|
Fluorescent antibody titer dna
|
$12.05 |
$12.05 |
$12.05 |
$123.65
|
|
Fluorodopa f-18 diag per mci
|
$498.62 |
$498.62 |
$498.62 |
$4,070.21
|
|
Fluoroestradiol f 18
|
$498.67 |
$498.67 |
$498.67 |
$1,591.20
|
|
Fluoro polarize fetal lung
|
$18.91 |
$18.91 |
$18.91 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$286.04 |
$286.04 |
$286.04 |
$507.00
|
|
Flutemetamol f18 diagnostic
|
$874.40 |
$874.40 |
$874.40 |
$5,265.00
|
|
Fmri brain by phys/psych
|
$286.04 |
$286.04 |
$286.04 |
$1,639.00
|
|
Fmri brain by tech
|
$286.04 |
$286.04 |
$286.04 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$832.60 |
$832.60 |
$832.60 |
$1,471.60
|
|
Fna bx w/mr gdn 1st les
|
$832.60 |
$832.60 |
$832.60 |
$1,294.80
|
|
Foam stability fetal lung
|
$18.91 |
$18.91 |
$18.91 |
$48.00
|
|
Folic acid
|
$14.70 |
$14.70 |
$14.70 |
$101.00
|
|
Follow-up angiography
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$152.50 |
$152.50 |
$152.50 |
$152.50
|
|
Follow-up surgery of eye
|
$2,760.73 |
$2,760.73 |
$2,760.73 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6.44 |
$6.44 |
$6.44 |
$2,481.61
|
|
Foot X-ray
|
$104.19 |
$104.19 |
$104.19 |
$355.32
|
|
Foot X-ray (2 views, both feet)
|
$104.19 |
$104.19 |
$104.19 |
$290.40
|
|
Forearm X-ray (both sides)
|
$104.19 |
$104.19 |
$104.19 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$4,332.25 |
$4,332.25 |
$4,332.25 |
$4,872.75
|
|
Forensic cytopathology
|
$63.23 |
$63.23 |
$63.23 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$287.81 |
$287.81 |
$287.81 |
$544.50
|
|
Foscarnet sodium injection
|
$50.32 |
$50.32 |
$50.32 |
$975.28
|
|
Fractionation ketosteroids
|
$28.50 |
$28.50 |
$28.50 |
$148.00
|
|
Fracture assessment via dxa
|
$104.19 |
$104.19 |
$104.19 |
$175.50
|
|
_fragile x methylation-sendout
|
$44.89 |
$44.89 |
$44.89 |
$183.74
|
|
Fragmenting of kidney stone
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$10,312.25
|
|
Frenectomy 41115
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$1,939.47
|
|
Frenotomy 40806
|
$602.63 |
$602.63 |
$602.63 |
$620.00
|
|
Frenulotomy of penis
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$84.13 |
$84.13 |
$84.13 |
$155.40
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$99.75 |
$99.75 |
$99.75 |
$165.17
|
|
Fresh frozen plasma thawing ea un
|
$202.78 |
$202.78 |
$202.78 |
$131.25
|
|
Fr frz plasma donor retested
|
$57.90 |
$57.90 |
$57.90 |
$130.00
|
|
Frozen blood freeze/thaw
|
$46.45 |
$46.45 |
$46.45 |
$179.01
|
|
Frozen blood prep
|
$202.78 |
$202.78 |
$202.78 |
$209.50
|
|
Frozen blood thaw
|
$202.78 |
$202.78 |
$202.78 |
$212.30
|
|
Frozen cell preparation
|
$12.09 |
$12.09 |
$12.09 |
$31.81
|
|
Frozen plasma, pooled, sd
|
$73.74 |
$73.74 |
$73.74 |
$170.00
|
|
Fructosamine glycated protein
|
$16.76 |
$16.76 |
$16.76 |
$63.50
|
|
Ftl cgen abnor 3 proteins
|
$1,487.37 |
$1,487.37 |
$1,487.37 |
$2,712.50
|
|
Ftl cgen abnor five anal
|
$69.52 |
$69.52 |
$69.52 |
$159.04
|
|
Ftl cgen abnor four anal
|
$153.50 |
$153.50 |
$153.50 |
$211.83
|
|
Ftl cgen abnor three anal
|
$55.54 |
$55.54 |
$55.54 |
$126.56
|
|
Ftl cgen abnor two proteins
|
$54.30 |
$54.30 |
$54.30 |
$109.00
|
|
Full field erg w/i&r
|
$368.50 |
$368.50 |
$368.50 |
$393.12
|
|
Full mouth x-ray of teeth
|
$286.04 |
$286.04 |
$286.04 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$125.84 |
$125.84 |
$125.84 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,469.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,707.20
