|
Filter spider fx 3mmx320cm
|
$12,531.64 |
$12,531.64 |
$12,531.64 |
$7,188.75
|
|
Filter vena cava fem denali
|
$5,247.63 |
$5,247.63 |
$5,247.63 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,003.28 |
$1,003.28 |
$1,003.28 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,003.28 |
$1,003.28 |
$1,003.28 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$259.68 |
$259.68 |
$259.68 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,180.32 |
$1,180.32 |
$1,180.32 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$259.68 |
$259.68 |
$259.68 |
$497.00
|
|
Fix g/colon tube w/device
|
$741.07 |
$741.07 |
$741.07 |
$1,165.45
|
|
Flecainide (tambocor)-sendout
|
$132.37 |
$132.37 |
$132.37 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$451.08 |
$451.08 |
$451.08 |
$523.95
|
|
Flow cytometry interp 16 or more
|
$104.17 |
$104.17 |
$104.17 |
$194.00
|
|
Flow cytometry marker each additional
|
$92.87 |
$92.87 |
$92.87 |
$97.50
|
|
Flow cytometry one marker technical component
|
$233.46 |
$233.46 |
$233.46 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$86.18 |
$86.18 |
$86.18 |
$172.50
|
|
Floxuridine injection
|
$699.59 |
$699.59 |
$699.59 |
$5,929.92
|
|
Flt3 gene
|
$355.12 |
$355.12 |
$355.12 |
$355.00
|
|
Flt3 gene analysis
|
$189.99 |
$189.99 |
$189.99 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$1,235.29 |
$1,235.29 |
$1,235.29 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$247.60 |
$247.60 |
$247.60 |
$493.35
|
|
Fluid pressure muscle 20950
|
$396.38 |
$396.38 |
$396.38 |
$779.45
|
|
Fluorescent antibody titer dna
|
$78.19 |
$78.19 |
$78.19 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$437.32 |
$437.32 |
$437.32 |
$495.95
|
|
Fluoroguide needle placement
|
$592.64 |
$592.64 |
$592.64 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$588.05 |
$588.05 |
$588.05 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$363.54 |
$363.54 |
$363.54 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$393.55 |
$393.55 |
$393.55 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$2,643.92 |
$2,643.92 |
$2,643.92 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$2,643.92 |
$2,643.92 |
$2,643.92 |
$834.90
|
|
Foam drg <=16 sq in w/border
|
$65.39 |
$65.39 |
$65.39 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$33.68 |
$33.68 |
$33.68 |
$22.32
|
|
Folic acid
|
$97.77 |
$97.77 |
$97.77 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$2.26 |
$2.26 |
$2.26 |
$50.70
|
|
Follow-up angiography
|
$3,257.10 |
$3,257.10 |
$3,257.10 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,235.53 |
$4,235.53 |
$4,235.53 |
$2,481.61
|
|
Fondaparinux sodium
|
$313.83 |
$313.83 |
$313.83 |
$186.87
|
|
Fo nontorsion joint cf
|
$114.40 |
$114.40 |
$114.40 |
$217.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$324.18 |
$324.18 |
$324.18 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$633.71 |
$633.71 |
$633.71 |
$490.67
|
|
Foscarnet sodium injection
|
$4,722.65 |
$4,722.65 |
$4,722.65 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$1,310.92 |
$1,310.92 |
$1,310.92 |
$106.25
|
|
Fracture assessment via dxa
|
$247.68 |
$247.68 |
$247.68 |
$175.50
|
|
_fragile x methylation-sendout
|
$240.54 |
$240.54 |
$240.54 |
$183.74
|
|
Frenotomy 40806
|
$374.01 |
$374.01 |
$374.01 |
$679.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$120.08 |
$120.08 |
$120.08 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$120.08 |
$120.08 |
$120.08 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$155.09 |
$155.09 |
$155.09 |
$130.98
|
|
Frozen blood prep
|
$170.23 |
$170.23 |
$170.23 |
$209.50
|
|
Fructosamine glycated protein
|
$63.92 |
$63.92 |
$63.92 |
$61.75
|
|
Ftl cgen abnor four anal
|
$180.84 |
$180.84 |
$180.84 |
$205.80
|
|
Ftl cgen abnor two proteins
|
$78.29 |
$78.29 |
$78.29 |
$109.00
|
|
Full sole/heel wedge btween
|
$36.50 |
