|
Floweramniopatch, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
$269.00
|
|
#flow interp 9 - 15 markers
|
$343.20 |
$343.20 |
$343.20 |
$172.50
|
|
Floxuridine injection
|
$11,358.70 |
$11,358.70 |
$11,358.70 |
$5,871.79
|
|
Flt3 gene
|
$484.90 |
$484.90 |
$484.90 |
$366.29
|
|
Flt3 gene analysis
|
$358.15 |
$358.15 |
$358.15 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.53 |
$0.53 |
$0.53 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$424.14 |
$424.14 |
$2,247.00 |
$493.35
|
|
Fluidotherapy charges pt
|
$145.60 |
$145.60 |
$145.60 |
$101.40
|
|
Fluid pressure muscle 20950
|
$2,629.90 |
$2,629.90 |
$2,629.90 |
$779.45
|
|
Flulaval vacc, 3 yrs & >, im
|
$16.90 |
$16.90 |
$16.90 |
$17.60
|
|
Fluocinol acet intravit imp
|
$14,359.80 |
$14,359.80 |
$14,359.80 |
$14,359.80
|
|
Fluocinolone acetonide implt
|
$29,679.00 |
$29,679.00 |
$29,679.00 |
$30,686.32
|
|
Fluorescein angrph mltiframe
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$336.50
|
|
Fluorescein&icg angiography
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$596.00
|
|
Fluorescent antibody titer dna
|
$523.90 |
$523.90 |
$523.90 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,015.30 |
$1,015.30 |
$1,015.30 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$980.85 |
$980.85 |
$980.85 |
$495.00
|
|
Fluoroguide needle placement
|
$835.90 |
$835.90 |
$835.90 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$11.05 |
$11.05 |
$180.00 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$72.52 |
$72.52 |
$72.52 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$5,460.00 |
$5,460.00 |
$5,460.00 |
$5,265.00
|
|
Fluvirin vacc, 3 yrs & >, im
|
$15.60 |
$15.60 |
$15.60 |
$17.16
|
|
Fluzone vacc, 3 yrs & >, im
|
$46.80 |
$46.80 |
$46.80 |
$43.20
|
|
Fmri brain by phys/psych
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$1,639.00
|
|
Fna bx w/ct gdn 1st les
|
$2,629.90 |
$2,629.90 |
$2,629.90 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$429.00 |
$429.00 |
$429.00 |
$834.90
|
|
Foam drg >16<=48 sq in without b
|
$26.65 |
$26.65 |
$26.65 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$14.30 |
$14.30 |
$14.30 |
$16.25
|
|
Foam drg > 48 sq in w/border
|
$33.15 |
$33.15 |
$33.15 |
$23.63
|
|
Folic acid
|
$82.55 |
$82.55 |
$82.55 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$14.96 |
$14.96 |
$218.00 |
$45.00
|
|
Follow-up angiography
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$128.70 |
$128.70 |
$128.70 |
$170.95
|
|
Follow-up surgery of eye
|
$8,719.75 |
$8,719.75 |
$8,719.75 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,701.32 |
$2,701.32 |
$10,907.00 |
$2,511.73
|
|
Fondaparinux sodium
|
$626.98 |
$626.98 |
$626.98 |
$186.20
|
|
Fo nontorsion joint cf
|
$395.20 |
$395.20 |
$395.20 |
$217.50
|
|
Foot X-ray
|
$542.75 |
$542.75 |
$542.75 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$535.60 |
$535.60 |
$535.60 |
$290.40
|
|
Forearm X-ray (both sides)
|
$535.60 |
$535.60 |
$535.60 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$3,738.80 |
$3,738.80 |
$3,738.80 |
$4,872.75
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$909.35 |
$909.35 |
$909.35 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$5.85 |
$5.85 |
$2,837.46 |
$490.67
|
|
Foscarnet sodium injection
|
$4.49 |
$4.49 |
$4.49 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$47.31 |
$47.31 |
$47.31 |
$103.62
|
|
Fractionation ketosteroids
|
$148.00 |
$148.00 |
$250.90 |
$160.89
|
|
Fracture assessment via dxa
|
$494.00 |
$494.00 |
$619.00 |
$175.50
|
|
_fragile x methylation-sendout
|
$325.00 |
$325.00 |
$325.00 |
$183.74
|
|
Fragmenting of kidney stone
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$4,799.60 |
$4,799.60 |
$4,799.60 |
$2,062.20
|
|
