|
Fetal lung maturity assess lam body dnst
|
$22.50 |
$22.50 |
$22.50 |
$69.60
|
|
Fetal non stress test
|
$203.50 |
$203.50 |
$203.50 |
$463.03
|
|
Fetal scalp blood sampling 59030
|
$218.00 |
$218.00 |
$218.00 |
$359.97
|
|
Fetal shunt placement w/us
|
$247.00 |
$247.00 |
$247.00 |
$791.05
|
|
Fibrin degradation d dimer quantitative
|
$51.00 |
$51.00 |
$51.00 |
$117.70
|
|
Fibrinogen activity
|
$43.00 |
$43.00 |
$43.00 |
$83.50
|
|
Fibrinolytic antiplasmin
|
$25.50 |
$25.50 |
$25.50 |
$72.80
|
|
Fibrinolytic plasminogen
|
$88.00 |
$88.00 |
$88.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$35.00 |
$35.00 |
$35.00 |
$65.00
|
|
Filter spider fx 3mmx320cm
|
$3,130.25 |
$3,130.25 |
$3,130.25 |
$7,160.28
|
|
Filter vena cava fem denali
|
$1,184.56 |
$1,184.56 |
$1,184.56 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$88.00 |
$88.00 |
$88.00 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$924.00 |
$924.00 |
$924.00 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$227.50 |
$227.50 |
$227.50 |
$503.76
|
|
Fixation of knee joint
|
$1,529.50 |
$1,529.50 |
$1,529.50 |
$1,893.86
|
|
Fix g/colon tube w/device
|
$695.00 |
$695.00 |
$695.00 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$62.00 |
$62.00 |
$62.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$251.00 |
$251.00 |
$251.00 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$839.00 |
$839.00 |
$839.00 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$118.51 |
$118.51 |
$118.51 |
$187.60
|
|
Floor of mouth biopsy 41108
|
$2,374.50 |
$2,374.50 |
$2,374.50 |
$2,168.40
|
|
Flotufolastat f18 diag 1 mci
|
$523.95 |
$523.95 |
$523.95 |
$2,324.00
|
|
Flow cytometry marker each additional
|
$93.00 |
$93.00 |
$93.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$209.50 |
$209.50 |
$209.50 |
$284.40
|
|
Fluidotherapy charges pt
|
$33.00 |
$33.00 |
$33.00 |
$91.00
|
|
Fluid pressure muscle 20950
|
$339.50 |
$339.50 |
$339.50 |
$768.94
|
|
Fluorescein angioscopy i&r
|
$592.50 |
$592.50 |
$592.50 |
$576.80
|
|
Fluorescent antibody titer dna
|
$57.50 |
$57.50 |
$57.50 |
$122.82
|
|
Fluoroestradiol f 18
|
$643.50 |
$643.50 |
$643.50 |
$1,491.00
|
|
Fluoroguide for spine inject 77003-26
|
$146.50 |
$146.50 |
$146.50 |
$496.03
|
|
Fluoroguide needle placement
|
$213.50 |
$213.50 |
$213.50 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$189.50 |
$189.50 |
$189.50 |
$492.00
|
|
Fmri brain by phys/psych
|
$1,639.00 |
$1,639.00 |
$1,639.00 |
$1,558.05
|
|
Fmri brain by tech
|
$2,034.50 |
$2,034.50 |
$2,034.50 |
$1,500.00
|
|
Fna bx w/ct gdn 1st les
|
$1,119.00 |
$1,119.00 |
$1,119.00 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$596.50 |
$596.50 |
$596.50 |
$833.25
|
|
Foam drg >16<=48 sq in w/bdr
|
$7.76 |
$7.76 |
$7.76 |
$62.09
|
|
Foam drg >16<=48 sq in without b
|
$21.74 |
$21.74 |
$21.74 |
$41.14
|
|
Foam drg <=16 sq in w/border
|
$8.28 |
$8.28 |
$8.28 |
$16.37
|
|
Foam drg > 48 sq in w/border
|
$6.73 |
$6.73 |
$6.73 |
$23.63
|
|
Foam drg > 48 sq in without brdr
|
$32.08 |
$32.08 |
$32.08 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$21.74 |
$21.74 |
$21.74 |
$21.74
|
|
Folic acid
|
$82.00 |
$82.00 |
$82.00 |
$101.50
|
|
Follow-up angiography
|
$1,619.50 |
$1,619.50 |
$1,619.50 |
$2,040.78
|
|
Followup eval of foot pt lop
|
$58.00 |
$58.00 |
$58.00 |
$170.95
|
|
Fo nontorsion joint cf
|
$34.16 |
$34.16 |
$34.16 |
$217.50
|
|
Foot arch support remov prem
|
$160.42 |
$160.42 |
$160.42 |
$106.20
|
|
Foot arch supp premold metat
|
$26.91 |
$26.91 |
$26.91 |
$70.22
|
|
Foot plas heel stabi pre ots
|
$26.50 |
$26.50 |
$26.50 |
$76.32
|
|
Foot X-ray
|
$221.00 |
$221.00 |
$221.00 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$669.13 |
