|
Fibrinolytic plasminogen xcpt antgnc asa
|
$16.00 |
$48.90 |
$1,169.79 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$756.87 |
$756.87 |
$962.88 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$775.00 |
$919.19 |
$1,052.24 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$869.18 |
$869.18 |
$1,202.05 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$9,600.00 |
$9,600.00 |
$11,135.12 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,416.00 |
$3,416.00 |
$6,359.98 |
$3,718.18
|
|
Finasteride, 5 mg
|
$35.32 |
$35.32 |
$35.32 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,081.52 |
$1,081.52 |
$1,608.15 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$375.00 |
$375.00 |
$1,162.97 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$210.73 |
$210.73 |
$210.73 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$390.00 |
$390.00 |
$1,031.75 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$547.53 |
$547.53 |
$547.53 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$6,338.45 |
$6,338.45 |
$6,338.45 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$214.00 |
$214.00 |
$241.05 |
$241.50
|
|
Fixation of knee joint
|
$1,776.24 |
$1,776.24 |
$1,776.24 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$710.40 |
$710.40 |
$761.49 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$3,967.08 |
$3,967.08 |
$3,967.08 |
$4,499.12
|
|
Flecainide (tambocor)-sendout
|
$14.50 |
$433.44 |
$585.69 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$298.80 |
$627.02 |
$1,362.10 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$1,094.55 |
$1,094.55 |
$1,094.55 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$17.66 |
$17.66 |
$17.66 |
$187.60
|
|
Flotufolastat f18 diag 1 mci
|
$7,377.60 |
$7,377.60 |
$8,391.12 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$90.00 |
$90.00 |
$300.00 |
$200.00
|
|
Flow cytometry marker each additional
|
$122.00 |
$122.00 |
$541.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$285.00 |
$331.00 |
$1,230.08 |
$285.00
|
|
Floweramnioflo, 0.1 cc
|
$407.88 |
$407.88 |
$407.88 |
$407.88
|
|
#flow interp 9 - 15 markers
|
$56.50 |
$56.50 |
$564.24 |
$172.50
|
|
Floxuridine injection
|
$2,928.55 |
$2,928.55 |
$7,208.41 |
$5,871.79
|
|
Flt3 gene
|
$172.50 |
$172.50 |
$484.98 |
$366.29
|
|
Flt3 gene analysis
|
$172.50 |
$172.50 |
$204.18 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$29.50 |
$29.50 |
$70.32 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$237.60 |
$764.08 |
$4,405.37 |
$493.35
|
|
Fluidotherapy charges pt
|
$112.00 |
$112.00 |
$168.00 |
$101.40
|
|
Fluid pressure muscle 20950
|
$738.87 |
$738.87 |
$1,053.00 |
$779.45
|
|
Fluocinolone acetonide implt
|
$37,669.50 |
$37,669.50 |
$37,669.50 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$315.00 |
$461.50 |
$615.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$333.50 |
$535.80 |
$1,414.25 |
$495.00
|
|
Fluoroguide needle placement
|
$310.00 |
$425.40 |
$1,221.13 |
$497.92
|
|
Fluoro polarize fetal lung
|
$190.72 |
$190.72 |
$190.72 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$216.50 |
$216.50 |
$463.80 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$57.37 |
$73.92 |
$235.97 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$41.84 |
$665.76 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$5,265.00 |
$5,265.00 |
$5,265.00 |
$5,265.00
|
|
Fmri brain by tech
|
$987.52 |
$987.52 |
$1,351.95 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$526.50 |
$526.50 |
$1,727.84 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$390.00 |
$390.00 |
$579.00 |
$834.90
|
|
Foam drg >16<=48 sq in w/bdr
|
$318.48 |
$318.48 |
$318.48 |
$58.10
|
|
Foam drg >16<=48 sq in without b
|
$118.55 |
$118.55 |
$118.55 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$112.25 |
