|
Fibrinolytic plasminogen
|
$454.20 |
$454.20 |
$454.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$70.80 |
$70.80 |
$70.80 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.20 |
$1.20 |
$1.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,503.00 |
$1,503.00 |
$1,503.00 |
$1,197.83
|
|
Filter spider fx 3mmx320cm
|
$4,727.40 |
$4,727.40 |
$4,727.40 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,413.00 |
$4,413.00 |
$4,413.00 |
$3,718.18
|
|
Finasteride, 5 mg
|
$7.00 |
$7.00 |
$7.00 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$858.60 |
$858.60 |
$858.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$810.00 |
$810.00 |
$810.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$500.40 |
$500.40 |
$500.40 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$215.40 |
$215.40 |
$215.40 |
$241.50
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$408.60 |
$408.60 |
$408.60 |
$200.00
|
|
Flow cytometry marker each additional
|
$105.00 |
$105.00 |
$105.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$189.60 |
$189.60 |
$189.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$303.00 |
$303.00 |
$303.00 |
$172.50
|
|
Flt3 gene
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$21.00 |
$21.00 |
$21.00 |
$64.22
|
|
Fluorescent antibody titer dna
|
$121.20 |
$121.20 |
$121.20 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$215.40 |
$215.40 |
$215.40 |
$495.00
|
|
Fluoroguide needle placement
|
$500.40 |
$500.40 |
$500.40 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$304.80 |
$304.80 |
$304.80 |
$503.80
|
|
Fna bx w/ct gdn 1st les
|
$858.60 |
$858.60 |
$858.60 |
$1,462.20
|
|
Fna bx w/mr gdn 1st les
|
$858.60 |
$858.60 |
$858.60 |
$1,294.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$12.00 |
$12.00 |
$12.00 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$12.60 |
$12.60 |
$12.60 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$6.00 |
$6.00 |
$6.00 |
$21.74
|
|
Folic acid
|
$42.00 |
$42.00 |
$42.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$0.80 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,932.80 |
$2,932.80 |
$2,932.80 |
$2,511.73
|
|
Fondaparinux sodium
|
$697.80 |
$697.80 |
$697.80 |
$186.20
|
|
Foot X-ray
|
$327.00 |
$327.00 |
$327.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$282.00 |
$282.00 |
$282.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$273.00 |
$273.00 |
$273.00 |
$324.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$49.60 |
$49.60 |
$49.60 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$76.20 |
$76.20 |
$76.20 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$76.20 |
$76.20 |
$76.20 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$181.80 |
$181.80 |
$181.80 |
$131.25
|
|
Fructosamine glycated protein
|
$43.20 |
$43.20 |
$43.20 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$385.80 |
$385.80 |
$385.80 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$0.40 |
$0.40 |
$0.40 |
$19.53
|
|
Ga-67 gallium 0.1 mci
|
$122.40 |
$122.40 |
$122.40 |
$121.73
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$7.20 |
$7.20 |
$7.20 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$62.40 |
$62.40 |
$62.40 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$144.60 |
$144.60 |
$144.60 |
$100.00
|
|
Galectin-3
|
$57.60 |
$57.60 |
$57.60 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,359.00 |
$1,359.00 |
$1,359.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$928.80 |
$928.80 |
$928.80 |
$1,615.00
|
|
Gammaglobulin iga
|
$67.20 |
$67.20 |
$67.20 |
$69.60
|
|
Gammaglobulin ige
|
$63.60 |
$63.60 |
$63.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$25.80 |
$25.80 |
$25.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$616.80 |
$616.80 |
$616.80 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$380.80 |
$380.80 |
$380.80 |
$197.40
|
|
Gardner vag dna quant
|
$289.80 |
$289.80 |
$289.80 |
$104.80
|
|
Gastro/jejuno tube, std
|
$330.00 |
$330.00 |
$330.00 |
$379.50
|
|
Gemcitabine 1 gram intravenous solution
|
$281.40 |
$281.40 |
$281.40 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$44.40 |
$44.40 |
$44.40 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$43,439.40 |
$43,439.40 |
$43,439.40 |
$52,020.00
|
|
Genetic tstg severe inh cond
|
$4,156.20 |
$4,156.20 |
$4,156.20 |
$3,978.65
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$45.40 |
$45.40 |
$45.40 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$81.00 |
$81.00 |
$81.00 |
$123.84
|
|
Ghs abscess perianal iandd
|
$847.20 |
$847.20 |
$847.20 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$2,899.80 |
$2,899.80 |
$2,899.80 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$108.60 |
$108.60 |
$108.60 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$1,591.80 |
$1,591.80 |
$1,591.80 |
$394.20
|
|
Ghs antibodies (torch) igm
|
$70.80 |
$70.80 |
$70.80 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$409.20 |
$409.20 |
$409.20 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$908.40 |
$908.40 |
$908.40 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,715.60 |
$2,715.60 |
$2,715.60 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$369.60 |
$369.60 |
$369.60 |
$594.55
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$371.40 |
$371.40 |
$371.40 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$316.80 |
$316.80 |
$316.80 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$379.80 |
$379.80 |
$379.80 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,264.80 |
$1,264.80 |
$1,264.80 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
$2,227.20
|
|
Ghs clsd red med malleolus fx w manip
|
$2,542.20 |
$2,542.20 |
$2,542.20 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,415.80 |
$3,415.80 |
$3,415.80 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$379.80 |
$379.80 |
$379.80 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$379.80 |
$379.80 |
$379.80 |
$500.40
|
|
Ghs conjunctiva foreign body-superf bil
|
$179.40 |
$179.40 |
$179.40 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$279.00 |
$279.00 |
$279.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$360.00 |
$360.00 |
$360.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,138.20 |
$1,138.20 |
$1,138.20 |
$1,104.00
|
|
Ghs diphtheria toxoid ab igg
|
$288.60 |
$288.60 |
$288.60 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$379.80 |
$379.80 |
$379.80 |
$602.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$3,890.40 |
$3,890.40 |
$3,890.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$226.20 |
$226.20 |
$226.20 |
$338.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,439.40 |
$1,439.40 |
$1,439.40 |
$1,429.20
|
|
Ghs excision ingrown nail
|
$265.20 |
$265.20 |
$265.20 |
$449.25
|
|
Ghs fb removal - incisional
|
$2,425.20 |
$2,425.20 |
$2,425.20 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$604.80 |
$604.80 |
$604.80 |
$1,706.20
|
|
Ghs fish cytogen
|
$70.80 |
$70.80 |
$70.80 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$124.20 |
$124.20 |
$124.20 |
$226.20
|
|
Ghs flow volume loop
|
$276.00 |
$276.00 |
$276.00 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$231.60 |
$231.60 |
$231.60 |
$368.50
|
|
Ghs histoplasma antigen
|
$119.40 |
$119.40 |
$119.40 |
$142.00
|
|
Ghs HIV antibody
|
$47.40 |
$47.40 |
$47.40 |
$89.70
|
