|
Fibrinogen test
|
$80.40 |
$126.60 |
$1,062.60 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$33.00 |
$180.00 |
$516.00 |
|
|
Fibrinolytic antiplasmin
|
$40.20 |
$81.00 |
$1,503.00 |
|
|
Fibrinolytic plasminogen
|
$58.50 |
$124.20 |
$2,027.40 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$33.00 |
$80.80 |
$1,527.00 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.20 |
$262.80 |
$582.00 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$3.75 |
$1,503.00 |
$2,461.20 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.40 |
$328.80 |
$2,032.80 |
|
|
Filleted finger/toe flap
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
|
|
Filter spider fx 3mmx320cm
|
$218.40 |
$6,785.40 |
$53,950.20 |
|
|
Filter vena cava fem denali
|
$1,237.20 |
$4,507.80 |
$11,731.20 |
|
|
Finasteride, 5 mg
|
$4.80 |
$20.60 |
$101.60 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$543.60 |
$1,085.40 |
$2,287.20 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$231.60 |
$231.60 |
$760.80 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$78.50 |
$176.40 |
$269.40 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$87.60 |
$877.60 |
$2,478.40 |
|
|
Fine needle asp without image guide 10021
|
$144.60 |
$1,056.00 |
$1,798.20 |
|
|
Finger joint sz00 swanson w/grommets
|
$1,516.80 |
$2,719.80 |
$10,690.80 |
|
|
Finger X-ray (both hands)
|
$93.60 |
$231.20 |
$686.40 |
|
|
Fitting of diaphragm/cap 57170
|
$232.80 |
$232.80 |
$493.80 |
|
|
Fixation of knee joint
|
$284.40 |
$284.40 |
$1,848.00 |
|
|
Fix g/colon tube w/device
|
$869.00 |
$2,977.20 |
$7,205.40 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,093.00 |
$2,093.00 |
$5,510.40 |
|
|
Flebogamma injection
|
$400.80 |
$411.60 |
$6,922.20 |
|
|
Flecainide (tambocor)-sendout
|
$14.02 |
$124.20 |
$298.80 |
|
|
Fl exam g/colon tube w contrast
|
$435.20 |
$934.20 |
$2,151.20 |
|
|
Flexible Sigmoidoscopy
|
$176.40 |
$598.20 |
$1,158.00 |
|
|
Floor of mouth biopsy 41108
|
$165.60 |
$720.00 |
$996.60 |
|
|
Florbetaben f18 diagnostic
|
$12,033.00 |
$12,033.00 |
$12,033.00 |
|
|
Flotufolastat f18 diag 1 mci
|
$1,173.60 |
$1,220.40 |
$1,658.40 |
|
|
Flow cytometry interp 16 or more
|
$72.50 |
$550.20 |
$1,305.60 |
|
|
Flow cytometry marker each additional
|
$91.20 |
$165.60 |
$2,496.00 |
|
|
Flow cytometry one marker technical component
|
$124.80 |
$390.00 |
$1,882.40 |
|
|
#flow interp 9 - 15 markers
|
$55.20 |
$303.00 |
$1,141.20 |
|
|
Floxuridine injection
|
$555.60 |
$2,184.00 |
$8,522.40 |
|
|
Flt3 gene
|
$277.80 |
$1,102.80 |
$1,681.20 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$2.40 |
$71.00 |
$2,821.80 |
|
|
Fludarabine 50 mg intravenous solution
|
$81.00 |
$812.40 |
$2,164.80 |
|
|
Fluidotherapy charges pt
|
$53.00 |
$106.40 |
$216.80 |
|
|
Fluid pressure muscle 20950
|
$131.40 |
$566.40 |
$801.60 |
|
|
Fluocinol acet intravit imp
|
$1,090.50 |
$1,090.50 |
$1,090.50 |
|
|
Fluocinolone acetonide implt
|
$34,587.60 |
$34,587.60 |
$34,587.60 |
|
|
Fluorescent antibody titer dna
|
$39.00 |
$66.60 |
$1,603.20 |
|
|
Fluoroestradiol f 18
|
$1,293.60 |
$1,491.00 |
$2,055.00 |
|
|
Fluoroguide for spine inject 77003-26
|
$78.00 |
$634.20 |
$1,542.40 |
|
|
Fluoroguide needle placement
|
$75.00 |
$500.40 |
$2,748.60 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$172.80 |
$534.40 |
$1,349.40 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.60 |
$49.80 |
