|
Fibrinolytic antiplasmin
|
$32.85 |
$32.85 |
$154.05 |
|
|
Fibrinolytic plasmin
|
$20.00 |
$20.00 |
$20.00 |
|
|
Fibrinolytic plasminogen
|
$34.40 |
$34.40 |
$205.20 |
|
|
Fibrinolytic plasminogen
|
$25.60 |
$25.60 |
$25.60 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$22.80 |
$32.85 |
$205.20 |
|
|
Fibula bone graft microvasc
|
$6,131.20 |
$6,131.20 |
$6,131.20 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.32 |
$1,611.50 |
$1,611.50 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1.60 |
$953.68 |
$2,444.10 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$0.80 |
$940.30 |
$2,128.65 |
|
|
Filleted finger/toe flap
|
$954.00 |
$1,725.60 |
$1,725.60 |
|
|
Filtered speech hearing test
|
$56.80 |
$56.80 |
$56.80 |
|
|
Filter spider fx 3mmx320cm
|
$2,916.40 |
$10,493.62 |
$26,937.16 |
|
|
Filter vena cava fem denali
|
$2,626.42 |
$6,701.39 |
$35,888.87 |
|
|
Fimbrioplasty 58760
|
$1,506.00 |
$4,092.80 |
$4,092.80 |
|
|
Finasteride, 5 mg
|
$1.48 |
$1.80 |
$6.34 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$394.20 |
$726.40 |
$35,107.86 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$256.80 |
$612.97 |
$35,107.86 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$128.80 |
$128.80 |
$174.60 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$149.60 |
$471.25 |
$3,998.40 |
|
|
Fine needle asp without image guide 10021
|
$177.60 |
$264.00 |
$716.00 |
|
|
Finger joint sz00 swanson w/grommets
|
$2,000.70 |
$2,105.74 |
$7,146.96 |
|
|
Finger tendon transfer
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
|
|
Finger tendon transfer
|
$2,832.80 |
$2,832.80 |
$2,832.80 |
|
|
Finger X-ray (both hands)
|
$117.60 |
$240.52 |
$2,763.80 |
|
|
Fistula repair & colostomy
|
$2,642.40 |
$2,642.40 |
$2,642.40 |
|
|
Fistula repair transperine 57308
|
$1,185.60 |
$1,652.00 |
$1,652.00 |
|
|
Fit aphakia spectcl monofocl
|
$90.40 |
$90.40 |
$90.40 |
|
|
Fit aphakia spectcl multifoc
|
$104.80 |
$104.80 |
$104.80 |
|
|
Fitg c-lens keratoconus 1st
|
$270.40 |
$270.40 |
$270.40 |
|
|
Fitg spect low vis 1system
|
$126.40 |
$126.40 |
$126.40 |
|
|
Fitg spect lw vis cmpnd lens
|
$64.80 |
$64.80 |
$64.80 |
|
|
Fitting of diaphragm/cap 57170
|
$115.20 |
$174.40 |
$780.08 |
|
|
Fixation of ankle joint
|
$844.80 |
$844.80 |
$844.80 |
|
|
Fixation of knee joint
|
$740.80 |
$740.80 |
$15,855.00 |
|
|
Fixation of shoulder blade
|
$4,782.40 |
$4,782.40 |
$4,782.40 |
|
|
Fix g/colon tube w/device
|
$360.78 |
$1,776.80 |
$1,776.80 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$935.40 |
$3,257.60 |
$19,878.65 |
|
|
Flebogamma injection
|
$49.60 |
$49.60 |
$2,551.62 |
|
|
Flecainide (tambocor)-sendout
|
$47.40 |
$66.43 |
$66.43 |
|
|
Fl exam g/colon tube w contrast
|
$94.56 |
$425.52 |
$877.00 |
|
|
Flexible Sigmoidoscopy
|
$98.40 |
$427.20 |
$15,655.55 |
|
|
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
|
$274.20 |
$381.60 |
$704.62 |
|
|
Florbetaben f18 diagnostic
|
$2,074.38 |
$2,074.38 |
$2,074.38 |
|
|
Flow cytometry interp 16 or more
|
$94.80 |
$204.00 |
$204.00 |
|
|
Flow cytometry marker each additional
|
$55.25 |
$96.80 |
$544.05 |
|
|
Flow cytometry one marker technical component
|
$67.80 |
$328.79 |
$8,365.50 |
|
|
#flow interp 9 - 15 markers
|
$85.20 |
$155.20 |
$155.20 |
|
|
Flt3 gene
