PRACTICE | CHARGE CODE | DESCRIPTION | CPT CODE | CURRENT FEE |
FLF | 77079 | CT BONE MINERAL DENSITY STUDY 1+SITS APPND | 77079 | 613 |
FLF | 76376 | 3D RNDR I&R CT MRI US/OTH | 76376 | 964 |
FLF | 74176 | COMP TOMOG AB/PEL W/O CON | 74176 | 1696 |
FLF | 70480 | CT ORBIT SELLA/POST FOSSA | 70480 | 1750 |
FLF | 73200 | CT UPPR EXTR WO CNTRS | 73200 | 2193 |
FLF | 72191 | CTA PELVIS C-/C+ POST-PXE | 72191 | 2265 |
FLF | 70487 | CT MAXLFCL AREA C+ MATRL | 70487 | 2451 |
FLF | 74177 | COMP TOMO AB/PELV W/OCONT | 74177 | 2624 |
FLF | 72193 | TOMOGRAPHY PELVIS WCONTRS | 72193 | 2750 |
FLF | 70486 | CT MAXLFCL AREA C-MATRL | 70486 | 2881 |
FLF | 70496 | CTA HEAD C-/C+ | 70496 | 2973 |
FLF | 70490 | CT NECK WO CONTRAST | 70490 | 3020 |
FLF | 70450 | COMPUTED TOMOGRAPHY HD/BR | 70450 | 3064 |
FLF | 74174 | COMPUTED TOMOGRAPHY ABD AND PELVIS | 74174 | 3100 |
FLF | 71250 | CT CHEST W/O CONTRAST | 71250 | 3174 |
FLF | 75574 | CT CORONARY | 75574 | 3245 |
FLF | 74150 | COMPUTED TOMOGRAPHY ABD | 74150 | 3265 |
FLF | 72128 | CT THRC SPI C-MATRL | 72128 | 3346 |
FLF | 70491 | CT SOFT TISS NCK C+MATRL | 70491 | 3502 |
FLF | 70481 | CT ORBIT SELLA/POST FOSSA | 70481 | 3564 |
FLF | 72126 | CT CRV SPI C+MATRL | 72126 | 3564 |
FLF | 72129 | CT THRC SPI C+ MATRL | 72129 | 3564 |
FLF | 72125 | COMPUTED TOMOGRAPHY CERVI | 72125 | 3681 |
FLF | 74160 | TOMOGRAPHY ABD W/CONTRAST | 74160 | 3840 |
FLF | 71260 | CT THORAX W/CONTRAST | 71260 | 4158 |
FLF | 72192 | CT PELVIS WO CONTRAST | 72192 | 4168 |
FLF | 71270 | CT THORAX WO CONTRAST | 71270 | 4334 |
FLF | 72131 | CT L SPINE WO CONTRST | 72131 | 4382 |
FLF | 73702 | CT LXTR C-/C+ | 73702 | 4403 |
FLF | 72127 | CT CRV SPI C-/C+ | 72127 | 4502 |
FLF | 74170 | TOMOGRAPHY ABD W/OCONTRAS | 74170 | 4524 |
FLF | 70460 | TOMOGRAPHY HEAD/BRAIN WIT | 70460 | 4753 |
FLF | 73700 | CT LWR EXTR WO CONTRAST | 73700 | 4753 |
FLF | 74175 | CT ANGIO ABDOMEN W/CONTRA | 74175 | 4848 |
FLF | 71275 | CT ANGIOGRAPHY | 71275 | 4887 |
FLF | 74178 | CT ABD & PELVIS 1 PLUS SECTION/REGNS | 74178 | 5440 |
FLF | 70470 | COMPUTED TOMOGRAPHY HEAD/ | 70470 | 7574 |
FLF | 72194 | CT PELVIS W OR WO CONTRST | 72194 | 7574 |
FLF | 73701 | CT LWR EXT W CONT | 73701 | 7574 |
FLF | 72132 | CT LMBR SPI C+ MATRL | 72132 | 8404 |
FLF | 93041 | RHYTHEM ECG 1-3 LDS | 93041 | 146 |
FLF | 93224 | WEARABLE ECG 24 HR W/VIS SUPIMPOS SCAN PHYS R&I | 93224 | 149 |
FLF | 93010 | RTN ECG 12 LEADS INTRP/RP | 93010 | 151 |
FLF | 93000 | EKG W/INTREP AND REPORT | 93000 | 248 |
FLF | 93005 | EKG | 93005 | 262 |
FLF | 93875 | N-INVAS PHYSIOLOGIC STD XTRC ART COMPL BI STD | 93875 | 840 |
FLF | 93306 | ECHO TEST | 93306 | 1367 |
FLF | 93351 | ECHO TTHRC R-T 2D-+M-MODE REST&STRS CONT ECG | 93351 | 1560 |
FLF | 93313 | TEE R-T IMG 2D W/PROBE PLMT ONLY | 93313 | 2626 |
FLF | 99406 | SMOKING CESSATION 3-10 | 99406 | 81 |
FLF | 99407 | SMOKING CESSATION 10 MIN | 99407 | 94 |
FLF | 99281 | E/M VISIT LEVEL 1 TECH COMP | 99281 | 255 |
FLF | 99282 | E/M VISIT LEVEL 2 TECH COMP | 99282 | 510 |
FLF | 99283 | E/M VISIT LEVEL 3 TECH COMP | 99283 | 1019 |
FLF | 99284 | E/M VISIT LEVEL 4 TECH COMP | 99284 | 2218 |
FLF | 99292 | CRITICAL CARE ADD 30 MIN | 99292 | 2305 |
FLF | 99285 | E/M VISIT LEVEL 5 TECH COMP | 99285 | 2917 |
FLF | 99291 | CRITICAL CARE 30-74 MIN | 99291 | 3443 |
FLF | 84165 | PROTEIN ELECTROPHORESIS | 84165 | 1 |
FLF | 86256 | SMOOTH MUSCLE AB TITER | 86256 | 1 |
FLF | 86320 | IMMUNOELECTROPHORESIS | 86320 | 1 |
FLF | 87207 | SMR PRIM SRC SPEC STAIN | 87207 | 1 |
FLF | 88305 | PATH SURG LEVEL IV | 88305 | 1 |
FLF | 89060 | CRYSTAL INDENTIFICATION | 89060 | 1 |
FLF | 90471 | IMMUN ADM 1 VAC | 90471 | 6 |
FLF | 77777 | SHORTNESS OF BREATH PANEL | 77777 | 12 |
FLF | 85044 | RETICULOCYTE COUNT | 85044 | 21 |
FLF | 85347 | COAGJ TM ACTIVATED | 85347 | 35 |
FLF | 82009 | KETONES-SERUM | 82009 | 36 |
FLF | 87088 | CULTURE BCT ISOL&PRSMPTV | 87088 | 40 |
FLF | 87807 | INF AGT DET IMNAS OPT RSV | 87807 | 42 |
FLF | 86038 | ANTINUCLEAR AB | 86038 | 46 |
FLF | 83735 | MAGNESIUM | 83735 | 53 |
FLF | 87275 | IAADI INF B VIRUS | 87275 | 55 |
FLF | 86039 | ANTINUCLEAR AB TITER | 86039 | 58 |
FLF | 80178 | LITHIUM | 80178 | 59 |
FLF | 82540 | CREATINE | 82540 | 68 |
FLF | 82962 | GLUCOSE FINGER STICK | 82962 | 69 |
FLF | 82607 | VITAMIN B-12 | 82607 | 72 |
FLF | 86430 | RHEUMATOID FACTOR | 86430 | 74 |
FLF | 84295 | SODIUM; SERUM | 84295 | 76 |
FLF | 82948 | GLUCOSE BLOOD REAGET STR | 82948 | 77 |
FLF | 82977 | GLUTAMYLTRANSFERASE-GTT | 82977 | 77 |
FLF | 86592 | RPR | 86592 | 77 |
FLF | 83690 | LIPASE | 83690 | 78 |
FLF | 96593 | SYPHILIS TEST, NON-TREPONEMAL ANTIBODY; QUANTITATIVE | 96593 | 82 |
FLF | 82075 | ALCOHOL BREATH TEST | 82075 | 84 |
FLF | 81001 | U/A DIP STICK | 81001 | 85 |
FLF | 87106 | CUL FNGI DEFINITIVE ID EA ORGANISM YEAST | 87106 | 85 |
FLF | 86140 | C REACTIVE PROTEIN | 86140 | 86 |
FLF | 86901 | RH FACTOR-BLOOD | 86901 | 86 |
FLF | 86906 | BLD TYPING RH PHEXYPING COMPL | 86906 | 86 |
