|
Flow cytometry marker each additional
|
$33.77 |
$93.60 |
$216.00 |
|
|
Flow cytometry one marker technical component
|
$39.09 |
$236.00 |
$558.40 |
|
|
Floweramniopatch, per sq cm
|
$147.00 |
$147.00 |
$147.00 |
|
|
Floxuridine injection
|
$296.94 |
$296.94 |
$296.94 |
|
|
Flt3 gene
|
$83.89 |
$109.70 |
$918.91 |
|
|
Flt3 gene analysis
|
$83.89 |
$109.70 |
$918.91 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$47.22 |
$64.15 |
$127.76 |
|
|
Fludarabine 50 mg intravenous solution
|
$252.02 |
$327.22 |
$546.79 |
|
|
Fluidotherapy charges pt
|
$101.60 |
$192.92 |
$240.35 |
|
|
Fluid pressure muscle 20950
|
$1,006.40 |
$1,006.40 |
$1,006.40 |
|
|
Fluorescent antibody titer dna
|
$54.40 |
$362.59 |
$436.24 |
|
|
Fluoroestradiol f 18
|
$1,369.63 |
$1,597.90 |
$1,597.90 |
|
|
Fluoroguide for spine inject 77003-26
|
$208.99 |
$227.52 |
$708.00 |
|
|
Fluoroguide needle placement
|
$279.38 |
$428.74 |
$645.60 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$376.80 |
$2,092.94 |
$2,743.10 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$143.80 |
$167.76 |
$434.96 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$54.76 |
$64.93 |
$275.00 |
|
|
Fmri brain by phys/psych
|
$2,193.55 |
$2,193.55 |
$2,193.55 |
|
|
Fmri brain by tech
|
$1,898.57 |
$1,898.57 |
$2,189.04 |
|
|
Fna bx w/ct gdn 1st les
|
$931.62 |
$2,773.01 |
$3,764.15 |
|
|
Fna bx w/ct gdn ea addl
|
$693.26 |
$941.58 |
$1,292.00 |
|
|
Fna bx w/mr gdn 1st les
|
$2,856.72 |
$3,552.92 |
$3,552.92 |
|
|
Fna bx w/mr gdn ea addl
|
$714.19 |
$888.61 |
$888.61 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$4.32 |
$5.04 |
$5.04 |
|
|
Foam drg >16<=48 sq in without b
|
$13.10 |
$15.29 |
$15.29 |
|
|
Foam drg <=16 sq in w/border
|
$4.37 |
$5.10 |
$5.10 |
|
|
Foam drg > 48 sq in without brdr
|
$43.73 |
$51.02 |
$51.02 |
|
|
Folic acid
|
$34.61 |
$37.87 |
$140.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$22.58 |
$26.34 |
$60.34 |
|
|
Follow-up angiography
|
$1,663.78 |
$1,663.78 |
$1,669.60 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$804.56 |
$1,594.03 |
$1,924.23 |
|
|
Fondaparinux sodium
|
$75.24 |
$191.14 |
$222.99 |
|
|
Fo nontorsion joint cf
|
$318.24 |
$318.24 |
$318.24 |
|
|
Foot arch support remov prem
|
$120.74 |
$164.98 |
$164.98 |
|
|
Foot arch supp premold metat
|
$74.54 |
$101.75 |
$101.75 |
|
|
Foot drp splt w/exp heel lg
|
$115.20 |
$143.14 |
$166.99 |
|
|
Foot external keel sach foot
|
$344.34 |
$470.57 |
$470.57 |
|
|
Foot insert plastazote or eq
|
$255.58 |
$349.16 |
$349.16 |
|
|
Foot insert remov molded spe
|
$209.27 |
$285.99 |
$285.99 |
|
|
Foot insert silicone gel eac
|
$275.74 |
$376.66 |
$376.66 |
|
|
Foot lamin/prepreg composite
|
$243.44 |
$243.44 |
$243.44 |
|
|
Foot longitudinal arch suppo
|
$275.74 |
$376.66 |
$376.66 |
|
|
Foot longitud/metatarsal sup
|
$313.99 |
$428.96 |
$428.96 |
|
|
Foot plas heel stabi pre ots
|
$32.26 |
$94.22 |
$109.93 |
|
|
Foot plate molded stirrup at
|
$528.58 |
$702.07 |
$702.07 |
|
|
Foot single axis ankle/foot
|
$367.30 |
$501.87 |
$501.87 |
|
|
Foot X-ray
|
$207.79 |
$292.80 |
$452.00 |
|
|
Foot X-ray (2 views, both feet)
|
$174.40 |
$224.80 |
$371.20 |
|
|
Forearm/arm cuffs ext/flex a
|
$692.76 |
$1,486.03 |
$1,733.70 |
|
|
Forearm/arm cuffs free motio
|
$984.03 |
$1,307.10 |
$1,307.10 |
|
|
Forearm X-ray (both sides)