$112.25 |
$112.25 |
$16.25
|
|
Foam drg > 48 sq in w/border
|
$23.63 |
$23.63 |
$23.63 |
$23.63
|
|
Foam drg > 48 sq in without brdr
|
$144.75 |
$144.75 |
$144.75 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$59.76 |
$59.76 |
$59.76 |
$21.74
|
|
Folic acid
|
$104.27 |
$143.70 |
$1,266.60 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$151.39 |
$151.39 |
$151.39 |
$45.00
|
|
Follow-up angiography
|
$1,265.00 |
$1,939.14 |
$2,959.43 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,293.87 |
$1,928.54 |
$43,994.05 |
$2,511.73
|
|
Fondaparinux sodium
|
$134.87 |
$174.74 |
$244.44 |
$186.20
|
|
Foot arch supp premold metat
|
$12.89 |
$12.89 |
$12.89 |
$79.82
|
|
Foot drp splt w/exp heel lg
|
$161.23 |
$161.23 |
$161.23 |
$143.14
|
|
Foot insert plastazote or eq
|
$365.48 |
$365.48 |
$365.48 |
$349.16
|
|
Foot lamin/prepreg composite
|
$246.40 |
$246.40 |
$246.40 |
$289.76
|
|
Foot longitudinal arch suppo
|
$366.96 |
$366.96 |
$366.96 |
$322.85
|
|
Foot plate molded stirrup at
|
$541.52 |
$541.52 |
$541.52 |
$620.64
|
|
Foot X-ray
|
$324.00 |
$365.31 |
$683.51 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$243.00 |
$243.00 |
$333.00 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$42.66 |
$42.66 |
$105.83 |
$669.13
|
|
Forearm X-ray (both sides)
|
$317.62 |
$324.00 |
$404.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$740.71 |
$740.71 |
$756.45 |
$534.00
|
|
Formoterol fumarate, inh
|
$142.58 |
$142.58 |
$142.58 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$152.87 |
$498.00 |
$1,150.67 |
$490.67
|
|
Foscarnet sodium injection
|
$775.00 |
$775.00 |
$1,299.00 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$9.00 |
$53.87 |
$262.01 |
$103.62
|
|
Fracture assessment via dxa
|
$175.50 |
$267.91 |
$477.92 |
$175.50
|
|
_fragile x methylation-sendout
|
$356.50 |
$356.50 |
$855.00 |
$183.74
|
|
Fragmenting of kidney stone
|
$13,091.90 |
$13,091.90 |
$18,406.05 |
$10,312.25
|
|
Frenectomy 41115
|
$1,183.95 |
$1,183.95 |
$1,183.95 |
$1,939.47
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$52.00 |
$132.30 |
$1,080.83 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$164.16 |
$192.50 |
$232.80 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$102.90 |
$165.50 |
$1,836.56 |
$131.25
|
|
Frozen blood thaw
|
$116.50 |
$116.50 |
$410.55 |
$212.30
|
|
Frozen cell preparation
|
$671.23 |
$671.23 |
$671.23 |
$31.81
|
|
Frozen plasma, pooled, sd
|
$159.00 |
$159.00 |
$159.00 |
$170.00
|
|
Fructosamine glycated protein
|
$13.00 |
$31.95 |
$233.26 |
$63.50
|
|
Ft arch suprt premold longit
|
$94.69 |
$94.69 |
$94.69 |
$94.69
|
|
Ftl cgen abnor four anal
|
$94.00 |
$94.00 |
$119.34 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$64.00 |
$64.00 |
$64.00 |
$109.00
|
|
Full field erg w/i&r
|
$574.20 |
$574.20 |
$574.20 |
$393.12
|
|
Full mouth x-ray of teeth
|
$204.53 |
$204.53 |
$909.87 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$300.60 |
$467.00 |
$724.69 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$3,873.67 |
$3,873.67 |
$3,873.67 |
$3,155.50
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,003.75 |
$1,003.75 |
$1,003.75 |
$2,798.50
|
|
Fundus photography with i&r 92250
|
$209.46 |
$209.46 |
$209.46 |
$182.95
|
|
Furosemide 10 mg/ml injection solution
|
$43.20 |
$238.00 |
$238.00 |
$19.53
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$11.45 |
$11.45 |
$11.45 |
$26.40
|
|
G0180 home health certification
|
$128.18 |
$128.18 |
$128.18 |
$116.00
|
|
G6pc gene
|
$35.50 |
$35.50 |
$781.05 |
$138.40
|
|
G6pd full gene sequence
|
$171.75 |
$675.00 |
$1,974.30 |
$1,320.00
|
|
G6pd gene alys cmn variant
|
$243.00 |
$243.00 |
$243.00 |
$243.00
|
|
Ga-67 gallium 0.1 mci
|
$125.70 |
$595.62 |
$2,069.53 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
