|
Fo nontorsion joint cf
|
$224.00 |
$224.00 |
$224.00 |
$217.50
|
|
Foot arch support remov prem
|
$86.80 |
$86.80 |
$86.80 |
$141.41
|
|
Foot arch supp premold metat
|
$53.20 |
$53.20 |
$53.20 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$84.00 |
$84.00 |
$84.00 |
$143.87
|
|
Foot external keel sach foot
|
$288.40 |
$288.40 |
$288.40 |
$470.57
|
|
Foot insert plastazote or eq
|
$179.20 |
$179.20 |
$179.20 |
$365.48
|
|
Foot insert remov molded spe
|
$148.40 |
$148.40 |
$148.40 |
$285.99
|
|
Foot insert silicone gel eac
|
$193.20 |
$193.20 |
$193.20 |
$322.85
|
|
Foot longitudinal arch suppo
|
$193.20 |
$193.20 |
$193.20 |
$322.85
|
|
Foot longitud/metatarsal sup
|
$221.20 |
$221.20 |
$221.20 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$58.80 |
$58.80 |
$58.80 |
$76.32
|
|
Foot plate molded stirrup at
|
$501.20 |
$501.20 |
$501.20 |
$620.64
|
|
Foot single axis ankle/foot
|
$350.00 |
$350.00 |
$350.00 |
$350.00
|
|
Foot X-ray
|
$565.60 |
$565.60 |
$565.60 |
$352.08
|
|
Forearm/arm cuffs ext/flex a
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$901.60 |
$901.60 |
$901.60 |
$901.60
|
|
Forehead flap w/vasc pedicle 15731
|
$11,300.80 |
$11,300.80 |
$11,300.80 |
$4,757.50
|
|
Forensic autopsy (necropsy)
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,657.60
|
|
Forensic cytopathology
|
$132.16 |
$132.16 |
$132.16 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,691.20 |
$1,691.20 |
$1,691.20 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$528.42 |
$528.42 |
$528.42 |
$490.67
|
|
Foscarnet sodium injection
|
$841.09 |
$841.09 |
$841.09 |
$1,008.91
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$214.72 |
$214.72 |
$214.72 |
$106.25
|
|
Fractionation ketosteroids
|
$268.24 |
$268.24 |
$268.24 |
$160.89
|
|
Fracture assessment via dxa
|
$257.04 |
$257.04 |
$257.04 |
$175.50
|
|
_fragile x methylation-sendout
|
$120.96 |
$120.96 |
$120.96 |
$183.74
|
|
Fragmenting of kidney stone
|
$14,425.60 |
$14,425.60 |
$14,425.60 |
$10,312.25
|
|
Frame typ sock above elb/dis
|
$711.20 |
$711.20 |
$711.20 |
$711.20
|
|
Frame typ socket bel elbow/w
|
$658.00 |
$658.00 |
$658.00 |
$658.00
|
|
Frame typ socket shoulder di
|
$812.00 |
$812.00 |
$812.00 |
$812.00
|
|
Frame typ sock interscap-tho
|
$940.80 |
$940.80 |
$940.80 |
$940.80
|
|
Frenectomy 41115
|
$3,914.40 |
$3,914.40 |
$3,914.40 |
$1,939.47
|
|
Frenotomy 40806
|
$2,508.80 |
$2,508.80 |
$2,508.80 |
$679.80
|
|
Frenulotomy of penis
|
$8,377.60 |
$8,377.60 |
$8,377.60 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$19.04 |
$19.04 |
$19.04 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$26.32 |
$26.32 |
$26.32 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$476.00 |
$476.00 |
$476.00 |
$130.98
|
|
Frozen blood freeze/thaw
|
$212.24 |
$212.24 |
$212.24 |
$179.01
|
|
Frozen blood prep
|
$828.80 |
$828.80 |
$828.80 |
$209.50
|
|
Frozen blood thaw
|
$828.80 |
$828.80 |
$828.80 |
$209.50
|
|
Frozen cell preparation
|
$103.04 |
$103.04 |
$103.04 |
$31.81
|
|
Fructosamine glycated protein
|
$30.80 |
$30.80 |
$30.80 |
$61.75
|
|
Ft arch suprt premold longit
|
$53.20 |
$53.20 |
$53.20 |
$94.69
|
|
Fth/gft fr n/e/e/l each addl
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$1,331.00
|
|
Ft insert ucb berkeley shell
|
$347.20 |
$347.20 |
$347.20 |
$660.30
|
|
Ftl cgen abnor 3 proteins
|
$3,399.20 |
$3,399.20 |
$3,399.20 |
$2,389.10
|
|
Ftl cgen abnor five anal
|
$159.04 |
$159.04 |
$159.04 |
$155.10
|
|
Ftl cgen abnor four anal
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$205.80
|
|
Ftl cgen abnor three anal
|
$126.56 |
$126.56 |
$126.56 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$439.60 |
