|
Foot longitud/metatarsal sup
|
$329.48 |
$329.48 |
$329.48 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$29.40 |
$29.40 |
$29.40 |
$76.32
|
|
Foot X-ray
|
$406.02 |
$406.02 |
$627.24 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$338.66 |
$338.66 |
$627.24 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$42.66 |
$42.66 |
$42.66 |
$669.13
|
|
Forearm X-ray (both sides)
|
$372.73 |
$372.73 |
$627.24 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$3,177.72 |
$3,177.72 |
$3,177.72 |
$4,872.75
|
|
Forensic cytopathology
|
$117.17 |
$117.17 |
$117.17 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$775.98 |
$775.98 |
$775.98 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$221.89 |
$221.89 |
$221.89 |
$490.67
|
|
Foscarnet sodium injection
|
$31.11 |
$31.11 |
$1,299.00 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$43.14 |
$43.14 |
$86.40 |
$103.62
|
|
Fractionation ketosteroids
|
$131.99 |
$131.99 |
$131.99 |
$160.89
|
|
Fracture assessment via dxa
|
$136.07 |
$136.07 |
$207.97 |
$175.50
|
|
_fragile x methylation-sendout
|
$327.79 |
$327.79 |
$327.79 |
$183.74
|
|
Fragmenting of kidney stone
|
$13,092.17 |
$13,092.17 |
$13,092.17 |
$10,312.25
|
|
Frenectomy 41115
|
$1,675.06 |
$1,675.06 |
$1,675.06 |
$1,939.47
|
|
Frenotomy 40806
|
$507.01 |
$507.01 |
$507.01 |
$679.80
|
|
Frenulotomy of penis
|
$3,897.55 |
$3,897.55 |
$3,897.55 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$96.80 |
$96.80 |
$96.80 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$154.94 |
$154.94 |
$333.14 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$183.18 |
$183.18 |
$196.84 |
$131.25
|
|
Frozen cell preparation
|
$95.18 |
$95.18 |
$95.18 |
$31.81
|
|
Fructosamine glycated protein
|
$79.24 |
$79.24 |
$287.01 |
$63.50
|
|
Fth/gft fr n/e/e/l each addl
|
$2,393.63 |
$2,393.63 |
$2,393.63 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,947.98 |
$1,947.98 |
$1,947.98 |
$1,368.50
|
|
Ft insert ucb berkeley shell
|
$329.48 |
$329.48 |
$329.48 |
$651.56
|
|
Ftl cgen abnor four anal
|
$317.70 |
$317.70 |
$317.70 |
$211.83
|
|
Full field erg w/i&r
|
$574.20 |
$574.20 |
$574.20 |
$393.12
|
|
Full Spine X-ray (Scoliosis Survey)
|
$173.02 |
$173.02 |
$453.73 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,806.38 |
$3,806.38 |
$3,806.38 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,499.37 |
$2,499.37 |
$2,499.37 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,056.41 |
$1,056.41 |
$1,056.41 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,152.60 |
$3,152.60 |
$3,152.60 |
$2,798.50
|
|
Functional brain mapping
|
$725.86 |
$725.86 |
$725.86 |
$514.80
|
|
Fundus photography with i&r 92250
|
$255.85 |
$255.85 |
$255.85 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$43.20 |
$43.20 |
$43.20 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$3.17 |
$3.17 |
$26.20 |
$26.40
|
|
Fuse/graft added joint
|
$2,650.04 |
$2,650.04 |
$2,650.04 |
$1,011.40
|
|
Fusion/graft of finger joint
|
$5,255.82 |
$5,255.82 |
$5,255.82 |
$4,499.12
|
|
Fusion/graft of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,588.00
|
|
Fusion of ankle joint open
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$9,791.00
|
|
Fusion of big toe joint
|
$6,862.26 |
$6,862.26 |
$6,862.26 |
$5,488.00
|
|
Fusion of big toe joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,811.00
|
|
Fusion of finger jnt add-on
|
$2,451.31 |
$2,451.31 |
$2,451.31 |
$192.40
|
|
Fusion of finger joint
|
$4,341.02 |
$4,341.02 |
$4,341.02 |
$4,499.12
|
|
Fusion of finger tendons
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Fusion of finger tendons
|
$2,019.85 |
$2,019.85 |
$2,019.85 |
$1,893.86
|
|
Fusion of foot bones
|
$8,260.30 |
$8,260.30 |
$8,260.30 |
$8,260.30
