|
Fetal hemoglobin rosette
|
$27.43 |
$27.43 |
$27.43 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$68.44 |
$68.44 |
$68.44 |
$67.00
|
|
Fetal non stress test
|
$558.63 |
$558.63 |
$558.63 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$52.60 |
$52.60 |
$52.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$36.82 |
$36.82 |
$36.82 |
$120.64
|
|
Fibrin degradation products
|
$24.96 |
$24.96 |
$24.96 |
$75.02
|
|
Fibrinogen activity
|
$30.74 |
$30.74 |
$30.74 |
$87.00
|
|
Fibrinogen test
|
$41.09 |
$41.09 |
$41.09 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$45.37 |
$45.37 |
$45.37 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$27.88 |
$27.88 |
$27.88 |
$72.80
|
|
Fibrinolytic plasminogen
|
$62.20 |
$62.20 |
$62.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$23.63 |
$23.63 |
$23.63 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.14 |
$2.14 |
$2.14 |
$1,197.83
|
|
Filter spider fx 3mmx320cm
|
$26,637.87 |
$26,637.87 |
$26,637.87 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,266.26 |
$3,266.26 |
$3,266.26 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,631.47 |
$1,631.47 |
$1,631.47 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$815.72 |
$815.72 |
$815.72 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$815.72 |
$815.72 |
$815.72 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$815.72 |
$815.72 |
$815.72 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,107.30 |
$1,107.30 |
$1,107.30 |
$504.45
|
|
Finger X-ray (both hands)
|
$201.75 |
$201.75 |
$201.75 |
$241.50
|
|
Fitting of diaphragm/cap 57170
|
$558.63 |
$558.63 |
$558.63 |
$238.06
|
|
Fixation of knee joint
|
$3,413.24 |
$3,413.24 |
$3,413.24 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$2,195.76 |
$2,195.76 |
$2,195.76 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$41.32 |
$41.32 |
$41.32 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$875.65 |
$875.65 |
$875.65 |
$540.80
|
|
Flexible keel foot
|
$673.54 |
$673.54 |
$673.54 |
$590.47
|
|
Flexible Sigmoidoscopy
|
$2,393.41 |
$2,393.41 |
$2,393.41 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$3,812.63 |
$3,812.63 |
$3,812.63 |
$2,168.40
|
|
Flow cytometry interp 16 or more
|
$251.27 |
$251.27 |
$251.27 |
$200.00
|
|
Flow cytometry marker each additional
|
$85.22 |
$85.22 |
$85.22 |
$97.50
|
|
Flow cytometry one marker technical component
|
$595.91 |
$595.91 |
$595.91 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$187.91 |
$187.91 |
$187.91 |
$172.50
|
|
Flt3 gene
|
$485.16 |
$485.16 |
$485.16 |
$366.29
|
|
Flt3 gene analysis
|
$243.30 |
$243.30 |
$243.30 |
$216.00
|
|
Fluidotherapy charges pt
|
$55.41 |
$55.41 |
$55.41 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,994.36 |
$1,994.36 |
$1,994.36 |
$779.45
|
|
Fluocinol acet intravit imp
|
$1,023.45 |
$1,023.45 |
$1,023.45 |
$14,359.80
|
|
Fluorescein angrph mltiframe
|
$870.76 |
$870.76 |
$870.76 |
$336.50
|
|
Fluorescent antibody titer dna
|
$43.62 |
$43.62 |
$43.62 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$171.68 |
$171.68 |
$171.68 |
$495.00
|
|
Fluoroguide needle placement
|
$187.51 |
$187.51 |
$187.51 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$579.34 |
$579.34 |
$579.34 |
$503.80
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$17.10 |
$17.10 |
$17.10 |
$72.52
|
|
Fluzone vacc, 3 yrs & >, im
|
$30.47 |
$30.47 |
$30.47 |
$43.20
|
|
Fmri brain by tech
|
$1,006.36 |
$1,006.36 |
$1,006.36 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,631.47 |
$1,631.47 |
$1,631.47 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$815.72 |
$815.72 |
$815.72 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$1,631.47 |
$1,631.47 |
