|
Foot X-ray
|
$371.85 |
$371.85 |
$371.85 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$105.83 |
$105.83 |
$105.83 |
$580.42
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$756.45 |
$756.45 |
$756.45 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$578.25 |
$578.25 |
$578.25 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$262.01 |
$262.01 |
$262.01 |
$106.10
|
|
Fragmenting of kidney stone
|
$18,406.05 |
$18,406.05 |
$18,406.05 |
$10,057.42
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$132.30 |
$132.30 |
$132.30 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$226.20 |
$226.20 |
$226.20 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$102.90 |
$102.90 |
$102.90 |
$122.00
|
|
Frozen blood thaw
|
$410.55 |
$410.55 |
$410.55 |
$209.50
|
|
Fructosamine glycated protein
|
$31.95 |
$31.95 |
$31.95 |
$60.75
|
|
Ft arch suprt premold longit
|
$94.69 |
$94.69 |
$94.69 |
$79.82
|
|
Ftl cgen abnor four anal
|
$107.55 |
$107.55 |
$107.55 |
$204.52
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$11.45 |
$11.45 |
$11.45 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$125.70 |
$125.70 |
$125.70 |
$118.56
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$73.80 |
$73.80 |
$73.80 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$213.90 |
$213.90 |
$213.90 |
$96.94
|
|
Gallium illuccix 1 millicure
|
$10,451.70 |
$10,451.70 |
$10,451.70 |
$1,395.27
|
|
Gammaglobulin iga
|
$221.85 |
$221.85 |
$221.85 |
$67.20
|
|
Gammaglobulin ige
|
$182.10 |
$182.10 |
$182.10 |
$83.85
|
|
Gamma glutamyltransferase
|
$161.85 |
$161.85 |
$161.85 |
$57.54
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$210.11 |
$210.11 |
$210.11 |
$197.40
|
|
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 |
$1,341.67
|
|
Gemcitabine 1 gram intravenous solution
|
$195.71 |
$195.71 |
$195.71 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$19,305.62 |
$19,305.62 |
$19,305.62 |
$19,305.62
|
|
General health panel
|
$638.70 |
$638.70 |
$638.70 |
$275.00
|
|
Generator barostim neo2 2014
|
$48,147.60 |
$48,147.60 |
$48,147.60 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.00 |
$30.00 |
$30.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$302.10 |
$302.10 |
$302.10 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,551.45 |
$1,551.45 |
$1,551.45 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$1,020.15 |
$1,020.15 |
$1,020.15 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$3,295.35 |
$3,295.35 |
$3,295.35 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$42.00 |
$42.00 |
$42.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$57.75 |
$57.75 |
$57.75 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$30.75 |
$30.75 |
$30.75 |
$69.30
|
|
Ghs bleeding time (ivy)
|
$153.90 |
$153.90 |
$153.90 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,045.65 |
$1,045.65 |
$1,045.65 |
$1,045.65
|
|
Ghs change cysto/gastrost
|
$446.55 |
$446.55 |
$446.55 |
$565.49
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$243.90 |
$243.90 |
$243.90 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$211.95 |
$211.95 |
$211.95 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$520.80 |
$520.80 |
$520.80 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,396.80 |
$1,396.80 |
$1,396.80 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$2,148.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,650.90 |
$1,650.90 |
$1,650.90 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$279.90 |
$279.90 |
$279.90 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$211.95 |
$211.95 |
$211.95 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$216.75 |
$216.75 |
$216.75 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$339.60 |
$339.60 |
$339.60 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$339.60 |
