|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
$14,359.80
|
|
Fluorescent antibody titer dna
|
$786.00 |
$786.00 |
$786.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$193.50 |
$193.50 |
$193.50 |
$495.95
|
|
Fluoroguide needle placement
|
$193.50 |
$193.50 |
$193.50 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$216.50 |
$216.50 |
$216.50 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$5.00 |
$5.00 |
$5.00 |
$105.07
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$18.00 |
$43.20
|
|
Folic acid
|
$82.50 |
$82.50 |
$82.50 |
$99.96
|
|
Follow-up surgery of eye
|
$2,775.50 |
$2,775.50 |
$2,775.50 |
$3,572.40
|
|
Foot drp splt w/exp heel lg
|
$176.00 |
$176.00 |
$176.00 |
$156.16
|
|
Foot X-ray
|
$329.50 |
$329.50 |
$329.50 |
$359.55
|
|
Foscarnet sodium injection
|
$59.00 |
$59.00 |
$59.00 |
$970.94
|
|
Fracture assessment via dxa
|
$367.00 |
$367.00 |
$367.00 |
$175.50
|
|
_fragile x methylation-sendout
|
$58.50 |
$58.50 |
$58.50 |
$175.75
|
|
Frenectomy 41115
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$1,783.50
|
|
Frenotomy 40806
|
$733.50 |
$733.50 |
$733.50 |
$729.70
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$100.50 |
$100.50 |
$100.50 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$101.00 |
$101.00 |
$101.00 |
$162.75
|
|
Fresh frozen plasma thawing ea un
|
$298.50 |
$298.50 |
$298.50 |
$123.97
|
|
Fructosamine glycated protein
|
$48.50 |
$48.50 |
$48.50 |
$60.42
|
|
Fth/gft fr n/e/e/l each addl
|
$1,205.50 |
$1,205.50 |
$1,205.50 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,026.50 |
$1,026.50 |
$1,026.50 |
$1,331.00
|
|
Ftl cgen abnor five anal
|
$414.50 |
$414.50 |
$414.50 |
$155.10
|
|
Ftl cgen abnor four anal
|
$730.50 |
$730.50 |
$730.50 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$31.00 |
$31.00 |
$31.00 |
$109.20
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,411.00 |
$2,411.00 |
$2,411.00 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$896.50 |
$896.50 |
$896.50 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,265.50 |
$2,265.50 |
$2,265.50 |
$2,706.60
|
|
Furosemide 10 mg/ml injection solution
|
$4.46 |
$4.46 |
$4.46 |
$19.53
|
|
Fusion of finger joint
|
$30,035.00 |
$30,035.00 |
$30,035.00 |
$4,350.00
|
|
G0180 home health certification
|
$51.50 |
$51.50 |
$51.50 |
$116.00
|
|
Ga-67 gallium 0.1 mci
|
$117.50 |
$117.50 |
$117.50 |
$118.56
|
|
Gabapentin non-blood
|
$29.50 |
$29.50 |
$29.50 |
$37.24
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$57.02 |
$57.02 |
$57.02 |
$121.12
|
|
Galac-1-phosphate uridyltran - sendout
|
$256.00 |
$256.00 |
$256.00 |
$100.00
|
|
Galactose transferase test
|
$17.50 |
$17.50 |
$17.50 |
$31.35
|
|
Gamma globulin 1 cc inj
|
$107.00 |
$107.00 |
$107.00 |
$363.35
|
|
Gammaglobulin iga
|
$349.00 |
$349.00 |
$349.00 |
$68.75
|
|
Gammaglobulin ige
|
$109.00 |
$109.00 |
$109.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$54.00 |
$54.00 |
$54.00 |
$57.54
|
|
Gammagraft
|
$143.50 |
$143.50 |
$143.50 |
$143.50
|
|
Gamunex-c/gammaked
|
$133.00 |
$133.00 |
$133.00 |
$7,372.04
|
|
Gardner vag dna quant
|
$43.00 |
$43.00 |
$43.00 |
$104.80
|
|
Gastrin test
|
$142.50 |
$142.50 |
$142.50 |
$61.80
|
|
Gel-one
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$1,561.21
|
|
Gel-syn injection 0.1 mg
|
$5.50 |
$5.50 |
$5.50 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$10.50 |
$10.50 |
$10.50 |
$207.51
|
|
General health panel
|
$261.00 |
$261.00 |
$261.00 |
$275.00
|
|
Generator barostim neo2 2014
|
$774.50 |
$774.50 |
$774.50 |
$48,147.60
|
|
Genetic tstg severe inh cond
|
$2,554.00 |
$2,554.00 |
$2,554.00 |
$3,915.78
|
|
Gen, neuro, clo loop, rechg
|
$15,425.00 |
$15,425.00 |
$15,425.00 |
$39,300.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$5.00 |
$5.00 |
