|
Fix g/colon tube w/device
|
$3,198.22 |
$3,198.22 |
$3,198.22 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$464.96 |
$61.48
|
|
Fl exam g/colon tube w contrast
|
$487.80 |
$487.80 |
$1,348.07 |
$532.80
|
|
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
|
|
Florbetaben f18 diagnostic
|
$22,724.57 |
$22,724.57 |
$22,724.57 |
$4,339.99
|
|
Flotufolastat f18 diag 1 mci
|
$5,988.08 |
$5,988.08 |
$5,988.08 |
$3,308.76
|
|
Flow cytometry marker each additional
|
$67.58 |
$67.58 |
$105.60 |
$96.85
|
|
Flow cytometry one marker technical component
|
$563.40 |
$563.40 |
$1,170.99 |
$272.62
|
|
Floweramniopatch, per sq cm
|
$8,114.00 |
$8,114.00 |
$8,114.00 |
$6,814.14
|
|
Flt3 gene
|
$273.60 |
$273.60 |
$403.52 |
$355.00
|
|
Flt3 gene analysis
|
$268.20 |
$268.20 |
$403.52 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$68.88 |
$68.88 |
$193.07 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$168.96 |
$168.96 |
$1,685.92 |
$493.35
|
|
Fluidotherapy charges pt
|
$188.44 |
$188.44 |
$498.00 |
$93.00
|
|
Fluid pressure muscle 20950
|
$1,227.00 |
$1,227.00 |
$3,634.01 |
$779.45
|
|
Fluorescent antibody titer dna
|
$160.80 |
$160.80 |
$847.17 |
$123.65
|
|
Fluoroestradiol f 18
|
$6,458.21 |
$6,458.21 |
$6,458.21 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$940.20 |
$940.20 |
$1,647.61 |
$495.95
|
|
Fluoroguide needle placement
|
$1,177.20 |
$1,177.20 |
$1,862.99 |
$510.00
|
|
Fluoro polarize fetal lung
|
$222.00 |
$222.00 |
$738.79 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$471.60 |
$471.60 |
$1,346.12 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$93.00 |
$93.00 |
$322.82 |
$105.07
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$187.76 |
$187.76 |
$945.00 |
$72.52
|
|
Fmri brain by phys/psych
|
$3,910.93 |
$3,910.93 |
$3,910.93 |
$1,560.51
|
|
Fmri brain by tech
|
$3,872.58 |
$3,872.58 |
$3,872.58 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$939.60 |
$939.60 |
$939.60 |
$1,436.50
|
|
Fna bx w/ct gdn ea addl
|
$939.60 |
$939.60 |
$939.60 |
$834.90
|
|
Folic acid
|
$184.11 |
$184.11 |
$210.60 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$48.78
|
|
Follow-up angiography
|
$5,172.60 |
$5,172.60 |
$5,351.96 |
$1,994.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,851.12 |
$4,851.12 |
$6,251.47 |
$2,511.73
|
|
Fondaparinux sodium
|
$122.34 |
$122.34 |
$1,297.34 |
$186.20
|
|
Fo nontorsion joint cf
|
$213.77 |
$213.77 |
$213.77 |
$221.31
|
|
Foot arch supp premold metat
|
$124.26 |
$124.26 |
$124.26 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$90.94 |
$90.94 |
$90.94 |
$156.16
|
|
Foot external keel sach foot
|
$215.26 |
$215.26 |
$215.26 |
$470.57
|
|
Foot insert plastazote or eq
|
$192.37 |
$192.37 |
$192.37 |
$365.48
|
|
Foot insert remov molded spe
|
$176.56 |
$176.56 |
$176.56 |
$285.99
|
|
Foot insert silicone gel eac
|
$199.25 |
$199.25 |
$199.25 |
$322.85
|
|
Foot lamin/prepreg composite
|
$171.25 |
$171.25 |
$482.71 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$134.27 |
$134.27 |
$134.27 |
$77.91
|
|
Foot plate molded stirrup at
|
$536.32 |
$536.32 |
$536.32 |
$620.64
|
|
Foot X-ray
|
$595.20 |
$595.20 |
$2,054.42 |
$359.55
|
|
Forearm/arm cuffs ext/flex a
|
$1,324.34 |
$1,324.34 |
$1,324.34 |
$662.60
|
|
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 |
$534.00
|
|
Formoterol fumarate, inh
|
$31.98 |
$31.98 |
$45.77 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$241.62 |
$241.62 |
