|
Fna bx w/mr gdn 1st les
|
$766.26 |
$766.26 |
$766.26 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$191.57 |
$191.57 |
$191.57 |
$766.70
|
|
Foam drg >16<=48 sq in without b
|
$27.00 |
$27.00 |
$27.00 |
$39.00
|
|
Foam drg <=16 sq in w/border
|
$20.16 |
$20.16 |
$20.16 |
$16.25
|
|
Foam drg > 48 sq in w/border
|
$24.75 |
$24.75 |
$24.75 |
$23.63
|
|
Foam drsg <=16 sq in without bdr
|
$16.65 |
$16.65 |
$27.42 |
$21.74
|
|
Folic acid
|
$51.48 |
$51.48 |
$122.12 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$151.39 |
$151.39 |
$151.39 |
$45.00
|
|
Follow-up angiography
|
$515.07 |
$515.07 |
$752.22 |
$1,983.00
|
|
Followup eval of foot pt lop
|
$170.95 |
$170.95 |
$170.95 |
$170.95
|
|
Follow-up surgery of eye
|
$4,356.80 |
$4,356.80 |
$4,356.80 |
$3,572.40
|
|
Fomepizole 1 gram/ml intravenous solution
|
$10.26 |
$10.26 |
$1,928.54 |
$2,511.73
|
|
Fondaparinux sodium
|
$23.04 |
$23.04 |
$174.74 |
$186.20
|
|
Fo nontorsion joint cf
|
$229.05 |
$229.05 |
$229.05 |
$217.50
|
|
Foot arch support remov prem
|
$407.22 |
$407.22 |
$407.22 |
$141.41
|
|
Foot insert plastazote or eq
|
$365.48 |
$365.48 |
$365.48 |
$349.16
|
|
Foot longitudinal arch suppo
|
$329.48 |
$329.48 |
$329.48 |
$322.85
|
|
Foot longitud/metatarsal sup
|
$329.48 |
$329.48 |
$329.48 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$29.40 |
$29.40 |
$29.40 |
$76.32
|
|
Foot X-ray
|
$140.58 |
$140.58 |
$383.94 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$102.69 |
$102.69 |
$338.66 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$42.66 |
$42.66 |
$42.66 |
$669.13
|
|
Forearm X-ray (both sides)
|
$134.37 |
$134.37 |
$375.50 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$4,521.97 |
$4,521.97 |
$4,521.97 |
$4,872.75
|
|
Forensic cytopathology
|
$117.17 |
$117.17 |
$117.17 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$146.07 |
$146.07 |
$896.26 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$221.89 |
$221.89 |
$221.89 |
$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 |
$86.40 |
$86.40 |
$103.62
|
|
Fractionation ketosteroids
|
$135.95 |
$135.95 |
$135.95 |
$160.89
|
|
Fracture assessment via dxa
|
$136.07 |
$136.07 |
$136.07 |
$175.50
|
|
_fragile x methylation-sendout
|
$426.13 |
$426.13 |
$426.13 |
$183.74
|
|
Fragmenting of kidney stone
|
$12,835.46 |
$12,835.46 |
$12,835.46 |
$10,312.25
|
|
Frenectomy 41115
|
$1,544.61 |
$1,544.61 |
$1,544.61 |
$1,939.47
|
|
Frenotomy 40806
|
$729.70 |
$729.70 |
$729.70 |
$679.80
|
|
Frenulotomy of penis
|
$3,969.73 |
$3,969.73 |
$3,969.73 |
$3,969.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$157.20 |
$157.20 |
$157.20 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$187.48 |
$187.48 |
$187.48 |
$164.84
|
|
Fresh frozen plasma thawing ea un
|
$196.84 |
$196.84 |
$196.84 |
$131.25
|
|
Frozen cell preparation
|
$95.18 |
$95.18 |
$95.18 |
$31.81
|
|
Fructosamine glycated protein
|
$41.22 |
$41.22 |
$68.05 |
$63.50
|
|
Fth/gft fr n/e/e/l each addl
|
$2,393.63 |
$2,393.63 |
$2,393.63 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$2,460.62 |
$2,460.62 |
$2,460.62 |
$1,368.50
|
|
Ft insert ucb berkeley shell
|
$329.48 |
$329.48 |
$329.48 |
$651.56
|
|
Ftl cgen abnor four anal
|
$317.70 |
$317.70 |
$317.70 |
$211.83
|
|
Full field erg w/i&r
|
$686.88 |
$686.88 |
$686.88 |
$393.12
|
|
Full Spine X-ray (Scoliosis Survey)
|
$242.35 |
$242.35 |
$333.27 |
$355.00
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$4,166.36 |
$4,166.36 |
$4,166.36 |
$3,155.50
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$4,713.83 |
$4,713.83 |
$4,713.83 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,255.03 |