|
$166.40 |
$240.00 |
$412.80 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$616.80 |
$616.80 |
$888.80 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$57.72 |
$265.92 |
$949.47 |
|
|
Foscarnet sodium injection
|
$476.00 |
$714.47 |
$714.47 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$35.04 |
$71.48 |
$87.71 |
|
|
Fracture assessment via dxa
|
$144.19 |
$151.09 |
$151.09 |
|
|
_fragile x methylation-sendout
|
$38.45 |
$120.80 |
$238.28 |
|
|
Fragmenting of kidney stone
|
$4,165.58 |
$4,165.58 |
$4,165.58 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$236.80 |
$257.88 |
$306.10 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$192.00 |
$260.00 |
$328.00 |
|
|
Fresh frozen plasma thawing ea un
|
$235.20 |
$235.20 |
$235.20 |
|
|
Frozen blood thaw
|
$524.88 |
$642.99 |
$642.99 |
|
|
Frozen cell preparation
|
$25.06 |
$30.69 |
$31.81 |
|
|
Fructosamine glycated protein
|
$25.78 |
$30.07 |
$57.60 |
|
|
Ft arch suprt premold longit
|
$74.54 |
$101.75 |
$101.75 |
|
|
Ft insert ucb berkeley shell
|
$497.06 |
$660.30 |
$660.30 |
|
|
Ftl cgen abnor four anal
|
$162.14 |
$189.17 |
$371.20 |
|
|
Ftl cgen abnor two proteins
|
$70.13 |
$81.82 |
$88.37 |
|
|
Ft prosth multiaxial ankl/ft
|
$493.70 |
$655.82 |
$655.82 |
|
|
Full mouth x-ray of teeth
|
$163.20 |
$163.20 |
$163.20 |
|
|
Full sole/heel wedge btween
|
$86.58 |
$118.22 |
$118.22 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$253.06 |
$377.86 |
$520.80 |
|
|
Furnsh initial orthosis only
|
$2,831.81 |
$3,761.46 |
$3,761.46 |
|
|
Furosemide 10 mg/ml injection solution
|
$25.96 |
$48.56 |
$68.93 |
|
|
Fusion of big toe joint
|
$8,581.60 |
$8,581.60 |
$8,581.60 |
|
|
G6pc gene
|
$173.49 |
$173.49 |
$224.95 |
|
|
Ga-67 gallium 0.1 mci
|
$80.06 |
$93.41 |
$93.41 |
|
|
Ga-68 gallium 68 dotatate
|
$116.35 |
$135.74 |
$135.74 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.67 |
$38.59 |
$132.00 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$5.32 |
$5.94 |
$204.00 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.28 |
$0.28 |
$92.12 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$29.68 |
$48.00 |
$232.10 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$18.70 |
$18.70 |
$18.70 |
|
|
Galactose transferase test
|
$16.69 |
$20.00 |
$33.60 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,041.46 |
$1,804.00 |
$1,938.40 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,190.40 |
$1,907.20 |
$2,257.60 |
|
|
Gallium ga-68 psma-11 ucsf
|
$1,768.85 |
$2,063.66 |
$2,063.66 |
|
|
Gallium illuccix 1 millicure
|
$2,063.66 |
$2,063.66 |
$2,063.66 |
|
|
Gamma globulin 1 cc inj
|
$494.96 |
$494.96 |
$494.96 |
|
|
Gammaglobulin iga
|
$40.80 |
$179.62 |
$220.70 |
|
|
Gammaglobulin ige
|
$19.30 |
$22.51 |
$188.00 |
|
|
Gamma glutamyltransferase
|
$25.73 |
$26.71 |
$74.40 |
|
|
Gammagraft
|
$128.00 |
$128.00 |
$128.00 |
|
|
Gamunex-c/gammaked
|
$3,551.52 |
$6,172.57 |
$7,043.04 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$209.82 |
$253.88 |
$253.88 |
|
|
Gastric emptying imag study
|
$2,208.53 |
$3,053.90 |
$3,053.90 |
|
|
Gastric motility studies
|
$505.87 |
$755.27 |
$755.27 |
|
|
Gastric mucosa imaging
|
$609.94 |
$995.01 |
$1,266.40 |
|
|
Gastroesophageal reflux study
|
$1,692.00 |
$3,105.70 |
$3,105.70 |
|
|
Gated heart multiple
|
$896.16 |
$968.69 |
$968.69 |
|
