|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,879.99 |
$1,879.99 |
$1,879.99 |
$1,197.83
|
|
Filter spider fx 3mmx320cm
|
$64,593.11 |
$64,593.11 |
$64,593.11 |
$7,188.75
|
|
Filter vena cava fem denali
|
$8,940.51 |
$8,940.51 |
$8,940.51 |
$3,816.40
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$331.20 |
$331.20 |
$331.20 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$9,898.97 |
$9,898.97 |
$9,898.97 |
$4,584.72
|
|
Fixation of knee joint
|
$52,117.73 |
$52,117.73 |
$52,117.73 |
$1,963.35
|
|
Flecainide (tambocor)-sendout
|
$68.40 |
$68.40 |
$68.40 |
$65.24
|
|
Fl exam g/colon tube w contrast
|
$532.80 |
$532.80 |
$532.80 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$3,463.92 |
$3,463.92 |
$3,463.92 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$670.43 |
$670.43 |
$670.43 |
$187.60
|
|
Flow cytometry marker each additional
|
$136.20 |
$136.20 |
$136.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$268.80 |
$268.80 |
$268.80 |
$276.60
|
|
Floweramniopatch, per sq cm
|
$11,048.50 |
$11,048.50 |
$11,048.50 |
$6,814.14
|
|
Flt3 gene
|
$402.60 |
$402.60 |
$402.60 |
$355.00
|
|
Flt3 gene analysis
|
$319.20 |
$319.20 |
$319.20 |
$215.20
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$133.54 |
$133.54 |
$133.54 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$209.14 |
$209.14 |
$209.14 |
$493.35
|
|
Fluidotherapy charges pt
|
$73.20 |
$73.20 |
$73.20 |
$98.40
|
|
Fluid pressure muscle 20950
|
$901.80 |
$901.80 |
$901.80 |
$779.45
|
|
Fluorescent antibody titer dna
|
$421.20 |
$421.20 |
$421.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$11,076.00 |
$11,076.00 |
$11,076.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$1,578.60 |
$1,578.60 |
$1,578.60 |
$495.95
|
|
Fluoroguide needle placement
|
$874.20 |
$874.20 |
$874.20 |
$497.20
|
|
Fluoro polarize fetal lung
|
$63.60 |
$63.60 |
$63.60 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$873.00 |
$873.00 |
$873.00 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$61.66 |
$61.66 |
$61.66 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$2,499.60 |
$2,499.60 |
$2,499.60 |
$1,427.65
|
|
Folic acid
|
$175.20 |
$175.20 |
$175.20 |
$99.96
|
|
Folic acid 5 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$50.70
|
|
Follow-up angiography
|
$6,207.60 |
$6,207.60 |
$6,207.60 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,976.83 |
$2,976.83 |
$2,976.83 |
$2,481.61
|
|
Fondaparinux sodium
|
$375.56 |
$375.56 |
$375.56 |
$186.87
|
|
Fo nontorsion joint cf
|
$782.59 |
$782.59 |
$782.59 |
$217.50
|
|
Foot arch supp premold metat
|
$183.22 |
$183.22 |
$183.22 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$134.09 |
$134.09 |
$134.09 |
$143.87
|
|
Foot external keel sach foot
|
$793.34 |
$793.34 |
$793.34 |
$470.57
|
|
Foot insert plastazote or eq
|
$628.64 |
$628.64 |
$628.64 |
$365.48
|
|
Foot insert remov molded spe
|
$514.85 |
$514.85 |
$514.85 |
$285.99
|
|
Foot insert silicone gel eac
|
$678.16 |
$678.16 |
$678.16 |
$322.85
|
|
Foot lamin/prepreg composite
|
$476.68 |
$476.68 |
$476.68 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$197.98 |
$197.98 |
$197.98 |
$76.32
|
|
Foot plate molded stirrup at
|
$1,300.15 |
$1,300.15 |
$1,300.15 |
$620.64
|
|
Foot X-ray
|
$492.00 |
$492.00 |
$492.00 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$3,210.47 |
$3,210.47 |
$3,210.47 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$2,314.34 |
$2,314.34 |
$2,314.34 |
$901.60
|
|
Forehead flap w/vasc pedicle 15731
|
$24,642.48 |
$24,642.48 |
$24,642.48 |
$4,757.50
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$299.40 |
$299.40 |
$299.40 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$90.00 |
$90.00 |
