|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$0.89 |
$2.08 |
$9,949.05 |
|
|
Fetal aneuploidy trisom risk
|
$899.80 |
$1,244.65 |
$1,479.50 |
|
|
Fetal biophys profile w/nst 76818
|
$367.29 |
$603.35 |
$1,415.87 |
|
|
Fetal chrmoml microdeltj
|
$879.51 |
$1,206.81 |
$1,297.89 |
|
|
Fetal chrom aneuploidy gsa panel
|
$462.50 |
$462.50 |
$1,297.89 |
|
|
Fetal contract stress test 59020 - 26
|
$82.68 |
$477.50 |
$1,026.85 |
|
|
Fetal cord puncture prenatal
|
$383.35 |
$423.50 |
$1,631.76 |
|
|
Fetal fibronectin
|
$152.76 |
$320.00 |
$576.62 |
|
|
Fetal fluid drainage w/us
|
$692.27 |
$692.27 |
$692.27 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$18.24 |
$122.50 |
$147.84 |
|
|
Fetal hemoglobin rosette
|
$17.10 |
$62.50 |
$102.44 |
|
|
Fetal lung maturity assess lam body dnst
|
$50.88 |
$62.50 |
$131.34 |
|
|
Fetal non stress test
|
$54.59 |
$275.00 |
$678.70 |
|
|
#_fet/norfentcnfrmur
|
$43.89 |
$73.14 |
$175.45 |
|
|
Fibrin degradation d dimer quantitative
|
$27.93 |
$63.60 |
$497.97 |
|
|
Fibrin degradation products
|
$12.65 |
$52.50 |
$119.58 |
|
|
Fibrin degrade semiquant
|
$23.85 |
$68.75 |
$75.00 |
|
|
Fibrinogen activity
|
$28.50 |
$65.00 |
$200.81 |
|
|
Fibrinogen test
|
$37.10 |
$37.10 |
$37.10 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$17.67 |
$47.50 |
$294.36 |
|
|
Fibrinolytic antiplasmin
|
$23.14 |
$91.69 |
$178.86 |
|
|
Fibrinolytic plasmin
|
$26.50 |
$26.50 |
$26.50 |
|
|
Fibrinolytic plasminogen
|
$65.19 |
$105.00 |
$220.44 |
|
|
Fibrinolytic plasminogen
|
$89.04 |
$126.06 |
$126.06 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$39.33 |
$122.50 |
$207.90 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1.33 |
$1.34 |
$1.44 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1.06 |
$1.84 |
$1,053.38 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$0.94 |
$1.18 |
$1,095.17 |
|
|
Filleted finger/toe flap
|
$2,475.20 |
$2,475.20 |
$2,475.20 |
|
|
Filtered speech hearing test
|
$125.60 |
$125.60 |
$125.60 |
|
|
Filters elec/combo vad, rep
|
$573.05 |
$573.05 |
$581.27 |
|
|
Filter spider fx 3mmx320cm
|
$871.35 |
$2,325.84 |
$23,248.12 |
|
|
Filter vena cava fem denali
|
$1,038.31 |
$3,860.00 |
$11,383.14 |
|
|
Finasteride, 5 mg
|
$1.80 |
$1.80 |
$1.80 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$910.00 |
$932.80 |
$2,070.83 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$543.84 |
$685.00 |
$974.60 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$79.50 |
$277.50 |
$457.60 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$457.60 |
$840.00 |
$991.65 |
|
|
Fine needle asp without image guide 10021
|
$159.00 |
$482.50 |
$960.31 |
|
|
Finger joint sz00 swanson w/grommets
|
$751.46 |
$751.46 |
$3,605.86 |
|
|
Finger X-ray (both hands)
|
$50.73 |
$315.48 |
$601.04 |
|
|
Fistula repair & colostomy
|
$4,539.20 |
$4,539.20 |
$4,539.20 |
|
|
Fitg c-lens keratoconus 1st
|
$608.80 |
$608.80 |
$608.80 |
|
|
Fitting of diaphragm/cap 57170
|
$225.60 |
$225.60 |
$225.60 |
|
|
Fixation of ankle joint
|
$479.94 |
$479.94 |
$479.94 |
|
|
Fixation of knee joint
|
$201.21 |
$201.21 |
$1,697.60 |
|
|
Fixation of shoulder blade
|
$19,166.40 |
$19,166.40 |
$19,166.40 |
|
|
Fix g/colon tube w/device
|
$624.80 |
$665.00 |
$1,891.84 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$941.07 |
$941.07 |
