|
Folic acid
|
$169.80 |
$169.80 |
$169.80 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$54.75
|
|
Fondaparinux sodium
|
$225.66 |
$225.66 |
$225.66 |
$185.12
|
|
Fo nontorsion joint cf
|
$540.05 |
$540.05 |
$540.05 |
$217.50
|
|
Foot arch supp premold metat
|
$126.43 |
$126.43 |
$126.43 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$92.53 |
$92.53 |
$92.53 |
$134.09
|
|
Foot external keel sach foot
|
$547.47 |
$547.47 |
$547.47 |
$482.25
|
|
Foot insert plastazote or eq
|
$433.82 |
$433.82 |
$433.82 |
$365.48
|
|
Foot insert remov molded spe
|
$355.29 |
$355.29 |
$355.29 |
$312.97
|
|
Foot insert silicone gel eac
|
$467.99 |
$467.99 |
$467.99 |
$295.47
|
|
Foot lamin/prepreg composite
|
$328.96 |
$328.96 |
$328.96 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$136.62 |
$136.62 |
$136.62 |
$76.32
|
|
Foot plate molded stirrup at
|
$897.22 |
$897.22 |
$897.22 |
$714.12
|
|
Foot X-ray
|
$311.40 |
$311.40 |
$311.40 |
$359.55
|
|
Forearm/arm cuffs ext/flex a
|
$2,215.51 |
$2,215.51 |
$2,215.51 |
$616.14
|
|
Forearm/arm cuffs free motio
|
$1,597.10 |
$1,597.10 |
$1,597.10 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$485.40 |
$485.40 |
$485.40 |
$534.00
|
|
Formoterol fumarate, inh
|
$78.72 |
$78.72 |
$78.72 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$117.18 |
$117.18 |
$117.18 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$19.62 |
$19.62 |
$19.62 |
$106.10
|
|
Fractionation ketosteroids
|
$122.40 |
$122.40 |
$122.40 |
$135.95
|
|
Fracture assessment via dxa
|
$188.40 |
$188.40 |
$188.40 |
$172.15
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$877.80 |
$877.80 |
$877.80 |
$148.50
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$877.80 |
$877.80 |
$877.80 |
$155.55
|
|
Fresh frozen plasma thawing ea un
|
$258.00 |
$258.00 |
$258.00 |
$121.44
|
|
Frozen cell preparation
|
$24.00 |
$24.00 |
$24.00 |
$33.00
|
|
Fructosamine glycated protein
|
$46.20 |
$46.20 |
$46.20 |
$59.76
|
|
Ft insert ucb berkeley shell
|
$843.80 |
$843.80 |
$843.80 |
$743.29
|
|
Ftl cgen abnor four anal
|
$336.00 |
$336.00 |
$336.00 |
$200.85
|
|
Ftl cgen abnor three anal
|
$147.00 |
$147.00 |
$147.00 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$142.20 |
$142.20 |
$142.20 |
$109.00
|
|
Full sole/heel wedge btween
|
$146.90 |
$146.90 |
$146.90 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,806.81 |
$4,806.81 |
$4,806.81 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$19.25
|
|
Fusion of big toe joint
|
$31,723.87 |
$31,723.87 |
$31,723.87 |
$5,488.00
|
|
G6pd gene alys cmn variant
|
$423.00 |
$423.00 |
$423.00 |
$243.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$348.00 |
$348.00 |
$348.00 |
$145.44
|
|
Galac-1-phosphate uridyltran - sendout
|
$185.40 |
$185.40 |
$185.40 |
$96.94
|
|
Galactokinase - sendout
|
$214.20 |
$214.20 |
$214.20 |
$204.97
|
|
Gammaglobulin iga
|
$108.60 |
$108.60 |
$108.60 |
$66.41
|
|
Gammaglobulin ige
|
$81.60 |
$81.60 |
$81.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$76.20 |
$76.20 |
$76.20 |
$57.00
|
|
Gastroesophageal reflux study
|
$949.80 |
$949.80 |
$949.80 |
$923.65
|
|
Gba gene
|
$328.80 |
$328.80 |
$328.80 |
$160.72
|
|
General health panel
|
$329.40 |
$329.40 |
$329.40 |
$274.20
|
|
Generator barostim neo2 2014
|
$115,944.37 |
$115,944.37 |
$115,944.37 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$88,181.95 |
$88,181.95 |
$88,181.95 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$104,269.20 |
$104,269.20 |
$104,269.20 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$65,540.64 |