$669.13 |
$669.13 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$349.32 |
$349.32 |
$349.32 |
$901.60
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$725.00 |
$725.00 |
$725.00 |
$532.80
|
|
Fractionation ketosteroids
|
$119.50 |
$119.50 |
$119.50 |
$135.95
|
|
Fracture assessment via dxa
|
$149.50 |
$149.50 |
$149.50 |
$173.18
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$187.50 |
$187.50 |
$187.50 |
$151.58
|
|
Fresh frozen plasma thawing ea un
|
$82.50 |
$82.50 |
$82.50 |
$122.00
|
|
Frozen plasma, pooled, sd
|
$193.50 |
$193.50 |
$193.50 |
$140.80
|
|
Fructosamine glycated protein
|
$66.00 |
$66.00 |
$66.00 |
$60.75
|
|
Ft arch suprt premold longit
|
$30.02 |
$30.02 |
$30.02 |
$79.82
|
|
Fth/gft fr n/e/e/l each addl
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,368.50
|
|
Fth/gft fr trnk each addl
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,331.00
|
|
Ftl cgen abnor four anal
|
$133.00 |
$133.00 |
$133.00 |
$204.52
|
|
Ftl cgen abnor two proteins
|
$109.00 |
$109.00 |
$109.00 |
$110.00
|
|
Full mouth x-ray of teeth
|
$265.50 |
$265.50 |
$265.50 |
$286.04
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,798.50 |
$2,798.50 |
$2,798.50 |
$3,026.40
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,798.50 |
$2,798.50 |
$2,798.50 |
$2,469.00
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,798.50 |
$2,798.50 |
$2,798.50 |
$2,703.50
|
|
Fundus photography with i&r 92250
|
$156.50 |
$156.50 |
$156.50 |
$182.95
|
|
Ga-67 gallium 0.1 mci
|
$85.00 |
$85.00 |
$85.00 |
$118.56
|
|
Ga-68 gallium 68 dotatate
|
$79.50 |
$79.50 |
$79.50 |
$119.90
|
|
Galac-1-phosphate uridyltran - sendout
|
$96.00 |
$96.00 |
$96.00 |
$96.94
|
|
Gammaglobulin iga
|
$43.00 |
$43.00 |
$43.00 |
$67.20
|
|
Gammaglobulin ige
|
$72.00 |
$72.00 |
$72.00 |
$83.85
|
|
Gamma glutamyltransferase
|
$34.50 |
$34.50 |
$34.50 |
$57.54
|
|
Gastric analy w/ph ea spec
|
$23.50 |
$23.50 |
$23.50 |
$31.80
|
|
Gastric emptying imag study
|
$1,098.50 |
$1,098.50 |
$1,098.50 |
$1,291.55
|
|
Gastric emptying imag study
|
$1,313.50 |
$1,313.50 |
$1,313.50 |
$1,621.36
|
|
Gastroesophageal reflux study
|
$1,504.50 |
$1,504.50 |
$1,504.50 |
$949.80
|
|
Gastro/jejuno tube, std
|
$379.50 |
$379.50 |
$379.50 |
$334.57
|
|
Gauze >16<=48 no w/sal without b
|
$3.62 |
$3.62 |
$3.62 |
$5.00
|
|
Gauze <=16 in no w/sal without b
|
$3.62 |
$3.62 |
$3.62 |
$6.40
|
|
Gauze > 48 in no w/sal without b
|
$3.62 |
$3.62 |
$3.62 |
$7.08
|
|
Generator emblem MRI sicd subq
|
$20,608.40 |
$20,608.40 |
$20,608.40 |
$36,467.76
|
|
Genetic tstg severe inh cond
|
$3,159.00 |
$3,159.00 |
$3,159.00 |
$3,978.65
|
|
Gentamicin peak therapeutic drug level
|
$97.00 |
$97.00 |
$97.00 |
$126.00
|
|
Ghs abscess perianal iandd
|
$603.00 |
$603.00 |
$603.00 |
$1,410.90
|
|
Ghs abscess postoperative iandd complex
|
$4,783.50 |
$4,783.50 |
$4,783.50 |
$3,515.40
|
|
Ghs acetylcholinesterase, rbc
|
$36.00 |
$36.00 |
$36.00 |
$42.72
|
|
Ghs alcohol, methyl (methanol)-medtox
|
$74.00 |
$74.00 |
$74.00 |
$100.30
|
|
Ghs alpha thalasemia, 7 deletions
|
$232.00 |
$232.00 |
$232.00 |
$371.84
|
|
Ghs analysis neurostim without reprogramming
|
$116.00 |
$116.00 |
$116.00 |
$246.50
|
|
Ghs antibodies (torch) igm
|
$65.00 |
$65.00 |
$65.00 |
$69.30
|
|
Ghs bladder cath - complex-foley
|
$497.50 |
$497.50 |
$497.50 |
$344.00
|
|
Ghs block ilioinguinal/gentitofemoral
|
$1,084.00 |
$1,084.00 |
$1,084.00 |
$1,045.65
|
|
Ghs central line insert < age 5, failed
|
$1,842.50 |
$1,842.50 |
$1,842.50 |
$2,535.60
|
|
Ghs change cysto/gastrost
|
$904.00 |
$904.00 |
$904.00 |
$565.49
|
|
Ghs chemo >8 hrs
|
$820.50 |
$820.50 |
$820.50 |
$714.87
|