$5.00 |
$56.35
|
|
Gentamicin peak therapeutic drug level
|
$156.50 |
$156.50 |
$156.50 |
$124.93
|
|
Ghs abscess perianal iandd
|
$1,138.00 |
$1,138.00 |
$1,138.00 |
$1,459.00
|
|
Ghs abscess postoperative iandd complex
|
$3,381.00 |
$3,381.00 |
$3,381.00 |
$3,638.88
|
|
Ghs acetylcholinesterase, rbc
|
$55.00 |
$55.00 |
$55.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$144.00 |
$144.00 |
$144.00 |
$96.00
|
|
Ghs analysis neurostim without reprogramming
|
$163.50 |
$163.50 |
$163.50 |
$246.98
|
|
Ghs antibodies (torch) igm
|
$58.50 |
$58.50 |
$58.50 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$209.00 |
$209.00 |
$209.00 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$70.50 |
$70.50 |
$70.50 |
$62.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$894.00 |
$894.00 |
$894.00 |
$1,050.00
|
|
Ghs central line insert < age 5, failed
|
$2,856.50 |
$2,856.50 |
$2,856.50 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$418.50 |
$418.50 |
$418.50 |
$590.17
|
|
Ghs chemo IV push, ea addtl
|
$197.50 |
$197.50 |
$197.50 |
$282.75
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$765.50 |
$765.50 |
$765.50 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$478.00 |
$478.00 |
$478.00 |
$672.60
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$1,919.00 |
$1,919.00 |
$1,919.00 |
$2,211.05
|
|
Ghs closure surg wound/dehiscence-13160
|
$2,695.00 |
$2,695.00 |
$2,695.00 |
$3,219.20
|
|
Ghs clsd red med malleolus fx without manip
|
$189.00 |
$189.00 |
$189.00 |
$495.00
|
|
Ghs clsd red med malleolus fx w manip
|
$2,309.00 |
$2,309.00 |
$2,309.00 |
$2,184.00
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$1,843.50 |
$1,843.50 |
$1,843.50 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$478.00 |
$478.00 |
$478.00 |
$578.00
|
|
Ghs cl tx metacarpophal disloc without anes
|
$765.50 |
$765.50 |
$765.50 |
$500.40
|
|
Ghs conjunctiva foreign body-embed bil
|
$448.50 |
$448.50 |
$448.50 |
$440.81
|
|
Ghs conjunctiva foreign body-superf bil
|
$385.50 |
$385.50 |
$385.50 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$385.50 |
$385.50 |
$385.50 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$358.00 |
$358.00 |
$358.00 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$20.00 |
$20.00 |
$20.00 |
$54.39
|
|
Ghs dislocation elbow closed treatment
|
$478.00 |
$478.00 |
$478.00 |
$599.40
|
|
Ghs ed rmvl or bivalving cast
|
$302.50 |
$302.50 |
$302.50 |
$338.32
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$225.50 |
$225.50 |
$225.50 |
$467.50
|
|
Ghs excision ingrown nail
|
$434.50 |
$434.50 |
$434.50 |
$442.61
|
|
Ghs eyelid foreign body-embedded - bil
|
$354.50 |
$354.50 |
$354.50 |
$536.77
|
|
Ghs fb removal from muscle - complicated
|
$3,198.50 |
$3,198.50 |
$3,198.50 |
$3,334.38
|
|
Ghs fb removal - incisional
|
$1,773.00 |
$1,773.00 |
$1,773.00 |
$2,323.75
|
|
Ghs fb removal - non-incisional
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$1,706.20
|
|
Ghs febrile agglutinns(mayo)
|
$335.50 |
$335.50 |
$335.50 |
$48.10
|
|
Ghs fish cytogen
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$173.26
|
|
Ghs fish hybrid in situ 100-300
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$225.00
|
|
Ghs flow volume loop
|
$462.50 |
$462.50 |
$462.50 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$396.50 |
$396.50 |
$396.50 |
$368.50
|
|
Ghs hcv amplificaiton
|
$318.00 |
$318.00 |
$318.00 |
$196.30
|
|
Ghs hepatitis c virus (hcv riba)
|
$435.50 |
$435.50 |
$435.50 |
$141.60
|
|
Ghs hgb stability-thal
|
$12.00 |
$12.00 |
$12.00 |
$87.84
|
|
Ghs histoplasma antigen
|
$141.00 |
$141.00 |
$141.00 |
$138.00
|
|
Ghs HIV antibody
|
$64.50 |
$64.50 |
$64.50 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$2,481.00 |
$2,481.00 |
$2,481.00 |
$3,320.80
|
