|
Fna bx w/ct gdn 1st les
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$1,315.00 |
$1,315.00 |
$1,315.00 |
$794.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$22.50 |
$22.50 |
$22.50 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$22.50 |
$22.50 |
$22.50 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$15.00 |
$15.00 |
$15.00 |
$19.10
|
|
Foam drg > 48 sq in w/border
|
$42.50 |
$42.50 |
$42.50 |
$23.63
|
|
Foam drsg <=16 sq in without bdr
|
$15.00 |
$15.00 |
$15.00 |
$21.74
|
|
Folic acid
|
$137.50 |
$137.50 |
$137.50 |
$95.45
|
|
Follow-up angiography
|
$590.00 |
$590.00 |
$590.00 |
$1,939.14
|
|
Fo nontorsion joint cf
|
$145.00 |
$145.00 |
$145.00 |
$217.50
|
|
Foot arch support remov prem
|
$55.00 |
$55.00 |
$55.00 |
$111.56
|
|
Foot longitudinal arch suppo
|
$127.50 |
$127.50 |
$127.50 |
$329.48
|
|
Foot longitud/metatarsal sup
|
$145.00 |
$145.00 |
$145.00 |
$221.20
|
|
Foot X-ray
|
$430.00 |
$430.00 |
$430.00 |
$364.80
|
|
_fragile x methylation-sendout
|
$330.00 |
$330.00 |
$330.00 |
$174.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$115.00 |
$115.00 |
$115.00 |
$155.40
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$97.50 |
$97.50 |
$97.50 |
$155.55
|
|
Fresh frozen plasma thawing ea un
|
$50.00 |
$50.00 |
$50.00 |
$114.35
|
|
Fructosamine glycated protein
|
$67.50 |
$67.50 |
$67.50 |
$56.40
|
|
Ftl cgen abnor two proteins
|
$110.00 |
$110.00 |
$110.00 |
$109.00
|
|
Full mouth x-ray of teeth
|
$222.50 |
$222.50 |
$222.50 |
$286.04
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$19.60 |
$19.60 |
$19.60 |
$22.53
|
|
G6pc gene
|
$195.00 |
$195.00 |
$195.00 |
$123.00
|
|
Ga-67 gallium 0.1 mci
|
$67.50 |
$67.50 |
$67.50 |
$125.70
|
|
Ga-68 gallium 68 dotatate
|
$100.00 |
$100.00 |
$100.00 |
$118.95
|
|
Gabapentin non-blood
|
$185.00 |
$185.00 |
$185.00 |
$34.45
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.75 |
$1.75 |
$1.75 |
$112.46
|
|
Galac-1-phosphate uridyltran - sendout
|
$15.00 |
$15.00 |
$15.00 |
$94.25
|
|
Gallium illuccix 1 millicure
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,651.72
|
|
Gammaglobulin iga
|
$37.50 |
$37.50 |
$37.50 |
$70.80
|
|
Gammaglobulin ige
|
$107.50 |
$107.50 |
$107.50 |
$82.80
|
|
Gamma glutamyltransferase
|
$75.00 |
$75.00 |
$75.00 |
$55.90
|
|
Gamunex-c/gammaked
|
$109.05 |
$109.05 |
$109.05 |
$7,372.04
|
|
Gastroesophageal reflux test
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,245.83
|
|
Gastro/jejuno tube, std
|
$187.50 |
$187.50 |
$187.50 |
$352.20
|
|
Gauze >16<=48 no w/sal without b
|
$5.00 |
$5.00 |
$5.00 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$10.88 |
$10.88 |
$10.88 |
$4.62
|
|
Gba gene
|
$160.00 |
$160.00 |
$160.00 |
$160.72
|
|
General health panel
|
$280.00 |
$280.00 |
$280.00 |
$270.40
|
|
Generator barostim neo2 2014
|
$28,215.00 |
$28,215.00 |
$28,215.00 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$16,482.50 |
$16,482.50 |
$16,482.50 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$34,200.00 |
$34,200.00 |
$34,200.00 |
$39,300.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$22.35 |
$22.35 |
$22.35 |
$56.70
|
|
Gentamicin peak therapeutic drug level
|
$142.50 |
$142.50 |
$142.50 |
$119.90
|
|
G-esoph reflx tst w/electrod
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$1,418.18
|
|
Ghs acetylcholinesterase, rbc
|
$57.50 |
$57.50 |
$57.50 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$117.50 |
$117.50 |
$117.50 |
$100.30
|
|
Ghs antibodies (torch) igm
|
$65.00 |
$65.00 |
$65.00 |
$69.12
|
|
Ghs aspiration bladder - needle
|
$280.00 |
$280.00 |
$280.00 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$327.50 |
$327.50 |
$327.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$515.00 |
