|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$8,482.15 |
$8,482.15 |
$8,482.15 |
$2,590.25
|
|
Ferritin
|
$178.80 |
$178.80 |
$178.80 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,078.80 |
$3,078.80 |
$3,078.80 |
$1,636.50
|
|
Fetal chrmoml microdeltj
|
$694.80 |
$694.80 |
$694.80 |
$921.18
|
|
Fetal contract stress test 59020 - 26
|
$759.60 |
$759.60 |
$759.60 |
$475.50
|
|
Fetal fibronectin
|
$559.20 |
$559.20 |
$559.20 |
$380.10
|
|
Fetal hemoglobin (kleihauer betke)
|
$133.80 |
$133.80 |
$133.80 |
$105.60
|
|
Fetal hemoglobin rosette
|
$27.60 |
$27.60 |
$27.60 |
$67.20
|
|
Fetal non stress test
|
$7,630.96 |
$7,630.96 |
$7,630.96 |
$468.21
|
|
Fibrin degradation d dimer quantitative
|
$199.20 |
$199.20 |
$199.20 |
$119.40
|
|
Fibrin degradation products
|
$49.20 |
$49.20 |
$49.20 |
$63.90
|
|
Fibrinogen activity
|
$183.00 |
$183.00 |
$183.00 |
$83.89
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$51.00 |
$51.00 |
$51.00 |
$61.80
|
|
Fibrinolytic antiplasmin
|
$203.40 |
$203.40 |
$203.40 |
$72.80
|
|
Fibrinolytic plasminogen
|
$483.00 |
$483.00 |
$483.00 |
$107.50
|
|
Fibrinolytic plasminogen
|
$196.80 |
$196.80 |
$196.80 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$178.80 |
$178.80 |
$178.80 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$3,311.28 |
$3,311.28 |
$3,311.28 |
$571.09
|
|
Filter spider fx 3mmx320cm
|
$77,790.04 |
$77,790.04 |
$77,790.04 |
$7,180.66
|
|
Filter vena cava fem denali
|
$10,767.13 |
$10,767.13 |
$10,767.13 |
$3,860.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$5,316.48 |
$5,316.48 |
$5,316.48 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$141.00 |
$141.00 |
$141.00 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$11,921.41 |
$11,921.41 |
$11,921.41 |
$4,584.72
|
|
Fixation of knee joint
|
$5,497.24 |
$5,497.24 |
$5,497.24 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,772.40 |
$1,772.40 |
$1,772.40 |
$1,188.80
|
|
Flecainide (tambocor)-sendout
|
$68.40 |
$68.40 |
$68.40 |
$62.00
|
|
Fl exam g/colon tube w contrast
|
$338.40 |
$338.40 |
$338.40 |
$532.80
|
|
Flexible Sigmoidoscopy
|
$9,103.35 |
$9,103.35 |
$9,103.35 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$807.40 |
$807.40 |
$807.40 |
$187.60
|
|
Florbetaben f18 diagnostic
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$4,488.00
|
|
Flow cytometry marker each additional
|
$113.40 |
$113.40 |
$113.40 |
$97.25
|
|
Flow cytometry one marker technical component
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$276.60
|
|
Floweramniopatch, per sq cm
|
$13,305.80 |
$13,305.80 |
$13,305.80 |
$6,814.14
|
|
Flt3 gene
|
$235.80 |
$235.80 |
$235.80 |
$355.00
|
|
Flt3 gene analysis
|
$341.40 |
$341.40 |
$341.40 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$85.05 |
$85.05 |
$85.05 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$622.18 |
$622.18 |
$622.18 |
$493.35
|
|
Fluid pressure muscle 20950
|
$541.20 |
$541.20 |
$541.20 |
$784.80
|
|
Fluorescent antibody titer dna
|
$421.20 |
$421.20 |
$421.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$9,691.50 |
$9,691.50 |
$9,691.50 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$995.40 |
$995.40 |
$995.40 |
$495.95
|
|
Fluoroguide needle placement
|
$954.00 |
$954.00 |
$954.00 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$1,035.00 |
$1,035.00 |
$1,035.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$345.71 |
$345.71 |
$345.71 |
$106.20
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$1,815.07 |
$1,815.07 |
$1,815.07 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$166,320.00 |
$166,320.00 |
$166,320.00 |
$5,215.08
|
|
Fna bx w/ct gdn 1st les
|
$2,166.60 |
$2,166.60 |
$2,166.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$818.40 |
$818.40 |
$818.40 |
$834.90
|
|
Folic acid
|
$84.60 |
$84.60 |
$84.60 |
$100.00
|
|
Folic acid 5 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$49.34
|
|
Follow-up angiography
