|
F-18 fdg pet diag
|
$255.00 |
$255.00 |
$768.88 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,928.72 |
$5,928.72 |
$5,928.72 |
$5,145.00
|
|
F-18 fluciclovine per mci
|
$177.45 |
$177.45 |
$9,619.08 |
$1,042.30
|
|
F-18 sodium fluoride
|
$3,170.16 |
$3,170.16 |
$3,170.16 |
$492.56
|
|
F9 full gene sequence
|
$1,372.00 |
$1,372.00 |
$1,372.00 |
$1,200.00
|
|
Fabrication & fitting
|
$369.04 |
$369.04 |
$369.04 |
$182.27
|
|
Face bone graft
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,700.98
|
|
Facial bones <3
|
$156.15 |
$156.15 |
$476.00 |
$252.60
|
|
Facial nerve function test
|
$851.20 |
$851.20 |
$851.20 |
$368.50
|
|
Facility svs dental rehab
|
$4,838.40 |
$4,838.40 |
$4,838.40 |
$4,558.89
|
|
Factor ix
|
$341.60 |
$341.60 |
$341.60 |
$154.50
|
|
Factor ix alprolix recomb
|
$11.69 |
$11.69 |
$11.69 |
$9.46
|
|
Factor ix complex
|
$6.36 |
$6.36 |
$6.36 |
$5.91
|
|
Factor ix idelvion inj
|
$15.46 |
$15.46 |
$15.46 |
$14.35
|
|
Factor ix non-recombinant
|
$6.89 |
$6.89 |
$6.89 |
$4.63
|
|
Factor ix recomb gly rebinyn
|
$14.39 |
$14.39 |
$14.39 |
$13.36
|
|
Factor ix recombinan rixubis
|
$7.03 |
$7.03 |
$7.03 |
$7.03
|
|
Factor viia recomb sevenfact
|
$9.08 |
$9.08 |
$9.08 |
$8.43
|
|
Factor viii
|
$27.00 |
$27.00 |
$91.84 |
$144.82
|
|
Factor viii
|
$6.57 |
$6.57 |
$6.57 |
$4.85
|
|
Factor viii fc fusion recomb
|
$8.92 |
$8.92 |
$8.92 |
$8.28
|
|
Factor viii nuwiq recomb 1iu
|
$7.26 |
$7.26 |
$7.26 |
$5.20
|
|
Factor viii pegylated recomb
|
$8.67 |
$8.67 |
$8.67 |
$8.05
|
|
Factor viii recombinant nos
|
$7.41 |
$7.41 |
$7.41 |
$5.40
|
|
Factor viii recomb novoeight
|
$7.96 |
$7.96 |
$7.96 |
$7.39
|
|
Factor viii recomb obizur
|
$9.54 |
$9.54 |
$9.54 |
$8.11
|
|
Factor xiii anti-hem factor
|
$32.00 |
$32.00 |
$32.00 |
$23.98
|
|
Factor xiii recomb a-subunit
|
$46.05 |
$46.05 |
$46.05 |
$46.05
|
|
Fallopian tube recnl
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$3,624.75
|
|
Fam adapt bhv tx gdn phy/qhp
|
$89.04 |
$89.04 |
$89.04 |
$66.40
|
|
Family therapy without pt 50min 90846
|
$97.95 |
$97.95 |
$476.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$189.30 |
$189.30 |
$593.60 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$17.50 |
$17.50 |
$29.99 |
$22.23
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,427.44 |
$1,427.44 |
$5,417.88 |
$5,894.50
|
|
Fancc gene
|
$5.49 |
$5.49 |
$133.84 |
$140.00
|
|
Fat/lipids feces qualitative
|
$9.52 |
$9.52 |
$9.52 |
$36.00
|
|
Fatty acids nonesterified
|
$4.50 |
$4.50 |
$50.96 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$198.80 |
$198.80 |
$198.80 |
$933.57
|
|
Fecal bilirubin test
|
$45.92 |
$45.92 |
$45.92 |
$12.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$14,956.68 |
$14,956.68 |
$14,956.68 |
$14,956.68
|
|
Fecal microbiota prep instil
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$1,059.00
|
|
#fecal-sodium
|
$42.56 |
$42.56 |
$42.56 |
$37.50
|
|
Feeding tube reposition
|
$387.45 |
$387.45 |
$1,484.00 |
$520.00
|
|
Fees w/laryngeal sense i&r
|
$174.72 |
$174.72 |
$174.72 |
$174.72
|
|
Fees w/laryngeal sense test
|
$515.20 |
$515.20 |
$515.20 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$2.27 |
$2.27 |
$43.68 |
$61.00
|
|
Fem focal defic constant fri
|
$5,703.60 |
$5,703.60 |
$5,703.60 |
$5,703.60
|
|
Femoral lgth sock fx or equa
|
$81.20 |
$81.20 |
$81.20 |
$126.42
|
|
Feno poc
|
$280.00 |
$280.00 |
$280.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$10.95 |
$10.95 |
$173.43 |
$101.40
|
|
Fern test
|
$89.04 |
$89.04 |
$89.04 |
$37.50
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,242.50 |
