|
Foot plate molded stirrup at
|
$1,196.75 |
$1,196.75 |
$1,196.75 |
$714.12
|
|
Foot X-ray
|
$351.60 |
$351.60 |
$351.60 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,951.58 |
$1,951.58 |
$1,951.58 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
$901.60
|
|
Formoterol fumarate, inh
|
$61.92 |
$61.92 |
$61.92 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$272.58 |
$272.58 |
$272.58 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$68.10 |
$68.10 |
$68.10 |
$106.10
|
|
Fractionation ketosteroids
|
$123.60 |
$123.60 |
$123.60 |
$135.95
|
|
Fracture assessment via dxa
|
$124.20 |
$124.20 |
$124.20 |
$173.18
|
|
_fragile x methylation-sendout
|
$446.40 |
$446.40 |
$446.40 |
$174.00
|
|
Fragmenting of kidney stone
|
$16,720.09 |
$16,720.09 |
$16,720.09 |
$10,057.42
|
|
Frenectomy 41115
|
$4,632.06 |
$4,632.06 |
$4,632.06 |
$1,752.89
|
|
Fresh frozen plasma thawing ea un
|
$260.40 |
$260.40 |
$260.40 |
$122.00
|
|
Frozen blood prep
|
$205.20 |
$205.20 |
$205.20 |
$214.30
|
|
Frozen blood thaw
|
$256.20 |
$256.20 |
$256.20 |
$209.50
|
|
Frozen cell preparation
|
$24.00 |
$24.00 |
$24.00 |
$36.75
|
|
Fructosamine glycated protein
|
$16.80 |
$16.80 |
$16.80 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,125.50 |
$1,125.50 |
$1,125.50 |
$743.29
|
|
Ftl cgen abnor four anal
|
$159.00 |
$159.00 |
$159.00 |
$204.52
|
|
Ftl cgen abnor three anal
|
$148.80 |
$148.80 |
$148.80 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$162.00 |
$162.00 |
$162.00 |
$110.00
|
|
Full sole/heel wedge btween
|
$195.94 |
$195.94 |
$195.94 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,234.18 |
$4,234.18 |
$4,234.18 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$14.28 |
$14.28 |
$14.28 |
$19.00
|
|
Fusion of ankle joint open
|
$74,525.02 |
$74,525.02 |
$74,525.02 |
$10,629.07
|
|
Fusion of big toe joint
|
$44,308.37 |
$44,308.37 |
$44,308.37 |
$5,488.00
|
|
Fusion of big toe joint
|
$27,665.23 |
$27,665.23 |
$27,665.23 |
$6,839.00
|
|
Fusion of finger joint
|
$29,030.93 |
$29,030.93 |
$29,030.93 |
$4,350.00
|
|
Fusion of foot bones
|
$52,707.17 |
$52,707.17 |
$52,707.17 |
$6,411.60
|
|
Fusion of foot bones
|
$32,008.11 |
$32,008.11 |
$32,008.11 |
$4,881.00
|
|
Fusion of knuckle joint
|
$21,797.91 |
$21,797.91 |
$21,797.91 |
$3,786.00
|
|
Fusion of tibiofibular joint
|
$33,570.95 |
$33,570.95 |
$33,570.95 |
$8,299.09
|
|
G6pd gene alys cmn variant
|
$231.60 |
$231.60 |
$231.60 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$120.00 |
$120.00 |
$120.00 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3,721.02 |
$3,721.02 |
$3,721.02 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$603.55 |
$603.55 |
$603.55 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$192.00 |
$192.00 |
$192.00 |
$96.94
|
|
Galactokinase - sendout
|
$216.00 |
$216.00 |
$216.00 |
$204.97
|
|
Galectin-3
|
$137.40 |
$137.40 |
$137.40 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$16,289.68 |
$16,289.68 |
$16,289.68 |
$11,117.34
|
|
Gallium illuccix 1 millicure
|
$10,848.60 |
$10,848.60 |
$10,848.60 |
$1,395.27
|
|
Gammaglobulin iga
|
$54.60 |
$54.60 |
$54.60 |
$67.20
|
|
Gammaglobulin ige
|
$74.40 |
$74.40 |
$74.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$50.40 |
$50.40 |
$50.40 |
$57.54
|
|
Gamunex-c/gammaked
|
$28,022.64 |
$28,022.64 |
$28,022.64 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$496.08 |
$496.08 |
$496.08 |
$197.40
|
|
Gardner vag dna amp probe
|
$111.60 |
$111.60 |
$111.60 |
$65.30
|
|
Gba gene
|
$331.80 |
$331.80 |
$331.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$568.56 |
$568.56 |
$568.56 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$51,080.40 |
$51,080.40 |
$51,080.40 |
$19,305.62
|
|
General health panel
|
$54.60 |
$54.60 |