$65,540.64 |
$65,540.64 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$17.58 |
$17.58 |
$17.58 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$100.20 |
$100.20 |
$100.20 |
$124.93
|
|
Ghs abscess perianal iandd
|
$3,228.00 |
$3,228.00 |
$3,228.00 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$59.40 |
$59.40 |
$59.40 |
$42.25
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$184.80 |
$184.80 |
$184.80 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$868.20 |
$868.20 |
$868.20 |
$371.80
|
|
Ghs antibodies (torch) igm
|
$100.20 |
$100.20 |
$100.20 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$1,394.40 |
$1,394.40 |
$1,394.40 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$82.20 |
$82.20 |
$82.20 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$3,326.04 |
$3,326.04 |
$3,326.04 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$5,123.40 |
$5,123.40 |
$5,123.40 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$590.17
|
|
Ghs chemo >8 hrs
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$256.20 |
$256.20 |
$256.20 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$85.20 |
$85.20 |
$85.20 |
$130.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$915.60 |
$915.60 |
$915.60 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,114.20 |
$1,114.20 |
$1,114.20 |
$2,158.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,846.40 |
$2,846.40 |
$2,846.40 |
$3,086.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,716.80 |
$2,716.80 |
$2,716.80 |
$2,194.20
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$784.80 |
$784.80 |
$784.80 |
$603.19
|
|
Ghs cl tx metacarpophal disloc without anes
|
$915.60 |
$915.60 |
$915.60 |
$497.53
|
|
Ghs conjunctiva foreign body-embed bil
|
$978.60 |
$978.60 |
$978.60 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$978.60 |
$978.60 |
$978.60 |
$283.20
|
|
Ghs corneal fb without slit lamp bilat
|
$978.60 |
$978.60 |
$978.60 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$978.60 |
$978.60 |
$978.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$430.80 |
$430.80 |
$430.80 |
$1,066.50
|
|
Ghs dislocation elbow closed treatment
|
$915.60 |
$915.60 |
$915.60 |
$576.32
|
|
Ghs excision ingrown nail
|
$615.60 |
$615.60 |
$615.60 |
$442.22
|
|
Ghs eyelid foreign body-embedded - bil
|
$593.40 |
$593.40 |
$593.40 |
$501.04
|
|
Ghs fb removal - incisional
|
$2,958.00 |
$2,958.00 |
$2,958.00 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$49.20 |
$49.20 |
$49.20 |
$48.57
|
|
Ghs fish cytogen
|
$151.20 |
$151.20 |
$151.20 |
$167.44
|
|
Ghs fish hybrid in situ 100-300
|
$166.20 |
$166.20 |
$166.20 |
$222.60
|
|
Ghs flow volume loop
|
$205.80 |
$205.80 |
$205.80 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$235.80 |
$235.80 |
$235.80 |
$368.50
|
|
Ghs hcv amplificaiton
|
$381.00 |
$381.00 |
$381.00 |
$180.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$422.40 |
$422.40 |
$422.40 |
$144.54
|
|
Ghs hgb stability-thal
|
$87.00 |
$87.00 |
$87.00 |
$87.60
|
|
Ghs histoplasma antigen
|
$246.00 |
$246.00 |
$246.00 |
$137.80
|
|
Ghs HIV antibody
|
$56.40 |
$56.40 |
$56.40 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$246.00 |
$246.00 |
$246.00 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$3,958.80 |
$3,958.80 |
$3,958.80 |
$3,215.40
|
|
Ghs i and d perirectal abscess 46040
|
$889.80 |
$889.80 |
$889.80 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$784.80 |
$784.80 |
$784.80 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$2,644.20 |
$2,644.20 |
$2,644.20 |
$526.50
|
