|
Ferritin
|
$93.00 |
$93.00 |
$93.00 |
$99.96
|
|
Fetal biophys profile w/nst 76818
|
$223.20 |
$223.20 |
$223.20 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$694.80 |
$694.80 |
$694.80 |
$902.10
|
|
Fetal chrom aneuploidy gsa panel
|
$1,555.20 |
$1,555.20 |
$1,555.20 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$412.80 |
$412.80 |
$412.80 |
$477.50
|
|
Fetal fibronectin
|
$415.80 |
$415.80 |
$415.80 |
$379.44
|
|
Fetal hemoglobin (kleihauer betke)
|
$84.00 |
$84.00 |
$84.00 |
$105.50
|
|
Fetal hemoglobin rosette
|
$78.60 |
$78.60 |
$78.60 |
$67.20
|
|
Fetal non stress test
|
$448.80 |
$448.80 |
$448.80 |
$466.00
|
|
#_fet/norfentcnfrmur
|
$322.20 |
$322.20 |
$322.20 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$149.40 |
$149.40 |
$149.40 |
$117.70
|
|
Fibrin degradation products
|
$99.60 |
$99.60 |
$99.60 |
$63.36
|
|
Fibrinogen activity
|
$121.20 |
$121.20 |
$121.20 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$180.00 |
$180.00 |
$180.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$483.00 |
$483.00 |
$483.00 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$45.00 |
$45.00 |
$45.00 |
$64.97
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$2,512.37 |
$2,512.37 |
$2,512.37 |
$571.09
|
|
Filter spider fx 3mmx320cm
|
$69,306.30 |
$69,306.30 |
$69,306.30 |
$7,180.66
|
|
Filter vena cava fem denali
|
$9,592.87 |
$9,592.87 |
$9,592.87 |
$3,822.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,364.40 |
$1,364.40 |
$1,364.40 |
$1,085.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$823.90
|
|
Finger joint sz00 swanson w/grommets
|
$10,621.27 |
$10,621.27 |
$10,621.27 |
$4,584.72
|
|
Fixation of knee joint
|
$6,391.15 |
$6,391.15 |
$6,391.15 |
$1,919.13
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$12,204.08 |
$12,204.08 |
$12,204.08 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$68.40 |
$68.40 |
$68.40 |
$61.48
|
|
Fl exam g/colon tube w contrast
|
$532.80 |
$532.80 |
$532.80 |
$532.80
|
|
Flexible Sigmoidoscopy
|
$3,140.81 |
$3,140.81 |
$3,140.81 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$719.35 |
$719.35 |
$719.35 |
$187.60
|
|
Flotufolastat f18 diag 1 mci
|
$12,157.92 |
$12,157.92 |
$12,157.92 |
$3,308.76
|
|
Flow cytometry marker each additional
|
$136.20 |
$136.20 |
$136.20 |
$96.85
|
|
Flow cytometry one marker technical component
|
$268.80 |
$268.80 |
$268.80 |
$273.89
|
|
Floweramniopatch, per sq cm
|
$11,854.68 |
$11,854.68 |
$11,854.68 |
$6,814.14
|
|
Flt3 gene
|
$402.60 |
$402.60 |
$402.60 |
$355.00
|
|
Flt3 gene analysis
|
$319.20 |
$319.20 |
$319.20 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$100.38 |
$100.38 |
$100.38 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$220.31 |
$220.31 |
$220.31 |
$493.35
|
|
Fluid pressure muscle 20950
|
$901.80 |
$901.80 |
$901.80 |
$779.45
|
|
Fluorescent antibody titer dna
|
$100.20 |
$100.20 |
$100.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$11,076.00 |
$11,076.00 |
$11,076.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$962.40 |
$962.40 |
$962.40 |
$495.95
|
|
Fluoroguide needle placement
|
$874.20 |
$874.20 |
$874.20 |
$510.00
|
|
Fluoro polarize fetal lung
|
$63.60 |
$63.60 |
$63.60 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$529.20 |
$529.20 |
$529.20 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$121.30 |
$121.30 |
$121.30 |
$105.07
|
|
Fna bx w/ct gdn 1st les
|
$2,499.60 |
$2,499.60 |
$2,499.60 |
$1,436.50
|
|
Folic acid
|
$175.20 |
$175.20 |
$175.20 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$48.17
|
|
Fondaparinux sodium
|
$419.44 |
$419.44 |
$419.44 |
$186.20
|
|
Fo nontorsion joint cf
|
$839.69 |
$839.69 |
$839.69 |
$221.31
|
|
Foot arch supp premold metat
|
$196.58 |
$196.58 |
$196.58 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$143.87 |
$143.87 |
$143.87 |
$156.16