FLF | 86713 | LEGIONELLA PNEUMONPILA AB | 86713 | 88 |
FLF | P7001 | CULTURE BACTERIAL URINE | P7001 | 89 |
FLF | 87210 | WET SMEAR | 87210 | 91 |
FLF | 85652 | SED RATE ERYTHROCYTE NON | 85652 | 92 |
FLF | 81025 | PREG.TST URINE VISUAL | 81025 | 96 |
FLF | 83615 | LDH | 83615 | 96 |
FLF | 89220 | SPTM OBTG SPEC AERSL INDUCED SPX | 89220 | 98 |
FLF | 87086 | URINE CULTURE | 87086 | 99 |
FLF | 83540 | IRON-TOTAL | 83540 | 102 |
FLF | 85014 | HEMATOCRIT | 85014 | 102 |
FLF | 85018 | HEMOGLOBIN | 85018 | 102 |
FLF | 84480 | T3 TOTAL | 84480 | 106 |
FLF | 86308 | MONO,HETEROPHILE ANTIBODI | 86308 | 107 |
FLF | 82693 | ASSAY OF ETHYLENE GLYCOL | 82693 | 110 |
FLF | 82947 | GLUCOSE | 82947 | 110 |
FLF | 80196 | SALICYLATE | 80196 | 112 |
FLF | 87661 | INF AGENT DET NUCLEIC ACID; TRICHMONAS VAGINALIS; AMP PROBE | 87661 | 112 |
FLF | 80320 | DRUG SCREEN | 80320 | 117 |
FLF | 82272 | BLD OCLT PEROXIDASE ACTV | 82272 | 117 |
FLF | 82541 | COL-CHR/MS QUAL 1 STATIONARY&MOBILE PHASE | 82541 | 121 |
FLF | 84520 | BUN | 84520 | 127 |
FLF | 81000 | U/A DIPSTICK | 81000 | 128 |
FLF | 81002 | URNLS DIP STICK/TABLET RG | 81002 | 128 |
FLF | 81003 | U/A W/O MICRO DIPSTICK | 81003 | 128 |
FLF | 82800 | GASES BLD PH ONLY | 82800 | 130 |
FLF | 86631 | ANTB CHLAMYDIA | 86631 | 130 |
FLF | 86787 | VARICELLA | 86787 | 130 |
FLF | 87850 | NEISSERIA GONORRHOEAE DET | 87850 | 130 |
FLF | 86664 | EPSTEIN-BARR VIRUS EBNA | 86664 | 133 |
FLF | 86403 | MONO SPOT | 86403 | 134 |
FLF | 84450 | AST | 84450 | 136 |
FLF | 84560 | URIC ACID OTH SRC | 84560 | 138 |
FLF | 82040 | ALBUMIN; SERUM | 82040 | 141 |
FLF | 84075 | ALK PHOS/PROFILE OR PANEL | 84075 | 141 |
FLF | 80305 | DRUG TEST, PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PRO | 80305 | 143 |
FLF | 86756 | ANTB RSV | 86756 | 143 |
FLF | 87880 | RAPID STREP-BETA STREP | 87880 | 143 |
FLF | 83520 | IMMUNOASSAY ANALYTE QUANTITIATIVE NOS | 83520 | 144 |
FLF | 86701 | HIV SERUM | 86701 | 145 |
FLF | 82565 | CREATININE | 82565 | 146 |
FLF | 85651 | SEDIMENTATION RATE NONAUT | 85651 | 146 |
FLF | 85027 | CBC W/O DIFF | 85027 | 149 |
FLF | 84550 | URIC ACID | 84550 | 151 |
FLF | 85378 | FIBRIN DEGRADATION PROD | 85378 | 151 |
FLF | 82270 | OCCULT BLOOD | 82270 | 152 |
FLF | 85032 | BLD# MNL C-CNT RBC/PLTLT EA | 85032 | 152 |
FLF | 82253 | MB FRACTION | 82253 | 154 |
FLF | 84512 | TROPONIN QUAL | 84512 | 154 |
FLF | 84460 | ALT-TRANSFERASE;ALANINE | 84460 | 156 |
FLF | 82310 | CALCIUM | 82310 | 158 |
FLF | 84155 | PROTEIN,TOTAL,EXCEPT REFR | 84155 | 158 |
FLF | 85730 | THROMBOPLASTIN TIME PART | 85730 | 162 |
FLF | 82247 | BILIRUBIN TOTAL | 82247 | 164 |
FLF | 86702 | ANTB HIV-2 | 86702 | 164 |
FLF | 82784 | IGC IMMUNOGLOBULIN | 82784 | 165 |
FLF | 87425 | ROTAVURUS AG EIA | 87425 | 165 |
FLF | 87804 | INFLUENZA IMMUNOASSAY OPT | 87804 | 168 |
FLF | 80104 | DRUG SCREEN | 80104 | 172 |
FLF | 83874 | MYOGLOBIN | 83874 | 172 |
FLF | 85610 | PROTHROMBIN TIME | 85610 | 172 |
FLF | 87389 | HIV-1 AG W/HIV-1 & HIV-S AB | 87389 | 172 |
FLF | 87400 | INFLUENZA A&B | 87400 | 174 |
FLF | 82550 | CREATINE CK-TOTAL | 82550 | 176 |
FLF | 82785 | GAMMAGLOBULIN (IMMUNOGLOBULIN); IGE | 82785 | 182 |
FLF | 84439 | THYROXINE-FREE | 84439 | 187 |
FLF | 86705 | HEPATITIS B CORE IGM | 86705 | 187 |
FLF | 86850 | ANTB SCR RBC EA SERUM TQ | 86850 | 189 |
FLF | 87070 | CULTURE BODY FLUID | 87070 | 190 |
FLF | 84436 | THYRIXINE TOTAL | 84436 | 193 |
FLF | 87493 | INF AGENT DET NUC ACID CLOSTRIDIUM AMP PROBE | 87493 | 197 |
FLF | 80329 | DRUG SCREEN | 80329 | 198 |
FLF | 82055 | ALCOHOL-BLOOD | 82055 | 201 |
FLF | 87081 | CULTURE, BACTERIAL-SCREEN | 87081 | 201 |
FLF | 85025 | CBC | 85025 | 204 |
FLF | 84702 | HCG QUANTATIVE | 84702 | 209 |
FLF | 82150 | AMYLASE | 82150 | 210 |
FLF | 80304 | DRUG SCREEN | 80304 | 211 |
FLF | 84703 | PREGNANCY TEST BLOOD | 84703 | 212 |
FLF | 86689 | ANTB HTLV/HIV ANTB CONFIRMATION TST | 86689 | 216 |
FLF | 84479 | THYROID HORMONE | 84479 | 218 |
FLF | 80300 | DRUG SCREEN | 80300 | 221 |
FLF | 80202 | VANCOMYCIN PEAK | 80202 | 229 |
FLF | 82003 | ACETAMINOPHEN | 82003 | 229 |
FLF | 80100 | DRUG ABUSE PANEL II | 80100 | 230 |
FLF | G0434 | DRUG ABUSE PANEL II | G0434 | 230 |
FLF | 87430 | INF AGT IMMUNO STREP A | 87430 | 234 |
FLF | 80047 | BASIC METABOLIC PANEL CALCIUM IONIZED | 80047 | 255 |
FLF | 87110 | CHLAMYDIA CULTURE | 87110 | 260 |
FLF | 82553 | CREATINE CKMB | 82553 | 263 |
FLF | 84443 | TSH | 84443 | 263 |
FLF | 84484 | TROPONIN I | 84484 | 263 |
FLF | 87040 | BLOOD CULTURE | 87040 | 263 |
FLF | 80048 | METABOLIC PANEL BASIC | 80048 | 270 |
FLF | 80051 | ELECTROLYTE PANEL | 80051 | 277 |
FLF | 80061 | LIPID PROFILE III | 80061 | 277 |
FLF | 80076 | HEPATIC FUNCTION PANEL | 80076 | 285 |
FLF | 87075 | CULTURE ANAEROBIC | 87075 | 286 |
FLF | 87798 | O&P SMEAR W/AMPLIFIC | 87798 | 295 |
FLF | 85379 | D-DIMER | 85379 | 315 |
FLF | 83880 | B-TYPE NATRIURETIC | 83880 | 320 |
