|
Fix g/colon tube w/device
|
$3,504.15 |
$3,504.15 |
$3,504.15 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$4,499.12
|
|
Flebogamma injection
|
$24.78 |
$24.78 |
$24.78 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$99.45 |
$99.45 |
$99.45 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$903.50 |
$903.50 |
$903.50 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$240.50 |
$240.50 |
$240.50 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,168.40
|
|
Florbetaben f18 diagnostic
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$4,950.00
|
|
Flotufolastat f18 diag 1 mci
|
$6,393.40 |
$6,393.40 |
$6,393.40 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$475.80 |
$475.80 |
$475.80 |
$200.00
|
|
Flow cytometry marker each additional
|
$397.15 |
$397.15 |
$397.15 |
$97.50
|
|
Flow cytometry one marker technical component
|
$562.25 |
$562.25 |
$562.25 |
$285.00
|
|
#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
|
$400.40 |
$400.40 |
$400.40 |
$366.29
|
|
Flt3 gene analysis
|
$349.05 |
$349.05 |
$349.05 |
$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 |
$424.14 |
$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
|
|
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
|
|
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
|
$809.25 |
$809.25 |
$809.25 |
$495.00
|
|
Fluoroguide needle placement
|
$681.20 |
$681.20 |
$681.20 |
$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 |
$11.05 |
$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
|
|
Fmri brain by phys/psych
|
$660.40 |
$660.40 |
$660.40 |
$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
|
|
Fna bx w/mr gdn 1st les
|
$783.90 |
$783.90 |
$783.90 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$393.25 |
$393.25 |
$393.25 |
$766.70
|
|
Folic acid
|
$72.15 |
$72.15 |
$72.15 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$14.96 |
$14.96 |
$14.96 |
$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
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,701.32 |
$2,701.32 |
$2,701.32 |
$2,511.73
|
|
Fondaparinux sodium
|
$626.98 |
$626.98 |
$626.98 |
$186.20
|
|
Foot X-ray
|
$505.05 |
$505.05 |
$505.05 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$494.00 |
$494.00 |
$494.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$494.00 |
$494.00 |
$494.00 |
$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
|
$3.90 |
$3.90 |
$3.90 |
$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
|
|
Fracture assessment via dxa
|
$494.00 |
$494.00 |
$494.00 |
$175.50
|
|
Fragmenting of kidney stone
|
$12,890.15 |
$12,890.15 |
$12,890.15 |
$10,312.25
|
|
Free fascial flap microvasc
|
$9,594.00 |
$9,594.00 |
$9,594.00 |
$9,594.00
|
|
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
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$196.95 |
$196.95 |
$196.95 |
$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
|
$117.00 |
$117.00 |
$117.00 |
$131.25
|
|
Fructosamine glycated protein
|
$202.80 |
$202.80 |
$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
|
|
Full mouth x-ray of teeth
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$685.10 |
$685.10 |
$685.10 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$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/scalp/arm/leg/add 20sqcm 15221
|
$309.40 |
$309.40 |
$309.40 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,798.50
|
|
Functional brain mapping
|
$891.80 |
$891.80 |
$891.80 |
$514.80
|
|
Furosemide 10 mg/ml injection solution
|
$4.89 |
$4.89 |
$4.89 |
$19.53
|
|
Fusion of big toe joint
|
$2,228.20 |
$2,228.20 |
$2,228.20 |
$5,488.00
|
|
Fusion of tendons at wrist
|
$2,233.40 |
$2,233.40 |
$2,233.40 |
$3,839.54
|
|
G0180 home health certification
|
$191.75 |
$191.75 |
$191.75 |
$116.00
|
|
Ga-68 gallium 68 dotatate
|
$100.10 |
$100.10 |
$100.10 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.94 |
$1.94 |
$1.94 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$20.80 |
$20.80 |
$20.80 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$13.18 |
$13.18 |
$13.18 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$70.20 |
$70.20 |
$70.20 |
$249.80
|
|
Galactose transferase test
|
$15.60 |
$15.60 |
$15.60 |
$31.35
|
|
Galectin-3
|
$65.65 |
$65.65 |
$65.65 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$13,208.00
|
|
Gallium ga-68 psma-11, ucla
|
$10,617.75 |
$10,617.75 |
$10,617.75 |
$187.20
|
|
Gallium ga-68 psma-11 ucsf
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$1,696.55
|
|
Galsulfase injection
|
$1,163.92 |
$1,163.92 |
$1,163.92 |
$4,037.51
|
|
Gamma globulin 1 cc inj
|
$121.72 |
$121.72 |
$121.72 |
$407.60
|
|
Gammaglobulin iga
|
$77.35 |
$77.35 |
$77.35 |
$69.60
|
|
Gammaglobulin ige
|
$72.15 |
$72.15 |
$72.15 |
$83.85
|
|
Gamma glutamyltransferase
|
$93.60 |
$93.60 |
$93.60 |
$57.54
|
|
Gamunex-c/gammaked
|
$253.50 |
$253.50 |
$253.50 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$227.60 |
$227.60 |
$227.60 |
$197.40
|
|
Gastric emptying imag study
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,364.00
|
|
Gastric emptying imag study
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,665.50
|
|
Gastric motility studies
|
$374.40 |
$374.40 |
$374.40 |
$972.00
|
|
Gastroesophageal reflux study
|
$176.80 |
$176.80 |
$176.80 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$252.20 |
$252.20 |
$252.20 |
$1,352.00
|
|
Gastrojejunostomy;w/o vagotomy 43820
|
$5,857.80 |
$5,857.80 |
$5,857.80 |
$2,376.00
|
|
Gated heart multiple
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,405.04
|
