|
Face bone graft
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,547.81
|
|
Factor ix
|
$20.94 |
$20.94 |
$20.94 |
$131.30
|
|
Factor viii
|
$19.69 |
$19.69 |
$19.69 |
$144.30
|
|
Fallopian tube recnl
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,624.75
|
|
Fancc gene
|
$40.28 |
$40.28 |
$40.28 |
$147.31
|
|
Fat/lipids feces qualitative
|
$5.61 |
$5.61 |
$5.61 |
$34.56
|
|
Fatty acids nonesterified
|
$20.65 |
$20.65 |
$20.65 |
$57.60
|
|
Fecal bilirubin test
|
$5.02 |
$5.02 |
$5.02 |
$5.02
|
|
#fecal-sodium
|
$5.35 |
$5.35 |
$5.35 |
$37.50
|
|
Feeding tube reposition
|
$88.62 |
$88.62 |
$88.62 |
$441.86
|
|
Felbamate (felbatol(r)) - sendout
|
$20.50 |
$20.50 |
$20.50 |
$66.43
|
|
Fem/popl revasc w/stent
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$18,599.10
|
|
Fern test
|
$10.71 |
$10.71 |
$10.71 |
$17.72
|
|
Ferritin
|
$14.99 |
$14.99 |
$14.99 |
$103.68
|
|
Fetal chrom aneuploidy gsa panel
|
$834.96 |
$834.96 |
$834.96 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$540.54
|
|
Fetal cord puncture prenatal
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$764.92
|
|
Fetal fibronectin
|
$70.85 |
$70.85 |
$70.85 |
$352.95
|
|
Fetal fluid drainage w/us
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$626.34
|
|
Fetal hemoglobin (kleihauer betke)
|
$8.50 |
$8.50 |
$8.50 |
$88.80
|
|
Fetal hemoglobin rosette
|
$10.30 |
$10.30 |
$10.30 |
$76.70
|
|
Fetal lung maturity assess lam body dnst
|
$21.25 |
$21.25 |
$21.25 |
$64.28
|
|
Fetal non stress test
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$507.90
|
|
Fetal scalp blood sampling 59030
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$358.23
|
|
Fetal shunt placement w/us
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$668.50
|
|
#_fet/norfentcnfrmur
|
$37.02 |
$37.02 |
$37.02 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$11.20 |
$11.20 |
$11.20 |
$112.80
|
|
Fibrin degradation products
|
$7.58 |
$7.58 |
$7.58 |
$62.40
|
|
Fibrin degrade semiquant
|
$10.69 |
$10.69 |
$10.69 |
$92.00
|
|
Fibrinogen activity
|
$10.69 |
$10.69 |
$10.69 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$17.03 |
$17.03 |
$17.03 |
$66.00
|
|
Fibrinolytic antiplasmin
|
$8.48 |
$8.48 |
$8.48 |
$56.00
|
|
Fibrinolytic plasminogen
|
$18.91 |
$18.91 |
$18.91 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$7.18 |
$7.18 |
$7.18 |
$59.89
|
|
Filleted finger/toe flap
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,164.64
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,081.52
|
|
Fine needle asp without image guide 10021
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$547.53
|
|
Finger tendon transfer
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Finger tendon transfer
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Fitting of diaphragm/cap 57170
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$222.86
|
|
Fixation of ankle joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,594.44
|
|
Fixation of knee joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,963.35
|
|
Fixation of shoulder blade
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,886.74
|
|
Fix g/colon tube w/device
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,981.06
|
|
Flecainide (tambocor)-sendout
|
$20.50 |
$20.50 |
$20.50 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,284.13
|
|
Flexor-plasty elbow
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,907.11
|
|
Flexor-plasty elbw w/advmnt
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$7,086.47
|
|
Floor of mouth biopsy 41108
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,040.09
|
|
Flow cytometry interp 16 or more
|
$24.51 |
$24.51 |
$24.51 |
$208.80
|
|
Flow cytometry marker each additional
|
$31.73 |
$31.73 |
$31.73 |
$103.00
|
|
Flow cytometry one marker technical component
|
$62.04 |
$62.04 |
$62.04 |
$270.75
|
|
Flt3 gene
|
$182.06 |
$182.06 |
$182.06 |
$352.95
|
|
Flt3 gene analysis
|
$91.30 |
$91.30 |
$91.30 |
$229.92
|
|
Fluid pressure muscle 20950
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$779.45
|
|
Fluorescent antibody titer dna
|
$13.26 |
$13.26 |
$13.26 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$68.49 |
$68.49 |
$68.49 |
$507.00
|
|
Fluoroguide needle placement
|
$132.35 |
$132.35 |
$132.35 |
$536.26
|
|
Fluoro polarize fetal lung
|
$20.80 |
$20.80 |
$20.80 |
$62.81
|
|
Fluoroscopy up to 1 hour
|
$90.81 |
$90.81 |
$90.81 |
$494.52
|
|
Fna bx w/ct gdn 1st les
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,588.65
|
|
Fna bx w/mr gdn 1st les
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$973.71
|
|
Foam stability fetal lung
|
$20.80 |
$20.80 |
$20.80 |
$20.80
|
|
Folic acid
|
$16.17 |
$16.17 |
$16.17 |
$90.60
|
|
Follow-up angiography
|
$607.33 |
$607.33 |
$607.33 |
$1,939.14
|
|
Follow-up surgery of eye
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,954.80
|
|
Forehead flap w/vasc pedicle 15731
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$595.80
|
|
Fractionation ketosteroids
|
$31.35 |
$31.35 |
$31.35 |
$72.00
|
|
_fragile x methylation-sendout
|
$49.38 |
$49.38 |
$49.38 |
$174.00
|
|
Fragmenting of kidney stone
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$9,827.25
|
|
Frenectomy 41115
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,744.44
|
|
Frenotomy 40806
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$599.72
|
|
Frenulotomy of penis
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,897.55
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$27.60 |
$27.60 |
$27.60 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$27.60 |
$27.60 |
$27.60 |
$149.50
|
|
Frozen cell preparation
|
$13.30 |
$13.30 |
$13.30 |
$16.68
|
|
Fructosamine glycated protein
|
$18.44 |
$18.44 |
$18.44 |
$60.42
|
|
Ftl cgen abnor four anal
|
$168.85 |
$168.85 |
$168.85 |
$211.83
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,919.95
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,465.10
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$2,501.10
|
|
Fusion/graft of finger joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,839.54
|
|
Fusion/graft of hand joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,886.74
|
|
Fusion of ankle joint open
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$8,827.37
|
|
Fusion of big toe joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,855.00
|
|
Fusion of big toe joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,419.00
|
|
Fusion of finger joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,986.00
|
|
Fusion of finger tendons
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,594.44
|
|
Fusion of finger tendons
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$1,893.86
|
|
Fusion of foot bones
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,697.18
|
|
Fusion of foot bones
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$8,144.39
|
|
Fusion of foot bones
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,419.00
|
|
Fusion of hand joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,886.74
|
|
Fusion of knuckle
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$5,886.74
|
|
Fusion of knuckle joint
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$3,545.97
|
|
Fusion of knuckle joints
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$4,110.40
|
|
Fusion of knuckle joints
|
$4,627.00 |
$4,627.00 |
$4,627.00 |
$6,839.00
|