$90.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$259.57 |
$259.57 |
$259.57 |
$106.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$178.80 |
$178.80 |
$178.80 |
$153.02
|
|
Fructosamine glycated protein
|
$84.60 |
$84.60 |
$84.60 |
$61.75
|
|
Ft insert ucb berkeley shell
|
$1,222.75 |
$1,222.75 |
$1,222.75 |
$660.30
|
|
Full sole/heel wedge btween
|
$212.87 |
$212.87 |
$212.87 |
$113.14
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$18,074.12 |
$18,074.12 |
$18,074.12 |
$2,706.60
|
|
Furnsh initial orthosis only
|
$6,965.48 |
$6,965.48 |
$6,965.48 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$24.00 |
$24.00 |
$24.00 |
$19.53
|
|
Fusion of big toe joint
|
$107,305.73 |
$107,305.73 |
$107,305.73 |
$5,488.00
|
|
Fusion of big toe joint
|
$29,277.92 |
$29,277.92 |
$29,277.92 |
$6,839.00
|
|
Fusion of finger joint
|
$60,712.07 |
$60,712.07 |
$60,712.07 |
$4,350.00
|
|
Fusion of foot bones
|
$133,276.01 |
$133,276.01 |
$133,276.01 |
$6,411.60
|
|
Fusion of foot bones
|
$78,818.35 |
$78,818.35 |
$78,818.35 |
$5,110.00
|
|
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 |
$139.70
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1,023.39 |
$1,023.39 |
$1,023.39 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$210.23 |
$210.23 |
$210.23 |
$121.12
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$493.20 |
$493.20 |
$493.20 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$88.80 |
$88.80 |
$88.80 |
$100.00
|
|
Gallbladder Removal (Laparoscopic)
|
$15,635.24 |
$15,635.24 |
$15,635.24 |
$12,906.50
|
|
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 |
$2,046.76
|
|
Gammaglobulin iga
|
$89.40 |
$89.40 |
$89.40 |
$69.42
|
|
Gammaglobulin ige
|
$164.40 |
$164.40 |
$164.40 |
$83.40
|
|
Gamma glutamyltransferase
|
$99.60 |
$99.60 |
$99.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$22,311.00 |
$22,311.00 |
$22,311.00 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$462.24 |
$462.24 |
$462.24 |
$197.40
|
|
Gastroplasty duodenal switch
|
$60,086.08 |
$60,086.08 |
$60,086.08 |
$4,780.80
|
|
Gba gene
|
$538.80 |
$538.80 |
$538.80 |
$160.72
|
|
Gemcitabine 1 gram intravenous solution
|
$445.98 |
$445.98 |
$445.98 |
$208.92
|
|
Generator barostim neo2 2014
|
$168,013.33 |
$168,013.33 |
$168,013.33 |
$49,450.20
|
|
Generator emblem MRI sicd subq
|
$127,783.20 |
$127,783.20 |
$127,783.20 |
$36,771.84
|
|
Generator stim baroreceptor neo legacy implant pulse
|
$151,095.00 |
$151,095.00 |
$151,095.00 |
$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
|
$94,974.00 |
$94,974.00 |
$94,974.00 |
$40,800.00
|
|
Genome sequence analysis
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$5,031.20
|
|
Genome sequence analysis
|
$3,082.80 |
$3,082.80 |
$3,082.80 |
$3,455.25
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$39.61 |
$39.61 |
$39.61 |
$53.78
|
|
Gentamicin peak therapeutic drug level
|
$154.80 |
$154.80 |
$154.80 |
$123.84
|
|
G-esoph reflx tst w/electrod
|
$5,945.13 |
$5,945.13 |
$5,945.13 |
$1,500.00
|
|
Ghs abscess perianal iandd
|
$1,155.00 |
$1,155.00 |
$1,155.00 |
$1,452.00
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$54.00 |
$54.00 |
$54.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$362.40 |
$362.40 |
$362.40 |
$403.38
|
|
Ghs analysis neurostim without reprogramming
|
$80.40 |
$80.40 |
$80.40 |
$247.06
|
|
Ghs antibodies (torch) igm
|
$83.40 |
$83.40 |
$83.40 |
$69.12
|
|
Ghs bladder cath - complex-foley
|
$374.40 |
$374.40 |
$374.40 |
$343.68
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$3,601.20 |
$3,601.20 |
$3,601.20 |
$2,499.90
|
|
Ghs change cysto/gastrost
|
$1,030.20 |
$1,030.20 |
$1,030.20 |
$594.55
|
|
Ghs chemo >8 hrs
|
$1,377.00 |
$1,377.00 |
$1,377.00 |
$714.87
|
