|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$3,679.20 |
$3,679.20 |
$3,679.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,901.61 |
$2,901.61 |
$2,901.61 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,498.01 |
$1,498.01 |
$1,498.01 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$77,790.04 |
$77,790.04 |
$77,790.04 |
$7,160.28
|
|
Filter vena cava fem denali
|
$10,767.13 |
$10,767.13 |
$10,767.13 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$975.00 |
$975.00 |
$975.00 |
$823.90
|
|
Finger joint sz00 swanson w/grommets
|
$11,921.41 |
$11,921.41 |
$11,921.41 |
$4,584.72
|
|
Fixation of knee joint
|
$6,129.48 |
$6,129.48 |
$6,129.48 |
$1,893.86
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$14,085.92 |
$14,085.92 |
$14,085.92 |
$4,242.15
|
|
Flecainide (tambocor)-sendout
|
$68.40 |
$68.40 |
$68.40 |
$66.43
|
|
Flexible Sigmoidoscopy
|
$3,877.28 |
$3,877.28 |
$3,877.28 |
$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 |
$4,339.98
|
|
Flow cytometry marker each additional
|
$113.40 |
$113.40 |
$113.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$284.40
|
|
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
|
|
Fluid pressure muscle 20950
|
$541.20 |
$541.20 |
$541.20 |
$768.94
|
|
Fluorescent antibody titer dna
|
$421.20 |
$421.20 |
$421.20 |
$122.82
|
|
Fluoroestradiol f 18
|
$9,691.50 |
$9,691.50 |
$9,691.50 |
$1,491.00
|
|
Fluoroguide for spine inject 77003-26
|
$845.40 |
$845.40 |
$845.40 |
$496.03
|
|
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 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$338.58 |
$338.58 |
$338.58 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$67.90 |
$67.90 |
$67.90 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$6,930.00 |
$6,930.00 |
$6,930.00 |
$5,215.08
|
|
Fna bx w/ct gdn 1st les
|
$2,166.60 |
$2,166.60 |
$2,166.60 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$818.40 |
$818.40 |
$818.40 |
$833.25
|
|
Folic acid
|
$84.60 |
$84.60 |
$84.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$54.75
|
|
Follow-up angiography
|
$1,295.40 |
$1,295.40 |
$1,295.40 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$18,181.91 |
$18,181.91 |
$18,181.91 |
$2,581.14
|
|
Fondaparinux sodium
|
$242.34 |
$242.34 |
$242.34 |
$185.12
|
|
Fo nontorsion joint cf
|
$942.47 |
$942.47 |
$942.47 |
$217.50
|
|
Foot arch supp premold metat
|
$220.64 |
$220.64 |
$220.64 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$161.48 |
$161.48 |
$161.48 |
$143.87
|
|
Foot external keel sach foot
|
$955.42 |
$955.42 |
$955.42 |
$482.25
|
|
Foot insert plastazote or eq
|
$757.08 |
$757.08 |
$757.08 |
$365.48
|
|
Foot insert remov molded spe
|
$620.03 |
$620.03 |
$620.03 |
$312.97
|
|
Foot insert silicone gel eac
|
$816.71 |
$816.71 |
$816.71 |
$295.47
|
|
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 |
$714.12
|
|
Foot X-ray
|
$890.40 |
$890.40 |
$890.40 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$3,866.39 |
$3,866.39 |
$3,866.39 |
$580.42
|
|
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 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$136.50 |
$136.50 |
$136.50 |
$457.50
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$424.52 |
$424.52 |
$424.52 |
$106.10
|
|
Fracture assessment via dxa
|
$333.00 |
$333.00 |
$333.00 |
$173.18
|
|
Fructosamine glycated protein
|
$49.80 |
$49.80 |
$49.80 |
$60.75
|
|
Ft insert ucb berkeley shell
|
$1,472.56 |
$1,472.56 |
$1,472.56 |
$743.29
|
|