$5,096.80 |
|
|
Flebogamma injection
|
$102.48 |
$102.48 |
$102.48 |
|
|
Flecainide (tambocor)-sendout
|
$21.78 |
$66.12 |
$90.00 |
|
|
Fl exam g/colon tube w contrast
|
$232.10 |
$615.00 |
$2,313.45 |
|
|
Flexible Sigmoidoscopy
|
$61.56 |
$448.80 |
$984.21 |
|
|
Flexor-plasty elbow
|
$6,925.60 |
$6,925.60 |
$6,925.60 |
|
|
Flexor-plasty elbw w/advmnt
|
$8,424.80 |
$8,424.80 |
$8,424.80 |
|
|
Floor of mouth biopsy 41108
|
$142.57 |
$142.57 |
$525.60 |
|
|
Flotufolastat f18 diag 1 mci
|
$870.50 |
$1,573.57 |
$1,836.45 |
|
|
Flow cytometry interp 16 or more
|
$70.49 |
$77.91 |
$220.00 |
|
|
Flow cytometry marker each additional
|
$48.23 |
$97.50 |
$484.33 |
|
|
Flow cytometry one marker technical component
|
$59.89 |
$195.00 |
$1,173.70 |
|
|
#flow interp 9 - 15 markers
|
$63.07 |
$70.49 |
$263.34 |
|
|
Flt3 gene
|
$247.50 |
$367.50 |
$990.00 |
|
|
Flt3 gene analysis
|
$83.21 |
$185.00 |
$466.40 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$16.93 |
$64.25 |
$317.92 |
|
|
Fludarabine 50 mg intravenous solution
|
$75.26 |
$75.26 |
$516.37 |
|
|
Fluidotherapy charges pt
|
$41.04 |
$102.50 |
$177.65 |
|
|
Fluid pressure muscle 20950
|
$515.00 |
$515.00 |
$2,254.92 |
|
|
Flulaval vacc, 3 yrs & >, im
|
$19.61 |
$19.61 |
$36.80 |
|
|
Fluorescent antibody titer dna
|
$49.29 |
$297.00 |
$759.00 |
|
|
Fluoroestradiol f 18
|
$960.00 |
$960.00 |
$1,512.09 |
|
|
Fluoroguide for spine inject 77003-26
|
$163.24 |
$460.00 |
$689.70 |
|
|
Fluoroguide needle placement
|
$111.72 |
$460.00 |
$798.40 |
|
|
Fluoro polarize fetal lung
|
$127.20 |
$434.94 |
$434.94 |
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$140.22 |
$460.00 |
$758.44 |
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$8.23 |
$11.76 |
$883.31 |
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$15.39 |
$42.33 |
$88.00 |
|
|
Flutemetamol f18 diagnostic
|
$4,560.00 |
$5,936.00 |
$5,936.00 |
|
|
Fluvirin vacc, 3 yrs & >, im
|
$19.61 |
$19.61 |
$36.80 |
|
|
Fluzone vacc, 3 yrs & >, im
|
$19.61 |
$23.10 |
$36.80 |
|
|
Fmri brain by tech
|
$1,104.66 |
$1,756.85 |
$2,265.45 |
|
|
Fna bx w/ct gdn 1st les
|
$1,047.81 |
$1,750.00 |
$2,856.15 |
|
|
Fna bx w/ct gdn ea addl
|
$392.20 |
$1,315.00 |
$2,142.25 |
|
|
Fna bx w/mr gdn 1st les
|
$932.80 |
$932.80 |
$1,036.26 |
|
|
Fna bx w/mr gdn ea addl
|
$551.76 |
$551.76 |
$932.80 |
|
|
Foam drg >16<=48 sq in w/bdr
|
$14.87 |
$22.50 |
$78.75 |
|
|
Foam drg >16<=48 sq in without b
|
$11.45 |
$28.23 |
$54.80 |
|
|
Foam drg <=16 sq in w/border
|
$15.00 |
$48.60 |
$159.07 |
|
|
Foam drg > 48 sq in w/border
|
$42.50 |
$42.50 |
$74.58 |
|
|
Foam drg > 48 sq in without brdr
|
$8.22 |
$12.46 |
$31.66 |
|
|
Foam drsg <=16 sq in without bdr
|
$15.00 |
$16.08 |
$31.06 |
|
|
Foam stability fetal lung
|
$60.42 |
$60.42 |
$60.42 |
|
|
Folic acid
|
$41.61 |
$128.70 |
$267.00 |
|
|
Folic acid 5 mg/ml injection solution
|
$0.36 |
$3.23 |
$23.89 |
|
|
Follow-up angiography
|
$547.80 |
$673.75 |
$3,161.40 |
|
|
Fomepizole 1 gram/ml intravenous solution
|
$11.01 |
$21.14 |
$755.92 |
|
|
Fondaparinux sodium
|
$1.57 |
$4.14 |
$74.17 |
|
|
Fo nontorsion joint cf
|
$145.00 |
$145.00 |
$552.33 |
|
|
Foot arch support remov prem
|
$33.00 |
$55.00 |
$209.76 |
|
|
Foot drp splt w/exp heel lg
|
$118.80 |
$118.80 |
$118.80 |
|
|
Foot insert plastazote or eq
|
$181.26 |
$181.26 |
$181.26 |
|
