|
Factor viii recomb obizur
|
$16.20 |
$16.20 |
$16.20 |
$7.29
|
|
Fallopian tube recnl
|
$2,343.60 |
$2,343.60 |
$2,343.60 |
$3,740.75
|
|
Fam adapt bhv tx gdn phy/qhp
|
$66.00 |
$66.00 |
$66.00 |
$66.40
|
|
Family therapy without pt 50min 90846
|
$287.40 |
$287.40 |
$406.80 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$308.40 |
$308.40 |
$406.80 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.30 |
$0.30 |
$0.40 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$55.20 |
$55.20 |
$55.20 |
$5,894.50
|
|
Fancc gene
|
$502.20 |
$532.80 |
$3,029.40 |
$140.00
|
|
Fat/lipids feces qualitative
|
$25.20 |
$39.60 |
$216.00 |
$36.00
|
|
Fatty acids nonesterified
|
$93.60 |
$109.20 |
$3,835.20 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$2,265.00 |
$2,265.00 |
$2,265.00 |
$903.05
|
|
Fecal microbiota prep instil
|
$356.40 |
$356.40 |
$356.40 |
$1,009.14
|
|
#fecal-sodium
|
$43.80 |
$96.00 |
$5,749.20 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$2,410.20 |
$2,410.20 |
$2,410.20 |
$66.43
|
|
Fem/popl revasc w/stent
|
$34,849.20 |
$35,730.60 |
$41,308.20 |
$16,129.60
|
|
Feno poc
|
$160.80 |
$160.80 |
$229.20 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$16.20 |
$291.00 |
$451.20 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.20 |
$4.95 |
$3,571.20 |
$2,590.25
|
|
Ferritin
|
$89.40 |
$178.20 |
$570.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4.65 |
$4.65 |
$2,289.60 |
$1,636.50
|
|
Fetal aneuploidy trisom risk
|
$2,112.60 |
$2,112.60 |
$2,239.80 |
$1,077.00
|
|
Fetal chrom aneuploidy gsa panel
|
$3,621.60 |
$3,621.60 |
$3,621.60 |
$1,166.15
|
|
Fetal cord puncture prenatal
|
$3,562.80 |
$3,562.80 |
$3,562.80 |
$751.20
|
|
Fetal fibronectin
|
$704.40 |
$704.40 |
$727.80 |
$389.95
|
|
Fetal fluid drainage w/us
|
$3,361.20 |
$3,361.20 |
$3,361.20 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$115.80 |
$168.60 |
$325.80 |
$102.00
|
|
Fetal hemoglobin rosette
|
$76.80 |
$80.40 |
$1,333.80 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$47.40 |
$47.40 |
$253.20 |
$67.00
|
|
Fetal non stress test
|
$366.60 |
$640.80 |
$897.00 |
$478.50
|
|
Fetal shunt placement w/us
|
$4,827.60 |
$4,827.60 |
$4,827.60 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$67.20 |
$78.60 |
$93.00 |
$120.64
|
|
Fibrin degradation products
|
$45.00 |
$130.20 |
$820.80 |
$75.02
|
|
Fibrin degrade semiquant
|
$76.20 |
$159.00 |
$1,882.80 |
$84.50
|
|
Fibrinogen activity
|
$49.20 |
$80.40 |
$255.60 |
$87.00
|
|
Fibrinogen test
|
$80.40 |
$160.20 |
$1,062.60 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$180.00 |
$180.00 |
$241.20 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$78.00 |
$81.60 |
$1,503.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$129.60 |
$159.60 |
$2,027.40 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$83.40 |
$197.40 |
$1,527.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.20 |
$3.00 |
$548.40 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$3.75 |
$1,739.40 |
$2,221.20 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$6.90 |
$6.90 |
$1,032.00 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$3,339.00 |
$9,370.80 |
$53,950.20 |
$7,358.16
|
|
Filter vena cava fem denali
|
$5,179.20 |
$7,182.60 |
$11,731.20 |
$3,718.18
|
|
Finasteride, 5 mg
|
$11.00 |
$13.50 |
$49.80 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$574.80 |
$738.00 |
$1,085.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$575.40 |
$575.40 |
$760.80 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$269.40 |
$269.40 |
$269.40 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$574.80 |
$738.00 |
$1,085.40 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$394.80 |
$1,282.80 |
$1,401.60 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$2,719.80 |
