|
Fracture assessment via dxa
|
$102.50 |
$102.50 |
$102.50 |
$175.50
|
|
Frenotomy 40806
|
$555.00 |
$555.00 |
$555.00 |
$679.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$107.50 |
$107.50 |
$107.50 |
$153.02
|
|
Fresh frozen plasma thawing ea un
|
$81.50 |
$81.50 |
$81.50 |
$130.98
|
|
Fructosamine glycated protein
|
$63.50 |
$63.50 |
$63.50 |
$61.75
|
|
Fth/gft fr n/e/e/l each addl
|
$314.00 |
$314.00 |
$314.00 |
$1,368.50
|
|
Ft insert ucb berkeley shell
|
$717.00 |
$717.00 |
$717.00 |
$660.30
|
|
Ftl cgen abnor four anal
|
$334.00 |
$334.00 |
$334.00 |
$205.80
|
|
Full field erg w/i&r
|
$146.00 |
$146.00 |
$146.00 |
$393.12
|
|
Full mouth x-ray of teeth
|
$157.50 |
$157.50 |
$157.50 |
$286.04
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$286.50 |
$286.50 |
$286.50 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$2,706.60
|
|
Functional brain mapping
|
$236.00 |
$236.00 |
$236.00 |
$514.80
|
|
Fundus photography with i&r 92250
|
$84.00 |
$84.00 |
$84.00 |
$178.20
|
|
Furnsh initial orthosis only
|
$3,326.00 |
$3,326.00 |
$3,326.00 |
$3,034.95
|
|
Gammaglobulin iga
|
$66.00 |
$66.00 |
$66.00 |
$69.42
|
|
Gammaglobulin ige
|
$58.50 |
$58.50 |
$58.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$35.50 |
$35.50 |
$35.50 |
$57.54
|
|
Gastric emptying imag study
|
$861.50 |
$861.50 |
$861.50 |
$1,364.00
|
|
Gastric emptying imag study
|
$912.00 |
$912.00 |
$912.00 |
$1,665.50
|
|
Gastric motility studies
|
$508.50 |
$508.50 |
$508.50 |
$972.00
|
|
Gastroesophageal reflux study
|
$637.50 |
$637.50 |
$637.50 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,396.50 |
$1,396.50 |
$1,396.50 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$73.00 |
$73.00 |
$73.00 |
$337.96
|
|
General health panel
|
$88.00 |
$88.00 |
$88.00 |
$262.44
|
|
Generator barostim neo2 2014
|
$60,500.00 |
$60,500.00 |
$60,500.00 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$38,360.00 |
$38,360.00 |
$38,360.00 |
$36,771.84
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$54,137.00 |
$54,137.00 |
$54,137.00 |
$66,636.36
|
|
Genetic counseling 30 min
|
$61.00 |
$61.00 |
$61.00 |
$193.00
|
|
Gentamicin peak therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$123.84
|
|
Ghs abscess perianal iandd
|
$458.50 |
$458.50 |
$458.50 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$1,455.50 |
$1,455.50 |
$1,455.50 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$49.00 |
$49.00 |
$49.00 |
$43.06
|
|
Ghs analysis neurostim without reprogramming
|
$262.50 |
$262.50 |
$262.50 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$102.50 |
$102.50 |
$102.50 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$281.00 |
$281.00 |
$281.00 |
$570.00
|
|
Ghs bladder cath - complex-foley
|
$130.00 |
$130.00 |
$130.00 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$369.00 |
$369.00 |
$369.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,060.50 |
$1,060.50 |
$1,060.50 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$263.50 |
$263.50 |
$263.50 |
$594.55
|
|
Ghs chemo >8 hrs
|
$148.50 |
$148.50 |
$148.50 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$61.00 |
$61.00 |
$61.00 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$26.00 |
$26.00 |
$26.00 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$218.00 |
$218.00 |
$218.00 |
$510.40
|
|
Ghs closed reduction ankle dislocation
|
$309.50 |
$309.50 |
$309.50 |
$677.25
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$744.00 |
$744.00 |
$744.00 |
$1,554.70
|
|
Ghs closed tx tibial fracture w/manip
|
$907.50 |
$907.50 |
$907.50 |
$2,187.20
|
|
Ghs closure surg wound/dehiscence-13160
|
$3,148.00 |
$3,148.00 |
$3,148.00 |
$3,448.80
|
|
Ghs clsd red med malleolus fx without manip
|
$254.00 |
$254.00 |
$254.00 |
$494.40
|
|