$515.00 |
$515.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$365.00 |
$365.00 |
$365.00 |
$596.00
|
|
Ghs chemo IV push, ea addtl
|
$207.50 |
$207.50 |
$207.50 |
$280.80
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$142.50 |
$142.50 |
$142.50 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$87.50 |
$87.50 |
$87.50 |
$87.50
|
|
Ghs conjunctiva foreign body-superf bil
|
$137.50 |
$137.50 |
$137.50 |
$279.00
|
|
Ghs corneal fb without slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$419.65
|
|
Ghs corneal fb with slit lamp bilat
|
$227.50 |
$227.50 |
$227.50 |
$339.60
|
|
Ghs cricothyroidotomy
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,066.50
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$725.00 |
$725.00 |
$725.00 |
$1,157.40
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,439.40
|
|
Ghs eeg cont rec w/video by tec min 8 chnls
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$593.91
|
|
Ghs excision ingrown nail
|
$247.50 |
$247.50 |
$247.50 |
$439.50
|
|
Ghs eyelid foreign body-embedded - bil
|
$160.00 |
$160.00 |
$160.00 |
$501.04
|
|
Ghs fb removal - incisional
|
$675.00 |
$675.00 |
$675.00 |
$2,271.01
|
|
Ghs fb removal - non-incisional
|
$392.50 |
$392.50 |
$392.50 |
$1,706.20
|
|
Ghs fish cytogen
|
$462.50 |
$462.50 |
$462.50 |
$176.93
|
|
Ghs fish hybrid in situ 100-300
|
$182.50 |
$182.50 |
$182.50 |
$223.00
|
|
Ghs flow volume loop
|
$237.50 |
$237.50 |
$237.50 |
$303.75
|
|
Ghs hcv amplificaiton
|
$220.00 |
$220.00 |
$220.00 |
$180.00
|
|
Ghs hgb stability-thal
|
$247.50 |
$247.50 |
$247.50 |
$87.60
|
|
Ghs histoplasma antigen
|
$210.00 |
$210.00 |
$210.00 |
$137.80
|
|
Ghs HIV antibody
|
$75.00 |
$75.00 |
$75.00 |
$90.14
|
|
Ghs i and d pilonidal cyst simple
|
$145.00 |
$145.00 |
$145.00 |
$712.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$195.00 |
$195.00 |
$195.00 |
$526.50
|
|
Ghs inf midline insertion
|
$625.00 |
$625.00 |
$625.00 |
$1,234.20
|
|
Ghs inhibitor screen
|
$192.50 |
$192.50 |
$192.50 |
$181.30
|
|
Ghs init tx 1st degree burn
|
$112.50 |
$112.50 |
$112.50 |
$275.80
|
|
Ghs inj neurolytic other perph nerve
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$1,599.83
|
|
Ghs inj tendon origin/insertion
|
$580.00 |
$580.00 |
$580.00 |
$431.07
|
|
Ghs insertion of needle - bone
|
$247.50 |
$247.50 |
$247.50 |
$415.00
|
|
Ghs intro needle/intracath vein - 36000
|
$90.00 |
$90.00 |
$90.00 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$455.00 |
$455.00 |
$455.00 |
$538.40
|
|
Ghs IV inf sq injection, on-body injector
|
$110.00 |
$110.00 |
$110.00 |
$108.00
|
|
Ghs IV thrombolytics - cerebral
|
$335.00 |
$335.00 |
$335.00 |
$669.44
|
|
Ghs low level laser therapy
|
$17.50 |
$17.50 |
$17.50 |
$88.77
|
|
Ghs mbp
|
$97.50 |
$97.50 |
$97.50 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$140.00 |
$140.00 |
$140.00 |
$240.00
|
|
Ghs moderate sedation ea addtl 15 min
|
$67.50 |
$67.50 |
$67.50 |
$149.40
|
|
Ghs musc test done w/n test comp
|
$130.00 |
$130.00 |
$130.00 |
$322.80
|
|
Ghs musc tst done w/nerv tst lim
|
$130.00 |
$130.00 |
$130.00 |
$264.42
|
|
Ghs musc tst done w/n tst non ext
|
$72.50 |
$72.50 |
$72.50 |
$188.26
|
|
Ghs myocardial strain img spckl track
|
$235.00 |
$235.00 |
$235.00 |
$464.95
|
|
Ghs nailbed repair/nail removal
|
$357.50 |
$357.50 |
$357.50 |
$726.86
|
|
Ghs nerve blk intercostal, ea addtl level
|
$910.00 |
$910.00 |
$910.00 |
$1,523.76
|
|
Ghs nerve blk intercostal, single level
|
$610.00 |
$610.00 |
$610.00 |
$1,096.42
|
|
Ghs nerve block celiac plexus
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$1,661.40
|
|
Ghs nerve block interscaline
|
$985.00 |
$985.00 |
$985.00 |
$1,526.09
|
