|
#flow interp 9 - 15 markers
|
$22.50 |
$65.50 |
$123.50 |
|
|
Floxuridine injection
|
$3,269.16 |
$3,269.16 |
$3,814.02 |
|
|
Flt3 gene
|
$470.00 |
$470.00 |
$742.00 |
|
|
Flt3 gene analysis
|
$156.50 |
$156.50 |
$219.50 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$6.75 |
$11.70 |
$32.40 |
|
|
Fludarabine 50 mg intravenous solution
|
$77.36 |
$77.36 |
$332.63 |
|
|
Fluidotherapy charges pt
|
$39.50 |
$63.50 |
$185.40 |
|
|
Fluid pressure muscle 20950
|
$955.50 |
$1,027.50 |
$1,027.50 |
|
|
Fluocinol acet intravit imp
|
$727.00 |
$1,090.50 |
$1,163.20 |
|
|
Fluorescein angrph mltiframe
|
$42.00 |
$45.50 |
$383.00 |
|
|
Fluorescent antibody titer dna
|
$50.00 |
$80.00 |
$845.00 |
|
|
Fluoroestradiol f 18
|
$3,651.00 |
$3,651.00 |
$4,259.50 |
|
|
Fluoroguide for spine inject 77003-26
|
$57.00 |
$249.00 |
$1,234.50 |
|
|
Fluoroguide needle placement
|
$148.00 |
$303.00 |
$2,211.00 |
|
|
Fluoro polarize fetal lung
|
$176.00 |
$176.00 |
$176.00 |
|
|
Fluoroscopy up to 1 hour
|
$17.50 |
$446.50 |
$805.00 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$3.50 |
$52.06 |
$184.20 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$10.33 |
$10.33 |
$94.20 |
|
|
Flurpiridaz f18, diag, 1 mci
|
$662.50 |
$662.50 |
$662.50 |
|
|
Fluzone vacc, 3 yrs & >, im
|
$18.00 |
$18.00 |
$43.20 |
|
|
Fmri brain by phys/psych
|
$370.50 |
$370.50 |
$1,603.00 |
|
|
Fmri brain by tech
|
$809.50 |
$809.50 |
$809.50 |
|
|
Fna bx w/ct gdn 1st les
|
$1,267.00 |
$1,353.00 |
$1,655.50 |
|
|
Fna bx w/ct gdn ea addl
|
$160.50 |
$160.50 |
$989.50 |
|
|
Fna bx w/mr gdn 1st les
|
$1,454.50 |
$1,454.50 |
$1,655.50 |
|
|
Fna bx w/mr gdn ea addl
|
$173.00 |
$173.00 |
$196.50 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$58.10 |
$58.10 |
$134.38 |
|
|
Foam drg <=16 sq in w/border
|
$60.09 |
$60.09 |
$60.09 |
|
|
Folic acid
|
$12.00 |
$82.50 |
$273.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$139.80 |
$139.80 |
$139.80 |
|
|
Follow-up angiography
|
$946.50 |
$2,669.50 |
$2,870.00 |
|
|
Follow-up surgery of eye
|
$522.00 |
$835.20 |
$6,307.50 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$857.56 |
$857.56 |
$3,584.40 |
|
|
Fondaparinux sodium
|
$10.43 |
$73.43 |
$372.60 |
|
|
Fo nontorsion joint cf
|
$63.00 |
$258.50 |
$258.50 |
|
|
Foot arch support remov prem
|
$198.00 |
$198.00 |
$198.00 |
|
|
Foot drp splt w/exp heel lg
|
$170.50 |
$176.00 |
$181.00 |
|
|
Foot longitud/metatarsal sup
|
$326.50 |
$326.50 |
$326.50 |
|
|
Foot X-ray
|
$121.00 |
$355.00 |
$501.60 |
|
|
Forehead flap w/vasc pedicle 15731
|
$4,757.50 |
$4,757.50 |
$12,899.51 |
|
|
Forensic cytopathology
|
$13.50 |
$14.00 |
$48.00 |
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$59.00 |
$278.50 |
$3,843.50 |
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$15.02 |
$45.48 |
$691.70 |
|
|
Foscarnet sodium injection
|
$39.50 |
$59.00 |
$555.84 |
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$16.42 |
$79.34 |
$333.00 |
|
|
Fracture assessment via dxa
|
$172.00 |
$352.50 |
$367.00 |
|
|
_fragile x methylation-sendout
|
$58.50 |
$99.00 |
$363.50 |
|
|
Fragmenting of kidney stone
|
$592.50 |
$948.00 |
$13,712.50 |
|
|
Freeing of bowel adhesion 44005
|
$1,203.00 |
$1,230.50 |
$14,300.00 |
|
|
Free myo/skin flap microvasc
|
$10,134.26 |
$10,134.26 |
$10,134.26 |
|
|
Free skin flap microvasc
|
