|
Forensic cytopathology
|
$54.40 |
$54.40 |
$62.40 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$131.40 |
$424.78 |
$595.80 |
|
|
Formoterol comp unit
|
$2.40 |
$2.40 |
$2.40 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$2.40 |
$184.00 |
$1,539.00 |
|
|
Foscarnet sodium injection
|
$653.94 |
$762.93 |
$1,168.75 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$7.20 |
$65.25 |
$271.78 |
|
|
Fractionation ketosteroids
|
$72.00 |
$72.00 |
$438.00 |
|
|
Fracture assessment via dxa
|
$62.40 |
$62.40 |
$220.99 |
|
|
_fragile x methylation-sendout
|
$120.80 |
$127.86 |
$766.35 |
|
|
Fragmenting of kidney stone
|
$3,678.40 |
$3,678.40 |
$32,913.00 |
|
|
Freeing of bowel adhesion 44005
|
$1,963.80 |
$2,684.00 |
$3,897.00 |
|
|
Free omental flap microvasc
|
$4,726.40 |
$4,726.40 |
$4,726.40 |
|
|
Free/remove chest lining 32320
|
$2,939.40 |
$3,890.40 |
$4,941.00 |
|
|
Frenectomy 41115
|
$463.80 |
$622.40 |
$12,938.25 |
|
|
Frenotomy 40806
|
$243.20 |
$243.20 |
$283.80 |
|
|
Frenulotomy of penis
|
$482.40 |
$482.40 |
$482.40 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$76.70 |
$302.84 |
$519.00 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$78.54 |
$223.00 |
$319.20 |
|
|
Fresh frozen plasma thawing ea un
|
$21.60 |
$164.99 |
$164.99 |
|
|
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 |
$24.80 |
$24.80 |
|
|
Frozen plasma, pooled, sd
|
$302.84 |
$302.84 |
$302.84 |
|
|
Fructosamine glycated protein
|
$49.40 |
$64.28 |
$149.94 |
|
|
Ft arch suprt premold longit
|
$16.20 |
$113.60 |
$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 |
$59,728.88 |
|
|
Ft insert ucb berkeley shell
|
$685.00 |
$753.60 |
$753.60 |
|
|
Ftl cgen abnor five anal
|
$139.20 |
$139.20 |
$139.20 |
|
|
Ftl cgen abnor four anal
|
$307.20 |
$307.20 |
$545.60 |
|
|
Ftl cgen abnor three anal
|
$111.20 |
$111.20 |
$111.20 |
|
|
Ftl cgen abnor two proteins
|
$127.86 |
$127.86 |
$127.86 |
|
|
Full field erg w/i&r
|
$266.40 |
$266.40 |
$266.40 |
|
|
Full mouth x-ray of teeth
|
$112.80 |
$112.80 |
$657.80 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$178.28 |
$284.70 |
$961.00 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,845.60 |
$2,475.20 |
$34,083.00 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,403.40 |
$1,894.40 |
$51,571.11 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$249.60 |
$331.20 |
$3,503.56 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,699.80 |
$2,391.16 |
$61,598.43 |
|
|
Functional brain mapping
|
$143.22 |
$682.40 |
$682.40 |
|
|
Fundus photography with i&r 92250
|
$67.00 |
$148.80 |
$200.42 |
|
|
Furosemide 10 mg/ml injection solution
|
$1.96 |
$8.30 |
$17,086.43 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$6.75 |
$48.25 |
$73.72 |
|
|
Fuse bile ducts and bowel 47785
|
$4,741.20 |
$7,967.20 |
$7,967.20 |
|
|
Fuse esophagus & stomach
|
$3,421.60 |
$3,421.60 |
$3,421.60 |
|
|
Fuse gallbladder & bowel
|
$3,220.80 |
$3,220.80 |
$3,220.80 |
|
|
Fuse/graft added joint
|
$563.20 |
$563.20 |
$563.20 |
|
|
Fuse pancreas cyst and bowel
|
$3,209.60 |
$3,209.60 |
$3,209.60 |
|
|
Fuse pancreas cyst and bowel 48520
|
$1,961.40 |
$2,683.20 |
$2,683.20 |
|
|
Fuse upper gi structures
|
$3,321.60 |
$3,321.60 |
$3,321.60 |
|
|
Fusion/graft of finger joint
|
$1,812.80 |
