|
Fna bx w/ct gdn ea addl
|
$598.65 |
$598.65 |
$598.65 |
$775.14
|
|
Folic acid
|
$24.70 |
$24.70 |
$24.70 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$22.78 |
$22.78 |
$22.78 |
$55.66
|
|
Follow-up angiography
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,575.73 |
$1,575.73 |
$1,575.73 |
$2,860.43
|
|
Fondaparinux sodium
|
$51.61 |
$51.61 |
$51.61 |
$176.81
|
|
Foot X-ray
|
$443.30 |
$443.30 |
$443.30 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,029.92 |
$1,029.92 |
$1,029.92 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$51.42 |
$51.42 |
$51.42 |
$107.31
|
|
Fracture assessment via dxa
|
$669.50 |
$669.50 |
$669.50 |
$146.80
|
|
_fragile x methylation-sendout
|
$466.70 |
$466.70 |
$466.70 |
$174.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$142.35 |
$142.35 |
$142.35 |
$149.50
|
|
Fructosamine glycated protein
|
$37.05 |
$37.05 |
$37.05 |
$60.42
|
|
Ftl cgen abnor four anal
|
$73.45 |
$73.45 |
$73.45 |
$211.83
|
|
Furosemide 10 mg/ml injection solution
|
$23.34 |
$23.34 |
$23.34 |
$27.69
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$13.10 |
$13.10 |
$13.10 |
$26.40
|
|
G6pc gene
|
$76.05 |
$76.05 |
$76.05 |
$104.65
|
|
G6pd full gene sequence
|
$1,779.70 |
$1,779.70 |
$1,779.70 |
$1,320.00
|
|
G6pd known familial variant
|
$4,146.35 |
$4,146.35 |
$4,146.35 |
$412.78
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$9.75 |
$9.75 |
$9.75 |
$162.68
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.51 |
$0.51 |
$0.51 |
$86.54
|
|
Galac-1-phosphate uridyltran - sendout
|
$83.20 |
$83.20 |
$83.20 |
$82.50
|
|
Galectin-3
|
$222.95 |
$222.95 |
$222.95 |
$110.65
|
|
Gallium illuccix 1 millicure
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$1,395.27
|
|
Gammaglobulin iga
|
$65.00 |
$65.00 |
$65.00 |
$75.30
|
|
Gammaglobulin ige
|
$26.65 |
$26.65 |
$26.65 |
$85.00
|
|
Gamma glutamyltransferase
|
$21.45 |
$21.45 |
$21.45 |
$55.28
|
|
Gamunex-c/gammaked
|
$1,871.68 |
$1,871.68 |
$1,871.68 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$129.80 |
$129.80 |
$129.80 |
$209.07
|
|
Gastric emptying imag study
|
$2,311.40 |
$2,311.40 |
$2,311.40 |
$1,270.50
|
|
Gastric emptying imag study
|
$2,311.40 |
$2,311.40 |
$2,311.40 |
$1,664.33
|
|
Gastroesophageal reflux test
|
$4,848.35 |
$4,848.35 |
$4,848.35 |
$1,129.63
|
|
Gated heart multiple
|
$1,888.90 |
$1,888.90 |
$1,888.90 |
$1,370.99
|
|
Gba gene
|
$536.25 |
$536.25 |
$536.25 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$120.96 |
$120.96 |
$120.96 |
$252.84
|
|
General health panel
|
$61.10 |
$61.10 |
$61.10 |
$280.50
|
|
Generator barostim neo2 2014
|
$24,439.97 |
$24,439.97 |
$24,439.97 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$10,583.95 |
$10,583.95 |
$10,583.95 |
$35,824.13
|
|
Genetic tstg severe inh cond
|
$11,949.60 |
$11,949.60 |
$11,949.60 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$96.62 |
$96.62 |
$96.62 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$18.85 |
$18.85 |
$18.85 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$4,651.40 |
$4,651.40 |
$4,651.40 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$603.20 |
$603.20 |
$603.20 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$7,578.35 |
$7,578.35 |
$7,578.35 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$44.85 |
$44.85 |
$44.85 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$126.75 |
$126.75 |
$126.75 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$611.65 |
$611.65 |
$611.65 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$399.75 |
$399.75 |
$399.75 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$24.70 |
$24.70 |
$24.70 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$588.25 |
$588.25 |