FLF | 80074 | HEPATITIS PANEL | 80074 | 342 |
FLF | 80197 | TACROLIMUS | 80197 | 350 |
FLF | 87847 | NO DESCRIPTION | 87847 | 409 |
FLF | 87529 | INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA &RNA) | 87529 | 485 |
FLF | 80053 | METABOLIC COMPRE PANEL | 80053 | 543 |
FLF | 86360 | T CELLS; ABSOLUTE CD4 AND CD8 COUNT, INCLUDING RATIO | 86360 | 627 |
FLF | 72141 | MRI SPI CANAL&CNTS CRV C-MATRL | 72141 | 1867 |
FLF | 71550 | MRI CH C-MATRL | 71550 | 2771 |
FLF | 70547 | MRA NECK C-MATRL | 70547 | 2772 |
FLF | 70551 | MRI BRN BRN STEM C-MATRL | 70551 | 2772 |
FLF | 72146 | MRI SPI CANAL&CNTS THRC C-MATRL | 72146 | 2772 |
FLF | 72148 | MRI SPI CANAL&CNTS LMBR C-MATRL | 72148 | 2772 |
FLF | 72157 | MRI SPI CANAL&CNTS C-/C+ | 72157 | 2772 |
FLF | 72195 | MRI PELVIS C-MATRL | 72195 | 2772 |
FLF | 73221 | MRI ANY JT UXTR C-MATRL | 73221 | 2772 |
FLF | 73721 | MRI ANY JT LXTR C-MATRL | 73721 | 2772 |
FLF | 74181 | MRI ABD C-MATRL | 74181 | 2772 |
FLF | 72158 | MRI SPI CANAL&CNTS C-/C+ LMBR | 72158 | 2801 |
FLF | 73722 | MRI ANY JT LXTR C+ MATRL | 73722 | 3076 |
FLF | 70544 | MRA HEAD C-MATRL | 70544 | 3150 |
FLF | 70553 | MRI BRN BRN STEM C-/C+ | 70553 | 3268 |
FLF | 72156 | MRI SPI CANAL&CNTS C-/C+ CRV | 72156 | 3268 |
FLF | 73220 | MRI UXTR OTH/THN JT C-/C+ | 73220 | 3268 |
FLF | 74183 | MRI ABD C-/C+ | 74183 | 3268 |
FLF | 72196 | MRI PELVIS C+ MATRL | 72196 | 3735 |
FLF | 73725 | MRA LXTR C+-MATRL | 73725 | 3735 |
FLF | 73723 | MRI ANY JT LXTR C-/C+ | 73723 | 5049 |
FLF | G0378 | HOSPITAL OBSERVATION SERVICES PER HOUR | G0378 | 1750 |
FLF | A4616 | TUBING (OXYGEN) PER FOOT | A4616 | 1 |
FLF | A4927 | GLOVES NON STERILE | A4927 | 1 |
FLF | J0461 | INJ ATROPINE SULFATE 0.01 | J0461 | 1 |
FLF | J2765 | METOCLOPRAMIDE HCL 10MG | J2765 | 1 |
FLF | J3010 | INJ FENTANYL CITRATE .1MG | J3010 | 1 |
FLF | J3480 | POTASSIUM CHLORIDE 2 MG | J3480 | 1 |
FLF | S5000 | PRESCRIPTION DRUG GENERIC | S5000 | 1 |
FLF | S5011 | 5% DEXTROSE 1000 ML | S5011 | 1 |
FLF | A6453 | BANDAGE SELF ADHER BAND W LESS THAN 3 | A6453 | 2 |
FLF | J0641 | LEVOLEUCOVORIN INJECTION | J0641 | 2 |
FLF | J1020 | INJ METHYLPREDNISOLONE AC | J1020 | 2 |
FLF | Q9967 | LOW OSMOLAR CNTRS MAT | Q9967 | 2 |
FLF | A4216 | STERILE WATER/SALINE, FLUSH 10ML | A4216 | 3 |
FLF | A4327 | URIN CUP FEMALE COLLECT DEV CUP | A4327 | 3 |
FLF | A4335 | INCONTINENCE SUPPLY MISC | A4335 | 3 |
FLF | A4930 | GLOVES STERILE PER PAIR | A4930 | 3 |
FLF | A4224 | ALOCHOL OR PEROXIDE PER PINT | A4224 | 4 |
FLF | Q0179 | ONDANESTRONG HCL 8MG ORL | Q0179 | 4 |
FLF | A4252 | GLUCOSE TEST STRIP-BLOOD KETONE TEST OR STRIP | A4252 | 6 |
FLF | A4615 | CANNULA NASAL | A4615 | 6 |
FLF | A5120 | SWAB OR WIPE SKIN BARRIER | A5120 | 6 |
FLF | A6410 | STERILE EYE PAD OR STRIP | A6410 | 6 |
FLF | A6413 | ADHESIVE BANDAGE FIRST AI | A6413 | 6 |
FLF | J1030 | DEPO MEDROL 40 MG/ML | J1030 | 6 |
FLF | J2650 | PRELONE – INJECTION PREDNISOLONE ACTATE UP TO 1 ML | J2650 | 6 |
FLF | A4213 | 20+ CC SYRINGE ONLY | A4213 | 7 |
FLF | A4332 | LUBE STERILE PACKET | A4332 | 7 |
FLF | A4657 | SYRINGE W OR WO NEEDLE | A4657 | 7 |
FLF | A6212 | FOAM DRESSING, WOUND COVER, PAD SIZE 16 SQ IN OR LESS, EACH DRESSING | A6212 | 7 |
FLF | A6402 | GAUZE NON-IMPREG STERL 16 | A6402 | 7 |
FLF | E0325 | URINAL MALE JUG-TYPE | E0325 | 7 |
FLF | J3030 | IMITREX 6MG VIAL | J3030 | 7 |
FLF | A6222 | GAUZE IMPREGNATED WITH ME | A6222 | 8 |
FLF | J0153 | ADENOSINE INJ 1MG | J0153 | 8 |
FLF | J0170 | EPINEPHRINE 3 1/2 NDL 10M | J0170 | 8 |
FLF | J0735 | CLONIDINE 1MG | J0735 | 8 |
FLF | J7506 | PREDNISONE ORAL 5 MG | J7506 | 8 |
FLF | J7510 | PREDNISOLONE ORAL 5 MG | J7510 | 8 |
FLF | J7512 | PREDNISONE 5 MG | 8 | |
FLF | J7699 | NOC DRUGS INHAL SOL ADMIN | J7699 | 8 |
FLF | S0119 | ZOFRAN, 4MG, ORAL | S0119 | 8 |
FLF | S5001 | PRESCRIPTION DRUG BAND NM | S5001 | 8 |
FLF | A4320 | IRR TRAY W/BULB/PISTON SY | A4320 | 9 |
FLF | A4450 | TAPE NO WATERPROOF | A4450 | 10 |
FLF | A4452 | TAPE WATERPROOF 18 SQ IN | A4452 | 10 |
FLF | J1040 | METHYLPREDNISOLONE 80MG | J1040 | 10 |
FLF | J2920 | SOLU-MEDROL 40MG | J2920 | 10 |
FLF | J3360 | VALIUM INJ 5 MG | J3360 | 10 |
FLF | A6213 | FOAM DRG 16-48 SQ IN W/BRDR | A6213 | 11 |
FLF | A6220 | GAUZE, NON IMP, STERILE, PAD SIZE >16 SQ < OR = 48SQ IN | A6220 | 11 |
FLF | A6448 | LT COMP BANDAGE LESS THAN 3IN | A6448 | 11 |
FLF | A6449 | LIGHT COMP BANDAGE | A6449 | 11 |
FLF | E0275 | BED PAN STANDARD | E0275 | 11 |
FLF | J2250 | MIDAZOLAM HCI PER 1 MG | J2250 | 11 |
FLF | J3411 | INJ THIAMINE 100 MG | J3411 | 11 |
FLF | A4215 | NEEDLE STERILE, ANY SIZE, EACH | A4215 | 12 |
FLF | A4314 | INSRT TRAY W/DRAINAGE BAG | A4314 | 12 |
FLF | A4344 | INDWELLING CATH FOLEY TYP | A4344 | 12 |
FLF | A7011 | NONDISPOS CORRUGATED TUBING | A7011 | 12 |
FLF | E0230 | ICE CAP OR COLLAR | E0230 | 12 |
FLF | J0780 | COMPAZINE 10 MG | J0780 | 12 |
FLF | A4653 | PD CATHERTER ANCHOR BELT | A4653 | 13 |
FLF | A4673 | SALINE BLADE #11 | A4673 | 13 |