$1,255.03 |
$1,255.03 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,006.93 |
$4,006.93 |
$4,006.93 |
$2,798.50
|
|
Functional brain mapping
|
$777.40 |
$777.40 |
$777.40 |
$514.80
|
|
Fundus photography with i&r 92250
|
$275.91 |
$275.91 |
$275.91 |
$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
|
$3.17 |
$3.17 |
$12.24 |
$26.40
|
|
Fuse/graft added joint
|
$2,650.04 |
$2,650.04 |
$2,650.04 |
$1,011.40
|
|
Fusion/graft of finger joint
|
$5,255.82 |
$5,255.82 |
$5,255.82 |
$4,499.12
|
|
Fusion/graft of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,588.00
|
|
Fusion of ankle joint open
|
$8,827.37 |
$8,827.37 |
$8,827.37 |
$9,791.00
|
|
Fusion of big toe joint
|
$5,663.11 |
$5,663.11 |
$5,663.11 |
$5,488.00
|
|
Fusion of big toe joint
|
$5,396.08 |
$5,396.08 |
$5,396.08 |
$7,811.00
|
|
Fusion of finger jnt add-on
|
$2,451.31 |
$2,451.31 |
$2,451.31 |
$192.40
|
|
Fusion of finger joint
|
$4,034.55 |
$4,034.55 |
$4,034.55 |
$4,499.12
|
|
Fusion of finger tendons
|
$2,484.97 |
$2,484.97 |
$2,484.97 |
$3,839.54
|
|
Fusion of finger tendons
|
$2,019.85 |
$2,019.85 |
$2,019.85 |
$1,893.86
|
|
Fusion of foot bones
|
$6,697.18 |
$6,697.18 |
$6,697.18 |
$8,260.30
|
|
Fusion of foot bones
|
$8,144.39 |
$8,144.39 |
$8,144.39 |
$10,629.07
|
|
Fusion of foot bones
|
$4,485.13 |
$4,485.13 |
$4,485.13 |
$6,288.57
|
|
Fusion of hand joint
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,839.00
|
|
Fusion of knuckle
|
$4,228.56 |
$4,228.56 |
$4,228.56 |
$7,907.11
|
|
Fusion of knuckle joint
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Fusion of knuckle joints
|
$4,259.84 |
$4,259.84 |
$4,259.84 |
$4,259.84
|
|
Fusion of knuckle with graft
|
$4,776.03 |
$4,776.03 |
$4,776.03 |
$7,907.11
|
|
Fusion of spermatic ducts
|
$3,498.74 |
$3,498.74 |
$3,498.74 |
$3,498.74
|
|
Fusion of spermatic ducts
|
$3,498.74 |
$3,498.74 |
$3,498.74 |
$4,081.37
|
|
Fusion of tendons at wrist
|
$4,443.10 |
$4,443.10 |
$4,443.10 |
$3,594.44
|
|
Fusion of tendons at wrist
|
$3,273.55 |
$3,273.55 |
$3,273.55 |
$3,839.54
|
|
Fusion of thumb
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$5,886.74
|
|
Fusion of tibiofibular joint
|
$8,299.09 |
$8,299.09 |
$8,299.09 |
$9,791.00
|
|
Fusion of toes
|
$2,927.44 |
$2,927.44 |
$2,927.44 |
$3,839.54
|
|
G0180 home health certification
|
$134.40 |
$134.40 |
$134.40 |
$116.00
|
|
G6pc gene
|
$140.79 |
$140.79 |
$140.79 |
$138.40
|
|
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-68 gallium 68 dotatate
|
$6,300.00 |
$6,300.00 |
$6,300.00 |
$140.35
|
|
Gabapentin non-blood
|
$19.44 |
$19.44 |
$43.68 |
$42.35
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$30.06 |
$30.06 |
$30.06 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$5.49 |
$5.49 |
$248.73 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$15.30 |
$15.30 |
$15.30 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$122.67 |
$122.67 |
$122.67 |
$249.80
|
|
Galac-1-phosphate uridyltran - sendout
|
$158.44 |
$158.44 |
$158.44 |
$100.00
|
|
Galactokinase - sendout
|
$236.25 |
$236.25 |
$236.25 |
$204.97
|
|
Galactose transferase test
|
$34.93 |
$34.93 |
$34.93 |
$31.35
|
|
Galectin-3
|
$150.89 |
$150.89 |
$150.89 |
$111.60
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,122.75 |
$1,122.75 |
$1,754.98 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,246.14 |
$1,246.14 |
$1,968.94 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$1,243.58 |
$1,243.58 |
$1,243.58 |
$407.60
|
|
Gammaglobulin iga
|
$34.47 |
$34.47 |
$109.53 |
$69.60
|
|
Gammaglobulin ige
|
$49.41 |
$49.41 |
$124.16 |
$83.85
|
|
Gamma glutamyltransferase
|
$48.42 |
$48.42 |
$65.89 |
$57.54
|
