|
External newborn metabolic screening panel
|
$42.75 |
$42.75 |
$42.75 |
$108.00
|
|
External ocular photography
|
$1.33 |
$1.33 |
$1.33 |
$86.03
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$35.74 |
$35.74 |
$35.74 |
$444.00
|
|
Extnd color vision xm
|
$3.99 |
$3.99 |
$3.99 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$16.25 |
$16.25 |
$16.25 |
$109.00
|
|
Extraction of lens
|
$519.65 |
$519.65 |
$519.65 |
$2,685.92
|
|
F-18 fdg pet diag
|
$241.30 |
$241.30 |
$241.30 |
$550.37
|
|
F9 full gene sequence
|
$91.20 |
$91.20 |
$91.20 |
$1,200.00
|
|
Face bone graft
|
$511.67 |
$511.67 |
$511.67 |
$6,700.98
|
|
Facial bones <3
|
$119.13 |
$119.13 |
$119.13 |
$252.60
|
|
Factor ix
|
$64.03 |
$64.03 |
$64.03 |
$147.70
|
|
Factor viii
|
$60.23 |
$60.23 |
$60.23 |
$142.59
|
|
Fallopian tube recnl
|
$187.91 |
$187.91 |
$187.91 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.01 |
$7.01 |
$7.01 |
$22.20
|
|
Fancc gene
|
$6.96 |
$6.96 |
$6.96 |
$140.00
|
|
Fasciotomy hip/thigh any typ
|
$621.11 |
$621.11 |
$621.11 |
$3,342.87
|
|
Fat/lipids feces qualitative
|
$8.17 |
$8.17 |
$8.17 |
$36.00
|
|
Fatty acids nonesterified
|
$2.76 |
$2.76 |
$2.76 |
$64.28
|
|
#fecal-sodium
|
$53.96 |
$53.96 |
$53.96 |
$37.77
|
|
Feeding tube reposition
|
$125.02 |
$125.02 |
$125.02 |
$519.40
|
|
Felbamate (felbatol(r)) - sendout
|
$2.88 |
$2.88 |
$2.88 |
$59.40
|
|
Femoral endovas graft add-on 34813
|
$139.65 |
$139.65 |
$139.65 |
$1,245.40
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$9.50 |
$9.50 |
$9.50 |
$101.40
|
|
Ferritin
|
$61.94 |
$61.94 |
$61.94 |
$100.05
|
|
Fetal biophys profile w/nst 76818
|
$206.91 |
$206.91 |
$206.91 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$52.25 |
$52.25 |
$52.25 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$85.50 |
$85.50 |
$85.50 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$114.95 |
$114.95 |
$114.95 |
$475.50
|
|
Fetal fibronectin
|
$451.63 |
$451.63 |
$451.63 |
$380.32
|
|
Fetal hemoglobin (kleihauer betke)
|
$31.16 |
$31.16 |
$31.16 |
$105.00
|
|
Fetal hemoglobin rosette
|
$49.82 |
$49.82 |
$49.82 |
$67.20
|
|
Fetal non stress test
|
$162.26 |
$162.26 |
$162.26 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$94.05 |
$94.05 |
$94.05 |
$91.65
|
|
Fibrin degradation d dimer quantitative
|
$101.84 |
$101.84 |
$101.84 |
$119.40
|
|
Fibrin degradation products
|
$133.76 |
$133.76 |
$133.76 |
$73.67
|
|
Fibrin degrade semiquant
|
$57.57 |
$57.57 |
$57.57 |
$78.09
|
|
Fibrinogen activity
|
$98.04 |
$98.04 |
$98.04 |
$85.63
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$7.60 |
$7.60 |
$7.60 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$1.30 |
$1.30 |
$1.30 |
$72.80
|
|
Fibrinolytic plasminogen
|
$2.90 |
$2.90 |
$2.90 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$1.10 |
$1.10 |
$1.10 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$411.44 |
$411.44 |
$411.44 |
$582.00
|
|
Filter vena cava fem denali
|
$2,123.82 |
$2,123.82 |
$2,123.82 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$368.79 |
$368.79 |
$368.79 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$27.74 |
$27.74 |
$27.74 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$524.40 |
$524.40 |
$524.40 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$35.34 |
$35.34 |
$35.34 |
$497.00
|
|
Finger tendon transfer
|
$605.53 |
$605.53 |
$605.53 |
$3,839.54
|
|
Finger tendon transfer
|
$781.66 |
$781.66 |
$781.66 |
$3,839.54
|
|
Fitting of diaphragm/cap 57170
|
$30.02 |
$30.02 |
$30.02 |
$238.06
|
|
Fixation of ankle joint
|
$109.82 |
$109.82 |
$109.82 |
$3,591.33
|
|
