|
Fix g/colon tube w/device
|
$869.00 |
$869.00 |
$869.00 |
$1,165.45
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,093.00 |
$2,093.00 |
$2,093.00 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$14.02 |
$14.02 |
$14.02 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$476.50 |
$476.50 |
$476.50 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$355.50 |
$355.50 |
$355.50 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$72.50 |
$72.50 |
$72.50 |
$194.00
|
|
Flow cytometry marker each additional
|
$875.00 |
$875.00 |
$875.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$626.00 |
$626.00 |
$626.00 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$11.70 |
$11.70 |
$11.70 |
$64.15
|
|
Fluidotherapy charges pt
|
$53.00 |
$53.00 |
$53.00 |
$98.40
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$508.50 |
$508.50 |
$508.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$78.00 |
$78.00 |
$78.00 |
$495.95
|
|
Fluoroguide needle placement
|
$75.00 |
$75.00 |
$75.00 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$450.00 |
$450.00 |
$450.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$152.37 |
$152.37 |
$152.37 |
$107.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$60.00
|
|
Fna bx w/ct gdn 1st les
|
$1,280.00 |
$1,280.00 |
$1,280.00 |
$1,427.65
|
|
Foam drg >16<=48 sq in w/bdr
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Folic acid
|
$135.00 |
$135.00 |
$135.00 |
$99.96
|
|
Follow-up surgery of eye
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$553.70 |
$553.70 |
$553.70 |
$2,481.61
|
|
Foot X-ray
|
$176.00 |
$176.00 |
$176.00 |
$352.08
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$49.30 |
$49.30 |
$49.30 |
$490.67
|
|
Foscarnet sodium injection
|
$59.00 |
$59.00 |
$59.00 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$49.59 |
$49.59 |
$49.59 |
$106.25
|
|
Fracture assessment via dxa
|
$113.00 |
$113.00 |
$113.00 |
$175.50
|
|
Frenectomy 41115
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,939.47
|
|
Frenotomy 40806
|
$620.00 |
$620.00 |
$620.00 |
$679.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$174.00 |
$174.00 |
$174.00 |
$153.02
|
|
Fresh frozen plasma thawing ea un
|
$169.50 |
$169.50 |
$169.50 |
$130.98
|
|
Fructosamine glycated protein
|
$36.50 |
$36.50 |
$36.50 |
$61.75
|
|
Fth/gft fr n/e/e/l each addl
|
$1,239.50 |
$1,239.50 |
$1,239.50 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,057.50 |
$1,057.50 |
$1,057.50 |
$1,331.00
|
|
Ftl cgen abnor five anal
|
$399.00 |
$399.00 |
$399.00 |
$155.10
|
|
Ftl cgen abnor four anal
|
$43.00 |
$43.00 |
$43.00 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$59.00 |
$59.00 |
$59.00 |
$109.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,477.50 |
$2,477.50 |
$2,477.50 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$923.00 |
$923.00 |
$923.00 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,706.60
|
|
Furosemide 10 mg/ml injection solution
|
$8.05 |
$8.05 |
$8.05 |
$19.53
|
|
Fusion of ankle joint open
|
$3,712.67 |
$3,712.67 |
$3,712.67 |
$10,629.07
|
|
Fusion of big toe joint
|
$2,843.50 |
$2,843.50 |
$2,843.50 |
$5,488.00
|
|
Fusion of big toe joint
|
$2,344.50 |
$2,344.50 |
$2,344.50 |
$6,839.00
|
|
Fusion of foot bones
|
$2,435.67 |
$2,435.67 |
$2,435.67 |
$6,411.60
|
|
Fusion of foot bones
|
$3,515.00 |
$3,515.00 |
$3,515.00 |
$5,110.00
|
|
Fusion of toes
|
$579.17 |
$579.17 |
$579.17 |
$3,839.54
|
|
Ga-67 gallium 0.1 mci
|
$80.50 |
$80.50 |
$80.50 |
$121.73
|
|
Gabapentin non-blood
|
$57.00 |
$57.00 |
$57.00 |
$42.35
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$256.00 |
$256.00 |
$256.00 |
$100.00
|
|
Gallbladder Removal (Laparoscopic)
|
$3,396.50 |
$3,396.50 |
$3,396.50 |
$12,906.50
|
|
Gamma globulin 1 cc inj
|
$107.00 |
$107.00 |
$107.00 |
$406.90
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$69.42
|
|
Gammaglobulin ige
|
$34.50 |
$34.50 |
$34.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$26.50 |
$26.50 |
$26.50 |
$57.54
|
|
Gammagraft
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$5,316.75 |
$5,316.75 |
$5,316.75 |
$7,435.88
|
|
Gardner vag dna quant
|
$123.00 |
$123.00 |
$123.00 |
$104.80
|
|
Gastro/jejuno tube, std
|
$67.50 |
$67.50 |
$67.50 |
$337.96
|
|
Gel-one
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$55.75 |
$55.75 |
$55.75 |
$208.92
|
|
General health panel
|
$255.00 |
$255.00 |
$255.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$13,385.00 |
$13,385.00 |
$13,385.00 |
$49,450.20
|
|
Genetic tstg severe inh cond
|
$510.50 |
$510.50 |
$510.50 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$18,145.00 |
$18,145.00 |
$18,145.00 |
$40,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$20.47 |
$20.47 |
$20.47 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$51.50 |
$51.50 |
$51.50 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,286.00 |
$1,286.00 |
$1,286.00 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$3,933.00 |
$3,933.00 |
$3,933.00 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$80.00 |
$80.00 |
$80.00 |
$100.30
|
|
Ghs analysis neurostim without reprogramming
|
$171.00 |
$171.00 |
$171.00 |
$247.06
|
|
Ghs bladder cath - complex-foley
|
$1,343.83 |
$1,343.83 |
$1,343.83 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,990.00 |
$2,990.00 |
$2,990.00 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$732.00 |
$732.00 |
$732.00 |
$594.55
|
|
Ghs chemo >8 hrs
|
$650.00 |
$650.00 |
$650.00 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$104.00 |
$104.00 |
$104.00 |
$276.02
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$308.00 |
$308.00 |
$308.00 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$308.00 |
$308.00 |
$308.00 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$3,357.00 |
$3,357.00 |
$3,357.00 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$4,073.00 |
$4,073.00 |
$4,073.00 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$378.00 |
$378.00 |
$378.00 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$2,461.00 |
$2,461.00 |
$2,461.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,131.00 |
$2,131.00 |
$2,131.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$308.00 |
$308.00 |
$308.00 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$375.00 |
$375.00 |
$375.00 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$88.50 |
$88.50 |
$88.50 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$513.50 |
$513.50 |
$513.50 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$172.50 |
$172.50 |
$172.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$560.50 |
$560.50 |
$560.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$188.50 |
$188.50 |
$188.50 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$21.00 |
$21.00 |
$21.00 |
$55.02
|
|
Ghs dislocation elbow closed treatment
|
$308.00 |
$308.00 |
$308.00 |
$583.80
|
|
Ghs ed rmvl or bivalving cast
|
$321.50 |
$321.50 |
$321.50 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,002.00 |
$1,002.00 |
$1,002.00 |
$1,381.60
|
|
Ghs excision ingrown nail
|
$953.00 |
$953.00 |
$953.00 |
$442.61
|
