|
Eye Socket (Orbit) X-ray
|
$415.20 |
$415.20 |
$415.20 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,815.20 |
$2,815.20 |
$2,815.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,409.60 |
$2,409.60 |
$2,409.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,154.40 |
$2,154.40 |
$2,154.40 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,656.80 |
$4,656.80 |
$4,656.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,123.20 |
$3,123.20 |
$3,123.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$357.60 |
$357.60 |
$357.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$581.60 |
$581.60 |
$581.60 |
$381.75
|
|
Factor ix
|
$234.40 |
$234.40 |
$234.40 |
$162.50
|
|
Factor viii
|
$250.40 |
$250.40 |
$250.40 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$60.52 |
$60.52 |
$60.52 |
$22.20
|
|
Fat/lipids feces qualitative
|
$74.40 |
$74.40 |
$74.40 |
$36.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$60.48 |
$60.48 |
$60.48 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,291.32 |
$1,291.32 |
$1,291.32 |
$2,590.25
|
|
Ferritin
|
$120.00 |
$120.00 |
$120.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$703.01 |
$703.01 |
$703.01 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$732.80 |
$732.80 |
$732.80 |
$541.74
|
|
Fibrin degradation d dimer quantitative
|
$132.00 |
$132.00 |
$132.00 |
$120.64
|
|
Fibrin degrade semiquant
|
$137.60 |
$137.60 |
$137.60 |
$84.50
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
$87.00
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$453.99 |
$453.99 |
$453.99 |
$891.02
|
|
Finger X-ray (both hands)
|
$240.80 |
$240.80 |
$240.80 |
$241.50
|
|
Flow cytometry marker each additional
|
$157.60 |
$157.60 |
$157.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$558.40 |
$558.40 |
$558.40 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$177.43 |
$177.43 |
$177.43 |
$64.22
|
|
Fluidotherapy charges pt
|
$144.00 |
$144.00 |
$144.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$56.80 |
$56.80 |
$56.80 |
$123.65
|
|
Folic acid
|
$116.80 |
$116.80 |
$116.80 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$60.13 |
$60.13 |
$60.13 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$885.60 |
$885.60 |
$885.60 |
$2,511.73
|
|
Foot X-ray
|
$351.20 |
$351.20 |
$351.20 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$260.00 |
$260.00 |
$260.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$337.60 |
$337.60 |
$337.60 |
$324.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$88.73 |
$88.73 |
$88.73 |
$103.62
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
$183.74
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$275.20 |
$275.20 |
$275.20 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$68.00 |
$68.00 |
$68.00 |
$131.25
|
|
Fructosamine glycated protein
|
$51.20 |
$51.20 |
$51.20 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$604.00 |
$604.00 |
$604.00 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$61.56 |
$61.56 |
$61.56 |
$19.53
|
|
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)
|
$264.00 |
$264.00 |
$264.00 |
$120.00
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,691.20 |
$1,691.20 |
$1,691.20 |
$1,615.00
|
|
Gammaglobulin iga
|
$60.00 |
$60.00 |
$60.00 |
$69.60
|
|
Gammaglobulin ige
|
$97.60 |
$97.60 |
$97.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$61.60 |
$61.60 |
$61.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$3,551.52 |
$3,551.52 |
$3,551.52 |
$7,435.88
|
|
General health panel
|
$271.20 |
$271.20 |
$271.20 |
$262.44
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$86.05 |
$86.05 |
$86.05 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$112.80 |
$112.80 |
$112.80 |
$123.84
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$356.80 |
$356.80 |
