|
Finger X-ray (both hands)
|
$387.00 |
$387.00 |
$387.00 |
$241.50
|
|
Fixation of knee joint
|
$1,863.75 |
$1,863.75 |
$1,863.75 |
$1,963.35
|
|
Flebogamma injection
|
$3,562.92 |
$3,562.92 |
$3,562.92 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$96.00 |
$96.00 |
$96.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$565.50 |
$565.50 |
$565.50 |
$553.61
|
|
Flexible Sigmoidoscopy
|
$1,763.25 |
$1,763.25 |
$1,763.25 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$181.50 |
$181.50 |
$181.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$270.75 |
$270.75 |
$270.75 |
$285.00
|
|
Floxuridine injection
|
$14,923.11 |
$14,923.11 |
$14,923.11 |
$5,871.79
|
|
Flt3 gene
|
$206.25 |
$206.25 |
$206.25 |
$367.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$24.41 |
$24.41 |
$24.41 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$601.96 |
$601.96 |
$601.96 |
$493.35
|
|
Fluidotherapy charges pt
|
$139.50 |
$139.50 |
$139.50 |
$97.07
|
|
Fluid pressure muscle 20950
|
$445.50 |
$445.50 |
$445.50 |
$784.80
|
|
Fluocinolone acetonide implt
|
$70,344.94 |
$70,344.94 |
$70,344.94 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$429.75 |
$429.75 |
$429.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$843.75 |
$843.75 |
$843.75 |
$495.95
|
|
Fluoroguide needle placement
|
$599.25 |
$599.25 |
$599.25 |
$500.40
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$818.25 |
$818.25 |
$818.25 |
$507.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$203.74 |
$203.74 |
$203.74 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$380.85 |
$380.85 |
$380.85 |
$72.52
|
|
Fmri brain by tech
|
$1,157.25 |
$1,157.25 |
$1,157.25 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$900.75 |
$900.75 |
$900.75 |
$1,471.60
|
|
Fna bx w/ct gdn ea addl
|
$847.50 |
$847.50 |
$847.50 |
$834.00
|
|
Fna bx w/mr gdn 1st les
|
$900.75 |
$900.75 |
$900.75 |
$1,243.15
|
|
Fna bx w/mr gdn ea addl
|
$847.50 |
$847.50 |
$847.50 |
$762.28
|
|
Foam drg >16<=48 sq in w/bdr
|
$40.98 |
$40.98 |
$40.98 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$66.25 |
$66.25 |
$66.25 |
$39.19
|
|
Foam drg > 48 sq in w/border
|
$23.01 |
$23.01 |
$23.01 |
$23.63
|
|
Foam drg > 48 sq in without brdr
|
$27.27 |
$27.27 |
$27.27 |
$33.49
|
|
Folic acid
|
$85.50 |
$85.50 |
$85.50 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$78.99 |
$78.99 |
$78.99 |
$45.00
|
|
Follow-up angiography
|
$2,599.50 |
$2,599.50 |
$2,599.50 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,261.49 |
$1,261.49 |
$1,261.49 |
$2,481.61
|
|
Fondaparinux sodium
|
$121.83 |
$121.83 |
$121.83 |
$186.20
|
|
Foot arch support remov prem
|
$82.50 |
$82.50 |
$82.50 |
$141.41
|
|
Foot insert plastazote or eq
|
$101.25 |
$101.25 |
$101.25 |
$349.16
|
|
Foot X-ray
|
$420.00 |
$420.00 |
$420.00 |
$356.95
|
|
Foot X-ray (2 views, both feet)
|
$333.00 |
$333.00 |
$333.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$394.50 |
$394.50 |
$394.50 |
$322.20
|
|
Forensic autopsy (necropsy)
|
$162.00 |
$162.00 |
$162.00 |
$1,657.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$285.00 |
$285.00 |
$285.00 |
$544.50
|
|
Formoterol fumarate, inh
|
$59.40 |
$59.40 |
$59.40 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,233.17 |
$1,233.17 |
$1,233.17 |
$482.62
|
|
Foscarnet sodium injection
|
$1,101.86 |
$1,101.86 |
$1,101.86 |
$975.28
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$94.85 |
$94.85 |
$94.85 |
$103.62
|
|
Fracture assessment via dxa
|
$771.00 |
$771.00 |
$771.00 |
$177.91
|
|
Fragmenting of kidney stone
|
$9,827.25 |
$9,827.25 |
$9,827.25 |
$10,312.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$168.75 |
$168.75 |
$168.75 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$223.50 |
$223.50 |
$223.50 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$131.25 |
