|
Flexible Sigmoidoscopy
|
$103.20 |
$4,252.78 |
$8,821.94 |
|
|
Flexor-plasty elbow
|
$3,528.00 |
$3,528.00 |
$3,528.00 |
|
|
Flexor-plasty elbw w/advmnt
|
$3,865.60 |
$3,865.60 |
$3,865.60 |
|
|
Floor of mouth biopsy 41108
|
$288.00 |
$381.60 |
$17,327.11 |
|
|
Florbetaben f18 diagnostic
|
$2,390.85 |
$8,003.80 |
$9,384.00 |
|
|
Flortaucipir inj 1 millicuri
|
$7,791.00 |
$7,791.00 |
$7,791.00 |
|
|
Flotufolastat f18 diag 1 mci
|
$817.42 |
$1,355.20 |
$18,663.81 |
|
|
Flow cytometry interp 16 or more
|
$21.25 |
$337.40 |
$638.64 |
|
|
Flow cytometry marker each additional
|
$21.25 |
$150.00 |
$413.00 |
|
|
Flow cytometry one marker technical component
|
$67.80 |
$453.60 |
$2,969.60 |
|
|
#flow interp 9 - 15 markers
|
$85.20 |
$207.36 |
$522.00 |
|
|
Floxuridine injection
|
$207.00 |
$207.00 |
$17,099.42 |
|
|
Flt3 gene
|
$331.20 |
$494.20 |
$1,592.00 |
|
|
Flt3 gene analysis
|
$100.80 |
$305.90 |
$1,052.80 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$3.21 |
$69.99 |
$267.92 |
|
|
Fludarabine 50 mg intravenous solution
|
$296.15 |
$522.96 |
$2,886.62 |
|
|
Fluidotherapy charges pt
|
$62.40 |
$83.20 |
$388.08 |
|
|
Fluid pressure muscle 20950
|
$262.50 |
$1,124.20 |
$1,944.00 |
|
|
Flulaval vacc, 3 yrs & >, im
|
$17.60 |
$17.60 |
$17.60 |
|
|
Fluocinol acet intravit imp
|
$36,457.38 |
$36,457.38 |
$36,457.38 |
|
|
Fluocinolone acetonide implt
|
$14,411.38 |
$14,411.38 |
$112,272.30 |
|
|
Fluorescein angioscopy i&r
|
$242.40 |
$242.40 |
$242.40 |
|
|
Fluorescein angrph mltiframe
|
$325.60 |
$770.40 |
$902.40 |
|
|
Fluorescein&icg angiography
|
$596.00 |
$596.00 |
$596.00 |
|
|
Fluorescent antibody titer dna
|
$33.33 |
$259.70 |
$1,243.20 |
|
|
Fluoroestradiol f 18
|
$2,907.10 |
$2,907.10 |
$13,222.13 |
|
|
Fluoroguide for spine inject 77003-26
|
$162.50 |
$720.60 |
$1,452.00 |
|
|
Fluoroguide needle placement
|
$162.50 |
$651.60 |
$1,452.00 |
|
|
Fluoro polarize fetal lung
|
$48.00 |
$48.00 |
$463.68 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$125.00 |
$638.64 |
$1,859.20 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$10.74 |
$112.70 |
$2,203.60 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$20.65 |
$67.13 |
$500.73 |
|
|
Flurpiridaz f18, diag, 1 mci
|
$13,073.69 |
$13,073.69 |
$13,073.69 |
|
|
Flutemetamol f18 diagnostic
|
$3,834.60 |
$3,834.60 |
$7,728.00 |
|
|
Fluvirin vacc, 3 yrs & >, im
|
$20.80 |
$20.80 |
$20.80 |
|
|
Fluzone vacc, 3 yrs & >, im
|
$72.80 |
$72.80 |
$72.80 |
|
|
Fmri brain by phys/psych
|
$1,500.00 |
$3,379.80 |
$4,162.20 |
|
|
Fmri brain by tech
|
$1,156.80 |
$3,397.20 |
$3,640.00 |
|
|
Fna bx w/ct gdn 1st les
|
$225.00 |
$1,705.00 |
$14,676.02 |
|
|
Fna bx w/ct gdn ea addl
|
$170.00 |
$1,485.00 |
$4,113.60 |
|
|
Fna bx w/mr gdn 1st les
|
$974.40 |
$3,011.40 |
$5,487.00 |
|
|
Fna bx w/mr gdn ea addl
|
$487.80 |
$2,413.20 |
$5,487.00 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$2.26 |
$2.26 |
$15.84 |
|
|
Foam drg >16<=48 sq in without b
|
$21.68 |
$21.68 |
$21.68 |
|
|
Foam drg <=16 sq in w/border
|
$13.06 |
$13.06 |
$15.12 |
|
|
Foam drg > 48 sq in without brdr
|
$65.52 |
$65.52 |
$179.28 |
|
|
Foam drsg <=16 sq in without bdr
|
$12.50 |
$12.50 |
$22.32 |
|
|
Foam stability fetal lung
|
$48.00 |
$48.00 |
$48.00 |
|
|
Folic acid
|
$41.58 |
$133.20 |
$456.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$1.30 |
