|
Finger X-ray (both hands)
|
$207.79 |
$207.79 |
$207.79 |
$241.50
|
|
Fix g/colon tube w/device
|
$1,003.68 |
$1,003.68 |
$1,003.68 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$40.90 |
$40.90 |
$40.90 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$876.67 |
$876.67 |
$876.67 |
$540.80
|
|
Flex/ext wrist w/wo friction
|
$4,129.06 |
$4,129.06 |
$4,129.06 |
$2,525.60
|
|
Flex foot system
|
$6,465.55 |
$6,465.55 |
$6,465.55 |
$4,746.00
|
|
Flexible keel foot
|
$714.24 |
$714.24 |
$714.24 |
$590.47
|
|
Flexible metal hinge pair
|
$409.82 |
$409.82 |
$409.82 |
$252.00
|
|
Flexion/extension wrist unit
|
$676.08 |
$676.08 |
$676.08 |
$431.20
|
|
Flex thermoplastic collar mo
|
$282.91 |
$282.91 |
$282.91 |
$187.60
|
|
Flex-walk sys low ext prosth
|
$5,807.66 |
$5,807.66 |
$5,807.66 |
$3,684.80
|
|
Flow cytometry marker each additional
|
$36.96 |
$36.96 |
$36.96 |
$97.50
|
|
Flow cytometry one marker technical component
|
$42.77 |
$42.77 |
$42.77 |
$285.00
|
|
Floxuridine injection
|
$296.94 |
$296.94 |
$296.94 |
$5,871.79
|
|
Flt3 gene
|
$918.91 |
$918.91 |
$918.91 |
$366.29
|
|
Flt3 gene analysis
|
$918.91 |
$918.91 |
$918.91 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$51.44 |
$51.44 |
$51.44 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$546.79 |
$546.79 |
$546.79 |
$493.35
|
|
Fluidotherapy charges pt
|
$228.58 |
$228.58 |
$228.58 |
$101.40
|
|
Fluorescent antibody titer dna
|
$362.59 |
$362.59 |
$362.59 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,369.63 |
$1,369.63 |
$1,369.63 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$227.52 |
$227.52 |
$227.52 |
$495.00
|
|
Fluoroguide needle placement
|
$428.74 |
$428.74 |
$428.74 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$2,491.58 |
$2,491.58 |
$2,491.58 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$143.80 |
$143.80 |
$143.80 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$275.00 |
$275.00 |
$275.00 |
$72.52
|
|
Fmri brain by phys/psych
|
$2,193.55 |
$2,193.55 |
$2,193.55 |
$1,639.00
|
|
Fmri brain by tech
|
$2,189.04 |
$2,189.04 |
$2,189.04 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$2,773.01 |
$2,773.01 |
$2,773.01 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$693.26 |
$693.26 |
$693.26 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$2,856.72 |
$2,856.72 |
$2,856.72 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$714.19 |
$714.19 |
$714.19 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$4.32 |
$4.32 |
$4.32 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$13.10 |
$13.10 |
$13.10 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$4.37 |
$4.37 |
$4.37 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$43.73 |
$43.73 |
$43.73 |
$33.49
|
|
Folic acid
|
$37.87 |
$37.87 |
$37.87 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$22.58 |
$22.58 |
$22.58 |
$45.00
|
|
Follow-up angiography
|
$1,663.78 |
$1,663.78 |
$1,663.78 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,503.13 |
$1,503.13 |
$1,503.13 |
$2,511.73
|
|
Fondaparinux sodium
|
$191.14 |
$191.14 |
$191.14 |
$186.20
|
|
Foot arch support remov prem
|
$141.41 |
$141.41 |
$141.41 |
$141.41
|
|
Foot arch supp premold metat
|
$87.22 |
$87.22 |
$87.22 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$143.14 |
$143.14 |
$143.14 |
$143.14
|
|
Foot external keel sach foot
|
$403.34 |
$403.34 |
$403.34 |
$470.57
|
|
Foot insert plastazote or eq
|
$299.28 |
$299.28 |
$299.28 |
$349.16
|
|
Foot insert remov molded spe
|
$245.14 |
$245.14 |
$245.14 |
$285.99
|
|
Foot insert silicone gel eac
|
$322.85 |
$322.85 |
$322.85 |
$322.85
|
|
Foot longitudinal arch suppo
|
$322.85 |
$322.85 |
$322.85 |
$322.85
|
|
Foot longitud/metatarsal sup