Fixation of knee joint
|
$104.69 |
$104.69 |
$104.69 |
$1,963.35
|
|
Fixation of shoulder blade
|
$641.63 |
$641.63 |
$641.63 |
$6,311.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$453.34 |
$453.34 |
$453.34 |
$4,350.00
|
|
Flecainide (tambocor)-sendout
|
$3.54 |
$3.54 |
$3.54 |
$64.31
|
|
Fl exam g/colon tube w contrast
|
$206.15 |
$206.15 |
$206.15 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$37.24 |
$37.24 |
$37.24 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$61.94 |
$61.94 |
$61.94 |
$2,160.48
|
|
Flow cytometry marker each additional
|
$14.06 |
$14.06 |
$14.06 |
$97.50
|
|
Flow cytometry one marker technical component
|
$57.00 |
$57.00 |
$57.00 |
$276.60
|
|
Flt3 gene
|
$25.16 |
$25.16 |
$25.16 |
$355.00
|
|
Flt3 gene analysis
|
$12.62 |
$12.62 |
$12.62 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$23.30 |
$23.30 |
$23.30 |
$64.15
|
|
Fluidotherapy charges pt
|
$18.24 |
$18.24 |
$18.24 |
$98.40
|
|
Fluid pressure muscle 20950
|
$58.52 |
$58.52 |
$58.52 |
$779.45
|
|
Fluorescein angrph mltiframe
|
$19.95 |
$19.95 |
$19.95 |
$336.50
|
|
Fluorescent antibody titer dna
|
$50.54 |
$50.54 |
$50.54 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$353.40 |
$353.40 |
$353.40 |
$495.95
|
|
Fluoroguide needle placement
|
$281.20 |
$281.20 |
$281.20 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$196.84 |
$196.84 |
$196.84 |
$497.40
|
|
Fna bx w/ct gdn 1st les
|
$1,076.54 |
$1,076.54 |
$1,076.54 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$717.82 |
$717.82 |
$717.82 |
$834.90
|
|
Folic acid
|
$60.99 |
$60.99 |
$60.99 |
$98.99
|
|
Folic acid 5 mg/ml injection solution
|
$0.86 |
$0.86 |
$0.86 |
$50.70
|
|
Follow-up angiography
|
$1,899.62 |
$1,899.62 |
$1,899.62 |
$1,939.14
|
|
Followup eval of foot pt lop
|
$9.12 |
$9.12 |
$9.12 |
$170.95
|
|
Fondaparinux sodium
|
$75.80 |
$75.80 |
$75.80 |
$186.87
|
|
Foot X-ray
|
$182.21 |
$182.21 |
$182.21 |
$352.08
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$36.67 |
$36.67 |
$36.67 |
$532.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$69.35 |
$69.35 |
$69.35 |
$106.25
|
|
Fracture assessment via dxa
|
$6.08 |
$6.08 |
$6.08 |
$175.50
|
|
Fragmenting of kidney stone
|
$375.63 |
$375.63 |
$375.63 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$691.22 |
$691.22 |
$691.22 |
$2,062.20
|
|
Free/remove chest lining 32320
|
$1,000.92 |
$1,000.92 |
$1,000.92 |
$3,890.40
|
|
Frenectomy 41115
|
$98.04 |
$98.04 |
$98.04 |
$1,939.47
|
|
Frenotomy 40806
|
$20.33 |
$20.33 |
$20.33 |
$620.00
|
|
Frenulotomy of penis
|
$130.53 |
$130.53 |
$130.53 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$15.25 |
$15.25 |
$15.25 |
$153.02
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$15.25 |
$15.25 |
$15.25 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$43.51 |
$43.51 |
$43.51 |
$131.25
|
|
Fructosamine glycated protein
|
$2.55 |
$2.55 |
$2.55 |
$60.75
|
|
Fth/gft fr n/e/e/l each addl
|
$87.21 |
$87.21 |
$87.21 |
$1,368.50
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$565.82 |
$565.82 |
$565.82 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$406.79 |
$406.79 |
$406.79 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$44.08 |
$44.08 |
$44.08 |
$1,021.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$532.57 |
$532.57 |
$532.57 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$9.69 |
$9.69 |
$9.69 |
$178.20
|
|
Furosemide 10 mg/ml injection solution
|
$8.39 |
$8.39 |
$8.39 |
$19.53
|
|
Fuse/graft added joint
|
$144.78 |
$144.78 |
$144.78 |
$1,011.40
|
|
Fuse pancreas and bowel
|
$1,053.36 |
$1,053.36 |
$1,053.36 |
$1,663.20
|
