|
Fl exam g/colon tube w contrast
|
$244.40 |
$244.40 |
$244.40 |
$522.75
|
|
Flexible Sigmoidoscopy
|
$2,398.27 |
$2,398.27 |
$2,398.27 |
$1,278.72
|
|
Florbetaben f18 diagnostic
|
$4,193.15 |
$4,193.15 |
$4,193.15 |
$1,273.76
|
|
Flow cytometry interp 16 or more
|
$390.00 |
$390.00 |
$390.00 |
$208.80
|
|
Flow cytometry marker each additional
|
$62.40 |
$62.40 |
$62.40 |
$103.00
|
|
Flow cytometry one marker technical component
|
$307.45 |
$307.45 |
$307.45 |
$304.43
|
|
#flow interp 9 - 15 markers
|
$265.20 |
$265.20 |
$265.20 |
$202.15
|
|
Flt3 gene
|
$711.10 |
$711.10 |
$711.10 |
$355.00
|
|
Flt3 gene analysis
|
$685.75 |
$685.75 |
$685.75 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$90.99 |
$90.99 |
$90.99 |
$48.56
|
|
Fludarabine 50 mg intravenous solution
|
$830.28 |
$830.28 |
$830.28 |
$417.96
|
|
Fluidotherapy charges pt
|
$243.10 |
$243.10 |
$243.10 |
$101.40
|
|
Fluorescent antibody titer dna
|
$139.10 |
$139.10 |
$139.10 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,901.25 |
$1,901.25 |
$1,901.25 |
$997.10
|
|
Fluoroguide for spine inject 77003-26
|
$420.55 |
$420.55 |
$420.55 |
$497.25
|
|
Fluoroguide needle placement
|
$621.40 |
$621.40 |
$621.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$474.50 |
$474.50 |
$474.50 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$252.74 |
$252.74 |
$252.74 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$34.12 |
$34.12 |
$34.12 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$2,347.15 |
$2,347.15 |
$2,347.15 |
$1,320.40
|
|
Folic acid
|
$85.80 |
$85.80 |
$85.80 |
$85.50
|
|
Folic acid 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$3.00
|
|
Follow-up angiography
|
$842.40 |
$842.40 |
$842.40 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,638.99 |
$5,638.99 |
$5,638.99 |
$18.44
|
|
Fondaparinux sodium
|
$237.63 |
$237.63 |
$237.63 |
$121.83
|
|
Foot X-ray
|
$654.55 |
$654.55 |
$654.55 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$985.62 |
$985.62 |
$985.62 |
$201.52
|
|
Foscarnet sodium injection
|
$2,068.05 |
$2,068.05 |
$2,068.05 |
$1,082.06
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$94.05 |
$94.05 |
$94.05 |
$66.38
|
|
_fragile x methylation-sendout
|
$385.45 |
$385.45 |
$385.45 |
$175.75
|
|
Fragmenting of kidney stone
|
$10,057.42 |
$10,057.42 |
$10,057.42 |
$9,827.25
|
|
Frenectomy 41115
|
$3,610.58 |
$3,610.58 |
$3,610.58 |
$1,708.80
|
|
Frenotomy 40806
|
$4,077.57 |
$4,077.57 |
$4,077.57 |
$563.67
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$520.00 |
$520.00 |
$520.00 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$419.90 |
$419.90 |
$419.90 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$131.30 |
$131.30 |
$131.30 |
$114.35
|
|
Frozen blood freeze/thaw
|
$254.15 |
$254.15 |
$254.15 |
$179.01
|
|
Fructosamine glycated protein
|
$70.20 |
$70.20 |
$70.20 |
$69.55
|
|
Ftl cgen abnor four anal
|
$382.85 |
$382.85 |
$382.85 |
$267.15
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
G0180 home health certification
|
$97.50 |
$97.50 |
$97.50 |
$97.50
|
|
Ga-67 gallium 0.1 mci
|
$939.25 |
$939.25 |
$939.25 |
$156.23
|
|
Ga-68 gallium 68 dotatate
|
$185.25 |
$185.25 |
$185.25 |
$118.19
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$363.08 |
$363.08 |
$363.08 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$114.95 |
$114.95 |
$114.95 |
$15.60
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$621.01 |
$621.01 |
$621.01 |
$90.60
|
|
Galac-1-phosphate uridyltran - sendout
|
$596.70 |
$596.70 |
$596.70 |
$85.50
|
|
Galactose transferase test
|
$29.25 |
$29.25 |
$29.25 |
$25.00
|
|
Gallbladder Removal (Laparoscopic)
|
$8,811.64 |
$8,811.64 |
$8,811.64 |
$6,870.89
|
|
Gallium illuccix 1 millicure
|
$871.00 |
$871.00 |
$871.00 |
$1,377.60
|
|
Gamma globulin 1 cc inj
|
$1,548.11 |
$1,548.11 |
