|
Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only
|
$3,325.74 |
$3,325.74 |
$3,325.74 |
$553.88
|
|
Esophagoscopy flex biopsy
|
$1,209.90 |
$1,209.90 |
$1,209.90 |
$2,132.00
|
|
Esophagoscopy flex remove fb
|
$1,209.90 |
$1,209.90 |
$1,209.90 |
$2,099.70
|
|
Esoph egd dilation <30 mm
|
$4,914.29 |
$4,914.29 |
$4,914.29 |
$2,656.80
|
|
Estradiol total
|
$196.20 |
$196.20 |
$196.20 |
$146.50
|
|
Estrogens total-sendout
|
$186.90 |
$186.90 |
$186.90 |
$96.20
|
|
Etoposide 20 mg/ml intravenous solution
|
$143.64 |
$143.64 |
$143.64 |
$235.20
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$63.90 |
$63.90 |
$63.90 |
$219.60
|
|
Ewhfo w/joint(s) cf
|
$1,843.43 |
$1,843.43 |
$1,843.43 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,063.25 |
$1,063.25 |
$1,063.25 |
$907.92
|
|
Exc benign tal 0.5 < cm 11400
|
$450.90 |
$450.90 |
$450.90 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$450.90 |
$450.90 |
$450.90 |
$914.34
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$259.20 |
$259.20 |
$259.20 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$9,020.83 |
$9,020.83 |
$9,020.83 |
$1,247.50
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$224.40 |
$224.40 |
$224.40 |
$3,386.84
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,606.81 |
$3,606.81 |
$3,606.81 |
$4,048.38
|
|
Exploration of knee joint
|
$17,924.74 |
$17,924.74 |
$17,924.74 |
$3,981.06
|
|
Exploration of toe joint
|
$996.90 |
$996.90 |
$996.90 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$1,041.90 |
$1,041.90 |
$1,041.90 |
$1,788.80
|
|
Explore/treat finger joint
|
$996.90 |
$996.90 |
$996.90 |
$2,146.20
|
|
Extended steel shank
|
$76.92 |
$76.92 |
$76.92 |
$122.00
|
|
Extension per extension per
|
$84.76 |
$84.76 |
$84.76 |
$143.44
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$152.70 |
$152.70 |
$152.70 |
$61.10
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$167.40 |
$167.40 |
$167.40 |
$108.60
|
|
Eye implant band 40
|
$2,358.13 |
$2,358.13 |
$2,358.13 |
$6,394.52
|
|
F-18 fdg pet diag
|
$200.40 |
$200.40 |
$200.40 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,857.76 |
$6,857.76 |
$6,857.76 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$813.60 |
$813.60 |
$813.60 |
$940.00
|
|
Facial bones <3
|
$191.10 |
$191.10 |
$191.10 |
$252.60
|
|
Factor ix
|
$117.90 |
$117.90 |
$117.90 |
$156.13
|
|
Factor viii
|
$120.00 |
$120.00 |
$120.00 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$22.20
|
|
Fat/lipids feces qualitative
|
$22.80 |
$22.80 |
$22.80 |
$38.35
|
|
Fatty acids nonesterified
|
$300.00 |
$300.00 |
$300.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$705.81 |
$705.81 |
$705.81 |
$956.25
|
|
#fecal-sodium
|
$19.20 |
$19.20 |
$19.20 |
$37.50
|
|
Femoral lgth sock fx or equa
|
$80.49 |
$80.49 |
$80.49 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$508.20 |
$508.20 |
$508.20 |
$101.40
|
|
Ferritin
|
$62.10 |
$62.10 |
$62.10 |
$100.94
|
|
Fetal chrmoml microdeltj
|
$347.40 |
$347.40 |
$347.40 |
$834.96
|
|
Fetal hemoglobin (kleihauer betke)
|
$42.00 |
$42.00 |
$42.00 |
$105.12
|
|
Fibrin degradation d dimer quantitative
|
$74.70 |
$74.70 |
$74.70 |
$117.70
|
|
Fibrinogen activity
|
$128.40 |
$128.40 |
$128.40 |
$83.50
|
|
Fibrinolytic plasminogen
|
$241.50 |
$241.50 |
$241.50 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$2,312.64 |
$2,312.64 |
$2,312.64 |
$595.48
|
|
Filter spider fx 3mmx320cm
|
$24,755.46 |
$24,755.46 |
$24,755.46 |
$7,160.28
|
|
Filter vena cava fem denali
|
$3,426.47 |
$3,426.47 |
$3,426.47 |
$3,718.18
|
|
Fine needle asp without image guide 10021
|
$165.60 |
$165.60 |
$165.60 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$3,793.80 |
$3,793.80 |
$3,793.80 |
$4,584.72
|
|
Fixation of knee joint
|
$4,648.06 |
$4,648.06 |
$4,648.06 |
$1,893.86
