|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$56.40 |
$56.40 |
$56.40 |
$94.86
|
|
Fmri brain by phys/psych
|
$591.00 |
$591.00 |
$591.00 |
$1,558.05
|
|
Fmri brain by tech
|
$537.15 |
$537.15 |
$537.15 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$747.90 |
$747.90 |
$747.90 |
$1,420.80
|
|
Fna bx w/mr gdn 1st les
|
$304.05 |
$304.05 |
$304.05 |
$1,135.40
|
|
Folic acid
|
$25.80 |
$25.80 |
$25.80 |
$101.50
|
|
Follow-up angiography
|
$492.60 |
$492.60 |
$492.60 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,091.65 |
$1,091.65 |
$1,091.65 |
$2,581.14
|
|
Fo nontorsion joint cf
|
$96.15 |
$96.15 |
$96.15 |
$217.50
|
|
Foot arch support remov prem
|
$36.75 |
$36.75 |
$36.75 |
$106.20
|
|
Foot insert plastazote or eq
|
$78.15 |
$78.15 |
$78.15 |
$365.48
|
|
Foot longitud/metatarsal sup
|
$65.70 |
$65.70 |
$65.70 |
$221.20
|
|
Foot X-ray
|
$76.35 |
$76.35 |
$76.35 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$474.30 |
$474.30 |
$474.30 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$360.30 |
$360.30 |
$360.30 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$106.50 |
$106.50 |
$106.50 |
$532.80
|
|
Formoterol fumarate, inh
|
$20.70 |
$20.70 |
$20.70 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$416.98 |
$416.98 |
$416.98 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$196.44 |
$196.44 |
$196.44 |
$106.10
|
|
Fracture assessment via dxa
|
$63.90 |
$63.90 |
$63.90 |
$173.18
|
|
_fragile x methylation-sendout
|
$96.75 |
$96.75 |
$96.75 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$59.40 |
$59.40 |
$59.40 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$108.15 |
$108.15 |
$108.15 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$47.40 |
$47.40 |
$47.40 |
$122.00
|
|
Frozen blood thaw
|
$93.75 |
$93.75 |
$93.75 |
$209.50
|
|
Fructosamine glycated protein
|
$26.40 |
$26.40 |
$26.40 |
$60.75
|
|
Ftl cgen abnor four anal
|
$197.10 |
$197.10 |
$197.10 |
$204.52
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$638.10 |
$638.10 |
$638.10 |
$2,703.50
|
|
Fundus photography with i&r 92250
|
$54.75 |
$54.75 |
$54.75 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$14.28 |
$14.28 |
$14.28 |
$19.00
|
|
Fxn gene detc abnor alleles
|
$107.70 |
$107.70 |
$107.70 |
$189.06
|
|
Fxn gene full gene sequence
|
$216.00 |
$216.00 |
$216.00 |
$302.31
|
|
G6pc gene
|
$157.80 |
$157.80 |
$157.80 |
$123.00
|
|
Ga-67 gallium 0.1 mci
|
$27.30 |
$27.30 |
$27.30 |
$118.56
|
|
Ga-68 gallium 68 dotatate
|
$36.45 |
$36.45 |
$36.45 |
$119.90
|
|
Gabapentin non-blood
|
$17.70 |
$17.70 |
$17.70 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$44.15 |
$44.15 |
$44.15 |
$102.00
|
|
Galectin-3
|
$23.55 |
$23.55 |
$23.55 |
$111.60
|
|
Gammaglobulin iga
|
$16.20 |
$16.20 |
$16.20 |
$67.20
|
|
Gammaglobulin ige
|
$28.80 |
$28.80 |
$28.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$12.60 |
$12.60 |
$12.60 |
$57.54
|
|
Gardner vag dna quant
|
$73.05 |
$73.05 |
$73.05 |
$96.20
|
|
Gastric emptying imag study
|
$418.80 |
$418.80 |
$418.80 |
$1,291.55
|
|
Gastric emptying imag study
|
$418.80 |
$418.80 |
$418.80 |
$1,621.36
|
|
Gastrin test
|
$30.90 |
$30.90 |
$30.90 |
$61.80
|
|
Gastroesophageal reflux study
|
$452.25 |
$452.25 |
$452.25 |
$949.80
|
|
Gated heart multiple
|
$452.25 |
$452.25 |
$452.25 |
$1,400.64
|
|
Gauze >16<=48 no w/sal without b
|
$27.60 |
$27.60 |
$27.60 |
$5.00
|
|
Gba gene
|
$167.10 |
$167.10 |
$167.10 |
$160.72
|
|
General health panel
|
$49.20 |
$49.20 |
$49.20 |
$275.00
|
|
Genetic tstg severe inh cond
|
$3,142.35 |
$3,142.35 |
$3,142.35 |
$3,978.65
|
|
Genome re-evaluation
|
$2,999.85 |
$2,999.85 |
$2,999.85 |
$2,571.42
|
|
Genome sequence analysis
|
$6,456.60 |
$6,456.60 |
$6,456.60 |
$5,534.32
|
|