|
|
Fusion of foot bones
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$10,629.07
|
|
Fusion of foot bones
|
$6,288.57 |
$6,288.57 |
$6,288.57 |
$6,288.57
|
|
Fusion of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,839.00
|
|
Fusion of knuckle
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Fusion of knuckle joint
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Fusion of knuckle joints
|
$4,259.84 |
$4,259.84 |
$4,259.84 |
$4,259.84
|
|
Fusion of knuckle with graft
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Fusion of spermatic ducts
|
$3,498.74 |
$3,498.74 |
$3,498.74 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$3,673.67 |
$3,673.67 |
$3,673.67 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$4,443.10 |
$4,443.10 |
$4,443.10 |
$3,594.44
|
|
Fusion of tendons at wrist
|
$3,273.55 |
$3,273.55 |
$3,273.55 |
$3,839.54
|
|
Fusion of thumb
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$9,791.00
|
|
Fusion of toes
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
G0180 home health certification
|
$134.40 |
$134.40 |
$134.40 |
$116.00
|
|
G6pc gene
|
$140.79 |
$140.79 |
$140.79 |
$138.40
|
|
G6pd full gene sequence
|
$1,974.30 |
$1,974.30 |
$1,974.30 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$243.00 |
$243.00 |
$243.00 |
$243.00
|
|
Ga-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
|
Gabapentin non-blood
|
$43.68 |
$43.68 |
$44.23 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$28.45 |
$28.45 |
$248.73 |
$120.00
|
|
Galac-1-phosphate uridyltran - sendout
|
$116.65 |
$116.65 |
$139.72 |
$100.00
|
|
Galactokinase - sendout
|
$225.00 |
$225.00 |
$225.00 |
$204.97
|
|
Galactose transferase test
|
$34.93 |
$34.93 |
$98.40 |
$31.35
|
|
Galectin-3
|
$132.21 |
$132.21 |
$132.21 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,339.65 |
$1,339.65 |
$1,754.98 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,339.65 |
$1,339.65 |
$1,968.31 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$1,243.58 |
$1,243.58 |
$1,243.58 |
$407.60
|
|
Gammaglobulin iga
|
$97.36 |
$97.36 |
$177.01 |
$69.60
|
|
Gammaglobulin ige
|
$116.66 |
$116.66 |
$313.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$82.61 |
$82.61 |
$137.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$81.30 |
$81.30 |
$81.30 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$197.40 |
$197.40 |
$211.20 |
$197.40
|
|
Gardner vag dna amp probe
|
$57.36 |
$57.36 |
$57.36 |
$72.15
|
|
Gardner vag dna quant
|
$33.06 |
$33.06 |
$33.06 |
$104.80
|
|
Gastric analy w/ph ea spec
|
$25.61 |
$25.61 |
$25.61 |
$31.50
|
|
Gastric emptying imag study
|
$1,389.15 |
$1,389.15 |
$1,389.15 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,770.81 |
$1,770.81 |
$1,770.81 |
$1,665.50
|
|
Gastric motility studies
|
$1,606.88 |
$1,606.88 |
$1,606.88 |
$972.00
|
|
Gastrin test
|
$119.11 |
$119.11 |
$119.11 |
$61.80
|
|
Gastroesophageal reflux study
|
$1,110.50 |
$1,110.50 |
$1,110.50 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,092.39 |
$1,092.39 |
$1,414.74 |
$1,352.00
|
|
Gastrostomy open neonatal
|
$1,154.78 |
$1,154.78 |
$1,154.78 |
$1,474.40
|
|
Gated heart multiple
|
$517.81 |
$517.81 |
$1,370.99 |
$1,405.04
|
|
Gba gene
|
$291.87 |
$291.87 |
$291.87 |
$160.72
|
|
Gc stocking thighlngth 18-30
|
$90.00 |
$90.00 |
$90.00 |
$68.30
|
|
Gemcitabine 1 gram intravenous solution
|
$336.40 |
$336.40 |
$394.04 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$17,843.81 |
$17,843.81 |
$17,843.81 |
$19,305.62
|
|
General health panel
|
$669.10 |
$669.10 |
$669.10 |
$262.44
|
|
Generator barostim neo2 2014
|
$54,677.39 |
$54,677.39 |
$54,677.39 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$43,578.00 |
$43,578.00 |
$43,578.00 |
$36,467.76
|
