|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.40 |
$86.40 |
$86.40 |
$61.00
|
|
Fibrinolytic plasminogen
|
$161.60 |
$161.60 |
$161.60 |
$107.50
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$570.05 |
$570.05 |
$570.05 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$326.60 |
$326.60 |
$326.60 |
$891.02
|
|
Finger X-ray (both hands)
|
$176.00 |
$176.00 |
$176.00 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$86.40 |
$86.40 |
$86.40 |
$65.65
|
|
Flexible Sigmoidoscopy
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$116.00 |
$116.00 |
$116.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$188.00 |
$188.00 |
$188.00 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$72.32 |
$72.32 |
$72.32 |
$64.22
|
|
Fluorescent antibody titer dna
|
$56.80 |
$56.80 |
$56.80 |
$123.65
|
|
Folic acid
|
$83.20 |
$83.20 |
$83.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.52 |
$0.52 |
$0.52 |
$45.00
|
|
Foot X-ray
|
$211.20 |
$211.20 |
$211.20 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$207.20 |
$207.20 |
$207.20 |
$290.40
|
|
Forearm X-ray (both sides)
|
$220.00 |
$220.00 |
$220.00 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$464.61 |
$464.61 |
$464.61 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$27.60 |
$27.60 |
$27.60 |
$103.62
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
$183.74
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$197.60 |
$197.60 |
$197.60 |
$164.84
|
|
Fructosamine glycated protein
|
$53.60 |
$53.60 |
$53.60 |
$63.50
|
|
Ftl cgen abnor four anal
|
$371.20 |
$371.20 |
$371.20 |
$211.83
|
|
Full Spine X-ray (Scoliosis Survey)
|
$263.20 |
$263.20 |
$263.20 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$27.48 |
$27.48 |
$27.48 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$102.00 |
$102.00 |
$102.00 |
$108.40
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$136.00 |
$136.00 |
$136.00 |
$249.80
|
|
Galactose transferase test
|
$34.40 |
$34.40 |
$34.40 |
$31.35
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,983.20 |
$1,983.20 |
$1,983.20 |
$1,615.00
|
|
Gammaglobulin iga
|
$69.60 |
$69.60 |
$69.60 |
$69.60
|
|
Gammaglobulin ige
|
$93.60 |
$93.60 |
$93.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$54.40 |
$54.40 |
$54.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$4,550.40 |
$4,550.40 |
$4,550.40 |
$7,435.88
|
|
General health panel
|
$221.60 |
$221.60 |
$221.60 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$27.55 |
$27.55 |
$27.55 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$85.60 |
$85.60 |
$85.60 |
$123.84
|
|
Ghs abscess perianal iandd
|
$2,070.40 |
$2,070.40 |
$2,070.40 |
$1,465.00
|
|
Ghs antibodies (torch) igm
|
$77.60 |
$77.60 |
$77.60 |
$69.12
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$587.20 |
$587.20 |
$587.20 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$680.80 |
$680.80 |
$680.80 |
$671.50
|
|
Ghs clsd red med malleolus fx without manip
|
$539.20 |
$539.20 |
$539.20 |
$513.80
|
|
Ghs cl tx knee disl; wo anesth
|
$496.80 |
$496.80 |
$496.80 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$604.80 |
$604.80 |
$604.80 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$92.80 |
$92.80 |
$92.80 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$532.80 |
$532.80 |
$532.80 |
$436.10
|
|
Ghs conjunctiva foreign body-superf bil
|
$341.60 |
$341.60 |
$341.60 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$586.40 |
$586.40 |
$586.40 |
$422.25
|
|
Ghs dislocation elbow closed treatment
|
$618.40 |
$618.40 |
$618.40 |
$602.00
|
|
Ghs fb removal - incisional
|
$2,289.60 |
$2,289.60 |
$2,289.60 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$1,870.40 |
$1,870.40 |
$1,870.40 |
$1,706.20
|
|
Ghs fish cytogen
|
$118.40 |
$118.40 |
$118.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$124.80 |
$124.80 |
$124.80 |
$226.20
|
|
Ghs hgb stability-thal
|
$120.80 |
$120.80 |
$120.80 |
$89.91
|
|
Ghs HIV antibody
|
$67.20 |
$67.20 |
$67.20 |
$89.70
|
|
Ghs i and d pilonidal cyst simple
|
$701.60 |
$701.60 |
$701.60 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$565.60 |
$565.60 |
$565.60 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$696.80 |
$696.80 |
$696.80 |
$350.90
|
|
Ghs init tx 1st degree burn
|
$258.40 |
$258.40 |
$258.40 |
$275.88
|
|
Ghs insertion of needle - bone
|
$556.00 |
$556.00 |
$556.00 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$862.40 |
$862.40 |
$862.40 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$986.40 |
$986.40 |
$986.40 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,070.40 |
$3,070.40 |
$3,070.40 |
$2,164.64
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$505.60 |
$505.60 |
$505.60 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$862.40 |
$862.40 |
$862.40 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$525.60 |
$525.60 |
$525.60 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$616.80 |
$616.80 |
$616.80 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$846.40 |
$846.40 |
$846.40 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$782.40 |
$782.40 |
$782.40 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$876.00 |
$876.00 |
$876.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$655.20 |
$655.20 |
$655.20 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$862.40 |
$862.40 |
$862.40 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$862.40 |
$862.40 |
$862.40 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$862.40 |
$862.40 |
$862.40 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$970.40 |
$970.40 |
$970.40 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$1,126.40 |
$1,126.40 |
$1,126.40 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,821.60 |
$1,821.60 |
$1,821.60 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,064.98
|
|
Ghs nailbed repair/nail removal
|
$952.80 |
$952.80 |
$952.80 |
$724.37
|
|
Ghs ot group caregiver training
|
$56.80 |
$56.80 |
$56.80 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$118.40 |
$118.40 |
$118.40 |
$93.00
|
|
Ghs ot sensory integrative tech/15min
|
$80.80 |
$80.80 |
$80.80 |
$96.20
|
|
Ghs phenylketonurid
|
$71.20 |
$71.20 |
$71.20 |
$53.76
|
|
Ghs plngl fx pm cl
|
$949.60 |
$949.60 |
$949.60 |
$564.80
|
|
Ghs ppd (tb intradermal)
|
$24.00 |
$24.00 |
$24.00 |
$37.44
|
|
Ghs removal intranasal foreign body
|
$276.00 |
$276.00 |
$276.00 |
$283.24
|
|
Ghs removal pharyngeal foreign body
|
$370.40 |
$370.40 |
$370.40 |
$441.68
|
|
Ghs reticulocyte count
|
$33.60 |
$33.60 |
$33.60 |
$34.50
|
|
Ghs sedimentation rate
|
$22.40 |
$22.40 |
$22.40 |
$45.50
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$460.00 |
$460.00 |
$460.00 |
$570.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$652.80 |
$652.80 |
$652.80 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$757.60 |
$757.60 |
$757.60 |
$586.50
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$664.80 |
$664.80 |
$664.80 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$448.80 |
$448.80 |
$448.80 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$441.60 |
$441.60 |
$441.60 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$504.80 |
$504.80 |
$504.80 |
$489.72
|
|
Ghs simple repair over 30 cm - 12007
|
$743.20 |
$743.20 |
$743.20 |
$590.88
|
|
Ghs simple repair over 30 cm - 12018
|
$667.20 |
$667.20 |
$667.20 |
$537.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$146.40 |
$146.40 |
$146.40 |
$157.50
|
|
Ghs sp train/fitting sp device - kx
|
$326.40 |
$326.40 |
$326.40 |
$252.75
|
