|
Fibrinolytic plasminogen
|
$67.80 |
$67.80 |
$67.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$143.40 |
$143.40 |
$143.40 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,892.16 |
$1,892.16 |
$1,976.28 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,571.84 |
$2,571.84 |
$2,616.96 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,251.98 |
$2,251.98 |
$2,291.52 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$59,456.19 |
$59,456.19 |
$59,456.19 |
$7,160.28
|
|
Filter vena cava fem denali
|
$8,229.49 |
$8,229.49 |
$8,229.49 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$823.90
|
|
Finger joint sz00 swanson w/grommets
|
$9,111.73 |
$9,111.73 |
$9,111.73 |
$4,584.72
|
|
Fixation of knee joint
|
$5,345.94 |
$5,345.94 |
$27,546.43 |
$1,893.86
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$36,026.85 |
$36,026.85 |
$36,026.85 |
$4,242.15
|
|
Flebogamma injection
|
$10,164.48 |
$10,164.48 |
$10,164.48 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$69.60 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$468.60 |
$468.60 |
$468.60 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$4,329.36 |
$4,329.36 |
$4,329.36 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$617.11 |
$617.11 |
$617.11 |
$187.60
|
|
Flow cytometry interp 16 or more
|
$86.40 |
$86.40 |
$86.40 |
$204.00
|
|
Flow cytometry marker each additional
|
$33.60 |
$33.60 |
$33.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$539.40 |
$539.40 |
$539.40 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$10,169.84 |
$10,169.84 |
$10,169.84 |
$6,814.14
|
|
#flow interp 9 - 15 markers
|
$86.40 |
$86.40 |
$86.40 |
$172.50
|
|
Floxuridine injection
|
$20,583.60 |
$20,583.60 |
$20,583.60 |
$5,929.92
|
|
Flt3 gene
|
$294.00 |
$294.00 |
$294.00 |
$355.00
|
|
Flt3 gene analysis
|
$364.20 |
$364.20 |
$364.20 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$112.32 |
$112.32 |
$117.36 |
$64.22
|
|
Fluorescent antibody titer dna
|
$843.60 |
$843.60 |
$843.60 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$46.20 |
$46.20 |
$834.00 |
$496.03
|
|
Fluoroguide needle placement
|
$232.20 |
$232.20 |
$3,717.06 |
$510.00
|
|
Fluoro polarize fetal lung
|
$211.20 |
$211.20 |
$211.20 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$842.40 |
$842.40 |
$842.40 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$149.46 |
$149.46 |
$278.04 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$42.12 |
$42.12 |
$1,083.30 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$833.25
|
|
Folic acid
|
$64.80 |
$64.80 |
$64.80 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$7.50 |
$7.50 |
$7.50 |
$54.75
|
|
Follow-up angiography
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$9,766.32 |
$9,766.32 |
$9,766.32 |
$2,581.14
|
|
Fondaparinux sodium
|
$293.34 |
$293.34 |
$306.42 |
$185.12
|
|
Fo nontorsion joint cf
|
$720.35 |
$720.35 |
$720.35 |
$217.50
|
|
Foot arch supp premold metat
|
$168.64 |
$168.64 |
$168.64 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$483.00 |
$483.00 |
$483.00 |
$143.87
|
|
Foot external keel sach foot
|
$730.24 |
$730.24 |
$730.24 |
$482.25
|
|
Foot insert plastazote or eq
|
$578.65 |
$578.65 |
$578.65 |
$365.48
|
|
Foot insert remov molded spe
|
$473.90 |
$473.90 |
$473.90 |
$312.97
|
|
Foot insert silicone gel eac
|
$624.23 |
$624.23 |
$624.23 |
$295.47
|
|
Foot lamin/prepreg composite
|
$438.77 |
$438.77 |
$438.77 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$182.23 |
$182.23 |
$182.23 |
$76.32
|
|
