|
F-18 fluciclovine per mci
|
$2,298.08 |
$2,298.08 |
$2,298.08 |
$1,307.52
|
|
Facial bones <3
|
$303.46 |
$303.46 |
$319.55 |
$248.60
|
|
Factor ix
|
$144.10 |
$144.10 |
$335.50 |
$131.30
|
|
Factor viii
|
$114.40 |
$114.40 |
$199.65 |
$144.30
|
|
Fancc gene
|
$191.40 |
$191.40 |
$191.40 |
$147.31
|
|
Fat/lipids feces qualitative
|
$46.75 |
$46.75 |
$150.70 |
$34.56
|
|
Fatty acids nonesterified
|
$37.40 |
$37.40 |
$37.40 |
$57.60
|
|
Fecal microbiota prep instil
|
$1,257.85 |
$1,257.85 |
$1,257.85 |
$1,059.00
|
|
#fecal-sodium
|
$49.50 |
$49.50 |
$50.05 |
$37.50
|
|
Fees w/laryngeal sense test
|
$251.90 |
$251.90 |
$251.90 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$30.25 |
$30.25 |
$105.60 |
$66.43
|
|
Fem/popl revasc w/stent
|
$12,100.00 |
$12,100.00 |
$24,424.26 |
$18,599.10
|
|
Feno poc
|
$105.82 |
$105.82 |
$150.70 |
$80.25
|
|
Ferritin
|
$71.50 |
$71.50 |
$78.10 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$726.44 |
$726.44 |
$726.44 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$822.80 |
$822.80 |
$1,702.80 |
$1,217.45
|
|
Fetal cord puncture prenatal
|
$492.64 |
$492.64 |
$492.64 |
$764.92
|
|
Fetal fibronectin
|
$336.05 |
$336.05 |
$336.05 |
$352.95
|
|
Fetal fluid drainage w/us
|
$372.52 |
$372.52 |
$372.52 |
$626.34
|
|
Fetal hemoglobin (kleihauer betke)
|
$165.00 |
$165.00 |
$165.00 |
$88.80
|
|
Fetal lung maturity assess lam body dnst
|
$48.95 |
$48.95 |
$48.95 |
$64.28
|
|
Fetal non stress test
|
$515.35 |
$515.35 |
$515.52 |
$507.90
|
|
Fetal shunt placement w/us
|
$595.60 |
$595.60 |
$595.60 |
$668.50
|
|
#_fet/norfentcnfrmur
|
$33.00 |
$33.00 |
$205.70 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$53.90 |
$53.90 |
$112.20 |
$112.80
|
|
Fibrin degradation products
|
$15.40 |
$15.40 |
$15.40 |
$62.40
|
|
Fibrinogen activity
|
$33.55 |
$33.55 |
$72.60 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$34.10 |
$34.10 |
$66.00 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$32.45 |
$32.45 |
$176.55 |
$56.00
|
|
Fibrinolytic plasminogen
|
$169.95 |
$169.95 |
$360.25 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$22.00 |
$22.00 |
$89.10 |
$59.89
|
|
Filter spider fx 3mmx320cm
|
$4,255.81 |
$4,255.81 |
$4,255.81 |
$6,152.59
|
|
Filter vena cava fem denali
|
$1,198.46 |
$1,198.46 |
$2,820.59 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,453.10 |
$1,453.10 |
$2,019.16 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$95.70 |
$95.70 |
$920.20 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$656.15 |
$656.15 |
$656.15 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$135.30 |
$135.30 |
$920.20 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$918.06 |
$918.06 |
$1,113.75 |
$547.53
|
|
Fix g/colon tube w/device
|
$970.20 |
$970.20 |
$1,201.92 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,753.46 |
$2,753.46 |
$2,753.46 |
$3,981.06
|
|
Flecainide (tambocor)-sendout
|
$30.25 |
$30.25 |
$45.10 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$448.30 |
$448.30 |
$1,113.75 |
$546.86
|
|
Floor of mouth biopsy 41108
|
$1,464.32 |
$1,464.32 |
$3,064.60 |
$2,040.09
|
|
Flow cytometry interp 16 or more
|
$128.15 |
$128.15 |
$128.15 |
$208.80
|
|
Flow cytometry marker each additional
|
$360.25 |
$360.25 |
$924.00 |
$103.00
|
|
Flow cytometry one marker technical component
|
$502.15 |
$502.15 |
$1,170.40 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$212.30 |
$212.30 |
$281.60 |
$194.04
|
|
Flt3 gene
|
$240.90 |
$240.90 |
$483.45 |
$352.95
|
|
Flt3 gene analysis
|
$178.20 |
$178.20 |
$439.45 |
$229.92
|
|
Fluidotherapy charges pt
|
$91.55 |
$91.55 |
$103.40 |
$95.00
|
|
Fluid pressure muscle 20950
