|
Flexible Sigmoidoscopy
|
$61.56 |
$61.56 |
$61.56 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$80.37 |
$80.37 |
$80.37 |
$103.00
|
|
Flow cytometry one marker technical component
|
$195.51 |
$195.51 |
$195.51 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$22.57 |
$22.57 |
$22.57 |
$74.00
|
|
Fluidotherapy charges pt
|
$64.98 |
$64.98 |
$64.98 |
$95.00
|
|
Fluorescent antibody titer dna
|
$116.85 |
$116.85 |
$116.85 |
$123.65
|
|
Fluoroguide needle placement
|
$247.95 |
$247.95 |
$247.95 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$270.18 |
$270.18 |
$270.18 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$11.92 |
$11.92 |
$11.92 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$15.39 |
$15.39 |
$15.39 |
$79.52
|
|
Flutemetamol f18 diagnostic
|
$4,560.00 |
$4,560.00 |
$4,560.00 |
$5,265.00
|
|
Folic acid
|
$61.56 |
$61.56 |
$61.56 |
$90.60
|
|
Fondaparinux sodium
|
$1.57 |
$1.57 |
$1.57 |
$176.54
|
|
Foot X-ray
|
$164.16 |
$164.16 |
$164.16 |
$362.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.83 |
$0.83 |
$0.83 |
$425.16
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$21.65 |
$21.65 |
$21.65 |
$86.40
|
|
Freeing of bowel adhesion 44005
|
$2,128.95 |
$2,128.95 |
$2,128.95 |
$2,684.00
|
|
Fructosamine glycated protein
|
$60.42 |
$60.42 |
$60.42 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$2.67 |
$2.67 |
$2.67 |
$32.92
|
|
Fusion of ankle joint open
|
$1,834.26 |
$1,834.26 |
$1,834.26 |
$8,827.37
|
|
Fusion of big toe joint
|
$1,020.87 |
$1,020.87 |
$1,020.87 |
$5,855.00
|
|
Fusion of big toe joint
|
$739.29 |
$739.29 |
$739.29 |
$5,419.00
|
|
Fusion of foot bones
|
$1,419.30 |
$1,419.30 |
$1,419.30 |
$6,697.18
|
|
Fusion of foot bones
|
$1,080.15 |
$1,080.15 |
$1,080.15 |
$5,419.00
|
|
G0180 home health certification
|
$110.58 |
$110.58 |
$110.58 |
$118.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,353.75 |
$1,353.75 |
$1,353.75 |
$6,904.15
|
|
Gammaglobulin iga
|
$34.20 |
$34.20 |
$34.20 |
$75.30
|
|
Gammaglobulin ige
|
$57.00 |
$57.00 |
$57.00 |
$85.00
|
|
Gamma glutamyltransferase
|
$35.34 |
$35.34 |
$35.34 |
$55.28
|
|
Gamunex-c/gammaked
|
$119.38 |
$119.38 |
$119.38 |
$6,963.60
|
|
Gastroesophageal reflux test
|
$498.18 |
$498.18 |
$498.18 |
$1,129.63
|
|
Gemcitabine 1 gram intravenous solution
|
$18.95 |
$18.95 |
$18.95 |
$269.06
|
|
General health panel
|
$135.66 |
$135.66 |
$135.66 |
$280.50
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$3.99 |
$3.99 |
$3.99 |
$63.08
|
|
Gentamicin peak therapeutic drug level
|
$58.71 |
$58.71 |
$58.71 |
$119.00
|
|
G-esoph reflx tst w/electrod
|
$865.26 |
$865.26 |
$865.26 |
$1,352.03
|
|
Ghs abscess perianal iandd
|
$1,472.88 |
$1,472.88 |
$1,472.88 |
$1,530.50
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$155.04 |
$155.04 |
$155.04 |
$103.14
|
|
Ghs analysis neurostim without reprogramming
|
$357.39 |
$357.39 |
$357.39 |
$313.95
|
|
Ghs antibodies (torch) igm
|
$46.17 |
$46.17 |
$46.17 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$450.30 |
$450.30 |
$450.30 |
$344.48
|
|
Ghs block ilioinguinal/gentitofemoral
|
$438.90 |
$438.90 |
$438.90 |
$1,050.00
|
|
Ghs change cysto/gastrost
|
$487.92 |
$487.92 |
$487.92 |
$699.60
|
|
Ghs chemo >8 hrs
|
$557.46 |
$557.46 |
$557.46 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$246.24 |
$246.24 |
$246.24 |
$291.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$487.92 |
$487.92 |
$487.92 |
$596.55
|
|
Ghs closed reduction ankle dislocation
|
$441.18 |
$441.18 |
$441.18 |
$731.04
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,465.47 |
$1,465.47 |
$1,465.47 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$706.23 |
$706.23 |
$706.23 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$725.61 |
$725.61 |
$725.61 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$473.67 |
$473.67 |
$473.67 |
$581.60
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$758.10 |
$758.10 |
$758.10 |
$2,399.46
|
|
