|
Fixation of shoulder blade
|
$675.40 |
$675.40 |
$675.40 |
$6,311.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$477.20 |
$477.20 |
$477.20 |
$4,350.00
|
|
Fl exam g/colon tube w contrast
|
$330.80 |
$330.80 |
$330.80 |
$532.80
|
|
Flexible Sigmoidoscopy
|
$292.40 |
$292.40 |
$292.40 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$485.00 |
$485.00 |
$485.00 |
$2,112.60
|
|
Flotufolastat f18 diag 1 mci
|
$361.20 |
$361.20 |
$361.20 |
$2,324.00
|
|
Flow cytometry interp 16 or more
|
$16.67 |
$16.67 |
$16.67 |
$204.00
|
|
Flow cytometry marker each additional
|
$11.00 |
$11.00 |
$11.00 |
$97.44
|
|
Flow cytometry one marker technical component
|
$79.35 |
$79.35 |
$79.35 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$22.25 |
$22.25 |
$22.25 |
$64.15
|
|
Fluidotherapy charges pt
|
$65.00 |
$65.00 |
$65.00 |
$93.60
|
|
Fluid pressure muscle 20950
|
$61.60 |
$61.60 |
$61.60 |
$790.40
|
|
Flulaval vacc, 3 yrs & >, im
|
$11.00 |
$11.00 |
$11.00 |
$17.60
|
|
Fluorescein angrph mltiframe
|
$21.00 |
$21.00 |
$21.00 |
$344.68
|
|
Fluorescent antibody titer dna
|
$123.00 |
$123.00 |
$123.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$245.40 |
$245.40 |
$245.40 |
$496.03
|
|
Fluoroguide needle placement
|
$353.40 |
$353.40 |
$353.40 |
$510.00
|
|
Fluoro polarize fetal lung
|
$66.20 |
$66.20 |
$66.20 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$370.80 |
$370.80 |
$370.80 |
$498.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$38.86 |
$38.86 |
$38.86 |
$106.20
|
|
Fluvirin vacc, 3 yrs & >, im
|
$11.00 |
$11.00 |
$11.00 |
$17.16
|
|
Fna bx w/ct gdn 1st les
|
$608.80 |
$608.80 |
$608.80 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$216.40 |
$216.40 |
$216.40 |
$834.90
|
|
Folic acid
|
$46.40 |
$46.40 |
$46.40 |
$101.00
|
|
Folic acid 5 mg/ml injection solution
|
$0.78 |
$0.78 |
$0.78 |
$49.34
|
|
Follow-up angiography
|
$68.40 |
$68.40 |
$68.40 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$19.80 |
$19.80 |
$19.80 |
$170.95
|
|
Foot arch support remov prem
|
$44.80 |
$44.80 |
$44.80 |
$120.74
|
|
Foot plas heel stabi pre ots
|
$30.00 |
$30.00 |
$30.00 |
$76.32
|
|
Foot X-ray
|
$282.00 |
$282.00 |
$282.00 |
$360.00
|
|
Forearm/arm cuffs ext/flex a
|
$662.60 |
$662.60 |
$662.60 |
$669.13
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$79.20 |
$79.20 |
$79.20 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$437.70 |
$437.70 |
$437.70 |
$482.62
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$158.65 |
$158.65 |
$158.65 |
$104.97
|
|
Fracture assessment via dxa
|
$81.40 |
$81.40 |
$81.40 |
$175.50
|
|
Fragmenting of kidney stone
|
$395.40 |
$395.40 |
$395.40 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$727.60 |
$727.60 |
$727.60 |
$2,062.20
|
|
Free/remove chest lining 32320
|
$1,053.60 |
$1,053.60 |
$1,053.60 |
$3,890.40
|
|
Frenectomy 41115
|
$443.40 |
$443.40 |
$443.40 |
$1,931.00
|
|
Frenotomy 40806
|
$152.40 |
$152.40 |
$152.40 |
$729.70
|
|
Frenulotomy of penis
|
$137.40 |
$137.40 |
$137.40 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$15.80 |
$15.80 |
$15.80 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$19.00 |
$19.00 |
$19.00 |
$162.75
|
|
Fresh frozen plasma thawing ea un
|
$213.40 |
$213.40 |
$213.40 |
$129.00
|
|
Fructosamine glycated protein
|
$2.68 |
$2.68 |
$2.68 |
$61.20
|
|
Fth/gft fr n/e/e/l each addl
|
$91.80 |
$91.80 |
$91.80 |
$1,368.50
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$710.60 |
$710.60 |
$710.60 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$428.20 |
$428.20 |
$428.20 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$46.40 |
$46.40 |
