|
Fresh frozen plasma thawing ea un
|
$196.84 |
$196.84 |
$196.84 |
$131.25
|
|
Frozen blood freeze/thaw
|
$99.23 |
$99.23 |
$99.23 |
$179.01
|
|
Frozen cell preparation
|
$95.18 |
$95.18 |
$95.18 |
$31.81
|
|
Frozen plasma, pooled, sd
|
$156.28 |
$156.28 |
$156.28 |
$170.00
|
|
Fructosamine glycated protein
|
$11.73 |
$11.73 |
$68.05 |
$63.50
|
|
Fth/gft fr n/e/e/l each addl
|
$2,393.63 |
$2,393.63 |
$2,393.63 |
$1,298.50
|
|
Fth/gft fr trnk each addl
|
$2,460.62 |
$2,460.62 |
$2,460.62 |
$1,368.50
|
|
Ft insert ucb berkeley shell
|
$329.48 |
$329.48 |
$329.48 |
$651.56
|
|
Ftl cgen abnor four anal
|
$317.70 |
$317.70 |
$317.70 |
$211.83
|
|
Full field erg w/i&r
|
$686.88 |
$686.88 |
$686.88 |
$393.12
|
|
Full Spine X-ray (Scoliosis Survey)
|
$242.35 |
$242.35 |
$597.28 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$4,166.36 |
$4,166.36 |
$4,166.36 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,023.58 |
$1,023.58 |
$4,713.83 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,255.03 |
$1,255.03 |
$1,255.03 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,006.93 |
$4,006.93 |
$4,006.93 |
$2,707.20
|
|
Functional brain mapping
|
$777.40 |
$777.40 |
$777.40 |
$514.80
|
|
Fundus photography with i&r 92250
|
$60.38 |
$60.38 |
$275.91 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$0.70 |
$0.70 |
$43.20 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$0.23 |
$0.23 |
$3.17 |
$26.20
|
|
Fuse/graft added joint
|
$2,650.04 |
$2,650.04 |
$2,650.04 |
$1,011.40
|
|
Fusion/graft of finger joint
|
$5,255.82 |
$5,255.82 |
$5,255.82 |
$3,986.00
|
|
Fusion/graft of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,588.00
|
|
Fusion of ankle joint open
|
$8,827.37 |
$8,827.37 |
$8,827.37 |
$9,791.00
|
|
Fusion of big toe joint
|
$5,663.11 |
$5,663.11 |
$5,663.11 |
$5,488.00
|
|
Fusion of big toe joint
|
$5,396.08 |
$5,396.08 |
$5,396.08 |
$7,811.00
|
|
Fusion of finger jnt add-on
|
$2,451.31 |
$2,451.31 |
$2,451.31 |
$192.40
|
|
Fusion of finger joint
|
$4,034.55 |
$4,034.55 |
$4,034.55 |
$4,499.12
|
|
Fusion of finger tendons
|
$2,484.97 |
$2,484.97 |
$2,484.97 |
$3,839.54
|
|
Fusion of finger tendons
|
$2,019.85 |
$2,019.85 |
$2,019.85 |
$1,893.86
|
|
Fusion of foot bones
|
$6,697.18 |
$6,697.18 |
$6,697.18 |
$6,697.18
|
|
Fusion of foot bones
|
$8,144.39 |
$8,144.39 |
$8,144.39 |
$10,203.05
|
|
Fusion of foot bones
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$5,419.00
|
|
Fusion of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,311.00
|
|
Fusion of knuckle
|
$4,228.56 |
$4,228.56 |
$4,228.56 |
$7,807.24
|
|
Fusion of knuckle joint
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,821.05
|
|
Fusion of knuckle joints
|
$4,259.84 |
$4,259.84 |
$4,259.84 |
$4,259.84
|
|
Fusion of knuckle with graft
|
$4,776.03 |
$4,776.03 |
$4,776.03 |
$7,807.24
|
|
Fusion of spermatic ducts
|
$3,498.74 |
$3,498.74 |
$3,498.74 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$3,498.74 |
$3,498.74 |
$3,498.74 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$4,443.10 |
$4,443.10 |
$4,443.10 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$3,273.55 |
$3,273.55 |
$3,273.55 |
$3,839.54
|
|
Fusion of thumb
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$8,299.09 |
$8,299.09 |
$8,299.09 |
$9,791.00
|
|
Fusion of toes
|
$2,927.44 |
$2,927.44 |
$2,927.44 |
$3,839.54
|
|
G0180 home health certification
|
$134.40 |
$134.40 |
$134.40 |
$107.25
|
|
G6pc gene
|
$140.79 |
$140.79 |
$140.79 |
$138.40
|
|
G6pd full gene sequence
|
$1,974.30 |
$1,974.30 |
$1,974.30 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$243.00 |
$243.00 |
$243.00 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$63.88 |
$63.88 |
$63.88 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
|
