|
Fibrin degradation products
|
$14.56 |
$14.56 |
$14.56 |
$75.02
|
|
Fibrinogen activity
|
$85.73 |
$85.73 |
$85.73 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$39.91 |
$39.91 |
$39.91 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$15.03 |
$15.03 |
$15.03 |
$72.80
|
|
Fibrinolytic plasminogen
|
$33.52 |
$33.52 |
$33.52 |
$107.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$846.29 |
$846.29 |
$846.29 |
$825.00
|
|
Finger X-ray (both hands)
|
$176.36 |
$176.36 |
$176.36 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$36.35 |
$36.35 |
$36.35 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$908.46 |
$908.46 |
$908.46 |
$540.80
|
|
Flow cytometry interp 16 or more
|
$151.65 |
$151.65 |
$151.65 |
$200.00
|
|
Flow cytometry marker each additional
|
$65.22 |
$65.22 |
$65.22 |
$97.50
|
|
Flow cytometry one marker technical component
|
$204.03 |
$204.03 |
$204.03 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$150.78 |
$150.78 |
$150.78 |
$172.50
|
|
Flt3 gene
|
$349.75 |
$349.75 |
$349.75 |
$366.29
|
|
Flt3 gene analysis
|
$175.40 |
$175.40 |
$175.40 |
$216.00
|
|
Fluoroguide needle placement
|
$315.65 |
$315.65 |
$315.65 |
$497.92
|
|
Folic acid
|
$43.25 |
$43.25 |
$43.25 |
$101.50
|
|
Foot X-ray
|
$228.74 |
$228.74 |
$228.74 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$199.37 |
$199.37 |
$199.37 |
$290.40
|
|
Forearm X-ray (both sides)
|
$157.19 |
$157.19 |
$157.19 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$138.43 |
$138.43 |
$138.43 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$221.08 |
$221.08 |
$221.08 |
$164.84
|
|
Fructosamine glycated protein
|
$47.98 |
$47.98 |
$47.98 |
$63.50
|
|
Ftl cgen abnor four anal
|
$567.74 |
$567.74 |
$567.74 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$237.73 |
$237.73 |
$237.73 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$184.47 |
$184.47 |
$184.47 |
$355.00
|
|
G6pd full gene sequence
|
$1,295.78 |
$1,295.78 |
$1,295.78 |
$1,320.00
|
|
Gammaglobulin iga
|
$20.14 |
$20.14 |
$20.14 |
$69.60
|
|
Gammaglobulin ige
|
$212.84 |
$212.84 |
$212.84 |
$83.85
|
|
Gamma glutamyltransferase
|
$64.49 |
$64.49 |
$64.49 |
$57.54
|
|
Gel-syn injection 0.1 mg
|
$4.23 |
$4.23 |
$4.23 |
$680.71
|
|
General health panel
|
$47.43 |
$47.43 |
$47.43 |
$262.44
|
|
Genetic tstg severe inh cond
|
$4,774.69 |
$4,774.69 |
$4,774.69 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$3.43 |
$3.43 |
$3.43 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$55.52 |
$55.52 |
$55.52 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,691.24 |
$1,691.24 |
$1,691.24 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$5,846.86 |
$5,846.86 |
$5,846.86 |
$3,776.00
|
|
Ghs analysis neurostim without reprogramming
|
$343.19 |
$343.19 |
$343.19 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$63.75 |
$63.75 |
$63.75 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$303.83 |
$303.83 |
$303.83 |
$344.00
|
|
Ghs change cysto/gastrost
|
$615.93 |
$615.93 |
$615.93 |
$594.55
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$41.77 |
$41.77 |
$41.77 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$522.66 |
$522.66 |
$522.66 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$671.50 |
$671.50 |
$671.50 |
$671.50
|
|
Ghs closed tx tibial fracture w/manip
|
$3,026.98 |
$3,026.98 |
$3,026.98 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$3,955.24 |
$3,955.24 |
$3,955.24 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,848.48 |
$2,848.48 |
$2,848.48 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$438.15 |
$438.15 |
$438.15 |
$581.90
|
|
Ghs community re-entry 15 minutes
|
$96.64 |
$96.64 |
$96.64 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$986.17 |
$986.17 |
$986.17 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$185.26 |
$185.26 |