|
|
Foot external keel sach foot
|
$851.22 |
$851.22 |
$851.22 |
$470.57
|
|
Foot insert plastazote or eq
|
$674.51 |
$674.51 |
$674.51 |
$365.48
|
|
Foot insert remov molded spe
|
$552.41 |
$552.41 |
$552.41 |
$285.99
|
|
Foot insert silicone gel eac
|
$727.64 |
$727.64 |
$727.64 |
$322.85
|
|
Foot lamin/prepreg composite
|
$511.46 |
$511.46 |
$511.46 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$212.42 |
$212.42 |
$212.42 |
$76.32
|
|
Foot plate molded stirrup at
|
$1,395.02 |
$1,395.02 |
$1,395.02 |
$620.64
|
|
Foot X-ray
|
$492.00 |
$492.00 |
$492.00 |
$356.95
|
|
Forearm/arm cuffs ext/flex a
|
$3,444.73 |
$3,444.73 |
$3,444.73 |
$662.60
|
|
Forearm/arm cuffs free motio
|
$2,483.21 |
$2,483.21 |
$2,483.21 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$299.40 |
$299.40 |
$299.40 |
$534.00
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$34.42 |
$34.42 |
$34.42 |
$103.02
|
|
Fragmenting of kidney stone
|
$15,576.00 |
$15,576.00 |
$15,576.00 |
$10,312.25
|
|
Frenectomy 41115
|
$9,156.70 |
$9,156.70 |
$9,156.70 |
$1,783.50
|
|
Frenotomy 40806
|
$9,177.70 |
$9,177.70 |
$9,177.70 |
$729.70
|
|
Frenulotomy of penis
|
$7,470.15 |
$7,470.15 |
$7,470.15 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$178.80 |
$178.80 |
$178.80 |
$157.20
|
|
Fructosamine glycated protein
|
$72.00 |
$72.00 |
$72.00 |
$60.42
|
|
Ft insert ucb berkeley shell
|
$1,311.97 |
$1,311.97 |
$1,311.97 |
$660.30
|
|
Full sole/heel wedge btween
|
$228.40 |
$228.40 |
$228.40 |
$116.51
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$19,972.12 |
$19,972.12 |
$19,972.12 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$9,263.30 |
$9,263.30 |
$9,263.30 |
$2,469.00
|
|
Furnsh initial orthosis only
|
$7,473.73 |
$7,473.73 |
$7,473.73 |
$2,831.81
|
|
Furosemide 10 mg/ml injection solution
|
$21.00 |
$21.00 |
$21.00 |
$19.53
|
|
Fusion of big toe joint
|
$53,821.21 |
$53,821.21 |
$53,821.21 |
$5,488.00
|
|
Fusion of big toe joint
|
$55,106.71 |
$55,106.71 |
$55,106.71 |
$6,839.00
|
|
Fusion of finger jnt add-on
|
$36,922.72 |
$36,922.72 |
$36,922.72 |
$192.40
|
|
Fusion of finger joint
|
$36,922.72 |
$36,922.72 |
$36,922.72 |
$4,350.00
|
|
Fusion of foot bones
|
$92,125.19 |
$92,125.19 |
$92,125.19 |
$6,411.60
|
|
Fusion of foot bones
|
$98,851.88 |
$98,851.88 |
$98,851.88 |
$4,881.00
|
|
G6pd full gene sequence
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,320.00
|
|
Ga-68 gallium 68 dotatate
|
$202.80 |
$202.80 |
$202.80 |
$135.60
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$482.20 |
$482.20 |
$482.20 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$291.56 |
$291.56 |
$291.56 |
$121.12
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$430.07 |
$430.07 |
$430.07 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1,213.76 |
$1,213.76 |
$1,213.76 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$88.80 |
$88.80 |
$88.80 |
$97.80
|
|
Gallbladder Removal (Laparoscopic)
|
$21,251.71 |
$21,251.71 |
$21,251.71 |
$11,117.34
|
|
Gallium ga-68 psma-11 ucsf
|
$12,545.28 |
$12,545.28 |
$12,545.28 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$28,200.00 |
$28,200.00 |
$28,200.00 |
$1,900.80
|
|
Gammaglobulin iga
|
$89.40 |
$89.40 |
$89.40 |
$68.75
|
|
Gammaglobulin ige
|
$164.40 |
$164.40 |
$164.40 |
$83.85
|
|
Gamma glutamyltransferase
|
$99.60 |
$99.60 |
$99.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$13,832.82 |
$13,832.82 |
$13,832.82 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$697.43 |
$697.43 |
$697.43 |
$197.40
|
|
Gba gene
|
$538.80 |
$538.80 |
$538.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$605.06 |
$605.06 |
$605.06 |
$207.51
|
|
Generator barostim neo2 2014
|
$180,272.81 |
$180,272.81 |
$180,272.81 |
$48,147.60
|
|
Generator emblem MRI sicd subq
|
$137,107.20 |
$137,107.20 |
$137,107.20 |
$36,467.76
|
