|
Fda ide #g240020 carry bag
|
$1,696.10 |
$1,696.10 |
$1,696.10 |
$933.57
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$22,811.39 |
$22,811.39 |
$22,811.39 |
$63.30
|
|
#fecal-sodium
|
$25.20 |
$25.20 |
$25.20 |
$37.50
|
|
Feeding tube reposition
|
$2,826.58 |
$2,826.58 |
$2,826.58 |
$441.86
|
|
Femoral endovas graft add-on 34813
|
$390.60 |
$390.60 |
$390.60 |
$1,304.00
|
|
Fem/popl revasc w/stent
|
$13,989.15 |
$13,989.15 |
$43,358.00 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$171.92 |
$171.92 |
$171.92 |
$120.15
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,329.31 |
$1,329.31 |
$1,329.31 |
$2,027.60
|
|
Ferritin
|
$103.95 |
$103.95 |
$103.95 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$241.59 |
$241.59 |
$3,959.25 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$492.45 |
$492.45 |
$6,099.00 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$587.30 |
$587.30 |
$587.30 |
$540.54
|
|
Fetal fibronectin
|
$395.85 |
$395.85 |
$2,952.78 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$70.70 |
$464.00 |
$1,316.15 |
$88.80
|
|
Fetal hemoglobin rosette
|
$166.60 |
$166.60 |
$1,047.12 |
$76.70
|
|
Fetal non stress test
|
$481.25 |
$481.25 |
$1,499.00 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$43.20 |
$247.99 |
$864.00 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$175.00 |
$175.00 |
$175.00 |
$112.80
|
|
Fibrin degradation products
|
$85.30 |
$85.30 |
$85.30 |
$62.40
|
|
Fibrin degrade semiquant
|
$29.02 |
$203.70 |
$203.70 |
$92.00
|
|
Fibrinogen activity
|
$172.20 |
$172.20 |
$540.00 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$47.95 |
$1,186.00 |
$1,491.56 |
$56.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$23.80 |
$23.80 |
$1,491.56 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$204.29 |
$204.29 |
$204.29 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$777.91 |
$777.91 |
$777.91 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$469.69 |
$469.69 |
$469.69 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$25,590.50 |
$25,590.50 |
$25,590.50 |
$6,152.59
|
|
Filter vena cava fem denali
|
$8,197.79 |
$8,197.79 |
$8,197.79 |
$3,467.25
|
|
Finasteride, 5 mg
|
$5.95 |
$81.00 |
$122.95 |
$4.87
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$988.40 |
$988.40 |
$988.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$494.20 |
$494.20 |
$494.20 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,116.50 |
$1,116.50 |
$1,116.50 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$219.80 |
$219.80 |
$219.80 |
$547.53
|
|
Fix g/colon tube w/device
|
$679.35 |
$679.35 |
$679.35 |
$1,236.90
|
|
Flecainide (tambocor)-sendout
|
$308.32 |
$357.39 |
$497.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$220.85 |
$220.85 |
$2,218.00 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$723.80 |
$723.80 |
$723.80 |
$1,284.13
|
|
Florbetaben f18 diagnostic
|
$2,454.20 |
$2,454.20 |
$2,454.20 |
$1,273.76
|
|
Flow cytometry marker each additional
|
$61.56 |
$151.55 |
$151.55 |
$103.00
|
|
Flow cytometry one marker technical component
|
$455.76 |
$493.15 |
$493.15 |
$270.75
|
|
Floxuridine injection
|
$413.09 |
$413.09 |
$413.09 |
$774.69
|
|
Flt3 gene
|
$175.00 |
$175.00 |
$175.00 |
$352.95
|
|
Flt3 gene analysis
|
$135.45 |
$135.45 |
$135.45 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$459.69 |
$459.69 |
$459.69 |
$86.42
|
|
Fludarabine 50 mg intravenous solution
|
$391.91 |
$391.91 |
$881.41 |
$601.96
|
|
Fluorescent antibody titer dna
|
$88.90 |
$88.90 |
$88.90 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$803.95 |
$803.95 |
$803.95 |
$507.00
|
|
Fluoroguide needle placement
|
$2,696.75 |
$2,696.75 |
$2,985.00 |
$536.26
|
|
Fluoro polarize fetal lung
|
$77.00 |
$77.00 |
$77.00 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$573.30 |
$573.30 |
$4,641.00 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$64.18 |