$588.25 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$3,044.60 |
$3,044.60 |
$3,044.60 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$2,860.65 |
$2,860.65 |
$2,860.65 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$910.00 |
$910.00 |
$910.00 |
$699.60
|
|
Ghs chemo >8 hrs
|
$3,145.35 |
$3,145.35 |
$3,145.35 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$553.80 |
$553.80 |
$553.80 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$162.50 |
$162.50 |
$162.50 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,132.95 |
$1,132.95 |
$1,132.95 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$99.45 |
$99.45 |
$99.45 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$832.00 |
$832.00 |
$832.00 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$904.80 |
$904.80 |
$904.80 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$904.80 |
$904.80 |
$904.80 |
$368.16
|
|
Ghs cricothyroidotomy
|
$1,312.35 |
$1,312.35 |
$1,312.35 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$53.30 |
$53.30 |
$53.30 |
$72.05
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$715.65 |
$715.65 |
$715.65 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$3,254.55 |
$3,254.55 |
$3,254.55 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$586.80
|
|
Ghs excision ingrown nail
|
$520.65 |
$520.65 |
$520.65 |
$457.60
|
|
Ghs fb removal from muscle - complicated
|
$2,175.55 |
$2,175.55 |
$2,175.55 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$33.80 |
$33.80 |
$33.80 |
$48.57
|
|
Ghs fish cytogen
|
$358.15 |
$358.15 |
$358.15 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$484.90 |
$484.90 |
$484.90 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$403.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$506.35 |
$506.35 |
$506.35 |
$106.05
|
|
Ghs hgb stability-thal
|
$97.50 |
$97.50 |
$97.50 |
$85.28
|
|
Ghs histoplasma antigen
|
$144.95 |
$144.95 |
$144.95 |
$137.80
|
|
Ghs HIV antibody
|
$24.70 |
$24.70 |
$24.70 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$1,387.75 |
$1,387.75 |
$1,387.75 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$828.10 |
$828.10 |
$828.10 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$773.50 |
$773.50 |
$773.50 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$585.00 |
$585.00 |
$585.00 |
$543.60
|
|
Ghs inf midline insertion
|
$1,184.30 |
$1,184.30 |
$1,184.30 |
$1,234.20
|
|
Ghs inhibitor screen
|
$547.95 |
$547.95 |
$547.95 |
$143.32
|
|
Ghs init tx 1st degree burn
|
$570.05 |
$570.05 |
$570.05 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$2,535.00 |
$2,535.00 |
$2,535.00 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$1,940.25 |
$1,940.25 |
$1,940.25 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,230.80 |
$2,230.80 |
$2,230.80 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$5,943.60 |
$5,943.60 |
$5,943.60 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$498.55 |
$498.55 |
$498.55 |
$461.58
|
|
Ghs intro needle/intracath vein - 36000
|
$435.50 |
$435.50 |
$435.50 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$646.75 |
$646.75 |
$646.75 |
$637.92
|
|
Ghs IV inf sq injection, on-body injector
|
$141.70 |
$141.70 |
$141.70 |
$117.00
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$750.10 |
$750.10 |
$750.10 |
$576.40
|
|
Ghs IV infusion casirivimab/imdevimab
|
$1,550.25 |
$1,550.25 |
$1,550.25 |
$604.50
|
|
Ghs IV infusion sotrovimab
|
$750.10 |
$750.10 |
$750.10 |
$665.50
|
|
Ghs IV thrombolytics - cerebral
|
$237.25 |
$237.25 |
$237.25 |
$657.60
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$584.35 |
$584.35 |
$584.35 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$540.15 |
$540.15 |
$540.15 |
$619.20
|
