|
Fine needle asp without image guide 10021
|
$374.00 |
$416.40 |
$1,141.04 |
|
|
Finger X-ray (both hands)
|
$187.60 |
$187.60 |
$407.00 |
|
|
Fixation of knee joint
|
$1,237.50 |
$1,963.35 |
$1,963.35 |
|
|
Fix g/colon tube w/device
|
$636.50 |
$722.00 |
$722.00 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$4,609.70 |
$4,609.70 |
$4,609.70 |
|
|
Flebogamma injection
|
$3,385.10 |
$3,385.10 |
$3,385.10 |
|
|
Flecainide (tambocor)-sendout
|
$87.50 |
$236.60 |
$236.60 |
|
|
Fl exam g/colon tube w contrast
|
$242.25 |
$242.25 |
$3,250.00 |
|
|
Flexible Sigmoidoscopy
|
$965.00 |
$1,284.13 |
$1,284.13 |
|
|
Flex thermoplastic collar mo
|
$118.51 |
$118.51 |
$118.51 |
|
|
Floor of mouth biopsy 41108
|
$1,036.20 |
$1,036.20 |
$2,209.00 |
|
|
Flotufolastat f18 diag 1 mci
|
$18,236.90 |
$18,236.90 |
$18,236.90 |
|
|
Flow cytometry interp 16 or more
|
$182.00 |
$182.00 |
$182.00 |
|
|
Flow cytometry marker each additional
|
$135.63 |
$135.63 |
$563.00 |
|
|
Flow cytometry one marker technical component
|
$198.50 |
$227.58 |
$1,859.00 |
|
|
#flow interp 9 - 15 markers
|
$27.00 |
$27.00 |
$27.00 |
|
|
Floxuridine injection
|
$7,047.50 |
$7,047.50 |
$7,047.50 |
|
|
Flt3 gene
|
$282.98 |
$282.98 |
$282.98 |
|
|
Flt3 gene analysis
|
$268.40 |
$268.40 |
$268.40 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$33.50 |
$33.50 |
$59.73 |
|
|
Fludarabine 50 mg intravenous solution
|
$5,497.00 |
$5,497.00 |
$5,497.00 |
|
|
Fluidotherapy charges pt
|
$86.94 |
$103.73 |
$131.50 |
|
|
Fluid pressure muscle 20950
|
$67.62 |
$188.38 |
$330.00 |
|
|
Fluocinol acet intravit imp
|
$18,150.50 |
$18,150.50 |
$18,150.50 |
|
|
Fluocinolone acetonide implt
|
$38,050.00 |
$38,050.00 |
$38,050.00 |
|
|
Fluorescein angioscopy i&r
|
$592.50 |
$592.50 |
$592.50 |
|
|
Fluorescein angrph mltiframe
|
$322.50 |
$322.50 |
$322.50 |
|
|
Fluorescent antibody titer dna
|
$72.50 |
$123.65 |
$190.00 |
|
|
Fluoroestradiol f 18
|
$588.50 |
$13,845.08 |
$13,845.08 |
|
|
Fluoroguide for spine inject 77003-26
|
$310.00 |
$541.83 |
$719.15 |
|
|
Fluoroguide needle placement
|
$339.50 |
$539.38 |
$968.00 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$422.03 |
$422.03 |
$838.85 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$225.00 |
$225.00 |
$1,539.47 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$43.26 |
$358.18 |
$358.18 |
|
|
Flurpiridaz f18, diag, 1 mci
|
$1,578.90 |
$1,578.90 |
$1,578.90 |
|
|
Flutemetamol f18 diagnostic
|
$7,920.00 |
$7,920.00 |
$7,920.00 |
|
|
Fmri brain by phys/psych
|
$2,309.00 |
$2,309.00 |
$2,309.00 |
|
|
Fmri brain by tech
|
$1,486.75 |
$1,486.75 |
$2,866.00 |
|
|
Fna bx w/ct gdn 1st les
|
$1,041.00 |
$2,042.68 |
$7,877.00 |
|
|
Fna bx w/ct gdn ea addl
|
$482.50 |
$2,042.68 |
$3,541.76 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$7.50 |
$7.50 |
$7.50 |
|
|
Foam drg >16<=48 sq in without b
|
$41.40 |
$41.40 |
$41.40 |
|
|
Foam drg <=16 sq in w/border
|
$8.28 |
$8.28 |
$8.28 |
|
|
Foam drg > 48 sq in w/border
|
$6.50 |
$6.50 |
$6.50 |
|
|
Foam drg > 48 sq in without brdr
|
$57.44 |
$57.44 |
$57.44 |
|
|
Foam drsg <=16 sq in without bdr
|
$91.08 |
$91.08 |
$91.08 |
|
|
Folic acid
|
$104.18 |
$104.18 |
$120.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$21.71 |
$63.90 |
$63.90 |
|
|
Follow-up angiography
|
$683.33 |
$683.33 |
$1,513.50 |
|
|
Followup eval of foot pt lop
|
$175.00 |
$175.00 |
$175.00 |
|
|
Follow-up surgery of eye