$439.60 |
$439.60 |
$439.60
|
|
Full field erg w/i&r
|
$767.20 |
$767.20 |
$767.20 |
$393.12
|
|
Full mouth x-ray of teeth
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$286.04
|
|
Full sole/heel wedge btween
|
$61.60 |
$61.60 |
$61.60 |
$113.14
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$6,557.60 |
$6,557.60 |
$6,557.60 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$6,591.20 |
$6,591.20 |
$6,591.20 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$5,504.80 |
$5,504.80 |
$5,504.80 |
$2,706.60
|
|
Functional brain mapping
|
$352.80 |
$352.80 |
$352.80 |
$514.80
|
|
Fundus photography with i&r 92250
|
$330.40 |
$330.40 |
$330.40 |
$178.20
|
|
Furnsh initial orthosis only
|
$2,206.40 |
$2,206.40 |
$2,206.40 |
$3,034.95
|
|
Furosemide 10 mg/ml injection solution
|
$1,716.09 |
$1,716.09 |
$1,716.09 |
$19.53
|
|
Fuse/graft added joint
|
$8,086.40 |
$8,086.40 |
$8,086.40 |
$1,011.40
|
|
Fusion/graft of finger joint
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$9,816.80 |
$9,816.80 |
$9,816.80 |
$5,886.74
|
|
Fusion of ankle joint open
|
$24,768.80 |
$24,768.80 |
$24,768.80 |
$10,629.07
|
|
Fusion of big toe joint
|
$5,488.00 |
$5,488.00 |
$5,488.00 |
$5,488.00
|
|
Fusion of big toe joint
|
$10,505.60 |
$10,505.60 |
$10,505.60 |
$6,839.00
|
|
Fusion of finger jnt add-on
|
$8,086.40 |
$8,086.40 |
$8,086.40 |
$192.40
|
|
Fusion of finger joint
|
$4,631.20 |
$4,631.20 |
$4,631.20 |
$4,350.00
|
|
Fusion of finger tendons
|
$9,049.60 |
$9,049.60 |
$9,049.60 |
$3,839.54
|
|
Fusion of finger tendons
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$1,893.86
|
|
Fusion of foot bones
|
$23,049.60 |
$23,049.60 |
$23,049.60 |
$6,411.60
|
|
Fusion of foot bones
|
$20,176.80 |
$20,176.80 |
$20,176.80 |
$14,061.89
|
|
Fusion of foot bones
|
$19,857.60 |
$19,857.60 |
$19,857.60 |
$5,110.00
|
|
Fusion of hand joint
|
$8,181.60 |
$8,181.60 |
$8,181.60 |
$7,907.11
|
|
Fusion of knuckle
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$6,311.00
|
|
Fusion of knuckle joint
|
$8,741.60 |
$8,741.60 |
$8,741.60 |
$3,786.00
|
|
Fusion of knuckle joints
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$4,259.84
|
|
Fusion of knuckle joints
|
$7,968.80 |
$7,968.80 |
$7,968.80 |
$7,968.80
|
|
Fusion of knuckle with graft
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$6,311.00
|
|
Fusion of spermatic ducts
|
$6,983.20 |
$6,983.20 |
$6,983.20 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$9,385.60 |
$9,385.60 |
$9,385.60 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$2,906.40 |
$2,906.40 |
$2,906.40 |
$3,545.97
|
|
Fusion of tendons at wrist
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,821.05
|
|
Fusion of thumb
|
$9,632.00 |
$9,632.00 |
$9,632.00 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$20,641.60 |
$20,641.60 |
$20,641.60 |
$8,299.09
|
|
Fusion of toes
|
$7,285.60 |
$7,285.60 |
$7,285.60 |
$3,839.54
|
|
Fxn gene charac alleles
|
$627.20 |
$627.20 |
$627.20 |
$379.27
|
|
Fxn gene detc abnor alleles
|
$313.60 |
$313.60 |
$313.60 |
$200.88
|
|
Fxn gene full gene sequence
|
$627.20 |
$627.20 |
$627.20 |
$379.27
|
|
Fxn gene known famil variant
|
$425.60 |
$425.60 |
$425.60 |
$304.59
|
|
G6pc gene
|
$162.40 |
$162.40 |
$162.40 |
$138.40
|
|
G6pd full gene sequence
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$243.00
|
|
G6pd known familial variant
|
$856.80 |
$856.80 |
$856.80 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$1,582.24 |
$1,582.24 |
$1,582.24 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$5,726.63 |
$5,726.63 |
$5,726.63 |
$139.70
|
|
Gabapentin non-blood
|
$80.08 |
$80.08 |
$80.08 |
$42.35
|