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$8,337.65 |
$8,337.65 |
$8,337.65 |
$4,242.15
|
|
Flexible Sigmoidoscopy
|
$2,987.88 |
$2,987.88 |
$2,987.88 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$256.94 |
$256.94 |
$256.94 |
$187.60
|
|
Floweramniopatch, per sq cm
|
$4,234.36 |
$4,234.36 |
$4,234.36 |
$6,814.14
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$59.40 |
$59.40 |
$59.40 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$404.10 |
$404.10 |
$404.10 |
$493.35
|
|
Fluid pressure muscle 20950
|
$450.90 |
$450.90 |
$450.90 |
$768.94
|
|
Fluorescent antibody titer dna
|
$50.10 |
$50.10 |
$50.10 |
$122.82
|
|
Fluoroestradiol f 18
|
$11,076.00 |
$11,076.00 |
$11,076.00 |
$1,491.00
|
|
Fluoroguide needle placement
|
$824.10 |
$824.10 |
$824.10 |
$510.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$224.53 |
$224.53 |
$224.53 |
$94.86
|
|
Flutemetamol f18 diagnostic
|
$190,080.00 |
$190,080.00 |
$190,080.00 |
$5,215.08
|
|
Folic acid
|
$136.20 |
$136.20 |
$136.20 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$54.75
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6,507.60 |
$6,507.60 |
$6,507.60 |
$2,581.14
|
|
Fo nontorsion joint cf
|
$299.93 |
$299.93 |
$299.93 |
$217.50
|
|
Foot arch supp premold metat
|
$70.22 |
$70.22 |
$70.22 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$51.39 |
$51.39 |
$51.39 |
$143.87
|
|
Foot external keel sach foot
|
$304.05 |
$304.05 |
$304.05 |
$482.25
|
|
Foot insert plastazote or eq
|
$240.93 |
$240.93 |
$240.93 |
$365.48
|
|
Foot insert remov molded spe
|
$197.32 |
$197.32 |
$197.32 |
$312.97
|
|
Foot insert silicone gel eac
|
$259.90 |
$259.90 |
$259.90 |
$295.47
|
|
Foot lamin/prepreg composite
|
$182.69 |
$182.69 |
$182.69 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$75.88 |
$75.88 |
$75.88 |
$76.32
|
|
Foot plate molded stirrup at
|
$498.28 |
$498.28 |
$498.28 |
$714.12
|
|
Foot X-ray
|
$225.90 |
$225.90 |
$225.90 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,230.42 |
$1,230.42 |
$1,230.42 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$886.98 |
$886.98 |
$886.98 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$149.70 |
$149.70 |
$149.70 |
$532.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$36.10 |
$36.10 |
$36.10 |
$106.10
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$118.50 |
$118.50 |
$118.50 |
$151.58
|
|
Fructosamine glycated protein
|
$90.00 |
$90.00 |
$90.00 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$468.62 |
$468.62 |
$468.62 |
$743.29
|
|
Full sole/heel wedge btween
|
$81.58 |
$81.58 |
$81.58 |
$129.40
|
|
Furnsh initial orthosis only
|
$2,669.53 |
$2,669.53 |
$2,669.53 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$19.00
|
|
Fusion of big toe joint
|
$42,720.19 |
$42,720.19 |
$42,720.19 |
$5,488.00
|
|
G6pd full gene sequence
|
$945.00 |
$945.00 |
$945.00 |
$1,320.00
|
|
Ga-68 gallium 68 dotatate
|
$202.80 |
$202.80 |
$202.80 |
$119.90
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$171.10 |
$171.10 |
$171.10 |
$144.98
|
|
Gallium ga-68 psma-11 ucsf
|
$12,545.28 |
$12,545.28 |
$12,545.28 |
$534.91
|
|
Gammaglobulin iga
|
$44.70 |
$44.70 |
$44.70 |
$67.20
|
|
Gammaglobulin ige
|
$171.60 |
$171.60 |
$171.60 |
$83.85
|
|
Gamma glutamyltransferase
|
$59.10 |
$59.10 |
$59.10 |
$57.54
|
|
Gemcitabine 1 gram intravenous solution
|
$191.95 |
$191.95 |
$191.95 |
$207.51
|
|
Generator barostim neo2 2014
|
$64,391.49 |
$64,391.49 |
$64,391.49 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$48,973.20 |
$48,973.20 |
$48,973.20 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$57,907.50 |
$57,907.50 |
$57,907.50 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$4,049.40 |
$4,049.40 |
$4,049.40 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$36,399.00 |
$36,399.00 |
$36,399.00 |
$36,800.00
|