$46.40 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$843.00 |
$843.00 |
$843.00 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$77.20 |
$77.20 |
$77.20 |
$186.00
|
|
Furosemide 10 mg/ml injection solution
|
$8.00 |
$8.00 |
$8.00 |
$19.53
|
|
Fuse/graft added joint
|
$152.40 |
$152.40 |
$152.40 |
$1,011.40
|
|
Fuse pancreas and bowel
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$1,663.20
|
|
Fusion/graft of finger joint
|
$545.20 |
$545.20 |
$545.20 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$607.60 |
$607.60 |
$607.60 |
$5,886.74
|
|
Fusion of ankle joint open
|
$698.20 |
$698.20 |
$698.20 |
$10,629.07
|
|
Fusion of big toe joint
|
$404.20 |
$404.20 |
$404.20 |
$5,488.00
|
|
Fusion of big toe joint
|
$239.00 |
$239.00 |
$239.00 |
$6,839.00
|
|
Fusion of finger jnt add-on
|
$68.40 |
$68.40 |
$68.40 |
$192.40
|
|
Fusion of finger joint
|
$439.80 |
$439.80 |
$439.80 |
$4,350.00
|
|
Fusion of finger tendons
|
$472.20 |
$472.20 |
$472.20 |
$3,839.54
|
|
Fusion of finger tendons
|
$465.00 |
$465.00 |
$465.00 |
$1,893.86
|
|
Fusion of foot bones
|
$508.20 |
$508.20 |
$508.20 |
$6,411.60
|
|
Fusion of foot bones
|
$543.80 |
$543.80 |
$543.80 |
$14,061.89
|
|
Fusion of foot bones
|
$432.00 |
$432.00 |
$432.00 |
$4,881.00
|
|
Fusion of knee
|
$1,015.80 |
$1,015.80 |
$1,015.80 |
$5,486.00
|
|
Fusion of knuckle
|
$522.60 |
$522.60 |
$522.60 |
$5,886.74
|
|
Fusion of knuckle joint
|
$529.00 |
$529.00 |
$529.00 |
$3,786.00
|
|
Fusion of knuckle with graft
|
$591.80 |
$591.80 |
$591.80 |
$5,886.74
|
|
Fusion of tendons at wrist
|
$488.20 |
$488.20 |
$488.20 |
$3,545.97
|
|
Fusion of tendons at wrist
|
$455.80 |
$455.80 |
$455.80 |
$3,821.05
|
|
Fusion of thumb
|
$549.60 |
$549.60 |
$549.60 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$482.40 |
$482.40 |
$482.40 |
$8,299.09
|
|
Fusion of toes
|
$352.60 |
$352.60 |
$352.60 |
$3,839.54
|
|
Fusion of ureter & kidney
|
$818.80 |
$818.80 |
$818.80 |
$4,503.00
|
|
G0180 home health certification
|
$27.60 |
$27.60 |
$27.60 |
$116.00
|
|
G6pd full gene sequence
|
$180.00 |
$180.00 |
$180.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$34.96 |
$34.96 |
$34.96 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$169.00 |
$169.00 |
$169.00 |
$118.56
|
|
Gabapentin non-blood
|
$3.20 |
$3.20 |
$3.20 |
$37.24
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.42 |
$0.42 |
$0.42 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$0.46 |
$0.46 |
$0.46 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1.48 |
$1.48 |
$1.48 |
$249.80
|
|
Galectin-3
|
$8.85 |
$8.85 |
$8.85 |
$111.60
|
|
Gallbladder Removal (Laparoscopic)
|
$446.20 |
$446.20 |
$446.20 |
$12,679.67
|
|
Gammaglobulin iga
|
$10.60 |
$10.60 |
$10.60 |
$69.03
|
|
Gammaglobulin ige
|
$3.00 |
$3.00 |
$3.00 |
$84.80
|
|
Gamma glutamyltransferase
|
$36.00 |
$36.00 |
$36.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$3,523.88 |
$3,523.88 |
$3,523.88 |
$7,435.88
|
|
Gastric emptying imag study
|
$35.60 |
$35.60 |
$35.60 |
$1,364.00
|
|
Gastroduodenostomy
|
$678.80 |
$678.80 |
$678.80 |
$2,265.07
|
|
Gastroesophageal reflux study
|
$25.40 |
$25.40 |
$25.40 |
$1,058.29
|
|
Gastroesophageal reflux test
|
$24.00 |
$24.00 |
$24.00 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$897.80 |
$897.80 |
$897.80 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$874.60 |
$874.60 |
$874.60 |
$2,919.94
|
|
Gated heart multiple
|
$510.00 |
$510.00 |
$510.00 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$1.60 |
$1.60 |
$1.60 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$1.40 |
$1.40 |
$1.40 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$2.60 |
$2.60 |
$2.60 |
$7.08
|