$69.00 |
$191.51 |
$107.46
|
|
Flutemetamol f18 diagnostic
|
$2,892.40 |
$2,892.40 |
$2,892.40 |
$2,892.40
|
|
Fmri brain by phys/psych
|
$753.55 |
$753.55 |
$753.55 |
$1,112.67
|
|
Fmri brain by tech
|
$992.95 |
$992.95 |
$992.95 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$1,427.65 |
$1,427.65 |
$1,427.65 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$494.20 |
$494.20 |
$494.20 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$494.20 |
$494.20 |
$494.20 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$494.20 |
$494.20 |
$494.20 |
$612.30
|
|
Folic acid
|
$67.55 |
$67.55 |
$67.55 |
$90.60
|
|
Follow-up angiography
|
$1,670.20 |
$1,670.20 |
$6,790.00 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,178.98 |
$3,178.98 |
$5,637.00 |
$2,860.43
|
|
Fondaparinux sodium
|
$203.77 |
$203.77 |
$203.77 |
$176.81
|
|
Foot X-ray
|
$513.80 |
$513.80 |
$513.80 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$237.65 |
$237.65 |
$237.65 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$470.29 |
$470.29 |
$470.29 |
$470.29
|
|
Foscarnet sodium injection
|
$452.69 |
$452.69 |
$1,637.77 |
$970.94
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$76.77 |
$76.77 |
$76.77 |
$107.31
|
|
Fracture assessment via dxa
|
$108.85 |
$108.85 |
$2,390.67 |
$146.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$518.01 |
$518.01 |
$518.01 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$162.75 |
$162.75 |
$162.75 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$140.68 |
$169.65 |
$187.00 |
$123.90
|
|
Frozen plasma, pooled, sd
|
$122.15 |
$122.15 |
$122.15 |
$122.15
|
|
Fructosamine glycated protein
|
$19.60 |
$19.60 |
$630.00 |
$60.42
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$54.30 |
$54.30 |
$54.30 |
$26.40
|
|
Ga-67 gallium 0.1 mci
|
$77.00 |
$77.00 |
$2,886.44 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$140.35 |
$140.35 |
$140.35 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$48.79 |
$48.79 |
$48.79 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$57.11 |
$107.12 |
$107.12 |
$138.37
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$86.54 |
$86.54 |
$86.54 |
$86.54
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$108.00 |
$210.50 |
$1,139.76 |
$210.50
|
|
Galactose transferase test
|
$86.81 |
$86.81 |
$86.81 |
$22.40
|
|
Gallium illuccix 1 millicure
|
$3,204.00 |
$3,204.00 |
$3,204.00 |
$1,395.27
|
|
Gallium locametz 1 millicuri
|
$2,517.90 |
$2,517.90 |
$2,517.90 |
$873.44
|
|
Gamma globulin > 10 cc inj
|
$1,233.73 |
$1,233.73 |
$1,233.73 |
$498.52
|
|
Gamma globulin 1 cc inj
|
$2,339.28 |
$2,339.28 |
$2,339.28 |
$158.67
|
|
Gammaglobulin iga
|
$158.90 |
$158.90 |
$158.90 |
$75.30
|
|
Gammaglobulin ige
|
$150.50 |
$150.50 |
$150.50 |
$85.00
|
|
Gamma glutamyltransferase
|
$73.15 |
$73.15 |
$789.00 |
$55.28
|
|
Gamunex-c/gammaked
|
$7,978.45 |
$7,978.45 |
$7,978.45 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$86.54 |
$86.54 |
$86.54 |
$209.07
|
|
Gastric analy w/ph ea spec
|
$427.29 |
$427.29 |
$427.29 |
$23.01
|
|
Gastric emptying imag study
|
$1,270.50 |
$1,270.50 |
$5,990.27 |
$1,270.50
|
|
Gastric emptying imag study
|
$6,798.20 |
$7,601.13 |
$13,942.00 |
$1,664.33
|
|
Gastroesophageal reflux study
|
$1,093.40 |
$1,093.40 |
$3,753.71 |
$957.25
|
|
Gemcitabine 1 gram intravenous solution
|
$1,678.16 |
$1,678.16 |
$8,102.00 |
$252.84
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$25,193.74 |
$25,193.74 |
$25,193.74 |
$23,897.53
|
|
Generator barostim neo2 2014
|
$143,857.88 |
$143,857.88 |
$143,857.88 |
$54,121.91
|
|
Generator emblem MRI sicd subq
|
$73,500.00 |
$73,500.00 |
$73,500.00 |
$35,824.13
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$102,900.00 |
$102,900.00 |
$102,900.00 |
$40,028.69
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$32.48 |
$32.48 |
$32.48 |
$62.84
|