|
$6,207.60 |
$6,207.60 |
$6,207.60 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$250.20 |
$250.20 |
$250.20 |
$170.95
|
|
Fondaparinux sodium
|
$1,236.77 |
$1,236.77 |
$1,236.77 |
$186.20
|
|
Fo nontorsion joint cf
|
$942.47 |
$942.47 |
$942.47 |
$221.31
|
|
Foot arch supp premold metat
|
$220.64 |
$220.64 |
$220.64 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$161.48 |
$161.48 |
$161.48 |
$155.69
|
|
Foot external keel sach foot
|
$955.42 |
$955.42 |
$955.42 |
$470.57
|
|
Foot insert plastazote or eq
|
$757.08 |
$757.08 |
$757.08 |
$365.48
|
|
Foot insert remov molded spe
|
$620.03 |
$620.03 |
$620.03 |
$285.99
|
|
Foot insert silicone gel eac
|
$816.71 |
$816.71 |
$816.71 |
$322.85
|
|
Foot lamin/prepreg composite
|
$574.07 |
$574.07 |
$574.07 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$238.43 |
$238.43 |
$238.43 |
$76.32
|
|
Foot plate molded stirrup at
|
$1,565.78 |
$1,565.78 |
$1,565.78 |
$620.64
|
|
Foot X-ray
|
$890.40 |
$890.40 |
$890.40 |
$360.00
|
|
Forearm/arm cuffs ext/flex a
|
$3,866.39 |
$3,866.39 |
$3,866.39 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$2,787.19 |
$2,787.19 |
$2,787.19 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$179.40 |
$179.40 |
$179.40 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,927.47 |
$1,927.47 |
$1,927.47 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$126.16 |
$126.16 |
$126.16 |
$104.81
|
|
Fructosamine glycated protein
|
$87.00 |
$87.00 |
$87.00 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,472.56 |
$1,472.56 |
$1,472.56 |
$660.30
|
|
Full sole/heel wedge btween
|
$256.36 |
$256.36 |
$256.36 |
$116.51
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$10,167.63 |
$10,167.63 |
$10,167.63 |
$3,026.40
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$11,619.58 |
$11,619.58 |
$11,619.58 |
$2,706.60
|
|
Furnsh initial orthosis only
|
$8,388.59 |
$8,388.59 |
$8,388.59 |
$2,831.81
|
|
Furosemide 10 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$19.53
|
|
Fuse/graft added joint
|
$43,917.79 |
$43,917.79 |
$43,917.79 |
$1,011.40
|
|
Fusion/graft of finger joint
|
$43,917.79 |
$43,917.79 |
$43,917.79 |
$3,839.54
|
|
Fusion of finger joint
|
$28,779.05 |
$28,779.05 |
$28,779.05 |
$4,350.00
|
|
Fusion of foot bones
|
$117,474.55 |
$117,474.55 |
$117,474.55 |
$4,881.00
|
|
Fusion of knuckle
|
$29,042.40 |
$29,042.40 |
$29,042.40 |
$5,886.74
|
|
Fusion of knuckle with graft
|
$35,110.19 |
$35,110.19 |
$35,110.19 |
$5,886.74
|
|
G6pd full gene sequence
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,320.00
|
|
Ga-68 gallium 68 dotatate
|
$213.00 |
$213.00 |
$213.00 |
$135.74
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$245.52 |
$245.52 |
$245.52 |
$121.12
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$362.16 |
$362.16 |
$362.16 |
$177.52
|
|
Gallbladder Removal (Laparoscopic)
|
$18,308.89 |
$18,308.89 |
$18,308.89 |
$11,854.50
|
|
Gallium ga-68 psma-11 ucsf
|
$10,977.12 |
$10,977.12 |
$10,977.12 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$10,848.60 |
$10,848.60 |
$10,848.60 |
$2,031.90
|
|
Gammaglobulin iga
|
$133.80 |
$133.80 |
$133.80 |
$68.94
|
|
Gammaglobulin ige
|
$164.40 |
$164.40 |
$164.40 |
$84.00
|
|
Gamma glutamyltransferase
|
$112.80 |
$112.80 |
$112.80 |
$57.54
|
|
Gamunex-c/gammaked
|
$34,269.70 |
$34,269.70 |
$34,269.70 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$919.21 |
$919.21 |
$919.21 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$208.92
|
|
Generator barostim neo2 2014
|
$202,339.88 |
$202,339.88 |
$202,339.88 |
$48,153.93
|
|
Generator emblem MRI sicd subq
|
$153,890.40 |
$153,890.40 |
$153,890.40 |
$36,467.76
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$181,965.00 |
$181,965.00 |
$181,965.00 |
$66,636.36
|
|
Genetic tstg severe inh cond
|
$8,098.80 |
$8,098.80 |
$8,098.80 |
$3,978.65
|
|
Gen, neuro, clo loop, rechg
|
$114,378.00 |
$114,378.00 |
$114,378.00 |
$39,300.00
|
