|
Fetal scalp blood sampling 59030
|
$517.40 |
$517.40 |
$517.40 |
$359.97
|
|
Fetal shunt placement w/us
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$18.20 |
$18.20 |
$18.20 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$45.50 |
$45.50 |
$45.50 |
$120.05
|
|
Fibrin degradation products
|
$31.20 |
$31.20 |
$31.20 |
$74.25
|
|
Fibrinogen activity
|
$43.55 |
$43.55 |
$43.55 |
$86.40
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$69.55 |
$69.55 |
$69.55 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$34.45 |
$34.45 |
$34.45 |
$72.80
|
|
Fibrinolytic plasminogen
|
$77.35 |
$77.35 |
$77.35 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$29.25 |
$29.25 |
$29.25 |
$66.60
|
|
Fibula bone graft microvasc
|
$11,514.10 |
$11,514.10 |
$11,514.10 |
$6,131.20
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,024.92 |
$1,024.92 |
$1,024.92 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.28 |
$1,561.74 |
$1,561.74 |
$1,183.71
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,284.02 |
$1,284.02 |
$1,284.02 |
$891.02
|
|
Filleted finger/toe flap
|
$2,873.00 |
$2,873.00 |
$2,873.00 |
$2,431.38
|
|
Filter spider fx 3mmx320cm
|
$2,021.50 |
$2,754.70 |
$2,754.70 |
$7,257.19
|
|
Filter vena cava fem denali
|
$1,665.71 |
$2,632.50 |
$2,632.50 |
$3,666.24
|
|
Fimbrioplasty 58760
|
$3,621.80 |
$3,621.80 |
$3,621.80 |
$3,621.80
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$471.25 |
$471.25 |
$471.25 |
$699.20
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$661.05 |
$661.05 |
$661.05 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$612.30 |
$612.30 |
$612.30 |
$833.25
|
|
Fine needle asp without image guide 10021
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$507.00
|
|
Finger tendon transfer
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$3,842.75
|
|
Finger tendon transfer
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$3,986.00
|
|
Finger X-ray (both hands)
|
$395.20 |
$395.20 |
$429.00 |
$241.50
|
|
Fistula repair & colostomy
|
$4,464.20 |
$4,464.20 |
$4,464.20 |
$2,642.40
|
|
Fistula repair transperine 57308
|
$2,753.40 |
$2,753.40 |
$2,753.40 |
$1,245.00
|
|
Fitg c-lens keratoconus 1st
|
$512.20 |
$512.20 |
$512.20 |
$127.00
|
|
Fitting of diaphragm/cap 57170
|
$601.25 |
$601.25 |
$601.25 |
$238.06
|
|
Fixation of ankle joint
|
$621.40 |
$621.40 |
$621.40 |
$3,591.33
|
|
Fixation of knee joint
|
$465.40 |
$465.40 |
$465.40 |
$1,963.35
|
|
Fixation of shoulder blade
|
$3,606.20 |
$3,606.20 |
$3,606.20 |
$5,886.74
|
|
Fix g/colon tube w/device
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$4,499.12
|
|
Flebogamma injection
|
$24.78 |
$24.78 |
$24.78 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$83.85 |
$83.85 |
$83.85 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$722.80 |
$722.80 |
$722.80 |
$548.40
|
|
Flex/ext wrist w/wo friction
|
$1,972.20 |
$1,972.20 |
$1,972.20 |
$2,525.60
|
|
Flexible keel foot
|
$303.33 |
$303.33 |
$303.33 |
$590.47
|
|
Flexible Sigmoidoscopy
|
$2,726.10 |
$2,726.10 |
$2,726.10 |
$1,284.13
|
|
Flex-walk sys low ext prosth
|
$2,615.81 |
$2,615.81 |
$2,615.81 |
$3,684.80
|
|
Floor of mouth biopsy 41108
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,168.40
|
|
Florbetaben f18 diagnostic
|
$4,030.00 |
$4,030.00 |
$4,030.00 |
$4,950.00
|
|
Flotufolastat f18 diag 1 mci
|
$863.85 |
$6,393.40 |
