|
Factor ix idelvion inj
|
$16.80 |
$16.80 |
$16.80 |
|
|
Factor ix non-recombinant
|
$16.80 |
$16.80 |
$16.80 |
|
|
Factor ix recombinant nos
|
$16.80 |
$16.80 |
$24.92 |
|
|
Factor viii
|
$70.40 |
$70.40 |
$70.40 |
|
|
Factor viii
|
$16.80 |
$16.80 |
$16.80 |
|
|
Factor viii recombinant nos
|
$1,980.00 |
$1,980.00 |
$2,219.04 |
|
|
Factor viii recomb obizur
|
$2,275.00 |
$2,275.00 |
$2,371.80 |
|
|
Fallopian tube recnl
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
|
|
Family therapy without pt 50min 90846
|
$241.60 |
$644.00 |
$644.00 |
|
|
Family therapy with patient 50 min 90847
|
$322.40 |
$676.00 |
$676.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$16.80 |
$26.48 |
$50.24 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$2,810.41 |
$2,810.41 |
$4,239.84 |
|
|
Fasciotomy hip/thigh any typ
|
$3,184.80 |
$3,184.80 |
$3,184.80 |
|
|
Fat/lipids feces qualitative
|
$28.80 |
$28.80 |
$28.80 |
|
|
Feeding tube reposition
|
$450.40 |
$450.40 |
$450.40 |
|
|
Felbamate (felbatol(r)) - sendout
|
$71.20 |
$71.20 |
$71.20 |
|
|
Femoral endovas graft add-on 34813
|
$1,735.20 |
$1,735.20 |
$7,224.80 |
|
|
Feno poc
|
$155.20 |
$155.20 |
$155.20 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$27.50 |
$27.61 |
$1,168.00 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$675.09 |
$1,029.48 |
$2,277.24 |
|
|
Ferritin
|
$76.80 |
$76.80 |
$76.80 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$434.28 |
$1,367.56 |
$1,858.22 |
|
|
Ferumoxytol, esrd use
|
$434.28 |
$434.28 |
$1,858.22 |
|
|
Fetal biophys profile w/nst 76818
|
$371.20 |
$376.00 |
$524.80 |
|
|
Fetal contract stress test 59020 - 26
|
$314.40 |
$314.40 |
$605.60 |
|
|
Fetal cord puncture prenatal
|
$556.00 |
$556.00 |
$556.00 |
|
|
Fetal fibronectin
|
$352.80 |
$352.80 |
$352.80 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$224.00 |
$224.00 |
$224.00 |
|
|
Fetal non stress test
|
$386.40 |
$458.40 |
$542.40 |
|
|
Fetal shunt placement w/us
|
$800.00 |
$800.00 |
$800.00 |
|
|
#_fet/norfentcnfrmur
|
$74.40 |
$74.40 |
$74.40 |
|
|
Fibrin degradation d dimer quantitative
|
$79.20 |
$79.20 |
$79.20 |
|
|
Fibrin degrade semiquant
|
$88.00 |
$88.00 |
$88.00 |
|
|
Fibrinogen activity
|
$48.00 |
$48.00 |
$48.00 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.40 |
$86.40 |
$86.40 |
|
|
Fibrinolytic plasminogen
|
$161.60 |
$161.60 |
$161.60 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$284.80 |
$284.80 |
$528.27 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$570.05 |
$812.80 |
$1,221.89 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$326.60 |
$326.60 |
$696.20 |
|
|
Filter spider fx 3mmx320cm
|
$8,008.00 |
$8,008.00 |
$9,464.00 |
|
|
Filter vena cava fem denali
|
$2,948.00 |
$2,948.00 |
$3,752.00 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,302.40 |
$1,302.40 |
$1,751.20 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$580.80 |
$580.80 |
$901.60 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$325.60 |
$325.60 |
$325.60 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$617.60 |
$617.60 |
$996.80 |
|
|
Fine needle asp without image guide 10021
|
$604.00 |
$604.00 |
$623.20 |
|
|
Finger X-ray (both hands)
|
$160.80 |
$176.00 |
$324.80 |
|
|
Fixation of knee joint
|
$2,344.00 |
$2,344.00 |
$2,523.20 |
|
|
Fix g/colon tube w/device
|
$1,188.80 |
$1,188.80 |
$1,250.40 |
|
|
Flecainide (tambocor)-sendout
|
$86.40 |
$86.40 |
$86.40 |
