|
Flexible Sigmoidoscopy
|
$672.71 |
$672.71 |
$672.71 |
$1,278.72
|
|
Flow cytometry marker each additional
|
$87.24 |
$87.24 |
$87.24 |
$103.00
|
|
Flow cytometry one marker technical component
|
$298.04 |
$298.04 |
$298.04 |
$304.43
|
|
Floxuridine injection
|
$248.28 |
$248.28 |
$248.28 |
$4,125.55
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$16.04 |
$16.04 |
$16.04 |
$48.56
|
|
Fludarabine 50 mg intravenous solution
|
$236.42 |
$236.42 |
$236.42 |
$417.96
|
|
Fluidotherapy charges pt
|
$121.04 |
$121.04 |
$121.04 |
$101.40
|
|
Fluorescent antibody titer dna
|
$552.38 |
$552.38 |
$552.38 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$84.57 |
$84.57 |
$84.57 |
$497.25
|
|
Fluoroguide needle placement
|
$311.94 |
$311.94 |
$311.94 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$198.74 |
$198.74 |
$198.74 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$7.35 |
$7.35 |
$7.35 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$66.60 |
$66.60 |
$66.60 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$1,822.79 |
$1,822.79 |
$1,822.79 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$880.92 |
$880.92 |
$880.92 |
$737.83
|
|
Folic acid
|
$49.34 |
$49.34 |
$49.34 |
$85.50
|
|
Follow-up angiography
|
$299.46 |
$299.46 |
$299.46 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$22.67 |
$22.67 |
$22.67 |
$18.44
|
|
Fondaparinux sodium
|
$23.03 |
$23.03 |
$23.03 |
$121.83
|
|
Foot X-ray
|
$82.13 |
$82.13 |
$82.13 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.93 |
$0.93 |
$0.93 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$43.46 |
$43.46 |
$43.46 |
$66.38
|
|
Fragmenting of kidney stone
|
$9,885.59 |
$9,885.59 |
$9,885.59 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$25.25 |
$25.25 |
$25.25 |
$186.55
|
|
Fresh frozen plasma thawing ea un
|
$170.31 |
$170.31 |
$170.31 |
$114.35
|
|
Fructosamine glycated protein
|
$81.00 |
$81.00 |
$81.00 |
$69.55
|
|
Ga-67 gallium 0.1 mci
|
$221.96 |
$221.96 |
$221.96 |
$156.23
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.79 |
$1.79 |
$1.79 |
$2.04
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$8.67 |
$8.67 |
$8.67 |
$15.60
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.08 |
$1.08 |
$1.08 |
$13.18
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$30.53 |
$30.53 |
$30.53 |
$90.60
|
|
Gamma globulin 1 cc inj
|
$99.03 |
$99.03 |
$99.03 |
$106.20
|
|
Gammaglobulin iga
|
$99.06 |
$99.06 |
$99.06 |
$78.60
|
|
Gammaglobulin ige
|
$68.25 |
$68.25 |
$68.25 |
$87.10
|
|
Gamma glutamyltransferase
|
$92.03 |
$92.03 |
$92.03 |
$54.60
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$209.07 |
$209.07 |
$209.07 |
$154.86
|
|
Gemcitabine 1 gram intravenous solution
|
$97.37 |
$97.37 |
$97.37 |
$168.02
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$71.60 |
$71.60 |
$71.60 |
$30.76
|
|
Gentamicin peak therapeutic drug level
|
$54.89 |
$54.89 |
$54.89 |
$114.00
|
|
G-esoph reflx tst w/electrod
|
$546.59 |
$546.59 |
$546.59 |
$1,413.78
|
|
Ghs abscess postoperative iandd complex
|
$1,885.28 |
$1,885.28 |
$1,885.28 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$93.03 |
$93.03 |
$93.03 |
$103.14
|
|
Ghs antibodies (torch) igm
|
$83.06 |
$83.06 |
$83.06 |
$82.50
|
|
Ghs aspiration bladder - needle
|
$540.68 |
$540.68 |
$540.68 |
$590.85
|
|
Ghs bladder cath - complex-foley
|
$333.14 |
$333.14 |
$333.14 |
$333.18
|
|
Ghs change cysto/gastrost
|
$509.13 |
$509.13 |
$509.13 |
$727.35
|
|
Ghs chemo IV push, ea addtl
|
$190.89 |
$190.89 |
$190.89 |
$292.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$161.01 |
$161.01 |
$161.01 |
$135.85
|
|
Ghs community re-entry 15 minutes
|
$39.26 |
$39.26 |
$39.26 |
$85.00
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$796.05 |
$796.05 |
$796.05 |
