|
Foreskn manip w/lss preputial ads+stretching 54450
|
$62.00 |
$62.00 |
$62.00 |
$532.80
|
|
Foscarnet sodium injection
|
$39.50 |
$39.50 |
$39.50 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$52.23 |
$52.23 |
$52.23 |
$106.10
|
|
Fragmenting of kidney stone
|
$634.00 |
$634.00 |
$634.00 |
$10,057.42
|
|
Freeing of bowel adhesion 44005
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$2,062.20
|
|
Frenulotomy of penis
|
$223.00 |
$223.00 |
$223.00 |
$3,897.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$79.00 |
$79.00 |
$79.00 |
$156.60
|
|
Fructosamine glycated protein
|
$4.50 |
$4.50 |
$4.50 |
$60.75
|
|
Fth/gft fr trnk each addl
|
$79.50 |
$79.50 |
$79.50 |
$1,331.00
|
|
Full field erg w/i&r
|
$41.50 |
$41.50 |
$41.50 |
$393.12
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$876.50 |
$876.50 |
$876.50 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$647.00 |
$647.00 |
$647.00 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$792.00 |
$792.00 |
$792.00 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$838.50 |
$838.50 |
$838.50 |
$2,703.50
|
|
Fundus photography with i&r 92250
|
$24.50 |
$24.50 |
$24.50 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$1.95 |
$1.95 |
$1.95 |
$19.00
|
|
Fusion of ankle joint open
|
$1,124.00 |
$1,124.00 |
$1,124.00 |
$10,629.07
|
|
Fusion of big toe joint
|
$12,186.50 |
$12,186.50 |
$12,186.50 |
$5,488.00
|
|
Fusion of big toe joint
|
$563.50 |
$563.50 |
$563.50 |
$6,839.00
|
|
Fusion of finger joint
|
$713.50 |
$713.50 |
$713.50 |
$4,350.00
|
|
Fusion of foot bones
|
$818.50 |
$818.50 |
$818.50 |
$6,411.60
|
|
Fusion of foot bones
|
$697.00 |
$697.00 |
$697.00 |
$4,881.00
|
|
Fusion of tibiofibular joint
|
$780.00 |
$780.00 |
$780.00 |
$8,299.09
|
|
G0180 home health certification
|
$67.50 |
$67.50 |
$67.50 |
$116.00
|
|
Gabapentin non-blood
|
$21.00 |
$21.00 |
$21.00 |
$36.30
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$28.49 |
$28.49 |
$28.49 |
$144.98
|
|
Gallbladder Removal (Laparoscopic)
|
$7,440.50 |
$7,440.50 |
$7,440.50 |
$11,117.34
|
|
Gamma globulin 1 cc inj
|
$71.50 |
$71.50 |
$71.50 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$67.20
|
|
Gammaglobulin ige
|
$70.00 |
$70.00 |
$70.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$58.00 |
$58.00 |
$58.00 |
$57.54
|
|
Gammagraft
|
$119.50 |
$119.50 |
$119.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$89.00 |
$89.00 |
$89.00 |
$7,634.20
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$2,376.00
|
|
Gel-one
|
$742.50 |
$742.50 |
$742.50 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$3.50 |
$3.50 |
$3.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$207.51
|
|
General health panel
|
$230.50 |
$230.50 |
$230.50 |
$275.00
|
|
Genetic tstg severe inh cond
|
$510.50 |
$510.50 |
$510.50 |
$3,978.65
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$8.00 |
$8.00 |
$8.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$91.00 |
$91.00 |
$91.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$103.50 |
$103.50 |
$103.50 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$210.50 |
$210.50 |
$210.50 |
$3,515.40
|
|
Ghs analysis neurostim without reprogramming
|
$127.50 |
$127.50 |
$127.50 |
$246.50
|
|
Ghs bladder cath - complex-foley
|
$83.00 |
$83.00 |
$83.00 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$60.50 |
$60.50 |
$60.50 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$98.00 |
$98.00 |
$98.00 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$239.50 |
$239.50 |
$239.50 |
$565.49
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$365.50 |
$365.50 |
$365.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$538.50 |
$538.50 |
$538.50 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$553.50 |
$553.50 |
$553.50 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,540.50 |
$1,540.50 |
$1,540.50 |
$2,148.00
|
|
Ghs closure surg wound/dehiscence-13160
|
$897.00 |
$897.00 |
$897.00 |
$3,086.00
|
|
Ghs clsd red med malleolus fx without manip
|
$378.50 |
$378.50 |
$378.50 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$584.50 |
$584.50 |
$584.50 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$575.50 |
$575.50 |
$575.50 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$623.50 |
$623.50 |
$623.50 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$414.50 |
$414.50 |
$414.50 |
$495.55
|
|
Ghs conjunctiva foreign body-embed bil
|
$36.50 |
$36.50 |
$36.50 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$171.50 |
$171.50 |
$171.50 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$557.00 |
$557.00 |
$557.00 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$178.50 |
$178.50 |
$178.50 |
$339.60
|
|
Ghs cricothyroidotomy
|
$373.50 |
$373.50 |
$373.50 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$104.00 |
$104.00 |
$104.00 |
$62.05
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$118.50 |
$118.50 |
$118.50 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$36.50 |
$36.50 |
$36.50 |
$329.60
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$71.00 |
$71.00 |
$71.00 |
$467.00
|
|
Ghs excision ingrown nail
|
$106.50 |
$106.50 |
$106.50 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$304.50 |
$304.50 |
$304.50 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$354.00 |
$354.00 |
$354.00 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$281.00 |
$281.00 |
$281.00 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$207.00 |
$207.00 |
$207.00 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$170.00 |
$170.00 |
$170.00 |
$1,706.20
|
|
Ghs fish cytogen
|
$462.00 |
$462.00 |
$462.00 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$882.00 |
$882.00 |
$882.00 |
$223.00
|
|
Ghs flow volume loop
|
$17.50 |
$17.50 |
$17.50 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$344.00 |
$344.00 |
$344.00 |
$368.50
|
|
Ghs histoplasma antigen
|
$202.50 |
$202.50 |
$202.50 |
$141.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$242.50 |
$242.50 |
$242.50 |
$3,165.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,596.50 |
$1,596.50 |
$1,596.50 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$203.50 |
$203.50 |
$203.50 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$932.00 |
$932.00 |
$932.00 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$795.83 |
$795.83 |
$795.83 |
$523.73
|
|
Ghs inf midline insertion
|
$97.50 |
$97.50 |
$97.50 |
$1,219.20
|
|
Ghs init tx 1st degree burn
|
$52.00 |
$52.00 |
$52.00 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$202.50 |
$202.50 |
$202.50 |
$1,932.00
|
|
Ghs inj neurolytic other perph nerve
|
$135.00 |
$135.00 |
$135.00 |
$1,702.20
|
|
Ghs inj tendon origin/insertion
|
$294.00 |
$294.00 |
$294.00 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$65.50 |
$65.50 |
$65.50 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$142.00 |
$142.00 |
$142.00 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$71.00 |
$71.00 |
$71.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$614.00 |
$614.00 |
$614.00 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$327.00 |
$327.00 |
$327.00 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$373.50 |
$373.50 |
$373.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$9.50 |
$9.50 |
$9.50 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$158.00 |
$158.00 |
$158.00 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$340.00 |
$340.00 |
$340.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$199.00 |
$199.00 |
$199.00 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$425.00 |
$425.00 |
$425.00 |
$584.00
|
