|
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
|
$132.60 |
$132.60 |
$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
|
$237.15 |
$237.15 |
$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 |
$241.05 |
$241.05 |
$241.50
|
|
Fixation of knee joint
|
$1,776.24 |
$1,776.24 |
$4,228.95 |
$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
|
$433.44 |
$433.44 |
$433.44 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$298.80 |
$298.80 |
$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
|
$7,377.60 |
$7,377.60 |
$7,377.60 |
$2,091.04
|
|
Flow cytometry interp 16 or more
|
$207.90 |
$207.90 |
$300.00 |
$200.00
|
|
Flow cytometry marker each additional
|
$75.15 |
$270.00 |
$541.20 |
$97.50
|
|
Flow cytometry one marker technical component
|
$263.85 |
$285.00 |
$1,230.08 |
$285.00
|
|
Floweramnioflo, 0.1 cc
|
$407.88 |
$407.88 |
$407.88 |
$407.88
|
|
#flow interp 9 - 15 markers
|
$153.90 |
$153.90 |
$564.24 |
$172.50
|
|
Floxuridine injection
|
$7,208.41 |
$7,208.41 |
$7,208.41 |
$5,871.79
|
|
Flt3 gene
|
$422.70 |
$422.70 |
$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 |
$57.00 |
$70.32 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$237.60 |
$237.60 |
$764.08 |
$493.35
|
|
Fluidotherapy charges pt
|
$168.00 |
$168.00 |
$168.00 |
$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 |
$513.45 |
$664.20 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$535.80 |
$535.80 |
$766.31 |
$495.00
|
|
Fluoroguide needle placement
|
$425.40 |
$425.40 |
$567.67 |
$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 |
$417.15 |
$463.80 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$73.92 |
$73.92 |
$136.92 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$33.48 |
$33.48 |
$41.84 |
$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 |
$987.52 |
$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
|
$128.10 |
$128.10 |
$143.70 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$151.39 |
$151.39 |
$151.39 |
$45.00
|
|
Follow-up angiography
|
$1,939.14 |
$2,416.65 |
$2,416.65 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,928.54 |
$2,033.07 |
$2,033.07 |
$2,511.73
|
|
Fondaparinux sodium
|
$174.74 |
$244.44 |
$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 |
$371.85 |
$371.85 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$287.92 |
$333.00 |
$333.00 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$42.66 |
$105.83 |
$105.83 |
$669.13
|
|
Forearm X-ray (both sides)
|
$317.62 |
$404.40 |
$404.40 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$740.71 |
$740.71 |
$756.45 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$221.89 |
$578.25 |
$578.25 |
$490.67
|
|
Foscarnet sodium injection
|
$1,299.00 |
$1,299.00 |
$1,299.00 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$86.40 |
$262.01 |
$262.01 |
$103.62
|
|
Fracture assessment via dxa
|
$267.91 |
$267.91 |
$267.91 |
$175.50
|
|
_fragile x methylation-sendout
|
$391.65 |
$391.65 |
$855.00 |
$183.74
|
|
Fragmenting of kidney stone
|
$13,091.90 |
$18,406.05 |
$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 |
$132.30 |
$162.45 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$164.16 |
$226.20 |
$232.80 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$102.90 |
$102.90 |
$114.35 |
$131.25
|
|
Frozen blood thaw
|
$410.55 |
$410.55 |
$410.55 |
$212.30
|
|
Fructosamine glycated protein
|
$31.95 |
$31.95 |
$78.73 |
$63.50
|
|
Ft arch suprt premold longit
|
$94.69 |
$94.69 |
$94.69 |
$94.69
|
|
Ftl cgen abnor four anal
|
$119.34 |
$119.34 |
$119.34 |
$211.83
|
|
Full field erg w/i&r
|
$574.20 |
$574.20 |
$574.20 |
$393.12
|
|
Full mouth x-ray of teeth
|
$204.53 |
$204.53 |
$204.53 |
$286.04
|
|
Full Spine X-ray (Scoliosis Survey)
|
$300.60 |
$300.60 |
$464.96 |
$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 |
$43.20 |
$43.20 |
$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
|
|
G6pd full gene sequence
|
$1,974.30 |
$1,974.30 |
$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 |
$125.70 |
$125.70 |
$121.73
|
|
Ga-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
|
Gabapentin non-blood
|
$125.07 |
$125.07 |
$125.07 |
$42.35
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$73.80 |
$73.80 |
$248.73 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$7.50 |
$7.50 |
$7.50 |
$177.52
|
|
Galac-1-phosphate uridyltran - sendout
|
$135.08 |
$213.90 |
$213.90 |
$100.00
|
|
Galactokinase - sendout
|
$204.97 |
$204.97 |
$204.97 |
$204.97
|
|
Galectin-3
|
$132.87 |
$132.87 |
$132.87 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,602.75 |
$1,602.75 |
$1,760.38 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,602.75 |
$1,602.75 |
$1,900.64 |
$1,615.00
|
|
Gallium illuccix 1 millicure
|
$10,451.70 |
$10,451.70 |
$10,451.70 |
$1,696.55
|
|
Gamma globulin 1 cc inj
|
$1,243.58 |
$1,243.58 |
$1,243.58 |
$407.60
|
|
Gammaglobulin iga
|
$109.53 |
$221.85 |
$221.85 |
$69.60
|
|
Gammaglobulin ige
|
$79.05 |
$79.05 |
$127.31 |
$83.85
|
|
Gamma glutamyltransferase
|
$82.46 |
$161.85 |
$161.85 |
$57.54
|