|
$367.68 |
$367.68 |
$367.68 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$94.22 |
$94.22 |
$94.22 |
$76.32
|
|
Foot plate molded stirrup at
|
$601.78 |
$601.78 |
$601.78 |
$620.64
|
|
Foot single axis ankle/foot
|
$430.18 |
$430.18 |
$430.18 |
$350.00
|
|
Foot X-ray
|
$207.79 |
$207.79 |
$207.79 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$207.79 |
$207.79 |
$207.79 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,486.03 |
$1,486.03 |
$1,486.03 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,120.37 |
$1,120.37 |
$1,120.37 |
$901.60
|
|
Forearm X-ray (both sides)
|
$207.79 |
$207.79 |
$207.79 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$107.52 |
$107.52 |
$107.52 |
$490.67
|
|
Foscarnet sodium injection
|
$714.47 |
$714.47 |
$714.47 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$87.71 |
$87.71 |
$87.71 |
$103.62
|
|
Fracture assessment via dxa
|
$144.19 |
$144.19 |
$144.19 |
$175.50
|
|
_fragile x methylation-sendout
|
$38.45 |
$38.45 |
$38.45 |
$183.74
|
|
Fragmenting of kidney stone
|
$4,165.58 |
$4,165.58 |
$4,165.58 |
$10,312.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$249.12 |
$249.12 |
$249.12 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$249.12 |
$249.12 |
$249.12 |
$164.84
|
|
Frozen blood thaw
|
$524.88 |
$524.88 |
$524.88 |
$212.30
|
|
Frozen cell preparation
|
$25.06 |
$25.06 |
$25.06 |
$31.81
|
|
Fructosamine glycated protein
|
$25.78 |
$25.78 |
$25.78 |
$63.50
|
|
Ft arch suprt premold longit
|
$87.22 |
$87.22 |
$87.22 |
$94.69
|
|
Ft insert ucb berkeley shell
|
$565.97 |
$565.97 |
$565.97 |
$651.56
|
|
Ftl cgen abnor four anal
|
$162.14 |
$162.14 |
$162.14 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$70.13 |
$70.13 |
$70.13 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$562.13 |
$562.13 |
$562.13 |
$439.60
|
|
Full sole/heel wedge btween
|
$101.33 |
$101.33 |
$101.33 |
$101.33
|
|
Full Spine X-ray (Scoliosis Survey)
|
$377.86 |
$377.86 |
$377.86 |
$355.00
|
|
Furnsh initial orthosis only
|
$3,224.11 |
$3,224.11 |
$3,224.11 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$68.93 |
$68.93 |
$68.93 |
$19.53
|
|
G6pc gene
|
$200.02 |
$200.02 |
$200.02 |
$138.40
|
|
Ga-67 gallium 0.1 mci
|
$80.06 |
$80.06 |
$80.06 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$116.35 |
$116.35 |
$116.35 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$38.59 |
$38.59 |
$38.59 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$112.99 |
$112.99 |
$112.99 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$92.12 |
$92.12 |
$92.12 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$232.10 |
$232.10 |
$232.10 |
$249.80
|
|
Galactose transferase test
|
$31.06 |
$31.06 |
$31.06 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,041.46 |
$1,041.46 |
$1,041.46 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$1,615.00
|
|
Gallium ga-68 psma-11 ucsf
|
$1,768.85 |
$1,768.85 |
$1,768.85 |
$1,344.20
|
|
Gammaglobulin iga
|
$179.62 |
$179.62 |
$179.62 |
$69.60
|
|
Gammaglobulin ige
|
$19.30 |
$19.30 |
$19.30 |
$83.85
|
|
Gamma glutamyltransferase
|
$25.73 |
$25.73 |
$25.73 |
$57.54
|
|
Gamunex-c/gammaked
|
$6,172.57 |
$6,172.57 |
$6,172.57 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$217.61 |
$217.61 |
$217.61 |
$197.40
|
|
Gastric motility studies
|
$505.87 |
$505.87 |
$505.87 |
$972.00
|
|
Gastric mucosa imaging
|
$609.94 |
$609.94 |
$609.94 |
$565.00
|
|
Gastroesophageal reflux study
|
$1,792.32 |
$1,792.32 |
$1,792.32 |
$1,031.60
|
|
Gated heart multiple
|
$896.16 |
$896.16 |
$896.16 |
$1,405.04
|
|
Gel-one
|
$1,898.40 |
$1,898.40 |
$1,898.40 |
$1,561.21
|
|
Gemcitabine 1 gram intravenous solution
|
$1,314.87 |
$1,314.87 |
$1,314.87 |
$207.51
|