FLF | A6216 | GAUZE NONIMPREG 16 SQ IN | A6216 | 13 |
FLF | A6217 | GAUZE NON STERILE | A6217 | 13 |
FLF | A6218 | GAUZE, NON STERILE | A6218 | 13 |
FLF | A6219 | GAUZE- STERILE | A6219 | 13 |
FLF | A6454 | SELF ADHER BANDAGE | A6454 | 13 |
FLF | A6455 | SELF ADHER BANDAGE | A6455 | 13 |
FLF | J0282 | INJ AMIODARONE HYDROCHLOR | J0282 | 13 |
FLF | J0595 | STADOL | J0595 | 13 |
FLF | J1642 | HEPARIN SODIUM PER 10 UNI | J1642 | 13 |
FLF | J7607 | LEVALBUTEROL COMP CON | J7607 | 13 |
FLF | J7610 | ALBUTEROL, THRU DME 1MG | J7610 | 13 |
FLF | J7611 | ALBUTEROL 1MG CONC INHALA | J7611 | 13 |
FLF | J7613 | ALBUT INHAL NON-CP 1MG | J7613 | 13 |
FLF | J7620 | ALBUTEROL 2.5 MG ATROVENT | J7620 | 13 |
FLF | A4358 | URINARY DRAINAGE BAG | A4358 | 14 |
FLF | A4322 | IRRIGATION SYRINGE, BULB | A4322 | 15 |
FLF | A9579 | GAD-BASE MR CONTRAST NOS,1ML | A9579 | 15 |
FLF | J2930 | SOLU-MEDROL 125 MG | J2930 | 15 |
FLF | Q4007 | CAST SUPPLIES LONG ARM CA | Q4007 | 15 |
FLF | A6021 | COLLAGEN DRESSING STERIL | A6021 | 17 |
FLF | A6450 | LT COMPRS BANDAGE ELAST | A6450 | 17 |
FLF | CASH | XRAY DISC | CASH | 17 |
FLF | J8499 | NONCHEMOTHERAPEUTIC ORAL | J8499 | 17 |
FLF | A6446 | CONFORMING BANDAGE NON-EL | A6446 | 19 |
FLF | J0295 | INJ AMPCLLN SODIUM/SULBA | J0295 | 20 |
FLF | J7614 | ALBUTEROL ALL FOMULATIONS | J7614 | 20 |
FLF | J7615 | LEVALBTERAL INHALATION SO | J7615 | 20 |
FLF | J8540 | DEXAMETHASONE, ORAL .25MG | J8540 | 20 |
FLF | J1335 | ERTAPENEM INJECTION | J1335 | 21 |
FLF | A6205 | COMPOSITE DRSG LESS THAN 48 SQ IN | A6205 | 22 |
FLF | J0290 | AMPICILLIN 500 MG INJ | J0290 | 22 |
FLF | J0500 | DICYCLOMINE HCL 20MG | J0500 | 22 |
FLF | J0690 | KEFZOL 1 GR VIAL | J0690 | 22 |
FLF | J0708 | J0708 | J0708 | 22 |
FLF | J1094 | DECADRON DEXAMETHASONE ACETATE 1MG | J1094 | 22 |
FLF | J1100 | DECADRON 4 MG VIAL | J1100 | 22 |
FLF | J1200 | BENADRYL 50MG | J1200 | 22 |
FLF | J1817 | INSULIN FOR INSULIN PUMP USE | J1817 | 22 |
FLF | J1885 | TORADOL INJ 15 MG | J1885 | 22 |
FLF | J1940 | LASIX 40 MG IV VIAL | J1940 | 22 |
FLF | J2270 | INJ MORPHINE SULFATE 10 M | J2270 | 22 |
FLF | J2405 | ONDANSETRON HCI, PER MG | J2405 | 22 |
FLF | J2550 | PHENERGAN 50 MG | J2550 | 22 |
FLF | J2690 | PRONESTYL 10 ML | J2690 | 22 |
FLF | J2730 | PRALIDOXINE CHLORIDE | J2730 | 22 |
FLF | J3410 | VISTERIL INJ 50 MG | J3410 | 22 |
FLF | Q9966 | LOCM 200-299MG ML IODINE, 1ML | Q9966 | 22 |
FLF | A4649 | SURGICAL SUPPLY MISC | A4649 | 23 |
FLF | A9150 | NON PERSCRIPTION DRUG | A9150 | 23 |
FLF | J0171 | ADRENALIN EPINEPHRINE INJECT | J0171 | 23 |
FLF | J0760 | COLCHICINE INJECTION | J0760 | 23 |
FLF | Q9963 | HI OSM CONTRST MATL 350-3 | Q9963 | 23 |
FLF | A4270 | DISPOSABLE ENDO CODE SHEATH | A4270 | 24 |
FLF | A4353 | INTERMIT URINARY CATHETER | A4353 | 24 |
FLF | J3130 | TESTOSTERONE ENANTHATE INJ | J3130 | 24 |
FLF | L1830 | KNEE IMMOBOLIZER | L1830 | 24 |
FLF | Q4038 | CAST SUP SHRT LEG FIBERGLASS | Q4038 | 24 |
FLF | A4246 | BETADINE/PHISOHEX SOLUTION | A4246 | 25 |
FLF | A4247 | BETADINE/IODINE SWABS/WIPES | A4247 | 25 |
FLF | J3475 | MAGNESIUM SULFATE 2CC AMP | J3475 | 25 |
FLF | Q9965 | LOW OSMOLAR CON MAT PER M | Q9965 | 25 |
FLF | A4217 | STERILE SALINE WATER PER 500 ML | A4217 | 26 |
FLF | A4218 | STERILE SALINE OR WATER | A4218 | 26 |
FLF | J2150 | MANNITOL INJECTION | J2150 | 26 |
FLF | J7040 | INFUS NORM SALINE 500ML | J7040 | 26 |
FLF | J7042 | 5% DEXTROSE | J7042 | 26 |
FLF | J7050 | INFS NORM SALINE 250CC | J7050 | 26 |
FLF | S5550 | INSULIN RAPID 5 U | S5550 | 26 |
FLF | J2175 | DEMEROL 50 MG SYRINGE | J2175 | 28 |
FLF | J7060 | INFUSION D5W 250ML | J7060 | 28 |
FLF | A6407 | PACK STRIPS NON-IMPREGNTD | A6407 | 29 |
FLF | A4554 | DISPOSABLE UNDERPADS | A4554 | 30 |
FLF | A6412 | OCCLUSIVE EYE PATCH | A6412 | 30 |
FLF | J2310 | INJ NALOXONE HCL 1MG | J2310 | 30 |
FLF | A6211 | FOAM DRG LESS THAN 16 LESS THAN 48 SQ IN WO BORDER | A6211 | 31 |
FLF | J1815 | INJ INSULIN PER 5 UNITS | J1815 | 31 |
FLF | J2001 | LIDOCAINE HCI 10MG | J2001 | 31 |
FLF | J2704 | INJECTION PROPOFOL 10 MG | J2704 | 31 |
FLF | J7644 | IPRATROPIUM BROMIDE INHAL | J7644 | 31 |
FLF | J8498 | ENEMA SUPPOSITORY, ANTIEMETIC RECTAL | J8498 | 31 |
FLF | A4208 | 3 CC STERILE SYRINGE & NEEDLE | A4208 | 32 |
FLF | A9273 | HOT/COLD H2OBOT/CAP/COL/WRAP | A9273 | 32 |
FLF | S0077 | CLANDAMYCIN PHOSPHATE 300 | S0077 | 32 |
FLF | A4364 | DERMABOND- ADHESIVE, LIQUID OR EQUAL PER OZ | A4364 | 33 |
FLF | J1240 | ANTIVERT – DIMENHYDRINATE INJECTION 50MG | J1240 | 33 |
FLF | A6250 | SKIN SEAL PROTECT MOISTURIZER OINTMENT | A6250 | 34 |
FLF | A4209 | 5+ CC STERILE SYRINGE & NEEDLE | A4209 | 35 |
FLF | A4311 | CATHETER W/O BAG 2 WAY LATEX | A4311 | 35 |
FLF | E0220 | HOT WATER BOTTLE | E0220 | 35 |
FLF | J3486 | GEODON – ZIPRASIDONE MESYLATE 10MG | J3486 | 35 |
FLF | A4670 | AUTOMATIC BP MONITOR #11 | A4670 | 36 |
FLF | J3260 | TOBRAMYCIN SULFATE INJECTION | J3260 | 36 |
