|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,723.98 |
$1,723.98 |
$1,723.98 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,473.96 |
$1,473.96 |
$1,473.96 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,290.66 |
$1,290.66 |
$1,290.66 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$47,437.11 |
$47,437.11 |
$47,437.11 |
$7,160.28
|
|
Filter vena cava fem denali
|
$6,565.90 |
$6,565.90 |
$6,565.90 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$939.60 |
$939.60 |
$939.60 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$273.00 |
$273.00 |
$273.00 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$7,269.79 |
$7,269.79 |
$7,269.79 |
$4,584.72
|
|
Fixation of knee joint
|
$11,060.58 |
$11,060.58 |
$11,060.58 |
$1,893.86
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$69.60 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$487.80 |
$487.80 |
$487.80 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$6,779.70 |
$6,779.70 |
$6,779.70 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$198.18 |
$198.18 |
$198.18 |
$187.60
|
|
Flow cytometry marker each additional
|
$105.60 |
$105.60 |
$105.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$563.40 |
$563.40 |
$563.40 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$8,114.00 |
$8,114.00 |
$8,114.00 |
$6,814.14
|
|
Flt3 gene
|
$273.60 |
$273.60 |
$273.60 |
$355.00
|
|
Flt3 gene analysis
|
$268.20 |
$268.20 |
$268.20 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$68.88 |
$68.88 |
$68.88 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$168.96 |
$168.96 |
$168.96 |
$493.35
|
|
Fluidotherapy charges pt
|
$498.00 |
$498.00 |
$498.00 |
$91.00
|
|
Fluid pressure muscle 20950
|
$1,227.00 |
$1,227.00 |
$1,227.00 |
$768.94
|
|
Fluorescent antibody titer dna
|
$160.80 |
$160.80 |
$160.80 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$940.20 |
$940.20 |
$940.20 |
$496.03
|
|
Fluoroguide needle placement
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$510.00
|
|
Fluoro polarize fetal lung
|
$222.00 |
$222.00 |
$222.00 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$471.60 |
$471.60 |
$471.60 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$93.00 |
$93.00 |
$93.00 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$945.00 |
$945.00 |
$945.00 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$939.60 |
$939.60 |
$939.60 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$939.60 |
$939.60 |
$939.60 |
$833.25
|
|
Folic acid
|
$210.60 |
$210.60 |
$210.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$54.75
|
|
Follow-up angiography
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,851.12 |
$4,851.12 |
$4,851.12 |
$2,581.14
|
|
Fondaparinux sodium
|
$122.34 |
$122.34 |
$122.34 |
$185.12
|
|
Fo nontorsion joint cf
|
$213.77 |
$213.77 |
$213.77 |
$217.50
|
|
Foot arch supp premold metat
|
$124.26 |
$124.26 |
$124.26 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$90.94 |
$90.94 |
$90.94 |
$143.87
|
|
Foot external keel sach foot
|
$215.26 |
$215.26 |
$215.26 |
$482.25
|
|
Foot insert plastazote or eq
|
$192.37 |
$192.37 |
$192.37 |
$365.48
|
|
Foot insert remov molded spe
|
$176.56 |
$176.56 |
$176.56 |
$312.97
|
|
Foot insert silicone gel eac
|
$199.25 |
$199.25 |
$199.25 |
$295.47
|
|
Foot lamin/prepreg composite
|
$171.25 |
$171.25 |
$171.25 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$134.27 |
$134.27 |
$134.27 |
$76.32
|
|
Foot plate molded stirrup at
|
$536.32 |
$536.32 |
$536.32 |
$714.12
|
|
Foot X-ray
|
$595.20 |
$595.20 |
$595.20 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,324.34 |
$1,324.34 |
$1,324.34 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$954.68 |
$954.68 |
$954.68 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$489.00 |
$489.00 |
$489.00 |
$532.80
|
|
Formoterol fumarate, inh
|
