|
Fallopian tube recnl
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$241.60 |
$241.60 |
$241.60 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$322.40 |
$322.40 |
$322.40 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$16.80 |
$16.80 |
$16.80 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$4,239.84 |
$4,239.84 |
$4,239.84 |
$5,894.50
|
|
Fasciotomy hip/thigh any typ
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
$3,342.87
|
|
Feeding tube reposition
|
$450.40 |
$450.40 |
$450.40 |
$520.00
|
|
Femoral endovas graft add-on 34813
|
$1,735.20 |
$1,735.20 |
$1,735.20 |
$1,245.40
|
|
Feno poc
|
$155.20 |
$155.20 |
$155.20 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,277.24 |
$2,277.24 |
$2,277.24 |
$2,590.25
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,858.22 |
$1,858.22 |
$1,858.22 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$1,858.22 |
$1,858.22 |
$1,858.22 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$371.20 |
$371.20 |
$371.20 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$605.60 |
$605.60 |
$605.60 |
$477.50
|
|
Fetal cord puncture prenatal
|
$556.00 |
$556.00 |
$556.00 |
$751.20
|
|
Fetal non stress test
|
$542.40 |
$542.40 |
$542.40 |
$478.50
|
|
Fetal shunt placement w/us
|
$800.00 |
$800.00 |
$800.00 |
$754.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$528.27 |
$528.27 |
$528.27 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,221.89 |
$1,221.89 |
$1,221.89 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$696.20 |
$696.20 |
$696.20 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$9,464.00 |
$9,464.00 |
$9,464.00 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,752.00 |
$3,752.00 |
$3,752.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$901.60 |
$901.60 |
$901.60 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$996.80 |
$996.80 |
$996.80 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$623.20 |
$623.20 |
$623.20 |
$504.45
|
|
Finger X-ray (both hands)
|
$324.80 |
$324.80 |
$324.80 |
$241.50
|
|
Fixation of knee joint
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$657.60 |
$657.60 |
$657.60 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$2,092.00 |
$2,092.00 |
$2,092.00 |
$1,284.13
|
|
Flotufolastat f18 diag 1 mci
|
$686.40 |
$686.40 |
$686.40 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$98.40 |
$98.40 |
$98.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$195.20 |
$195.20 |
$195.20 |
$285.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$55.68 |
$55.68 |
$55.68 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$3,698.40 |
$3,698.40 |
$3,698.40 |
$493.35
|
|
Fluidotherapy charges pt
|
$116.80 |
$116.80 |
$116.80 |
$101.40
|
|
Fluid pressure muscle 20950
|
$768.00 |
$768.00 |
$768.00 |
$779.45
|
|
Fluoroestradiol f 18
|
$912.00 |
$912.00 |
$912.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$719.20 |
$719.20 |
$719.20 |
$495.00
|
|
Fluoroguide needle placement
|
$688.00 |
$688.00 |
$688.00 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$789.60 |
$789.60 |
$789.60 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$103.29 |
$103.29 |
$103.29 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$220.99 |
$220.99 |
$220.99 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,196.80 |
$1,196.80 |
$1,196.80 |
$1,462.20
|
|
Folic acid 5 mg/ml injection solution
|
$16.80 |
$16.80 |
$16.80 |
$45.00
|
|
Follow-up angiography
|
$1,233.60 |
$1,233.60 |
$1,233.60 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,170.16 |
$3,170.16 |
$3,170.16 |
$2,511.73
|
|
Fondaparinux sodium
|
$151.36 |
$151.36 |
$151.36 |
$186.20
|
|
Fo nontorsion joint cf
