|
Fluoroguide needle placement
|
$67.65 |
$67.65 |
$67.65 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$120.78 |
$120.78 |
$120.78 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$67.76 |
$67.76 |
$67.76 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$29.90 |
$29.90 |
$29.90 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$955.35 |
$955.35 |
$955.35 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$955.35 |
$955.35 |
$955.35 |
$833.25
|
|
Folic acid
|
$48.84 |
$48.84 |
$48.84 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,947.44 |
$1,947.44 |
$1,947.44 |
$2,581.14
|
|
Fondaparinux sodium
|
$127.27 |
$127.27 |
$127.27 |
$185.12
|
|
Fo nontorsion joint cf
|
$84.48 |
$84.48 |
$84.48 |
$217.50
|
|
Foot X-ray
|
$144.54 |
$144.54 |
$144.54 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$301.08 |
$301.08 |
$301.08 |
$457.50
|
|
Foscarnet sodium injection
|
$1,109.80 |
$1,109.80 |
$1,109.80 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$232.48 |
$232.48 |
$232.48 |
$106.10
|
|
Fracture assessment via dxa
|
$75.57 |
$75.57 |
$75.57 |
$173.18
|
|
_fragile x methylation-sendout
|
$142.89 |
$142.89 |
$142.89 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$114.84 |
$114.84 |
$114.84 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$73.59 |
$73.59 |
$73.59 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$304.92 |
$304.92 |
$304.92 |
$122.00
|
|
Fructosamine glycated protein
|
$16.83 |
$16.83 |
$16.83 |
$60.75
|
|
Ftl cgen abnor four anal
|
$35.97 |
$35.97 |
$35.97 |
$204.52
|
|
Furosemide 10 mg/ml injection solution
|
$6.78 |
$6.78 |
$6.78 |
$19.00
|
|
Ga-67 gallium 0.1 mci
|
$68.74 |
$68.74 |
$68.74 |
$118.56
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$243.07 |
$243.07 |
$243.07 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$272.09 |
$272.09 |
$272.09 |
$250.83
|
|
Gammaglobulin iga
|
$40.59 |
$40.59 |
$40.59 |
$67.20
|
|
Gammaglobulin ige
|
$37.95 |
$37.95 |
$37.95 |
$83.85
|
|
Gamma glutamyltransferase
|
$24.09 |
$24.09 |
$24.09 |
$57.54
|
|
Gamunex-c/gammaked
|
$3,705.25 |
$3,705.25 |
$3,705.25 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$109.40 |
$109.40 |
$109.40 |
$197.40
|
|
Gastroesophageal reflux study
|
$202.29 |
$202.29 |
$202.29 |
$949.80
|
|
Gel-one
|
$455.40 |
$455.40 |
$455.40 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$153.65 |
$153.65 |
$153.65 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$335.33 |
$335.33 |
$335.33 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$10,965.59 |
$10,965.59 |
$10,965.59 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$16,698.00 |
$16,698.00 |
$16,698.00 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$32,670.00 |
$32,670.00 |
$32,670.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$15.43 |
$15.43 |
$15.43 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$54.45 |
$54.45 |
$54.45 |
$126.00
|
|
Ghs bladder cath - complex-foley
|
$82.83 |
$82.83 |
$82.83 |
$344.00
|
|
Ghs chemo >8 hrs
|
$166.98 |
$166.98 |
$166.98 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$49.17 |
$49.17 |
$49.17 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$31.68 |
$31.68 |
$31.68 |
$132.00
|
|
Ghs community re-entry 15 minutes
|
$16.50 |
$16.50 |
$16.50 |
$88.50
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$357.06 |
$357.06 |
$357.06 |
$1,432.20
|
|
Ghs fish cytogen
|
$13.20 |
$13.20 |
$13.20 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$59.07 |
$59.07 |
$59.07 |
$223.00
|
|
Ghs hgb stability-thal
|
$33.33 |
$33.33 |
$33.33 |
$87.60
|
|
Ghs histoplasma antigen
|
$84.15 |
$84.15 |
$84.15 |
$141.00
|
|
Ghs inf midline insertion
|
$86.46 |
$86.46 |
$86.46 |
$1,219.20
|
|
Ghs inhibitor screen
