|
Fluorescent antibody titer dna
|
$315.00 |
$315.00 |
$513.45 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$535.80 |
$535.80 |
$766.31 |
$495.00
|
|
Fluoroguide needle placement
|
$425.40 |
$425.40 |
$567.67 |
$497.92
|
|
Fluoro polarize fetal lung
|
$190.72 |
$190.72 |
$190.72 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$417.15 |
$417.15 |
$463.80 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$73.92 |
$73.92 |
$136.92 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$33.48 |
$41.84 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$5,265.00 |
$5,265.00 |
$5,265.00 |
$5,265.00
|
|
Fmri brain by tech
|
$987.52 |
$987.52 |
$1,351.95 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$526.50 |
$526.50 |
$1,727.84 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$390.00 |
$390.00 |
$579.00 |
$834.90
|
|
Foam drg >16<=48 sq in w/bdr
|
$318.48 |
$318.48 |
$318.48 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$118.55 |
$118.55 |
$118.55 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$112.25 |
$112.25 |
$112.25 |
$16.25
|
|
Foam drg > 48 sq in w/border
|
$23.63 |
$23.63 |
$23.63 |
$23.63
|
|
Foam drg > 48 sq in without brdr
|
$144.75 |
$144.75 |
$144.75 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$59.76 |
$59.76 |
$59.76 |
$21.74
|
|
Folic acid
|
$128.10 |
$128.10 |
$143.70 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$151.39 |
$151.39 |
$151.39 |
$45.00
|
|
Follow-up angiography
|
$1,939.14 |
$1,939.14 |
$2,416.65 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,928.54 |
$1,928.54 |
$2,033.07 |
$2,511.73
|
|
Fondaparinux sodium
|
$174.74 |
$174.74 |
$244.44 |
$186.20
|
|
Foot arch supp premold metat
|
$12.89 |
$12.89 |
$12.89 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$161.23 |
$161.23 |
$161.23 |
$143.14
|
|
Foot insert plastazote or eq
|
$365.48 |
$365.48 |
$365.48 |
$349.16
|
|
Foot lamin/prepreg composite
|
$246.40 |
$246.40 |
$246.40 |
$289.76
|
|
Foot longitudinal arch suppo
|
$366.96 |
$366.96 |
$366.96 |
$322.85
|
|
Foot plate molded stirrup at
|
$541.52 |
$541.52 |
$541.52 |
$620.64
|
|
Foot X-ray
|
$365.31 |
$365.31 |
$371.85 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$287.92 |
$287.92 |
$333.00 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$42.66 |
$42.66 |
$105.83 |
$669.13
|
|
Forearm X-ray (both sides)
|
$317.62 |
$317.62 |
$404.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$740.71 |
$740.71 |
$756.45 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$221.89 |
$221.89 |
$578.25 |
$490.67
|
|
Foscarnet sodium injection
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$86.40 |
$86.40 |
$262.01 |
$103.62
|
|
Fracture assessment via dxa
|
$175.50 |
$175.50 |
$267.91 |
$175.50
|
|
_fragile x methylation-sendout
|
$391.65 |
$391.65 |
$855.00 |
$183.74
|
|
Fragmenting of kidney stone
|
$13,091.90 |
$13,091.90 |
$18,406.05 |
$10,312.25
|
|
Frenectomy 41115
|
$1,183.95 |
$1,183.95 |
$1,183.95 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$132.30 |
$132.30 |
$162.45 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$164.16 |
$164.16 |
$232.80 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$102.90 |
$102.90 |
$114.35 |
$131.25
|
|
Frozen blood thaw
|
$410.55 |
$410.55 |
$410.55 |
$212.30
|
|
Fructosamine glycated protein
|
$31.95 |
$31.95 |
$78.73 |
$63.50
|
|
Ft arch suprt premold longit
|
$94.69 |
$94.69 |
$94.69 |
$94.69
|
|
Ftl cgen abnor four anal
|
$119.34 |
$119.34 |
$119.34 |
$211.83
|
|
Full field erg w/i&r
|
$574.20 |
$574.20 |
$574.20 |
$393.12
|
|