|
$331.20 |
$331.20 |
$331.20 |
|
|
Flt3 gene analysis
|
$166.40 |
$166.40 |
$249.00 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$20.00 |
$74.00 |
$122.71 |
|
|
Fludarabine 50 mg intravenous solution
|
$434.65 |
$434.65 |
$609.22 |
|
|
Fluidotherapy charges pt
|
$35.20 |
$109.80 |
$2,584.00 |
|
|
Fluid pressure muscle 20950
|
$396.96 |
$634.40 |
$1,516.45 |
|
|
Flulaval vacc, 3 yrs & >, im
|
$17.60 |
$17.60 |
$17.60 |
|
|
Fluorescein angioscopy i&r
|
$242.40 |
$242.40 |
$242.40 |
|
|
Fluorescein angrph mltiframe
|
$325.60 |
$325.60 |
$325.60 |
|
|
Fluorescein&icg angiography
|
$596.00 |
$596.00 |
$596.00 |
|
|
Fluorescent antibody titer dna
|
$48.57 |
$79.95 |
$546.00 |
|
|
Fluoroestradiol f 18
|
$1,461.20 |
$1,461.20 |
$25,191.30 |
|
|
Fluoroguide for spine inject 77003-26
|
$240.48 |
$508.65 |
$8,329.15 |
|
|
Fluoroguide needle placement
|
$193.80 |
$584.16 |
$5,709.33 |
|
|
Fluoro polarize fetal lung
|
$48.00 |
$48.00 |
$216.00 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$212.53 |
$479.77 |
$34,853.30 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$4.80 |
$142.88 |
$285.20 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$23.10 |
$67.31 |
$135.73 |
|
|
Flurpiridaz f18, diag, 1 mci
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
|
|
Flutemetamol f18 diagnostic
|
$2,191.14 |
$2,191.14 |
$2,191.14 |
|
|
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
|
$1,186.08 |
$2,100.80 |
$2,100.80 |
|
|
Fmri brain by tech
|
$1,138.62 |
$1,156.80 |
$3,913.00 |
|
|
Fna bx w/ct gdn 1st les
|
$636.30 |
$1,226.87 |
$5,132.86 |
|
|
Fna bx w/ct gdn ea addl
|
$126.75 |
$692.00 |
$1,459.20 |
|
|
Fna bx w/mr gdn 1st les
|
$636.30 |
$636.30 |
$636.30 |
|
|
Fna bx w/mr gdn ea addl
|
$362.05 |
$551.20 |
$636.30 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$37.30 |
$42.63 |
$43.52 |
|
|
Foam drg <=16 sq in w/border
|
$8.29 |
$11.72 |
$416.05 |
|
|
Foam drg > 48 sq in without brdr
|
$13.78 |
$13.78 |
$14.07 |
|
|
Foam drsg <=16 sq in without bdr
|
$18.27 |
$21.60 |
$63.42 |
|
|
Foam stability fetal lung
|
$48.00 |
$48.00 |
$48.00 |
|
|
Folic acid
|
$46.15 |
$71.50 |
$214.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$7.21 |
$14.68 |
$161.00 |
|
|
Follow-up angiography
|
$1,703.40 |
$4,728.80 |
$5,853.25 |
|
|
Followup eval of foot pt lop
|
$71.20 |
$71.20 |
$169.00 |
|
|
Follow-up surgery of eye
|
$3,718.40 |
$3,718.40 |
$3,718.40 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$24.60 |
$2,742.73 |
$6,898.50 |
|
|
Fondaparinux sodium
|
$21.52 |
$133.70 |
$269.05 |
|
|
Foot arch support remov prem
|
$183.20 |
$183.20 |
$269.60 |
|
|
Foot arch supp premold metat
|
$113.60 |
$113.60 |
$113.60 |
|
|
Foot drp splt w/exp heel lg
|
$179.20 |
$275.11 |
$1,258.46 |
|
|
Foot insert plastazote or eq
|
$388.00 |
$388.00 |
$388.00 |
|
|
Foot longitud/metatarsal sup
|
$476.00 |
$476.00 |
$476.00 |
|
|
Foot plas heel stabi pre ots
|
$18.60 |
$122.40 |
$122.40 |
|
|
Foot X-ray
|
$189.00 |
$308.50 |
$3,290.00 |
|
|
Foot X-ray (2 views, both feet)
|
$87.20 |
$195.51 |
$65,602.57 |
|
|
Forearm/arm cuffs free motio
|
$1,510.40 |
$1,510.40 |
$1,510.40 |
|
|
Forearm X-ray (both sides)
|
$171.84 |
$306.65 |
$28,031.80 |
|
|
Forehead flap w/vasc pedicle 15731
|
$1,644.60 |
$2,767.20 |
$20,243.19 |
|
