|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$865.60 |
$865.60 |
$865.60 |
$825.00
|
|
Finger X-ray (both hands)
|
$253.60 |
$253.60 |
$253.60 |
$241.50
|
|
Fix g/colon tube w/device
|
$771.20 |
$771.20 |
$771.20 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$640.00 |
$640.00 |
$640.00 |
$540.80
|
|
Flow cytometry interp 16 or more
|
$204.00 |
$204.00 |
$204.00 |
$200.00
|
|
Flow cytometry marker each additional
|
$69.60 |
$69.60 |
$69.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$558.40 |
$558.40 |
$558.40 |
$285.00
|
|
Fluidotherapy charges pt
|
$110.40 |
$110.40 |
$110.40 |
$101.40
|
|
Fluid pressure muscle 20950
|
$596.00 |
$596.00 |
$596.00 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$636.80 |
$636.80 |
$636.80 |
$495.00
|
|
Fluoroguide needle placement
|
$621.60 |
$621.60 |
$621.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$657.60 |
$657.60 |
$657.60 |
$503.80
|
|
Follow-up angiography
|
$1,687.20 |
$1,687.20 |
$1,687.20 |
$1,983.00
|
|
Foot arch support remov prem
|
$104.00 |
$104.00 |
$104.00 |
$141.41
|
|
Foot X-ray
|
$380.00 |
$380.00 |
$380.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$233.60 |
$233.60 |
$233.60 |
$290.40
|
|
Forearm X-ray (both sides)
|
$248.80 |
$248.80 |
$248.80 |
$324.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$186.40 |
$186.40 |
$186.40 |
$164.84
|
|
Ft insert ucb berkeley shell
|
$225.60 |
$225.60 |
$225.60 |
$651.56
|
|
Full Spine X-ray (Scoliosis Survey)
|
$442.40 |
$442.40 |
$442.40 |
$355.00
|
|
Ga-67 gallium 0.1 mci
|
$192.80 |
$192.80 |
$192.80 |
$121.73
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$132.00 |
$132.00 |
$132.00 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$140.00 |
$140.00 |
$140.00 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$176.00 |
$176.00 |
$176.00 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,889.60 |
$1,889.60 |
$1,889.60 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,068.80 |
$2,068.80 |
$2,068.80 |
$1,615.00
|
|
Gastroesophageal reflux study
|
$1,514.40 |
$1,514.40 |
$1,514.40 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$1,352.00
|
|
Generator barostim neo2 2014
|
$24,300.00 |
$24,300.00 |
$24,300.00 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$20,441.60 |
$20,441.60 |
$20,441.60 |
$36,467.76
|
|
G-esoph reflx tst w/electrod
|
$2,321.60 |
$2,321.60 |
$2,321.60 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,512.80 |
$1,512.80 |
$1,512.80 |
$1,465.00
|
|
Ghs aspiration bladder - needle
|
$567.20 |
$567.20 |
$567.20 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$315.20 |
$315.20 |
$315.20 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,361.60 |
$1,361.60 |
$1,361.60 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$567.20 |
$567.20 |
$567.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$783.20 |
$783.20 |
$783.20 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$322.40 |
$322.40 |
$322.40 |
$277.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$461.60 |
$461.60 |
$461.60 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$520.80 |
$520.80 |
$520.80 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,042.40 |
$1,042.40 |
$1,042.40 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$598.40 |
$598.40 |
$598.40 |
$523.85
|
|
Ghs closed tx tibial fracture w/manip
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$420.00 |
$420.00 |
$420.00 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$1,442.40 |
$1,442.40 |
$1,442.40 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,347.20 |
$2,347.20 |
$2,347.20 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$551.20 |
$551.20 |
$551.20 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$464.00 |
$464.00 |
$464.00 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$136.80 |
$136.80 |
$136.80 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$259.20 |
$259.20 |
$259.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$320.00 |
$320.00 |