$1,242.50 |
$2,704.36 |
$2,590.25
|
|
Ferritin
|
$56.25 |
$56.25 |
$127.68 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,088.31 |
$2,088.31 |
$2,088.31 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$0.56 |
$0.56 |
$0.56 |
$0.50
|
|
Fetal aneuploidy trisom risk
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$393.60 |
$393.60 |
$1,030.40 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$41.25 |
$41.25 |
$1,736.00 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$67.50 |
$67.50 |
$1,736.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$305.25 |
$305.25 |
$1,204.00 |
$475.50
|
|
Fetal cord puncture prenatal
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$648.90
|
|
Fetal fibronectin
|
$367.95 |
$367.95 |
$812.00 |
$387.60
|
|
Fetal fluid drainage w/us
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$0.94 |
$0.94 |
$94.08 |
$104.00
|
|
Fetal hemoglobin rosette
|
$31.20 |
$31.20 |
$67.20 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$240.24 |
$240.24 |
$240.24 |
$67.00
|
|
Fetal non stress test
|
$345.60 |
$345.60 |
$498.40 |
$478.50
|
|
Fetal scalp blood sampling 59030
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$419.01
|
|
Fetal shunt placement w/us
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$80.08 |
$80.08 |
$92.85 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$77.25 |
$77.25 |
$199.92 |
$120.05
|
|
Fibrin degradation products
|
$30.00 |
$30.00 |
$57.12 |
$74.25
|
|
Fibrin degrade semiquant
|
$425.60 |
$425.60 |
$425.60 |
$78.80
|
|
Fibrin degradj d-dimer
|
$124.32 |
$124.32 |
$124.32 |
$111.50
|
|
Fibrinogen activity
|
$51.60 |
$51.60 |
$174.72 |
$85.86
|
|
Fibrinogen test
|
$137.76 |
$137.76 |
$137.76 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$6.00 |
$6.00 |
$118.72 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$1.03 |
$1.03 |
$72.80 |
$72.80
|
|
Fibrinolytic plasmin
|
$90.72 |
$90.72 |
$90.72 |
$20.00
|
|
Fibrinolytic plasminogen
|
$45.92 |
$45.92 |
$45.92 |
$105.60
|
|
Fibrinolytic plasminogen
|
$103.60 |
$103.60 |
$103.60 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$0.87 |
$0.87 |
$64.96 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$394.99 |
$394.99 |
$615.02 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$931.31 |
$931.31 |
$931.31 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$501.76 |
$501.76 |
$769.79 |
$891.02
|
|
Filleted finger/toe flap
|
$8,932.00 |
$8,932.00 |
$8,932.00 |
$2,431.38
|
|
Filtered speech hearing test
|
$112.56 |
$112.56 |
$112.56 |
$99.32
|
|
Filters elec/combo vad, rep
|
$36.40 |
$36.40 |
$36.40 |
$36.40
|
|
Filter spider fx 3mmx320cm
|
$1,959.00 |
$1,959.00 |
$48,300.00 |
$7,188.75
|
|
Filter vena cava fem denali
|
$1,556.70 |
$1,556.70 |
$48,300.00 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$405.15 |
$405.15 |
$1,993.60 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,920.80 |
$1,920.80 |
$1,920.80 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$901.60 |
$901.60 |
$901.60 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$457.65 |
$457.65 |
$1,596.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$258.45 |
$258.45 |
$1,612.80 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$4,584.72 |
$4,584.72 |
$4,584.72 |
$4,584.72
|
|
Finger tendon transfer
|
$6,423.20 |
$6,423.20 |
$6,423.20 |
$3,839.54
|
|
Finger tendon transfer
|
$9,564.80 |
$9,564.80 |
$9,564.80 |
$3,839.54
|
|
Fit aphakia spectcl monofocl
|
$256.48 |
$256.48 |
$256.48 |
$90.40
|
|
Fit aphakia spectcl multifoc
|
$256.48 |
$256.48 |
$256.48 |
$104.80
|