$356.80 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$381.60 |
$381.60 |
$381.60 |
$671.50
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,859.20 |
$2,859.20 |
$2,859.20 |
$2,319.00
|
|
Ghs community re-entry 15 minutes
|
$120.80 |
$120.80 |
$120.80 |
$89.28
|
|
Ghs dislocation elbow closed treatment
|
$671.20 |
$671.20 |
$671.20 |
$602.00
|
|
Ghs excision ingrown nail
|
$488.00 |
$488.00 |
$488.00 |
$449.25
|
|
Ghs fish cytogen
|
$58.40 |
$58.40 |
$58.40 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$124.80 |
$124.80 |
$124.80 |
$226.20
|
|
Ghs flow volume loop
|
$483.20 |
$483.20 |
$483.20 |
$308.69
|
|
Ghs HIV antibody
|
$110.40 |
$110.40 |
$110.40 |
$89.70
|
|
Ghs init tx 1st degree burn
|
$400.80 |
$400.80 |
$400.80 |
$275.88
|
|
Ghs insertion of needle - bone
|
$508.80 |
$508.80 |
$508.80 |
$431.28
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$904.00 |
$904.00 |
$904.00 |
$591.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$674.40 |
$674.40 |
$674.40 |
$583.10
|
|
Ghs layer closure 2.5cm or less - 12051
|
$511.20 |
$511.20 |
$511.20 |
$603.20
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$747.20 |
$747.20 |
$747.20 |
$672.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$937.60 |
$937.60 |
$937.60 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$860.00 |
$860.00 |
$860.00 |
$760.20
|
|
Ghs myocardial strain img spckl track
|
$566.40 |
$566.40 |
$566.40 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$724.37
|
|
Ghs ot group caregiver training
|
$52.00 |
$52.00 |
$52.00 |
$34.80
|
|
Ghs ot prosthetic training/15 min
|
$119.20 |
$119.20 |
$119.20 |
$93.00
|
|
Ghs prostatic acid phosphatase (mayo)
|
$57.60 |
$57.60 |
$57.60 |
$43.55
|
|
Ghs removal intranasal foreign body
|
$359.20 |
$359.20 |
$359.20 |
$283.24
|
|
Ghs rsv eia (respir synctial vrs)
|
$105.60 |
$105.60 |
$105.60 |
$99.00
|
|
Ghs sensitivity (per antimicro)
|
$54.40 |
$54.40 |
$54.40 |
$57.60
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$436.00 |
$436.00 |
$436.00 |
$570.60
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$536.00 |
$536.00 |
$536.00 |
$449.15
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$500.00 |
$500.00 |
$500.00 |
$436.80
|
|
Ghs sleep study unattended
|
$608.00 |
$608.00 |
$608.00 |
$503.38
|
|
Ghs speech-gen aug dev eval iii, st
|
$214.40 |
$214.40 |
$214.40 |
$157.50
|
|
Ghs superficial wnd dehiscence simp12020
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$953.27
|
|
Ghs urine, porphyrins quant
|
$50.40 |
$50.40 |
$50.40 |
$73.80
|
|
Gi inhouse confirmation
|
$66.40 |
$66.40 |
$66.40 |
$87.75
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$379.09 |
$379.09 |
$379.09 |
$491.67
|
|
Glucose 1 hr post dose
|
$50.40 |
$50.40 |
$50.40 |
$49.00
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$32.80 |
$32.80 |
$32.80 |
$23.12
|
|
Glucose blood quantitative
|
$48.00 |
$48.00 |
$48.00 |
$42.25
|
|
Glucose body fluid
|
$56.80 |
$56.80 |
$56.80 |
$51.30
|
|
Glucose monitoring continual min 72hr pt
|
$153.60 |
$153.60 |
$153.60 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$144.80 |
$144.80 |
$144.80 |
$105.60
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$63.19 |
$63.19 |
$63.19 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,446.18 |
$2,446.18 |
$2,446.18 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$128.80 |
$128.80 |
$128.80 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$131.20 |
$131.20 |
$131.20 |
$129.03
|
|
Graft axiofill 1000mg
|
$2,941.20 |
$2,941.20 |
$2,941.20 |
$5,125.68
|
|
Graft xenmtrx sft rect 15x20cm
|
$141.60 |
$141.60 |
$141.60 |
$29,676.26
|
|
Group train without patient
|
$51.20 |
$51.20 |
$51.20 |
$47.60
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$64.19 |
$64.19 |
$64.19 |
$24.30
|