$6,393.40 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$486.20 |
$486.20 |
$486.20 |
$198.94
|
|
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 |
$367.50
|
|
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 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$424.14 |
$424.14 |
$858.03 |
$493.35
|
|
Fluidotherapy charges pt
|
$116.35 |
$116.35 |
$116.35 |
$100.22
|
|
Fluid pressure muscle 20950
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$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
|
|
Fluorescein angioscopy i&r
|
$156.00 |
$156.00 |
$156.00 |
$576.80
|
|
Fluorescein angrph mltiframe
|
$1,145.30 |
$1,145.30 |
$1,145.30 |
$336.50
|
|
Fluorescein&icg angiography
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$596.00
|
|
Fluorescent antibody titer dna
|
$53.95 |
$53.95 |
$53.95 |
$123.65
|
|
Fluoroestradiol f 18
|
$997.10 |
$997.10 |
$7,512.05 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$647.40 |
$647.40 |
$819.00 |
$495.95
|
|
Fluoroguide needle placement
|
$544.70 |
$544.70 |
$699.40 |
$500.40
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$1,084.20 |
$1,084.20 |
$1,162.20 |
$507.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$4.13 |
$4.13 |
$8.00 |
$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
|
|
Fluvirin vacc, 3 yrs & >, im
|
$12.49 |
$12.49 |
$12.49 |
$17.16
|
|
Fluzone vacc, 3 yrs & >, im
|
$35.49 |
$35.49 |
$35.49 |
$42.25
|
|
Fmri brain by phys/psych
|
$1,744.60 |
$1,744.60 |
$1,744.60 |
$1,639.00
|
|
Fmri brain by tech
|
$1,084.20 |
$1,084.20 |
$1,632.80 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,471.60
|
|
Fna bx w/ct gdn ea addl
|
$956.15 |
$956.15 |
$956.15 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$946.40 |
$946.40 |
$946.40 |
$766.70
|
|
Foam drg >16<=48 sq in without b
|
$22.75 |
$22.75 |
$22.75 |
$39.04
|
|
Foam drg <=16 sq in w/border
|
$7.80 |
$7.80 |
$23.76 |
$16.25
|
|
Foam drsg <=16 sq in without bdr
|
$8.11 |
$8.11 |
$8.11 |
$21.74
|
|
Folic acid
|
$65.65 |
$65.65 |
$65.65 |
$101.00
|
|
Folic acid 5 mg/ml injection solution
|
$14.96 |
$14.96 |
$14.96 |
$45.00
|
|
Follow-up angiography
|
$14,116.70 |
$14,116.70 |
$14,545.70 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$334.75 |
$334.75 |
$334.75 |
$152.50
|
|
Follow-up surgery of eye
|
$6,975.80 |
$6,975.80 |
$6,975.80 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,701.32 |
$2,701.32 |
$2,701.32 |
$2,481.61
|
|
Fondaparinux sodium
|
$14.03 |
$626.98 |
$626.98 |
$186.20
|
|
Fo nontorsion joint cf
|
$172.90 |
$172.90 |
$172.90 |
$217.50
|
|
Foot arch support remov prem
|
$74.10 |
$74.10 |
$74.10 |
$141.41
|
|
Foot drp splt w/exp heel lg
|
$66.30 |
$66.30 |
$66.30 |
$143.14
|
|
Foot insert plastazote or eq
|
$123.57 |
$123.57 |
$123.57 |
$349.16
|
|
Foot insert remov molded spe
|
$99.45 |
$99.45 |
$99.45 |
$285.99
|
|
Foot lamin/prepreg composite
|
$63.70 |
$63.70 |
$63.70 |
$289.76
|
|
Foot longitudinal arch suppo
|
$299.65 |
$299.65 |
$299.65 |
$299.65
|
|
Foot longitud/metatarsal sup
|
$78.00 |
$78.00 |
$111.15 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$76.21 |
$76.21 |
$76.21 |
$76.32
|
|
Foot X-ray
|
$395.20 |
$395.20 |
$443.95 |
$355.32
|
|
Foot X-ray (2 views, both feet)
|
$395.20 |
$395.20 |
$436.80 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$871.00 |
$871.00 |
$871.00 |
$669.13
|
|
Forearm X-ray (both sides)
|
$395.20 |
$395.20 |
$436.80 |
$324.00
|