Foot plate molded stirrup at
|
$1,196.75 |
$1,196.75 |
$1,196.75 |
$714.12
|
|
Foot X-ray
|
$351.60 |
$351.60 |
$351.60 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,951.58 |
$1,951.58 |
$1,951.58 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
$901.60
|
|
Formoterol fumarate, inh
|
$62.46 |
$62.46 |
$83.70 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$421.62 |
$421.62 |
$1,746.78 |
$457.50
|
|
Foscarnet sodium injection
|
$1,789.20 |
$1,789.20 |
$2,425.26 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$29.58 |
$29.58 |
$30.90 |
$106.10
|
|
Fractionation ketosteroids
|
$123.60 |
$123.60 |
$123.60 |
$135.95
|
|
Fracture assessment via dxa
|
$124.20 |
$124.20 |
$124.20 |
$173.18
|
|
_fragile x methylation-sendout
|
$446.40 |
$446.40 |
$446.40 |
$174.00
|
|
Fragmenting of kidney stone
|
$19,195.31 |
$19,195.31 |
$19,310.82 |
$10,057.42
|
|
Frenectomy 41115
|
$6,019.86 |
$6,019.86 |
$6,019.86 |
$1,752.89
|
|
Frenotomy 40806
|
$13,671.74 |
$13,671.74 |
$13,671.74 |
$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
|
$260.40 |
$260.40 |
$260.40 |
$122.00
|
|
Frozen blood prep
|
$205.20 |
$205.20 |
$205.20 |
$214.30
|
|
Frozen blood thaw
|
$256.20 |
$256.20 |
$256.20 |
$209.50
|
|
Frozen cell preparation
|
$24.00 |
$24.00 |
$24.00 |
$36.75
|
|
Fructosamine glycated protein
|
$16.80 |
$16.80 |
$16.80 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,125.50 |
$1,125.50 |
$1,125.50 |
$743.29
|
|
Ftl cgen abnor four anal
|
$159.00 |
$159.00 |
$159.00 |
$204.52
|
|
Ftl cgen abnor three anal
|
$148.80 |
$148.80 |
$148.80 |
$111.20
|
|
Ftl cgen abnor two proteins
|
$162.00 |
$162.00 |
$162.00 |
$110.00
|
|
Full sole/heel wedge btween
|
$195.94 |
$195.94 |
$195.94 |
$129.40
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$13,546.20 |
$13,546.20 |
$13,546.20 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$9,952.56 |
$9,952.56 |
$9,952.56 |
$2,469.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$10,043.40 |
$10,043.40 |
$10,043.40 |
$2,703.50
|
|
Furnsh initial orthosis only
|
$4,234.18 |
$4,234.18 |
$4,234.18 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$7.50 |
$7.50 |
$11.88 |
$19.00
|
|
Fusion of ankle joint open
|
$41,512.88 |
$41,512.88 |
$106,705.63 |
$10,629.07
|
|
Fusion of big toe joint
|
$40,395.56 |
$40,395.56 |
$40,395.56 |
$5,488.00
|
|
Fusion of big toe joint
|
$41,065.74 |
$41,065.74 |
$41,065.74 |
$6,839.00
|
|
Fusion of foot bones
|
$47,309.18 |
$47,309.18 |
$82,423.59 |
$6,411.60
|
|
Fusion of foot bones
|
$60,195.80 |
$60,195.80 |
$60,195.80 |
$4,881.00
|
|
Fusion of tibiofibular joint
|
$41,512.88 |
$41,512.88 |
$41,512.88 |
$8,299.09
|
|
G6pd gene alys cmn variant
|
$231.60 |
$231.60 |
$231.60 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$120.00 |
$120.00 |
$120.00 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$84.00 |
$84.00 |
$84.00 |
$144.98
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$603.55 |
$603.55 |
$603.55 |
$250.83
|
|
Galac-1-phosphate uridyltran - sendout
|
$192.00 |
$192.00 |
$192.00 |
$96.94
|
|
Galactokinase - sendout
|
$216.00 |
$216.00 |
$216.00 |
$204.97
|
|
Galectin-3
|
$137.40 |
$137.40 |
$137.40 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$16,966.63 |
$16,966.63 |
$32,132.54 |
$11,117.34
|
|
Gallium illuccix 1 millicure
|
$28,200.00 |
$28,200.00 |
$98,700.00 |
$1,395.27
|
|
Gammaglobulin iga
|
$54.60 |
$54.60 |
$54.60 |
$67.20
|
|
Gammaglobulin ige
|
$74.40 |
$74.40 |
$74.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$50.40 |
$50.40 |
$50.40 |
$57.54
|
