|
Fludarabine 50 mg intravenous solution
|
$112.34 |
$112.34 |
$121.96 |
|
|
Fluidotherapy charges pt
|
$21.51 |
$77.00 |
$122.00 |
|
|
Fluid pressure muscle 20950
|
$973.71 |
$1,110.40 |
$2,177.00 |
|
|
Fluocinol acet intravit imp
|
$700.26 |
$700.26 |
$700.26 |
|
|
Fluocinolone acetonide implt
|
$467.73 |
$467.73 |
$467.73 |
|
|
Fluorescein angioscopy i&r
|
$513.11 |
$513.11 |
$513.11 |
|
|
Fluorescein angrph mltiframe
|
$296.91 |
$344.00 |
$654.00 |
|
|
Fluorescein&icg angiography
|
$296.91 |
$296.91 |
$296.91 |
|
|
Fluorescent antibody titer dna
|
$16.63 |
$120.00 |
$1,263.20 |
|
|
Fluorodopa f-18 diag per mci
|
$1,180.66 |
$1,180.66 |
$1,180.66 |
|
|
Fluoroestradiol f 18
|
$635.38 |
$635.38 |
$635.38 |
|
|
Fluoroguide for spine inject 77003-26
|
$101.75 |
$207.00 |
$1,812.00 |
|
|
Fluoroguide needle placement
|
$65.33 |
$207.00 |
$1,661.60 |
|
|
Fluoro polarize fetal lung
|
$4.73 |
$26.10 |
$26.10 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$104.16 |
$441.00 |
$944.80 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$2.68 |
$2.68 |
$14.88 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$8.55 |
$8.55 |
$191.84 |
|
|
Flurpiridaz f18, diag, 1 mci
|
$731.40 |
$731.40 |
$731.40 |
|
|
Flutemetamol f18 diagnostic
|
$2,682.73 |
$2,682.73 |
$2,682.73 |
|
|
Fmri brain by phys/psych
|
$328.08 |
$929.00 |
$2,203.00 |
|
|
Fmri brain by tech
|
$328.08 |
$1,648.00 |
$1,830.00 |
|
|
Fna bx w/ct gdn 1st les
|
$779.26 |
$1,193.00 |
$2,652.00 |
|
|
Fna bx w/ct gdn ea addl
|
$97.21 |
$3,142.00 |
$3,491.00 |
|
|
Fna bx w/mr gdn 1st les
|
$779.26 |
$973.71 |
$2,004.80 |
|
|
Fna bx w/mr gdn ea addl
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$6.16 |
$6.16 |
$65.80 |
|
|
Foam drg >16<=48 sq in without b
|
$16.24 |
$39.19 |
$39.19 |
|
|
Foam drg <=16 sq in w/border
|
$19.10 |
$19.10 |
$42.56 |
|
|
Foam drg > 48 sq in w/border
|
$20.26 |
$20.26 |
$20.26 |
|
|
Foam drg > 48 sq in without brdr
|
$57.77 |
$57.77 |
$57.77 |
|
|
Foam drsg <=16 sq in without bdr
|
$14.70 |
$14.70 |
$14.70 |
|
|
Foam/fabric leg strap
|
$14.96 |
$14.96 |
$14.96 |
|
|
Foam stability fetal lung
|
$9.87 |
$26.10 |
$26.10 |
|
|
Folic acid
|
$20.29 |
$59.00 |
$166.40 |
|
|
Folic acid 5 mg/ml injection solution
|
$0.07 |
$0.07 |
$0.07 |
|
|
Follow-up angiography
|
$257.60 |
$3,970.00 |
$5,493.00 |
|
|
Followup eval of foot pt lop
|
$183.07 |
$183.07 |
$183.07 |
|
|
Follow-up surgery of eye
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6.10 |
$8.88 |
$174.46 |
|
|
Fondaparinux sodium
|
$1.21 |
$1.21 |
$84.88 |
|
|
Fo nontorsion joint cf
|
$160.00 |
$340.96 |
$340.96 |
|
|
Foot arch support remov prem
|
$129.40 |
$129.40 |
$129.40 |
|
|
Foot arch supp premold metat
|
$79.82 |
$79.82 |
$79.82 |
|
|
Foot drp splt w/exp heel lg
|
$130.99 |
$130.99 |
$130.99 |
|
|
Foot external keel sach foot
|
$369.11 |
$369.11 |
$369.11 |
|
|
Foot insert plastazote or eq
|
$273.90 |
$273.90 |
$273.90 |
|
|
Foot insert remov molded spe
|
$224.33 |
$224.33 |
$224.33 |
|
|
Foot insert silicone gel eac
|
$295.47 |
$295.47 |
$295.47 |
|
|
Foot lamin/prepreg composite
|
$207.70 |
$207.70 |
$207.70 |
|
|
Foot longitudinal arch suppo
|
$295.47 |
$295.47 |
$295.47 |
|
|
Foot longitud/metatarsal sup
|
