|
Extraction of lens
|
$14,939.00 |
$14,939.00 |
$14,939.00 |
$4,260.80
|
|
Extraction of lens
|
$23,638.15 |
$23,638.15 |
$23,638.15 |
$2,524.45
|
|
Extraction of lens 66920
|
$9,796.72 |
$9,796.72 |
$9,796.72 |
$3,173.34
|
|
F-18 fdg pet diag
|
$1,363.70 |
$1,363.70 |
$1,363.70 |
$750.58
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,989.70 |
$3,989.70 |
$3,989.70 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$772.20 |
$772.20 |
$772.20 |
$7,624.40
|
|
Facial bones <3
|
$214.50 |
$214.50 |
$214.50 |
$216.45
|
|
Factor ix
|
$123.50 |
$123.50 |
$123.50 |
$139.75
|
|
Factor ix non-recombinant
|
$3,502.13 |
$3,502.13 |
$3,502.13 |
$1.35
|
|
Factor ix recombinant nos
|
$10,447.71 |
$10,447.71 |
$10,447.71 |
$1.88
|
|
Factor viii
|
$172.90 |
$172.90 |
$172.90 |
$152.50
|
|
Factor xiii recomb a-subunit
|
$97,091.31 |
$97,091.31 |
$97,091.31 |
$68.26
|
|
Fallopian tube recnl
|
$7,826.65 |
$7,826.65 |
$7,826.65 |
$2,904.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$7,064.62 |
$7,064.62 |
$7,064.62 |
$47.09
|
|
Fat/lipids feces qualitative
|
$130.65 |
$130.65 |
$130.65 |
$43.66
|
|
Fatty acids nonesterified
|
$89.70 |
$89.70 |
$89.70 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$566.15 |
$566.15 |
$566.15 |
$956.25
|
|
#fecal-sodium
|
$33.15 |
$33.15 |
$33.15 |
$40.30
|
|
Fees w/laryngeal sense test
|
$579.80 |
$579.80 |
$579.80 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$81.90 |
$81.90 |
$81.90 |
$83.85
|
|
Fem/popl revasc w/stent
|
$25,488.88 |
$25,488.88 |
$25,488.88 |
$21,553.12
|
|
Feno poc
|
$138.45 |
$138.45 |
$138.45 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$206.06 |
$206.06 |
$206.06 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$327.14 |
$327.14 |
$327.14 |
$2,131.58
|
|
Ferritin
|
$124.80 |
$124.80 |
$124.80 |
$86.45
|
|
Fetal biophys profile w/nst 76818
|
$845.65 |
$845.65 |
$845.65 |
$525.33
|
|
Fetal chrom aneuploidy gsa panel
|
$1,665.30 |
$1,665.30 |
$1,665.30 |
$1,231.20
|
|
Fetal contract stress test 59020 - 26
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$555.60
|
|
Fetal fibronectin
|
$247.65 |
$247.65 |
$247.65 |
$309.40
|
|
Fetal fluid drainage w/us
|
$547.30 |
$547.30 |
$547.30 |
$626.34
|
|
Fetal hemoglobin (kleihauer betke)
|
$137.15 |
$137.15 |
$137.15 |
$59.85
|
|
Fetal hemoglobin rosette
|
$116.35 |
$116.35 |
$116.35 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$83.85 |
$83.85 |
$83.85 |
$64.28
|
|
Fetal non stress test
|
$748.15 |
$748.15 |
$748.15 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$120.90 |
$120.90 |
$120.90 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$174.20 |
$174.20 |
$174.20 |
$87.60
|
|
Fibrinogen activity
|
$146.90 |
$146.90 |
$146.90 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$44.20 |
$44.20 |
$44.20 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$61.75 |
$61.75 |
$61.75 |
$68.40
|
|
Fibrinolytic plasminogen
|
$179.40 |
$179.40 |
$179.40 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$118.95 |
$118.95 |
$118.95 |
$70.80
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$685.56 |
$685.56 |
$685.56 |
$492.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,039.75 |
$1,039.75 |
$1,039.75 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$858.86 |
$858.86 |
$858.86 |
$998.68
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,355.60 |
$2,355.60 |
$2,355.60 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$841.75 |
$841.75 |
$841.75 |
$612.97
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$1,600.95 |
$1,600.95 |
$1,600.95 |
$227.17
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,884.70 |
$2,884.70 |
$2,884.70 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$2,414.75 |
