|
Fl exam g/colon tube w contrast
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$546.86
|
|
Flow cytometry interp 16 or more
|
$182.00 |
$182.00 |
$182.00 |
$208.80
|
|
Flow cytometry marker each additional
|
$563.00 |
$563.00 |
$563.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,859.00 |
$1,859.00 |
$1,859.00 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$27.00 |
$27.00 |
$27.00 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$59.73 |
$59.73 |
$59.73 |
$74.00
|
|
Fluorescent antibody titer dna
|
$190.00 |
$190.00 |
$190.00 |
$123.65
|
|
Fluoroguide needle placement
|
$968.00 |
$968.00 |
$968.00 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$625.00 |
$625.00 |
$625.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$1,539.47 |
$1,539.47 |
$1,539.47 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$43.26 |
$43.26 |
$43.26 |
$79.52
|
|
Fna bx w/ct gdn 1st les
|
$7,877.00 |
$7,877.00 |
$7,877.00 |
$1,588.65
|
|
Folic acid
|
$107.00 |
$107.00 |
$107.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$22.22 |
$22.22 |
$22.22 |
$56.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$2,581.14
|
|
Fondaparinux sodium
|
$56.11 |
$56.11 |
$56.11 |
$176.54
|
|
Foot X-ray
|
$430.00 |
$430.00 |
$430.00 |
$362.40
|
|
Formoterol fumarate, inh
|
$92.05 |
$92.05 |
$92.05 |
$59.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$85.63 |
$85.63 |
$85.63 |
$86.40
|
|
Fragmenting of kidney stone
|
$21,312.00 |
$21,312.00 |
$21,312.00 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$485.00 |
$485.00 |
$485.00 |
$168.75
|
|
Fructosamine glycated protein
|
$80.00 |
$80.00 |
$80.00 |
$60.42
|
|
Ftl cgen abnor four anal
|
$143.00 |
$143.00 |
$143.00 |
$211.83
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$49.60 |
$49.60 |
$49.60 |
$32.92
|
|
Gabapentin non-blood
|
$93.00 |
$93.00 |
$93.00 |
$41.25
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$229.03 |
$229.03 |
$229.03 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$379.25 |
$379.25 |
$379.25 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$540.83 |
$540.83 |
$540.83 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$691.95 |
$691.95 |
$691.95 |
$210.50
|
|
Gammaglobulin iga
|
$109.00 |
$109.00 |
$109.00 |
$75.30
|
|
Gammaglobulin ige
|
$102.00 |
$102.00 |
$102.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$123.00 |
$123.00 |
$123.00 |
$55.28
|
|
Gamunex-c/gammaked
|
$9,186.62 |
$9,186.62 |
$9,186.62 |
$6,963.60
|
|
Gemcitabine 1 gram intravenous solution
|
$505.80 |
$505.80 |
$505.80 |
$269.06
|
|
General health panel
|
$522.00 |
$522.00 |
$522.00 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$61.08 |
$61.08 |
$61.08 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$160.00 |
$160.00 |
$160.00 |
$119.00
|
|
Ghs abscess perianal iandd
|
$5,972.00 |
$5,972.00 |
$5,972.00 |
$1,530.50
|
|
Ghs analysis neurostim without reprogramming
|
$302.00 |
$302.00 |
$302.00 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$201.00 |
$201.00 |
$201.00 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$344.48
|
|
Ghs change cysto/gastrost
|
$834.00 |
$834.00 |
$834.00 |
$699.60
|
|
Ghs chemo >8 hrs
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$291.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$10,469.00 |
$10,469.00 |
$10,469.00 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$534.99
|
|
Ghs cl tx knee disl; wo anesth
|
$4,006.00 |
$4,006.00 |
$4,006.00 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$2,004.00 |
$2,004.00 |
$2,004.00 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$106.00 |
$106.00 |
$106.00 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$848.00 |
$848.00 |
$848.00 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$1,713.00 |
$1,713.00 |
$1,713.00 |
$368.16
|
|
Ghs dislocation elbow closed treatment
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$687.73
|
|
Ghs ed rmvl or bivalving cast
|
$529.00 |
$529.00 |
$529.00 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,817.00 |
$1,817.00 |
$1,817.00 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$876.00 |
$876.00 |
$876.00 |
$586.80
|
|
Ghs electrostagmgraphy
|
$1,708.00 |
$1,708.00 |
$1,708.00 |
$218.00
|
|
Ghs elect vertical elct
|
$851.00 |
$851.00 |
$851.00 |
$121.55
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$470.51
|
|
Ghs excision ingrown nail
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$457.60
|
|
Ghs fb removal foot - deep - left
|
$12,719.00 |
$12,719.00 |
$12,719.00 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$15,149.00 |
$15,149.00 |
$15,149.00 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$11,315.00 |
$11,315.00 |
$11,315.00 |
$1,794.93
|
|
Ghs fish cytogen
|
$215.00 |
$215.00 |
$215.00 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$538.00 |
$538.00 |
$538.00 |
$229.45
|
|
Ghs flow volume loop
|
$386.00 |
$386.00 |
$386.00 |
$309.12
|
|
Ghs histoplasma antigen
|
$399.00 |
$399.00 |
$399.00 |
$137.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$12,454.00 |
$12,454.00 |
$12,454.00 |
$3,822.00
|
|
Ghs i and d perirectal abscess 46040
|
$7,793.00 |
$7,793.00 |
$7,793.00 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$9,490.00 |
$9,490.00 |
$9,490.00 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$4,631.00 |
$4,631.00 |
$4,631.00 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$990.00 |
$990.00 |
$990.00 |
$543.60
|
|
Ghs init tx 1st degree burn
|
$629.00 |
$629.00 |
$629.00 |
$300.30
|
|
Ghs inj tendon origin/insertion
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$431.07
|
|
Ghs inj transforaminal cerv single bil
|
$7,747.00 |
$7,747.00 |
$7,747.00 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$421.00 |
$421.00 |
$421.00 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$4,568.00 |
$4,568.00 |
$4,568.00 |
$1,160.28
|
|
Ghs intermed repair over 30 cm - 12037
|
$5,399.00 |
$5,399.00 |
$5,399.00 |
$2,164.64
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,567.00 |
$1,567.00 |
$1,567.00 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$357.00 |
$357.00 |
$357.00 |
$117.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$1,333.00 |
$1,333.00 |
$1,333.00 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$2,205.00 |
$2,205.00 |
$2,205.00 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$2,229.00 |
$2,229.00 |
$2,229.00 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$2,930.00 |
$2,930.00 |
$2,930.00 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$3,032.00 |
$3,032.00 |
$3,032.00 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$3,207.00 |
$3,207.00 |
$3,207.00 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$3,348.00 |
$3,348.00 |
$3,348.00 |
$779.35
|
|
Ghs mbp
|
$83.00 |
$83.00 |
$83.00 |
$74.19
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$845.00 |
$845.00 |
$845.00 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$845.00 |
$845.00 |
$845.00 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$845.00 |
$845.00 |
$845.00 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$240.00 |
$240.00 |
$240.00 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$240.00 |
$240.00 |
$240.00 |
$140.00
|