Ghs cl tx metacarpophal disloc without anes
|
$473.67 |
$473.67 |
$473.67 |
$547.94
|
|
Ghs community re-entry 15 minutes
|
$92.91 |
$92.91 |
$92.91 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$251.94 |
$251.94 |
$251.94 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$281.58 |
$281.58 |
$281.58 |
$435.07
|
|
Ghs corneal fb with slit lamp bilat
|
$342.57 |
$342.57 |
$342.57 |
$368.16
|
|
Ghs diphtheria toxoid ab igg
|
$55.29 |
$55.29 |
$55.29 |
$72.05
|
|
Ghs dislocation elbow closed treatment
|
$441.18 |
$441.18 |
$441.18 |
$687.73
|
|
Ghs epidermal shaving diameter >2.0 cm
|
$311.79 |
$311.79 |
$311.79 |
$470.51
|
|
Ghs excision ingrown nail
|
$319.20 |
$319.20 |
$319.20 |
$457.60
|
|
Ghs fb removal foot - deep - left
|
$432.63 |
$432.63 |
$432.63 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$726.75 |
$726.75 |
$726.75 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$476.52 |
$476.52 |
$476.52 |
$1,794.93
|
|
Ghs flow volume loop
|
$345.42 |
$345.42 |
$345.42 |
$309.12
|
|
Ghs histoplasma antigen
|
$85.50 |
$85.50 |
$85.50 |
$137.80
|
|
Ghs i and d perirectal abscess 46040
|
$1,935.15 |
$1,935.15 |
$1,935.15 |
$3,034.00
|
|
Ghs i and d pilonidal cyst complex
|
$713.64 |
$713.64 |
$713.64 |
$1,572.00
|
|
Ghs i and d pilonidal cyst simple
|
$454.29 |
$454.29 |
$454.29 |
$794.82
|
|
Ghs incision thrombosed ext hemorrhoid
|
$543.21 |
$543.21 |
$543.21 |
$543.60
|
|
Ghs init tx 1st degree burn
|
$207.48 |
$207.48 |
$207.48 |
$300.30
|
|
Ghs inj neurolytic intercostal nerve
|
$802.56 |
$802.56 |
$802.56 |
$2,037.10
|
|
Ghs inj neurolytic other perph nerve
|
$1,077.87 |
$1,077.87 |
$1,077.87 |
$1,972.69
|
|
Ghs inj tendon origin/insertion
|
$420.66 |
$420.66 |
$420.66 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$504.45 |
$504.45 |
$504.45 |
$1,126.23
|
|
Ghs inj transforaminal cerv single bil
|
$890.34 |
$890.34 |
$890.34 |
$1,861.60
|
|
Ghs insertion of needle - bone
|
$621.87 |
$621.87 |
$621.87 |
$461.58
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$1,047.66 |
$1,047.66 |
$1,047.66 |
$943.80
|
|
Ghs intermed repair 20.1 - 30.0 cm-12036
|
$873.81 |
$873.81 |
$873.81 |
$1,160.28
|
|
Ghs IV inf sq injection, on-body injector
|
$171.00 |
$171.00 |
$171.00 |
$117.00
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$305.52 |
$305.52 |
$305.52 |
$547.95
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$532.38 |
$532.38 |
$532.38 |
$617.60
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$501.03 |
$501.03 |
$501.03 |
$619.20
|
|
Ghs layer closure 2.5cm or less - 12051
|
$543.21 |
$543.21 |
$543.21 |
$648.00
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$782.61 |
$782.61 |
$782.61 |
$741.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$702.24 |
$702.24 |
$702.24 |
$741.00
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$780.33 |
$780.33 |
$780.33 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$658.92 |
$658.92 |
$658.92 |
$810.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$698.82 |
$698.82 |
$698.82 |
$795.20
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$395.01 |
$395.01 |
$395.01 |
$261.80
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$494.19 |
$494.19 |
$494.19 |
$252.50
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$417.81 |
$417.81 |
$417.81 |
$239.20
|
|
Ghs moderate sedation ea addtl 15 min
|
$135.09 |
$135.09 |
$135.09 |
$145.60
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$189.24 |
$189.24 |
$189.24 |
$140.00
|
|
Ghs musc test done w/n test comp
|
$235.41 |
$235.41 |
$235.41 |
$349.80
|
|
Ghs myocardial strain img spckl track
|
$897.18 |
$897.18 |
$897.18 |
$503.85
|
|
Ghs nailbed repair/nail removal
|
$589.38 |
$589.38 |
$589.38 |
$808.80
|
|
Ghs nerve blk intercostal, ea addtl level
|
$657.21 |
$657.21 |
$657.21 |
$1,618.50
|
|
Ghs nerve blk intercostal, single level
|
$463.41 |
$463.41 |
$463.41 |
$1,230.80
|
|
Ghs nerve block axillary nerve
|
$351.69 |
$351.69 |
$351.69 |
$1,541.40
|