$31.98 |
$31.98 |
$31.98 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$241.62 |
$241.62 |
$241.62 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$198.96 |
$198.96 |
$198.96 |
$106.10
|
|
Fractionation ketosteroids
|
$129.60 |
$129.60 |
$129.60 |
$135.95
|
|
Fragmenting of kidney stone
|
$60,099.20 |
$60,099.20 |
$60,099.20 |
$10,057.42
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$885.60 |
$885.60 |
$885.60 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$885.60 |
$885.60 |
$885.60 |
$156.60
|
|
Fresh frozen plasma thawing ea un
|
$204.00 |
$204.00 |
$204.00 |
$122.00
|
|
Frozen cell preparation
|
$24.00 |
$24.00 |
$24.00 |
$36.75
|
|
Fructosamine glycated protein
|
$37.80 |
$37.80 |
$37.80 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$504.40 |
$504.40 |
$504.40 |
$743.29
|
|
Ftl cgen abnor four anal
|
$115.80 |
$115.80 |
$115.80 |
$204.52
|
|
Ftl cgen abnor three anal
|
$148.80 |
$148.80 |
$148.80 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$143.40 |
$143.40 |
$143.40 |
$110.00
|
|
Full sole/heel wedge btween
|
$144.37 |
$144.37 |
$144.37 |
$129.40
|
|
Furnsh initial orthosis only
|
$2,873.32 |
$2,873.32 |
$2,873.32 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$10.38 |
$10.38 |
$10.38 |
$19.00
|
|
Fusion of big toe joint
|
$57,069.77 |
$57,069.77 |
$57,069.77 |
$5,488.00
|
|
Fusion of foot bones
|
$86,818.42 |
$86,818.42 |
$86,818.42 |
$6,411.60
|
|
Fusion of foot bones
|
$22,939.02 |
$22,939.02 |
$22,939.02 |
$4,881.00
|
|
G6pc gene
|
$96.60 |
$96.60 |
$96.60 |
$123.00
|
|
G6pd gene alys cmn variant
|
$397.20 |
$397.20 |
$397.20 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$6,564.00 |
$6,564.00 |
$6,564.00 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$35.82 |
$35.82 |
$35.82 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$189.06 |
$189.06 |
$189.06 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$114.60 |
$114.60 |
$114.60 |
$96.94
|
|
Galactokinase - sendout
|
$216.00 |
$216.00 |
$216.00 |
$204.97
|
|
Gallbladder Removal (Laparoscopic)
|
$19,969.87 |
$19,969.87 |
$19,969.87 |
$11,117.34
|
|
Gallium illuccix 1 millicure
|
$92,988.00 |
$92,988.00 |
$92,988.00 |
$1,395.27
|
|
Gammaglobulin iga
|
$109.80 |
$109.80 |
$109.80 |
$67.20
|
|
Gammaglobulin ige
|
$118.80 |
$118.80 |
$118.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$70.20 |
$70.20 |
$70.20 |
$57.54
|
|
Gamunex-c/gammaked
|
$17,491.86 |
$17,491.86 |
$17,491.86 |
$7,634.20
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$478.62 |
$478.62 |
$478.62 |
$197.40
|
|
Gastrin test
|
$16.20 |
$16.20 |
$16.20 |
$61.80
|
|
Gba gene
|
$331.80 |
$331.80 |
$331.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$161.22 |
$161.22 |
$161.22 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$32,361.12 |
$32,361.12 |
$32,361.12 |
$19,305.62
|
|
General health panel
|
$566.40 |
$566.40 |
$566.40 |
$275.00
|
|
Generator barostim neo2 2014
|
$123,388.80 |
$123,388.80 |
$123,388.80 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$93,843.84 |
$93,843.84 |
$93,843.84 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$110,964.00 |
$110,964.00 |
$110,964.00 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$3,672.60 |
$3,672.60 |
$3,672.60 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$69,748.80 |
$69,748.80 |
$69,748.80 |
$36,800.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$30.36 |
$30.36 |
$30.36 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$88.80 |
$88.80 |
$88.80 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$7,682.05 |
$7,682.05 |
$7,682.05 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$6,164.94 |
$6,164.94 |
$6,164.94 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$9,027.60 |
$9,027.60 |
$9,027.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$64.80 |
$64.80 |
$64.80 |
$42.72
|
