|
Flexible keel foot
|
$627.42 |
$627.42 |
$627.42 |
$590.47
|
|
Flexible metal hinge pair
|
$349.94 |
$349.94 |
$349.94 |
$252.00
|
|
Flexion/extension wrist unit
|
$593.82 |
$593.82 |
$593.82 |
$431.20
|
|
Flex thermoplastic collar mo
|
$241.58 |
$241.58 |
$241.58 |
$187.60
|
|
Flex-walk sys low ext prosth
|
$5,229.73 |
$5,229.73 |
$5,229.73 |
$3,684.80
|
|
Flotufolastat f18 diag 1 mci
|
$2,091.04 |
$2,091.04 |
$2,091.04 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$40.38 |
$40.38 |
$40.38 |
$97.50
|
|
Flow cytometry one marker technical component
|
$46.76 |
$46.76 |
$46.76 |
$285.00
|
|
Flt3 gene
|
$109.70 |
$109.70 |
$109.70 |
$366.29
|
|
Flt3 gene analysis
|
$109.70 |
$109.70 |
$109.70 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$47.22 |
$47.22 |
$47.22 |
$64.22
|
|
Fluidotherapy charges pt
|
$192.92 |
$192.92 |
$192.92 |
$101.40
|
|
Fluorescent antibody titer dna
|
$397.99 |
$397.99 |
$397.99 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$292.04 |
$292.04 |
$292.04 |
$495.00
|
|
Fluoroguide needle placement
|
$343.56 |
$343.56 |
$343.56 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$2,743.10 |
$2,743.10 |
$2,743.10 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$157.47 |
$157.47 |
$157.47 |
$107.00
|
|
Fna bx w/ct gdn 1st les
|
$931.62 |
$931.62 |
$931.62 |
$1,462.20
|
|
Foam drg >16<=48 sq in without b
|
$13.44 |
$13.44 |
$13.44 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$4.48 |
$4.48 |
$4.48 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$44.80 |
$44.80 |
$44.80 |
$33.49
|
|
Folic acid
|
$41.38 |
$41.38 |
$41.38 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$22.95 |
$22.95 |
$22.95 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,699.45 |
$1,699.45 |
$1,699.45 |
$2,511.73
|
|
Fondaparinux sodium
|
$121.97 |
$121.97 |
$121.97 |
$186.20
|
|
Foot arch support remov prem
|
$120.74 |
$120.74 |
$120.74 |
$141.41
|
|
Foot arch supp premold metat
|
$74.54 |
$74.54 |
$74.54 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$134.46 |
$134.46 |
$134.46 |
$143.14
|
|
Foot external keel sach foot
|
$344.34 |
$344.34 |
$344.34 |
$470.57
|
|
Foot insert plastazote or eq
|
$255.58 |
$255.58 |
$255.58 |
$349.16
|
|
Foot insert remov molded spe
|
$209.27 |
$209.27 |
$209.27 |
$285.99
|
|
Foot insert silicone gel eac
|
$275.74 |
$275.74 |
$275.74 |
$322.85
|
|
Foot longitudinal arch suppo
|
$275.74 |
$275.74 |
$275.74 |
$322.85
|
|
Foot longitud/metatarsal sup
|
$313.99 |
$313.99 |
$313.99 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$80.47 |
$80.47 |
$80.47 |
$76.32
|
|
Foot plate molded stirrup at
|
$528.58 |
$528.58 |
$528.58 |
$620.64
|
|
Foot single axis ankle/foot
|
$367.30 |
$367.30 |
$367.30 |
$350.00
|
|
Foot X-ray
|
$245.45 |
$245.45 |
$245.45 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$257.66 |
$257.66 |
$257.66 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,305.19 |
$1,305.19 |
$1,305.19 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$984.03 |
$984.03 |
$984.03 |
$901.60
|
|
Forearm X-ray (both sides)
|
$257.66 |
$257.66 |
$257.66 |
$324.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$119.38 |
$119.38 |
$119.38 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$69.46 |
$69.46 |
$69.46 |
$103.62
|
|
_fragile x methylation-sendout
|
$238.28 |
$238.28 |
$238.28 |
$183.74
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$257.88 |
$257.88 |
$257.88 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$257.88 |
$257.88 |
$257.88 |
$164.84
|
|
Frozen blood thaw
|
$624.62 |
$624.62 |
$624.62 |
$212.30
|
|
Frozen cell preparation
|
$31.81 |
$31.81 |
$31.81 |
$31.81
|
|
Fructosamine glycated protein
|
$32.48 |
$32.48 |
$32.48 |
$63.50
|
|
Ft arch suprt premold longit