$3,473.46 |
$470.29
|
|
Foscarnet sodium injection
|
$1,484.34 |
$1,484.34 |
$1,484.34 |
$883.03
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$198.96 |
$198.96 |
$607.85 |
$103.02
|
|
Fractionation ketosteroids
|
$129.60 |
$129.60 |
$587.35 |
$145.00
|
|
Fracture assessment via dxa
|
$627.00 |
$627.00 |
$627.00 |
$175.50
|
|
_fragile x methylation-sendout
|
$934.62 |
$934.62 |
$934.62 |
$175.75
|
|
Fragmenting of kidney stone
|
$60,099.20 |
$60,099.20 |
$60,099.20 |
$10,312.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$430.26 |
$430.26 |
$885.60 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$885.60 |
$885.60 |
$2,186.18 |
$162.75
|
|
Fresh frozen plasma thawing ea un
|
$204.00 |
$204.00 |
$204.00 |
$123.90
|
|
Frozen cell preparation
|
$24.00 |
$24.00 |
$24.00 |
$33.00
|
|
Frozen plasma, pooled, sd
|
$306.95 |
$306.95 |
$306.95 |
$156.28
|
|
Fructosamine glycated protein
|
$37.80 |
$37.80 |
$189.96 |
$60.42
|
|
Ft arch suprt premold longit
|
$193.68 |
$193.68 |
$193.68 |
$94.69
|
|
Ft insert ucb berkeley shell
|
$504.40 |
$504.40 |
$504.40 |
$660.30
|
|
Ftl cgen abnor four anal
|
$115.80 |
$115.80 |
$245.84 |
$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 |
$109.20
|
|
Full sole/heel wedge btween
|
$144.37 |
$144.37 |
$144.37 |
$116.51
|
|
Functional brain mapping
|
$656.69 |
$656.69 |
$656.69 |
$514.80
|
|
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 |
$33.74 |
$19.53
|
|
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 |
$331.56 |
$140.00
|
|
G6pd gene alys cmn variant
|
$397.20 |
$397.20 |
$397.20 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$528.09 |
$528.09 |
$6,564.00 |
$135.60
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$232.77 |
$232.77 |
$232.77 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$17.50 |
$17.50 |
$35.82 |
$122.86
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1,245.60 |
$1,245.60 |
$1,245.60 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$178.60 |
$178.60 |
$189.06 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$114.60 |
$114.60 |
$297.35 |
$97.80
|
|
Galactokinase - sendout
|
$216.00 |
$216.00 |
$216.00 |
$204.97
|
|
Galactose transferase test
|
$123.56 |
$123.56 |
$123.56 |
$31.35
|
|
Galectin-3
|
$1,819.63 |
$1,819.63 |
$1,819.63 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$19,969.87 |
$19,969.87 |
$19,969.87 |
$11,117.34
|
|
Gallium illuccix 1 millicure
|
$9,407.29 |
$9,407.29 |
$92,988.00 |
$1,900.80
|
|
Gammaglobulin iga
|
$109.80 |
$109.80 |
$117.71 |
$68.75
|
|
Gammaglobulin ige
|
$118.80 |
$118.80 |
$333.33 |
$83.85
|
|
Gamma glutamyltransferase
|
$70.20 |
$70.20 |
$90.89 |
$57.54
|
|
Gammaplex injection
|
$4,645.05 |
$4,645.05 |
$4,645.05 |
$7,464.29
|
|
Gamunex-c/gammaked
|
$1,165.47 |
$1,165.47 |
$17,491.86 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$478.62 |
$478.62 |
$1,089.06 |
$197.40
|
|
Gardner vag dna quant
|
$156.12 |
$156.12 |
$156.12 |
$104.80
|
|
Gastric emptying imag study
|
$1,526.41 |
$1,526.41 |
$1,526.41 |
$1,364.00
|
|
Gastric emptying imag study
|
$2,024.62 |
$2,024.62 |
$2,024.62 |
$1,665.50
|
|
Gastrin test
|
$16.20 |
$16.20 |
$123.56 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,288.47 |
$1,288.47 |
$1,288.47 |
$1,085.28
|
|
Gastroesophageal reflux test
|
$2,011.43 |
$2,011.43 |
$2,011.43 |
$1,352.00
|
|
Gated heart multiple
|
$2,296.76 |
$2,296.76 |
$2,296.76 |
$1,405.04
|
|
Gba gene
|
$331.80 |
$331.80 |
$1,664.14 |
$160.72
|
