|
Foot arch supp premold metat
|
$126.43 |
$126.43 |
$126.43 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$92.53 |
$92.53 |
$92.53 |
$156.16
|
|
Foot external keel sach foot
|
$547.47 |
$547.47 |
$547.47 |
$482.25
|
|
Foot insert plastazote or eq
|
$433.82 |
$433.82 |
$433.82 |
$365.48
|
|
Foot insert remov molded spe
|
$355.29 |
$355.29 |
$355.29 |
$312.97
|
|
Foot insert silicone gel eac
|
$467.99 |
$467.99 |
$467.99 |
$295.47
|
|
Foot lamin/prepreg composite
|
$328.96 |
$328.96 |
$328.96 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$136.62 |
$136.62 |
$136.62 |
$77.91
|
|
Foot plate molded stirrup at
|
$897.22 |
$897.22 |
$897.22 |
$773.00
|
|
Foot X-ray
|
$489.60 |
$489.60 |
$489.60 |
$359.55
|
|
Forearm/arm cuffs ext/flex a
|
$2,215.51 |
$2,215.51 |
$2,215.51 |
$515.88
|
|
Forearm/arm cuffs free motio
|
$1,597.10 |
$1,597.10 |
$1,597.10 |
$901.60
|
|
Formoterol fumarate, inh
|
$71.40 |
$71.40 |
$71.40 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$933.66 |
$933.66 |
$933.66 |
$482.62
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$165.00 |
$165.00 |
$165.00 |
$101.52
|
|
Fractionation ketosteroids
|
$129.60 |
$129.60 |
$129.60 |
$131.99
|
|
Fracture assessment via dxa
|
$163.20 |
$163.20 |
$163.20 |
$170.40
|
|
Fragmenting of kidney stone
|
$11,797.98 |
$11,797.98 |
$11,797.98 |
$9,885.59
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$885.60 |
$885.60 |
$885.60 |
$152.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$885.60 |
$885.60 |
$885.60 |
$155.55
|
|
Fresh frozen plasma thawing ea un
|
$168.60 |
$168.60 |
$168.60 |
$115.29
|
|
Frozen cell preparation
|
$24.00 |
$24.00 |
$24.00 |
$24.80
|
|
Fructosamine glycated protein
|
$46.80 |
$46.80 |
$46.80 |
$58.66
|
|
Ft insert ucb berkeley shell
|
$843.80 |
$843.80 |
$843.80 |
$743.29
|
|
Ftl cgen abnor four anal
|
$339.00 |
$339.00 |
$339.00 |
$200.85
|
|
Ftl cgen abnor three anal
|
$148.80 |
$148.80 |
$148.80 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$143.40 |
$143.40 |
$143.40 |
$109.00
|
|
Full sole/heel wedge btween
|
$146.90 |
$146.90 |
$146.90 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,806.81 |
$4,806.81 |
$4,806.81 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$19.53
|
|
Fusion of big toe joint
|
$43,434.94 |
$43,434.94 |
$43,434.94 |
$5,488.00
|
|
G6pd gene alys cmn variant
|
$421.20 |
$421.20 |
$421.20 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$8,424.00 |
$8,424.00 |
$8,424.00 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$348.00 |
$348.00 |
$348.00 |
$140.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$187.20 |
$187.20 |
$187.20 |
$94.25
|
|
Galactokinase - sendout
|
$216.00 |
$216.00 |
$216.00 |
$196.38
|
|
Gallbladder Removal (Laparoscopic)
|
$19,165.72 |
$19,165.72 |
$19,165.72 |
$9,803.69
|
|
Gallium ga-68 psma-11 ucsf
|
$14,113.44 |
$14,113.44 |
$14,113.44 |
$534.91
|
|
Gallium illuccix 1 millicure
|
$126,900.00 |
$126,900.00 |
$126,900.00 |
$1,492.40
|
|
Gammaglobulin iga
|
$130.80 |
$130.80 |
$130.80 |
$67.20
|
|
Gammaglobulin ige
|
$100.20 |
$100.20 |
$100.20 |
$83.50
|
|
Gamma glutamyltransferase
|
$91.20 |
$91.20 |
$91.20 |
$57.54
|
|
Gamunex-c/gammaked
|
$8,299.74 |
$8,299.74 |
$8,299.74 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$396.90 |
$396.90 |
$396.90 |
$197.40
|
|
Gastroesophageal reflux study
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$892.50
|
|
Gba gene
|
$331.80 |
$331.80 |
$331.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$137.94 |
$137.94 |
$137.94 |
$211.68
|
|
General health panel
|
$54.60 |
$54.60 |
$54.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$115,944.37 |
$115,944.37 |
$115,944.37 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$88,181.95 |
$88,181.95 |
