|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,504.02 |
$1,504.02 |
$1,504.02 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,316.94 |
$1,316.94 |
$1,316.94 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$45,624.55 |
$45,624.55 |
$45,624.55 |
$7,160.28
|
|
Filter vena cava fem denali
|
$6,315.02 |
$6,315.02 |
$6,315.02 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$823.80 |
$823.80 |
$823.80 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$823.80 |
$823.80 |
$823.80 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$823.80 |
$823.80 |
$823.80 |
$823.90
|
|
Finger joint sz00 swanson w/grommets
|
$6,992.02 |
$6,992.02 |
$6,992.02 |
$4,584.72
|
|
Fixation of knee joint
|
$4,181.58 |
$4,181.58 |
$4,181.58 |
$1,893.86
|
|
Flebogamma injection
|
$6,352.80 |
$6,352.80 |
$6,352.80 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$69.60 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$406.20 |
$406.20 |
$406.20 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$5,048.04 |
$5,048.04 |
$5,048.04 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$725.03 |
$725.03 |
$725.03 |
$187.60
|
|
Flow cytometry marker each additional
|
$128.40 |
$128.40 |
$128.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$563.40 |
$563.40 |
$563.40 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$7,803.97 |
$7,803.97 |
$7,803.97 |
$6,814.14
|
|
Flt3 gene
|
$256.20 |
$256.20 |
$256.20 |
$355.00
|
|
Flt3 gene analysis
|
$73.80 |
$73.80 |
$73.80 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$78.00 |
$78.00 |
$78.00 |
$64.22
|
|
Fluidotherapy charges pt
|
$83.40 |
$83.40 |
$83.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$483.60 |
$483.60 |
$483.60 |
$768.94
|
|
Fluorescent antibody titer dna
|
$214.20 |
$214.20 |
$214.20 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$373.80 |
$373.80 |
$373.80 |
$496.03
|
|
Fluoroguide needle placement
|
$391.20 |
$391.20 |
$391.20 |
$510.00
|
|
Fluoro polarize fetal lung
|
$281.40 |
$281.40 |
$281.40 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$415.80 |
$415.80 |
$415.80 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.90 |
$90.90 |
$90.90 |
$94.86
|
|
Fna bx w/ct gdn 1st les
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,420.80
|
|
Folic acid
|
$72.60 |
$72.60 |
$72.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$54.75
|
|
Fondaparinux sodium
|
$219.42 |
$219.42 |
$219.42 |
$185.12
|
|
Fo nontorsion joint cf
|
$846.32 |
$846.32 |
$846.32 |
$217.50
|
|
Foot arch support remov prem
|
$368.40 |
$368.40 |
$368.40 |
$106.20
|
|
Foot arch supp premold metat
|
$249.97 |
$249.97 |
$249.97 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$182.94 |
$182.94 |
$182.94 |
$143.87
|
|
Foot external keel sach foot
|
$857.95 |
$857.95 |
$857.95 |
$482.25
|
|
Foot insert plastazote or eq
|
$737.81 |
$737.81 |
$737.81 |
$365.48
|
|
Foot insert remov molded spe
|
$604.25 |
$604.25 |
$604.25 |
$312.97
|
|
Foot insert silicone gel eac
|
$733.39 |
$733.39 |
$733.39 |
$295.47
|
|
Foot lamin/prepreg composite
|
$559.46 |
$559.46 |
$559.46 |
$289.76
|
|
Foot longitudinal arch suppo
|
$179.40 |
$179.40 |
$179.40 |
$295.47
|
|
Foot longitud/metatarsal sup
|
$368.40 |
$368.40 |
$368.40 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$270.11 |
$270.11 |
$270.11 |
$76.32
|
|
Foot plate molded stirrup at
|
$1,038.24 |
$1,038.24 |
$1,038.24 |
$714.12
|
|
Foot X-ray
|
$499.20 |
$499.20 |
$499.20 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$2,267.68 |
$2,267.68 |