Genome sequence analysis
|
$3,477.60 |
$3,477.60 |
$3,477.60 |
$3,577.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$45.98 |
$45.98 |
$45.98 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$28.80 |
$28.80 |
$28.80 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$227.25 |
$227.25 |
$227.25 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$211.95 |
$211.95 |
$211.95 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$756.90 |
$756.90 |
$756.90 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$13.35 |
$13.35 |
$13.35 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$28.20 |
$28.20 |
$28.20 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$565.05 |
$565.05 |
$565.05 |
$371.84
|
|
Ghs analysis neurostim without reprogramming
|
$54.75 |
$54.75 |
$54.75 |
$246.50
|
|
Ghs antibodies (torch) igm
|
$25.20 |
$25.20 |
$25.20 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$79.80 |
$79.80 |
$79.80 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$7.95 |
$7.95 |
$7.95 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$313.50 |
$313.50 |
$313.50 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$574.35 |
$574.35 |
$574.35 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$52.05 |
$52.05 |
$52.05 |
$565.49
|
|
Ghs chemo >8 hrs
|
$279.90 |
$279.90 |
$279.90 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$106.95 |
$106.95 |
$106.95 |
$286.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$61.50 |
$61.50 |
$61.50 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$129.90 |
$129.90 |
$129.90 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$211.95 |
$211.95 |
$211.95 |
$653.80
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$211.95 |
$211.95 |
$211.95 |
$1,592.00
|
|
Ghs closed tx radiocarpal disloc w manip
|
$265.35 |
$265.35 |
$265.35 |
$520.80
|
|
Ghs closed tx tibial fracture w/manip
|
$578.40 |
$578.40 |
$578.40 |
$2,148.00
|
|
Ghs clsd red med malleolus fx without manip
|
$191.10 |
$191.10 |
$191.10 |
$496.80
|
|
Ghs clsd red med malleolus fx w manip
|
$578.40 |
$578.40 |
$578.40 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$283.95 |
$283.95 |
$283.95 |
$2,211.05
|
|
Ghs cl tx knee disl; wo anesth
|
$205.50 |
$205.50 |
$205.50 |
$592.80
|
|
Ghs cl tx metacarpophal disloc without anes
|
$79.20 |
$79.20 |
$79.20 |
$495.55
|
|
Ghs community re-entry 15 minutes
|
$29.25 |
$29.25 |
$29.25 |
$88.50
|
|
Ghs conjunctiva foreign body-embed bil
|
$144.15 |
$144.15 |
$144.15 |
$419.22
|
|
Ghs conjunctiva foreign body-superf bil
|
$73.20 |
$73.20 |
$73.20 |
$283.80
|
|
Ghs corneal fb without slit lamp bilat
|
$73.20 |
$73.20 |
$73.20 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$72.90 |
$72.90 |
$72.90 |
$339.60
|
|
Ghs cricothyroidotomy
|
$235.35 |
$235.35 |
$235.35 |
$1,067.30
|
|
Ghs diphtheria toxoid ab igg
|
$26.10 |
$26.10 |
$26.10 |
$62.05
|
|
Ghs dislocation elbow closed treatment
|
$245.85 |
$245.85 |
$245.85 |
$578.00
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$221.40 |
$221.40 |
$221.40 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$55.35 |
$55.35 |
$55.35 |
$329.60
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$310.05 |
$310.05 |
$310.05 |
$1,432.20
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$263.55 |
$263.55 |
$263.55 |
$593.91
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$111.15 |
$111.15 |
$111.15 |
$467.00
|
|
Ghs excision ingrown nail
|
$69.15 |
$69.15 |
$69.15 |
$439.50
|
|
Ghs eye exam
|
$58.35 |
$58.35 |
$58.35 |
$153.50
|
|
Ghs fb removal foot - deep - left
|
$418.95 |
$418.95 |
$418.95 |
$2,538.75
|
|
Ghs fb removal from muscle - complicated
|
$811.65 |
$811.65 |
$811.65 |
$3,295.35
|
|
Ghs fb removal - incisional
|
$717.30 |
$717.30 |
$717.30 |
$2,271.01
|
