|
Fix g/colon tube w/device
|
$461.00 |
$626.00 |
$1,554.60 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$3,528.00 |
$4,878.00 |
$8,051.16 |
|
|
Flecainide (tambocor)-sendout
|
$56.40 |
$56.40 |
$56.40 |
|
|
Fl exam g/colon tube w contrast
|
$159.00 |
$267.00 |
$888.00 |
|
|
Flexible Sigmoidoscopy
|
$453.50 |
$918.50 |
$7,834.80 |
|
|
Flex thermoplastic collar mo
|
$451.00 |
$451.00 |
$973.73 |
|
|
Floor of mouth biopsy 41108
|
$1,659.00 |
$2,294.50 |
$2,294.50 |
|
|
Florbetaben f18 diagnostic
|
$5,546.35 |
$5,546.35 |
$5,546.35 |
|
|
Flortaucipir inj 1 millicuri
|
$12,985.00 |
$12,985.00 |
$12,985.00 |
|
|
Flotufolastat f18 diag 1 mci
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
|
|
Flow cytometry marker each additional
|
$83.50 |
$114.00 |
$579.00 |
|
|
Flow cytometry one marker technical component
|
$158.50 |
$468.50 |
$1,024.00 |
|
|
Floweramnioflo, 0.1 cc
|
$550.00 |
$550.00 |
$5,272.50 |
|
|
Floweramniopatch, per sq cm
|
$269.00 |
$269.00 |
$16,046.81 |
|
|
Flt3 gene
|
$331.50 |
$435.00 |
$722.00 |
|
|
Flt3 gene analysis
|
$249.00 |
$304.50 |
$486.00 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$45.00 |
$45.00 |
$45.00 |
|
|
Fludarabine 50 mg intravenous solution
|
$470.61 |
$538.65 |
$5,531.00 |
|
|
Fluidotherapy charges pt
|
$53.50 |
$115.20 |
$234.00 |
|
|
Fluid pressure muscle 20950
|
$380.00 |
$525.50 |
$1,602.00 |
|
|
Fluorescein angrph mltiframe
|
$124.00 |
$171.50 |
$171.50 |
|
|
Fluorescent antibody titer dna
|
$105.00 |
$315.00 |
$886.50 |
|
|
Fluoroestradiol f 18
|
$1,745.00 |
$1,745.00 |
$47,040.00 |
|
|
Fluoroguide for spine inject 77003-26
|
$169.50 |
$453.50 |
$813.50 |
|
|
Fluoroguide needle placement
|
$278.00 |
$486.00 |
$2,322.00 |
|
|
Fluoro polarize fetal lung
|
$83.40 |
$83.40 |
$83.40 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$347.00 |
$492.00 |
$678.00 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$324.00 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$220.00 |
$220.00 |
$220.00 |
|
|
Flutemetamol f18 diagnostic
|
$6,804.04 |
$6,804.04 |
$47,520.00 |
|
|
Fluvirin vacc, 3 yrs & >, im
|
$52.00 |
$52.00 |
$52.00 |
|
|
Fmri brain by phys/psych
|
$224.00 |
$296.00 |
$296.00 |
|
|
Fmri brain by tech
|
$224.00 |
$296.00 |
$1,993.00 |
|
|
Fna bx w/ct gdn 1st les
|
$550.50 |
$910.50 |
$3,384.50 |
|
|
Fna bx w/ct gdn ea addl
|
$276.00 |
$719.50 |
$3,761.00 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$46.50 |
$67.00 |
$77.50 |
|
|
Folic acid
|
$44.40 |
$102.05 |
$379.50 |
|
|
Folic acid 5 mg/ml injection solution
|
$45.00 |
$45.00 |
$397.00 |
|
|
Follow-up angiography
|
$416.00 |
$867.00 |
$7,149.60 |
|
|
Follow-up surgery of eye
|
$1,166.00 |
$1,727.50 |
$1,727.50 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,520.75 |
$8,193.66 |
$9,169.80 |
|
|
Fondaparinux sodium
|
$394.29 |
$486.13 |
$544.04 |
|
|
Fo nontorsion joint cf
|
$1,136.63 |
$1,136.63 |
$1,136.63 |
|
|
Foot arch support remov prem
|
$210.50 |
$210.50 |
$210.50 |
|
|
Foot arch supp premold metat
|
$266.10 |
$266.10 |
$266.10 |
|
|
Foot drp splt w/exp heel lg
|
$194.75 |
$194.75 |
$194.75 |
|
|
Foot external keel sach foot
|
$1,152.24 |
$1,152.24 |
$1,152.24 |
|
|
Foot insert plastazote or eq
|
$913.04 |
$913.04 |
$913.04 |
|
|
Foot insert remov molded spe
|
$747.76 |
$747.76 |
$747.76 |
|
|
Foot insert silicone gel eac
|
$984.95 |
$984.95 |
$984.95 |
|
|
Foot lamin/prepreg composite
|
$692.33 |
$692.33 |
$692.33 |
|
|