$128.52 |
$336.49 |
$336.49 |
|
|
Foot plas heel stabi pre ots
|
$86.28 |
$86.28 |
$86.28 |
|
|
Foot plate molded stirrup at
|
$566.49 |
$566.49 |
$566.49 |
|
|
Foot single axis ankle/foot
|
$393.70 |
$393.70 |
$393.70 |
|
|
Foot X-ray
|
$91.84 |
$370.94 |
$752.00 |
|
|
Foot X-ray (2 views, both feet)
|
$80.08 |
$358.61 |
$692.80 |
|
|
Forearm/arm cuffs ext/flex a
|
$1,398.85 |
$1,398.85 |
$1,398.85 |
|
|
Forearm/arm cuffs free motio
|
$1,054.62 |
$1,054.62 |
$1,054.62 |
|
|
Forearm X-ray (both sides)
|
$80.08 |
$359.00 |
$742.40 |
|
|
Forehead flap w/vasc pedicle 15731
|
$4,872.75 |
$4,872.75 |
$4,872.75 |
|
|
Forensic cytopathology
|
$12.32 |
$71.65 |
$71.65 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$343.55 |
$484.00 |
$972.00 |
|
|
Formoterol fumarate, inh
|
$3.03 |
$3.03 |
$3.03 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$0.14 |
$0.14 |
$3.11 |
|
|
Foscarnet sodium injection
|
$9.26 |
$9.26 |
$37.00 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$1.85 |
$1.85 |
$13.24 |
|
|
Fractionation ketosteroids
|
$39.33 |
$120.67 |
$160.89 |
|
|
Fracture assessment via dxa
|
$82.72 |
$119.66 |
$1,317.60 |
|
|
_fragile x methylation-sendout
|
$55.44 |
$61.95 |
$851.20 |
|
|
Fragmenting of kidney stone
|
$4,846.99 |
$4,846.99 |
$7,496.16 |
|
|
Frame typ sock above elb/dis
|
$1,078.51 |
$1,078.51 |
$1,078.51 |
|
|
Frame typ socket bel elbow/w
|
$974.50 |
$974.50 |
$974.50 |
|
|
Frame typ socket shoulder di
|
$1,285.39 |
$1,285.39 |
$1,285.39 |
|
|
Frame typ sock interscap-tho
|
$1,513.35 |
$1,513.35 |
$1,513.35 |
|
|
Free fascial flap microvasc
|
$2,833.65 |
$2,833.65 |
$2,833.65 |
|
|
Freeing of bowel adhesion 44005
|
$1,538.78 |
$1,538.78 |
$1,538.78 |
|
|
Free myo/skin flap microvasc
|
$2,866.61 |
$2,866.61 |
$2,866.61 |
|
|
Free/remove chest lining 32320
|
$2,303.39 |
$2,303.39 |
$2,303.39 |
|
|
Free skin flap microvasc
|
$2,839.16 |
$2,839.16 |
$2,839.16 |
|
|
Frenectomy 41115
|
$1,738.00 |
$1,738.00 |
$2,133.48 |
|
|
Frenotomy 40806
|
$741.60 |
$1,918.00 |
$1,918.00 |
|
|
Frenulotomy of penis
|
$2,874.36 |
$2,874.36 |
$2,874.36 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$52.64 |
$200.93 |
$377.00 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$44.65 |
$200.93 |
$325.36 |
|
|
Fresh frozen plasma thawing ea un
|
$22.09 |
$234.27 |
$244.00 |
|
|
Fr frz plasma donor retested
|
$71.66 |
$71.66 |
$71.66 |
|
|
Frozen blood freeze/thaw
|
$51.36 |
$51.36 |
$60.06 |
|
|
Frozen blood prep
|
$234.27 |
$234.27 |
$234.27 |
|
|
Frozen blood thaw
|
$234.27 |
$234.27 |
$234.27 |
|
|
Frozen cell preparation
|
$16.68 |
$16.68 |
$16.68 |
|
|
Frozen plasma, pooled, sd
|
$75.32 |
$75.32 |
$75.32 |
|
|
Fructosamine glycated protein
|
$23.03 |
$30.81 |
$129.60 |
|
|
Ft arch suprt premold longit
|
$79.82 |
$79.82 |
$79.82 |
|
|
Fth/gft fr n/e/e/l each addl
|
$163.36 |
$163.36 |
$163.36 |
|
|
Fth/gft fr trnk each addl
|
$96.02 |
$96.02 |
$96.02 |
|
|
Ft insert ucb berkeley shell
|
$532.76 |
$532.76 |
$532.76 |
|
|
Ftl cgen abnor 3 proteins
|
$699.06 |
$2,052.57 |
$2,052.57 |
|
|
Ftl cgen abnor five anal
|
$32.90 |
$95.94 |
$95.94 |
|
|
Ftl cgen abnor four anal
|
$26.46 |
$211.83 |
$499.20 |
|
|
Ftl cgen abnor three anal
|
$26.32 |
$76.65 |
$76.65 |
|
