|
Fixation of ankle joint
|
$173.40 |
$173.40 |
$173.40 |
$3,594.44
|
|
Fixation of knee joint
|
$165.30 |
$165.30 |
$165.30 |
$1,963.35
|
|
Fixation of shoulder blade
|
$1,013.10 |
$1,013.10 |
$1,013.10 |
$6,311.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$715.80 |
$715.80 |
$715.80 |
$4,350.00
|
|
Fl exam g/colon tube w contrast
|
$341.70 |
$341.70 |
$341.70 |
$532.80
|
|
Flexible Sigmoidoscopy
|
$202.20 |
$202.20 |
$202.20 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$181.20 |
$181.20 |
$181.20 |
$2,112.60
|
|
Flow cytometry marker each additional
|
$12.68 |
$12.68 |
$12.68 |
$97.44
|
|
Flow cytometry one marker technical component
|
$123.00 |
$123.00 |
$123.00 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$31.84 |
$31.84 |
$31.84 |
$64.15
|
|
Fluidotherapy charges pt
|
$24.00 |
$24.00 |
$24.00 |
$93.60
|
|
Fluid pressure muscle 20950
|
$92.40 |
$92.40 |
$92.40 |
$790.40
|
|
Flulaval vacc, 3 yrs & >, im
|
$16.50 |
$16.50 |
$16.50 |
$17.60
|
|
Fluorescein angrph mltiframe
|
$31.50 |
$31.50 |
$31.50 |
$344.68
|
|
Fluorescent antibody titer dna
|
$67.50 |
$67.50 |
$67.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$257.40 |
$257.40 |
$257.40 |
$496.03
|
|
Fluoroguide needle placement
|
$304.20 |
$304.20 |
$304.20 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$362.40 |
$362.40 |
$362.40 |
$498.00
|
|
Fluvirin vacc, 3 yrs & >, im
|
$16.50 |
$16.50 |
$16.50 |
$17.16
|
|
Fna bx w/ct gdn 1st les
|
$109.20 |
$109.20 |
$109.20 |
$1,462.20
|
|
Folic acid
|
$93.90 |
$93.90 |
$93.90 |
$101.00
|
|
Folic acid 5 mg/ml injection solution
|
$1.50 |
$1.50 |
$1.50 |
$49.34
|
|
Follow-up angiography
|
$102.60 |
$102.60 |
$102.60 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$29.70 |
$29.70 |
$29.70 |
$170.95
|
|
Fondaparinux sodium
|
$121.17 |
$121.17 |
$121.17 |
$186.20
|
|
Foot arch support remov prem
|
$67.20 |
$67.20 |
$67.20 |
$120.74
|
|
Foot plas heel stabi pre ots
|
$45.00 |
$45.00 |
$45.00 |
$76.32
|
|
Foot X-ray
|
$374.10 |
$374.10 |
$374.10 |
$360.00
|
|
Forearm/arm cuffs ext/flex a
|
$993.90 |
$993.90 |
$993.90 |
$669.13
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$57.90 |
$57.90 |
$57.90 |
$534.00
|
|
Fracture assessment via dxa
|
$78.30 |
$78.30 |
$78.30 |
$175.50
|
|
Fragmenting of kidney stone
|
$593.10 |
$593.10 |
$593.10 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$1,091.40 |
$1,091.40 |
$1,091.40 |
$2,062.20
|
|
Free/remove chest lining 32320
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$3,890.40
|
|
Frenectomy 41115
|
$277.20 |
$277.20 |
$277.20 |
$1,931.00
|
|
Frenotomy 40806
|
$110.10 |
$110.10 |
$110.10 |
$729.70
|
|
Frenulotomy of penis
|
$206.10 |
$206.10 |
$206.10 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$25.93 |
$25.93 |
$25.93 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$25.93 |
$25.93 |
$25.93 |
$162.75
|
|
Fresh frozen plasma thawing ea un
|
$143.10 |
$143.10 |
$143.10 |
$129.00
|
|
Fructosamine glycated protein
|
$4.02 |
$4.02 |
$4.02 |
$61.20
|
|
Fth/gft fr n/e/e/l each addl
|
$137.70 |
$137.70 |
$137.70 |
$1,368.50
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,065.90 |
$1,065.90 |
$1,065.90 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$642.30 |
$642.30 |
$642.30 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$69.60 |
$69.60 |
$69.60 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$988.50 |
$988.50 |
$988.50 |
$2,706.60
|
|
Fundus photography with i&r 92250
|
$51.90 |
$51.90 |
$51.90 |
$186.00
|
|
Furosemide 10 mg/ml injection solution
|
$14.05 |
$14.05 |
$14.05 |
$19.53
|
|
Fuse/graft added joint
|
$228.60 |
$228.60 |
$228.60 |
$1,011.40
|
|
Fuse pancreas and bowel