|
|
Fl exam g/colon tube w contrast
|
$500.00 |
$500.00 |
$657.60 |
|
|
Flexible Sigmoidoscopy
|
$1,753.60 |
$1,753.60 |
$2,092.00 |
|
|
Flotufolastat f18 diag 1 mci
|
$686.40 |
$686.40 |
$686.40 |
|
|
Flow cytometry marker each additional
|
$98.40 |
$116.00 |
$124.80 |
|
|
Flow cytometry one marker technical component
|
$188.00 |
$188.00 |
$508.00 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$55.68 |
$72.32 |
$113.60 |
|
|
Fludarabine 50 mg intravenous solution
|
$207.88 |
$207.88 |
$3,698.40 |
|
|
Fluidotherapy charges pt
|
$84.80 |
$84.80 |
$116.80 |
|
|
Fluid pressure muscle 20950
|
$768.00 |
$768.00 |
$991.20 |
|
|
Fluorescent antibody titer dna
|
$56.80 |
$56.80 |
$56.80 |
|
|
Fluoroestradiol f 18
|
$912.00 |
$912.00 |
$912.00 |
|
|
Fluoroguide for spine inject 77003-26
|
$287.20 |
$287.20 |
$719.20 |
|
|
Fluoroguide needle placement
|
$243.20 |
$243.20 |
$688.00 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$387.20 |
$387.20 |
$789.60 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$103.29 |
$103.29 |
$205.20 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$60.16 |
$60.16 |
$220.99 |
|
|
Fna bx w/ct gdn 1st les
|
$1,196.80 |
$1,196.80 |
$1,459.20 |
|
|
Fna bx w/ct gdn ea addl
|
$774.40 |
$774.40 |
$774.40 |
|
|
Folic acid
|
$83.20 |
$83.20 |
$83.20 |
|
|
Folic acid 5 mg/ml injection solution
|
$0.52 |
$16.80 |
$26.05 |
|
|
Follow-up angiography
|
$1,233.60 |
$1,233.60 |
$1,924.00 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,407.00 |
$1,407.00 |
$3,170.16 |
|
|
Fondaparinux sodium
|
$30.60 |
$90.55 |
$151.36 |
|
|
Fo nontorsion joint cf
|
$220.86 |
$220.86 |
$220.86 |
|
|
Foot arch support remov prem
|
$259.88 |
$259.88 |
$259.88 |
|
|
Foot drp splt w/exp heel lg
|
$108.80 |
$108.80 |
$156.16 |
|
|
Foot lamin/prepreg composite
|
$229.92 |
$229.92 |
$292.12 |
|
|
Foot longitud/metatarsal sup
|
$224.80 |
$224.80 |
$224.80 |
|
|
Foot plas heel stabi pre ots
|
$30.47 |
$30.47 |
$43.73 |
|
|
Foot X-ray
|
$193.60 |
$211.20 |
$444.80 |
|
|
Foot X-ray (2 views, both feet)
|
$160.80 |
$207.20 |
$377.60 |
|
|
Forearm/arm cuffs ext/flex a
|
$618.29 |
$618.29 |
$618.29 |
|
|
Forearm/arm cuffs free motio
|
$515.40 |
$515.40 |
$515.40 |
|
|
Forearm X-ray (both sides)
|
$160.80 |
$220.00 |
$376.80 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$659.20 |
$659.20 |
$745.60 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$464.61 |
$699.71 |
$1,080.55 |
|
|
Foscarnet sodium injection
|
$745.00 |
$745.00 |
$1,420.80 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$27.60 |
$66.24 |
$391.29 |
|
|
Fracture assessment via dxa
|
$153.60 |
$153.60 |
$153.60 |
|
|
_fragile x methylation-sendout
|
$120.80 |
$120.80 |
$120.80 |
|
|
Frenectomy 41115
|
$1,708.80 |
$1,708.80 |
$1,708.80 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$165.60 |
$165.60 |
$300.00 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$165.60 |
$197.60 |
$374.00 |
|
|
Fructosamine glycated protein
|
$53.60 |
$53.60 |
$53.60 |
|
|
Ft arch suprt premold longit
|
$70.66 |
$70.66 |
$70.66 |
|
|
Ftl cgen abnor four anal
|
$371.20 |
$371.20 |
$371.20 |
|
|
Full mouth x-ray of teeth
|
$158.40 |
$158.40 |
$158.40 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$263.20 |
$263.20 |
$301.60 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,473.60 |
$4,473.60 |
$4,473.60 |
|
|
Fundus photography with i&r 92250
|
$224.80 |
$224.80 |
$234.40 |
|