$14.68 |
$361.72 |
|
|
Follow-up angiography
|
$629.31 |
$1,761.20 |
$6,798.24 |
|
|
Followup eval of foot pt lop
|
$71.20 |
$71.20 |
$149.40 |
|
|
Follow-up surgery of eye
|
$3,718.40 |
$9,561.60 |
$11,824.67 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$24.93 |
$1,891.57 |
$10,046.40 |
|
|
Fondaparinux sodium
|
$16.20 |
$192.32 |
$1,007.82 |
|
|
Fo nontorsion joint cf
|
$120.00 |
$217.50 |
$368.90 |
|
|
Foot arch support remov prem
|
$40.00 |
$90.58 |
$218.40 |
|
|
Foot arch supp premold metat
|
$113.60 |
$113.60 |
$113.60 |
|
|
Foot drp splt w/exp heel lg
|
$102.20 |
$102.20 |
$179.20 |
|
|
Foot insert plastazote or eq
|
$388.00 |
$388.00 |
$388.00 |
|
|
Foot longitudinal arch suppo
|
$200.00 |
$200.00 |
$200.00 |
|
|
Foot longitud/metatarsal sup
|
$165.00 |
$165.00 |
$476.00 |
|
|
Foot plas heel stabi pre ots
|
$19.80 |
$19.80 |
$122.40 |
|
|
Foot X-ray
|
$137.50 |
$446.40 |
$983.20 |
|
|
Foot X-ray (2 views, both feet)
|
$125.00 |
$324.10 |
$862.40 |
|
|
Forearm/arm cuffs ext/flex a
|
$2,034.20 |
$2,034.20 |
$2,034.20 |
|
|
Forearm/arm cuffs free motio
|
$1,254.96 |
$1,257.90 |
$1,510.40 |
|
|
Forearm X-ray (both sides)
|
$125.00 |
$379.44 |
$862.40 |
|
|
Forehead flap w/vasc pedicle 15731
|
$1,726.80 |
$1,726.80 |
$2,767.20 |
|
|
Forensic cytopathology
|
$54.40 |
$54.40 |
$104.40 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$138.00 |
$343.20 |
$20,514.14 |
|
|
Formoterol comp unit
|
$2.40 |
$2.40 |
$2.40 |
|
|
Formoterol fumarate, inh
|
$73.09 |
$73.09 |
$73.09 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1.22 |
$236.35 |
$2,887.85 |
|
|
Foscarnet sodium injection
|
$13.62 |
$879.58 |
$2,285.50 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$7.78 |
$56.76 |
$489.30 |
|
|
Fractionation ketosteroids
|
$72.00 |
$275.10 |
$275.10 |
|
|
Fracture assessment via dxa
|
$56.10 |
$255.20 |
$418.20 |
|
|
_fragile x methylation-sendout
|
$53.79 |
$526.80 |
$1,004.50 |
|
|
Fragmenting of kidney stone
|
$2,000.00 |
$9,382.20 |
$24,417.75 |
|
|
Freeing of bowel adhesion 44005
|
$2,062.20 |
$2,062.20 |
$2,684.00 |
|
|
Free omental flap microvasc
|
$4,726.40 |
$4,726.40 |
$79,108.15 |
|
|
Free/remove chest lining 32320
|
$3,086.40 |
$3,086.40 |
$3,890.40 |
|
|
Frenectomy 41115
|
$487.20 |
$1,513.20 |
$18,616.45 |
|
|
Frenotomy 40806
|
$243.20 |
$283.80 |
$8,079.90 |
|
|
Frenulotomy of penis
|
$482.40 |
$6,244.19 |
$22,714.59 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$62.50 |
$196.80 |
$337.80 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$57.50 |
$187.20 |
$337.80 |
|
|
Fresh frozen plasma thawing ea un
|
$57.00 |
$138.27 |
$370.08 |
|
|
Frozen blood freeze/thaw
|
$144.00 |
$144.00 |
$144.00 |
|
|
Frozen blood prep
|
$156.80 |
$156.80 |
$156.80 |
|
|
Frozen blood thaw
|
$126.40 |
$126.40 |
$126.40 |
|
|
Frozen cell preparation
|
$24.80 |
$115.20 |
$130.20 |
|
|
Frozen plasma, pooled, sd
|
$197.28 |
$255.50 |
$302.84 |
|
|
Fructosamine glycated protein
|
$20.00 |
$80.00 |
$153.00 |
|
|
Ft arch suprt premold longit
|
$16.80 |
$55.70 |
$113.60 |
|
|
Fth/gft fr n/e/e/l each addl
|
$516.80 |
$516.80 |
$516.80 |
|
|
Fth/gft fr trnk each addl
|
$358.40 |
$358.40 |
$358.40 |
|
|
Ft insert ucb berkeley shell
|
$753.60 |
$753.60 |
$753.60 |
|
|
Ftl cgen abnor five anal
|
$139.20 |
$360.80 |
$1,505.00 |
|
