|
Fluoroguide for spine inject 77003-26
|
$601.37 |
$601.37 |
$601.37 |
$495.95
|
|
Fluoroguide needle placement
|
$756.91 |
$756.91 |
$756.91 |
$500.40
|
|
Fluoro polarize fetal lung
|
$12.88 |
$12.88 |
$12.88 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$972.51 |
$972.51 |
$972.51 |
$507.00
|
|
Fluzone vacc, 3 yrs & >, im
|
$22.77 |
$22.77 |
$22.77 |
$42.25
|
|
Fmri brain by phys/psych
|
$76.59 |
$76.59 |
$76.59 |
$1,603.00
|
|
Fmri brain by tech
|
$65.09 |
$65.09 |
$65.09 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$2,058.21 |
$2,058.21 |
$2,058.21 |
$1,471.60
|
|
Fna bx w/ct gdn ea addl
|
$1,543.85 |
$1,543.85 |
$1,543.85 |
$834.00
|
|
Foam drg >16<=48 sq in without b
|
$98.67 |
$98.67 |
$98.67 |
$39.19
|
|
Foam stability fetal lung
|
$12.88 |
$12.88 |
$12.88 |
$48.00
|
|
Folic acid
|
$96.25 |
$96.25 |
$96.25 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$51.46 |
$51.46 |
$51.46 |
$45.00
|
|
Follow-up angiography
|
$12,662.65 |
$12,662.65 |
$12,662.65 |
$2,040.78
|
|
Followup eval of foot pt lop
|
$12.88 |
$12.88 |
$12.88 |
$152.50
|
|
Follow-up surgery of eye
|
$351.44 |
$351.44 |
$351.44 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,393.95 |
$1,393.95 |
$1,393.95 |
$2,481.61
|
|
Fondaparinux sodium
|
$47.09 |
$47.09 |
$47.09 |
$186.20
|
|
Foot X-ray
|
$442.75 |
$442.75 |
$442.75 |
$356.95
|
|
Foot X-ray (2 views, both feet)
|
$354.20 |
$354.20 |
$354.20 |
$290.40
|
|
Forearm X-ray (both sides)
|
$354.20 |
$354.20 |
$354.20 |
$322.20
|
|
Forehead flap w/vasc pedicle 15731
|
$641.93 |
$641.93 |
$641.93 |
$4,872.75
|
|
Forensic cytopathology
|
$8.74 |
$8.74 |
$8.74 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$711.48 |
$711.48 |
$711.48 |
$544.50
|
|
Fractionation ketosteroids
|
$19.78 |
$19.78 |
$19.78 |
$148.00
|
|
Fracture assessment via dxa
|
$354.20 |
$354.20 |
$354.20 |
$177.91
|
|
_fragile x methylation-sendout
|
$131.67 |
$131.67 |
$131.67 |
$183.74
|
|
Fragmenting of kidney stone
|
$370.07 |
$370.07 |
$370.07 |
$10,312.25
|
|
Free fascial flap microvasc
|
$1,451.53 |
$1,451.53 |
$1,451.53 |
$2,833.65
|
|
Freeing of bowel adhesion 44005
|
$705.41 |
$705.41 |
$705.41 |
$2,062.20
|
|
Free myo/skin flap microvasc
|
$1,466.48 |
$1,466.48 |
$1,466.48 |
$7,906.00
|
|
Free omental flap microvasc
|
$894.93 |
$894.93 |
$894.93 |
$4,726.40
|
|
Free/remove chest lining 32320
|
$1,024.65 |
$1,024.65 |
$1,024.65 |
$3,859.99
|
|
Free skin flap microvasc
|
$1,457.51 |
$1,457.51 |
$1,457.51 |
$2,839.16
|
|
Frenectomy 41115
|
$93.84 |
$93.84 |
$93.84 |
$1,939.47
|
|
Frenotomy 40806
|
$19.32 |
$19.32 |
$19.32 |
$729.70
|
|
Frenulotomy of penis
|
$126.50 |
$126.50 |
$126.50 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$328.79 |
$328.79 |
$328.79 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$389.62 |
$389.62 |
$389.62 |
$164.16
|
|
Frozen cell preparation
|
$8.28 |
$8.28 |
$8.28 |
$31.81
|
|
Fructosamine glycated protein
|
$110.11 |
$110.11 |
$110.11 |
$63.50
|
|
Fth/gft fr n/e/e/l each addl
|
$86.48 |
$86.48 |
$86.48 |
$1,298.50
|
|
Fth/gft fr trnk each addl
|
$48.99 |
$48.99 |
$48.99 |
$1,368.50
|
|
Ftl cgen abnor 3 proteins
|
$4,352.04 |
$4,352.04 |
$4,352.04 |
$2,712.50
|
|
Ftl cgen abnor five anal
|
$203.28 |
$203.28 |
$203.28 |
$159.04
|
|
Ftl cgen abnor four anal
|
$448.91 |
$448.91 |
$448.91 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$158.62 |
$158.62 |
$158.62 |
$109.00
|
|
Full field erg w/i&r
|
$22.77 |
$22.77 |
$22.77 |
$393.12
|
|
Full mouth x-ray of teeth
|
$7.13 |
$7.13 |
$7.13 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$428.12 |
$428.12 |
$428.12 |
$354.60