$36.50 |
$36.50 |
$113.14
|
|
Furosemide 10 mg/ml injection solution
|
$317.25 |
$317.25 |
$317.25 |
$19.53
|
|
G6pc gene
|
$81.10 |
$81.10 |
$81.10 |
$138.40
|
|
Ga-67 gallium 0.1 mci
|
$1,094.11 |
$1,094.11 |
$1,094.11 |
$121.73
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$377.36 |
$377.36 |
$377.36 |
$249.80
|
|
Galectin-3
|
$82.03 |
$82.03 |
$82.03 |
$111.60
|
|
Gamma globulin 1 cc inj
|
$2,021.27 |
$2,021.27 |
$2,021.27 |
$406.90
|
|
Gammaglobulin iga
|
$100.34 |
$100.34 |
$100.34 |
$69.42
|
|
Gammaglobulin ige
|
$84.46 |
$84.46 |
$84.46 |
$83.40
|
|
Gamma glutamyltransferase
|
$34.68 |
$34.68 |
$34.68 |
$57.54
|
|
Gamunex-c/gammaked
|
$39,327.29 |
$39,327.29 |
$39,327.29 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$1,940.66 |
$1,940.66 |
$1,940.66 |
$197.40
|
|
Gardner vag dna amp probe
|
$131.39 |
$131.39 |
$131.39 |
$71.40
|
|
Gastric emptying imag study
|
$2,007.92 |
$2,007.92 |
$2,007.92 |
$1,364.00
|
|
Gastric emptying imag study
|
$2,403.12 |
$2,403.12 |
$2,403.12 |
$1,665.50
|
|
Gastroesophageal reflux study
|
$1,182.95 |
$1,182.95 |
$1,182.95 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,082.30 |
$1,082.30 |
$1,082.30 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$714.72 |
$714.72 |
$714.72 |
$337.96
|
|
Gated heart multiple
|
$2,024.78 |
$2,024.78 |
$2,024.78 |
$1,395.35
|
|
Gba gene
|
$102.88 |
$102.88 |
$102.88 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$926.84 |
$926.84 |
$926.84 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$53,482.09 |
$53,482.09 |
$53,482.09 |
$19,305.62
|
|
General health panel
|
$108.14 |
$108.14 |
$108.14 |
$262.44
|
|
Generator barostim neo2 2014
|
$109,003.29 |
$109,003.29 |
$109,003.29 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$68,297.41 |
$68,297.41 |
$68,297.41 |
$36,771.84
|
|
Gen, neuro, clo loop, rechg
|
$68,923.99 |
$68,923.99 |
$68,923.99 |
$40,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$2,431.70 |
$2,431.70 |
$2,431.70 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$108.04 |
$108.04 |
$108.04 |
$123.84
|
|
Ghs abscess perianal iandd
|
$1,260.16 |
$1,260.16 |
$1,260.16 |
$1,452.00
|
|
Ghs abscess postoperative iandd complex
|
$1,587.13 |
$1,587.13 |
$1,587.13 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$57.38 |
$57.38 |
$57.38 |
$43.06
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$62.19 |
$62.19 |
$62.19 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$588.00 |
$588.00 |
$588.00 |
$403.38
|
|
Ghs antibodies (torch) igm
|
$148.04 |
$148.04 |
$148.04 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$569.03 |
$569.03 |
$569.03 |
$570.00
|
|
Ghs bladder cath - complex-foley
|
$419.75 |
$419.75 |
$419.75 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$413.70 |
$413.70 |
$413.70 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,141.27 |
$2,141.27 |
$2,141.27 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$557.37 |
$557.37 |
$557.37 |
$594.55
|
|
Ghs chemo >8 hrs
|
$811.27 |
$811.27 |
$811.27 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$251.11 |
$251.11 |
$251.11 |
$276.02
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$250.97 |
$250.97 |
$250.97 |
$133.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$521.74 |
$521.74 |
$521.74 |
$510.40
|
|
Ghs cl tx metacarpophal disloc without anes
|
$342.95 |
$342.95 |
$342.95 |
$497.53
|
|
Ghs cricothyroidotomy
|
$1,300.94 |
$1,300.94 |
$1,300.94 |
$1,103.75
|
|
Ghs cutdown placement age 1 and over
|
$411.09 |
$411.09 |
$411.09 |
$372.73
|
|
Ghs cutdown placement under 1 yr
|
$411.09 |
$411.09 |
$411.09 |
$190.30
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$981.33 |
$981.33 |
$981.33 |
$1,109.47
|
|
Ghs ed rmvl or bivalving cast
|
$238.42 |
$238.42 |
$238.42 |
$335.08
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,082.32 |
$1,082.32 |
$1,082.32 |
$1,381.60
|
