|
#fecal-sodium
|
$2.80 |
$2.80 |
$2.80 |
$37.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$0.45 |
$0.45 |
$0.45 |
$2,590.25
|
|
Ferritin
|
$27.44 |
$27.44 |
$27.44 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$135.52 |
$135.52 |
$135.52 |
$535.37
|
|
Fibrin degradation d dimer quantitative
|
$20.44 |
$20.44 |
$20.44 |
$117.70
|
|
Fibrin degradation products
|
$8.96 |
$8.96 |
$8.96 |
$62.64
|
|
Fibrinogen activity
|
$8.96 |
$8.96 |
$8.96 |
$83.50
|
|
Fibrinolytic plasminogen
|
$53.76 |
$53.76 |
$53.76 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$0.70 |
$0.70 |
$0.70 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$0.70 |
$0.70 |
$0.70 |
$1,096.24
|
|
Filter vena cava fem denali
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$3,718.18
|
|
Fl exam g/colon tube w contrast
|
$102.48 |
$102.48 |
$102.48 |
$511.92
|
|
Flow cytometry marker each additional
|
$19.88 |
$19.88 |
$19.88 |
$97.50
|
|
Flow cytometry one marker technical component
|
$98.84 |
$98.84 |
$98.84 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$7.00 |
$7.00 |
$7.00 |
$64.22
|
|
Fluidotherapy charges pt
|
$24.08 |
$24.08 |
$24.08 |
$91.00
|
|
Fluoroguide for spine inject 77003-26
|
$57.40 |
$57.40 |
$57.40 |
$496.03
|
|
Fluoroguide needle placement
|
$57.40 |
$57.40 |
$57.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$102.48 |
$102.48 |
$102.48 |
$492.00
|
|
Fna bx w/ct gdn 1st les
|
$810.60 |
$810.60 |
$810.60 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$810.60 |
$810.60 |
$810.60 |
$833.25
|
|
Folic acid
|
$29.68 |
$29.68 |
$29.68 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3.29 |
$3.29 |
$3.29 |
$2,581.14
|
|
Fondaparinux sodium
|
$5.18 |
$5.18 |
$5.18 |
$185.12
|
|
Foot X-ray
|
$122.64 |
$122.64 |
$122.64 |
$362.40
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$106.10
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$62.44 |
$62.44 |
$62.44 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$184.80 |
$184.80 |
$184.80 |
$122.00
|
|
Fructosamine glycated protein
|
$5.32 |
$5.32 |
$5.32 |
$60.75
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$4.73 |
$4.73 |
$4.73 |
$144.98
|
|
Gammaglobulin iga
|
$17.36 |
$17.36 |
$17.36 |
$67.20
|
|
Gammaglobulin ige
|
$12.60 |
$12.60 |
$12.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$14.56 |
$14.56 |
$14.56 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$92.82 |
$92.82 |
$92.82 |
$197.40
|
|
Gastric emptying imag study
|
$370.16 |
$370.16 |
$370.16 |
$1,291.55
|
|
General health panel
|
$38.36 |
$38.36 |
$38.36 |
$275.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$5.60 |
$5.60 |
$5.60 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$33.04 |
$33.04 |
$33.04 |
$126.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$30.52 |
$30.52 |
$30.52 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$46.76 |
$46.76 |
$46.76 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$70.28 |
$70.28 |
$70.28 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$8.68 |
$8.68 |
$8.68 |
$64.40
|
|
Ghs community re-entry 15 minutes
|
$14.00 |
$14.00 |
$14.00 |
$88.50
|
|
Ghs diphtheria toxoid ab igg
|
$36.68 |
$36.68 |
$36.68 |
$62.05
|
|
Ghs fat & muscle
|
$13.16 |
$13.16 |
$13.16 |
$38.08
|
|
Ghs fish cytogen
|
$26.32 |
$26.32 |
$26.32 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$50.12 |
$50.12 |
$50.12 |
$223.00
|
|
Ghs histoplasma antigen
|
$64.40 |
$64.40 |
$64.40 |
$141.00
|
|
Ghs leukocyte alkaline phos (mayo)
|
$17.36 |
$17.36 |
$17.36 |
$76.20
|
|
Ghs mbp
|
$12.32 |
$12.32 |
$12.32 |
$77.35
|
|