|
$1,793.94 |
$1,793.94 |
$2,228.05 |
$779.45
|
|
Fluorescein angrph mltiframe
|
$89.10 |
$89.10 |
$365.14 |
$344.68
|
|
Fluorescein&icg angiography
|
$219.12 |
$219.12 |
$219.12 |
$368.50
|
|
Fluorescent antibody titer dna
|
$206.25 |
$206.25 |
$683.65 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$770.55 |
$770.55 |
$790.79 |
$507.00
|
|
Fluoroguide needle placement
|
$790.79 |
$790.79 |
$943.25 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$750.75 |
$750.75 |
$921.80 |
$494.52
|
|
Fmri brain by tech
|
$1,559.25 |
$1,559.25 |
$1,559.25 |
$1,486.75
|
|
Fna bx w/ct gdn 1st les
|
$1,549.35 |
$1,549.35 |
$2,294.44 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$165.00 |
$165.00 |
$920.20 |
$775.14
|
|
Fna bx w/mr gdn 1st les
|
$1,646.70 |
$1,646.70 |
$2,477.48 |
$973.71
|
|
Fna bx w/mr gdn ea addl
|
$72.05 |
$72.05 |
$920.20 |
$612.30
|
|
Folic acid
|
$61.60 |
$61.60 |
$66.00 |
$90.60
|
|
Follow-up angiography
|
$1,172.60 |
$1,172.60 |
$2,245.82 |
$1,939.14
|
|
Foot X-ray
|
$242.00 |
$242.00 |
$326.15 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$600.37 |
$600.37 |
$600.37 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$359.15 |
$359.15 |
$732.88 |
$595.80
|
|
Fracture assessment via dxa
|
$85.25 |
$85.25 |
$346.78 |
$146.80
|
|
_fragile x methylation-sendout
|
$585.20 |
$585.20 |
$585.20 |
$174.00
|
|
Fragmenting of kidney stone
|
$14,681.10 |
$14,681.10 |
$19,373.20 |
$9,827.25
|
|
Frenotomy 40806
|
$1,541.65 |
$1,541.65 |
$1,541.65 |
$599.72
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$182.60 |
$182.60 |
$193.05 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$135.30 |
$135.30 |
$168.30 |
$149.50
|
|
Frozen cell preparation
|
$367.40 |
$367.40 |
$367.40 |
$16.68
|
|
Fructosamine glycated protein
|
$66.55 |
$66.55 |
$76.45 |
$60.42
|
|
Ftl cgen abnor four anal
|
$103.40 |
$103.40 |
$104.50 |
$211.83
|
|
Full mouth x-ray of teeth
|
$404.18 |
$404.18 |
$404.18 |
$267.78
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,919.95 |
$2,919.95 |
$2,919.95 |
$2,919.95
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$331.19 |
$331.19 |
$2,584.72 |
$2,465.10
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$97.45 |
$97.45 |
$97.45 |
$429.55
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,509.10 |
$2,509.10 |
$2,598.31 |
$2,501.10
|
|
Fundus photography with i&r 92250
|
$78.46 |
$78.46 |
$238.25 |
$200.42
|
|
Fusion of finger tendons
|
$2,615.25 |
$2,615.25 |
$2,615.25 |
$1,893.86
|
|
G6pd full gene sequence
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$364.97 |
$364.97 |
$364.97 |
$163.80
|
|
Ga-68 gallium 68 dotatate
|
$48.03 |
$48.03 |
$48.03 |
$119.90
|
|
Galac-1-phosphate uridyltran - sendout
|
$54.45 |
$54.45 |
$54.45 |
$82.50
|
|
Galactokinase - sendout
|
$519.75 |
$519.75 |
$519.75 |
$175.00
|
|
Galactose transferase test
|
$25.30 |
$25.30 |
$37.40 |
$22.40
|
|
Gammaglobulin iga
|
$50.60 |
$50.60 |
$121.00 |
$75.30
|
|
Gammaglobulin ige
|
$87.45 |
$87.45 |
$211.75 |
$85.00
|
|
Gamma glutamyltransferase
|
$52.25 |
$52.25 |
$63.80 |
$55.28
|
|
Gastric emptying imag study
|
$1,035.10 |
$1,035.10 |
$1,035.10 |
$1,270.50
|
|
Gastric emptying imag study
|
$1,236.40 |
$1,236.40 |
$1,236.40 |
$1,664.33
|
|
Gastric motility studies
|
$777.70 |
$777.70 |
$1,527.96 |
$627.89
|
|
Gastroesophageal reflux study
|
$702.35 |
$702.35 |
$1,522.95 |
$957.25
|
|
Gastroesophageal reflux test
|
$1,355.75 |
$1,355.75 |
$1,377.09 |
$1,129.63
|
|
Gated heart multiple
|
$2,371.60 |
$2,371.60 |
$2,371.60 |
$1,370.99
|
|
Gba gene
|
$246.40 |
$246.40 |
$246.40 |
$140.00
|
|
General health panel
|
$275.00 |
$275.00 |
$275.00 |
$280.50
|