$54.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$154,651.65 |
$154,651.65 |
$154,651.65 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$117,620.93 |
$117,620.93 |
$117,620.93 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$139,078.80 |
$139,078.80 |
$139,078.80 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$2,395.20 |
$2,395.20 |
$2,395.20 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$87,420.96 |
$87,420.96 |
$87,420.96 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$31.50 |
$31.50 |
$31.50 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$52.20 |
$52.20 |
$52.20 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$8,118.28 |
$8,118.28 |
$8,118.28 |
$1,418.18
|
|
Gfrg autol fat lipo ea addl
|
$54,514.52 |
$54,514.52 |
$54,514.52 |
$5,825.30
|
|
Ghs abscess postoperative iandd complex
|
$2,517.60 |
$2,517.60 |
$2,517.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$17.40 |
$17.40 |
$17.40 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$159.00 |
$159.00 |
$159.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$401.40 |
$401.40 |
$401.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$25.20 |
$25.20 |
$25.20 |
$69.30
|
|
Ghs bleeding time (ivy)
|
$83.40 |
$83.40 |
$83.40 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$1,534.80 |
$1,534.80 |
$1,534.80 |
$565.49
|
|
Ghs chemo >8 hrs
|
$2,356.80 |
$2,356.80 |
$2,356.80 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$1,012.20 |
$1,012.20 |
$1,012.20 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$206.40 |
$206.40 |
$206.40 |
$132.00
|
|
Ghs fb removal - incisional
|
$6,621.48 |
$6,621.48 |
$6,621.48 |
$2,271.01
|
|
Ghs febrile agglutinns(mayo)
|
$39.60 |
$39.60 |
$39.60 |
$48.57
|
|
Ghs fish cytogen
|
$86.40 |
$86.40 |
$86.40 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$171.60 |
$171.60 |
$171.60 |
$223.00
|
|
Ghs hcv amplificaiton
|
$91.80 |
$91.80 |
$91.80 |
$187.00
|
|
Ghs hepatitis c virus (hcv riba)
|
$185.40 |
$185.40 |
$185.40 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$141.60 |
$141.60 |
$141.60 |
$141.00
|
|
Ghs HIV antibody
|
$100.20 |
$100.20 |
$100.20 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$248.40 |
$248.40 |
$248.40 |
$475.80
|
|
Ghs i and d perirectal abscess 46040
|
$7,105.07 |
$7,105.07 |
$7,105.07 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,445.40 |
$1,445.40 |
$1,445.40 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$16,169.64 |
$16,169.64 |
$16,169.64 |
$703.15
|
|
Ghs inf midline insertion
|
$1,060.80 |
$1,060.80 |
$1,060.80 |
$1,219.20
|
|
Ghs inhibitor screen
|
$109.20 |
$109.20 |
$109.20 |
$187.32
|
|
Ghs inj neurolytic other perph nerve
|
$25,163.96 |
$25,163.96 |
$25,163.96 |
$1,702.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$7,170.60 |
$7,170.60 |
$7,170.60 |
$863.28
|
|
Ghs intro needle/intracath vein - 36000
|
$327.60 |
$327.60 |
$327.60 |
$213.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$14,813.16 |
$14,813.16 |
$14,813.16 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$7,752.00 |
$7,752.00 |
$7,752.00 |
$675.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$60.60 |
$60.60 |
$60.60 |
$76.20
|
|
Ghs mbp
|
$37.80 |
$37.80 |
$37.80 |
$77.35
|
|
Ghs nailbed repair/nail removal
|
$8,605.26 |
$8,605.26 |
$8,605.26 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,639.80 |
$1,639.80 |
$1,639.80 |
$1,546.50
|
|
Ghs nerve blk intercostal, single level
|
$1,107.00 |
$1,107.00 |
$1,107.00 |
$1,107.00
|
|
Ghs nerve block axillary nerve
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$1,549.80
|
|
Ghs nerve block brachial plexus
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$1,689.00
|
|
Ghs nerve block sciatic nerve
|
$2,341.80 |
$2,341.80 |
$2,341.80 |
$1,450.80
|