FLF | J3490 | UNCLASSIFIED DRUGS | J3490 | 36 |
FLF | A7520 | TRACH LARYN TUBE NON CUFFED | A7520 | 37 |
FLF | J1650 | ENOXAPARIN SODIUM 10MG | J1650 | 37 |
FLF | J2780 | INJ RANITIDINE 25 MG | J2780 | 37 |
FLF | Q4020 | LNG ARM SPLNT 0-10 YRS | Q4020 | 39 |
FLF | Q4008 | CAST SUPPLIES LONG ARM | Q4008 | 40 |
FLF | A6457 | TUBULAR DRESSING | A6457 | 41 |
FLF | E04114 | E04114 | E04114 | 41 |
FLF | J1165 | DILANTIN 100 MG VIAL | J1165 | 41 |
FLF | J1170 | DILAUDID 4 MG | J1170 | 41 |
FLF | J1670 | TETANUS INJECTION | J1670 | 41 |
FLF | J2760 | PHENTOLAINE MESYLATE INJ | J2760 | 41 |
FLF | L0172 | CLAVICAL COLLAR 2 PC | L0172 | 41 |
FLF | L1630 | ABDUCT CONTROL HIP SEMI FLEX | L1630 | 41 |
FLF | A4595 | TENS SUPPL 2 LEAD PER MONTH | A4595 | 46 |
FLF | J0692 | INJ CEFEPIME HCI 500MG | J0692 | 46 |
FLF | S0020 | INJ, BUPIVICAINE, 30ML | S0020 | 46 |
FLF | A4614 | HAND HELD PEFR METER | 50 | |
FLF | J0560 | BICILLIN 600,000 | J0560 | 50 |
FLF | J1580 | GARAMYCIN,GENTAMICIN 80MG | J1580 | 50 |
FLF | J2300 | NUBAIN 10MG AMP | J2300 | 50 |
FLF | J0696 | ROCEPHIN 250 MG | J0696 | 52 |
FLF | S8100 | SPACER WITHOUT MASK | S8100 | 52 |
FLF | A4338 | INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATING | A4338 | 53 |
FLF | J7030 | INFUS NORM SALINE 1000CC | J7030 | 53 |
FLF | A4617 | MOUTHPIECE FOR RESPIRATORY OXYGEN EQUIPMENT | A4617 | 55 |
FLF | J0561 | INJECTION PENICILLIN G BENZATHINE 100,000 UNITS | J0561 | 55 |
FLF | Q4010 | SHORT ARM CAST ADULT | Q4010 | 55 |
FLF | A7003 | ADMN SET SM VOL NONFILTER | A7003 | 57 |
FLF | A7015 | NEBULIZER MASK USED W NEBULIZER | A7015 | 57 |
FLF | A7017 | NEBULIZER MASK NOT USED W/ OXYGEN | A7017 | 57 |
FLF | E0114 | CRUTCHES UNDERARM | E0114 | 59 |
FLF | E0116 | CRTCH UNDARM NOT WOOD ADJ | E0116 | 59 |
FLF | J2543 | ZOSYN – PIPERACILLIN/TAZOBACTAM | J2543 | 59 |
FLF | S8101 | MASK NEBULIZER MASK SPACER WITH MASK | S8101 | 59 |
FLF | J0698 | CLAFORAN 1 GR VIAL | J0698 | 63 |
FLF | J0150 | ADENOSINE INJ 6MG VIAL | J0150 | 65 |
FLF | J0550 | BICILLIN – PENICILLIN G BENZATHINE INJ | J0550 | 65 |
FLF | J0559 | BICILLIN – PENICILLIN G BENZATHINE INJ 2500 UNITS | J0559 | 65 |
FLF | J1610 | GLUCOGAN 1 MG VIAL | J1610 | 68 |
FLF | A6231 | GAUZE, 16<SQ IN, EACH | A6231 | 70 |
FLF | J1110 | INJECTION, DIHYDROERGOTAMINE MESYLATE, PER 1 MG | J1110 | 70 |
FLF | S0028 | INJECT FAMOTIDINE 20 MG | S0028 | 70 |
FLF | J7130 | HYPERTONIC SALINE SOLUTION | J7130 | 76 |
FLF | J0456 | INJ AZITHROMYCIN 500MG | J0456 | 81 |
FLF | J2370 | NEO-SYNEPHRINE UP TO 1 ML | J2370 | 81 |
FLF | J1631 | HALOPERIDOL DECANOATE INJ PER 50 MG | J1631 | 83 |
FLF | A4590 | 3 ORTHO GLASS 4 SPECIAL CASTING MATERIAL | A4590 | 84 |
FLF | S8450 | SPLINT | S8450 | 84 |
FLF | J7070 | INFUSION D5W 1000ML | J7070 | 86 |
FLF | J1644 | INJ HEPARIN SOD PER 1000 | J1644 | 87 |
FLF | L3260 | SURGICAL BOOT/SHOE | L3260 | 87 |
FLF | L3908 | WRIST EXTN CONTROL COCKUP | L3908 | 87 |
FLF | Q4012 | CAST SUPPLIES SHORT ARM | Q4012 | 87 |
FLF | S0622 | PHYS EXAM FOR COLLEGE | S0622 | 87 |
FLF | A4316 | CATH W DRAINAGE 3 WAY | A4316 | 90 |
FLF | G0009 | ADM PNEUMOCOCCAL VACCINE | G0009 | 90 |
FLF | J7120 | RINGER’S LACTATE INFUS | J7120 | 90 |
FLF | Q4006 | LONG ARM CAST ADULT | Q4006 | 92 |
FLF | A7002 | SUCTION TUBING USED W PUMP | A7002 | 94 |
FLF | A6210 | FOAM DRSG LESS THAN 16=48 SQ IN W/ BORDER | A6210 | 98 |
FLF | A6260 | WOUND CLEANSER | A6260 | 100 |
FLF | A6261 | WOUND FILLER | A6261 | 100 |
FLF | J2060 | ATIVAN 2ML SYRUP | J2060 | 100 |
FLF | J0570 | BICILLIN 1,200,000 | J0570 | 110 |
FLF | L3670 | SO ACROMIO/CLAVICULAR | L3670 | 113 |
FLF | A5200 | PERCUTANEOUS CATHETER ANCHOR | A5200 | 117 |
FLF | L4360 | WALK BOOT PNEUMATIC | L4360 | 117 |
FLF | Q4042 | LNG ARM SPLNT 11 YRS + | Q4042 | 117 |
FLF | J1956 | LEVOFLOXACIN 250 MG | J1956 | 120 |
FLF | J2360 | ORPHENADRINE CITRATE 60MG | J2360 | 122 |
FLF | A4570 | SPECIAL CASTING MATERIAL | A4570 | 125 |
FLF | L4380 | PNEUMATIC KNEE SPLINT | L4380 | 125 |
FLF | Q4051 | SPLINT SUPPLIES MISC | Q4051 | 125 |
FLF | A4606 | OXYGEN PROBE USED W OXIMETER | A4606 | 127 |
FLF | L1906 | ANKLE SUPPORT | L1906 | 133 |
FLF | Q4009 | CAST SUPPLIES SHORT ARM | Q4009 | 140 |
FLF | J9027 | CLOFARALINE INJECTION | J9027 | 141 |
FLF | A4565 | SLING | A4565 | 146 |
FLF | Q4037 | CAST SUPPLIES SHORT LEG | Q4037 | 146 |
FLF | Q4039 | CAST SUPPLIES SHORT LEG C | Q4039 | 146 |
FLF | G0168 | WND CLS TISSUE ADHESIVE | G0168 | 152 |
FLF | A7016 | DOME/MOUTHPEICE NEB | A7016 | 161 |
FLF | Q0144 | AZITH DIHY ORAL CAP/POWD | Q0144 | 161 |
FLF | L4386 | WALKING BOOT NON PNEUMATIC | L4386 | 168 |
FLF | J0330 | SUCCINYLCHOLINE CHLO 20MG | J0330 | 173 |
FLF | J0360 | HYDRALAZINE HCL INJ UP TO 20MG | J0360 | 173 |
FLF | A4222 | EXT UNFU PMP PER CASS/BAG | A4222 | 176 |
FLF | J0744 | CIPRO 200MG | J0744 | 176 |
FLF | L3999 | UPPER LIMB ORTHOSIS NOS | L3999 | 176 |
FLF | Q4034 | CAST SUP LNG LEG CYLINDER FB | Q4034 | 176 |
FLF | E0352 | DISPOSABLE PACK W/BOWEL SYST (VAG SPECULUM) | E0352 | 177 |
