|
Facial bones <3
|
$224.00 |
$224.00 |
$224.00 |
$252.60
|
|
Factor ix
|
$111.20 |
$111.20 |
$111.20 |
$154.50
|
|
Factor ix recombinant nos
|
$3,835.80 |
$3,835.80 |
$3,835.80 |
$4.65
|
|
Factor viii
|
$134.40 |
$134.40 |
$134.40 |
$144.82
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$36.40 |
$36.40 |
$36.40 |
$22.23
|
|
Fat/lipids feces qualitative
|
$21.60 |
$21.60 |
$21.60 |
$36.00
|
|
Fatty acids nonesterified
|
$78.40 |
$78.40 |
$78.40 |
$64.28
|
|
Felbamate (felbatol(r)) - sendout
|
$92.80 |
$92.80 |
$92.80 |
$61.00
|
|
Fem/popl revasc w/stent
|
$16,129.60 |
$16,129.60 |
$16,129.60 |
$16,782.48
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$81.40 |
$81.40 |
$81.40 |
$101.40
|
|
Ferritin
|
$40.00 |
$40.00 |
$40.00 |
$102.07
|
|
Fetal hemoglobin (kleihauer betke)
|
$54.40 |
$54.40 |
$54.40 |
$104.00
|
|
Fetal hemoglobin rosette
|
$54.40 |
$54.40 |
$54.40 |
$67.20
|
|
Fetal non stress test
|
$490.40 |
$490.40 |
$490.40 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$60.80 |
$60.80 |
$60.80 |
$120.05
|
|
Fibrin degradation products
|
$37.60 |
$37.60 |
$37.60 |
$74.25
|
|
Fibrinogen activity
|
$64.00 |
$64.00 |
$64.00 |
$85.86
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,326.40 |
$1,326.40 |
$1,326.40 |
$823.90
|
|
Flecainide (tambocor)-sendout
|
$77.60 |
$77.60 |
$77.60 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$488.00 |
$488.00 |
$488.00 |
$523.95
|
|
Flow cytometry marker each additional
|
$124.80 |
$124.80 |
$124.80 |
$97.50
|
|
Flow cytometry one marker technical component
|
$124.80 |
$124.80 |
$124.80 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$86.60 |
$86.60 |
$86.60 |
$64.15
|
|
Fluidotherapy charges pt
|
$141.60 |
$141.60 |
$141.60 |
$98.40
|
|
Fluorescent antibody titer dna
|
$49.60 |
$49.60 |
$49.60 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$380.80 |
$380.80 |
$380.80 |
$495.95
|
|
Fluoroguide needle placement
|
$332.80 |
$332.80 |
$332.80 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$659.20 |
$659.20 |
$659.20 |
$497.40
|
|
Fna bx w/ct gdn 1st les
|
$1,326.40 |
$1,326.40 |
$1,326.40 |
$1,427.65
|
|
Folic acid
|
$45.00 |
$45.00 |
$45.00 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$224.60 |
$224.60 |
$224.60 |
$50.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,021.60 |
$5,021.60 |
$5,021.60 |
$2,481.61
|
|
Fondaparinux sodium
|
$293.00 |
$293.00 |
$293.00 |
$186.87
|
|
Foot X-ray
|
$348.00 |
$348.00 |
$348.00 |
$352.08
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$724.80 |
$724.80 |
$724.80 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$197.40 |
$197.40 |
$197.40 |
$490.67
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$376.00 |
$376.00 |
$376.00 |
$164.16
|
|
Fructosamine glycated protein
|
$69.60 |
$69.60 |
$69.60 |
$61.75
|
|
Furosemide 10 mg/ml injection solution
|
$38.80 |
$38.80 |
$38.80 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.60 |
$1.60 |
$1.60 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$10.40 |
$10.40 |
$10.40 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$51.20 |
$51.20 |
$51.20 |
$249.80
|
|
Gammaglobulin iga
|
$35.00 |
$35.00 |
$35.00 |
$69.42
|
|
Gammaglobulin ige
|
$68.00 |
$68.00 |
$68.00 |
$83.40
|
|
Gamma glutamyltransferase
|
$29.60 |
$29.60 |
$29.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$4,813.00 |
$4,813.00 |
$4,813.00 |
$7,435.88
|
|
Gemcitabine 1 gram intravenous solution
|
$220.20 |
$220.20 |
$220.20 |
$208.92
|
|
General health panel
|
$70.00 |
$70.00 |
$70.00 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.60 |
$30.60 |
$30.60 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$68.00 |