Foot plas heel stabi pre ots
|
$287.54 |
$287.54 |
$287.54 |
|
|
Foot plate molded stirrup at
|
$1,888.34 |
$1,888.34 |
$1,888.34 |
|
|
Foot X-ray
|
$165.00 |
$306.00 |
$1,107.00 |
|
|
Foot X-ray (2 views, both feet)
|
$143.00 |
$247.00 |
$1,107.00 |
|
|
Forearm/arm cuffs ext/flex a
|
$4,662.88 |
$4,662.88 |
$4,662.88 |
|
|
Forearm/arm cuffs free motio
|
$151.50 |
$151.50 |
$3,361.35 |
|
|
Forearm X-ray (both sides)
|
$147.50 |
$257.50 |
$582.50 |
|
|
Forehead flap w/vasc pedicle 15731
|
$2,133.50 |
$2,896.50 |
$37,133.77 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$381.00 |
$527.00 |
$685.20 |
|
|
Formoterol fumarate, inh
|
$64.00 |
$64.00 |
$64.00 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$105.00 |
$105.00 |
$120.00 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$335.98 |
$335.98 |
$376.00 |
|
|
Fracture assessment via dxa
|
$102.50 |
$170.00 |
$170.00 |
|
|
Fragmenting of kidney stone
|
$3,056.50 |
$10,252.50 |
$12,555.50 |
|
|
Frenectomy 41115
|
$9,956.99 |
$9,956.99 |
$9,956.99 |
|
|
Frenotomy 40806
|
$555.00 |
$767.00 |
$7,816.38 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$107.50 |
$188.00 |
$223.00 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$129.00 |
$181.50 |
$623.00 |
|
|
Fresh frozen plasma thawing ea un
|
$81.50 |
$107.00 |
$193.50 |
|
|
Frozen plasma, pooled, sd
|
$287.00 |
$287.00 |
$287.00 |
|
|
Fructosamine glycated protein
|
$63.50 |
$94.50 |
$589.00 |
|
|
Fth/gft fr n/e/e/l each addl
|
$314.00 |
$426.00 |
$426.00 |
|
|
Ft insert ucb berkeley shell
|
$717.00 |
$717.00 |
$1,775.92 |
|
|
Ftl cgen abnor four anal
|
$93.50 |
$334.00 |
$412.50 |
|
|
Full field erg w/i&r
|
$146.00 |
$202.50 |
$202.50 |
|
|
Full mouth x-ray of teeth
|
$57.00 |
$130.00 |
$157.50 |
|
|
Full sole/heel wedge btween
|
$309.17 |
$309.17 |
$309.17 |
|
|
Full Spine X-ray (Scoliosis Survey)
|
$219.00 |
$393.00 |
$1,519.50 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,564.00 |
$2,123.50 |
$2,392.65 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,564.00 |
$2,123.50 |
$14,660.42 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$286.50 |
$389.00 |
$389.00 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,564.00 |
$2,123.50 |
$23,017.00 |
|
|
Functional brain mapping
|
$236.00 |
$291.50 |
$291.50 |
|
|
Fundus photography with i&r 92250
|
$84.00 |
$116.50 |
$116.50 |
|
|
Furnsh initial orthosis only
|
$3,326.00 |
$3,326.00 |
$10,116.65 |
|
|
Furosemide 10 mg/ml injection solution
|
$27.82 |
$45.00 |
$45.00 |
|
|
Fusion of ankle joint open
|
$117,996.25 |
$117,996.25 |
$117,996.25 |
|
|
Fusion of big toe joint
|
$59,851.68 |
$59,851.68 |
$59,851.68 |
|
|
Fusion of big toe joint
|
$29,078.63 |
$29,078.63 |
$29,078.63 |
|
|
Fusion of finger joint
|
$8,572.22 |
$8,572.22 |
$8,572.22 |
|
|
Fusion of foot bones
|
$70,291.25 |
$70,291.25 |
$70,291.25 |
|
|
Fusion of foot bones
|
$94,609.94 |
$94,609.94 |
$94,609.94 |
|
|
Fusion of knuckle
|
$21,348.71 |
$21,348.71 |
$21,348.71 |
|
|
Fusion of toes
|
$10,312.20 |
$10,312.20 |
$10,312.20 |
|
|
G6pd full gene sequence
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
|
|
Ga-68 gallium 68 dotatate
|
$18,000.00 |
$18,000.00 |
$18,000.00 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$1,441.71 |
$1,441.71 |
$1,494.00 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$171.65 |
$171.65 |
$177.87 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$291.24 |
$291.24 |
$301.80 |
|