$131.25 |
$131.25 |
$131.25
|
|
Fructosamine glycated protein
|
$76.50 |
$76.50 |
$76.50 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$378.00 |
$378.00 |
$378.00 |
$354.60
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,910.75 |
$2,910.75 |
$2,910.75 |
$2,469.00
|
|
Furosemide 10 mg/ml injection solution
|
$19.53 |
$19.53 |
$19.53 |
$19.53
|
|
Ga-68 gallium 68 dotatate
|
$156.00 |
$156.00 |
$156.00 |
$140.35
|
|
Gabapentin non-blood
|
$51.75 |
$51.75 |
$51.75 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$177.43 |
$177.43 |
$177.43 |
$107.11
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$119.29 |
$119.29 |
$119.29 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$486.60 |
$486.60 |
$486.60 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$85.50 |
$85.50 |
$85.50 |
$100.00
|
|
Galectin-3
|
$280.50 |
$280.50 |
$280.50 |
$96.99
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,494.00 |
$1,494.00 |
$1,494.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,326.50 |
$2,326.50 |
$2,326.50 |
$1,612.00
|
|
Gammaglobulin iga
|
$183.00 |
$183.00 |
$183.00 |
$69.15
|
|
Gammaglobulin ige
|
$148.50 |
$148.50 |
$148.50 |
$83.85
|
|
Gamma glutamyltransferase
|
$77.25 |
$77.25 |
$77.25 |
$57.54
|
|
Gamunex-c/gammaked
|
$8,519.04 |
$8,519.04 |
$8,519.04 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$94.28 |
$94.28 |
$94.28 |
$197.40
|
|
Gastric motility studies
|
$1,942.50 |
$1,942.50 |
$1,942.50 |
$972.00
|
|
Gastrin test
|
$138.00 |
$138.00 |
$138.00 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,232.25 |
$1,232.25 |
$1,232.25 |
$1,055.60
|
|
Gastroesophageal reflux test
|
$1,635.75 |
$1,635.75 |
$1,635.75 |
$1,352.00
|
|
Gel-syn injection 0.1 mg
|
$1,330.04 |
$1,330.04 |
$1,330.04 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$168.02 |
$168.02 |
$168.02 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$37,698.54 |
$37,698.54 |
$37,698.54 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$83,687.18 |
$83,687.18 |
$83,687.18 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$61,875.00 |
$61,875.00 |
$61,875.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$11,208.75 |
$11,208.75 |
$11,208.75 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$43,200.00 |
$43,200.00 |
$43,200.00 |
$38,400.00
|
|
Genome sequence analysis
|
$8,306.25 |
$8,306.25 |
$8,306.25 |
$5,031.20
|
|
Genome sequence analysis
|
$5,081.25 |
$5,081.25 |
$5,081.25 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$85.57 |
$85.57 |
$85.57 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$156.75 |
$156.75 |
$156.75 |
$121.75
|
|
G-esoph reflx tst w/electrod
|
$1,684.50 |
$1,684.50 |
$1,684.50 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$2,153.25 |
$2,153.25 |
$2,153.25 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$4,318.50 |
$4,318.50 |
$4,318.50 |
$3,834.59
|
|
Ghs acetylcholinesterase, rbc
|
$133.50 |
$133.50 |
$133.50 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$858.00 |
$858.00 |
$858.00 |
$93.03
|
|
Ghs analysis neurostim without reprogramming
|
$829.50 |
$829.50 |
$829.50 |
$262.35
|
|
Ghs antibodies (torch) igm
|
$131.25 |
$131.25 |
$131.25 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$277.50 |
$277.50 |
$277.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,676.75 |
$2,676.75 |
$2,676.75 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$909.00 |
$909.00 |
$909.00 |
$597.92
|
|
Ghs chemo >8 hrs
|
$862.50 |
$862.50 |
$862.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$736.50 |
$736.50 |
$736.50 |
$278.75
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$744.75 |
$744.75 |
$744.75 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$630.00 |
$630.00 |
$630.00 |
$515.00
|
|
Ghs closed reduction ankle dislocation
|
$732.75 |
$732.75 |
$732.75 |
$672.60
|
