|
Fibrinolytic plasminogen xcpt antgnc asa
|
$36.00 |
$36.00 |
$36.00 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,387.62 |
$1,387.62 |
$1,387.62 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,265.88 |
$1,265.88 |
$1,265.88 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$653.58 |
$653.58 |
$653.58 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$42,938.48 |
$42,938.48 |
$42,938.48 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,943.23 |
$5,943.23 |
$5,943.23 |
$3,718.18
|
|
Fine needle asp without image guide 10021
|
$784.80 |
$784.80 |
$784.80 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$6,580.37 |
$6,580.37 |
$6,580.37 |
$4,584.72
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$13,240.38 |
$13,240.38 |
$13,240.38 |
$4,242.15
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$69.60 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$388.20 |
$388.20 |
$388.20 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$7,537.38 |
$7,537.38 |
$7,537.38 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$445.67 |
$445.67 |
$445.67 |
$187.60
|
|
Flow cytometry marker each additional
|
$137.40 |
$137.40 |
$137.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$830.40 |
$830.40 |
$830.40 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$7,344.53 |
$7,344.53 |
$7,344.53 |
$6,814.14
|
|
Flt3 gene
|
$259.20 |
$259.20 |
$259.20 |
$355.00
|
|
Flt3 gene analysis
|
$79.80 |
$79.80 |
$79.80 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$55.44 |
$55.44 |
$55.44 |
$64.22
|
|
Fluidotherapy charges pt
|
$51.60 |
$51.60 |
$51.60 |
$91.00
|
|
Fluid pressure muscle 20950
|
$457.20 |
$457.20 |
$457.20 |
$768.94
|
|
Fluorescent antibody titer dna
|
$141.00 |
$141.00 |
$141.00 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$454.20 |
$454.20 |
$454.20 |
$496.03
|
|
Fluoroguide needle placement
|
$237.00 |
$237.00 |
$237.00 |
$510.00
|
|
Fluoro polarize fetal lung
|
$96.60 |
$96.60 |
$96.60 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$348.00 |
$348.00 |
$348.00 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$177.18 |
$177.18 |
$177.18 |
$94.86
|
|
Folic acid
|
$102.00 |
$102.00 |
$102.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$54.75
|
|
Fo nontorsion joint cf
|
$520.22 |
$520.22 |
$520.22 |
$217.50
|
|
Foot arch supp premold metat
|
$121.79 |
$121.79 |
$121.79 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$89.14 |
$89.14 |
$89.14 |
$143.87
|
|
Foot external keel sach foot
|
$527.37 |
$527.37 |
$527.37 |
$482.25
|
|
Foot insert plastazote or eq
|
$417.89 |
$417.89 |
$417.89 |
$365.48
|
|
Foot insert remov molded spe
|
$342.25 |
$342.25 |
$342.25 |
$312.97
|
|
Foot insert silicone gel eac
|
$450.81 |
$450.81 |
$450.81 |
$295.47
|
|
Foot lamin/prepreg composite
|
$316.88 |
$316.88 |
$316.88 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$131.60 |
$131.60 |
$131.60 |
$76.32
|
|
Foot plate molded stirrup at
|
$864.28 |
$864.28 |
$864.28 |
$714.12
|
|
Foot X-ray
|
$156.00 |
$156.00 |
$156.00 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$2,134.17 |
$2,134.17 |
$2,134.17 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$1,538.47 |
$1,538.47 |
$1,538.47 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$489.00 |
$489.00 |
$489.00 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$297.78 |
$297.78 |
$297.78 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$21.72 |
$21.72 |
$21.72 |
$106.10
|
|
Fractionation ketosteroids
|
$186.00 |
$186.00 |
$186.00 |
$135.95
|
|
Fracture assessment via dxa
|
$417.00 |
$417.00 |
$417.00 |
$173.18
|
|
Fragmenting of kidney stone
|
$12,596.88 |
$12,596.88 |
$12,596.88 |
$10,057.42
|
|
Frenectomy 41115
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$1,752.89