FLF | P9612 | CATHETERIZE FOR URINE | P9612 | 177 |
FLF | S0030 | METRONIDAZOLE 500 MG INJ | S0030 | 188 |
FLF | S0164 | PROTONIX PANTROPRAZOLE 40MG | S0164 | 194 |
FLF | J2790 | RHOGAM INJECTION | J2790 | 199 |
FLF | Q4049 | FINGER SPLNT STATIC | Q4049 | 206 |
FLF | J3370 | VANCOMYCIN HCI INJ 500MG | J3370 | 229 |
FLF | S5010 | STERILE SALINE 5% DEXTROSE AND 0.45% SALINE | S5010 | 232 |
FLF | Q4046 | SHRT LG SPLNT 11 YRS + | Q4046 | 249 |
FLF | L3650 | SO FIGURE EIGHT ABDUCTION | L3650 | 251 |
FLF | A9284 | NON-ELECTRONIC SPIROMETER | A9284 | 254 |
FLF | E0580 | NEBULIZER FOR USE W/ REGULAT | E0580 | 293 |
FLF | L0120 | CERVICAL FLEX NONADJ COLL | L0120 | 320 |
FLF | J3230 | THOROZINE 50 MG | J3230 | 330 |
FLF | A4550 | LACERATION- SURGICAL KIT | A4550 | 409 |
FLF | Q9954 | ORAL MR CONTRAST, 100ML | Q9954 | 416 |
FLF | L4350 | AIR SPLINT | L4350 | 453 |
FLF | E0445 | OXIMETER NON-INVASIVE | E0445 | 578 |
FLF | E0570 | NEBULIZER WITH COMPRESSION | E0570 | 677 |
FLF | Q4022 | SHRT ARM SPLNT 11 YRS + | Q4022 | 805 |
FLF | C9399 | ORBACTIV 1200 MG IV | C9399 | 10153 |
FLF | A0394 | ALS IV DRUG THERAPY SUPPLIES | A0394 | 1 |
FLF | A0396 | ALS ESPOHAGEAL INTUB SUPPLIES | A0396 | 30 |
FLF | 92002 | OPH MEDICAL XM&EVAL INTRM | 92002 | 1 |
FLF | 92081 | VIS FLD XM UNI/BI I&R LMT | 92081 | 1 |
FLF | 92552 | PURE TONE AUDIOMTRY AIR O | 92552 | 1 |
FLF | 94664 | DEMO&/EVAL OF PT UTILIZ | 94664 | 1 |
FLF | J0131 | INJECTION, ACETAMINOPHEN, 10 MG | J0131 | 3 |
FLF | S3000 | BILAT DIL RETINAL EXAM | S3000 | 11 |
FLF | 99000 | SPECIMEN HANDLING | 99000 | 18 |
FLF | 36415 | VENIPUNCTURE | 36415 | 28 |
FLF | 36416 | COLL CAPILLARY BLG SPEC | 36416 | 41 |
FLF | 99001 | COC COLLECITON ONLY | 99001 | 41 |
FLF | 99080 | MEDICAL RECORDS | 99080 | 46 |
FLF | S0630 | RMV SUTURES; PHYS NOT PHY | S0630 | 65 |
FLF | 36410 | VENIPUNCTURE, 3 YRS OR OLDER | 36410 | 68 |
FLF | 94640 | NEBULIZER TREATMENT | 94640 | 69 |
FLF | 99050 | BLUE CROSS RQRD LVL3 | 99050 | 87 |
FLF | 51700 | BLDR IRR SMPL LVG&/INSTLJ | 51700 | 97 |
FLF | 27840 | CLOSED TX ANKLE DISLOCATI | 27840 | 100 |
FLF | 56420 | I & D BARTHOLIN ABSCESS | 56420 | 100 |
FLF | 28430 | CLTX TALUS FX W/O MNPJ | 28430 | 106 |
FLF | 94760 | EAR OR PULSE OXIMETRY | 94760 | 111 |
FLF | 29700 | RMVL/BIVALV GAUNTLET BOOT | 29700 | 127 |
FLF | 43753 | GASTRIC INTUBATION AND ASPIRATION THERAPUETIC, NECESSATING PHYSICIANS SKILL | 43753 | 128 |
FLF | 30901 | NASAL PACKING | 30901 | 131 |
FLF | 36591 | COLLECT BLOOD FROM IMPLAN | 36591 | 146 |
FLF | 99053 | SERVICES PROVIDED BETWEEN 10P AND 8A AT A 24 HOUR FACILITY | 99053 | 146 |
FLF | 94010 | SPIROMETRY W/RECORD | 94010 | 150 |
FLF | 20605 | ARTHROCENTESIS, MED JOINT | 20605 | 154 |
FLF | 94644 | INHALATION TREATMENT – CONTINUOUS 1ST HR | 94644 | 157 |
FLF | 96372 | THERAPEUTIC PROPHYLACTIC/ | 96372 | 165 |
FLF | 99145 | M-SEDAJ BY SM PHY 15 MIN | 99145 | 168 |
FLF | 20552 | TRIGGER POINT INJ 1-2 MUS | 20552 | 176 |
FLF | 29085 | CAST HAND/LOWER FOREARM GAUNTLET | 29085 | 176 |
FLF | 29105 | LONG ARM SPLINT | 29105 | 176 |
FLF | 29125 | SHORT ARM SPLINT | 29125 | 176 |
FLF | 29126 | SHORT ARM SPLINT DYNAMIC | 29126 | 176 |
FLF | 29130 | APPLICATION FINGER SPLINT | 29130 | 176 |
FLF | 29505 | LONG LEG SPLINT | 29505 | 176 |
FLF | 29515 | SHORT LEG SPLINT | 29515 | 176 |
FLF | 29550 | STRAPPING TOES | 29550 | 176 |
FLF | 69210 | RMVL IMPACTED CERUMEN | 69210 | 196 |
FLF | 31525 | LARGSC +-TRACHEOSCOPY DX | 31525 | 198 |
FLF | 10120 | I & RMVL SUB-CUT SIMPLE | 10120 | 200 |
FLF | 96375 | THER PROPH/DX NJX EA SEQL | 96375 | 202 |
FLF | 11040 | DBRDMT, SKIN, PARTIAL THICK | 11040 | 205 |
FLF | 90765 | IV NFS THER PROPH/DX 1ST | 90765 | 210 |
FLF | 96379 | INJECTION- UNLISTED THERAPEUTIC PROPH/DX/IVA NJX/NFS | 96379 | 213 |
FLF | 29540 | STRAPPING ANKLE/FOOT | 29540 | 220 |
FLF | 29580 | STRAPPING UNNA BOOT | 29580 | 220 |
FLF | 96376 | SUB INFU EA ADD IV PUSH | 96376 | 221 |
FLF | 96373 | INJECTION, INTRA-ARTERIAL | 96373 | 228 |
FLF | 51701 | INSR NONDWELLING BLDR CAT | 51701 | 231 |
FLF | 96366 | IV INFUS THER PROPH/DX EA | 96366 | 232 |
FLF | 96361 | IV INFUS HYDR EA ADD’T HR | 96361 | 233 |
FLF | 94761 | N-INVAS EAR/PLS OXIMTRY F | 94761 | 238 |
FLF | 29280 | STRAPPING HAND/FINGER | 29280 | 239 |
FLF | 36000 | INTRODUCTION OF NEEDLE/IN | 36000 | 244 |
FLF | 65205 | REMOVAL FB EYE-SUPERFCL | 65205 | 244 |
FLF | 96360 | IV INFUS INIT 31 MIN 1 HR | 96360 | 251 |
FLF | 56405 | INC/DRAIN VULVA/PERINEAL | 56405 | 259 |
FLF | 29240 | STRPG SHO | 29240 | 260 |
FLF | 11011 | DBRDMT W RMVL FM FX & DISLC SKN SUBQ T/M/F/ MUSC | 11011 | 263 |
FLF | 96367 | IV NFS THER PROPH/DX ADDL | 96367 | 263 |
FLF | 96368 | IV NFS TX PROPHYLAXIS/DX | 96368 | 263 |
FLF | 16020 | BURN, DRESSING/DBRDMNT-SM | 16020 | 270 |
FLF | 16000 | BURN, INITIAL TREATMENT | 16000 | 274 |
FLF | 11730 | AVULSION/1-NAIL PLATE | 11730 | 290 |
FLF | 99173 | SCREENING TEST OF VISION | 99173 | 293 |
