|
Filter spider fx 3mmx320cm
|
$30,632.02 |
$30,632.02 |
$30,632.02 |
$7,188.75
|
|
Filter vena cava fem denali
|
$14,030.25 |
$14,030.25 |
$14,030.25 |
$3,816.40
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$536.20 |
$536.20 |
$536.20 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$6,450.14 |
$6,450.14 |
$6,450.14 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$597.80 |
$597.80 |
$597.80 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$10,115.20 |
$10,115.20 |
$10,115.20 |
$4,584.72
|
|
Fixation of knee joint
|
$4,830.00 |
$4,830.00 |
$4,830.00 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,750.00 |
$1,750.00 |
$1,750.00 |
$1,165.45
|
|
Flebogamma injection
|
$11,987.32 |
$11,987.32 |
$11,987.32 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$305.90 |
$305.90 |
$305.90 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$1,051.22 |
$1,051.22 |
$1,051.22 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$5,618.90 |
$5,618.90 |
$5,618.90 |
$1,284.13
|
|
Florbetaben f18 diagnostic
|
$8,003.80 |
$8,003.80 |
$8,003.80 |
$5,705.04
|
|
Flortaucipir inj 1 millicuri
|
$7,791.00 |
$7,791.00 |
$7,791.00 |
$3,710.00
|
|
Flotufolastat f18 diag 1 mci
|
$1,355.20 |
$1,355.20 |
$1,355.20 |
$2,215.03
|
|
Flow cytometry interp 16 or more
|
$337.40 |
$337.40 |
$337.40 |
$194.00
|
|
Flow cytometry marker each additional
|
$413.00 |
$413.00 |
$413.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$1,281.00 |
$1,281.00 |
$1,281.00 |
$276.60
|
|
#flow interp 9 - 15 markers
|
$247.80 |
$247.80 |
$247.80 |
$172.50
|
|
Flt3 gene
|
$524.30 |
$524.30 |
$524.30 |
$355.00
|
|
Flt3 gene analysis
|
$305.90 |
$305.90 |
$305.90 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$168.35 |
$168.35 |
$168.35 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$2,886.62 |
$2,886.62 |
$2,886.62 |
$493.35
|
|
Fluidotherapy charges pt
|
$221.90 |
$221.90 |
$221.90 |
$98.40
|
|
Fluid pressure muscle 20950
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$779.45
|
|
Fluorescent antibody titer dna
|
$259.70 |
$259.70 |
$259.70 |
$123.65
|
|
Fluoroestradiol f 18
|
$2,907.10 |
$2,907.10 |
$2,907.10 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$1,043.70 |
$1,043.70 |
$1,043.70 |
$495.95
|
|
Fluoroguide needle placement
|
$1,008.70 |
$1,008.70 |
$1,008.70 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$1,040.90 |
$1,040.90 |
$1,040.90 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2,203.60 |
$2,203.60 |
$2,203.60 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$123.02 |
$123.02 |
$123.02 |
$72.52
|
|
Fmri brain by phys/psych
|
$4,162.20 |
$4,162.20 |
$4,162.20 |
$1,560.51
|
|
Fmri brain by tech
|
$3,640.00 |
$3,640.00 |
$3,640.00 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$8,222.91 |
$8,222.91 |
$8,222.91 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$2,434.60 |
$2,434.60 |
$2,434.60 |
$834.90
|
|
Folic acid
|
$209.30 |
$209.30 |
$209.30 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$361.72 |
$361.72 |
$361.72 |
$50.70
|
|
Follow-up angiography
|
$1,761.20 |
$1,761.20 |
$1,761.20 |
$1,939.14
|
|
Follow-up surgery of eye
|
$11,824.67 |
$11,824.67 |
$11,824.67 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$10,046.40 |
$10,046.40 |
$10,046.40 |
$2,481.61
|
|
Fondaparinux sodium
|
$868.17 |
$868.17 |
$868.17 |
$186.87
|
|
Fo nontorsion joint cf
|
$368.90 |
$368.90 |
$368.90 |
$217.50
|
|
Foot arch support remov prem
|
$218.40 |
$218.40 |
$218.40 |
$141.41
|
|
Foot drp splt w/exp heel lg
|
$102.20 |
$102.20 |
$102.20 |
$143.87
|
|
Foot X-ray
|
$594.30 |
$594.30 |
$594.30 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$2,034.20 |
$2,034.20 |
$2,034.20 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$11,665.85 |
$11,665.85 |
$11,665.85 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2,887.85 |
$2,887.85 |