Full mouth x-ray of teeth
|
$204.53 |
$204.53 |
$204.53 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$300.60 |
$300.60 |
$464.96 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,873.67 |
$3,873.67 |
$3,873.67 |
$3,155.50
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,003.75 |
$1,003.75 |
$1,003.75 |
$2,798.50
|
|
Fundus photography with i&r 92250
|
$209.46 |
$209.46 |
$209.46 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$11.45 |
$11.45 |
$11.45 |
$26.40
|
|
G0180 home health certification
|
$128.18 |
$128.18 |
$128.18 |
$116.00
|
|
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
|
$125.70 |
$125.70 |
$125.70 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
|
Gabapentin non-blood
|
$125.07 |
$125.07 |
$125.07 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$73.80 |
$73.80 |
$248.73 |
$120.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$135.08 |
$135.08 |
$213.90 |
$100.00
|
|
Galactokinase - sendout
|
$204.97 |
$204.97 |
$204.97 |
$204.97
|
|
Galectin-3
|
$132.87 |
$132.87 |
$132.87 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,602.75 |
$1,602.75 |
$1,760.38 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,602.75 |
$1,602.75 |
$1,900.64 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$10,451.70 |
$10,451.70 |
$10,451.70 |
$1,696.55
|
|
Gamma globulin 1 cc inj
|
$1,243.58 |
$1,243.58 |
$1,243.58 |
$407.60
|
|
Gammaglobulin iga
|
$109.53 |
$109.53 |
$221.85 |
$69.60
|
|
Gammaglobulin ige
|
$79.05 |
$79.05 |
$127.31 |
$83.85
|
|
Gamma glutamyltransferase
|
$82.46 |
$82.46 |
$161.85 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$197.40 |
$197.40 |
$210.11 |
$197.40
|
|
Gardner vag dna quant
|
$65.33 |
$65.33 |
$65.33 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$23.01 |
$23.01 |
$23.01 |
$31.50
|
|
Gastric emptying imag study
|
$2,536.50 |
$2,536.50 |
$2,536.50 |
$1,364.00
|
|
Gastrin test
|
$61.80 |
$61.80 |
$61.80 |
$61.80
|
|
Gastroesophageal reflux study
|
$493.75 |
$493.75 |
$493.75 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,393.53 |
$1,393.53 |
$1,393.53 |
$1,352.00
|
|
Gauze >16<=48 no w/sal without b
|
$9.89 |
$9.89 |
$9.89 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$17.01 |
$17.01 |
$17.01 |
$6.40
|
|
Gauze <= 16 sq in w/border
|
$26.06 |
$26.06 |
$26.06 |
$13.65
|
|
Gauze > 48 in no w/sal without b
|
$16.29 |
$16.29 |
$16.29 |
$7.08
|
|
Gel-one
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$1,561.21
|
|
Gemcitabine 1 gram intravenous solution
|
$195.71 |
$195.71 |
$336.40 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$17,843.81 |
$17,843.81 |
$19,305.62 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$48,147.60 |
$48,147.60 |
$54,677.39 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$30,006.00 |
$30,006.00 |
$40,788.00 |
$36,467.76
|
|
Genetic counseling 30 min
|
$100.00 |
$100.00 |
$100.00 |
$193.00
|
|
Genetic tstg severe inh cond
|
$3,705.00 |
$3,705.00 |
$8,289.90 |
$3,978.65
|
|
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
|
$30.00 |
$30.00 |
$122.95 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$166.14 |
$166.14 |
$302.10 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$1,551.45 |
$1,551.45 |
$1,886.71 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,020.15 |
$1,020.15 |
$1,569.82 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,295.35 |
$3,295.35 |
$3,846.29 |
$3,776.00
|
|
Ghs acetylcholinesterase, rbc
|
$68.59 |
$68.59 |
$68.59 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$57.75 |
$57.75 |
$124.41 |
$100.30
|
