|
Felbamate (felbatol(r)) - sendout
|
$66.43 |
$66.43 |
$66.43 |
$66.43
|
|
Fem/popl revasc w/stent
|
$48,569.60 |
$48,569.60 |
$48,569.60 |
$16,782.48
|
|
Feno poc
|
$142.36 |
$142.36 |
$142.36 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$73.83 |
$73.83 |
$73.83 |
$101.40
|
|
Fern test
|
$56.44 |
$56.44 |
$56.44 |
$34.45
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3.24 |
$3.24 |
$3.24 |
$2,590.25
|
|
Ferritin
|
$64.28 |
$64.28 |
$64.28 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3.78 |
$3.78 |
$3.78 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$419.90 |
$419.90 |
$419.90 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$869.12
|
|
Fetal chrom aneuploidy gsa panel
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$1,195.80
|
|
Fetal contract stress test 59020 - 26
|
$347.20 |
$347.20 |
$347.20 |
$477.50
|
|
Fetal cord puncture prenatal
|
$488.00 |
$488.00 |
$488.00 |
$648.90
|
|
Fetal fibronectin
|
$291.41 |
$291.41 |
$291.41 |
$389.95
|
|
Fetal fluid drainage w/us
|
$932.80 |
$932.80 |
$932.80 |
$592.48
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.57 |
$33.57 |
$33.57 |
$101.20
|
|
Fetal hemoglobin rosette
|
$33.57 |
$33.57 |
$33.57 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$64.28 |
$64.28 |
$64.28 |
$67.00
|
|
Fetal monitor/interpret only
|
$102.40 |
$102.40 |
$102.40 |
$102.40
|
|
Fetal monitor w/report
|
$123.20 |
$123.20 |
$123.20 |
$295.50
|
|
Fetal non stress test
|
$368.06 |
$368.06 |
$368.06 |
$478.50
|
|
Fetal scalp blood sampling 59030
|
$272.80 |
$272.80 |
$272.80 |
$359.97
|
|
Fetal shunt placement w/us
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$72.14 |
$72.14 |
$72.14 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$32.85 |
$32.85 |
$32.85 |
$120.05
|
|
Fibrin degradation products
|
$32.85 |
$32.85 |
$32.85 |
$74.25
|
|
Fibrin degrade semiquant
|
$32.85 |
$32.85 |
$32.85 |
$81.00
|
|
Fibrin degradj d-dimer
|
$33.57 |
$33.57 |
$33.57 |
$67.89
|
|
Fibrinogen activity
|
$32.85 |
$32.85 |
$32.85 |
$86.40
|
|
Fibrinogen test
|
$32.85 |
$32.85 |
$32.85 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$50.40 |
$50.40 |
$50.40 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$32.85 |
$32.85 |
$32.85 |
$72.80
|
|
Fibrinolytic plasmin
|
$20.00 |
$20.00 |
$20.00 |
$10.64
|
|
Fibrinolytic plasminogen
|
$34.40 |
$34.40 |
$34.40 |
$107.50
|
|
Fibrinolytic plasminogen
|
$25.60 |
$25.60 |
$25.60 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$32.85 |
$32.85 |
$32.85 |
$66.60
|
|
Fibula bone graft microvasc
|
$6,131.20 |
$6,131.20 |
$6,131.20 |
$6,131.20
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1.60 |
$1.60 |
$1.60 |
$1,183.71
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$0.80 |
$0.80 |
$0.80 |
$891.02
|
|
Filleted finger/toe flap
|
$1,725.60 |
$1,725.60 |
$1,725.60 |
$2,431.38
|
|
Filtered speech hearing test
|
$56.80 |
$56.80 |
$56.80 |
$99.32
|
|
Fimbrioplasty 58760
|
$4,092.80 |
$4,092.80 |
$4,092.80 |
$3,621.80
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$726.40 |
$726.40 |
$726.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$413.60 |
$413.60 |
$413.60 |
$699.20
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$128.80 |
$128.80 |
$128.80 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$149.60 |