$1,360.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$598.17 |
$598.17 |
$598.17 |
$586.80
|
|
Ghs febrile agglutinns(mayo)
|
$81.45 |
$81.45 |
$81.45 |
$51.99
|
|
Ghs flow volume loop
|
$308.69 |
$308.69 |
$308.69 |
$291.75
|
|
Ghs hcv amplificaiton
|
$276.87 |
$276.87 |
$276.87 |
$198.90
|
|
Ghs histoplasma antigen
|
$265.31 |
$265.31 |
$265.31 |
$157.30
|
|
Ghs HIV antibody
|
$90.14 |
$90.14 |
$90.14 |
$90.14
|
|
Ghs incision thrombosed ext hemorrhoid
|
$542.16 |
$542.16 |
$542.16 |
$534.60
|
|
Ghs insertion of needle - bone
|
$315.50 |
$315.50 |
$315.50 |
$436.10
|
|
Ghs leukocyte alkaline phos (mayo)
|
$114.66 |
$114.66 |
$114.66 |
$62.28
|
|
Ghs mbp
|
$117.84 |
$117.84 |
$117.84 |
$97.20
|
|
Ghs myocardial strain img spckl track
|
$81.47 |
$81.47 |
$81.47 |
$503.85
|
|
Ghs nerve block brachial plexus
|
$1,258.46 |
$1,258.46 |
$1,258.46 |
$1,789.51
|
|
Ghs nerve block celiac plexus
|
$1,076.61 |
$1,076.61 |
$1,076.61 |
$1,681.24
|
|
Ghs nerve block lumbar or thoracic symp
|
$1,076.75 |
$1,076.75 |
$1,076.75 |
$2,079.21
|
|
Ghs ng placement w fluoro guidance
|
$348.78 |
$348.78 |
$348.78 |
$423.76
|
|
Ghs o2 saturation
|
$76.50 |
$76.50 |
$76.50 |
$55.90
|
|
Ghs opcc repair cvp without subq port
|
$1,792.77 |
$1,792.77 |
$1,792.77 |
$1,289.00
|
|
Ghs opcc repair cvp w subq port
|
$2,699.93 |
$2,699.93 |
$2,699.93 |
$2,449.60
|
|
Ghs ot prosthetic training/15 min
|
$39.26 |
$39.26 |
$39.26 |
$92.35
|
|
Ghs ot work hardening-additional hours
|
$67.76 |
$67.76 |
$67.76 |
$113.35
|
|
Ghs pacing - transcutaneous
|
$856.44 |
$856.44 |
$856.44 |
$872.95
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$758.24 |
$758.24 |
$758.24 |
$880.00
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$758.24 |
$758.24 |
$758.24 |
$849.47
|
|
Ghs ppd (tb intradermal)
|
$23.06 |
$23.06 |
$23.06 |
$39.77
|
|
Ghs protoporphyrins fract
|
$60.74 |
$60.74 |
$60.74 |
$68.38
|
|
Ghs pr without cont pulse ox
|
$105.44 |
$105.44 |
$105.44 |
$165.60
|
|
Ghs pt - work hardening/int 2hrs
|
$120.63 |
$120.63 |
$120.63 |
$230.40
|
|
Ghs sedimentation rate
|
$48.89 |
$48.89 |
$48.89 |
$36.57
|
|
Ghs semen analysis fert
|
$62.78 |
$62.78 |
$62.78 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$49.55 |
$49.55 |
$49.55 |
$55.12
|
|
Ghs sphenopalatine ganglion block
|
$1,384.34 |
$1,384.34 |
$1,384.34 |
$762.91
|
|
Ghs subcutaneous infus, for therapy ea. add. hr
|
$36.90 |
$36.90 |
$36.90 |
$72.00
|
|
Ghs subcutaneous infus. for therapy init 1 hr
|
$148.44 |
$148.44 |
$148.44 |
$342.40
|
|
Ghs urine, porphyrins quant
|
$100.26 |
$100.26 |
$100.26 |
$85.15
|
|
Ghs vaginal delivery only
|
$1,479.59 |
$1,479.59 |
$1,479.59 |
$3,341.93
|
|
Gi inhouse confirmation
|
$98.39 |
$98.39 |
$98.39 |
$79.50
|
|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,418.92
|
|
Glucagon 1 mg solution for injection
|
$601.79 |
$601.79 |
$601.79 |
$351.53
|
|
Glucagon plasma - sendout
|
$95.67 |
$95.67 |
$95.67 |
$67.50
|
|
Glucose 1 hr post dose
|
$50.82 |
$50.82 |
$50.82 |
$40.00
|
|
Glucose blood quantitative
|
$29.42 |
$29.42 |
$29.42 |
$40.80
|
|
Glucose body fluid
|
$50.82 |
$50.82 |
$50.82 |
$47.70
|
|
Glucose tolerance test (gtt) 3 specimens
|
$48.56 |
$48.56 |
$48.56 |
$92.75
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$29.42 |
$29.42 |
$29.42 |
$33.15
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$85.94 |
$85.94 |
$85.94 |
$61.21
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$62.25 |
$62.25 |
$62.25 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$62.01 |
$62.01 |
$62.01 |
$117.65
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$65.51 |
$65.51 |
$65.51 |
$56.71
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$152.31 |
$152.31 |
$152.31 |
$9,693.72
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$71.10 |
$71.10 |
$71.10 |
$23,233.80
|