|
Flexible Sigmoidoscopy
|
$2,563.60 |
$2,563.60 |
$2,563.60 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$213.20 |
$213.20 |
$213.20 |
$103.00
|
|
Flow cytometry one marker technical component
|
$222.95 |
$222.95 |
$222.95 |
$270.75
|
|
Flt3 gene
|
$835.90 |
$835.90 |
$835.90 |
$352.95
|
|
Flt3 gene analysis
|
$434.85 |
$434.85 |
$434.85 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$49.11 |
$49.11 |
$49.11 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$2,250.22 |
$2,250.22 |
$2,250.22 |
$601.96
|
|
Fluidotherapy charges pt
|
$87.75 |
$87.75 |
$87.75 |
$95.00
|
|
Fluorescent antibody titer dna
|
$273.00 |
$273.00 |
$273.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$245.70 |
$245.70 |
$245.70 |
$507.00
|
|
Fluoroguide needle placement
|
$290.55 |
$290.55 |
$290.55 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$357.50 |
$357.50 |
$357.50 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$202.31 |
$202.31 |
$202.31 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$33.48 |
$33.48 |
$142.87
|
|
Fmri brain by phys/psych
|
$1,870.05 |
$1,870.05 |
$1,870.05 |
$1,112.67
|
|
Fmri brain by tech
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$775.14
|
|
Folic acid
|
$40.30 |
$40.30 |
$40.30 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$22.78 |
$22.78 |
$22.78 |
$55.66
|
|
Follow-up angiography
|
$2,280.85 |
$2,280.85 |
$2,280.85 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,528.54 |
$1,528.54 |
$1,528.54 |
$2,860.43
|
|
Fondaparinux sodium
|
$185.12 |
$185.12 |
$185.12 |
$176.81
|
|
Foot X-ray
|
$490.10 |
$490.10 |
$490.10 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$157.04 |
$157.04 |
$157.04 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$387.01 |
$387.01 |
$387.01 |
$107.31
|
|
Fracture assessment via dxa
|
$116.35 |
$116.35 |
$116.35 |
$146.80
|
|
_fragile x methylation-sendout
|
$533.65 |
$533.65 |
$533.65 |
$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
|
$172.25 |
$172.25 |
$172.25 |
$211.83
|
|
Furosemide 10 mg/ml injection solution
|
$25.71 |
$25.71 |
$25.71 |
$27.69
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$10.89 |
$10.89 |
$10.89 |
$26.40
|
|
G6pc gene
|
$87.10 |
$87.10 |
$87.10 |
$104.65
|
|
G6pd full gene sequence
|
$2,037.75 |
$2,037.75 |
$2,037.75 |
$1,320.00
|
|
G6pd known familial variant
|
$4,743.05 |
$4,743.05 |
$4,743.05 |
$412.78
|
|
Ga-67 gallium 0.1 mci
|
$16.58 |
$16.58 |
$16.58 |
$163.80
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$6.14 |
$6.14 |
$6.14 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.29 |
$0.29 |
$0.29 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$45.35 |
$45.35 |
$45.35 |
$210.50
|
|
Galac-1-phosphate uridyltran - sendout
|
$85.15 |
$85.15 |
$85.15 |
$82.50
|
|
Galectin-3
|
$226.85 |
$226.85 |
$226.85 |
$110.65
|
|
Gallium illuccix 1 millicure
|
$1,641.67 |
$1,641.67 |
$1,641.67 |
$1,395.27
|
|
Gammaglobulin iga
|
$81.25 |
$81.25 |
$81.25 |
$75.30
|
|
Gammaglobulin ige
|
$26.65 |
$26.65 |
$26.65 |
$85.00
|
|
Gamma glutamyltransferase
|
$33.15 |
$33.15 |
$33.15 |
$55.28
|
|
Gamunex-c/gammaked
|
$7,372.04 |
$7,372.04 |
$7,372.04 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$137.59 |
$137.59 |
$137.59 |
$209.07
|
|
Gastric emptying imag study
|
$2,206.10 |
$2,206.10 |
$2,206.10 |
$1,270.50
|
|
Gastric emptying imag study
|
$2,206.10 |
$2,206.10 |
$2,206.10 |
$1,664.33
|
|
Gastroesophageal reflux test
|
$5,125.90 |
$5,125.90 |
$5,125.90 |
$1,129.63
|
|
Gated heart multiple
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$1,370.99
|
|
Gba gene
|
$612.95 |
$612.95 |
$612.95 |
$140.00
|
|
Gemcitabine 1 gram intravenous solution
|
$93.08 |
$93.08 |