|
$186.78 |
$186.78 |
$186.78 |
$187.32
|
|
Ghs intro needle/intracath vein - 36000
|
$122.43 |
$122.43 |
$122.43 |
$213.75
|
|
Ghs IV inf sq injection, on-body injector
|
$33.00 |
$33.00 |
$33.00 |
$107.58
|
|
Ghs low level laser therapy
|
$11.22 |
$11.22 |
$11.22 |
$77.70
|
|
Ghs mbp
|
$55.11 |
$55.11 |
$55.11 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$76.23 |
$76.23 |
$76.23 |
$457.80
|
|
Ghs nerve block celiac plexus
|
$447.15 |
$447.15 |
$447.15 |
$1,661.40
|
|
Ghs ng placement w fluoro guidance
|
$226.05 |
$226.05 |
$226.05 |
$478.50
|
|
Ghs o2 saturation
|
$28.38 |
$28.38 |
$28.38 |
$70.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$33.00 |
$33.00 |
$33.00 |
$75.00
|
|
Ghs opcc repair cvp without subq port
|
$385.11 |
$385.11 |
$385.11 |
$1,229.24
|
|
Ghs ot group caregiver training
|
$86.13 |
$86.13 |
$86.13 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$16.50 |
$16.50 |
$16.50 |
$90.50
|
|
Ghs ot sensory integrative tech/15min
|
$16.50 |
$16.50 |
$16.50 |
$94.80
|
|
Ghs ot work hardening-additional hours
|
$37.29 |
$37.29 |
$37.29 |
$127.80
|
|
Ghs pacing - transcutaneous
|
$334.29 |
$334.29 |
$334.29 |
$815.20
|
|
Ghs ppd (tb intradermal)
|
$31.35 |
$31.35 |
$31.35 |
$37.70
|
|
Ghs prostatic acid phosphatase (mayo)
|
$15.18 |
$15.18 |
$15.18 |
$43.55
|
|
Ghs protoporphyrins fract
|
$13.53 |
$13.53 |
$13.53 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$39.93 |
$39.93 |
$39.93 |
$146.86
|
|
Ghs pt - work hardening/int 2hrs
|
$74.91 |
$74.91 |
$74.91 |
$275.60
|
|
Ghs sensitivity (per antimicro)
|
$22.77 |
$22.77 |
$22.77 |
$57.60
|
|
Ghs speech-gen aug dev eval iii, st
|
$46.86 |
$46.86 |
$46.86 |
$146.40
|
|
Ghs sp train/fitting sp device - kx
|
$55.11 |
$55.11 |
$55.11 |
$250.50
|
|
Ghs st - re-eval for alt comm
|
$60.06 |
$60.06 |
$60.06 |
$309.00
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$23.76 |
$23.76 |
$23.76 |
$98.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$107.58 |
$107.58 |
$107.58 |
$351.45
|
|
Ghs urine, porphyrins quant
|
$13.20 |
$13.20 |
$13.20 |
$75.00
|
|
Ghs vaginal delivery only
|
$860.97 |
$860.97 |
$860.97 |
$3,152.00
|
|
Gi inhouse confirmation
|
$31.35 |
$31.35 |
$31.35 |
$83.70
|
|
Glassia injection
|
$0.74 |
$0.74 |
$0.74 |
$20.32
|
|
Glucagon 1 mg solution for injection
|
$315.80 |
$315.80 |
$315.80 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$284.17 |
$284.17 |
$284.17 |
$491.67
|
|
Glucagon plasma - sendout
|
$27.39 |
$27.39 |
$27.39 |
$63.00
|
|
Glucose 1 hr post dose
|
$15.84 |
$15.84 |
$15.84 |
$47.20
|
|
Glucose blood quantitative
|
$12.54 |
$12.54 |
$12.54 |
$40.00
|
|
Glucose body fluid
|
$13.20 |
$13.20 |
$13.20 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$29.04 |
$29.04 |
$29.04 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$13.20 |
$13.20 |
$13.20 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$35.54 |
$35.54 |
$35.54 |
$37.04
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$2,248.37 |
$2,248.37 |
$2,248.37 |
$4,977.60
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$61.71 |
$61.71 |
$61.71 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$61.71 |
$61.71 |
$61.71 |
$129.00
|
|
Goserelin 10.8 mg subcutaneous implant
|
$1,264.04 |
$1,264.04 |
$1,264.04 |
$4,652.18
|
|
Graft nerve adv 3-4x70mm
|
$6,304.65 |
$6,304.65 |
$6,304.65 |
$19,620.00
|
|
Graft patch felt ptfe 2x2
|
$2,263.80 |
$2,263.80 |
$2,263.80 |
$27,300.00
|
|
Graft xenmtrx sft rect 15x20cm
|
$19,041.00 |
$19,041.00 |
$19,041.00 |
$30,392.04
|
|
Granisetron 1 mg tab
|
$19.49 |
$19.49 |
$19.49 |
$53.15
|
|
Granisetron hcl injection
|
$115.80 |
$115.80 |
$115.80 |
$45.03
|
|
G-tube reposition
|
$134.64 |
$134.64 |
$134.64 |
$759.36
|