|
$220.86 |
$220.86 |
$220.86 |
$217.50
|
|
Foot arch support remov prem
|
$259.88 |
$259.88 |
$259.88 |
$141.41
|
|
Foot drp splt w/exp heel lg
|
$156.16 |
$156.16 |
$156.16 |
$143.14
|
|
Foot lamin/prepreg composite
|
$292.12 |
$292.12 |
$292.12 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$43.73 |
$43.73 |
$43.73 |
$76.32
|
|
Foot X-ray
|
$444.80 |
$444.80 |
$444.80 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$377.60 |
$377.60 |
$377.60 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$618.29 |
$618.29 |
$618.29 |
$669.13
|
|
Forearm/arm cuffs free motio
|
$515.40 |
$515.40 |
$515.40 |
$901.60
|
|
Forearm X-ray (both sides)
|
$376.80 |
$376.80 |
$376.80 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$745.60 |
$745.60 |
$745.60 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,080.55 |
$1,080.55 |
$1,080.55 |
$490.67
|
|
Foscarnet sodium injection
|
$1,420.80 |
$1,420.80 |
$1,420.80 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$391.29 |
$391.29 |
$391.29 |
$103.62
|
|
Frenectomy 41115
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$165.60 |
$165.60 |
$165.60 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$165.60 |
$165.60 |
$165.60 |
$164.84
|
|
Ft arch suprt premold longit
|
$70.66 |
$70.66 |
$70.66 |
$94.69
|
|
Full mouth x-ray of teeth
|
$158.40 |
$158.40 |
$158.40 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$281.60 |
$281.60 |
$281.60 |
$355.00
|
|
Fundus photography with i&r 92250
|
$234.40 |
$234.40 |
$234.40 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$19.00 |
$19.00 |
$19.00 |
$19.53
|
|
Ga-67 gallium 0.1 mci
|
$192.80 |
$192.80 |
$192.80 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$170.40 |
$170.40 |
$170.40 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$289.56 |
$289.56 |
$289.56 |
$108.40
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$458.67 |
$458.67 |
$458.67 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$1,696.55
|
|
Gamma globulin 1 cc inj
|
$910.76 |
$910.76 |
$910.76 |
$407.60
|
|
Gammagraft
|
$144.00 |
$144.00 |
$144.00 |
$1.00
|
|
Gamunex-c/gammaked
|
$2,876.40 |
$2,876.40 |
$2,876.40 |
$7,435.88
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$219.19 |
$219.19 |
$219.19 |
$197.40
|
|
Gastroesophageal reflux study
|
$800.80 |
$800.80 |
$800.80 |
$1,031.60
|
|
Gastroesophageal reflux test
|
$1,865.60 |
$1,865.60 |
$1,865.60 |
$1,352.00
|
|
Gemcitabine 1 gram intravenous solution
|
$239.91 |
$239.91 |
$239.91 |
$207.51
|
|
Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln
|
$15,595.40 |
$15,595.40 |
$15,595.40 |
$19,305.62
|
|
Generator barostim neo2 2014
|
$73,000.02 |
$73,000.02 |
$73,000.02 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$68,428.80 |
$68,428.80 |
$68,428.80 |
$36,467.76
|
|
Gen, neuro, clo loop, rechg
|
$38,400.00 |
$38,400.00 |
$38,400.00 |
$38,632.78
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$69.81 |
$69.81 |
$69.81 |
$52.54
|
|
G-esoph reflx tst w/electrod
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$2,135.20 |
$2,135.20 |
$2,135.20 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$3,235.20 |
$3,235.20 |
$3,235.20 |
$3,776.00
|
|
Ghs analysis neurostim without reprogramming
|
$376.80 |
$376.80 |
$376.80 |
$262.35
|
|
Ghs aspiration bladder - needle
|
$796.00 |
$796.00 |
$796.00 |
$582.00
|
|
Ghs bladder cath - complex-foley
|
$552.80 |
$552.80 |
$552.80 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,340.00 |
$1,340.00 |
$1,340.00 |
$1,059.85
|
|
Ghs central line insert < age 5, failed
|
$2,069.60 |
$2,069.60 |
$2,069.60 |
$2,519.49
|
|
Ghs change cysto/gastrost
|
$964.80 |
$964.80 |
$964.80 |
$594.55
|