|
|
Fundus photography with i&r 92250
|
$152.54 |
$152.54 |
$152.54 |
$182.95
|
|
Fusion/graft of finger joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,986.00
|
|
Fusion/graft of hand joint
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,588.00
|
|
Fusion of ankle joint open
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$9,791.00
|
|
Fusion of big toe joint
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,488.00
|
|
Fusion of big toe joint
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,811.00
|
|
Fusion of finger joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,499.12
|
|
Fusion of finger tendons
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Fusion of finger tendons
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,893.86
|
|
Fusion of foot bones
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$6,697.18
|
|
Fusion of foot bones
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$10,203.05
|
|
Fusion of foot bones
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,419.00
|
|
Fusion of hand joint
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$6,311.00
|
|
Fusion of knuckle
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Fusion of knuckle joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,821.05
|
|
Fusion of knuckle joints
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,259.84
|
|
Fusion of knuckle joints
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,807.24
|
|
Fusion of spermatic ducts
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Fusion of thumb
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$9,791.00
|
|
Fusion of toes
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Fxn gene charac alleles
|
$274.83 |
$274.83 |
$274.83 |
$302.31
|
|
Fxn gene detc abnor alleles
|
$137.00 |
$137.00 |
$137.00 |
$195.30
|
|
Fxn gene full gene sequence
|
$274.83 |
$274.83 |
$274.83 |
$302.31
|
|
Fxn gene known famil variant
|
$185.20 |
$185.20 |
$185.20 |
$304.59
|
|
G6pc gene
|
$58.49 |
$58.49 |
$58.49 |
$138.40
|
|
G6pd full gene sequence
|
$600.00 |
$600.00 |
$600.00 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$174.81 |
$174.81 |
$174.81 |
$243.00
|
|
G6pd known familial variant
|
$375.25 |
$375.25 |
$375.25 |
$751.20
|
|
Ga-68 gallium 68 dotatate
|
$51.09 |
$51.09 |
$51.09 |
$140.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$21.07 |
$21.07 |
$21.07 |
$100.00
|
|
Galactokinase - sendout
|
$21.48 |
$21.48 |
$21.48 |
$196.38
|
|
Galactose transferase test
|
$11.74 |
$11.74 |
$11.74 |
$31.35
|
|
Galectin-3
|
$44.25 |
$44.25 |
$44.25 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$475.51 |
$475.51 |
$475.51 |
$1,493.98
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$636.97 |
$636.97 |
$636.97 |
$1,612.00
|
|
Gallbladder Removal (Laparoscopic)
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$13,208.00
|
|
Gallium ga-68 dotatoc
|
$4.05 |
$4.05 |
$4.05 |
$135.00
|
|
Gallium ga-68 psma-11, ucla
|
$372.17 |
$372.17 |
$372.17 |
$187.20
|
|
Gallium ga-68 psma-11 ucsf
|
$534.91 |
$534.91 |
$534.91 |
$1,344.20
|
|
Gallium illuccix 1 millicure
|
$1,026.05 |
$1,026.05 |
$1,026.05 |
$1,696.55
|
|
Gallium locametz 1 millicuri
|
$873.44 |
$873.44 |
$873.44 |
$1,853.80
|
|
Gamma globulin > 10 cc inj
|
$498.52 |
$498.52 |
$498.52 |
$498.52
|
|
Gamma globulin 1 cc inj
|
$49.85 |
$49.85 |
$49.85 |
$407.60
|
|
Gammaglobulin iga
|
$9.30 |
$9.30 |
$9.30 |
$69.60
|