Full sole/heel wedge btween
|
$256.36 |
$256.36 |
$256.36 |
$129.40
|
|
Furnsh initial orthosis only
|
$8,388.59 |
$8,388.59 |
$8,388.59 |
$2,873.32
|
|
Furosemide 10 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$19.00
|
|
Fusion of ankle joint open
|
$160,669.49 |
$160,669.49 |
$160,669.49 |
$10,629.07
|
|
Fusion of big toe joint
|
$89,676.59 |
$89,676.59 |
$89,676.59 |
$5,488.00
|
|
Fusion of big toe joint
|
$27,902.89 |
$27,902.89 |
$27,902.89 |
$6,839.00
|
|
Fusion of finger joint
|
$28,742.74 |
$28,742.74 |
$28,742.74 |
$4,350.00
|
|
Fusion of foot bones
|
$182,955.64 |
$182,955.64 |
$182,955.64 |
$6,411.60
|
|
Fusion of foot bones
|
$157,122.55 |
$157,122.55 |
$157,122.55 |
$14,061.89
|
|
Fusion of foot bones
|
$129,381.11 |
$129,381.11 |
$129,381.11 |
$4,881.00
|
|
Fusion of tendons at wrist
|
$23,866.22 |
$23,866.22 |
$23,866.22 |
$3,821.05
|
|
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 |
$119.90
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$353.02 |
$353.02 |
$353.02 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$425.74 |
$425.74 |
$425.74 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$611.15 |
$611.15 |
$611.15 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,149.88 |
$1,149.88 |
$1,149.88 |
$250.83
|
|
Gallbladder Removal (Laparoscopic)
|
$12,679.67 |
$12,679.67 |
$12,679.67 |
$11,117.34
|
|
Gallium ga-68 psma-11 ucsf
|
$10,977.12 |
$10,977.12 |
$10,977.12 |
$534.91
|
|
Gallium illuccix 1 millicure
|
$10,848.60 |
$10,848.60 |
$10,848.60 |
$1,395.27
|
|
Gammaglobulin iga
|
$133.80 |
$133.80 |
$133.80 |
$67.20
|
|
Gammaglobulin ige
|
$164.40 |
$164.40 |
$164.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$112.80 |
$112.80 |
$112.80 |
$57.54
|
|
Gated heart multiple
|
$780.00 |
$780.00 |
$780.00 |
$1,400.64
|
|
Gemcitabine 1 gram intravenous solution
|
$90.00 |
$90.00 |
$90.00 |
$207.51
|
|
Generator barostim neo2 2014
|
$202,339.88 |
$202,339.88 |
$202,339.88 |
$48,147.60
|
|
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 |
$36,800.00
|
|
Genome sequence analysis
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$5,534.32
|
|
Genome sequence analysis
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$3,577.20
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$48.72 |
$48.72 |
$48.72 |
$57.84
|
|
Gentamicin peak therapeutic drug level
|
$171.00 |
$171.00 |
$171.00 |
$126.00
|
|
G-esoph reflx tst w/electrod
|
$4,536.98 |
$4,536.98 |
$4,536.98 |
$1,418.18
|
|
Ghs abscess perianal iandd
|
$693.00 |
$693.00 |
$693.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$45,929.62 |
$45,929.62 |
$45,929.62 |
$3,515.40
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$54.00 |
$54.00 |
$54.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$855.00 |
$855.00 |
$855.00 |
$371.84
|
|
Ghs antibodies (torch) igm
|
$80.40 |
$80.40 |
$80.40 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$388.80 |
$388.80 |
$388.80 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$790.80 |
$790.80 |
$790.80 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$2,779.20 |
$2,779.20 |
$2,779.20 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$2,077.20 |
$2,077.20 |
$2,077.20 |
$565.49
|
|
Ghs chlamydia pneumoniae by pcr (arup) (306630)
|
$180.60 |
$180.60 |
$180.60 |
$132.00
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$172.80 |
$172.80 |
$172.80 |
$512.40
|
|
Ghs closed reduction ankle dislocation
|
$172.80 |
$172.80 |
$172.80 |
$653.80
|