$320.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$280.80 |
$280.80 |
$280.80 |
$339.60
|
|
Ghs cutdown placement age 1 and over
|
$133.60 |
$133.60 |
$133.60 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$91.20 |
$91.20 |
$91.20 |
$190.30
|
|
Ghs dislocation elbow closed treatment
|
$541.60 |
$541.60 |
$541.60 |
$602.00
|
|
Ghs ed rmvl or bivalving cast
|
$280.80 |
$280.80 |
$280.80 |
$338.40
|
|
Ghs excision ingrown nail
|
$297.60 |
$297.60 |
$297.60 |
$449.25
|
|
Ghs fb removal foot - deep - left
|
$3,671.20 |
$3,671.20 |
$3,671.20 |
$2,873.34
|
|
Ghs fb removal from muscle - complicated
|
$4,159.20 |
$4,159.20 |
$4,159.20 |
$3,311.10
|
|
Ghs fb removal - incisional
|
$2,944.00 |
$2,944.00 |
$2,944.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$2,396.80 |
$2,396.80 |
$2,396.80 |
$1,706.20
|
|
Ghs gastric intub aspiration lavage
|
$298.40 |
$298.40 |
$298.40 |
$368.50
|
|
Ghs i and d perirectal abscess 46040
|
$3,152.80 |
$3,152.80 |
$3,152.80 |
$2,798.50
|
|
Ghs i and d pilonidal cyst complex
|
$1,306.40 |
$1,306.40 |
$1,306.40 |
$1,421.40
|
|
Ghs i and d pilonidal cyst simple
|
$576.00 |
$576.00 |
$576.00 |
$707.25
|
|
Ghs incision thrombosed ext hemorrhoid
|
$623.20 |
$623.20 |
$623.20 |
$526.50
|
|
Ghs indirect laryngoscopy/w fb removal
|
$256.80 |
$256.80 |
$256.80 |
$350.90
|
|
Ghs inf midline insertion
|
$1,218.40 |
$1,218.40 |
$1,218.40 |
$1,238.25
|
|
Ghs init tx 1st degree burn
|
$284.80 |
$284.80 |
$284.80 |
$275.88
|
|
Ghs inj tendon origin/insertion
|
$314.40 |
$314.40 |
$314.40 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$1,281.60 |
$1,281.60 |
$1,281.60 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,638.40 |
$1,638.40 |
$1,638.40 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$500.80 |
$500.80 |
$500.80 |
$431.28
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$865.60 |
$865.60 |
$865.60 |
$886.07
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$1,163.20 |
$1,163.20 |
$1,163.20 |
$1,051.20
|
|
Ghs intermed repair over 30 cm - 12037
|
$2,411.20 |
$2,411.20 |
$2,411.20 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$221.60 |
$221.60 |
$221.60 |
$200.20
|
|
Ghs irrigate corpora cavernosa for priapism
|
$538.40 |
$538.40 |
$538.40 |
$551.20
|
|
Ghs IV thrombolytics - cerebral
|
$645.60 |
$645.60 |
$645.60 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$392.00 |
$392.00 |
$392.00 |
$489.67
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$693.60 |
$693.60 |
$693.60 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$548.00 |
$548.00 |
$548.00 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$621.60 |
$621.60 |
$621.60 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$623.20 |
$623.20 |
$623.20 |
$672.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$652.00 |
$652.00 |
$652.00 |
$700.33
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$623.20 |
$623.20 |
$623.20 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$890.40 |
$890.40 |
$890.40 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$738.40 |
$738.40 |
$738.40 |
$760.20
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$659.20 |
$659.20 |
$659.20 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$928.00 |
$928.00 |
$928.00 |
$969.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$792.80 |
$792.80 |
$792.80 |
$784.80
|
|
Ghs layered repair 20.1 - 30.0 cm -12046
|
$880.00 |
$880.00 |
$880.00 |
$1,016.25
|
|
Ghs layered repair 20.1 - 30.0 cm -12056
|
$672.80 |
$672.80 |
$672.80 |
$913.90
|
|
Ghs layered repair over 30.0 cm -12047
|
$1,866.40 |
$1,866.40 |
$1,866.40 |
$1,930.50
|
|
Ghs layered repair over 3.0 cm -12057
|
$943.20 |
$943.20 |
$943.20 |
$1,064.98
|
|
Ghs moderate sedation ea addtl 15 min
|
$180.00 |
$180.00 |
$180.00 |
$150.00
|
|
Ghs myocardial strain img spckl track
|
$591.20 |
$591.20 |
$591.20 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$800.00 |
$800.00 |
$800.00 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,212.80 |
$1,212.80 |
$1,212.80 |
$1,556.24
|