Free myo/skin flap microvasc
|
$9,604.40 |
$9,604.40 |
$9,604.40 |
$7,906.00
|
|
Free/remove chest lining 32320
|
$7,085.00 |
$7,085.00 |
$7,085.00 |
$3,890.40
|
|
Free skin flap microvasc
|
$10,624.90 |
$10,624.90 |
$10,624.90 |
$10,624.90
|
|
Frenotomy 40806
|
$80.60 |
$80.60 |
$80.60 |
$679.80
|
|
Frenulotomy of penis
|
$733.20 |
$733.20 |
$733.20 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$786.50 |
$786.50 |
$786.50 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$212.55 |
$212.55 |
$212.55 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$41.00 |
$41.00 |
$117.00 |
$131.25
|
|
Fr frz plasma donor retested
|
$130.00 |
$130.00 |
$130.00 |
$130.00
|
|
Frozen blood thaw
|
$1,624.00 |
$1,624.00 |
$1,624.00 |
$212.30
|
|
Fructosamine glycated protein
|
$23.00 |
$23.00 |
$202.80 |
$63.50
|
|
Fth/gft fr trnk each addl
|
$377.65 |
$377.65 |
$377.65 |
$1,368.50
|
|
Ftl cgen abnor four anal
|
$248.95 |
$248.95 |
$248.95 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$42.90 |
$42.90 |
$42.90 |
$109.00
|
|
Full field erg w/i&r
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$393.12
|
|
Full mouth x-ray of teeth
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$593.00 |
$593.00 |
$685.10 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,026.40 |
$3,026.40 |
$3,026.40 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,499.37
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$2,798.50
|
|
Functional brain mapping
|
$6,903.00 |
$6,903.00 |
$6,903.00 |
$514.80
|
|
Fundus photography with i&r 92250
|
$481.65 |
$481.65 |
$481.65 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$4.89 |
$4.89 |
$4.89 |
$19.53
|
|
Fuse bile ducts and bowel 47785
|
$14,609.40 |
$14,609.40 |
$14,609.40 |
$7,967.20
|
|
Fuse esophagus & stomach
|
$6,060.60 |
$6,060.60 |
$6,060.60 |
$3,421.60
|
|
Fuse gallbladder & bowel
|
$6,294.60 |
$6,294.60 |
$6,294.60 |
$2,091.91
|
|
Fuse pancreas cyst and bowel 48520
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$2,683.20
|
|
Fusion/graft of finger joint
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$4,499.12
|
|
Fusion of big toe joint
|
$2,228.20 |
$2,228.20 |
$2,228.20 |
$5,488.00
|
|
Fusion of finger jnt add-on
|
$452.40 |
$452.40 |
$452.40 |
$192.40
|
|
Fusion of finger joint
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$4,499.12
|
|
Fusion of finger tendons
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$1,893.86
|
|
Fusion of foot bones
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$8,260.30
|
|
Fusion of foot bones
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$6,288.57
|
|
Fusion of knee
|
$5,486.00 |
$5,486.00 |
$5,486.00 |
$5,486.00
|
|
Fusion of knuckle
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$7,907.11
|
|
Fusion of knuckle joint
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,839.54
|
|
Fusion of knuckle joints
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$7,907.11
|
|
Fusion of skull arteries
|
$9,939.80 |
$9,939.80 |
$9,939.80 |
$9,939.80
|
|
Fusion of spermatic ducts
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$3,498.74
|
|
Fusion of tendons at wrist
|
$2,233.40 |
$2,233.40 |
$2,233.40 |
$3,839.54
|
|
Fusion of thumb
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$5,886.74
|
|
Fusion of ureter & kidney
|
$5,218.20 |
$5,218.20 |
$5,218.20 |
$4,503.00
|
|
Fxn gene detc abnor alleles
|
$416.00 |
$416.00 |
$416.00 |
$200.88
|
|
G0180 home health certification
|
$191.75 |
$191.75 |
$191.75 |
$116.00
|
|
G6pc gene
|
$104.65 |
$104.65 |
$104.65 |
$138.40
|
|
Ga-67 gallium 0.1 mci
|
$99.00 |
$99.00 |
$1,877.85 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$100.10 |
$100.10 |
$100.10 |
$140.35
|
|
Gabapentin non-blood
|
$26.00 |
$26.00 |
$26.00 |
$42.35
|
