|
Floxuridine injection
|
$8,552.78 |
$8,552.78 |
$8,552.78 |
$5,929.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$26.70 |
$26.70 |
$26.70 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$677.88 |
$677.88 |
$677.88 |
$493.35
|
|
Fluocinol acet intravit imp
|
$19,886.55 |
$19,886.55 |
$19,886.55 |
$14,359.80
|
|
Fluocinolone acetonide implt
|
$41,097.75 |
$41,097.75 |
$41,097.75 |
$30,686.32
|
|
Fluorescein angrph mltiframe
|
$516.75 |
$516.75 |
$516.75 |
$344.00
|
|
Fluorescent antibody titer dna
|
$101.25 |
$101.25 |
$101.25 |
$122.82
|
|
Fluorodopa f-18 diag per mci
|
$5,870.49 |
$5,870.49 |
$5,870.49 |
$4,070.21
|
|
Fluoroestradiol f 18
|
$11,155.77 |
$11,155.77 |
$11,155.77 |
$1,491.00
|
|
Fluoroguide for spine inject 77003-26
|
$420.75 |
$420.75 |
$420.75 |
$496.03
|
|
Fluoroguide needle placement
|
$525.00 |
$525.00 |
$525.00 |
$510.00
|
|
Fluoro polarize fetal lung
|
$115.50 |
$115.50 |
$115.50 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$654.75 |
$654.75 |
$654.75 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$123.51 |
$123.51 |
$123.51 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$51.18 |
$51.18 |
$51.18 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$7,521.75 |
$7,521.75 |
$7,521.75 |
$5,215.08
|
|
Fmri brain by phys/psych
|
$2,677.50 |
$2,677.50 |
$2,677.50 |
$1,558.05
|
|
Fmri brain by tech
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$756.75 |
$756.75 |
$756.75 |
$833.25
|
|
Foam drg >16<=48 sq in w/bdr
|
$67.17 |
$67.17 |
$67.17 |
$62.09
|
|
Foam drg <=16 sq in w/border
|
$2.82 |
$2.82 |
$2.82 |
$16.37
|
|
Foam drg > 48 sq in without brdr
|
$33.64 |
$33.64 |
$33.64 |
$33.49
|
|
Foam stability fetal lung
|
$115.50 |
$115.50 |
$115.50 |
$48.00
|
|
Folic acid
|
$104.25 |
$104.25 |
$104.25 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$176.33 |
$176.33 |
$176.33 |
$54.75
|
|
Follow-up angiography
|
$8,301.00 |
$8,301.00 |
$8,301.00 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,055.72 |
$4,055.72 |
$4,055.72 |
$2,581.14
|
|
Fondaparinux sodium
|
$268.56 |
$268.56 |
$268.56 |
$185.12
|
|
Foot X-ray
|
$298.50 |
$298.50 |
$298.50 |
$362.40
|
|
Forensic autopsy (necropsy)
|
$2,036.25 |
$2,036.25 |
$2,036.25 |
$1,657.60
|
|
Forensic cytopathology
|
$81.75 |
$81.75 |
$81.75 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$342.00 |
$342.00 |
$342.00 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$707.70 |
$707.70 |
$707.70 |
$457.50
|
|
Foscarnet sodium injection
|
$1,126.47 |
$1,126.47 |
$1,126.47 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$287.58 |
$287.58 |
$287.58 |
$106.10
|
|
Fractionation ketosteroids
|
$160.50 |
$160.50 |
$160.50 |
$135.95
|
|
Fracture assessment via dxa
|
$240.00 |
$240.00 |
$240.00 |
$173.18
|
|
Fragmenting of kidney stone
|
$2,696.25 |
$2,696.25 |
$2,696.25 |
$10,057.42
|
|
Frenectomy 41115
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
$1,752.89
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$210.75 |
$210.75 |
$210.75 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$249.00 |
$249.00 |
$249.00 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$399.00 |
$399.00 |
$399.00 |
$122.00
|
|
Frozen blood freeze/thaw
|
$366.00 |
$366.00 |
$366.00 |
$179.01
|
|
Frozen blood prep
|
$430.50 |
$430.50 |
$430.50 |
$214.30
|
|
Frozen blood thaw
|
$322.50 |
$322.50 |
$322.50 |
$209.50
|
|
Frozen cell preparation
|
$36.75 |
$36.75 |
$36.75 |
$36.75
|
|
Fructosamine glycated protein
|
$60.75 |
$60.75 |
$60.75 |
$60.75
|
|
Ftl cgen abnor four anal
|
$390.75 |
$390.75 |
$390.75 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$138.75 |
