|
Fda ide #g240020 carry bag
|
$676.56 |
$676.56 |
$676.56 |
$903.05
|
|
#fecal-sodium
|
$52.65 |
$52.65 |
$52.65 |
$37.53
|
|
Feeding tube reposition
|
$684.45 |
$684.45 |
$684.45 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$48.75 |
$48.75 |
$48.75 |
$66.43
|
|
Fem/popl revasc w/stent
|
$12,656.28 |
$12,656.28 |
$12,656.28 |
$16,129.60
|
|
Ferritin
|
$212.16 |
$212.16 |
$212.16 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$525.33 |
$525.33 |
$525.33 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,234.74 |
$1,234.74 |
$1,234.74 |
$879.51
|
|
Fetal contract stress test 59020 - 26
|
$1,031.94 |
$1,031.94 |
$1,031.94 |
$477.50
|
|
Fetal cord puncture prenatal
|
$626.34 |
$626.34 |
$626.34 |
$751.20
|
|
Fetal fibronectin
|
$542.88 |
$542.88 |
$542.88 |
$389.95
|
|
Fetal fluid drainage w/us
|
$626.34 |
$626.34 |
$626.34 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$124.02 |
$124.02 |
$124.02 |
$102.00
|
|
Fetal hemoglobin rosette
|
$86.58 |
$86.58 |
$86.58 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$51.09 |
$51.09 |
$51.09 |
$67.00
|
|
Fetal non stress test
|
$1,412.19 |
$1,412.19 |
$1,412.19 |
$478.50
|
|
Fetal shunt placement w/us
|
$626.34 |
$626.34 |
$626.34 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$141.96 |
$141.96 |
$141.96 |
$120.64
|
|
Fibrin degradation products
|
$90.48 |
$90.48 |
$90.48 |
$75.02
|
|
Fibrin degrade semiquant
|
$203.58 |
$203.58 |
$203.58 |
$84.50
|
|
Fibrin degradj d-dimer
|
$184.47 |
$184.47 |
$184.47 |
$111.30
|
|
Fibrinogen activity
|
$116.22 |
$116.22 |
$116.22 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$253.34 |
$253.34 |
$253.34 |
$61.00
|
|
Fibrinolytic plasminogen
|
$138.06 |
$138.06 |
$138.06 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$194.22 |
$194.22 |
$194.22 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$6,878.20 |
$6,878.20 |
$6,878.20 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,981.07 |
$4,981.07 |
$4,981.07 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$612.30 |
$612.30 |
$612.30 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$612.30 |
$612.30 |
$612.30 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$993.72 |
$993.72 |
$993.72 |
$504.45
|
|
Finger X-ray (both hands)
|
$182.13 |
$182.13 |
$182.13 |
$241.50
|
|
Fitg c-lens keratoconus 1st
|
$124.80 |
$124.80 |
$124.80 |
$127.00
|
|
Fix g/colon tube w/device
|
$1,719.90 |
$1,719.90 |
$1,719.90 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$2,416.05 |
$2,416.05 |
$2,416.05 |
$540.80
|
|
Floor of mouth biopsy 41108
|
$2,040.09 |
$2,040.09 |
$2,040.09 |
$2,168.40
|
|
Flortaucipir inj 1 millicuri
|
$590.46 |
$590.46 |
$590.46 |
$3,710.00
|
|
Flotufolastat f18 diag 1 mci
|
$863.07 |
$863.07 |
$863.07 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$91.26 |
$91.26 |
$91.26 |
$97.50
|
|
Flow cytometry one marker technical component
|
$120.51 |
$120.51 |
$120.51 |
$285.00
|
|
Flt3 gene
|
$501.15 |
$501.15 |
$501.15 |
$366.29
|
|
Flt3 gene analysis
|
$267.15 |
$267.15 |
$267.15 |
$216.00
|
|
Fluidotherapy charges pt
|
$84.63 |
$84.63 |
$84.63 |
$101.40
|
|
Fluorescein angrph mltiframe
|
$194.22 |
$194.22 |
$194.22 |
$336.50
|
|
Fluorescein&icg angiography
|
$882.18 |
$882.18 |
$882.18 |
$596.00
|
|
Fluorescent antibody titer dna
|
$116.61 |
$116.61 |
$116.61 |
$123.65
|
|
Fluoroestradiol f 18
|
$996.06 |
$996.06 |
$996.06 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$507.00 |
$507.00 |
$507.00 |
$495.00
|
|
Fluoroguide needle placement
|
$647.01 |
$647.01 |
$647.01 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$489.84 |
$489.84 |
$489.84 |
$503.80
|
|