$68.00 |
$68.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$934.40 |
$934.40 |
$934.40 |
$1,452.00
|
|
Ghs alpha thalasemia, 7 deletions
|
$408.80 |
$408.80 |
$408.80 |
$403.38
|
|
Ghs bladder cath - complex-foley
|
$651.20 |
$651.20 |
$651.20 |
$343.68
|
|
Ghs change cysto/gastrost
|
$950.40 |
$950.40 |
$950.40 |
$594.55
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$145.60 |
$145.60 |
$145.60 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$699.20 |
$699.20 |
$699.20 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$2,187.20
|
|
Ghs cl tx metacarpophal disloc without anes
|
$462.40 |
$462.40 |
$462.40 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$120.80 |
$120.80 |
$120.80 |
$89.00
|
|
Ghs conjunctiva foreign body-superf bil
|
$504.00 |
$504.00 |
$504.00 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$601.60 |
$601.60 |
$601.60 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$606.40 |
$606.40 |
$606.40 |
$339.60
|
|
Ghs dislocation elbow closed treatment
|
$521.60 |
$521.60 |
$521.60 |
$583.80
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,381.60
|
|
Ghs excision ingrown nail
|
$294.40 |
$294.40 |
$294.40 |
$442.61
|
|
Ghs flow volume loop
|
$453.60 |
$453.60 |
$453.60 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$456.00 |
$456.00 |
$456.00 |
$365.40
|
|
Ghs histoplasma antigen
|
$55.20 |
$55.20 |
$55.20 |
$141.00
|
|
Ghs i and d perirectal abscess 46040
|
$5,948.00 |
$5,948.00 |
$5,948.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$569.60 |
$569.60 |
$569.60 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$734.40 |
$734.40 |
$734.40 |
$520.80
|
|
Ghs init tx 1st degree burn
|
$605.60 |
$605.60 |
$605.60 |
$275.50
|
|
Ghs insertion of needle - bone
|
$904.80 |
$904.80 |
$904.80 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,440.80 |
$1,440.80 |
$1,440.80 |
$865.60
|
|
Ghs intro needle/intracath vein - 36000
|
$100.80 |
$100.80 |
$100.80 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$804.00 |
$804.00 |
$804.00 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$496.80 |
$496.80 |
$496.80 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$618.40 |
$618.40 |
$618.40 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$618.40 |
$618.40 |
$618.40 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$618.40 |
$618.40 |
$618.40 |
$602.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$670.40
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$690.36
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$1,252.80 |
$1,252.80 |
$1,252.80 |
$733.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$770.40
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,315.20 |
$1,315.20 |
$1,315.20 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$1,314.40 |
$1,314.40 |
$1,314.40 |
$737.10
|
|
Ghs mbp
|
$71.20 |
$71.20 |
$71.20 |
$75.50
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$583.20 |
$583.20 |
$583.20 |
$242.64
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$227.20 |
$227.20 |
$227.20 |
$230.55
|
|
Ghs moderate sedation ea addtl 15 min
|
$155.20 |
$155.20 |
$155.20 |
$150.00
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$62.40 |
$62.40 |
$62.40 |
$141.00
|
|
Ghs musc test done w/n test comp
|
$308.80 |
$308.80 |
$308.80 |
$324.80
|
|
Ghs musc tst done w/nerv tst lim
|
$308.80 |
$308.80 |
$308.80 |
$272.25
|
|
Ghs nailbed repair/nail removal
|
$956.80 |
$956.80 |
$956.80 |
$724.37
|
|
Ghs ng placement w fluoro guidance
|
$368.00 |
$368.00 |
$368.00 |
$478.50
|
|
Ghs o2 saturation
|
$40.80 |
$40.80 |
$40.80 |
$69.50
|