$1,812.80 |
$1,812.80 |
|
|
Fusion/graft of hand joint
|
$2,040.80 |
$2,040.80 |
$2,040.80 |
|
|
Fusion of ankle joint open
|
$1,406.40 |
$5,059.20 |
$59,707.78 |
|
|
Fusion of big toe joint
|
$1,501.20 |
$3,966.40 |
$69,172.62 |
|
|
Fusion of big toe joint
|
$918.60 |
$2,544.00 |
$56,301.83 |
|
|
Fusion of finger jnt add-on
|
$255.20 |
$255.20 |
$255.20 |
|
|
Fusion of finger joint
|
$1,006.80 |
$1,422.40 |
$28,973.72 |
|
|
Fusion of finger tendons
|
$1,547.20 |
$1,547.20 |
$29,500.40 |
|
|
Fusion of finger tendons
|
$1,514.40 |
$1,514.40 |
$1,514.40 |
|
|
Fusion of foot bones
|
$1,020.00 |
$3,656.00 |
$78,036.26 |
|
|
Fusion of foot bones
|
$3,878.40 |
$3,878.40 |
$102,264.65 |
|
|
Fusion of foot bones
|
$1,551.00 |
$4,176.00 |
$73,998.44 |
|
|
Fusion of hand joint
|
$1,844.80 |
$1,844.80 |
$1,844.80 |
|
|
Fusion of knuckle
|
$1,733.60 |
$1,733.60 |
$1,733.60 |
|
|
Fusion of knuckle joint
|
$1,260.00 |
$3,521.60 |
$3,521.60 |
|
|
Fusion of knuckle joints
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
|
|
Fusion of knuckle joints
|
$4,164.80 |
$4,164.80 |
$4,164.80 |
|
|
Fusion of knuckle with graft
|
$1,984.80 |
$1,984.80 |
$1,984.80 |
|
|
Fusion of spermatic ducts
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
|
|
Fusion of spermatic ducts
|
$2,672.00 |
$2,672.00 |
$2,672.00 |
|
|
Fusion of tendons at wrist
|
$3,372.80 |
$3,372.80 |
$3,372.80 |
|
|
Fusion of tendons at wrist
|
$3,169.60 |
$3,169.60 |
$3,169.60 |
|
|
Fusion of thumb
|
$2,694.00 |
$3,633.60 |
$3,633.60 |
|
|
Fusion of tibiofibular joint
|
$3,396.80 |
$3,396.80 |
$3,396.80 |
|
|
Fusion of toes
|
$2,571.20 |
$2,571.20 |
$39,842.93 |
|
|
Fusion of ureter & kidney
|
$5,988.80 |
$5,988.80 |
$5,988.80 |
|
|
Fxn gene detc abnor alleles
|
$153.56 |
$153.56 |
$153.56 |
|
|
G0180 home health certification
|
$82.80 |
$116.00 |
$155.00 |
|
|
G6pc gene
|
$117.60 |
$117.60 |
$117.60 |
|
|
G6pd full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
|
|
G6pd gene alys cmn variant
|
$350.40 |
$350.40 |
$350.40 |
|
|
G6pd known familial variant
|
$751.20 |
$751.20 |
$751.20 |
|
|
Ga-67 gallium 0.1 mci
|
$92.64 |
$253.10 |
$306.60 |
|
|
Ga-68 gallium 68 dotatate
|
$66.60 |
$15,600.00 |
$15,600.00 |
|
|
Gabapentin non-blood
|
$72.14 |
$72.14 |
$72.14 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.89 |
$176.62 |
$591.40 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$8.00 |
$109.30 |
$764.66 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.88 |
$99.80 |
$5,729.90 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$29.72 |
$281.05 |
$674.30 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$64.28 |
$64.28 |
$298.80 |
|
|
Galactokinase - sendout
|
$64.28 |
$64.28 |
$344.40 |
|
|
Galactose transferase test
|
$19.68 |
$64.28 |
$64.28 |
|
|
Galectin-3
|
$88.80 |
$88.80 |
$88.80 |
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$703.20 |
$1,326.98 |
$2,567.00 |
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$951.72 |
$1,493.98 |
$2,567.00 |
|
|
Gallbladder Removal (Laparoscopic)
|
$854.40 |
$1,614.40 |
$59,346.65 |
|
|
Gallium ga-68 psma-11, ucla
|
$1,537.26 |
$1,537.26 |
$1,537.26 |
|
|
Gallium illuccix 1 millicure
|
$987.00 |
$1,280.81 |
$162,720.00 |
|
|
Gamma globulin > 10 cc inj
|
$556.00 |
$556.00 |
$556.00 |
|