|
Forehead flap w/vasc pedicle 15731
|
$7,138.95 |
$7,138.95 |
$7,138.95 |
$4,872.75
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$727.35 |
$727.35 |
$727.35 |
$544.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$3.15 |
$3.15 |
$3.15 |
$490.67
|
|
Foscarnet sodium injection
|
$4.49 |
$4.49 |
$4.49 |
$975.28
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$5.20 |
$47.31 |
$47.31 |
$103.62
|
|
Fractionation ketosteroids
|
$128.05 |
$128.05 |
$128.05 |
$148.00
|
|
Fracture assessment via dxa
|
$395.20 |
$395.20 |
$443.95 |
$175.50
|
|
_fragile x methylation-sendout
|
$201.50 |
$201.50 |
$201.50 |
$183.74
|
|
Fragmenting of kidney stone
|
$10,312.25 |
$10,312.25 |
$11,672.05 |
$10,312.25
|
|
Frame typ socket bel elbow/w
|
$425.75 |
$425.75 |
$425.75 |
$658.00
|
|
Free fascial flap microvasc
|
$9,594.00 |
$9,594.00 |
$9,594.00 |
$2,833.65
|
|
Freeing of bowel adhesion 44005
|
$4,799.60 |
$4,799.60 |
$4,799.60 |
$2,062.20
|
|
Free jejunum flap microvasc
|
$3,404.70 |
$3,404.70 |
$3,404.70 |
$3,404.70
|
|
Free myo/skin flap microvasc
|
$9,604.40 |
$9,604.40 |
$9,604.40 |
$7,906.00
|
|
Free omental flap microvasc
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$4,726.40
|
|
Free/remove chest lining 32320
|
$7,085.00 |
$7,085.00 |
$7,085.00 |
$3,859.99
|
|
Free skin flap microvasc
|
$10,624.90 |
$10,624.90 |
$10,624.90 |
$2,839.16
|
|
Frenectomy 41115
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,939.47
|
|
Frenotomy 40806
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$620.00
|
|
Frenulotomy of penis
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$319.15 |
$319.15 |
$319.15 |
$155.40
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$378.30 |
$378.30 |
$378.30 |
$165.17
|
|
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
|
|
Frozen blood freeze/thaw
|
$176.15 |
$176.15 |
$176.15 |
$179.01
|
|
Frozen blood thaw
|
$768.30 |
$768.30 |
$768.30 |
$212.30
|
|
Frozen cell preparation
|
$53.95 |
$53.95 |
$53.95 |
$31.81
|
|
Fructosamine glycated protein
|
$75.40 |
$75.40 |
$75.40 |
$63.50
|
|
Ft arch suprt premold longit
|
$36.02 |
$36.02 |
$36.02 |
$94.69
|
|
Fth/gft fr n/e/e/l each addl
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$1,298.50
|
|
Fth/gft fr trnk each addl
|
$377.65 |
$377.65 |
$377.65 |
$1,368.50
|
|
Ft insert ucb berkeley shell
|
$240.34 |
$240.34 |
$240.34 |
$651.56
|
|
Ftl cgen abnor four anal
|
$688.35 |
$688.35 |
$688.35 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$243.75 |
$243.75 |
$243.75 |
$109.00
|
|
Ft prosth multiaxial ankl/ft
|
$237.90 |
$237.90 |
$237.90 |
$439.60
|
|
Full field erg w/i&r
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$393.12
|
|
Full mouth x-ray of teeth
|
$1,084.20 |
$1,084.20 |
$1,141.40 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$477.10 |
$477.10 |
$565.50 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$3,091.20
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,469.00
|
|
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
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$2,707.20
|
|
Functional brain mapping
|
$6,414.20 |
$6,414.20 |
$6,414.20 |
$514.80
|
|
Fundus photography with i&r 92250
|
$385.45 |
$385.45 |
$499.85 |
$182.95
|
|
Furnsh initial orthosis only
|
$1,369.19 |
$1,369.19 |
$1,369.19 |
$2,873.32
|
|
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 esophagus & intestine
|
$5,977.40 |
$5,977.40 |
$5,977.40 |
$1,956.50
|
|
Fuse esophagus & intestine
|
$6,299.80 |
$6,299.80 |
$6,299.80 |
$2,017.60
|
|
Fuse esophagus & stomach
|
$6,060.60 |
$6,060.60 |
$6,060.60 |
$3,421.60
|
|
Fuse gallbladder & bowel
|
$5,519.80 |
$5,519.80 |
$5,519.80 |
$3,220.80
|
|
Fuse gallbladder & bowel
|
$6,294.60 |
$6,294.60 |
$6,294.60 |
$2,091.91
|
|
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 |
$4,255.26
|
|
Fuse pancreas and bowel
|
$7,303.40 |
$7,303.40 |
$7,303.40 |
$1,496.88
|
|
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 |
$3,986.00
|
|
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 facial/other nerve
|
$4,375.80 |
$4,375.80 |
$4,375.80 |
$1,628.26
|
|
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 finger tendons
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$1,893.86
|
|
Fusion of foot bones
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$6,697.18
|
|
Fusion of foot bones
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$10,203.05
|
|
Fusion of foot bones
|
$2,415.40 |
$2,415.40 |
$2,415.40 |
$5,419.00
|
|
Fusion of hand joint
|
$2,022.80 |
$2,022.80 |
$2,022.80 |
$6,311.00
|
|
Fusion of knee
|
$5,486.00 |
$5,486.00 |
$5,486.00 |
$3,352.14
|
|
Fusion of knuckle
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$7,807.24
|
|
Fusion of knuckle joint
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,821.05
|
|
Fusion of knuckle joints
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$4,259.84
|
|
Fusion of knuckle joints
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$2,264.60 |
$2,264.60 |
$2,264.60 |
$7,807.24
|
|
Fusion of skull arteries
|
$9,939.80 |
$9,939.80 |
$9,939.80 |
$3,896.79
|
|
Fusion of spermatic ducts
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$4,966.00 |
$4,966.00 |
$4,966.00 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$2,345.20 |
$2,345.20 |
$2,345.20 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$2,233.40 |
$2,233.40 |
$2,233.40 |
$3,839.54
|
|
Fusion of thumb
|
$1,911.00 |
$1,911.00 |
$1,911.00 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$2,480.40 |
$2,480.40 |
$2,480.40 |
$9,791.00
|
|
Fusion of toes
|
$1,385.80 |
$1,385.80 |
$1,385.80 |
$3,839.54
|
|
Fusion of ureter & bowel
|
$5,878.60 |
$5,878.60 |
$5,878.60 |
$2,002.05
|
|
Fusion of ureter & kidney
|
$5,218.20 |
$5,218.20 |
$5,218.20 |
$2,702.04
|
|
Fusion of ureter & kidney
|
$5,517.20 |
$5,517.20 |
$5,517.20 |
$1,493.66
|
|
Fxn gene detc abnor alleles
|
$614.25 |
$614.25 |
$614.25 |
$195.30
|
|
G0180 home health certification
|
$191.75 |
$191.75 |
$191.75 |
$107.25
|
|
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
|
|
Gabapentin non-blood
|
$20.80 |
$20.80 |
$20.80 |
$42.35
|
|
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)
|
$11.27 |
$20.80 |
$20.80 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$1.48 |
$13.18 |
$13.18 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$33.23 |
$95.55 |
$95.55 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$94.25 |
$94.25 |
$94.25 |
$100.00
|
|
Galactokinase - sendout
|
$96.20 |
$96.20 |
$96.20 |
$196.38
|