Gabapentin non-blood
|
$3.68 |
$3.68 |
$43.68 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$96.95 |
$96.95 |
$248.73 |
$120.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$158.44 |
$158.44 |
$158.44 |
$100.00
|
|
Galactokinase - sendout
|
$236.25 |
$236.25 |
$236.25 |
$196.38
|
|
Galactose transferase test
|
$34.93 |
$34.93 |
$34.93 |
$31.35
|
|
Galectin-3
|
$150.89 |
$150.89 |
$150.89 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$584.68 |
$584.68 |
$1,754.98 |
$1,493.98
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$621.95 |
$621.95 |
$1,968.94 |
$1,612.00
|
|
Gamma globulin 1 cc inj
|
$1,243.58 |
$1,243.58 |
$1,243.58 |
$407.60
|
|
Gammaglobulin iga
|
$45.50 |
$45.50 |
$109.53 |
$69.60
|
|
Gammaglobulin ige
|
$64.75 |
$64.75 |
$124.16 |
$83.85
|
|
Gamma glutamyltransferase
|
$32.38 |
$32.38 |
$65.89 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$9.74 |
$9.74 |
$197.40 |
$197.40
|
|
Gardner vag dna amp probe
|
$57.36 |
$57.36 |
$57.36 |
$65.30
|
|
Gastric analy w/ph ea spec
|
$27.67 |
$27.67 |
$27.67 |
$31.34
|
|
Gastric emptying imag study
|
$1,391.99 |
$1,391.99 |
$1,391.99 |
$1,345.40
|
|
Gastric emptying imag study
|
$1,770.81 |
$1,770.81 |
$1,770.81 |
$1,665.50
|
|
Gastric motility studies
|
$1,487.86 |
$1,487.86 |
$1,487.86 |
$972.00
|
|
Gastrin test
|
$119.11 |
$119.11 |
$119.11 |
$61.80
|
|
Gastroesophageal reflux study
|
$509.60 |
$509.60 |
$1,120.86 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$492.10 |
$492.10 |
$1,323.71 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$236.43 |
$236.43 |
$236.43 |
$379.50
|
|
Gastrostomy open neonatal
|
$1,132.14 |
$1,132.14 |
$1,132.14 |
$1,474.40
|
|
Gated heart multiple
|
$614.60 |
$614.60 |
$1,405.04 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$1.93 |
$1.93 |
$1.93 |
$5.00
|
|
Gba gene
|
$291.87 |
$291.87 |
$291.87 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$90.00 |
$90.00 |
$90.00 |
$68.30
|
|
Gemcitabine 1 gram intravenous solution
|
$4.66 |
$4.66 |
$336.40 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$17,843.81 |
$17,843.81 |
$17,843.81 |
$19,305.62
|
|
General health panel
|
$296.45 |
$296.45 |
$296.45 |
$261.00
|
|
Generator barostim neo2 2014
|
$54,677.39 |
$54,677.39 |
$54,780.43 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$37,300.73 |
$37,300.73 |
$43,578.00 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$8,289.90 |
$8,289.90 |
$8,289.90 |
$3,978.65
|
|
Genioplasty augmentation
|
$4,401.73 |
$4,401.73 |
$4,401.73 |
$6,547.81
|
|
Geniop sldg osteot 1
|
$2,903.97 |
$2,903.97 |
$2,903.97 |
$3,837.72
|
|
Gen, neuro, clo loop, rechg
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$38,632.78
|
|
Genome sequence analysis
|
$7,500.00 |
$7,500.00 |
$7,500.00 |
$5,031.20
|
|
Genome sequence analysis
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2.10 |
$2.10 |
$122.95 |
$51.02
|
|
Gentamicin peak therapeutic drug level
|
$42.35 |
$42.35 |
$119.90 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,877.99 |
$1,877.99 |
$1,877.99 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$484.75 |
$484.75 |
$1,849.64 |
$1,469.60
|
|
Ghs abscess postoperative iandd complex
|
$767.38 |
$767.38 |
$4,458.69 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$44.98 |
$44.98 |
$85.02 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$127.35 |
$127.35 |
$127.35 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$620.57 |
$620.57 |
$620.57 |
$389.90
|
|
Ghs analysis neurostim without reprogramming
|
$44.10 |
$44.10 |
$262.35 |
$257.50
|
|
Ghs antibodies (torch) igm
|
$28.00 |
$28.00 |
$100.40 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$308.00 |
$308.00 |
$590.84 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$82.08 |
$82.08 |
$312.34 |
$344.00
|