|
Folic acid
|
$14.70 |
$36.00 |
$337.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$0.80 |
$49.22 |
|
|
Follow-up angiography
|
$198.60 |
$3,724.63 |
$10,126.74 |
|
|
Followup eval of foot pt lop
|
$12.32 |
$152.50 |
$152.50 |
|
|
Follow-up surgery of eye
|
$336.16 |
$2,760.73 |
$5,865.26 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$6.44 |
$6.44 |
$2,932.80 |
|
|
Fondaparinux sodium
|
$11.80 |
$261.99 |
$261.99 |
|
|
Fo nontorsion joint cf
|
$428.01 |
$428.01 |
$526.78 |
|
|
Foot longitudinal arch suppo
|
$363.95 |
$363.95 |
$363.95 |
|
|
Foot longitud/metatarsal sup
|
$414.30 |
$414.30 |
$414.30 |
|
|
Foot X-ray
|
$104.19 |
$122.40 |
$2,826.00 |
|
|
Foot X-ray (2 views, both feet)
|
$50.40 |
$104.19 |
$1,861.00 |
|
|
Forearm/arm cuffs ext/flex a
|
$2,063.76 |
$2,063.76 |
$2,540.02 |
|
|
Forearm X-ray (both sides)
|
$104.19 |
$108.60 |
$1,147.00 |
|
|
Forehead flap w/vasc pedicle 15731
|
$614.02 |
$4,332.25 |
$11,436.00 |
|
|
Forensic cytopathology
|
$8.36 |
$63.23 |
$63.23 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$35.20 |
$287.81 |
$548.00 |
|
|
Formoterol fumarate, inh
|
$8.07 |
$8.07 |
$8.07 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$7.20 |
$189.39 |
$189.39 |
|
|
Foscarnet sodium injection
|
$3.63 |
$50.32 |
$50.32 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$3.60 |
$3.60 |
$33.60 |
|
|
Fractionation ketosteroids
|
$18.92 |
$28.50 |
$28.50 |
|
|
Fracture assessment via dxa
|
$104.19 |
$104.19 |
$438.00 |
|
|
_fragile x methylation-sendout
|
$44.89 |
$44.89 |
$925.00 |
|
|
Fragmenting of kidney stone
|
$353.98 |
$4,081.37 |
$11,985.71 |
|
|
Free fascial flap microvasc
|
$1,388.42 |
$1,388.42 |
$1,388.42 |
|
|
Freeing of bowel adhesion 44005
|
$674.74 |
$674.74 |
$674.74 |
|
|
Free myo/skin flap microvasc
|
$1,402.72 |
$1,402.72 |
$1,402.72 |
|
|
Free omental flap microvasc
|
$856.02 |
$856.02 |
$856.02 |
|
|
Free/remove chest lining 32320
|
$980.10 |
$18,282.03 |
$22,500.96 |
|
|
Free skin flap microvasc
|
$1,394.14 |
$1,394.14 |
$1,394.14 |
|
|
Frenectomy 41115
|
$89.76 |
$1,752.89 |
$2,785.20 |
|
|
Frenotomy 40806
|
$18.48 |
$602.63 |
$1,628.32 |
|
|
Frenulotomy of penis
|
$121.00 |
$2,424.12 |
$2,424.12 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$72.00 |
$84.13 |
$333.06 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$99.75 |
$99.75 |
$394.68 |
|
|
Fresh frozen plasma thawing ea un
|
$22.20 |
$202.78 |
$733.43 |
|
|
Fr frz plasma donor retested
|
$57.90 |
$57.90 |
$57.90 |
|
|
Frozen blood freeze/thaw
|
$46.45 |
$46.45 |
$46.45 |
|
|
Frozen blood prep
|
$202.78 |
$202.78 |
$202.78 |
|
|
Frozen blood thaw
|
$202.78 |
$202.78 |
$202.78 |
|
|
Frozen cell preparation
|
$7.92 |
$12.09 |
$3,487.00 |
|
|
Frozen plasma, pooled, sd
|
$73.74 |
$73.74 |
$73.74 |
|
|
Fructosamine glycated protein
|
$16.76 |
$36.60 |
$88.14 |
|
|
Fth/gft fr n/e/e/l each addl
|
$82.72 |
$82.72 |
$82.72 |
|
|
Fth/gft fr trnk each addl
|
$46.86 |
$46.86 |
$46.86 |
|
|
Ftl cgen abnor 3 proteins
|
$981.64 |
$1,487.37 |
$1,487.37 |
|
|
Ftl cgen abnor five anal
|
$69.52 |
$69.52 |
$403.80 |
|
|
Ftl cgen abnor four anal
|
$101.20 |
$153.50 |
$648.00 |
|
|
Ftl cgen abnor three anal
|
$55.54 |
$55.54 |
$55.54 |
|
|
Ftl cgen abnor two proteins
|
$35.64 |
$54.30 |
$292.73 |
|
|
Full field erg w/i&r
|
$21.78 |
$368.50 |
$368.50 |
