|
Fluzone vacc, 3 yrs & >, im
|
$46.80 |
$46.80 |
$46.80 |
$43.20
|
|
Fmri brain by phys/psych
|
$2,015.65 |
$2,015.65 |
$2,015.65 |
$1,639.00
|
|
Fmri brain by tech
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$1,558.05
|
|
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
|
$1,195.35 |
$1,195.35 |
$1,195.35 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$2,629.90 |
$2,629.90 |
$2,629.90 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$48.75 |
$48.75 |
$48.75 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$55.90 |
$55.90 |
$55.90 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$25.35 |
$25.35 |
$25.35 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$31.20 |
$31.20 |
$31.20 |
$21.74
|
|
Foam/fabric leg strap
|
$9.10 |
$9.10 |
$9.10 |
$14.96
|
|
Folic acid
|
$102.05 |
$102.05 |
$102.05 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$14.96 |
$14.96 |
$14.96 |
$45.00
|
|
Follow-up angiography
|
$18,075.20 |
$18,075.20 |
$18,075.20 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$128.70 |
$128.70 |
$128.70 |
$170.95
|
|
Follow-up surgery of eye
|
$1,846.00 |
$1,846.00 |
$1,846.00 |
$3,572.40
|
|
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
|
|
Fo nontorsion joint cf
|
$172.90 |
$172.90 |
$172.90 |
$217.50
|
|
Foot longitud/metatarsal sup
|
$352.95 |
$352.95 |
$352.95 |
$221.20
|
|
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 |
$5.85 |
$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
|
$250.90 |
$250.90 |
$250.90 |
$160.89
|
|
Fracture assessment via dxa
|
$542.75 |
$542.75 |
$542.75 |
$175.50
|
|
Fragmenting of kidney stone
|
$2,540.20 |
$2,540.20 |
$2,540.20 |
$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 jejunum flap microvasc
|
$3,404.70 |
$3,404.70 |
$3,404.70 |
$3,404.70
|
|
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
|
|
Frenectomy 41115
|
$465.40 |
$465.40 |
$465.40 |
$1,939.47
|
|
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
|
$117.00 |
$117.00 |
$117.00 |
$131.25
|
|
Fr frz plasma donor retested
|
$130.00 |
$130.00 |
$130.00 |
$130.00
|
|
Fructosamine glycated protein
|
$202.80 |
$202.80 |
$202.80 |
$63.50
|
|
Ft arch suprt premold longit
|
$41.60 |
$41.60 |
$41.60 |
$94.69
|
|
Fth/gft fr n/e/e/l each addl
|
$579.80 |
$579.80 |
$579.80 |
$1,368.50
|
|
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 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
|
$7,794.80 |
$7,794.80 |
$7,794.80 |
$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 & intestine
|
$5,977.40 |
$5,977.40 |
$5,977.40 |
$1,956.50
|
|
Fuse esophagus & intestine
|
$6,299.80 |
$6,299.80 |
$6,299.80 |
$2,017.60
|
|
Fuse esophagus & stomach
|
$6,060.60 |
$6,060.60 |
$6,060.60 |
$3,421.60
|
|
Fuse gallbladder & bowel
|
$5,519.80 |
$5,519.80 |
$5,519.80 |
$3,220.80
|
|
Fuse/graft added joint
|
$1,011.40 |
$1,011.40 |
$1,011.40 |
$1,011.40
|
|
Fuse liver ducts & bowel
|
$13,569.40 |
$13,569.40 |
$13,569.40 |
$8,024.40
|
|
Fuse pancreas and bowel
|
$7,303.40 |
$7,303.40 |
$7,303.40 |
$1,663.20
|
|
Fuse pancreas cyst and bowel
|
$5,704.40 |
$5,704.40 |
$5,704.40 |
$3,209.60
|
|
Fuse pancreas cyst and bowel 48520
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$2,683.20
|
|
Fuse upper gi structures
|
$5,612.75 |
$5,612.75 |
$5,612.75 |
$3,321.60
|
|
Fusion/graft of finger joint
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$4,499.12
|
|
Fusion/graft of hand joint
|
$2,334.80 |
$2,334.80 |
$2,334.80 |
$6,588.00
|
|
Fusion of ankle joint open
|
$4,006.60 |
$4,006.60 |
$4,006.60 |
$9,791.00
|
|
Fusion of big toe joint
|
$2,228.20 |
$2,228.20 |
$2,228.20 |
$5,488.00
|
|
Fusion of big toe joint
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$7,811.00
|
|
Fusion of facial/other nerve
|
$4,375.80 |
$4,375.80 |
$4,375.80 |
$1,628.26
|
|
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
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$3,839.54
|
|
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
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$10,629.07
|
|
Fusion of foot bones
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$6,288.57
|
|
Fusion of hand joint
|
$2,022.80 |
$2,022.80 |
$2,022.80 |
$6,839.00
|
|
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
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$4,259.84
|
|
Fusion of knuckle with graft
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$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 spermatic ducts
|
$4,966.00 |
$4,966.00 |
$4,966.00 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$3,594.44
|
|
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 tibiofibular joint
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$9,791.00
|
|
Fusion of toes
|
$1,385.80 |
$1,385.80 |
$1,385.80 |
$3,839.54
|
|
Fusion of ureter & bowel
|
$5,878.60 |
$5,878.60 |
$5,878.60 |
$2,002.05
|
|
Fusion of ureter & kidney
|
$5,218.20 |
$5,218.20 |
$5,218.20 |
$4,503.00
|
|
Fusion of ureter & kidney
|
$5,517.20 |
$5,517.20 |
$5,517.20 |
$1,493.66
|
|
Fxn gene detc abnor alleles
|
$416.00 |
$416.00 |
$416.00 |
$200.88
|