|
Fix g/colon tube w/device
|
$2,568.75 |
$2,568.75 |
$2,568.75 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$6,339.00 |
$6,339.00 |
$6,339.00 |
|
|
Flebogamma injection
|
$4,959.09 |
$4,959.09 |
$4,959.09 |
|
|
Flecainide (tambocor)-sendout
|
$5.76 |
$5.76 |
$50.25 |
|
|
Fl exam g/colon tube w contrast
|
$210.24 |
$210.24 |
$385.50 |
|
|
Flexible Sigmoidoscopy
|
$45.76 |
$45.76 |
$2,172.00 |
|
|
Florbetaben f18 diagnostic
|
$8,228.43 |
$8,228.43 |
$8,228.43 |
|
|
Flotufolastat f18 diag 1 mci
|
$12,882.69 |
$12,882.69 |
$12,882.69 |
|
|
Flow cytometry interp 16 or more
|
$62.08 |
$62.08 |
$306.00 |
|
|
Flow cytometry marker each additional
|
$39.04 |
$39.04 |
$105.75 |
|
|
Flow cytometry one marker technical component
|
$60.80 |
$60.80 |
$331.50 |
|
|
#flow interp 9 - 15 markers
|
$237.75 |
$237.75 |
$237.75 |
|
|
Floxuridine injection
|
$8,552.78 |
$8,552.78 |
$8,552.78 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$15.68 |
$15.68 |
$26.70 |
|
|
Fludarabine 50 mg intravenous solution
|
$677.88 |
$677.88 |
$677.88 |
|
|
Fluidotherapy charges pt
|
$25.60 |
$25.60 |
$25.60 |
|
|
Fluocinol acet intravit imp
|
$19,886.55 |
$19,886.55 |
$19,886.55 |
|
|
Fluocinolone acetonide implt
|
$41,097.75 |
$41,097.75 |
$41,097.75 |
|
|
Fluorescein angrph mltiframe
|
$516.75 |
$516.75 |
$516.75 |
|
|
Fluorescent antibody titer dna
|
$101.25 |
$101.25 |
$463.04 |
|
|
Fluorodopa f-18 diag per mci
|
$5,870.49 |
$5,870.49 |
$5,870.49 |
|
|
Fluoroestradiol f 18
|
$11,155.77 |
$11,155.77 |
$11,155.77 |
|
|
Fluoroguide for spine inject 77003-26
|
$179.84 |
$179.84 |
$420.75 |
|
|
Fluoroguide needle placement
|
$244.16 |
$244.16 |
$525.00 |
|
|
Fluoro polarize fetal lung
|
$36.80 |
$36.80 |
$115.50 |
|
|
Fluoroscopy up to 1 hour
|
$184.00 |
$184.00 |
$654.75 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$42.76 |
$42.76 |
$123.51 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$29.27 |
$29.27 |
$51.18 |
|
|
Flutemetamol f18 diagnostic
|
$7,521.75 |
$7,521.75 |
$7,521.75 |
|
|
Fmri brain by phys/psych
|
$2,677.50 |
$2,677.50 |
$2,677.50 |
|
|
Fmri brain by tech
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
|
|
Fna bx w/ct gdn 1st les
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
|
|
Fna bx w/ct gdn ea addl
|
$756.75 |
$756.75 |
$756.75 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$67.17 |
$67.17 |
$67.17 |
|
|
Foam drg <=16 sq in w/border
|
$2.82 |
$2.82 |
$2.82 |
|
|
Foam drg > 48 sq in without brdr
|
$33.64 |
$33.64 |
$33.64 |
|
|
Foam stability fetal lung
|
$115.50 |
$115.50 |
$115.50 |
|
|
Folic acid
|
$46.08 |
$46.08 |
$104.25 |
|
|
Folic acid 5 mg/ml injection solution
|
$1.22 |
$1.22 |
$176.33 |
|
|
Follow-up angiography
|
$1,791.04 |
$1,791.04 |
$8,301.00 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,055.72 |
$4,055.72 |
$4,055.72 |
|
|
Fondaparinux sodium
|
$268.56 |
$268.56 |
$268.56 |
|
|
Foot X-ray
|
$188.80 |
$188.80 |
$298.50 |
|
|
Forensic autopsy (necropsy)
|
$2,036.25 |
$2,036.25 |
$2,036.25 |
|
|
Forensic cytopathology
|
$81.75 |
$81.75 |
$81.75 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$342.00 |
$342.00 |
$342.00 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$59.67 |
$59.67 |
$707.70 |
|
|
Foscarnet sodium injection
|
$1,126.47 |
$1,126.47 |
$1,126.47 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$61.96 |
