|
Forearm/arm cuffs free motio
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
$901.60
|
|
Forearm X-ray (both sides)
|
$243.88 |
$243.88 |
$714.00 |
$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
|
$528.96 |
$528.96 |
$528.96 |
$544.50
|
|
Formoterol comp unit
|
$2.40 |
$2.40 |
$2.40 |
$2.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$4.04 |
$4.04 |
$1,539.00 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$22.65 |
$22.65 |
$38.95 |
$103.62
|
|
Fractionation ketosteroids
|
$72.00 |
$72.00 |
$72.00 |
$148.00
|
|
Fracture assessment via dxa
|
$108.40 |
$108.40 |
$108.40 |
$175.50
|
|
_fragile x methylation-sendout
|
$127.86 |
$127.86 |
$766.35 |
$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 |
$3,897.00 |
$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
|
$540.00 |
$540.00 |
$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
|
$224.25 |
$224.25 |
$302.84 |
$155.40
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$224.25 |
$224.25 |
$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 |
$124.80 |
$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
|
$685.00 |
$685.00 |
$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
|
$193.44 |
$193.44 |
$657.80 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$187.85 |
$187.85 |
$224.25 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,475.20 |
$2,475.20 |
$5,761.85 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$3,375.25 |
$3,375.25 |
$51,571.11 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$3,375.25 |
$3,375.25 |
$3,375.25 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,375.25 |
$3,375.25 |
$61,598.43 |
$2,707.20
|
|
Functional brain mapping
|
$682.40 |
$682.40 |
$682.40 |
$514.80
|
|
Fundus photography with i&r 92250
|
$67.00 |
$67.00 |
$148.80 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$3.00 |
$3.00 |
$18.68 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$48.25 |
$48.25 |
$72.32 |
$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
|
$3,483.00 |
$3,483.00 |
$5,059.20 |
$9,791.00
|
|
Fusion of big toe joint
|
$3,966.40 |
$3,966.40 |
$59,755.13 |
$5,488.00
|
|
Fusion of big toe joint
|
$2,544.00 |
$2,544.00 |
$56,301.83 |
$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 |
$78,036.26 |
$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 |
$73,998.44 |
$5,419.00
|
|
Fusion of hand joint
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
$6,311.00
|
|
Fusion of knuckle
|
$1,733.60 |
$1,733.60 |
$1,733.60 |
$7,807.24
|
|
Fusion of knuckle joint
|
$3,521.60 |
$3,521.60 |
$3,521.60 |
$3,821.05
|
|
Fusion of knuckle joints
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
$4,259.84
|
|
Fusion of knuckle joints
|
$4,164.80 |
$4,164.80 |
$4,164.80 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
$7,807.24
|
|
Fusion of spermatic ducts
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$2,672.00 |
$2,672.00 |
$2,672.00 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$3,169.60 |
$3,169.60 |
$3,169.60 |
$3,839.54
|
|
Fusion of thumb
|
$2,694.00 |
$2,694.00 |
$3,633.60 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$3,396.80 |
$3,396.80 |
$3,396.80 |
$9,791.00
|
|
Fusion of toes
|
$2,571.20 |
$2,571.20 |
$39,842.93 |
$3,839.54
|
|
Fusion of ureter & kidney
|
$5,988.80 |
$5,988.80 |
$5,988.80 |
$2,702.04
|
|
Fxn gene detc abnor alleles
|
$153.56 |
$153.56 |
$153.56 |
$195.30
|
|
G0180 home health certification
|
$116.00 |
$116.00 |
$155.00 |
$107.25
|
|
G6pc gene
|
$117.60 |
$117.60 |
$117.60 |
$138.40
|
|
G6pd full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$350.40 |
$350.40 |
$350.40 |
$243.00
|
|
G6pd known familial variant
|
$751.20 |
$751.20 |
$751.20 |
$751.20
|
|
Ga-67 gallium 0.1 mci
|
$180.95 |
$180.95 |
$253.10 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$66.60 |
$66.60 |
$15,600.00 |
$140.35
|
|
Gabapentin non-blood
|
$72.14 |
$72.14 |
$72.14 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$591.40 |
$591.40 |
$591.40 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$23.49 |
$23.49 |
$231.00 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$5,729.90 |
$5,729.90 |
$5,729.90 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$64.28 |
$64.28 |
$64.28 |
$100.00
|
|
Galactokinase - sendout
|
$64.28 |
$64.28 |
$64.28 |
$196.38
|
|
Galactose transferase test
|
$64.28 |
$64.28 |
$64.28 |
$31.35
|
|
Galectin-3
|
$88.80 |
$88.80 |
$88.80 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$919.75 |
$919.75 |
$1,884.68 |
$1,493.98
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,193.40 |
$1,193.40 |
$1,922.97 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$1,614.40 |
$1,614.40 |
$49,677.94 |
$13,208.00
|
|
Gallium ga-68 psma-11, ucla
|
$1,537.26 |
$1,537.26 |
$1,537.26 |
$187.20
|
|
Gallium illuccix 1 millicure
|
$1,280.30 |
$1,280.30 |
$162,720.00 |
$1,696.55
|