Ghs clsd red med malleolus fx w manip
|
$1,902.50 |
$1,902.50 |
$1,902.50 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$351.50 |
$351.50 |
$351.50 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$351.50 |
$351.50 |
$351.50 |
$497.53
|
|
Ghs community re-entry 15 minutes
|
$45.00 |
$45.00 |
$45.00 |
$89.00
|
|
Ghs conjunctiva foreign body-embed bil
|
$193.00 |
$193.00 |
$193.00 |
$424.90
|
|
Ghs conjunctiva foreign body-superf bil
|
$75.50 |
$75.50 |
$75.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$201.50 |
$201.50 |
$201.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$224.00 |
$224.00 |
$224.00 |
$339.60
|
|
Ghs cricothyroidotomy
|
$968.50 |
$968.50 |
$968.50 |
$1,103.75
|
|
Ghs dislocation elbow closed treatment
|
$218.00 |
$218.00 |
$218.00 |
$583.80
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$622.50 |
$622.50 |
$622.50 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$146.50 |
$146.50 |
$146.50 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$691.50 |
$691.50 |
$691.50 |
$1,381.60
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$364.00 |
$364.00 |
$364.00 |
$560.00
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$196.00 |
$196.00 |
$196.00 |
$467.00
|
|
Ghs excision ingrown nail
|
$297.00 |
$297.00 |
$297.00 |
$442.61
|
|
Ghs eye exam
|
$53.50 |
$53.50 |
$53.50 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$160.00 |
$160.00 |
$501.04
|
|
Ghs fb removal foot - deep - left
|
$2,388.50 |
$2,388.50 |
$2,388.50 |
$2,723.00
|
|
Ghs fb removal - incisional
|
$1,022.50 |
$1,022.50 |
$1,022.50 |
$2,289.60
|
|
Ghs fb removal - non-incisional
|
$1,059.50 |
$1,059.50 |
$1,059.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$384.50 |
$384.50 |
$384.50 |
$173.40
|
|
Ghs fish hybrid in situ 100-300
|
$437.50 |
$437.50 |
$437.50 |
$225.00
|
|
Ghs gastric intub aspiration lavage
|
$217.00 |
$217.00 |
$217.00 |
$365.40
|
|
Ghs hgb stability-thal
|
$41.50 |
$41.50 |
$41.50 |
$89.91
|
|
Ghs histoplasma antigen
|
$261.00 |
$261.00 |
$261.00 |
$141.00
|
|
Ghs HIV antibody
|
$72.50 |
$72.50 |
$72.50 |
$90.00
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,217.50 |
$2,217.50 |
$2,217.50 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$2,447.00 |
$2,447.00 |
$2,447.00 |
$2,766.00
|
|
Ghs i and d pilonidal cyst complex
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$357.50 |
$357.50 |
$357.50 |
$696.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$229.50 |
$229.50 |
$229.50 |
$520.80
|
|
Ghs indirect laryngoscopy/w fb removal
|
$126.00 |
$126.00 |
$126.00 |
$350.90
|
|
Ghs inf midline insertion
|
$641.00 |
$641.00 |
$641.00 |
$1,219.20
|
|
Ghs inhibitor screen
|
$328.00 |
$328.00 |
$328.00 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$157.50 |
$157.50 |
$157.50 |
$275.50
|
|
Ghs inj neurolytic intercostal nerve
|
$1,121.50 |
$1,121.50 |
$1,121.50 |
$2,047.92
|
|
Ghs inj neurolytic other perph nerve
|
$625.00 |
$625.00 |
$625.00 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$245.00 |
$245.00 |
$245.00 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$539.50 |
$539.50 |
$539.50 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$625.00 |
$625.00 |
$625.00 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$216.00 |
$216.00 |
$216.00 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$504.00 |
$504.00 |
$504.00 |
$865.60
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$604.50 |
$604.50 |
$604.50 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,079.50 |
$2,079.50 |
$2,079.50 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$142.00 |
$142.00 |
$142.00 |
$202.47
|
|
Ghs irrigate corpora cavernosa for priapism
|
$375.50 |
$375.50 |
$375.50 |
$551.20
|
|
Ghs IV inf sq injection, on-body injector
|
$21.00 |
$21.00 |
$21.00 |
$108.00
|