|
$74.54 |
$74.54 |
$74.54 |
$94.69
|
|
Ft insert ucb berkeley shell
|
$497.06 |
$497.06 |
$497.06 |
$651.56
|
|
Ftl cgen abnor four anal
|
$204.29 |
$204.29 |
$204.29 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$88.37 |
$88.37 |
$88.37 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$493.70 |
$493.70 |
$493.70 |
$439.60
|
|
Full sole/heel wedge btween
|
$86.58 |
$86.58 |
$86.58 |
$101.33
|
|
Full Spine X-ray (Scoliosis Survey)
|
$311.92 |
$311.92 |
$311.92 |
$355.00
|
|
Furnsh initial orthosis only
|
$2,831.81 |
$2,831.81 |
$2,831.81 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$32.40 |
$32.40 |
$32.40 |
$19.53
|
|
G6pc gene
|
$224.95 |
$224.95 |
$224.95 |
$138.40
|
|
Ga-67 gallium 0.1 mci
|
$83.72 |
$83.72 |
$83.72 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$125.10 |
$125.10 |
$125.10 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.95 |
$0.95 |
$0.95 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$5.32 |
$5.32 |
$5.32 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$20.89 |
$20.89 |
$20.89 |
$177.52
|
|
Galactose transferase test
|
$25.42 |
$25.42 |
$25.42 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,345.29 |
$1,345.29 |
$1,345.29 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,537.59 |
$1,537.59 |
$1,537.59 |
$1,615.00
|
|
Gammaglobulin iga
|
$220.70 |
$220.70 |
$220.70 |
$69.60
|
|
Gammaglobulin ige
|
$24.30 |
$24.30 |
$24.30 |
$83.85
|
|
Gamma glutamyltransferase
|
$28.84 |
$28.84 |
$28.84 |
$57.54
|
|
Gastric emptying imag study
|
$2,208.53 |
$2,208.53 |
$2,208.53 |
$1,364.00
|
|
Gba gene
|
$224.95 |
$224.95 |
$224.95 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$131.57 |
$131.57 |
$131.57 |
$207.51
|
|
General health panel
|
$79.24 |
$79.24 |
$79.24 |
$262.44
|
|
Generator barostim neo2 2014
|
$48,028.06 |
$48,028.06 |
$48,028.06 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$29,184.68 |
$29,184.68 |
$29,184.68 |
$36,467.76
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$28.28 |
$28.28 |
$28.28 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$83.38 |
$83.38 |
$83.38 |
$123.84
|
|
Ghs bladder cath - complex-foley
|
$118.10 |
$118.10 |
$118.10 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$993.44 |
$993.44 |
$993.44 |
$1,059.85
|
|
Ghs chemo >8 hrs
|
$185.64 |
$185.64 |
$185.64 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$99.18 |
$99.18 |
$99.18 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$140.28 |
$140.28 |
$140.28 |
$133.70
|
|
Ghs community re-entry 15 minutes
|
$65.46 |
$65.46 |
$65.46 |
$89.28
|
|
Ghs diphtheria toxoid ab igg
|
$58.80 |
$58.80 |
$58.80 |
$55.29
|
|
Ghs fish cytogen
|
$769.44 |
$769.44 |
$769.44 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$718.87 |
$718.87 |
$718.87 |
$226.20
|
|
Ghs hcv amplificaiton
|
$256.31 |
$256.31 |
$256.31 |
$196.20
|
|
Ghs histoplasma antigen
|
$291.93 |
$291.93 |
$291.93 |
$142.00
|
|
Ghs HIV antibody
|
$89.21 |
$89.21 |
$89.21 |
$89.70
|
|
Ghs inj neurolytic other perph nerve
|
$853.27 |
$853.27 |
$853.27 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$333.65 |
$333.65 |
$333.65 |
$434.12
|
|
Ghs inj transforaminal cerv ea add bil
|
$140.17 |
$140.17 |
$140.17 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$1,520.51 |
$1,520.51 |
$1,520.51 |
$1,814.80
|
|
Ghs IV inf sq injection, on-body injector
|
$62.05 |
$62.05 |
$62.05 |
$110.00
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$186.09 |
$186.09 |
$186.09 |
$246.33
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$186.09 |
$186.09 |
$186.09 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$186.09 |
$186.09 |
$186.09 |
$233.28
|
|
Ghs moderate sedation ea addtl 15 min
|
$62.10 |
$62.10 |
$62.10 |
$150.00
|