$2,267.68 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$1,634.71 |
$1,634.71 |
$1,634.71 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$489.00 |
$489.00 |
$489.00 |
$532.80
|
|
Formoterol fumarate, inh
|
$24.00 |
$24.00 |
$24.00 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,003.92 |
$1,003.92 |
$1,003.92 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$19.26 |
$19.26 |
$19.26 |
$106.10
|
|
Fractionation ketosteroids
|
$164.40 |
$164.40 |
$164.40 |
$135.95
|
|
Fragmenting of kidney stone
|
$11,147.34 |
$11,147.34 |
$11,147.34 |
$10,057.42
|
|
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
|
$181.20 |
$181.20 |
$181.20 |
$122.00
|
|
Frozen blood prep
|
$563.40 |
$563.40 |
$563.40 |
$214.30
|
|
Frozen blood thaw
|
$709.80 |
$709.80 |
$709.80 |
$209.50
|
|
Frozen cell preparation
|
$25.20 |
$25.20 |
$25.20 |
$36.75
|
|
Fructosamine glycated protein
|
$64.80 |
$64.80 |
$64.80 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,091.09 |
$1,091.09 |
$1,091.09 |
$743.29
|
|
Ftl cgen abnor four anal
|
$456.60 |
$456.60 |
$456.60 |
$204.52
|
|
Ftl cgen abnor three anal
|
$366.00 |
$366.00 |
$366.00 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$210.60 |
$210.60 |
$210.60 |
$110.00
|
|
Full sole/heel wedge btween
|
$290.43 |
$290.43 |
$290.43 |
$129.40
|
|
Furnsh initial orthosis only
|
$4,919.98 |
$4,919.98 |
$4,919.98 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$15.72 |
$15.72 |
$15.72 |
$19.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$430.84 |
$430.84 |
$430.84 |
$144.98
|
|
Galac-1-phosphate uridyltran - sendout
|
$258.60 |
$258.60 |
$258.60 |
$96.94
|
|
Galactokinase - sendout
|
$249.00 |
$249.00 |
$249.00 |
$204.97
|
|
Gallbladder Removal (Laparoscopic)
|
$35,985.07 |
$35,985.07 |
$35,985.07 |
$11,117.34
|
|
Gallium illuccix 1 millicure
|
$28,200.00 |
$28,200.00 |
$28,200.00 |
$1,395.27
|
|
Gammaglobulin iga
|
$143.40 |
$143.40 |
$143.40 |
$67.20
|
|
Gammaglobulin ige
|
$109.80 |
$109.80 |
$109.80 |
$83.85
|
|
Gamma glutamyltransferase
|
$118.80 |
$118.80 |
$118.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$17,848.80 |
$17,848.80 |
$17,848.80 |
$7,634.20
|
|
Gba gene
|
$326.40 |
$326.40 |
$326.40 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$207.51
|
|
General health panel
|
$477.60 |
$477.60 |
$477.60 |
$275.00
|
|
Generator barostim neo2 2014
|
$118,674.15 |
$118,674.15 |
$118,674.15 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$90,258.10 |
$90,258.10 |
$90,258.10 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$106,724.10 |
$106,724.10 |
$106,724.10 |
$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
|
$67,083.72 |
$67,083.72 |
$67,083.72 |
$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
|
$23.16 |
$23.16 |
$23.16 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$74.40 |
$74.40 |
$74.40 |
$126.00
|
|
Ghs abscess perianal iandd
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,410.90
|
|
Ghs acetylcholinesterase, rbc
|
$239.40 |
$239.40 |
$239.40 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$239.40 |
$239.40 |
$239.40 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$380.40 |
$380.40 |
$380.40 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$47.40 |
$47.40 |
$47.40 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$1,660.80 |
$1,660.80 |
$1,660.80 |
$344.00
|
|
Ghs bleeding time (ivy)
|
$49.20 |
$49.20 |
$49.20 |
$64.40
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,462.80 |
$1,462.80 |
$1,462.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$596.40 |
$596.40 |
$596.40 |
$565.49
|
