|
Flulaval vacc, 3 yrs & >, im
|
$17.60 |
$17.60 |
$17.60 |
$17.60
|
|
Fluorescein angioscopy i&r
|
$242.40 |
$242.40 |
$242.40 |
$576.80
|
|
Fluorescein angrph mltiframe
|
$325.60 |
$325.60 |
$325.60 |
$336.50
|
|
Fluorescein&icg angiography
|
$596.00 |
$596.00 |
$596.00 |
$596.00
|
|
Fluorescent antibody titer dna
|
$48.57 |
$48.57 |
$48.57 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$541.50 |
$541.50 |
$541.50 |
$495.95
|
|
Fluoroguide needle placement
|
$284.34 |
$284.34 |
$284.34 |
$500.40
|
|
Fluoro polarize fetal lung
|
$48.00 |
$48.00 |
$48.00 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$212.53 |
$212.53 |
$212.53 |
$507.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$143.99 |
$143.99 |
$143.99 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$89.36 |
$89.36 |
$89.36 |
$72.52
|
|
Fluvirin vacc, 3 yrs & >, im
|
$20.80 |
$20.80 |
$20.80 |
$17.16
|
|
Fluzone vacc, 3 yrs & >, im
|
$72.80 |
$72.80 |
$72.80 |
$42.25
|
|
Fmri brain by phys/psych
|
$2,100.80 |
$2,100.80 |
$2,100.80 |
$1,639.00
|
|
Fmri brain by tech
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,293.12 |
$1,293.12 |
$1,293.12 |
$1,471.60
|
|
Fna bx w/ct gdn ea addl
|
$1,293.12 |
$1,293.12 |
$1,293.12 |
$834.90
|
|
Foam drsg <=16 sq in without bdr
|
$21.60 |
$21.60 |
$21.60 |
$21.74
|
|
Foam stability fetal lung
|
$48.00 |
$48.00 |
$48.00 |
$48.00
|
|
Folic acid
|
$64.28 |
$64.28 |
$64.28 |
$101.00
|
|
Folic acid 5 mg/ml injection solution
|
$7.21 |
$7.21 |
$7.21 |
$45.00
|
|
Follow-up angiography
|
$4,728.80 |
$4,728.80 |
$4,728.80 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$71.20 |
$71.20 |
$71.20 |
$152.50
|
|
Follow-up surgery of eye
|
$3,718.40 |
$3,718.40 |
$3,718.40 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$24.93 |
$24.93 |
$24.93 |
$2,481.61
|
|
Fondaparinux sodium
|
$21.52 |
$21.52 |
$21.52 |
$186.20
|
|
Foot arch support remov prem
|
$183.20 |
$183.20 |
$183.20 |
$141.41
|
|
Foot arch supp premold metat
|
$113.60 |
$113.60 |
$113.60 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$179.20 |
$179.20 |
$179.20 |
$143.14
|
|
Foot insert plastazote or eq
|
$388.00 |
$388.00 |
$388.00 |
$349.16
|
|
Foot longitud/metatarsal sup
|
$476.00 |
$476.00 |
$476.00 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$122.40 |
$122.40 |
$122.40 |
$76.32
|
|
Foot X-ray
|
$278.51 |
$278.51 |
$278.51 |
$355.32
|
|
Foot X-ray (2 views, both feet)
|
$182.44 |
$182.44 |
$182.44 |
$290.40
|
|
Forearm/arm cuffs free motio
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
$901.60
|
|
Forearm X-ray (both sides)
|
$306.65 |
$306.65 |
$306.65 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$2,767.20 |
$2,767.20 |
$2,767.20 |
$4,872.75
|
|
Forensic cytopathology
|
$54.40 |
$54.40 |
$54.40 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$476.48 |
$476.48 |
$476.48 |
$544.50
|
|
Formoterol comp unit
|
$2.40 |
$2.40 |
$2.40 |
$2.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2.40 |
$2.40 |
$2.40 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$42.96 |
$42.96 |
$42.96 |
$103.62
|
|
Fractionation ketosteroids
|
$72.00 |
$72.00 |
$72.00 |
$148.00
|
|
Fracture assessment via dxa
|
$62.40 |
$62.40 |
$62.40 |
$175.50
|
|
_fragile x methylation-sendout
|
$127.86 |
$127.86 |
$127.86 |
$183.74
|
|
Fragmenting of kidney stone
|
$3,678.40 |
$3,678.40 |
$3,678.40 |
$10,312.25
|
|
Freeing of bowel adhesion 44005
|
$2,684.00 |
$2,684.00 |
$2,684.00 |
$2,062.20
|
|
Free omental flap microvasc
|
$4,726.40 |
$4,726.40 |
$4,726.40 |
$4,726.40
|
|
Free/remove chest lining 32320
|
$3,890.40 |
$3,890.40 |
$3,890.40 |
$3,859.99
|
|
Frenectomy 41115
|
$622.40 |
$622.40 |
$622.40 |
$1,939.47
|
|
Frenotomy 40806
|
$243.20 |