Ghs myocardial strain img spckl track
|
$64.68 |
$64.68 |
$64.68 |
$457.80
|
|
Ghs ob unlisted IV or art inj or infusion
|
$28.00 |
$28.00 |
$28.00 |
$75.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$17.36 |
$17.36 |
$17.36 |
$55.77
|
|
Ghs osteopathic manipulative tx, 3-4 regions
|
$22.96 |
$22.96 |
$22.96 |
$57.65
|
|
Ghs ot group caregiver training
|
$73.08 |
$73.08 |
$73.08 |
$34.92
|
|
Ghs ot prosthetic training/15 min
|
$14.00 |
$14.00 |
$14.00 |
$90.50
|
|
Ghs pacing - transcutaneous
|
$283.64 |
$283.64 |
$283.64 |
$815.20
|
|
Ghs phenylketonurid
|
$47.32 |
$47.32 |
$47.32 |
$53.76
|
|
Ghs prostatic acid phosphatase (mayo)
|
$7.84 |
$7.84 |
$7.84 |
$43.55
|
|
Ghs protoporphyrins fract
|
$76.44 |
$76.44 |
$76.44 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$33.88 |
$33.88 |
$33.88 |
$146.86
|
|
Ghs quinidine
|
$7.84 |
$7.84 |
$7.84 |
$85.00
|
|
Ghs sedimentation rate
|
$7.28 |
$7.28 |
$7.28 |
$45.50
|
|
Ghs sp train/fitting sp device - kx
|
$46.76 |
$46.76 |
$46.76 |
$250.50
|
|
Ghs urine, porphyrins quant
|
$17.64 |
$17.64 |
$17.64 |
$75.00
|
|
Ghs vaginal delivery only
|
$730.52 |
$730.52 |
$730.52 |
$3,152.00
|
|
Gi inhouse confirmation
|
$19.04 |
$19.04 |
$19.04 |
$83.70
|
|
Glucagon 1 mg solution for injection
|
$109.06 |
$109.06 |
$109.06 |
$601.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$109.06 |
$109.06 |
$109.06 |
$491.67
|
|
Glucagon plasma - sendout
|
$15.96 |
$15.96 |
$15.96 |
$63.00
|
|
Glucose 1 hr post dose
|
$9.52 |
$9.52 |
$9.52 |
$47.20
|
|
Glucose blood quantitative
|
$7.56 |
$7.56 |
$7.56 |
$40.00
|
|
Glucose body fluid
|
$7.84 |
$7.84 |
$7.84 |
$52.20
|
|
Glucose tolerance test (gtt) 3 specimens
|
$17.64 |
$17.64 |
$17.64 |
$100.16
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$7.84 |
$7.84 |
$7.84 |
$35.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$1.12 |
$1.12 |
$1.12 |
$37.04
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$6.16 |
$6.16 |
$6.16 |
$115.05
|
|
Gonadotropin luteinizing hormone (lh)
|
$9.24 |
$9.24 |
$9.24 |
$129.00
|
|
Graft nerve adv 3-4x70mm
|
$6,720.00 |
$6,720.00 |
$6,720.00 |
$19,620.00
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$1,132.47
|
|
Graft xenmtrx sft rect 15x20cm
|
$1,649.00 |
$1,649.00 |
$1,649.00 |
$30,392.04
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,451.37 |
$1,451.37 |
$1,451.37 |
$2,701.58
|
|
Ground mileage
|
$2.80 |
$2.80 |
$2.80 |
$17.55
|
|
Guided cath fluid drainage 10030
|
$303.80 |
$303.80 |
$303.80 |
$1,372.15
|
|
Guide wire threaded 1.4x150mm
|
$1,030.40 |
$1,030.40 |
$1,030.40 |
$3,284.50
|
|
Gw stiffened micro access kit
|
$429.45 |
$429.45 |
$429.45 |
$6,696.00
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$11.76 |
$11.76 |
$11.76 |
$90.14
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$6.44 |
$6.44 |
$6.44 |
$23.06
|
|
Hand X-ray
|
$122.64 |
$122.64 |
$122.64 |
$356.00
|
|
Haptoglobin quantitative
|
$9.52 |
$9.52 |
$9.52 |
$91.14
|
|
Hcg qualitative
|
$15.12 |
$15.12 |
$15.12 |
$89.70
|
|
Hcg quantitative
|
$6.16 |
$6.16 |
$6.16 |
$139.20
|
|
Hc nm kidney imaging with flow
|
$190.12 |
$190.12 |
$190.12 |
$822.60
|
|
Head CT scan (with and without contrast)
|
$539.56 |
$539.56 |
$539.56 |
$1,849.90
|
|
Head CT scan (with contrast)
|
$348.60 |
$348.60 |
$348.60 |
$1,545.60
|
|
Head CT scan (without contrast)
|
$348.60 |
$348.60 |
$348.60 |
$1,268.90
|
|
Helicobacter pylori antibody igm
|
$38.08 |
$38.08 |
$38.08 |
$91.98
|
|
Hemagglutination inhibition
|
$32.48 |
$32.48 |
$32.48 |
$61.80
|
|
Hematocrit
|
$4.20 |
$4.20 |
$4.20 |
$33.57
|
|
Hemoglobin
|
$4.76 |
$4.76 |
$4.76 |
$31.80
|
