|
Flotufolastat f18 diag 1 mci
|
$1,594.77 |
$1,594.77 |
$1,594.77 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$405.00 |
$405.00 |
$405.00 |
$200.00
|
|
Flow cytometry marker each additional
|
$86.00 |
$86.00 |
$86.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$661.00 |
$661.00 |
$661.00 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$249.00 |
$249.00 |
$249.00 |
$172.50
|
|
Floxuridine injection
|
$1,984.51 |
$1,984.51 |
$1,984.51 |
$5,871.79
|
|
Flt3 gene
|
$797.00 |
$797.00 |
$797.00 |
$366.29
|
|
Flt3 gene analysis
|
$399.00 |
$399.00 |
$399.00 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$190.55 |
$190.55 |
$190.55 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$748.45 |
$748.45 |
$748.45 |
$493.35
|
|
Fluidotherapy charges pt
|
$124.00 |
$124.00 |
$124.00 |
$101.40
|
|
Fluorescent antibody titer dna
|
$148.00 |
$148.00 |
$148.00 |
$123.65
|
|
Fluoroestradiol f 18
|
$4,156.60 |
$4,156.60 |
$4,156.60 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$371.00 |
$371.00 |
$371.00 |
$495.00
|
|
Fluoroguide needle placement
|
$404.00 |
$404.00 |
$404.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$738.00 |
$738.00 |
$738.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$41.38 |
$41.38 |
$41.38 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$111.24 |
$111.24 |
$111.24 |
$72.52
|
|
Fmri brain by phys/psych
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$1,639.00
|
|
Fna bx w/ct gdn 1st les
|
$2,754.00 |
$2,754.00 |
$2,754.00 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$834.00 |
$834.00 |
$834.00 |
$834.90
|
|
Folic acid
|
$337.00 |
$337.00 |
$337.00 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$4.87 |
$4.87 |
$4.87 |
$45.00
|
|
Follow-up angiography
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$1,983.00
|
|
Follow-up surgery of eye
|
$4,684.00 |
$4,684.00 |
$4,684.00 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$32.78 |
$32.78 |
$32.78 |
$2,511.73
|
|
Fondaparinux sodium
|
$53.85 |
$53.85 |
$53.85 |
$186.20
|
|
Foot X-ray
|
$378.00 |
$378.00 |
$378.00 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$351.00 |
$351.00 |
$351.00 |
$290.40
|
|
Forearm X-ray (both sides)
|
$363.00 |
$363.00 |
$363.00 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$4,872.75
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$626.00 |
$626.00 |
$626.00 |
$534.00
|
|
Formoterol fumarate, inh
|
$85.73 |
$85.73 |
$85.73 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$9.34 |
$9.34 |
$9.34 |
$490.67
|
|
Foscarnet sodium injection
|
$280.86 |
$280.86 |
$280.86 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$103.62 |
$103.62 |
$103.62 |
$103.62
|
|
Fracture assessment via dxa
|
$235.00 |
$235.00 |
$235.00 |
$175.50
|
|
Fragmenting of kidney stone
|
$13,791.00 |
$13,791.00 |
$13,791.00 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$26,565.00 |
$26,565.00 |
$26,565.00 |
$2,062.20
|
|
Free myo/skin flap microvasc
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,906.00
|
|
Frenectomy 41115
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$1,939.47
|
|
Frenulotomy of penis
|
$5,518.00 |
$5,518.00 |
$5,518.00 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$371.00 |
$371.00 |
$371.00 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$185.00 |
$185.00 |
$185.00 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$531.00 |
$531.00 |
$531.00 |
$131.25
|
|
Frozen blood thaw
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$212.30
|
|
Fructosamine glycated protein
|
$344.00 |
$344.00 |
$344.00 |
$63.50
|
|
Fth/gft fr trnk each addl
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
$1,368.50
|
|
Ftl cgen abnor four anal
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$211.83
|
|
Full field erg w/i&r
|
$773.00 |
$773.00 |
$773.00 |
$393.12
|
|
Full mouth x-ray of teeth
|
$738.00 |
$738.00 |
$738.00 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$388.00 |
$388.00 |
$388.00 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$2,798.50
|
|
Functional brain mapping
|
$746.00 |
$746.00 |
$746.00 |
$514.80
|
|
Fundus photography with i&r 92250
|
$321.00 |
$321.00 |
$321.00 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$11.40 |
$11.40 |
$11.40 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$18.30 |
$18.30 |
$18.30 |
$26.40
|
|
Fusion/graft of finger joint
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$4,499.12
|
|
Fusion/graft of hand joint
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$6,588.00
|
|
Fusion of ankle joint open
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$9,791.00
|
|
Fusion of big toe joint
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$5,488.00
|
|
Fusion of big toe joint
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$7,811.00
|
|
Fusion of finger jnt add-on
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$192.40
|
|
Fusion of finger joint
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,499.12
|
|
Fusion of finger tendons
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,839.54
|
|
Fusion of foot bones
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$8,260.30
|
|
Fusion of foot bones
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$10,629.07
|
|
Fusion of foot bones
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$6,288.57
|
|
Fusion of hand joint
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$6,839.00
|
|
Fusion of knuckle
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$7,907.11
|
|
Fusion of knuckle joint
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,839.54
|
|
Fusion of knuckle joints
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$4,259.84
|
|
Fusion of knuckle joints
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$7,907.11
|
|
Fusion of spermatic ducts
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$3,498.74
|
|
Fusion of tendons at wrist
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,594.44
|
|
Fusion of tendons at wrist
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,839.54
|
|
Fusion of thumb
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$9,791.00
|
|
Fusion of toes
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,839.54
|
|
Ga-68 gallium 68 dotatate
|
$317.00 |
$317.00 |
$317.00 |
$140.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$30.59 |
$30.59 |
$30.59 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$2.16 |
$2.16 |
$2.16 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$72.56 |
$72.56 |
$72.56 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$1,615.00
|
|
Gallbladder Removal (Laparoscopic)
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$13,208.00
|
|
Gallium illuccix 1 millicure
|
$1,696.55 |
$1,696.55 |
$1,696.55 |
$1,696.55
|
|
Gammaglobulin iga
|
$220.00 |
$220.00 |
$220.00 |
$69.60
|
|
Gammaglobulin ige
|
$376.00 |
$376.00 |
$376.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$169.00 |
$169.00 |
$169.00 |
$57.54
|
|
Gamunex-c/gammaked
|
$209.53 |
$209.53 |
$209.53 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$311.58 |
$311.58 |
$311.58 |
$197.40
|
|
Gastric emptying imag study
|
$2,505.00 |
$2,505.00 |
$2,505.00 |
$1,665.50
|
|
Gastric motility studies
|
$2,586.00 |
$2,586.00 |
$2,586.00 |
$972.00
|
|
Gastroesophageal reflux test
|
$2,271.00 |
$2,271.00 |
$2,271.00 |
$1,352.00
|
|
Gastro/jejuno tube, std
|
$529.26 |
$529.26 |
$529.26 |
$379.50
|