$3,109.80 |
$10,690.80 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$405.00 |
$456.60 |
$686.40 |
$241.50
|
|
Fitting of diaphragm/cap 57170
|
$493.80 |
$493.80 |
$493.80 |
$238.06
|
|
Fix g/colon tube w/device
|
$3,012.60 |
$5,068.20 |
$7,205.40 |
$1,183.00
|
|
Flebogamma injection
|
$411.60 |
$411.60 |
$6,922.20 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$72.00 |
$129.60 |
$298.80 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$626.40 |
$780.60 |
$1,487.40 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$598.20 |
$598.20 |
$748.80 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$720.00 |
$720.00 |
$996.60 |
$2,168.40
|
|
Florbetaben f18 diagnostic
|
$12,033.00 |
$12,033.00 |
$12,033.00 |
$4,950.00
|
|
Flotufolastat f18 diag 1 mci
|
$1,243.80 |
$1,243.80 |
$1,658.40 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$745.20 |
$865.80 |
$1,040.40 |
$200.00
|
|
Flow cytometry marker each additional
|
$141.00 |
$165.60 |
$645.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$269.40 |
$350.40 |
$645.60 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$303.00 |
$575.40 |
$777.00 |
$172.50
|
|
Floxuridine injection
|
$8,522.40 |
$8,522.40 |
$8,522.40 |
$5,871.79
|
|
Flt3 gene
|
$1,102.80 |
$1,102.80 |
$1,654.80 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$532.80 |
$2,662.80 |
$2,821.80 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$2,164.80 |
$2,164.80 |
$2,164.80 |
$493.35
|
|
Fluidotherapy charges pt
|
$95.40 |
$95.40 |
$165.60 |
$101.40
|
|
Fluid pressure muscle 20950
|
$342.00 |
$342.00 |
$342.00 |
$779.45
|
|
Fluocinolone acetonide implt
|
$34,587.60 |
$34,587.60 |
$34,587.60 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$50.40 |
$123.00 |
$1,603.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,540.20 |
$1,540.20 |
$2,055.00 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$373.20 |
$404.40 |
$634.20 |
$495.00
|
|
Fluoroguide needle placement
|
$406.20 |
$457.80 |
$2,748.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$798.00 |
$894.00 |
$1,349.40 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$31.80 |
$106.20 |
$1,062.00 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$299.40 |
$307.20 |
$1,498.80 |
$72.52
|
|
Flutamide 125 mg
|
$0.60 |
$0.60 |
$0.60 |
$7.13
|
|
Fluzone vacc, 3 yrs & >, im
|
$27.00 |
$27.00 |
$27.00 |
$43.20
|
|
Fmri brain by phys/psych
|
$6,214.20 |
$6,214.20 |
$6,214.20 |
$1,639.00
|
|
Fmri brain by tech
|
$6,214.20 |
$6,214.20 |
$6,214.20 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$574.80 |
$738.00 |
$1,085.40 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$575.40 |
$738.00 |
$1,085.40 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$574.80 |
$738.00 |
$1,085.40 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$575.40 |
$575.40 |
$760.80 |
$766.70
|
|
Foam drg >16<=48 sq in w/bdr
|
$18.60 |
$25.20 |
$437.40 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$21.60 |
$102.00 |
$171.60 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$9.00 |
$186.00 |
$2,406.60 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$58.20 |
$58.20 |
$253.80 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$6.00 |
$8.40 |
$64.20 |
$21.74
|
|
Folic acid
|
$99.00 |
$142.20 |
$1,187.40 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$1.05 |
$1.60 |
$45.00
|
|
Follow-up angiography
|
$749.40 |
$874.80 |
$5,260.20 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$74.40 |
$6,465.00 |
$16,285.80 |
$2,511.73
|
|
Fondaparinux sodium
|
$60.60 |
$769.20 |
$1,206.60 |
$186.20
|
|
Foot plate molded stirrup at
|
$1,098.00 |
$1,098.00 |
$1,242.60 |
$620.64
|
|
Foot X-ray
|
$405.00 |
$456.60 |
$686.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$405.00 |
$456.60 |
$686.40 |
$290.40
|
