|
Floor of mouth biopsy 41108
|
$314.60 |
$314.60 |
$314.60 |
$2,168.40
|
|
Florbetaben f18 diagnostic
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$4,950.00
|
|
Flotufolastat f18 diag 1 mci
|
$6,393.40 |
$6,393.40 |
$6,393.40 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$96.85 |
$96.85 |
$96.85 |
$97.50
|
|
Flow cytometry one marker technical component
|
$1,613.30 |
$1,613.30 |
$1,613.30 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$1,265.55 |
$1,265.55 |
$1,265.55 |
$172.50
|
|
Floxuridine injection
|
$11,358.70 |
$11,358.70 |
$11,358.70 |
$5,871.79
|
|
Flt3 gene
|
$742.30 |
$742.30 |
$742.30 |
$366.29
|
|
Flt3 gene analysis
|
$372.45 |
$372.45 |
$372.45 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.53 |
$0.53 |
$0.53 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$424.14 |
$424.14 |
$424.14 |
$493.35
|
|
Fluidotherapy charges pt
|
$116.35 |
$116.35 |
$116.35 |
$101.40
|
|
Fluid pressure muscle 20950
|
$327.60 |
$327.60 |
$327.60 |
$779.45
|
|
Fluocinol acet intravit imp
|
$14,359.80 |
$14,359.80 |
$14,359.80 |
$14,359.80
|
|
Fluocinolone acetonide implt
|
$29,679.00 |
$29,679.00 |
$29,679.00 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$53.95 |
$53.95 |
$53.95 |
$123.65
|
|
Fluoroestradiol f 18
|
$997.10 |
$997.10 |
$997.10 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$819.00 |
$819.00 |
$819.00 |
$495.00
|
|
Fluoroguide needle placement
|
$699.40 |
$699.40 |
$699.40 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$1,162.20 |
$1,162.20 |
$1,162.20 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$4.13 |
$4.13 |
$4.13 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$72.52 |
$72.52 |
$72.52 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$5,460.00 |
$5,460.00 |
$5,460.00 |
$5,265.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$42.25 |
$42.25 |
$42.25 |
$43.20
|
|
Fmri brain by tech
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$956.15 |
$956.15 |
$956.15 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$783.90 |
$783.90 |
$783.90 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$393.25 |
$393.25 |
$393.25 |
$766.70
|
|
Folic acid
|
$65.65 |
$65.65 |
$65.65 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$14.96 |
$14.96 |
$14.96 |
$45.00
|
|
Follow-up angiography
|
$14,545.70 |
$14,545.70 |
$14,545.70 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,701.32 |
$2,701.32 |
$2,701.32 |
$2,511.73
|
|
Fondaparinux sodium
|
$626.98 |
$626.98 |
$626.98 |
$186.20
|
|
Fo nontorsion joint cf
|
$226.20 |
$226.20 |
$226.20 |
$217.50
|
|
Foot longitud/metatarsal sup
|
$126.10 |
$126.10 |
$126.10 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$54.60 |
$54.60 |
$54.60 |
$76.32
|
|
Foot X-ray
|
$443.95 |
$443.95 |
$443.95 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$436.80 |
$436.80 |
$436.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$436.80 |
$436.80 |
$436.80 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$3,738.80 |
$3,738.80 |
$3,738.80 |
$4,872.75
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$727.35 |
$727.35 |
$727.35 |
$534.00
|
|
Foscarnet sodium injection
|
$4.49 |
$4.49 |
$4.49 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$47.31 |
$47.31 |
$47.31 |
$103.62
|
|
Fracture assessment via dxa
|
$395.20 |
$395.20 |
$395.20 |
$175.50
|
|
Fragmenting of kidney stone
|
$2,540.20 |
$2,540.20 |
$2,540.20 |
$10,312.25
|
|
Free fascial flap microvasc
|
$9,594.00 |
$9,594.00 |
$9,594.00 |
$9,594.00
|
|
Freeing of bowel adhesion 44005
|
$4,799.60 |
$4,799.60 |
$4,799.60 |
$2,062.20
|
|
Free myo/skin flap microvasc
|
$9,604.40 |
$9,604.40 |
$9,604.40 |
$7,906.00
|
|
Free/remove chest lining 32320
|
$7,085.00 |
$7,085.00 |
$7,085.00 |
$3,890.40
|
|
Frenectomy 41115
|
$465.40 |
$465.40 |
$465.40 |
$1,939.47
|
|
Frenotomy 40806