|
$1,663.20 |
$1,663.20 |
$1,663.20 |
$1,663.20
|
|
Fusion/graft of finger joint
|
$817.80 |
$817.80 |
$817.80 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$911.40 |
$911.40 |
$911.40 |
$5,886.74
|
|
Fusion of ankle joint open
|
$1,047.30 |
$1,047.30 |
$1,047.30 |
$10,629.07
|
|
Fusion of big toe joint
|
$606.30 |
$606.30 |
$606.30 |
$5,488.00
|
|
Fusion of big toe joint
|
$358.50 |
$358.50 |
$358.50 |
$6,839.00
|
|
Fusion of finger jnt add-on
|
$102.60 |
$102.60 |
$102.60 |
$192.40
|
|
Fusion of finger joint
|
$659.70 |
$659.70 |
$659.70 |
$4,350.00
|
|
Fusion of finger tendons
|
$708.30 |
$708.30 |
$708.30 |
$3,839.54
|
|
Fusion of finger tendons
|
$697.50 |
$697.50 |
$697.50 |
$1,893.86
|
|
Fusion of foot bones
|
$762.30 |
$762.30 |
$762.30 |
$6,411.60
|
|
Fusion of foot bones
|
$815.70 |
$815.70 |
$815.70 |
$14,061.89
|
|
Fusion of foot bones
|
$648.00 |
$648.00 |
$648.00 |
$4,881.00
|
|
Fusion of knee
|
$1,523.70 |
$1,523.70 |
$1,523.70 |
$5,486.00
|
|
Fusion of knuckle
|
$783.90 |
$783.90 |
$783.90 |
$5,886.74
|
|
Fusion of knuckle joint
|
$793.50 |
$793.50 |
$793.50 |
$3,786.00
|
|
Fusion of knuckle with graft
|
$887.70 |
$887.70 |
$887.70 |
$5,886.74
|
|
Fusion of tendons at wrist
|
$732.30 |
$732.30 |
$732.30 |
$3,545.97
|
|
Fusion of tendons at wrist
|
$683.70 |
$683.70 |
$683.70 |
$3,821.05
|
|
Fusion of thumb
|
$824.40 |
$824.40 |
$824.40 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$723.60 |
$723.60 |
$723.60 |
$8,299.09
|
|
Fusion of toes
|
$528.90 |
$528.90 |
$528.90 |
$3,839.54
|
|
Fusion of ureter & kidney
|
$1,228.20 |
$1,228.20 |
$1,228.20 |
$4,503.00
|
|
G0180 home health certification
|
$40.80 |
$40.80 |
$40.80 |
$116.00
|
|
G6pd full gene sequence
|
$270.00 |
$270.00 |
$270.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$52.44 |
$52.44 |
$52.44 |
$243.00
|
|
Gabapentin non-blood
|
$4.80 |
$4.80 |
$4.80 |
$37.24
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$0.39 |
$0.39 |
$0.39 |
$121.12
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$1.05 |
$1.05 |
$1.05 |
$249.80
|
|
Gallbladder Removal (Laparoscopic)
|
$669.30 |
$669.30 |
$669.30 |
$12,679.67
|
|
Gammaglobulin iga
|
$36.00 |
$36.00 |
$36.00 |
$69.03
|
|
Gammaglobulin ige
|
$4.50 |
$4.50 |
$4.50 |
$84.80
|
|
Gamma glutamyltransferase
|
$65.40 |
$65.40 |
$65.40 |
$57.54
|
|
Gastric emptying imag study
|
$53.40 |
$53.40 |
$53.40 |
$1,364.00
|
|
Gastroduodenostomy
|
$1,018.20 |
$1,018.20 |
$1,018.20 |
$2,265.07
|
|
Gastroesophageal reflux study
|
$38.10 |
$38.10 |
$38.10 |
$1,058.29
|
|
Gastroesophageal reflux test
|
$36.00 |
$36.00 |
$36.00 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$1,346.70 |
$1,346.70 |
$1,346.70 |
$2,376.00
|
|
Gastrojejunostomy w/vagotomy
|
$1,311.90 |
$1,311.90 |
$1,311.90 |
$2,919.94
|
|
Gated heart multiple
|
$80.70 |
$80.70 |
$80.70 |
$1,405.04
|
|
Gauze >16<=48 no w/sal without b
|
$2.40 |
$2.40 |
$2.40 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$2.10 |
$2.10 |
$2.10 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$3.90 |
$3.90 |
$3.90 |
$7.08
|
|
Gel-syn injection 0.1 mg
|
$329.10 |
$329.10 |
$329.10 |
$680.71
|
|
General health panel
|
$249.60 |
$249.60 |
$249.60 |
$275.00
|
|
Genetic tstg severe inh cond
|
$510.75 |
$510.75 |
$510.75 |
$3,978.65
|
|
Genome sequence analysis
|
$930.00 |
$930.00 |
$930.00 |
$5,534.32
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$1.59 |
$1.59 |
$1.59 |
$56.40
|
|
Gentamicin peak therapeutic drug level
|
$120.90 |
$120.90 |
$120.90 |
$125.67
|
|
G-esoph reflx tst w/electrod
|
$58.80 |
$58.80 |
$58.80 |
$1,466.88
|
|
Ghs abscess perianal iandd
|
$410.40 |
$410.40 |
$410.40 |
$1,459.00
|