FLF | 11200 | RMVL SKIN TAGS | 11200 | 294 |
FLF | 11771 | EXCISION PILONIDAL CYST SINUS EXTENSIVE | 11771 | 297 |
FLF | 26010 | I & D FINGER ABSCESS,SIMP | 26010 | 298 |
FLF | 96374 | THER PROPH/DX NJX IV PUSH | 96374 | 300 |
FLF | 11740 | EVAC SUBUNGUAL HEMATOMA | 11740 | 303 |
FLF | 38300 | DRAINAGE LYMPH NODE ABSC/LYMPHADENITIS SMPL | 38300 | 303 |
FLF | 12035 | REPAIR INTERM S/A/T/E 12. | 12035 | 318 |
FLF | 12020 | TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE | 12020 | 320 |
FLF | 10160 | PUNCTURE ASP OF ABSCESS | 10160 | 328 |
FLF | 69209 | REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL | 69209 | 340 |
FLF | 11765 | WEDGE EXC SKIN/NAIL BED | 11765 | 341 |
FLF | 27372 | REMOVAL FOREIGN BODY DEEP THIGH/KNEE | 27372 | 350 |
FLF | 20610 | ARTHROCENTESIS, LG JOINT | 20610 | 361 |
FLF | 51702 | INSERTION BLADDER CATH | 51702 | 361 |
FLF | 69005 | DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED | 69005 | 363 |
FLF | 96365 | IV INFUSION THERAPY/PROPH | 96365 | 363 |
FLF | 99149 | MOD SEDATION | 99149 | 363 |
FLF | 24500 | CLTX HUMRL SHFT FX W/O MN | 24500 | 378 |
FLF | 25530 | CLSD TX ULNAR SHFT FX NO | 25530 | 378 |
FLF | 25560 | CLTX RDL&UR SHFT FXS W/O | 25560 | 378 |
FLF | 65220 | RMVL FB EYE W/O SLIT LAMP | 65220 | 380 |
FLF | 23600 | CLTX PROX HUMRL FX WO MAN | 23600 | 381 |
FLF | 24576 | CLTX HUMRL CNDLYR FX MEDI | 24576 | 381 |
FLF | 26700 | CLS TX MCP DISLOCATION | 26700 | 381 |
FLF | 27508 | CLTX FEM FX DSTAL END MED | 27508 | 381 |
FLF | 27560 | CLTX PATELLAR DISLC W/O A | 27560 | 381 |
FLF | 69200 | RMVL FOREIGN BODY EAR | 69200 | 381 |
FLF | 94060 | BRNCDILAT RSPSE SPMTRY PR | 94060 | 385 |
FLF | 69205 | RMVL FB XTRNL AUD CANAL A | 69205 | 409 |
FLF | 90997 | HEMOPERFUSION | 90997 | 409 |
FLF | 12001 | LACERATION REPAIR | 12001 | 425 |
FLF | 21800 | CLTX RIB FX UNCOMP EA | 21800 | 425 |
FLF | 12002 | REPAIR LAC SCALP 2.6-7.5 | 12002 | 430 |
FLF | 99144 | MOD SEDATION SERV UNDER 5 | 99144 | 433 |
FLF | 99143 | MOD SEDATION <5YRS 30 | 99143 | 439 |
FLF | 30903 | CTRL NSL HEMRRG ANT CPLX | 30903 | 443 |
FLF | 10061 | INS/DRAIN ABSCESS COMPL | 10061 | 444 |
FLF | 65222 | RMVL FB EYE | 65222 | 449 |
FLF | 21480 | CLDS TX TEMP DISLOCATION | 21480 | 452 |
FLF | 93931 | DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STD | 93931 | 466 |
FLF | 41800 | DRNG ABSC DENTOALVEOLAR S | 41800 | 480 |
FLF | 46083 | INCISION THROM HEMORRHOID | 46083 | 491 |
FLF | 76942 | ULTRASONIC GUIDANCE FOR NEEDLE PLCMNT, IMGNG SUPERVSN AND INTERP | 76942 | 495 |
FLF | 12004 | REPAIR LAC SCALP 7.6-12.5 | 12004 | 496 |
FLF | 30300 | RMVL FOREIGN BODY NASAL | 30300 | 496 |
FLF | 21310 | CLTX NSL B1 FX W/O MNPJ | 21310 | 498 |
FLF | 12031 | LYR CLSR S/A/T/E 2.5CM | 12031 | 504 |
FLF | 27530 | CLTX TIBL FX PROX W/O MNPJ | 27530 | 507 |
FLF | 27808 | CLOSED TX BIMALLEOLAR ANK | 27808 | 507 |
FLF | 24640 | RADIAL HEAD SUBLUX. CHILD | 24640 | 519 |
FLF | 28510 | CLSD TX FX PLALANX/PHALAN | 28510 | 523 |
FLF | 12041 | LAYER CLSR NECK/HAND 2.6 | 12041 | 524 |
FLF | 12013 | REPAIR LAC FACE 2.6-5.0CM | 12013 | 526 |
FLF | 11760 | REPAIR NAIL BED | 11760 | 531 |
FLF | 13122 | CMPLX RPR ADD 5 CM OR LES | 13122 | 531 |
FLF | 62270 | SPINAL PUNCTURE,LUMBAR | 62270 | 554 |
FLF | 64450 | INJ ANESTHETIC AGENT | 64450 | 559 |
FLF | 26770 | TREAT FINGER DISLOC FINGE | 26770 | 560 |
FLF | 51703 | INSERT BLADDER CATH COMPL | 51703 | 569 |
FLF | 31500 | INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE | 31500 | 571 |
FLF | 10121 | I & RMVL FB, SUB-CUT,COMP | 10121 | 583 |
FLF | 10081 | I&D PILONIDAL CST COMP | 10081 | 590 |
FLF | 12051 | LAYER CLSR OF WND NCK/HND | 12051 | 594 |
FLF | 28490 | CLTX FX GRT TOE W/O MNLJ | 28490 | 594 |
FLF | 91105 | GASTRIC INTUBATION/ASPER | 91105 | 596 |
FLF | 59025 | FTL NON-STRS TST | 59025 | 600 |
FLF | 46320 | ENULEATION EXCC OF EXT HE | 46320 | 612 |
FLF | 26750 | CLS TX FX FINGER/THUMB | 26750 | 618 |
FLF | 11750 | EXC NAIL PART/COMP | 11750 | 619 |
FLF | 28515 | FX CARE PHALANX NOT GREAT | 28515 | 622 |
FLF | 28660 | CLSD TX PIP JNT DISLOCATI | 28660 | 622 |
FLF | 26720 | CLSD TX PHALANGEAL SHFTFX | 26720 | 628 |
FLF | 27220 | CLTX ACETABULUM HIP/SOCKT FX W/O MNP | 27220 | 635 |
FLF | 28450 | TX TARSAL B1 FX XCP TALUS | 28450 | 635 |
FLF | 20600 | ARTHROCENTESIS, SML JOINT | 20600 | 640 |
FLF | 64402 | INJ ANESTHETIC FACIAL NRV | 64402 | 640 |
FLF | 24600 | CLSD TX ELBOW DISLOCAT | 24600 | 650 |
FLF | 25500 | CLTX RDL SHFT FX WO MANP | 25500 | 650 |
FLF | 25622 | CLSD TX NAVICULAR FX WO M | 25622 | 650 |
FLF | 28400 | CLSD TX CLAVICLE FX WO MA | 28400 | 650 |
FLF | 15850 | SUTURE RMVL W/ANESTHESIA | 15850 | 653 |
FLF | 12005 | REPAIR LAC,SCALP 12.6-20C | 12005 | 658 |
FLF | 13153 | REPAIR COMPLEX EYELID/NOSE/EAR/LIP EA 5 CM< | 13153 | 669 |
FLF | 31515 | LARYNGOSCOPY +- TRACHEOSCOPY ASPIRATION | 31515 | 670 |
FLF | 12034 | INTERM RPR SCLP/TRNK/EXTR | 12034 | 707 |