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$545.10 |
$545.10 |
$545.10 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$392.61 |
$392.61 |
$392.61 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$44.16 |
$44.16 |
$44.16 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$512.44 |
$512.44 |
$512.44 |
$2,707.20
|
|
Functional brain mapping
|
$100.74 |
$100.74 |
$100.74 |
$514.80
|
|
Fundus photography with i&r 92250
|
$13.11 |
$13.11 |
$13.11 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$0.23 |
$0.23 |
$0.23 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$18.03 |
$18.03 |
$18.03 |
$26.20
|
|
Fuse bile ducts and bowel 47785
|
$2,078.97 |
$2,078.97 |
$2,078.97 |
$7,967.20
|
|
Fuse esophagus & intestine
|
$892.63 |
$892.63 |
$892.63 |
$1,956.50
|
|
Fuse esophagus & intestine
|
$895.85 |
$895.85 |
$895.85 |
$2,017.60
|
|
Fuse esophagus & stomach
|
$903.67 |
$903.67 |
$903.67 |
$3,421.60
|
|
Fuse gallbladder & bowel
|
$848.24 |
$848.24 |
$848.24 |
$3,220.80
|
|
Fuse gallbladder & bowel
|
$952.89 |
$952.89 |
$952.89 |
$2,091.91
|
|
Fuse/graft added joint
|
$145.82 |
$145.82 |
$145.82 |
$1,011.40
|
|
Fuse liver duct & intestine
|
$998.89 |
$998.89 |
$998.89 |
$998.89
|
|
Fuse liver ducts & bowel
|
$1,950.86 |
$1,950.86 |
$1,950.86 |
$4,255.26
|
|
Fuse pancreas and bowel
|
$1,078.93 |
$1,078.93 |
$1,078.93 |
$1,496.88
|
|
Fuse pancreas cyst and bowel
|
$845.02 |
$845.02 |
$845.02 |
$3,209.60
|
|
Fuse pancreas cyst and bowel 48520
|
$711.16 |
$711.16 |
$711.16 |
$2,683.20
|
|
Fuse upper gi structures
|
$875.38 |
$875.38 |
$875.38 |
$3,321.60
|
|
Fusion/graft of finger joint
|
$491.51 |
$491.51 |
$491.51 |
$3,986.00
|
|
Fusion/graft of hand joint
|
$552.23 |
$552.23 |
$552.23 |
$6,588.00
|
|
Fusion of ankle joint open
|
$654.35 |
$654.35 |
$654.35 |
$9,791.00
|
|
Fusion of big toe joint
|
$373.75 |
$373.75 |
$373.75 |
$5,488.00
|
|
Fusion of big toe joint
|
$219.42 |
$219.42 |
$219.42 |
$7,811.00
|
|
Fusion of facial/other nerve
|
$797.18 |
$797.18 |
$797.18 |
$1,628.26
|
|
Fusion of finger jnt add-on
|
$65.55 |
$65.55 |
$65.55 |
$192.40
|
|
Fusion of finger joint
|
$390.54 |
$390.54 |
$390.54 |
$4,499.12
|
|
Fusion of finger tendons
|
$422.74 |
$422.74 |
$422.74 |
$3,839.54
|
|
Fusion of finger tendons
|
$415.84 |
$415.84 |
$415.84 |
$1,893.86
|
|
Fusion of foot bones
|
$471.27 |
$471.27 |
$471.27 |
$6,697.18
|
|
Fusion of foot bones
|
$507.38 |
$507.38 |
$507.38 |
$10,203.05
|
|
Fusion of foot bones
|
$400.43 |
$400.43 |
$400.43 |
$5,419.00
|
|
Fusion of hand joint
|
$500.94 |
$500.94 |
$500.94 |
$6,311.00
|
|
Fusion of knee
|
$952.66 |
$952.66 |
$952.66 |
$3,352.14
|
|
Fusion of knuckle
|
$470.81 |
$470.81 |
$470.81 |
$7,807.24
|
|
Fusion of knuckle joint
|
$477.02 |
$477.02 |
$477.02 |
$3,821.05
|
|
Fusion of knuckle joints
|
$556.14 |
$556.14 |
$556.14 |
$4,259.84
|
|
Fusion of knuckle joints
|
$562.81 |
$562.81 |
$562.81 |
$7,907.11
|
|
Fusion of knuckle with graft
|
$536.13 |
$536.13 |
$536.13 |
$7,807.24
|
|
Fusion of skull arteries
|
$1,696.94 |
$1,696.94 |
$1,696.94 |
$3,896.79
|
|
Fusion of spermatic ducts
|
$517.73 |
$517.73 |
$517.73 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$682.64 |
$682.64 |
$682.64 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$452.64 |
$452.64 |
$452.64 |
$3,591.33
|
|
Fusion of tendons at wrist
|
$421.59 |
$421.59 |
$421.59 |
$3,839.54
|
|
Fusion of thumb
|
$494.96 |
$494.96 |
$494.96 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$448.73 |
$448.73 |
$448.73 |
$9,791.00
|
|
Fusion of toes
|
$222.18 |
$222.18 |
$222.18 |
$3,839.54
|
|
Fusion of ureter & bowel
|
$910.34 |
$910.34 |
$910.34 |
$2,002.05
|