|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.40 |
$2.40 |
$2.40 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$36,163.80 |
$36,163.80 |
$36,163.80 |
$7,358.16
|
|
Filter vena cava fem denali
|
$9,405.00 |
$9,405.00 |
$9,405.00 |
$3,718.18
|
|
Finasteride, 5 mg
|
$33.20 |
$33.20 |
$33.20 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$543.60 |
$543.60 |
$543.60 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$176.40 |
$176.40 |
$176.40 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$543.60 |
$543.60 |
$543.60 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,086.00 |
$1,086.00 |
$1,086.00 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$3,435.00 |
$3,435.00 |
$3,435.00 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$192.60 |
$192.60 |
$192.60 |
$241.50
|
|
Fl exam g/colon tube w contrast
|
$684.60 |
$684.60 |
$684.60 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$598.20 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$1,305.60 |
$1,305.60 |
$1,305.60 |
$200.00
|
|
Flow cytometry marker each additional
|
$132.00 |
$132.00 |
$132.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$209.40 |
$209.40 |
$209.40 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$989.40 |
$989.40 |
$989.40 |
$172.50
|
|
Floxuridine injection
|
$6,391.80 |
$6,391.80 |
$6,391.80 |
$5,871.79
|
|
Flt3 gene
|
$1,681.20 |
$1,681.20 |
$1,681.20 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$1,096.20 |
$1,096.20 |
$1,096.20 |
$64.22
|
|
Fluid pressure muscle 20950
|
$566.40 |
$566.40 |
$566.40 |
$779.45
|
|
Fluorescent antibody titer dna
|
$209.40 |
$209.40 |
$209.40 |
$123.65
|
|
Fluoroguide needle placement
|
$591.60 |
$591.60 |
$591.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$645.60 |
$645.60 |
$645.60 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$63.60 |
$63.60 |
$63.60 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$231.60 |
$231.60 |
$231.60 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$543.60 |
$543.60 |
$543.60 |
$1,462.20
|
|
Fna bx w/mr gdn 1st les
|
$543.60 |
$543.60 |
$543.60 |
$1,294.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$15.60 |
$15.60 |
$15.60 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$15.00 |
$15.00 |
$15.00 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$61.80 |
$61.80 |
$61.80 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$9.00 |
$9.00 |
$9.00 |
$21.74
|
|
Folic acid
|
$201.60 |
$201.60 |
$201.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$1.20 |
$1.20 |
$1.20 |
$45.00
|
|
Follow-up angiography
|
$423.60 |
$423.60 |
$423.60 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,905.40 |
$3,905.40 |
$3,905.40 |
$2,511.73
|
|
Fondaparinux sodium
|
$855.00 |
$855.00 |
$855.00 |
$186.20
|
|
Foot X-ray
|
$325.20 |
$325.20 |
$325.20 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$297.00 |
$297.00 |
$297.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$235.20 |
$235.20 |
$235.20 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$419.40 |
$419.40 |
$419.40 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$247.80 |
$247.80 |
$247.80 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$282.60 |
$282.60 |
$282.60 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$67.20 |
$67.20 |
$67.20 |
$131.25
|
|
Fructosamine glycated protein
|
$91.80 |
$91.80 |
$91.80 |
$63.50
|
|
Full Spine X-ray (Scoliosis Survey)
|
$786.60 |
$786.60 |
$786.60 |
$355.00
|
|
Fundus photography with i&r 92250
|
$138.00 |
$138.00 |
$138.00 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$3.60 |
$3.60 |
$3.60 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$27.00 |
$27.00 |
$27.00 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$240.00 |
$240.00 |
$240.00 |
$121.73
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.40 |
$2.40 |
$2.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$55.80 |
$55.80 |
$55.80 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$70.80 |
$70.80 |
$70.80 |
$249.80
|
|
Galectin-3
|
$87.00 |
$87.00 |
$87.00 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$652.20 |
$652.20 |
$652.20 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$814.20 |
$814.20 |
$814.20 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$21.60 |
$21.60 |
$21.60 |
$407.60
|
|
Gammaglobulin iga
|
$193.20 |
$193.20 |
$193.20 |
$69.60
|
|
Gammaglobulin ige
|
$270.60 |
$270.60 |
$270.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$93.60 |
$93.60 |
$93.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$362.40 |
$362.40 |
$362.40 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$386.40 |
$386.40 |
$386.40 |
$197.40
|
|
Gastro/jejuno tube, std
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$379.50
|
|
Gauze >16 <=48 sq in w/bordr
|
$3.00 |
$3.00 |
$3.00 |
$4.20
|
|
Gel cap app device for trach
|
$1,097.40 |
$1,097.40 |
$1,097.40 |
$70.00
|
|
Gemcitabine 1 gram intravenous solution
|
$804.60 |
$804.60 |
$804.60 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$45.00 |
$45.00 |
$45.00 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$88,474.20 |
$88,474.20 |
$88,474.20 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$97,435.80 |
$97,435.80 |
$97,435.80 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$14,904.00 |
$14,904.00 |
$14,904.00 |
$3,978.65
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$5,031.20
|
|
Genome sequence analysis
|
$4,439.40 |
$4,439.40 |
$4,439.40 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$56.40 |
$56.40 |
$56.40 |
$52.54
|
|
Gentamicin peak therapeutic drug level
|
$253.80 |
$253.80 |
$253.80 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$740.40 |
$740.40 |
$740.40 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$2,335.80 |
$2,335.80 |
$2,335.80 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$3,776.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$121.20 |
$121.20 |
$121.20 |
$100.30
|
|
Ghs bladder cath - complex-foley
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,133.40 |
$1,133.40 |
$1,133.40 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$3,239.40 |
$3,239.40 |
$3,239.40 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$594.55
|
|
Ghs chemo IV push, ea addtl
|
$158.40 |
$158.40 |
$158.40 |
$277.00
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$532.20 |
$532.20 |
$532.20 |
$133.70
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$407.40 |
$407.40 |
$407.40 |
$513.15
|
|
Ghs closed reduction ankle dislocation
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$671.50
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$2,337.60 |
$2,337.60 |
$2,337.60 |
$1,592.00
|
|
Ghs closed tx tibial fracture w/manip
|
$2,335.80 |
$2,335.80 |
$2,335.80 |
$2,227.20
|
|
Ghs clsd red med malleolus fx without manip
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$513.80
|
|
Ghs clsd red med malleolus fx w manip
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$2,211.05
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$3,098.40 |
$3,098.40 |
$3,098.40 |
$2,319.00
|
|
Ghs cl tx knee disl; wo anesth
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$581.90
|
|
Ghs cl tx metacarpophal disloc without anes
|
$407.40 |
$407.40 |
$407.40 |
$500.40
|
|
Ghs community re-entry 15 minutes
|
$141.60 |
$141.60 |
$141.60 |
$89.28
|
|
Ghs conjunctiva foreign body-superf bil
|
$349.20 |
$349.20 |
$349.20 |
$287.40
|
|
Ghs corneal fb without slit lamp bilat
|
$405.00 |
$405.00 |
$405.00 |
$422.25
|
|
Ghs corneal fb with slit lamp bilat
|
$566.40 |
$566.40 |
$566.40 |
$339.60
|
|
Ghs diphtheria toxoid ab igg
|
$234.60 |
$234.60 |
$234.60 |
$55.29
|
|
Ghs dislocation elbow closed treatment
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$602.00
|
