|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,674.06 |
$1,674.06 |
$1,674.06 |
$973.70
|
|
Filleted finger/toe flap
|
$2,431.38 |
$2,431.38 |
$2,431.38 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$7,130.56 |
$7,130.56 |
$7,130.56 |
$6,152.59
|
|
Filter vena cava fem denali
|
$4,073.27 |
$4,073.27 |
$4,073.27 |
$3,467.25
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$262.92 |
$262.92 |
$262.92 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,404.08 |
$2,404.08 |
$2,404.08 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$520.80 |
$520.80 |
$520.80 |
$547.53
|
|
Fixation of knee joint
|
$2,021.04 |
$2,021.04 |
$2,021.04 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,196.58 |
$1,196.58 |
$1,196.58 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$202.86 |
$202.86 |
$202.86 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,047.06 |
$1,047.06 |
$1,047.06 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$2,040.09
|
|
Flow cytometry marker each additional
|
$192.78 |
$192.78 |
$192.78 |
$103.00
|
|
Flow cytometry one marker technical component
|
$391.02 |
$391.02 |
$391.02 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$116.66 |
$116.66 |
$116.66 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$2,004.96 |
$2,004.96 |
$2,004.96 |
$601.96
|
|
Fluidotherapy charges pt
|
$45.36 |
$45.36 |
$45.36 |
$95.00
|
|
Fluid pressure muscle 20950
|
$914.34 |
$914.34 |
$914.34 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$1,806.00 |
$1,806.00 |
$1,806.00 |
$507.00
|
|
Fluoroguide needle placement
|
$2,557.80 |
$2,557.80 |
$2,557.80 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,094.52 |
$1,094.52 |
$1,094.52 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$138.39 |
$138.39 |
$567.57 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$5,525.94 |
$5,525.94 |
$5,525.94 |
$1,588.65
|
|
Folic acid
|
$205.38 |
$205.38 |
$205.38 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$56.70 |
$56.70 |
$56.70 |
$55.66
|
|
Follow-up angiography
|
$3,514.98 |
$3,514.98 |
$3,514.98 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$5,959.39 |
$5,959.39 |
$5,959.39 |
$2,860.43
|
|
Fondaparinux sodium
|
$237.47 |
$237.47 |
$237.47 |
$176.81
|
|
Foot X-ray
|
$580.44 |
$580.44 |
$580.44 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$4,713.66 |
$4,713.66 |
$4,713.66 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$258.72 |
$258.72 |
$258.72 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$537.99 |
$537.99 |
$2,109.18 |
$470.29
|
|
Foscarnet sodium injection
|
$1,817.16 |
$1,817.16 |
$1,817.16 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$56.70 |
$296.60 |
$296.60 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$18.06 |
$18.23 |
$18.23 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$21.63 |
$21.84 |
$21.84 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$123.90 |
$123.90 |
$123.90 |
$123.90
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,501.10 |
$2,501.10 |
$2,501.10 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,501.10 |
$2,501.10 |
$2,501.10 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$56.70 |
$56.70 |
$96.26 |
$27.69
|
|
Fusion of finger joint
|
$4,192.86 |
$4,192.86 |
$4,192.86 |
$3,986.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$92.61 |
$92.61 |
$92.61 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$37.80 |
$37.80 |
$37.80 |
$138.37
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$165.44 |
$165.44 |
$165.78 |
$210.50
|
|
Gamma globulin 1 cc inj
|
$3,547.91 |
$3,547.91 |
$3,547.91 |
$158.67
|
|
Gammaglobulin iga
|
$218.82 |
$218.82 |
$218.82 |
$75.30
|
|
Gammaglobulin ige
|
$173.46 |
$173.46 |
$173.46 |
$85.00
|
|
Gamma glutamyltransferase
|
$242.76 |
$242.76 |
$242.76 |
$55.28
|
|
Gamunex-c/gammaked
|
$4,292.03 |
$4,292.03 |
$17,168.14 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$263.39 |
$263.39 |
$353.99 |
$209.07
|
|
Gastroesophageal reflux study