$2,414.75 |
$2,414.75 |
$547.53
|
|
Fixation of knee joint
|
$2,572.05 |
$2,572.05 |
$2,572.05 |
$1,858.61
|
|
Fix g/colon tube w/device
|
$1,804.40 |
$1,804.40 |
$1,804.40 |
$1,165.45
|
|
Flecainide (tambocor)-sendout
|
$81.90 |
$81.90 |
$81.90 |
$86.40
|
|
Fl exam g/colon tube w contrast
|
$142.35 |
$142.35 |
$142.35 |
$522.75
|
|
Flexible Sigmoidoscopy
|
$2,767.82 |
$2,767.82 |
$2,767.82 |
$1,278.72
|
|
Florbetaben f18 diagnostic
|
$7,737.60 |
$7,737.60 |
$7,737.60 |
$1,273.76
|
|
Flow cytometry marker each additional
|
$119.60 |
$119.60 |
$119.60 |
$103.00
|
|
Flow cytometry one marker technical component
|
$257.40 |
$257.40 |
$257.40 |
$304.43
|
|
#flow interp 9 - 15 markers
|
$271.05 |
$271.05 |
$271.05 |
$202.15
|
|
Flt3 gene
|
$353.60 |
$353.60 |
$353.60 |
$355.00
|
|
Flt3 gene analysis
|
$342.55 |
$342.55 |
$342.55 |
$262.80
|
|
Fludarabine 50 mg intravenous solution
|
$599.82 |
$599.82 |
$599.82 |
$417.96
|
|
Fluidotherapy charges pt
|
$139.10 |
$139.10 |
$139.10 |
$101.40
|
|
Fluorescein angrph mltiframe
|
$307.45 |
$307.45 |
$307.45 |
$340.32
|
|
Fluorescent antibody titer dna
|
$210.60 |
$210.60 |
$210.60 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$538.85 |
$538.85 |
$538.85 |
$497.25
|
|
Fluoroguide needle placement
|
$766.35 |
$766.35 |
$766.35 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$655.85 |
$655.85 |
$655.85 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$71.60 |
$71.60 |
$71.60 |
$73.16
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$46.85 |
$46.85 |
$46.85 |
$66.60
|
|
Fna bx w/ct gdn 1st les
|
$3,630.09 |
$3,630.09 |
$3,630.09 |
$1,320.40
|
|
Fna bx w/ct gdn ea addl
|
$541.45 |
$541.45 |
$541.45 |
$737.83
|
|
Fna bx w/mr gdn 1st les
|
$1,002.30 |
$1,002.30 |
$1,002.30 |
$900.75
|
|
Fna bx w/mr gdn ea addl
|
$2,063.75 |
$2,063.75 |
$2,063.75 |
$612.30
|
|
Folic acid
|
$85.80 |
$85.80 |
$85.80 |
$85.50
|
|
Folic acid 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$3.00
|
|
Follow-up angiography
|
$887.25 |
$887.25 |
$887.25 |
$1,939.14
|
|
Follow-up surgery of eye
|
$17,411.50 |
$17,411.50 |
$17,411.50 |
$2,954.80
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,929.11 |
$1,929.11 |
$1,929.11 |
$18.44
|
|
Fondaparinux sodium
|
$164.18 |
$164.18 |
$164.18 |
$121.83
|
|
Foot X-ray
|
$593.45 |
$593.45 |
$593.45 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$84.63 |
$84.63 |
$84.63 |
$201.52
|
|
Foscarnet sodium injection
|
$1,450.80 |
$1,450.80 |
$1,450.80 |
$1,082.06
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$366.63 |
$366.63 |
$366.63 |
$66.38
|
|
Fracture assessment via dxa
|
$298.35 |
$298.35 |
$298.35 |
$170.40
|
|
_fragile x methylation-sendout
|
$369.20 |
$369.20 |
$369.20 |
$175.75
|
|
Fragmenting of kidney stone
|
$11,182.43 |
$11,182.43 |
$11,182.43 |
$9,827.25
|
|
Frenectomy 41115
|
$5,129.80 |
$5,129.80 |
$5,129.80 |
$1,708.80
|
|
Frenotomy 40806
|
$5,254.60 |
$5,254.60 |
$5,254.60 |
$563.67
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$177.45 |
$177.45 |
$177.45 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$230.10 |
$230.10 |
$230.10 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$144.30 |
$144.30 |
$144.30 |
$114.35
|
|
Fructosamine glycated protein
|
$44.85 |
$44.85 |
$44.85 |
$69.55
|
|
Ftl cgen abnor four anal
|
$186.55 |
$186.55 |
$186.55 |
$267.15
|
|
Fundus photography with i&r 92250
|
$200.20 |
$200.20 |
$200.20 |
$209.46
|
|
Furosemide 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
G0180 home health certification
|
$107.25 |
$107.25 |
$107.25 |
$97.50
|
|
Ga-67 gallium 0.1 mci
|
$109.20 |
$109.20 |
$109.20 |
$156.23
|
|
Ga-68 gallium 68 dotatate
|
$161.20 |
$161.20 |
$161.20 |
$118.19
|
