|
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)
|
$133.60 |
$133.60 |
$133.60 |
$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
|
$425.52 |
$425.52 |
$425.52 |
$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
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$99.92 |
$99.92 |
$99.92 |
$64.15
|
|
Fluidotherapy charges pt
|
$109.80 |
$109.80 |
$109.80 |
$100.22
|
|
Fluid pressure muscle 20950
|
$808.96 |
$808.96 |
$808.96 |
$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
|
$350.75 |
$350.75 |
$350.75 |
$495.95
|
|
Fluoroguide needle placement
|
$350.75 |
$350.75 |
$350.75 |
$500.40
|
|
Fluoro polarize fetal lung
|
$48.00 |
$48.00 |
$48.00 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$649.87 |
$649.87 |
$649.87 |
$507.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$4.80 |
$4.80 |
$4.80 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$25.60 |
$25.60 |
$25.60 |
$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
|
|
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
|
|
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
|
$224.98 |
$224.98 |
$224.98 |
$355.32
|
|
Foot X-ray (2 views, both feet)
|
$142.08 |
$142.08 |
$142.08 |
$290.40
|
|
Forearm/arm cuffs free motio
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
$901.60
|
|
Forearm X-ray (both sides)
|
$214.27 |
$214.27 |
$214.27 |
$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
|
$518.80 |
$518.80 |
$518.80 |
$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)
|
$7.20 |
$7.20 |
$7.20 |
$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
|