$339.60 |
$339.60 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$339.60 |
$339.60 |
$339.60 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$339.60 |
$339.60 |
$339.60 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,591.05 |
$1,591.05 |
$1,591.05 |
$1,067.30
|
|
Ghs dislocation elbow closed treatment
|
$279.90 |
$279.90 |
$279.90 |
$578.00
|
|
Ghs ed rmvl or bivalving cast
|
$389.40 |
$389.40 |
$389.40 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$2,776.65 |
$2,776.65 |
$2,776.65 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$554.70 |
$554.70 |
$554.70 |
$593.91
|
|
Ghs excision ingrown nail
|
$829.80 |
$829.80 |
$829.80 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$360.45 |
$360.45 |
$360.45 |
$501.04
|
|
Ghs fb removal from muscle - complicated
|
$3,295.35 |
$3,295.35 |
$3,295.35 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$1,896.60 |
$1,896.60 |
$1,896.60 |
$1,706.20
|
|
Ghs fish cytogen
|
$589.05 |
$589.05 |
$589.05 |
$170.80
|
|
Ghs fish hybrid in situ 100-300
|
$316.05 |
$316.05 |
$316.05 |
$223.00
|
|
Ghs gastric intub aspiration lavage
|
$196.95 |
$196.95 |
$196.95 |
$368.50
|
|
Ghs histoplasma antigen
|
$270.60 |
$270.60 |
$270.60 |
$141.00
|
|
Ghs HIV antibody
|
$192.45 |
$192.45 |
$192.45 |
$90.14
|
|
Ghs i and d perirectal abscess 46040
|
$1,915.20 |
$1,915.20 |
$1,915.20 |
$2,630.53
|
|
Ghs i and d pilonidal cyst complex
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,372.15
|
|
Ghs i and d pilonidal cyst simple
|
$526.50 |
$526.50 |
$526.50 |
$703.15
|
|
Ghs incision thrombosed ext hemorrhoid
|
$322.50 |
$322.50 |
$322.50 |
$523.73
|
|
Ghs inf midline insertion
|
$1,241.85 |
$1,241.85 |
$1,241.85 |
$1,219.20
|
|
Ghs inhibitor screen
|
$479.70 |
$479.70 |
$479.70 |
$187.32
|
|
Ghs init tx 1st degree burn
|
$235.35 |
$235.35 |
$235.35 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$1,382.70 |
$1,382.70 |
$1,382.70 |
$1,702.20
|
|
Ghs inj transforaminal cerv ea add bil
|
$741.45 |
$741.45 |
$741.45 |
$1,110.90
|
|
Ghs inj transforaminal cerv single bil
|
$1,382.70 |
$1,382.70 |
$1,382.70 |
$1,727.25
|
|
Ghs insertion of needle - bone
|
$361.95 |
$361.95 |
$361.95 |
$422.40
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$449.25 |
$449.25 |
$449.25 |
$863.28
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$695.40 |
$695.40 |
$695.40 |
$1,035.60
|
|
Ghs intermed repair over 30 cm - 12037
|
$3,840.60 |
$3,840.60 |
$3,840.60 |
$2,164.64
|
|
Ghs intro needle/intracath vein - 36000
|
$208.50 |
$208.50 |
$208.50 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$457.80 |
$457.80 |
$457.80 |
$544.80
|
|
Ghs IV thrombolytics - cerebral
|
$5,052.15 |
$5,052.15 |
$5,052.15 |
$663.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$438.90 |
$438.90 |
$438.90 |
$492.00
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$449.25 |
$449.25 |
$449.25 |
$584.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$312.90 |
$312.90 |
$312.90 |
$563.75
|
|
Ghs layer closure 2.5cm or less - 12051
|
$312.90 |
$312.90 |
$312.90 |
$593.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$312.90 |
$312.90 |
$312.90 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$312.90 |
$312.90 |
$312.90 |
$689.04
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$312.90 |
$312.90 |
$312.90 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$449.25 |
$449.25 |
$449.25 |
$770.22
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$373.50 |
$373.50 |
$373.50 |
$750.12
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$312.90 |
$312.90 |
$312.90 |
$740.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12045
|
$373.50 |
$373.50 |
$373.50 |
$964.00
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$312.90 |
$312.90 |
$312.90 |
$790.40
|