|
$1,645.10 |
$1,645.10 |
$1,645.10 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,102.40 |
$2,461.93 |
$2,461.93 |
|
|
Fondaparinux sodium
|
$56.11 |
$261.50 |
$261.50 |
|
|
Fo nontorsion joint cf
|
$119.00 |
$119.00 |
$125.24 |
|
|
Foot arch support remov prem
|
$152.66 |
$152.66 |
$152.66 |
|
|
Foot arch supp premold metat
|
$26.91 |
$26.91 |
$26.91 |
|
|
Foot plas heel stabi pre ots
|
$26.50 |
$26.50 |
$26.50 |
|
|
Foot X-ray
|
$262.03 |
$262.03 |
$430.00 |
|
|
Foot X-ray (2 views, both feet)
|
$193.18 |
$193.18 |
$351.00 |
|
|
Forearm/arm cuffs ext/flex a
|
$325.00 |
$325.00 |
$669.13 |
|
|
Forearm/arm cuffs free motio
|
$349.32 |
$349.32 |
$349.32 |
|
|
Forearm X-ray (both sides)
|
$240.70 |
$240.70 |
$328.00 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$674.50 |
$1,020.08 |
$1,020.08 |
|
|
Formoterol fumarate, inh
|
$92.05 |
$92.05 |
$92.05 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$785.93 |
$785.93 |
$785.93 |
|
|
Foscarnet sodium injection
|
$1,209.38 |
$1,209.38 |
$1,209.38 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$71.15 |
$71.15 |
$161.48 |
|
|
Fractionation ketosteroids
|
$119.00 |
$119.00 |
$119.00 |
|
|
Fracture assessment via dxa
|
$112.50 |
$596.23 |
$596.23 |
|
|
_fragile x methylation-sendout
|
$282.70 |
$282.70 |
$282.70 |
|
|
Fragmenting of kidney stone
|
$2,535.35 |
$2,535.35 |
$21,312.00 |
|
|
Frenectomy 41115
|
$1,024.18 |
$1,024.18 |
$1,024.18 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$141.85 |
$141.85 |
$485.00 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$155.55 |
$155.55 |
$155.55 |
|
|
Fresh frozen plasma thawing ea un
|
$33.78 |
$33.78 |
$75.00 |
|
|
Frozen plasma, pooled, sd
|
$223.00 |
$223.00 |
$223.00 |
|
|
Fructosamine glycated protein
|
$56.40 |
$56.40 |
$132.20 |
|
|
Ft arch suprt premold longit
|
$28.46 |
$28.46 |
$28.46 |
|
|
Fth/gft fr n/e/e/l each addl
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
|
|
Fth/gft fr trnk each addl
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
|
|
Ftl cgen abnor 3 proteins
|
$3,237.48 |
$3,237.48 |
$3,237.48 |
|
|
Ftl cgen abnor four anal
|
$133.00 |
$133.00 |
$143.00 |
|
|
Ftl cgen abnor two proteins
|
$109.00 |
$109.00 |
$109.00 |
|
|
Full mouth x-ray of teeth
|
$167.00 |
$167.00 |
$167.00 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$236.50 |
$409.40 |
$409.40 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,564.00 |
$3,594.25 |
$3,594.25 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,074.13 |
$2,074.13 |
$2,564.00 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,564.00 |
$3,594.25 |
$3,594.25 |
|
|
Fundus photography with i&r 92250
|
$156.50 |
$156.50 |
$156.50 |
|
|
Furosemide 10 mg/ml injection solution
|
$40.38 |
$40.38 |
$40.38 |
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$49.60 |
$49.60 |
$76.33 |
|
|
Fxn gene detc abnor alleles
|
$1,075.88 |
$1,075.88 |
$1,075.88 |
|
|
Ga-67 gallium 0.1 mci
|
$92.03 |
$92.03 |
$396.00 |
|
|
Ga-68 gallium 68 dotatate
|
$43.00 |
$9,000.73 |
$9,000.73 |
|
|
Gabapentin non-blood
|
$25.38 |
$25.38 |
$93.00 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$229.03 |
$435.68 |
$435.68 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$192.85 |
$192.85 |
$379.25 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$540.83 |
$540.83 |
$540.83 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$585.88 |
$585.88 |
$691.95 |
|
