|
Fetal chrom aneuploidy gsa panel
|
$870.00 |
$1,231.20 |
$1,231.20 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$441.90 |
$623.30 |
$623.30 |
$477.50
|
|
Fetal cord puncture prenatal
|
$271.50 |
$271.50 |
$271.50 |
$751.20
|
|
Fetal fibronectin
|
$521.65 |
$521.65 |
$1,552.25 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$166.89 |
$166.89 |
$1,260.81 |
$102.00
|
|
Fetal hemoglobin rosette
|
$99.86 |
$99.86 |
$440.34 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$70.18 |
$70.18 |
$70.18 |
$67.00
|
|
Fetal non stress test
|
$337.50 |
$557.85 |
$557.85 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$247.50 |
$247.50 |
$247.50 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$148.97 |
$148.97 |
$920.27 |
$120.64
|
|
Fibrin degradation products
|
$112.15 |
$112.15 |
$521.12 |
$75.02
|
|
Fibrin degrade semiquant
|
$920.27 |
$920.27 |
$920.27 |
$84.50
|
|
Fibrin degradj d-dimer
|
$334.60 |
$334.60 |
$334.60 |
$111.30
|
|
Fibrinogen activity
|
$147.36 |
$147.36 |
$681.08 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$64.05 |
$396.08 |
$448.25 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$84.03 |
$130.90 |
$130.90 |
$72.80
|
|
Fibrinolytic plasminogen
|
$43.98 |
$156.15 |
$263.93 |
$107.50
|
|
Fibrinolytic plasminogen
|
$382.17 |
$382.17 |
$382.17 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$48.90 |
$163.27 |
$163.27 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$756.87 |
$962.88 |
$962.88 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$17.16 |
$919.19 |
$1,052.24 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$869.18 |
$1,202.05 |
$1,202.05 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$9,600.00 |
$11,135.12 |
$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
|
$10.28 |
$10.28 |
$10.28 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,081.52 |
$1,081.52 |
$1,081.52 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,162.97 |
$1,162.97 |
$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 |
$1,031.75 |
$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)
|
$218.03 |
$218.03 |
$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 |
$761.49 |
$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
|
$433.44 |
$433.44 |
$433.44 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$298.80 |
$627.02 |
$627.02 |
$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
|
$3,308.76 |
$3,308.76 |
$7,377.60 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$300.00 |
$300.00 |
$300.00 |
$200.00
|
|
Flow cytometry marker each additional
|
$75.15 |
$202.75 |
$541.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$263.85 |
$312.03 |
$1,230.08 |
$285.00
|
|
Floweramnioflo, 0.1 cc
|
$407.88 |
$407.88 |
$407.88 |
$407.88
|
|
#flow interp 9 - 15 markers
|
$564.24 |
$564.24 |
$564.24 |
$172.50
|
|
Floxuridine injection
|
$3,936.11 |
$3,936.11 |
$7,208.41 |
$5,871.79
|
|
Flt3 gene
|
$422.70 |
$478.35 |
$484.98 |
$366.29
|
|
Flt3 gene analysis
|
$183.75 |
$183.75 |
$204.18 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$57.00 |
$70.32 |
$70.32 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$237.60 |
$764.08 |
$850.62 |
$493.35
|
|
Fluidotherapy charges pt
|
$168.00 |
$168.00 |
$583.75 |
$101.40
|
|
Fluid pressure muscle 20950
|
$738.87 |
$738.87 |
$738.87 |
$779.45
|
|
Fluocinolone acetonide implt
|
$37,669.50 |
$37,669.50 |
$37,669.50 |
$30,686.32
|
|
Fluorescent antibody titer dna
|
$315.00 |
$315.00 |
$513.45 |
$123.65
|
|
Fluoroestradiol f 18
|
$5,066.72 |
$5,066.72 |
$5,066.72 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$535.80 |
$766.31 |
$766.31 |
$495.00
|
|
Fluoroguide needle placement
|
$425.40 |
$567.67 |
$2,277.23 |
$497.92
|
|
Fluoro polarize fetal lung
|
$190.72 |
$190.72 |
$190.72 |
$153.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$417.15 |
$463.80 |
$1,972.50 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$73.92 |
$136.92 |
$409.91 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$41.84 |
$41.84 |
$72.52
|
|
Flutemetamol f18 diagnostic
|
$5,265.00 |
$5,265.00 |
$5,265.00 |
$5,265.00
|
|
Fmri brain by phys/psych
|
$1,283.70 |
$1,283.70 |
$13,517.74 |
$1,639.00
|
|
Fmri brain by tech
|
$987.52 |
$987.52 |
$10,571.53 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$526.50 |
$1,727.84 |
$1,727.84 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$390.00 |
$579.00 |
$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
|
$128.10 |
$143.70 |
$1,564.93 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$39.24 |
$151.39 |
$151.39 |
$45.00
|
|
Follow-up angiography
|
$1,939.14 |
$1,939.14 |
$7,273.16 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,928.54 |
$1,928.54 |
$2,998.95 |
$2,511.73
|
|
Fondaparinux sodium
|
$37.70 |
$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
|
$365.31 |
$365.31 |
$371.85 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$287.92 |
$287.92 |
$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 |
$317.62 |
$404.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$740.71 |
$740.71 |
$756.45 |
$534.00
|
|
Formoterol fumarate, inh
|
$26.20 |
$26.20 |
$26.20 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$81.23 |
$221.89 |
$578.25 |
$490.67
|
|
Foscarnet sodium injection
|
$1,299.00 |
$1,299.00 |
$2,888.96 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$86.40 |
$86.40 |
$262.01 |
$103.62
|
|
Fracture assessment via dxa
|
$175.50 |
$267.91 |
$437.02 |
$175.50
|
|
_fragile x methylation-sendout
|
$391.65 |
$391.65 |
$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
|
$132.30 |
$162.45 |
$162.45 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$164.16 |
$164.16 |
$437.96 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$66.41 |
$102.90 |
$114.35 |
$131.25
|
|
Frozen blood prep
|
$1,010.54 |
$1,010.54 |
$1,010.54 |
$209.50
|