$15,239.50 |
$15,239.50 |
$15,239.50 |
|
|
Frenectomy 41115
|
$178.50 |
$1,822.00 |
$7,721.34 |
|
|
Frenotomy 40806
|
$183.60 |
$1,011.00 |
$3,537.50 |
|
|
Frenulotomy of penis
|
$202.00 |
$206.00 |
$3,843.50 |
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$68.50 |
$133.00 |
$924.50 |
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$78.00 |
$176.40 |
$924.50 |
|
|
Fresh frozen plasma thawing ea un
|
$80.50 |
$80.50 |
$298.50 |
|
|
Frozen cell preparation
|
$13.00 |
$33.00 |
$46.50 |
|
|
Frozen plasma, pooled, sd
|
$527.00 |
$527.00 |
$527.00 |
|
|
Fructosamine glycated protein
|
$4.50 |
$5.00 |
$55.00 |
|
|
Fth/gft fr n/e/e/l each addl
|
$1,205.50 |
$1,603.50 |
$4,148.38 |
|
|
Fth/gft fr trnk each addl
|
$76.00 |
$1,026.50 |
$1,331.00 |
|
|
Ftl cgen abnor five anal
|
$319.00 |
$319.00 |
$414.50 |
|
|
Ftl cgen abnor four anal
|
$40.00 |
$40.00 |
$730.50 |
|
|
Ftl cgen abnor three anal
|
$198.00 |
$198.00 |
$198.00 |
|
|
Ftl cgen abnor two proteins
|
$31.00 |
$31.00 |
$149.00 |
|
|
Full field erg w/i&r
|
$35.50 |
$38.00 |
$662.50 |
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$809.00 |
$1,401.60 |
$8,296.75 |
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$598.50 |
$2,371.50 |
$9,849.51 |
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$67.50 |
$896.50 |
$3,595.31 |
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$773.50 |
$1,350.00 |
$21,938.50 |
|
|
Fundus photography with i&r 92250
|
$20.50 |
$39.50 |
$537.00 |
|
|
Furosemide 10 mg/ml injection solution
|
$0.50 |
$4.46 |
$60.00 |
|
|
Fuse bile ducts and bowel 47785
|
$15,256.25 |
$15,256.25 |
$15,256.25 |
|
|
Fusion of ankle joint open
|
$1,056.50 |
$1,109.00 |
$23,164.50 |
|
|
Fusion of big toe joint
|
$599.00 |
$8,551.50 |
$17,773.50 |
|
|
Fusion of big toe joint
|
$350.50 |
$521.00 |
$13,843.00 |
|
|
Fusion of finger jnt add-on
|
$5,470.50 |
$5,470.50 |
$5,470.50 |
|
|
Fusion of finger joint
|
$615.00 |
$6,913.60 |
$30,035.00 |
|
|
Fusion of finger tendons
|
$8,111.00 |
$8,111.00 |
$8,111.00 |
|
|
Fusion of foot bones
|
$758.00 |
$1,219.20 |
$26,247.00 |
|
|
Fusion of foot bones
|
$13,693.00 |
$15,925.67 |
$37,212.00 |
|
|
Fusion of foot bones
|
$643.00 |
$1,036.00 |
$15,562.50 |
|
|
Fusion of knuckle
|
$13,033.00 |
$13,033.00 |
$15,077.00 |
|
|
Fusion of knuckle joint
|
$6,827.50 |
$6,827.50 |
$6,827.50 |
|
|
Fusion of thumb
|
$7,472.00 |
$7,472.00 |
$7,472.00 |
|
|
Fusion of tibiofibular joint
|
$726.00 |
$730.50 |
$1,168.80 |
|
|
Fusion of toes
|
$5,867.00 |
$5,867.00 |
$5,867.00 |
|
|
G0180 home health certification
|
$0.01 |
$61.00 |
$97.60 |
|
|
G6pc gene
|
$25.50 |
$25.50 |
$25.50 |
|
|
G6pd full gene sequence
|
$442.50 |
$442.50 |
$442.50 |
|
|
Ga-67 gallium 0.1 mci
|
$69.50 |
$120.50 |
$882.50 |
|
|
Ga-68 gallium 68 dotatate
|
$4,149.50 |
$4,149.50 |
$5,211.00 |
|
|
Gabapentin non-blood
|
$20.00 |
$21.50 |
$57.00 |
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$61.81 |
$80.32 |
$186.00 |
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$4.28 |
$54.17 |
$349.80 |
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$65.12 |
$101.30 |
$363.00 |
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$205.40 |
$419.18 |
$489.04 |
|
|
Galac-1-phosphate uridyltran - sendout
|
$27.00 |
$234.00 |
$985.00 |
|
|
Galactokinase - sendout
|
$74.00 |
$74.00 |
$74.00 |
|