$1,062.00 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$34.20 |
$307.20 |
$1,498.80 |
|
|
Flutamide 125 mg
|
$0.60 |
$0.60 |
$0.60 |
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$27.00 |
$27.00 |
|
|
Fmri brain by phys/psych
|
$1,741.80 |
$1,741.80 |
$6,214.20 |
|
|
Fmri brain by tech
|
$1,741.80 |
$1,741.80 |
$6,214.20 |
|
|
Fna bx w/ct gdn 1st les
|
$543.60 |
$971.40 |
$2,080.80 |
|
|
Fna bx w/ct gdn ea addl
|
$314.40 |
$575.40 |
$1,085.40 |
|
|
Fna bx w/mr gdn 1st les
|
$543.60 |
$760.80 |
$1,597.80 |
|
|
Fna bx w/mr gdn ea addl
|
$296.40 |
$296.40 |
$760.80 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$10.20 |
$19.80 |
$437.40 |
|
|
Foam drg >16<=48 sq in without b
|
$14.40 |
$21.60 |
$171.60 |
|
|
Foam drg <=16 sq in w/border
|
$7.20 |
$50.40 |
$2,406.60 |
|
|
Foam drg > 48 sq in without brdr
|
$58.20 |
$58.20 |
$253.80 |
|
|
Foam drsg <=16 sq in without bdr
|
$4.20 |
$8.40 |
$118.20 |
|
|
Folic acid
|
$42.00 |
$79.20 |
$1,187.40 |
|
|
Folic acid 5 mg/ml injection solution
|
$0.80 |
$1.40 |
$224.60 |
|
|
Follow-up angiography
|
$423.60 |
$3,476.40 |
$5,260.20 |
|
|
Follow-up surgery of eye
|
$2,732.50 |
$2,732.50 |
$2,732.50 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$74.40 |
$2,932.80 |
$16,285.80 |
|
|
Fondaparinux sodium
|
$60.60 |
$293.00 |
$1,379.40 |
|
|
Fo nontorsion joint cf
|
$127.20 |
$127.20 |
$127.20 |
|
|
Foot plate molded stirrup at
|
$1,098.00 |
$1,098.00 |
$1,242.60 |
|
|
Foot X-ray
|
$115.80 |
$348.00 |
$686.40 |
|
|
Foot X-ray (2 views, both feet)
|
$99.00 |
$231.20 |
$759.20 |
|
|
Forearm/arm cuffs free motio
|
$1,341.60 |
$1,341.60 |
$1,341.60 |
|
|
Forearm X-ray (both sides)
|
$88.00 |
$273.00 |
$686.40 |
|
|
Forehead flap w/vasc pedicle 15731
|
$1,884.60 |
$1,884.60 |
$4,228.20 |
|
|
Forensic cytopathology
|
$116.40 |
$116.40 |
$116.40 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$534.00 |
$724.80 |
$6,114.60 |
|
|
Formoterol fumarate, inh
|
$40.20 |
$40.20 |
$124.20 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$6.60 |
$920.40 |
$2,203.00 |
|
|
Foscarnet sodium injection
|
$0.60 |
$88.00 |
$2,358.00 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$12.00 |
$66.00 |
$526.80 |
|
|
Fractionation ketosteroids
|
$204.00 |
$204.00 |
$526.20 |
|
|
Fracture assessment via dxa
|
$99.60 |
$170.40 |
$679.20 |
|
|
_fragile x methylation-sendout
|
$162.00 |
$162.00 |
$1,007.40 |
|
|
Fragmenting of kidney stone
|
$5,029.20 |
$5,029.20 |
$9,055.80 |
|
|
Freeing of bowel adhesion 44005
|
$1,862.40 |
$1,998.60 |
$1,998.60 |
|
|
Frenectomy 41115
|
$1,783.50 |
$2,520.80 |
$3,435.60 |
|
|
Frenotomy 40806
|
$620.00 |
$620.00 |
$620.00 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$76.20 |
$243.00 |
$658.20 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$76.20 |
$303.00 |
$1,694.40 |
|
|
Fresh frozen plasma thawing ea un
|
$67.20 |
$119.40 |
$870.40 |
|
|
Frozen blood thaw
|
$351.00 |
$351.00 |
$1,348.80 |
|
|
Frozen cell preparation
|
$63.00 |
$132.60 |
$138.00 |
|
|
Fructosamine glycated protein
|
$36.50 |
$85.20 |
$282.60 |
|
|
Fth/gft fr n/e/e/l each addl
|
$1,239.50 |
$1,239.50 |
$4,170.00 |
|
|
Fth/gft fr trnk each addl
|
$1,057.50 |
$1,057.50 |
$3,768.60 |
|
|
Ftl cgen abnor five anal
|
$262.80 |
$373.80 |
$452.00 |
|
|
Ftl cgen abnor four anal
|
$43.00 |
$639.20 |
$639.20 |
|
|
Ftl cgen abnor two proteins
|
$59.00 |
$103.80 |
$152.00 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$162.50 |
$501.60 |
$1,154.40 |
|
