|
Fluidotherapy charges pt
|
$156.00 |
$156.00 |
$156.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$192.00 |
$192.00 |
$192.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$555.00 |
$555.00 |
$555.00 |
$497.25
|
|
Fluoroguide needle placement
|
$720.00 |
$720.00 |
$720.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$697.00 |
$697.00 |
$697.00 |
$474.50
|
|
Folic acid
|
$50.00 |
$50.00 |
$81.00 |
$85.50
|
|
Follow-up angiography
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$1,939.14
|
|
Foot X-ray
|
$74.00 |
$74.00 |
$545.00 |
$339.50
|
|
_fragile x methylation-sendout
|
$335.00 |
$335.00 |
$335.00 |
$175.75
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$298.00 |
$298.00 |
$298.00 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$320.00 |
$320.00 |
$320.00 |
$217.30
|
|
Fructosamine glycated protein
|
$97.00 |
$97.00 |
$97.00 |
$69.55
|
|
Full mouth x-ray of teeth
|
$58.00 |
$58.00 |
$58.00 |
$242.99
|
|
Galac-1-phosphate uridyltran - sendout
|
$22.00 |
$22.00 |
$22.00 |
$85.50
|
|
Galactose transferase test
|
$12.00 |
$12.00 |
$12.00 |
$25.00
|
|
Gammaglobulin iga
|
$53.00 |
$53.00 |
$152.00 |
$78.60
|
|
Gammaglobulin ige
|
$68.00 |
$68.00 |
$68.00 |
$87.10
|
|
Gamma glutamyltransferase
|
$30.00 |
$30.00 |
$30.00 |
$54.60
|
|
General health panel
|
$299.00 |
$299.00 |
$299.00 |
$270.40
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$39.60 |
$39.60 |
$39.60 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$114.00
|
|
Ghs acetylcholinesterase, rbc
|
$91.00 |
$91.00 |
$91.00 |
$44.20
|
|
Ghs antibodies (torch) igm
|
$58.00 |
$58.00 |
$123.00 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$508.00 |
$508.00 |
$508.00 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$110.00 |
$110.00 |
$110.00 |
$55.90
|
|
Ghs chemo IV push, ea addtl
|
$440.00 |
$440.00 |
$440.00 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$205.00 |
$205.00 |
$205.00 |
$135.85
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$673.00 |
$673.00 |
$673.00 |
$540.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$139.00 |
$139.00 |
$139.00 |
$278.00
|
|
Ghs corneal fb without slit lamp bilat
|
$244.00 |
$244.00 |
$244.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$242.00 |
$242.00 |
$242.00 |
$362.21
|
|
Ghs excision ingrown nail
|
$180.00 |
$180.00 |
$180.00 |
$436.80
|
|
Ghs eyelid foreign body-embedded - bil
|
$477.00 |
$477.00 |
$477.00 |
$585.60
|
|
Ghs fb removal - incisional
|
$770.00 |
$770.00 |
$770.00 |
$2,454.00
|
|
Ghs fish cytogen
|
$410.00 |
$410.00 |
$410.00 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$194.00 |
$194.00 |
$194.00 |
$229.45
|
|
Ghs flow volume loop
|
$424.00 |
$424.00 |
$424.00 |
$291.75
|
|
Ghs gastric intub aspiration lavage
|
$440.00 |
$440.00 |
$440.00 |
$385.60
|
|
Ghs hgb stability-thal
|
$127.00 |
$127.00 |
$127.00 |
$85.20
|
|
Ghs histoplasma antigen
|
$272.00 |
$272.00 |
$272.00 |
$157.30
|
|
Ghs HIV antibody
|
$60.00 |
$60.00 |
$135.00 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$781.00 |
$781.00 |
$781.00 |
$475.80
|
|
Ghs immun0electrophoresis
|
$26.00 |
$26.00 |
$150.00 |
$110.00
|
|
Ghs inhibitor screen
|
$257.00 |
$257.00 |
$257.00 |
$138.06
|
|
Ghs init tx 1st degree burn
|
$181.00 |
$181.00 |
$181.00 |
$295.00
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$944.00 |
$944.00 |
$944.00 |
$876.00
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$1,046.70
|
|
Ghs intermed repair over 30 cm - 12037
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$2,026.46
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$570.00 |
$570.00 |
$570.00 |
$558.97
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$589.00 |
$589.00 |
$589.00 |
$573.60
|
|
Ghs layer closure 2.5cm or less - 12051
|
$664.00 |
$664.00 |
$664.00 |
$610.40