$93.08 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$611.17 |
$611.17 |
$611.17 |
$23,897.53
|
|
General health panel
|
$142.35 |
$142.35 |
$142.35 |
$280.50
|
|
Generator barostim neo2 2014
|
$30,770.74 |
$30,770.74 |
$30,770.74 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$30,499.15 |
$30,499.15 |
$30,499.15 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$39,832.27 |
$39,832.27 |
$39,832.27 |
$40,028.69
|
|
Genetic tstg severe inh cond
|
$9,636.90 |
$9,636.90 |
$9,636.90 |
$4,156.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$43.91 |
$43.91 |
$43.91 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$38.35 |
$38.35 |
$38.35 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$5,330.65 |
$5,330.65 |
$5,330.65 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$901.55 |
$901.55 |
$901.55 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$9,460.10 |
$9,460.10 |
$9,460.10 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$42.25 |
$42.25 |
$42.25 |
$42.21
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$200.85 |
$200.85 |
$200.85 |
$103.14
|
|
Ghs alpha thalasemia, 7 deletions
|
$630.50 |
$630.50 |
$630.50 |
$382.20
|
|
Ghs analysis neurostim without reprogramming
|
$413.40 |
$413.40 |
$413.40 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$31.85 |
$31.85 |
$31.85 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$881.40 |
$881.40 |
$881.40 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$4,557.80 |
$4,557.80 |
$4,557.80 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$2,149.55 |
$2,149.55 |
$2,149.55 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$1,664.65 |
$1,664.65 |
$1,664.65 |
$699.60
|
|
Ghs chemo >8 hrs
|
$2,892.50 |
$2,892.50 |
$2,892.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$508.95 |
$508.95 |
$508.95 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$618.80 |
$618.80 |
$618.80 |
$134.55
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,888.90 |
$1,888.90 |
$1,888.90 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$83.85 |
$83.85 |
$83.85 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$898.30 |
$898.30 |
$898.30 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$980.20 |
$980.20 |
$980.20 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$980.20 |
$980.20 |
$980.20 |
$368.16
|
|
Ghs cricothyroidotomy
|
$2,701.40 |
$2,701.40 |
$2,701.40 |
$1,207.80
|
|
Ghs diphtheria toxoid ab igg
|
$94.25 |
$94.25 |
$94.25 |
$72.05
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,472.90 |
$1,472.90 |
$1,472.90 |
$1,313.95
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,809.95 |
$2,809.95 |
$2,809.95 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$1,766.05 |
$1,766.05 |
$1,766.05 |
$586.80
|
|
Ghs excision ingrown nail
|
$783.25 |
$783.25 |
$783.25 |
$457.60
|
|
Ghs fb removal from muscle - complicated
|
$3,311.10 |
$3,311.10 |
$3,311.10 |
$3,386.84
|
|
Ghs fb removal - incisional
|
$1,552.20 |
$1,552.20 |
$1,552.20 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$2,674.75 |
$2,674.75 |
$2,674.75 |
$1,794.93
|
|
Ghs febrile agglutinns(mayo)
|
$48.10 |
$48.10 |
$48.10 |
$48.57
|
|
Ghs fish cytogen
|
$459.55 |
$459.55 |
$459.55 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$621.40 |
$621.40 |
$621.40 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$793.00 |
$793.00 |
$793.00 |
$403.20
|
|
Ghs hepatitis c virus (hcv riba)
|
$506.35 |
$506.35 |
$506.35 |
$106.05
|
|
Ghs hgb stability-thal
|
$99.45 |
$99.45 |
$99.45 |
$85.28
|
|
Ghs histoplasma antigen
|
$146.25 |
$146.25 |
$146.25 |
$137.80
|
|
Ghs HIV antibody
|
$24.70 |
$24.70 |
$24.70 |
$91.00
|
|
Ghs i and d perirectal abscess 46040
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$3,034.00
|
