genetic tstg severe inh cond
|
$2,693.42 |
$2,693.42 |
$2,693.42 |
$4,156.20
|
|
Genioplasty augmentation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Geniop sldg augmentation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Geniop sldg osteot 1
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,592.74
|
|
Geniop sldg osteot 2/>
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Genome sequence analysis
|
$5,534.32 |
$5,534.32 |
$5,534.32 |
$5,534.32
|
|
Gentamicin peak therapeutic drug level
|
$18.02 |
$18.02 |
$18.02 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$310.83 |
$310.83 |
$310.83 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$10.79 |
$10.79 |
$10.79 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$18.82 |
$18.82 |
$18.82 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$112.49 |
$112.49 |
$112.49 |
$382.20
|
|
Ghs antibodies (torch) igm
|
$15.83 |
$15.83 |
$15.83 |
$73.70
|
|
Ghs aspiration bladder - needle
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$344.48
|
|
Ghs bleeding time (ivy)
|
$5.30 |
$5.30 |
$5.30 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$699.60
|
|
Ghs chemo >8 hrs
|
$371.83 |
$371.83 |
$371.83 |
$714.87
|
|
Ghs chemo infusion >8 hrs
|
$216.41 |
$216.41 |
$216.41 |
$501.00
|
|
Ghs chemo IV push, ea addtl
|
$250.39 |
$250.39 |
$250.39 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$38.60 |
$38.60 |
$38.60 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,621.64
|
