|
Extension per extension per
|
$136.40 |
$136.40 |
$136.40 |
$134.44
|
|
External chromosome analysis 20-25 cells
|
$290.10 |
$290.10 |
$290.10 |
$403.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$20.70 |
$20.70 |
$20.70 |
$61.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$420.90 |
$420.90 |
$420.90 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$130.50 |
$130.50 |
$130.50 |
$109.00
|
|
Eye implant band 40
|
$3,794.81 |
$3,794.81 |
$3,794.81 |
$6,152.93
|
|
F-18 fdg pet diag
|
$1,328.40 |
$1,328.40 |
$1,328.40 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,000.54 |
$6,000.54 |
$6,000.54 |
$5,145.00
|
|
F-18 fluciclovine per mci
|
$10,849.61 |
$10,849.61 |
$10,849.61 |
$1,042.30
|
|
Facial bones <3
|
$723.00 |
$723.00 |
$723.00 |
$252.60
|
|
Factor ix
|
$66.90 |
$66.90 |
$66.90 |
$154.50
|
|
Factor viii
|
$158.10 |
$158.10 |
$158.10 |
$144.82
|
|
Family therapy with patient 50 min 90847
|
$151.80 |
$151.80 |
$151.80 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$48.00 |
$48.00 |
$48.00 |
$22.23
|
|
Fat/lipids feces qualitative
|
$65.10 |
$65.10 |
$65.10 |
$36.00
|
|
Fatty acids nonesterified
|
$300.00 |
$300.00 |
$300.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,135.82 |
$1,135.82 |
$1,135.82 |
$933.57
|
|
#fecal-sodium
|
$16.20 |
$16.20 |
$16.20 |
$37.50
|
|
Femoral lgth sock fx or equa
|
$129.53 |
$129.53 |
$129.53 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$412.10 |
$412.10 |
$412.10 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$6,670.86 |
$6,670.86 |
$6,670.86 |
$2,590.25
|
|
Ferritin
|
$154.80 |
$154.80 |
$154.80 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$999.44 |
$999.44 |
$999.44 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$111.60 |
$111.60 |
$111.60 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$347.40 |
$347.40 |
$347.40 |
$879.51
|
|
Fetal fibronectin
|
$419.40 |
$419.40 |
$419.40 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$52.80 |
$52.80 |
$52.80 |
$104.00
|
|
Fetal hemoglobin rosette
|
$57.00 |
$57.00 |
$57.00 |
$67.20
|
|
Fetal non stress test
|
$1,353.90 |
$1,353.90 |
$1,353.90 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$346.80 |
$346.80 |
$346.80 |
$120.05
|
|
Fibrin degradation products
|
$24.60 |
$24.60 |
$24.60 |
$74.25
|
|
Fibrinogen activity
|
$79.20 |
$79.20 |
$79.20 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$25.50 |
$25.50 |
$25.50 |
$61.02
|
|
Fibrinolytic plasminogen
|
$241.50 |
$241.50 |
$241.50 |
$105.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$3,447.94 |
$3,447.94 |
$3,447.94 |
$582.00
|
|
Filter spider fx 3mmx320cm
|
$39,837.66 |
$39,837.66 |
$39,837.66 |
$7,188.75
|
|
Filter vena cava fem denali
|
$5,514.04 |
$5,514.04 |
$5,514.04 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$874.50 |
$874.50 |
$874.50 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$460.20 |
$460.20 |
$460.20 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$487.50 |
$487.50 |
$487.50 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$211.20 |
$211.20 |
$211.20 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$6,105.16 |
$6,105.16 |
$6,105.16 |
$4,584.72
|
|
Fixation of knee joint
|
$9,071.25 |
$9,071.25 |
$9,071.25 |
$1,963.35
|
|
Flexible Sigmoidoscopy
|
$14,992.54 |
$14,992.54 |
$14,992.54 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$413.49 |
$413.49 |
$413.49 |
$187.60
|
|
Florbetaben f18 diagnostic
|
$7,140.00 |
$7,140.00 |
$7,140.00 |
$5,705.04
|
|
Flow cytometry marker each additional
|
$57.60 |
$57.60 |
$57.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$269.70 |
$269.70 |
$269.70 |
$276.60
|
|
Floweramniopatch, per sq cm
|
$6,814.14 |
$6,814.14 |
$6,814.14 |
$6,814.14
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$137.76 |