$88,181.95 |
$36,014.40
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$104,269.20 |
$104,269.20 |
$104,269.20 |
$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
|
$65,540.64 |
$65,540.64 |
$65,540.64 |
$39,300.00
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$25.20 |
$25.20 |
$25.20 |
$55.09
|
|
Gentamicin peak therapeutic drug level
|
$177.00 |
$177.00 |
$177.00 |
$119.90
|
|
G-esoph reflx tst w/electrod
|
$4,527.00 |
$4,527.00 |
$4,527.00 |
$1,413.78
|
|
Ghs abscess perianal iandd
|
$658.20 |
$658.20 |
$658.20 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$2,517.60 |
$2,517.60 |
$2,517.60 |
$3,506.10
|
|
Ghs acetylcholinesterase, rbc
|
$75.60 |
$75.60 |
$75.60 |
$44.12
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$183.00 |
$183.00 |
$183.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$876.60 |
$876.60 |
$876.60 |
$371.80
|
|
Ghs antibodies (torch) igm
|
$121.80 |
$121.80 |
$121.80 |
$69.12
|
|
Ghs bleeding time (ivy)
|
$87.60 |
$87.60 |
$87.60 |
$62.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$4,245.60 |
$4,245.60 |
$4,245.60 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$576.95
|
|
Ghs chemo >8 hrs
|
$1,460.40 |
$1,460.40 |
$1,460.40 |
$681.75
|
|
Ghs chemo IV push, ea addtl
|
$362.40 |
$362.40 |
$362.40 |
$277.20
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$187.80 |
$187.80 |
$187.80 |
$130.70
|
|
Ghs community re-entry 15 minutes
|
$129.00 |
$129.00 |
$129.00 |
$87.50
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$1,109.47
|
|
Ghs ed therapeutic lp, drain csf w fluoro
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$1,429.20
|
|
Ghs fb removal - incisional
|
$8,125.56 |
$8,125.56 |
$8,125.56 |
$2,218.03
|
|
Ghs febrile agglutinns(mayo)
|
$52.20 |
$52.20 |
$52.20 |
$48.57
|
|
Ghs fish cytogen
|
$153.60 |
$153.60 |
$153.60 |
$173.26
|
|
Ghs fish hybrid in situ 100-300
|
$138.00 |
$138.00 |
$138.00 |
$221.50
|
|
Ghs hcv amplificaiton
|
$338.40 |
$338.40 |
$338.40 |
$181.74
|
|
Ghs hepatitis c virus (hcv riba)
|
$367.20 |
$367.20 |
$367.20 |
$142.50
|
|
Ghs hgb stability-thal
|
$87.60 |
$87.60 |
$87.60 |
$87.60
|
|
Ghs histoplasma antigen
|
$211.80 |
$211.80 |
$211.80 |
$137.80
|
|
Ghs HIV antibody
|
$70.80 |
$70.80 |
$70.80 |
$89.70
|
|
Ghs hla-dr/dq, multiple antigens
|
$261.00 |
$261.00 |
$261.00 |
$475.80
|
|
Ghs inf midline insertion
|
$40,128.34 |
$40,128.34 |
$40,128.34 |
$1,164.00
|
|
Ghs inhibitor screen
|
$109.20 |
$109.20 |
$109.20 |
$181.50
|
|
Ghs init tx 1st degree burn
|
$597.00 |
$597.00 |
$597.00 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$2,726.58 |
$2,726.58 |
$2,726.58 |
$1,599.83
|
|
Ghs inj tendon origin/insertion
|
$444.60 |
$444.60 |
$444.60 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,386.20 |
$2,386.20 |
$2,386.20 |
$1,095.54
|
|
Ghs inj transforaminal cerv single bil
|
$2,386.20 |
$2,386.20 |
$2,386.20 |
$1,727.25
|
|
Ghs intro needle/intracath vein - 36000
|
$75.00 |
$75.00 |
$75.00 |
$213.75
|
|
Ghs leukocyte alkaline phos (mayo)
|
$73.20 |
$73.20 |
$73.20 |
$75.00
|
|
Ghs mbp
|
$127.20 |
$127.20 |
$127.20 |
$77.35
|
|
Ghs moderate sedation < 5 yr, 30 min
|
$221.40 |
$221.40 |
$221.40 |
$240.00
|
|
Ghs moderate sedation < 5 yr, 30 min, other
|
$221.40 |
$221.40 |
$221.40 |
$228.45
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$221.40 |
$221.40 |
$221.40 |
$228.45
|
|
Ghs moderate sedation ea addtl 15 min
|
$221.40 |
$221.40 |
$221.40 |
$148.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$221.40 |
$221.40 |
$221.40 |
$142.40
|
|
Ghs nailbed repair/nail removal
|
$8,109.12 |
$8,109.12 |
$8,109.12 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$1,506.50
|
|
Ghs nerve blk intercostal, single level
|
$3,211.14 |
$3,211.14 |
$3,211.14 |
$1,084.00
|