$61.96 |
$287.58 |
|
|
Fractionation ketosteroids
|
$160.50 |
$160.50 |
$160.50 |
|
|
Fracture assessment via dxa
|
$240.00 |
$240.00 |
$240.00 |
|
|
Fragmenting of kidney stone
|
$459.52 |
$459.52 |
$2,696.25 |
|
|
Freeing of bowel adhesion 44005
|
$843.52 |
$843.52 |
$843.52 |
|
|
Frenectomy 41115
|
$1,012.50 |
$1,012.50 |
$1,012.50 |
|
|
Frenotomy 40806
|
$24.96 |
$24.96 |
$24.96 |
|
|
Frenulotomy of penis
|
$160.32 |
$160.32 |
$160.32 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$50.88 |
$50.88 |
$210.75 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$91.84 |
$91.84 |
$249.00 |
|
|
Fresh frozen plasma thawing ea un
|
$399.00 |
$399.00 |
$399.00 |
|
|
Frozen blood freeze/thaw
|
$366.00 |
$366.00 |
$366.00 |
|
|
Frozen blood prep
|
$430.50 |
$430.50 |
$430.50 |
|
|
Frozen blood thaw
|
$322.50 |
$322.50 |
$322.50 |
|
|
Frozen cell preparation
|
$36.75 |
$36.75 |
$36.75 |
|
|
Fructosamine glycated protein
|
$60.75 |
$60.75 |
$60.75 |
|
|
Ftl cgen abnor four anal
|
$390.75 |
$390.75 |
$390.75 |
|
|
Ftl cgen abnor two proteins
|
$138.75 |
$138.75 |
$138.75 |
|
|
Full mouth x-ray of teeth
|
$652.50 |
$652.50 |
$652.50 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$694.72 |
$694.72 |
$694.72 |
|
|
Fundus photography with i&r 92250
|
$97.50 |
$97.50 |
$97.50 |
|
|
Furnsh initial orthosis only
|
$308.21 |
$308.21 |
$308.21 |
|
|
Furosemide 10 mg/ml injection solution
|
$11.00 |
$11.00 |
$2,298.33 |
|
|
Fuse bile ducts and bowel 47785
|
$2,452.16 |
$2,452.16 |
$2,452.16 |
|
|
Fusion of big toe joint
|
$439.68 |
$439.68 |
$439.68 |
|
|
G6pc gene
|
$191.36 |
$191.36 |
$191.36 |
|
|
G6pd full gene sequence
|
$126.75 |
$126.75 |
$126.75 |
|
|
Ga-67 gallium 0.1 mci
|
$26.24 |
$26.24 |
$2,119.07 |
|
|
Ga-68 gallium 68 dotatate
|
$7,669.59 |
$7,669.59 |
$7,669.59 |
|
|
Gabapentin non-blood
|
$10.24 |
$10.24 |
$86.25 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$14.17 |
$14.17 |
$1,266.18 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$10.37 |
$10.37 |
$974.85 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$237.75 |
$237.75 |
$237.75 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$13.13 |
$13.13 |
$335.94 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$135.00 |
$135.00 |
$135.00 |
|
|
Galactokinase - sendout
|
$131.25 |
$131.25 |
$131.25 |
|
|
Galactose transferase test
|
$57.75 |
$57.75 |
$57.75 |
|
|
Galectin-3
|
$135.75 |
$135.75 |
$135.75 |
|
|
Gallbladder Removal (Laparoscopic)
|
$518.08 |
$518.08 |
$3,831.75 |
|
|
Gallium ga-68 dotatoc
|
$180.81 |
$180.81 |
$180.81 |
|
|
Gallium ga-68 psma-11, ucla
|
$250.71 |
$250.71 |
$250.71 |
|
|
Galsulfase injection
|
$5,823.33 |
$5,823.33 |
$5,823.33 |
|
|
Gamma globulin 1 cc inj
|
$1,116.17 |
$1,116.17 |
$1,116.17 |
|
|
Gammaglobulin iga
|
$24.00 |
$24.00 |
$74.24 |
|
|
Gammaglobulin ige
|
$42.57 |
$42.57 |
$57.75 |
|
|
Gamma glutamyltransferase
|
$45.76 |
$45.76 |
$55.50 |
|
|
Gammaplex injection
|
$10,765.80 |
$10,765.80 |
$10,765.80 |
|
|
Gamunex-c/gammaked
|
$14,343.27 |
$14,343.27 |
$14,343.27 |
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$231.36 |
$231.36 |
$231.36 |
|
|
Gardner vag dna amp probe
|
$213.00 |
$213.00 |
$213.00 |
|
|
Gardner vag dna quant
|
$255.00 |
$255.00 |
$255.00 |
|
|
Gastric analy w/ph ea spec
|
$33.00 |
$33.00 |
$33.00 |
|