$1,548.11 |
$106.20
|
|
Gammaglobulin iga
|
$109.20 |
$109.20 |
$109.20 |
$78.60
|
|
Gammaglobulin ige
|
$80.60 |
$80.60 |
$80.60 |
$87.10
|
|
Gamma glutamyltransferase
|
$144.95 |
$144.95 |
$144.95 |
$54.60
|
|
Gamunex-c/gammaked
|
$19,955.83 |
$19,955.83 |
$19,955.83 |
$100.40
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$425.51 |
$425.51 |
$425.51 |
$154.86
|
|
Gardner vag dna quant
|
$99.45 |
$99.45 |
$99.45 |
$104.80
|
|
Gastroesophageal reflux study
|
$1,552.85 |
$1,552.85 |
$1,552.85 |
$887.62
|
|
Gastroesophageal reflux test
|
$1,030.25 |
$1,030.25 |
$1,030.25 |
$1,110.80
|
|
Gemcitabine 1 gram intravenous solution
|
$505.89 |
$505.89 |
$505.89 |
$168.02
|
|
General health panel
|
$338.65 |
$338.65 |
$338.65 |
$270.40
|
|
Generator barostim neo2 2014
|
$37,752.00 |
$37,752.00 |
$37,752.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$19,500.00 |
$19,500.00 |
$19,500.00 |
$61,875.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.76 |
$30.76 |
$30.76 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$83.85 |
$83.85 |
$83.85 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$2,960.10 |
$2,960.10 |
$2,960.10 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$5,078.70 |
$5,078.70 |
$5,078.70 |
$1,512.80
|
|
Ghs abscess postoperative iandd complex
|
$8,409.70 |
$8,409.70 |
$8,409.70 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$100.10 |
$100.10 |
$100.10 |
$44.20
|
|
Ghs alpha thalasemia, 7 deletions
|
$813.80 |
$813.80 |
$813.80 |
$437.58
|
|
Ghs analysis neurostim without reprogramming
|
$410.15 |
$410.15 |
$410.15 |
$275.60
|
|
Ghs antibodies (torch) igm
|
$105.95 |
$105.95 |
$105.95 |
$82.50
|
|
Ghs bladder cath - complex-foley
|
$34,571.78 |
$34,571.78 |
$34,571.78 |
$333.18
|
|
Ghs bleeding time (ivy)
|
$390.65 |
$390.65 |
$390.65 |
$55.90
|
|
Ghs block ilioinguinal/gentitofemoral
|
$2,615.09 |
$2,615.09 |
$2,615.09 |
$1,000.08
|
|
Ghs central line insert < age 5, failed
|
$1,084.85 |
$1,084.85 |
$1,084.85 |
$2,489.25
|
|
Ghs change cysto/gastrost
|
$2,019.92 |
$2,019.92 |
$2,019.92 |
$727.35
|
|
Ghs chemo >8 hrs
|
$437.45 |
$437.45 |
$437.45 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$236.60 |
$236.60 |
$236.60 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$153.40 |
$153.40 |
$153.40 |
$135.85
|
|
Ghs closure surg wound/dehiscence-13160
|
$6,233.13 |
$6,233.13 |
$6,233.13 |
$2,973.33
|
|
Ghs community re-entry 15 minutes
|
$104.00 |
$104.00 |
$104.00 |
$85.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,845.70 |
$2,845.70 |
$2,845.70 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$715.65 |
$715.65 |
$715.65 |
$586.80
|
|
Ghs fat & muscle
|
$73.45 |
$73.45 |
$73.45 |
$45.75
|
|
Ghs febrile agglutinns(mayo)
|
$68.90 |
$68.90 |
$68.90 |
$51.99
|
|
Ghs fish cytogen
|
$258.05 |
$258.05 |
$258.05 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$115.05 |
$115.05 |
$115.05 |
$229.45
|
|
Ghs gastric intub aspiration lavage
|
$10,473.48 |
$10,473.48 |
$10,473.48 |
$385.60
|
|
Ghs hcv amplificaiton
|
$283.40 |
$283.40 |
$283.40 |
$198.90
|
|
Ghs hgb stability-thal
|
$70.85 |
$70.85 |
$70.85 |
$85.20
|
|
Ghs histoplasma antigen
|
$229.45 |
$229.45 |
$229.45 |
$157.30
|
|
Ghs HIV antibody
|
$187.85 |
$187.85 |
$187.85 |
$90.14
|
|
Ghs hla-dr/dq, multiple antigens
|
$518.70 |
$518.70 |
$518.70 |
$475.80
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,933.24 |
$7,933.24 |
$7,933.24 |
$3,686.06
|
|
Ghs i and d perirectal abscess 46040
|
$5,367.04 |
$5,367.04 |
$5,367.04 |
$3,034.00
|
|
Ghs immun0electrophoresis
|
$97.50 |
$97.50 |
$97.50 |
$110.00
|
|
Ghs inf midline insertion
|
$24,389.53 |
$24,389.53 |
$24,389.53 |
$1,580.00
|
|
Ghs inhibitor screen
|
$556.40 |
$556.40 |
$556.40 |
$138.06
|
|
Ghs inj neurolytic intercostal nerve
|
$7,077.85 |
$7,077.85 |
$7,077.85 |
$2,047.92
|