$2,887.85 |
$490.67
|
|
Foscarnet sodium injection
|
$2,285.50 |
$2,285.50 |
$2,285.50 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$402.67 |
$402.67 |
$402.67 |
$106.25
|
|
Fractionation ketosteroids
|
$275.10 |
$275.10 |
$275.10 |
$160.89
|
|
Fracture assessment via dxa
|
$411.60 |
$411.60 |
$411.60 |
$175.50
|
|
_fragile x methylation-sendout
|
$772.10 |
$772.10 |
$772.10 |
$183.74
|
|
Frenectomy 41115
|
$9,157.46 |
$9,157.46 |
$9,157.46 |
$1,939.47
|
|
Frenotomy 40806
|
$8,079.90 |
$8,079.90 |
$8,079.90 |
$679.80
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$287.00 |
$287.00 |
$287.00 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$231.70 |
$231.70 |
$231.70 |
$130.98
|
|
Frozen plasma, pooled, sd
|
$255.50 |
$255.50 |
$255.50 |
$170.00
|
|
Fructosamine glycated protein
|
$104.30 |
$104.30 |
$104.30 |
$61.75
|
|
Ftl cgen abnor five anal
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$155.10
|
|
Ftl cgen abnor four anal
|
$902.30 |
$902.30 |
$902.30 |
$205.80
|
|
Ftl cgen abnor three anal
|
$584.50 |
$584.50 |
$584.50 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$119.70 |
$119.70 |
$119.70 |
$109.00
|
|
Functional brain mapping
|
$778.40 |
$778.40 |
$778.40 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$168.87 |
$168.87 |
$168.87 |
$19.53
|
|
Fxn gene detc abnor alleles
|
$355.60 |
$355.60 |
$355.60 |
$200.88
|
|
Fxn gene full gene sequence
|
$713.30 |
$713.30 |
$713.30 |
$379.27
|
|
G6pc gene
|
$503.30 |
$503.30 |
$503.30 |
$138.40
|
|
G6pd full gene sequence
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$403.20 |
$403.20 |
$403.20 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$291.90 |
$291.90 |
$291.90 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$240.10 |
$240.10 |
$240.10 |
$139.70
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$4,332.47 |
$4,332.47 |
$4,332.47 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2,500.22 |
$2,500.22 |
$2,500.22 |
$121.12
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1,598.10 |
$1,598.10 |
$1,598.10 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,126.12 |
$1,126.12 |
$1,126.12 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$462.00 |
$462.00 |
$462.00 |
$100.00
|
|
Galactose transferase test
|
$219.80 |
$219.80 |
$219.80 |
$32.00
|
|
Galectin-3
|
$112.70 |
$112.70 |
$112.70 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$37,006.57 |
$37,006.57 |
$37,006.57 |
$12,906.50
|
|
Gallium illuccix 1 millicure
|
$2,375.10 |
$2,375.10 |
$2,375.10 |
$2,046.76
|
|
Gallium locametz 1 millicuri
|
$2,060.10 |
$2,060.10 |
$2,060.10 |
$1,853.80
|
|
Gamma globulin 1 cc inj
|
$3,746.75 |
$3,746.75 |
$3,746.75 |
$406.90
|
|
Gammaglobulin iga
|
$89.60 |
$89.60 |
$89.60 |
$69.42
|
|
Gammaglobulin ige
|
$242.20 |
$242.20 |
$242.20 |
$83.40
|
|
Gamma glutamyltransferase
|
$142.80 |
$142.80 |
$142.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$17,167.50 |
$17,167.50 |
$17,167.50 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$677.07 |
$677.07 |
$677.07 |
$197.40
|
|
Gardner vag dna amp probe
|
$107.10 |
$107.10 |
$107.10 |
$71.40
|
|
Gardner vag dna quant
|
$306.60 |
$306.60 |
$306.60 |
$104.80
|
|
Gastric motility studies
|
$2,331.70 |
$2,331.70 |
$2,331.70 |
$972.00
|
|
Gastroesophageal reflux study
|
$1,055.60 |
$1,055.60 |
$1,055.60 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$2,091.60 |
$2,091.60 |
$2,091.60 |
$1,352.00
|
|
Gba gene
|
$368.20 |
$368.20 |
$368.20 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$1,099.87 |
$1,099.87 |
$1,099.87 |
$208.92
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$63,840.00 |
$63,840.00 |
$63,840.00 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$206,024.10 |
$206,024.10 |
$206,024.10 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$154,374.66 |
$154,374.66 |
$154,374.66 |
$36,771.84
|