|
|
Frenotomy 40806
|
$433.20 |
$433.20 |
$433.20 |
$729.70
|
|
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
|
$192.00 |
$192.00 |
$192.00 |
$122.00
|
|
Frozen blood prep
|
$563.40 |
$563.40 |
$563.40 |
$214.30
|
|
Frozen blood thaw
|
$712.20 |
$712.20 |
$712.20 |
$209.50
|
|
Frozen cell preparation
|
$25.20 |
$25.20 |
$25.20 |
$36.75
|
|
Fructosamine glycated protein
|
$34.80 |
$34.80 |
$34.80 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$812.83 |
$812.83 |
$812.83 |
$743.29
|
|
Ftl cgen abnor four anal
|
$254.40 |
$254.40 |
$254.40 |
$204.52
|
|
Ftl cgen abnor three anal
|
$202.20 |
$202.20 |
$202.20 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$109.80 |
$109.80 |
$109.80 |
$110.00
|
|
Full sole/heel wedge btween
|
$141.50 |
$141.50 |
$141.50 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,630.33 |
$4,630.33 |
$4,630.33 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$16.62 |
$16.62 |
$16.62 |
$19.00
|
|
Fusion of big toe joint
|
$89,265.68 |
$89,265.68 |
$89,265.68 |
$5,488.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$252.00 |
$252.00 |
$252.00 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$450.00 |
$450.00 |
$450.00 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$124.20 |
$124.20 |
$124.20 |
$96.94
|
|
Galactokinase - sendout
|
$235.80 |
$235.80 |
$235.80 |
$204.97
|
|
Gallbladder Removal (Laparoscopic)
|
$32,142.53 |
$32,142.53 |
$32,142.53 |
$11,117.34
|
|
Gammaglobulin iga
|
$87.00 |
$87.00 |
$87.00 |
$67.20
|
|
Gammaglobulin ige
|
$90.60 |
$90.60 |
$90.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$43.20 |
$43.20 |
$43.20 |
$57.54
|
|
Gamunex-c/gammaked
|
$14,172.00 |
$14,172.00 |
$14,172.00 |
$7,634.20
|
|
Gastric mucosa imaging
|
$1,234.20 |
$1,234.20 |
$1,234.20 |
$555.20
|
|
Gated heart multiple
|
$4,023.00 |
$4,023.00 |
$4,023.00 |
$1,400.64
|
|
Gba gene
|
$326.40 |
$326.40 |
$326.40 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$146.16 |
$146.16 |
$146.16 |
$207.51
|
|
General health panel
|
$432.60 |
$432.60 |
$432.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$111,687.41 |
$111,687.41 |
$111,687.41 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$84,944.30 |
$84,944.30 |
$84,944.30 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$100,440.90 |
$100,440.90 |
$100,440.90 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$63,134.28 |
$63,134.28 |
$63,134.28 |
$36,800.00
|
|
Genome sequence analysis
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$5,534.32
|
|
Genome sequence analysis
|
$4,268.40 |
$4,268.40 |
$4,268.40 |
$3,577.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$18.42 |
$18.42 |
$18.42 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$108.60 |
$108.60 |
$108.60 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$7,126.62 |
$7,126.62 |
$7,126.62 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$1,332.60 |
$1,332.60 |
$1,332.60 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$5,772.60 |
$5,772.60 |
$5,772.60 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$71.40 |
$71.40 |
$71.40 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$102.00 |
$102.00 |
$102.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$407.40 |
$407.40 |
$407.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$186.60 |
$186.60 |
$186.60 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$1,660.80 |
$1,660.80 |
$1,660.80 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$34.20 |
$34.20 |
$34.20 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,513.80 |
$1,513.80 |
$1,513.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,316.60 |
$2,316.60 |
$2,316.60 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$287.40 |
$287.40 |
$287.40 |
$565.49
|