$243.20 |
$243.20 |
$620.00
|
|
Frenulotomy of penis
|
$482.40 |
$482.40 |
$482.40 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$302.84 |
$302.84 |
$302.84 |
$155.40
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$302.84 |
$302.84 |
$302.84 |
$165.17
|
|
Fresh frozen plasma thawing ea un
|
$164.99 |
$164.99 |
$164.99 |
$131.25
|
|
Frozen blood freeze/thaw
|
$144.00 |
$144.00 |
$144.00 |
$179.01
|
|
Frozen blood prep
|
$156.80 |
$156.80 |
$156.80 |
$209.50
|
|
Frozen blood thaw
|
$126.40 |
$126.40 |
$126.40 |
$212.30
|
|
Frozen cell preparation
|
$24.80 |
$24.80 |
$24.80 |
$31.81
|
|
Frozen plasma, pooled, sd
|
$302.84 |
$302.84 |
$302.84 |
$170.00
|
|
Fructosamine glycated protein
|
$64.28 |
$64.28 |
$64.28 |
$63.50
|
|
Ft arch suprt premold longit
|
$113.60 |
$113.60 |
$113.60 |
$94.69
|
|
Fth/gft fr n/e/e/l each addl
|
$516.80 |
$516.80 |
$516.80 |
$1,298.50
|
|
Fth/gft fr trnk each addl
|
$358.40 |
$358.40 |
$358.40 |
$1,368.50
|
|
Ft insert ucb berkeley shell
|
$753.60 |
$753.60 |
$753.60 |
$651.56
|
|
Ftl cgen abnor five anal
|
$139.20 |
$139.20 |
$139.20 |
$159.04
|
|
Ftl cgen abnor four anal
|
$307.20 |
$307.20 |
$307.20 |
$211.83
|
|
Ftl cgen abnor three anal
|
$111.20 |
$111.20 |
$111.20 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$127.86 |
$127.86 |
$127.86 |
$109.00
|
|
Full field erg w/i&r
|
$266.40 |
$266.40 |
$266.40 |
$393.12
|
|
Full mouth x-ray of teeth
|
$112.80 |
$112.80 |
$112.80 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$313.45 |
$313.45 |
$313.45 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,254.31 |
$2,254.31 |
$2,254.31 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$331.20 |
$331.20 |
$331.20 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,391.16 |
$2,391.16 |
$2,391.16 |
$2,707.20
|
|
Functional brain mapping
|
$682.40 |
$682.40 |
$682.40 |
$514.80
|
|
Fundus photography with i&r 92250
|
$148.80 |
$148.80 |
$148.80 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$36.47 |
$36.47 |
$36.47 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$73.72 |
$73.72 |
$73.72 |
$26.20
|
|
Fuse bile ducts and bowel 47785
|
$7,967.20 |
$7,967.20 |
$7,967.20 |
$7,967.20
|
|
Fuse esophagus & stomach
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
$3,421.60
|
|
Fuse gallbladder & bowel
|
$3,220.80 |
$3,220.80 |
$3,220.80 |
$3,220.80
|
|
Fuse/graft added joint
|
$563.20 |
$563.20 |
$563.20 |
$1,011.40
|
|
Fuse pancreas cyst and bowel
|
$3,209.60 |
$3,209.60 |
$3,209.60 |
$3,209.60
|
|
Fuse pancreas cyst and bowel 48520
|
$2,683.20 |
$2,683.20 |
$2,683.20 |
$2,683.20
|
|
Fuse upper gi structures
|
$3,321.60 |
$3,321.60 |
$3,321.60 |
$3,321.60
|
|
Fusion/graft of finger joint
|
$1,812.80 |
$1,812.80 |
$1,812.80 |
$3,986.00
|
|
Fusion/graft of hand joint
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
$6,588.00
|
|
Fusion of ankle joint open
|
$5,059.20 |
$5,059.20 |
$5,059.20 |
$9,791.00
|
|
Fusion of big toe joint
|
$3,966.40 |
$3,966.40 |
$3,966.40 |
$5,488.00
|
|
Fusion of big toe joint
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$7,811.00
|
|
Fusion of finger jnt add-on
|
$255.20 |
$255.20 |
$255.20 |
$192.40
|
|
Fusion of finger joint
|
$1,422.40 |
$1,422.40 |
$1,422.40 |
$4,499.12
|
|
Fusion of finger tendons
|
$1,547.20 |
$1,547.20 |
$1,547.20 |
$3,839.54
|
|
Fusion of finger tendons
|
$1,514.40 |
$1,514.40 |
$1,514.40 |
$1,893.86
|
|
Fusion of foot bones
|
$3,656.00 |
$3,656.00 |
$3,656.00 |
$6,697.18
|
|
Fusion of foot bones
|
$3,878.40 |
$3,878.40 |
$3,878.40 |
$10,203.05
|
|
Fusion of foot bones
|
$4,176.00 |
$4,176.00 |
$4,176.00 |
$5,419.00
|
|
Fusion of hand joint
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$6,311.00
|