$137.76 |
$137.76 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$293.74 |
$293.74 |
$293.74 |
$493.35
|
|
Fluid pressure muscle 20950
|
$270.60 |
$270.60 |
$270.60 |
$779.45
|
|
Fluorescent antibody titer dna
|
$50.10 |
$50.10 |
$50.10 |
$123.65
|
|
Fluoroestradiol f 18
|
$9,691.50 |
$9,691.50 |
$9,691.50 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$554.10 |
$554.10 |
$554.10 |
$495.95
|
|
Fluoroguide needle placement
|
$387.90 |
$387.90 |
$387.90 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$799.20 |
$799.20 |
$799.20 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$126.74 |
$126.74 |
$126.74 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$119.06 |
$119.06 |
$119.06 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$166,320.00 |
$166,320.00 |
$166,320.00 |
$5,215.08
|
|
Fna bx w/ct gdn 1st les
|
$1,083.30 |
$1,083.30 |
$1,083.30 |
$1,427.65
|
|
Folic acid
|
$114.90 |
$114.90 |
$114.90 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$50.70
|
|
Fomepizole 1 gram/ml intravenous solution
|
$17,039.05 |
$17,039.05 |
$17,039.05 |
$2,481.61
|
|
Fondaparinux sodium
|
$544.15 |
$544.15 |
$544.15 |
$186.87
|
|
Fo nontorsion joint cf
|
$482.66 |
$482.66 |
$482.66 |
$217.50
|
|
Foot arch supp premold metat
|
$113.00 |
$113.00 |
$113.00 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$82.70 |
$82.70 |
$82.70 |
$143.87
|
|
Foot external keel sach foot
|
$489.29 |
$489.29 |
$489.29 |
$470.57
|
|
Foot insert plastazote or eq
|
$387.71 |
$387.71 |
$387.71 |
$365.48
|
|
Foot insert remov molded spe
|
$317.53 |
$317.53 |
$317.53 |
$285.99
|
|
Foot insert silicone gel eac
|
$418.25 |
$418.25 |
$418.25 |
$322.85
|
|
Foot lamin/prepreg composite
|
$293.99 |
$293.99 |
$293.99 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$122.10 |
$122.10 |
$122.10 |
$76.32
|
|
Foot plate molded stirrup at
|
$801.86 |
$801.86 |
$801.86 |
$620.64
|
|
Foot X-ray
|
$484.20 |
$484.20 |
$484.20 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$1,980.05 |
$1,980.05 |
$1,980.05 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$1,427.37 |
$1,427.37 |
$1,427.37 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$89.70 |
$89.70 |
$89.70 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$372.28 |
$372.28 |
$372.28 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$53.83 |
$53.83 |
$53.83 |
$106.25
|
|
Fragmenting of kidney stone
|
$12,305.97 |
$12,305.97 |
$12,305.97 |
$10,312.25
|
|
Free fascial flap microvasc
|
$30,177.32 |
$30,177.32 |
$30,177.32 |
$9,594.00
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$148.20 |
$148.20 |
$148.20 |
$164.16
|
|
Fructosamine glycated protein
|
$35.40 |
$35.40 |
$35.40 |
$61.75
|
|
Ft insert ucb berkeley shell
|
$754.13 |
$754.13 |
$754.13 |
$660.30
|
|
Full sole/heel wedge btween
|
$131.29 |
$131.29 |
$131.29 |
$113.14
|
|
Furnsh initial orthosis only
|
$4,295.94 |
$4,295.94 |
$4,295.94 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$48.00 |
$48.00 |
$48.00 |
$19.53
|
|
Fusion of foot bones
|
$43,080.65 |
$43,080.65 |
$43,080.65 |
$5,110.00
|
|
G6pd full gene sequence
|
$945.00 |
$945.00 |
$945.00 |
$1,320.00
|
|
Ga-68 gallium 68 dotatate
|
$6,552.00 |
$6,552.00 |
$6,552.00 |
$139.70
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$223.01 |
$223.01 |
$223.01 |
$121.12
|
|
Gallbladder Removal (Laparoscopic)
|
$18,572.11 |
$18,572.11 |
$18,572.11 |
$12,906.50
|
|
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 |
$2,046.76
|
|
Gammaglobulin iga
|
$61.50 |
$61.50 |
$61.50 |
$69.42
|
|
Gammaglobulin ige
|
$121.50 |
$121.50 |
$121.50 |
$83.40
|
|
Gamma glutamyltransferase
|
$63.00 |
$63.00 |
$63.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$13,475.84 |
$13,475.84 |
$13,475.84 |
$7,435.88
|