Fmri brain by phys/psych
|
$414.18 |
$414.18 |
$414.18 |
$1,639.00
|
|
Fmri brain by tech
|
$1,703.91 |
$1,703.91 |
$1,703.91 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$612.30 |
$612.30 |
$612.30 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$1,834.56 |
$1,834.56 |
$1,834.56 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$612.30 |
$612.30 |
$612.30 |
$766.70
|
|
Foam drsg <=16 sq in without bdr
|
$119.48 |
$119.48 |
$119.48 |
$21.74
|
|
Folic acid
|
$260.91 |
$260.91 |
$260.91 |
$101.50
|
|
Follow-up angiography
|
$2,542.41 |
$2,542.41 |
$2,542.41 |
$1,983.00
|
|
Fo nontorsion joint cf
|
$213.69 |
$213.69 |
$213.69 |
$217.50
|
|
Foot X-ray
|
$261.30 |
$261.30 |
$261.30 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$185.64 |
$185.64 |
$185.64 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$303.14 |
$303.14 |
$303.14 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$268.18 |
$268.18 |
$268.18 |
$901.60
|
|
Forearm X-ray (both sides)
|
$238.68 |
$238.68 |
$238.68 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$696.15 |
$696.15 |
$696.15 |
$534.00
|
|
Fracture assessment via dxa
|
$104.13 |
$104.13 |
$104.13 |
$175.50
|
|
_fragile x methylation-sendout
|
$74.49 |
$74.49 |
$74.49 |
$183.74
|
|
Fragmenting of kidney stone
|
$22,809.54 |
$22,809.54 |
$22,809.54 |
$10,312.25
|
|
Frenectomy 41115
|
$1,939.47 |
$1,939.47 |
$1,939.47 |
$1,939.47
|
|
Frenulotomy of penis
|
$4,451.07 |
$4,451.07 |
$4,451.07 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$426.66 |
$426.66 |
$426.66 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$306.15 |
$306.15 |
$306.15 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$165.36 |
$165.36 |
$165.36 |
$131.25
|
|
Frozen blood freeze/thaw
|
$179.01 |
$179.01 |
$179.01 |
$179.01
|
|
Frozen blood prep
|
$512.07 |
$512.07 |
$512.07 |
$209.50
|
|
Frozen blood thaw
|
$253.50 |
$253.50 |
$253.50 |
$212.30
|
|
Fructosamine glycated protein
|
$188.76 |
$188.76 |
$188.76 |
$63.50
|
|
Ftl cgen abnor five anal
|
$726.18 |
$726.18 |
$726.18 |
$155.10
|
|
Ftl cgen abnor four anal
|
$267.15 |
$267.15 |
$267.15 |
$211.83
|
|
Ftl cgen abnor three anal
|
$267.15 |
$267.15 |
$267.15 |
$126.56
|
|
Full field erg w/i&r
|
$393.12 |
$393.12 |
$393.12 |
$393.12
|
|
Full Spine X-ray (Scoliosis Survey)
|
$341.25 |
$341.25 |
$341.25 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,063.49 |
$2,063.49 |
$2,063.49 |
$3,155.50
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,315.04 |
$2,315.04 |
$2,315.04 |
$2,798.50
|
|
Functional brain mapping
|
$261.69 |
$261.69 |
$261.69 |
$514.80
|
|
Fundus photography with i&r 92250
|
$214.50 |
$214.50 |
$214.50 |
$182.95
|
|
Fxn gene charac alleles
|
$452.40 |
$452.40 |
$452.40 |
$379.27
|
|
Fxn gene detc abnor alleles
|
$225.42 |
$225.42 |
$225.42 |
$200.88
|
|
Fxn gene full gene sequence
|
$452.40 |
$452.40 |
$452.40 |
$379.27
|
|
Fxn gene known famil variant
|
$304.59 |
$304.59 |
$304.59 |
$304.59
|
|
G6pd gene alys cmn variant
|
$1,665.30 |
$1,665.30 |
$1,665.30 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$118.56 |
$118.56 |
$118.56 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$5,166.87 |
$5,166.87 |
$5,166.87 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$245.70 |
$245.70 |
$245.70 |
$108.40
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$249.80 |
$249.80 |
$249.80 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$29.64 |
$29.64 |
$29.64 |
$100.00
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,078.74 |
$1,078.74 |
$1,078.74 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$1,395.27 |
$1,395.27 |
$1,395.27 |
$1,696.55
|