$149.60 |
$149.60 |
$833.25
|
|
Fine needle asp without image guide 10021
|
$264.00 |
$264.00 |
$264.00 |
$507.00
|
|
Finger joint sz00 swanson w/grommets
|
$7,146.96 |
$7,146.96 |
$7,146.96 |
$4,584.72
|
|
Finger tendon transfer
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$3,842.75
|
|
Finger tendon transfer
|
$2,832.80 |
$2,832.80 |
$2,832.80 |
$3,986.00
|
|
Finger X-ray (both hands)
|
$166.78 |
$166.78 |
$166.78 |
$241.50
|
|
Fistula repair & colostomy
|
$2,642.40 |
$2,642.40 |
$2,642.40 |
$2,642.40
|
|
Fistula repair transperine 57308
|
$1,652.00 |
$1,652.00 |
$1,652.00 |
$1,245.00
|
|
Fit aphakia spectcl monofocl
|
$90.40 |
$90.40 |
$90.40 |
$90.40
|
|
Fit aphakia spectcl multifoc
|
$104.80 |
$104.80 |
$104.80 |
$104.80
|
|
Fitg c-lens keratoconus 1st
|
$270.40 |
$270.40 |
$270.40 |
$127.00
|
|
Fitg spect low vis 1system
|
$126.40 |
$126.40 |
$126.40 |
$106.60
|
|
Fitg spect lw vis cmpnd lens
|
$64.80 |
$64.80 |
$64.80 |
$64.80
|
|
Fitting of diaphragm/cap 57170
|
$174.40 |
$174.40 |
$174.40 |
$238.06
|
|
Fixation of ankle joint
|
$844.80 |
$844.80 |
$844.80 |
$3,591.33
|
|
Fixation of knee joint
|
$740.80 |
$740.80 |
$740.80 |
$1,963.35
|
|
Fixation of shoulder blade
|
$4,782.40 |
$4,782.40 |
$4,782.40 |
$5,886.74
|
|
Fix g/colon tube w/device
|
$1,776.80 |
$1,776.80 |
$1,776.80 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$3,257.60 |
$3,257.60 |
$3,257.60 |
$4,499.12
|
|
Flebogamma injection
|
$49.60 |
$49.60 |
$49.60 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$66.43 |
$66.43 |
$66.43 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$373.60 |
$373.60 |
$373.60 |
$548.40
|
|
Flexible Sigmoidoscopy
|
$427.20 |
$427.20 |
$427.20 |
$1,284.13
|
|
Flexor-plasty elbow
|
$3,528.00 |
$3,528.00 |
$3,528.00 |
$7,968.80
|
|
Flexor-plasty elbw w/advmnt
|
$3,865.60 |
$3,865.60 |
$3,865.60 |
$7,907.11
|
|
Floor of mouth biopsy 41108
|
$381.60 |
$381.60 |
$381.60 |
$2,168.40
|
|
Flow cytometry interp 16 or more
|
$204.00 |
$204.00 |
$204.00 |
$198.94
|
|
Flow cytometry marker each additional
|
$96.80 |
$96.80 |
$96.80 |
$97.50
|
|
Flow cytometry one marker technical component
|
$328.79 |
$328.79 |
$328.79 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$155.20 |
$155.20 |
$155.20 |
$172.50
|
|
Flt3 gene
|
$331.20 |
$331.20 |
$331.20 |
$367.50
|
|
Flt3 gene analysis
|
$166.40 |
$166.40 |
$166.40 |
$216.00
|
|
Fluidotherapy charges pt
|
$107.08 |
$107.08 |
$107.08 |
$100.22
|
|
Fluid pressure muscle 20950
|
$634.40 |
$634.40 |
$634.40 |
$779.45
|
|
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
|
$508.65 |
$508.65 |
$508.65 |
$495.95
|
|
Fluoroguide needle placement
|
$578.81 |
$578.81 |
$578.81 |
$500.40
|
|
Fluoro polarize fetal lung
|
$48.00 |
$48.00 |
$48.00 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$431.75 |
$431.75 |
$431.75 |
$507.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$4.80 |
$4.80 |
$4.80 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$108.72 |
$108.72 |
$108.72 |
$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
|
$1,145.60 |
$1,145.60 |
$1,145.60 |
$1,471.60
|
|
Fna bx w/ct gdn ea addl
|
$692.00 |
$692.00 |
$692.00 |
$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
|
|
Follow-up angiography
|
$4,728.80 |
$4,728.80 |
$4,728.80 |
$1,983.00
|