|
|
Full mouth x-ray of teeth
|
$6.82 |
$286.04 |
$579.34 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$125.84 |
$136.20 |
$1,778.00 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$521.40 |
$2,164.64 |
$2,299.08 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$375.54 |
$2,164.64 |
$2,725.38 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$42.24 |
$1,103.10 |
$1,103.10 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$490.16 |
$2,164.64 |
$5,562.00 |
|
|
Functional brain mapping
|
$96.36 |
$96.36 |
$591.00 |
|
|
Fundus photography with i&r 92250
|
$12.54 |
$152.54 |
$643.00 |
|
|
Furosemide 10 mg/ml injection solution
|
$0.22 |
$1.07 |
$1.31 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$1.10 |
$1.10 |
$10.40 |
|
|
Fuse bile ducts and bowel 47785
|
$1,988.58 |
$1,988.58 |
$1,988.58 |
|
|
Fuse esophagus & intestine
|
$853.82 |
$853.82 |
$853.82 |
|
|
Fuse esophagus & intestine
|
$856.90 |
$856.90 |
$856.90 |
|
|
Fuse esophagus & stomach
|
$864.38 |
$864.38 |
$864.38 |
|
|
Fuse gallbladder & bowel
|
$811.36 |
$811.36 |
$811.36 |
|
|
Fuse gallbladder & bowel
|
$911.46 |
$911.46 |
$911.46 |
|
|
Fuse/graft added joint
|
$139.48 |
$139.48 |
$139.48 |
|
|
Fuse liver duct & intestine
|
$955.46 |
$955.46 |
$955.46 |
|
|
Fuse liver ducts & bowel
|
$1,866.04 |
$1,866.04 |
$1,866.04 |
|
|
Fuse pancreas and bowel
|
$1,032.02 |
$1,032.02 |
$1,032.02 |
|
|
Fuse pancreas cyst and bowel
|
$808.28 |
$808.28 |
$808.28 |
|
|
Fuse pancreas cyst and bowel 48520
|
$680.24 |
$680.24 |
$680.24 |
|
|
Fuse upper gi structures
|
$837.32 |
$837.32 |
$837.32 |
|
|
Fusion/graft of finger joint
|
$470.14 |
$3,839.54 |
$3,839.54 |
|
|
Fusion/graft of hand joint
|
$528.22 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of ankle joint open
|
$625.90 |
$15,226.08 |
$15,226.08 |
|
|
Fusion of big toe joint
|
$357.50 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of big toe joint
|
$209.88 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of facial/other nerve
|
$762.52 |
$762.52 |
$762.52 |
|
|
Fusion of finger jnt add-on
|
$62.70 |
$62.70 |
$62.70 |
|
|
Fusion of finger joint
|
$373.56 |
$3,839.54 |
$3,839.54 |
|
|
Fusion of finger tendons
|
$404.36 |
$3,839.54 |
$3,839.54 |
|
|
Fusion of finger tendons
|
$397.76 |
$1,893.86 |
$1,893.86 |
|
|
Fusion of foot bones
|
$450.78 |
$15,226.08 |
$15,226.08 |
|
|
Fusion of foot bones
|
$485.32 |
$15,226.08 |
$15,226.08 |
|
|
Fusion of foot bones
|
$383.02 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of hand joint
|
$479.16 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of knee
|
$911.24 |
$13,116.76 |
$13,116.76 |
|
|
Fusion of knuckle
|
$450.34 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of knuckle joint
|
$456.28 |
$3,839.54 |
$3,839.54 |
|
|
Fusion of knuckle joints
|
$531.96 |
$3,839.54 |
$3,839.54 |
|
|
Fusion of knuckle joints
|
$538.34 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of knuckle with graft
|
$512.82 |
$8,453.60 |
$8,453.60 |
|
|
Fusion of skull arteries
|
$1,623.16 |
$1,623.16 |
$1,623.16 |
|
|
Fusion of spermatic ducts
|
$495.22 |
$2,424.12 |
$2,424.12 |
|
|
Fusion of spermatic ducts
|
$652.96 |
$4,081.37 |
$4,081.37 |
|
|
Fusion of tendons at wrist
|
$432.96 |
$3,839.54 |
$8,441.76 |
|
|
Fusion of tendons at wrist
|
$403.26 |
$3,839.54 |
$3,839.54 |
|