$1,631.47 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$815.72 |
$815.72 |
$815.72 |
$766.70
|
|
Folic acid
|
$53.21 |
$53.21 |
$53.21 |
$101.50
|
|
Follow-up angiography
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$1,983.00
|
|
Follow-up surgery of eye
|
$5,865.26 |
$5,865.26 |
$5,865.26 |
$3,572.40
|
|
Fo nontorsion joint cf
|
$428.01 |
$428.01 |
$428.01 |
$217.50
|
|
Foot X-ray
|
$201.75 |
$201.75 |
$201.75 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$201.75 |
$201.75 |
$201.75 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$2,063.76 |
$2,063.76 |
$2,063.76 |
$669.13
|
|
Forearm X-ray (both sides)
|
$201.75 |
$201.75 |
$201.75 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$293.47 |
$293.47 |
$293.47 |
$534.00
|
|
Fracture assessment via dxa
|
$201.75 |
$201.75 |
$201.75 |
$175.50
|
|
_fragile x methylation-sendout
|
$131.57 |
$131.57 |
$131.57 |
$183.74
|
|
Fragmenting of kidney stone
|
$11,985.71 |
$11,985.71 |
$11,985.71 |
$10,312.25
|
|
Free/remove chest lining 32320
|
$18,282.03 |
$18,282.03 |
$18,282.03 |
$3,890.40
|
|
Frenectomy 41115
|
$2,785.20 |
$2,785.20 |
$2,785.20 |
$1,939.47
|
|
Frenotomy 40806
|
$1,628.32 |
$1,628.32 |
$1,628.32 |
$679.80
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$240.42 |
$240.42 |
$240.42 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$273.40 |
$273.40 |
$273.40 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$595.91 |
$595.91 |
$595.91 |
$131.25
|
|
Fructosamine glycated protein
|
$54.55 |
$54.55 |
$54.55 |
$63.50
|
|
Ftl cgen abnor four anal
|
$388.69 |
$388.69 |
$388.69 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$137.50 |
$137.50 |
$137.50 |
$109.00
|
|
Full mouth x-ray of teeth
|
$579.34 |
$579.34 |
$579.34 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$275.16 |
$275.16 |
$275.16 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,299.08 |
$2,299.08 |
$2,299.08 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,214.37 |
$2,214.37 |
$2,214.37 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,103.10 |
$1,103.10 |
$1,103.10 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,313.36 |
$2,313.36 |
$2,313.36 |
$2,798.50
|
|
Fundus photography with i&r 92250
|
$335.52 |
$335.52 |
$335.52 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$1.07 |
$1.07 |
$1.07 |
$19.53
|
|
Fusion of tendons at wrist
|
$8,441.76 |
$8,441.76 |
$8,441.76 |
$3,594.44
|
|
Fxn gene detc abnor alleles
|
$303.73 |
$303.73 |
$303.73 |
$200.88
|
|
G6pd full gene sequence
|
$1,248.98 |
$1,248.98 |
$1,248.98 |
$1,320.00
|
|
Ga-67 gallium 0.1 mci
|
$121.73 |
$121.73 |
$121.73 |
$121.73
|
|
Gabapentin non-blood
|
$65.23 |
$65.23 |
$65.23 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$0.69 |
$0.69 |
$0.69 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.80 |
$2.80 |
$2.80 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$0.44 |
$0.44 |
$0.44 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$28.03 |
$28.03 |
$28.03 |
$249.80
|
|
Galectin-3
|
$129.72 |
$129.72 |
$129.72 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,129.74 |
$1,129.74 |
$1,129.74 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$82.69 |
$82.69 |
$82.69 |
$407.60
|
|
Gammaglobulin iga
|
$33.65 |
$33.65 |
$33.65 |
$69.60
|
|
Gammaglobulin ige
|
$59.56 |
$59.56 |
$59.56 |
$83.85
|
|
Gamma glutamyltransferase
|
$26.05 |
$26.05 |
$26.05 |
$57.54
|
|
Gamunex-c/gammaked
|
$122.30 |
$122.30 |
$122.30 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$148.73 |
$148.73 |
$148.73 |
$197.40
|
|
Gastric emptying imag study
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$1,364.00
|
|
Gastric emptying imag study
|
$1,129.74 |
$1,129.74 |
$1,129.74 |
$1,665.50
|
|
Gel-one
|
$1,045.69 |
$1,045.69 |
$1,045.69 |
$1,561.21
|