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$667.00 |
$667.00 |
$667.00 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$667.00 |
$667.00 |
$667.00 |
$738.40
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$856.00 |
$856.00 |
$856.00 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$835.00 |
$835.00 |
$835.00 |
$795.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$835.00 |
$835.00 |
$835.00 |
$740.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,083.00 |
$1,083.00 |
$1,083.00 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$884.00 |
$884.00 |
$884.00 |
$993.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$1,089.00 |
$1,089.00 |
$1,089.00 |
$779.35
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$998.00 |
$998.00 |
$998.00 |
$880.00
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$1,112.00 |
$1,112.00 |
$1,112.00 |
$901.76
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$1,213.00 |
$1,213.00 |
$1,213.00 |
$943.20
|
|
Ghs mbp
|
$177.00 |
$177.00 |
$177.00 |
$97.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$278.00 |
$278.00 |
$278.00 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$258.00 |
$258.00 |
$258.00 |
$125.34
|
|
Ghs ot dds rom
|
$87.00 |
$87.00 |
$87.00 |
$53.01
|
|
Ghs ot prosthetic training/15 min
|
$127.00 |
$127.00 |
$127.00 |
$92.35
|
|
Ghs ot sensory integrative tech/15min
|
$122.00 |
$122.00 |
$122.00 |
$89.73
|
|
Ghs pacing - transcutaneous
|
$1,159.00 |
$1,159.00 |
$1,159.00 |
$872.95
|
|
Ghs path - pap (papanicolau) smear - vagina
|
$69.00 |
$69.00 |
$69.00 |
$82.80
|
|
Ghs phenylketonurid
|
$51.00 |
$51.00 |
$51.00 |
$61.20
|
|
Ghs picc line insert < 5
|
$1,996.00 |
$1,996.00 |
$1,996.00 |
$1,990.40
|
|
Ghs ppd (tb intradermal)
|
$52.00 |
$52.00 |
$56.00 |
$39.77
|
|
Ghs prostatic acid phosphatase (mayo)
|
$87.00 |
$87.00 |
$87.00 |
$49.77
|
|
Ghs protein, misc fluid
|
$42.00 |
$42.00 |
$42.00 |
$24.60
|
|
Ghs protoporphyrins fract
|
$111.00 |
$111.00 |
$111.00 |
$68.38
|
|
Ghs quinidine
|
$96.00 |
$96.00 |
$96.00 |
$70.85
|
|
Ghs removal intranasal foreign body
|
$423.00 |
$423.00 |
$423.00 |
$320.00
|
|
Ghs reticulocyte count
|
$31.00 |
$31.00 |
$31.00 |
$33.57
|
|
Ghs rsv eia (respir synctial vrs)
|
$210.00 |
$210.00 |
$210.00 |
$117.60
|
|
Ghs sedimentation rate
|
$87.00 |
$87.00 |
$87.00 |
$36.57
|
|
Ghs sensitivity (per antimicro)
|
$38.00 |
$38.00 |
$53.00 |
$55.12
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$600.00 |
$600.00 |
$600.00 |
$535.00
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$608.00 |
$608.00 |
$608.00 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$721.00 |
$721.00 |
$721.00 |
$563.75
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$613.00 |
$613.00 |
$613.00 |
$564.61
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$521.00 |
$521.00 |
$521.00 |
$439.40
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$534.00 |
$534.00 |
$534.00 |
$399.20
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$533.00 |
$533.00 |
$533.00 |
$495.00
|
|
Ghs simple repair over 30 cm - 12007
|
$841.00 |
$841.00 |
$841.00 |
$560.80
|
|
Ghs simple repair over 30 cm - 12018
|
$772.00 |
$772.00 |
$772.00 |
$432.00
|
|
Ghs sp train/fitting sp device - kx
|
$270.00 |
$270.00 |
$270.00 |
$240.80
|
|
Ghs st - re-eval for alt comm
|
$557.00 |
$557.00 |
$557.00 |
$321.00
|
|
Ghs superficial wnd dehiscence simp12020
|
$714.00 |
$714.00 |
$714.00 |
$1,016.25
|
|
Ghs superficial wnd dehis w packing12021
|
$413.00 |
$413.00 |
$413.00 |
$765.68
|
|
Ghs urine, porphyrins quant
|
$133.00 |
$133.00 |
$133.00 |
$85.15
|
|
Ghs vaginal delivery only
|
$225.00 |
$225.00 |
$225.00 |
$3,341.93
|
|
Gi inhouse confirmation
|
$52.00 |
$52.00 |
$58.00 |
$79.50
|
|
Glucagon 1 mg solution for injection
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$351.53
|