$185.26 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$235.97 |
$235.97 |
$235.97 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$198.64 |
$198.64 |
$198.64 |
$339.60
|
|
Ghs cricothyroidotomy
|
$438.54 |
$438.54 |
$438.54 |
$1,104.00
|
|
Ghs dislocation elbow closed treatment
|
$626.35 |
$626.35 |
$626.35 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$603.08 |
$603.08 |
$603.08 |
$338.40
|
|
Ghs excision ingrown nail
|
$477.58 |
$477.58 |
$477.58 |
$449.25
|
|
Ghs fb removal foot - deep - left
|
$3,297.87 |
$3,297.87 |
$3,297.87 |
$2,873.34
|
|
Ghs fish cytogen
|
$68.17 |
$68.17 |
$68.17 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$131.98 |
$131.98 |
$131.98 |
$226.20
|
|
Ghs flow volume loop
|
$192.13 |
$192.13 |
$192.13 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$317.68 |
$317.68 |
$317.68 |
$368.50
|
|
Ghs histoplasma antigen
|
$112.11 |
$112.11 |
$112.11 |
$142.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,657.23 |
$2,657.23 |
$2,657.23 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,225.34 |
$1,225.34 |
$1,225.34 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$757.22 |
$757.22 |
$757.22 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$272.60 |
$272.60 |
$272.60 |
$526.50
|
|
Ghs inhibitor screen
|
$27.20 |
$27.20 |
$27.20 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$381.04 |
$381.04 |
$381.04 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$434.12 |
$434.12 |
$434.12 |
$434.12
|
|
Ghs insertion of needle - bone
|
$796.70 |
$796.70 |
$796.70 |
$431.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,546.82 |
$1,546.82 |
$1,546.82 |
$1,051.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$601.07 |
$601.07 |
$601.07 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$492.57 |
$492.57 |
$492.57 |
$663.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$915.44 |
$915.44 |
$915.44 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$1,037.28 |
$1,037.28 |
$1,037.28 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$762.87 |
$762.87 |
$762.87 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$579.72 |
$579.72 |
$579.72 |
$672.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$594.51 |
$594.51 |
$594.51 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$576.89 |
$576.89 |
$576.89 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,274.46 |
$1,274.46 |
$1,274.46 |
$760.20
|
|
Ghs mbp
|
$36.34 |
$36.34 |
$36.34 |
$76.00
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$256.52 |
$256.52 |
$256.52 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$269.26 |
$269.26 |
$269.26 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$98.16 |
$98.16 |
$98.16 |
$142.40
|
|
Ghs musc tst done w/n tst non ext
|
$222.23 |
$222.23 |
$222.23 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$52.84 |
$52.84 |
$52.84 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$674.81 |
$674.81 |
$674.81 |
$724.37
|
|
Ghs ng placement w fluoro guidance
|
$440.28 |
$440.28 |
$440.28 |
$485.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$66.57 |
$66.57 |
$66.57 |
$58.00
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$67.89 |
$67.89 |
$67.89 |
$64.50
|
|
Ghs ot group caregiver training
|
$15.92 |
$15.92 |
$15.92 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$130.62 |
$130.62 |
$130.62 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$64.75 |
$64.75 |
$64.75 |
$96.20
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$121.01 |
$121.01 |
$121.01 |
$74.10
|
|
Ghs peritonsillar abscess i andd
|
$527.74 |
$527.74 |
$527.74 |
$555.00
|
|
Ghs phenylketonurid
|
$18.64 |
$18.64 |
$18.64 |
$53.76
|
|
Ghs plngl fx pm cl
|
$617.08 |
$617.08 |
$617.08 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$32.96 |
$32.96 |
$32.96 |
$37.44
|
|
Ghs protein, misc fluid
|
$55.68 |
$55.68 |
$55.68 |
$24.60
|