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$679.80
|
|
Frenulotomy of penis
|
$733.20 |
$733.20 |
$733.20 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$319.15 |
$319.15 |
$319.15 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$378.30 |
$378.30 |
$378.30 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$768.30 |
$768.30 |
$768.30 |
$131.25
|
|
Fr frz plasma donor retested
|
$219.70 |
$219.70 |
$219.70 |
$130.00
|
|
Fructosamine glycated protein
|
$75.40 |
$75.40 |
$75.40 |
$63.50
|
|
Fth/gft fr n/e/e/l each addl
|
$579.80 |
$579.80 |
$579.80 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$377.65 |
$377.65 |
$377.65 |
$1,368.50
|
|
Ftl cgen abnor four anal
|
$688.35 |
$688.35 |
$688.35 |
$211.83
|
|
Full mouth x-ray of teeth
|
$1,141.40 |
$1,141.40 |
$1,141.40 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$565.50 |
$565.50 |
$565.50 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,026.40 |
$3,026.40 |
$3,026.40 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,103.40 |
$2,103.40 |
$2,103.40 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,706.60 |
$2,706.60 |
$2,706.60 |
$2,798.50
|
|
Furosemide 10 mg/ml injection solution
|
$4.89 |
$4.89 |
$4.89 |
$19.53
|
|
Fuse bile ducts and bowel 47785
|
$14,609.40 |
$14,609.40 |
$14,609.40 |
$7,967.20
|
|
Fuse/graft added joint
|
$1,011.40 |
$1,011.40 |
$1,011.40 |
$1,011.40
|
|
Fuse liver ducts & bowel
|
$13,569.40 |
$13,569.40 |
$13,569.40 |
$8,024.40
|
|
Fuse pancreas and bowel
|
$7,303.40 |
$7,303.40 |
$7,303.40 |
$1,663.20
|
|
Fuse pancreas cyst and bowel
|
$5,704.40 |
$5,704.40 |
$5,704.40 |
$3,209.60
|
|
Fuse pancreas cyst and bowel 48520
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$2,683.20
|
|
Fusion/graft of finger joint
|
$1,965.60 |
$1,965.60 |
$1,965.60 |
$4,499.12
|
|
Fusion/graft of hand joint
|
$2,334.80 |
$2,334.80 |
$2,334.80 |
$6,588.00
|
|
Fusion of ankle joint open
|
$4,006.60 |
$4,006.60 |
$4,006.60 |
$9,791.00
|
|
Fusion of big toe joint
|
$2,228.20 |
$2,228.20 |
$2,228.20 |
$5,488.00
|
|
Fusion of big toe joint
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$7,811.00
|
|
Fusion of finger jnt add-on
|
$452.40 |
$452.40 |
$452.40 |
$192.40
|
|
Fusion of finger joint
|
$1,268.80 |
$1,268.80 |
$1,268.80 |
$4,499.12
|
|
Fusion of finger tendons
|
$1,534.00 |
$1,534.00 |
$1,534.00 |
$3,839.54
|
|
Fusion of foot bones
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$8,260.30
|
|
Fusion of foot bones
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$10,629.07
|
|
Fusion of foot bones
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$6,288.57
|
|
Fusion of knee
|
$5,486.00 |
$5,486.00 |
$5,486.00 |
$5,486.00
|
|
Fusion of knuckle
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$7,907.11
|
|
Fusion of knuckle joint
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,839.54
|
|
Fusion of knuckle with graft
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$7,907.11
|
|
Fusion of tendons at wrist
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$3,594.44
|
|
Fusion of tendons at wrist
|
$2,233.40 |
$2,233.40 |
$2,233.40 |
$3,839.54
|
|
Fusion of tibiofibular joint
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$9,791.00
|
|
G0180 home health certification
|
$191.75 |
$191.75 |
$191.75 |
$116.00
|
|
G6pc gene
|
$262.60 |
$262.60 |
$262.60 |
$138.40
|
|
Ga-67 gallium 0.1 mci
|
$1,706.90 |
$1,706.90 |
$1,706.90 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$98.80 |
$98.80 |
$98.80 |
$140.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1.94 |
$1.94 |
$1.94 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$20.80 |
$20.80 |
$20.80 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$13.18 |
$13.18 |
$13.18 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$95.55 |
$95.55 |
$95.55 |
$249.80
|