|
$1,666.02 |
$1,666.02 |
$1,666.14 |
$957.25
|
|
Gemcitabine 1 gram intravenous solution
|
$125.37 |
$125.37 |
$458.87 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$23,434.26 |
$23,434.26 |
$23,434.26 |
$23,897.53
|
|
General health panel
|
$1,695.54 |
$1,695.54 |
$1,695.54 |
$280.50
|
|
Generator barostim neo2 2014
|
$62,253.40 |
$62,253.40 |
$62,253.40 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$36,467.76 |
$36,467.76 |
$40,002.90 |
$35,824.13
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$56.70 |
$182.90 |
$182.90 |
$62.84
|
|
Gentamicin peak therapeutic drug level
|
$780.36 |
$780.36 |
$780.36 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$1,598.94 |
$1,598.94 |
$1,598.94 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$584.64 |
$584.64 |
$584.64 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$3,638.88 |
$3,638.88 |
$3,638.88 |
$3,776.00
|
|
Ghs aspiration bladder - needle
|
$302.82 |
$302.82 |
$302.82 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$477.54 |
$477.54 |
$477.54 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$907.62 |
$907.62 |
$907.62 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$4,593.12 |
$4,593.12 |
$4,593.12 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$881.16 |
$881.16 |
$881.16 |
$699.60
|
|
Ghs chemo >8 hrs
|
$553.14 |
$553.14 |
$553.14 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$226.80 |
$226.80 |
$226.80 |
$291.60
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$243.60 |
$243.60 |
$243.60 |
$134.55
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$338.10 |
$338.10 |
$338.10 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$1,091.16 |
$1,091.16 |
$1,091.16 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,061.78 |
$2,061.78 |
$2,061.78 |
$1,707.42
|
|
Ghs closed tx radiocarpal disloc w manip
|
$367.92 |
$367.92 |
$367.92 |
$534.99
|
|
Ghs closed tx tibial fracture w/manip
|
$2,105.04 |
$2,105.04 |
$2,105.04 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,431.38 |
$2,431.38 |
$2,431.38 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$291.90 |
$291.90 |
$291.90 |
$581.60
|
|
Ghs clsd red med malleolus fx w manip
|
$4,041.66 |
$4,041.66 |
$4,041.66 |
$2,459.25
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$2,399.46 |
$2,399.46 |
$2,399.46 |
$2,399.46
|
|
Ghs cl tx knee disl; wo anesth
|
$1,131.48 |
$1,131.48 |
$1,131.48 |
$716.95
|
|
Ghs cl tx metacarpophal disloc without anes
|
$1,728.30 |
$1,728.30 |
$1,728.30 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$129.36 |
$129.36 |
$129.36 |
$89.28
|
|
Ghs conjunctiva foreign body-embed bil
|
$537.60 |
$537.60 |
$537.60 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$485.10 |
$485.10 |
$485.10 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$632.52 |
$632.52 |
$632.52 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$632.52 |
$632.52 |
$632.52 |
$368.16
|
|
Ghs cricothyroidotomy
|
$2,451.54 |
$2,451.54 |
$2,451.54 |
$1,207.80
|
|
Ghs cutdown placement age 1 and over
|
$532.14 |
$532.14 |
$532.14 |
$411.84
|
|
Ghs cutdown placement under 1 yr
|
$163.80 |
$163.80 |
$163.80 |
$152.54
|
|
Ghs dislocation elbow closed treatment
|
$2,832.48 |
$2,832.48 |
$2,832.48 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,196.58 |
$1,196.58 |
$1,196.58 |
$1,313.95
|
|
Ghs ed rmvl or bivalving cast
|
$695.94 |
$695.94 |
$695.94 |
$351.46
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,377.18 |
$1,377.18 |
$1,377.18 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$7,659.12 |
$7,659.12 |
$7,659.12 |
$586.80
|
|
Ghs excision ingrown nail
|
$225.12 |
$225.12 |
$225.12 |
$457.60
|
|
Ghs eye exam
|
$184.80 |
$184.80 |
$184.80 |
$162.24
|
|
Ghs eyelid foreign body-embedded - bil
|
$353.22 |
$353.22 |
$353.22 |
$536.77
|
|
Ghs fb removal foot - deep - left
|
$2,112.60 |
$2,112.60 |
$2,112.60 |
$2,880.30
|
|
Ghs fb removal from muscle - complicated
|
$3,638.88 |
$3,638.88 |
$3,638.88 |
$3,386.84
|