$138.75 |
$138.75 |
$110.00
|
|
Full mouth x-ray of teeth
|
$652.50 |
$652.50 |
$652.50 |
$286.04
|
|
Fundus photography with i&r 92250
|
$97.50 |
$97.50 |
$97.50 |
$182.95
|
|
Furnsh initial orthosis only
|
$308.21 |
$308.21 |
$308.21 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$2,298.33 |
$2,298.33 |
$2,298.33 |
$19.00
|
|
G6pd full gene sequence
|
$126.75 |
$126.75 |
$126.75 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$2,119.07 |
$2,119.07 |
$2,119.07 |
$118.56
|
|
Ga-68 gallium 68 dotatate
|
$7,669.59 |
$7,669.59 |
$7,669.59 |
$119.90
|
|
Gabapentin non-blood
|
$86.25 |
$86.25 |
$86.25 |
$36.30
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1,266.18 |
$1,266.18 |
$1,266.18 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$974.85 |
$974.85 |
$974.85 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$237.75 |
$237.75 |
$237.75 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$335.94 |
$335.94 |
$335.94 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$135.00 |
$135.00 |
$135.00 |
$96.94
|
|
Galactokinase - sendout
|
$131.25 |
$131.25 |
$131.25 |
$204.97
|
|
Galactose transferase test
|
$57.75 |
$57.75 |
$57.75 |
$31.35
|
|
Galectin-3
|
$135.75 |
$135.75 |
$135.75 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$3,831.75 |
$3,831.75 |
$3,831.75 |
$11,117.34
|
|
Gallium ga-68 dotatoc
|
$180.81 |
$180.81 |
$180.81 |
$135.00
|
|
Gallium ga-68 psma-11, ucla
|
$250.71 |
$250.71 |
$250.71 |
$187.20
|
|
Galsulfase injection
|
$5,823.33 |
$5,823.33 |
$5,823.33 |
$4,037.51
|
|
Gamma globulin 1 cc inj
|
$1,116.17 |
$1,116.17 |
$1,116.17 |
$363.35
|
|
Gammaglobulin iga
|
$24.00 |
$24.00 |
$24.00 |
$67.20
|
|
Gammaglobulin ige
|
$57.75 |
$57.75 |
$57.75 |
$83.85
|
|
Gamma glutamyltransferase
|
$55.50 |
$55.50 |
$55.50 |
$57.54
|
|
Gammaplex injection
|
$10,765.80 |
$10,765.80 |
$10,765.80 |
$8,038.46
|
|
Gamunex-c/gammaked
|
$14,343.27 |
$14,343.27 |
$14,343.27 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$231.36 |
$231.36 |
$231.36 |
$197.40
|
|
Gardner vag dna amp probe
|
$213.00 |
$213.00 |
$213.00 |
$65.30
|
|
Gardner vag dna quant
|
$255.00 |
$255.00 |
$255.00 |
$96.20
|
|
Gastric analy w/ph ea spec
|
$33.00 |
$33.00 |
$33.00 |
$31.80
|
|
Gastric emptying imag study
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$1,291.55
|
|
Gastric emptying imag study
|
$1,438.50 |
$1,438.50 |
$1,438.50 |
$1,621.36
|
|
Gastric motility studies
|
$1,247.25 |
$1,247.25 |
$1,247.25 |
$972.00
|
|
Gastric mucosa imaging
|
$997.50 |
$997.50 |
$997.50 |
$555.20
|
|
Gastrin test
|
$87.00 |
$87.00 |
$87.00 |
$61.80
|
|
Gastroesophageal reflux study
|
$997.50 |
$997.50 |
$997.50 |
$949.80
|
|
Gastro/jejuno tube, std
|
$330.00 |
$330.00 |
$330.00 |
$334.57
|
|
Gated heart multiple
|
$997.50 |
$997.50 |
$997.50 |
$1,400.64
|
|
Gefitinib oral
|
$611.28 |
$611.28 |
$611.28 |
$423.82
|
|
Gel-one
|
$2,694.75 |
$2,694.75 |
$2,694.75 |
$1,341.67
|
|
Gel-syn injection 0.1 mg
|
$911.67 |
$911.67 |
$911.67 |
$680.71
|
|
Gemcitabine 1 gram intravenous solution
|
$299.30 |
$299.30 |
$299.30 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$22,056.42 |
$22,056.42 |
$22,056.42 |
$19,305.62
|
|
General health panel
|
$168.00 |
$168.00 |
$168.00 |
$275.00
|
|
Generator barostim neo2 2014
|
$500.40 |
$500.40 |
$500.40 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$87.98 |
$87.98 |
$87.98 |
$36,467.76
|
|
Gen, neuro, clo loop, rechg
|
$22.50 |
$22.50 |
$22.50 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$540.00 |
$540.00 |
$540.00 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$1,662.00 |
$1,662.00 |
$1,662.00 |
$1,418.18
|