FLF | 12052 | LYR CLSR WOUND 2.6-5.0FAC | 12052 | 708 |
FLF | 25535 | CLOSED TREATMENT OF ULNAR SHAFT FRACTURE, WITH MANIPULATION | 25535 | 715 |
FLF | 12014 | REPAIR LAC FACE 5.1-7.5CM | 12014 | 729 |
FLF | 28190 | RMVL FB BODY FOOT SUBQ | 28190 | 745 |
FLF | 10060 | INCISION/DRAINAGE ABSCESS | 10060 | 759 |
FLF | 12011 | REPAIR LAC FACE LESS THAN 2.5 CM | 12011 | 759 |
FLF | 12045 | REPAIR INTERMEDIATE N/H/F/XTRNAL GEN 12.6 -20 CM | 12045 | 760 |
FLF | 12032 | REPAIR-INT SCALP 2.6-7.5 | 12032 | 761 |
FLF | 12036 | REPAIR INTERM S/A/T/E 20.1-30.0 CM | 12036 | 762 |
FLF | 12044 | LYR CLSR N/H/F/ETRNL GENT | 12044 | 762 |
FLF | 67700 | I&D ABSCESS EYELID | 67700 | 773 |
FLF | 26755 | CLTX DSTL PHLNGL FX FNGR/ | 26755 | 792 |
FLF | 23500 | CLTX CLAVICULAR FX WO MNP | 23500 | 814 |
FLF | 11404 | EXC BGN LSN TRUNK 3.1-4.0 | 11404 | 833 |
FLF | 23570 | CLSD TX SCAPULAR FX WO MA | 23570 | 839 |
FLF | 28470 | CLTX METAR FX WO MNP | 28470 | 840 |
FLF | 42700 | I&D ABSC PRITONSILLAR | 42700 | 857 |
FLF | 12054 | REPAIR INTERMEDIATE F/E/E/N/L/M&MUC 7.6-12.5CM | 12054 | 865 |
FLF | 93926 | DOPPLER-DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STD | 93926 | 878 |
FLF | 12042 | REPAIR LAC HAND/FOOT 2.6- | 12042 | 883 |
FLF | 31502 | TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT | 31502 | 891 |
FLF | 93880 | DUP-SCAN XTRC ART COMPL B | 93880 | 903 |
FLF | 93882 | DUP-SCAN XTRC ART UNI/LMTD STD | 93882 | 903 |
FLF | 26600 | CLSD TX METACARPAL FX | 26600 | 909 |
FLF | 23650 | SHOULDER DISLOCATION TRMT | 23650 | 934 |
FLF | 24670 | CLTX ULNR FX PROX END WO | 24670 | 942 |
FLF | 12053 | LYR CLSR F/E/E/N/L/M&/MUC | 12053 | 957 |
FLF | 24650 | CLTX RDL HEAD FX WO MANP | 24650 | 959 |
FLF | 33415 | RESCJ/INC SUBVALVULAR TISSUE | 33415 | 980 |
FLF | 27786 | CLSD TX DISTAL FIBULAR FX | 27786 | 993 |
FLF | 26725 | CLTX PHLNGL FX PROX/MIDDL | 26725 | 1027 |
FLF | 94621 | PULM STRS TSTG CPLX | 94621 | 1029 |
FLF | 25600 | CLSD TX DISTAL RAD FX WO | 25600 | 1045 |
FLF | 26605 | CLSD TX MEDICARPAL FX | 26605 | 1053 |
FLF | 13151 | CMPX RPR EYE NOSE 1.1-2.5 | 13151 | 1055 |
FLF | 27780 | CLTX PROX FIVULA/SHFT FX | 27780 | 1055 |
FLF | 25635 | CLTTX CARPL B1 FX W/MNPJ EA B1 | 25635 | 1085 |
FLF | 92960 | CARDIOVERSION ELECTIVE ARRHYT XTRNL | 92960 | 1089 |
FLF | 25650 | CLTX UR SYLOID FX | 25650 | 1097 |
FLF | 11042 | DBRD SKN SUBQ TISSUE | 11042 | 1098 |
FLF | 46050 | INC/DRAIN PERIANAL ABS SU | 46050 | 1111 |
FLF | 27760 | CLTX MEDIAL MALLS FX W/O | 27760 | 1153 |
FLF | 23620 | CLOSED TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE; W/O MANIPULATION | 23620 | 1155 |
FLF | 27520 | CLTX PATELLAR FX W/O MNPJ | 27520 | 1205 |
FLF | 64640 | DSTRJ NULYT OTH PRPH NVR/BRANCH | 64640 | 1220 |
FLF | 13121 | RPR CMPX SCALP ARM2.6-7.5 | 13121 | 1236 |
FLF | 32551 | TUBE THORACOSTOMY INCLUDES WATER SEAL | 32551 | 1342 |
FLF | 27550 | CLOSED TX KNEE DISLOCATION W/O ANESTHESIA | 27550 | 1366 |
FLF | 28192 | RMVL FB FOOT DEEP | 28192 | 1373 |
FLF | 24530 | CLTX SPRCNDYLR/TRANSCNDYL | 24530 | 1392 |
FLF | 13132 | RPR CMPX FOREHEAD/CHECK/C | 13132 | 1462 |
FLF | 26607 | CLTX MTCRPL FX W/MNP W/XT | 26607 | 1670 |
FLF | 27810 | CLTX BIMAL ANKLE FX W/POT | 27810 | 1704 |
FLF | 93965 | QUANT VENOUS FLOW ST | 93965 | 1806 |
FLF | 13152 | RPR CPLX E/N/E/L 2.6-7.5 | 13152 | 1830 |
FLF | 46040 | I&D ISCHIOR/PRIRC ABSC SP | 46040 | 1957 |
FLF | 27752 | CLTX TIBL SFT FX W/MANP | 27752 | 1968 |
FLF | 25605 | CLSD TX DISTAL RAD FX | 25605 | 1992 |
FLF | 36558 | INSERT TUNNELED CV CATH – INSJ TUN CTR CVC W/O SUBQ POR | 36558 | 2156 |
FLF | 25505 | CLSD TX RAD SHAFT W/MANIP | 25505 | 2213 |
FLF | 40650 | RPR LIP FULL THICKNESS | 40650 | 2990 |
FLF | 59409 | VAG DLVR ONLY | 59409 | 3960 |
FLF | 76815 | ULTRASND PG UTER | 76815 | 356 |
FLF | 76857 | PEL NONOB B-SCAN&/R-T IMG LMTD/F-UP+C97 | 76857 | 438 |
FLF | 76882 | ULTRASOUND, EXTREMITY, NON VASCULAR | 76882 | 441 |
FLF | 93976 | DUPLEX SCAN- LIMITED | 93976 | 466 |
FLF | 93975 | DUPLEX SCAN OF ARTERIAL INFLOW AND VENOUS OUTFLOW OF ABD, PELVIC, SCROTAL | 93975 | 514 |
FLF | 76817 | UT PG UTER R-T IMG TRVG | 76817 | 602 |
FLF | 93971 | DPLX SCN EXTRM VEINS | 93971 | 645 |
FLF | 76645 | US BREAST R-T W/IMAGE DOCUMENTATION | 76645 | 719 |
FLF | 76830 | TRANSVAGINAL ULTRASOUND | 76830 | 723 |
FLF | 76801 | ULTRASOUND 14 WK TABDL 1/1ST GESTATION | 76801 | 726 |
FLF | 76775 | US RPR B-SCAN&/R-T IMG LMTD | 76775 | 750 |
FLF | 76870 | US SCROTUM&CNTS | 76870 | 762 |
FLF | 76805 | US PG UTER F&MAT AFTER 1S | 76805 | 793 |
FLF | 76770 | US RETROPERITONEAL R-T W/ | 76770 | 834 |
FLF | 76856 | US PELVIC NONOB REAL-TIME | 76856 | 839 |
FLF | 76880 | US EXTREMITY | 76880 | 913 |
FLF | 76536 | ULTRASOUND, SOFT TISSUES OF HEAD AND NECK | 76536 | 998 |
FLF | 76705 | US ABDOMINAL | 76705 | 1027 |
FLF | 76700 | US ABDOMINAL R-T W/IMAGE | 76700 | 1156 |
FLF | 93970 | DUP-SCAN XTR VEINS COMPL | 93970 | 1250 |
FLF | J3430 | INJECTION, (PHYTONADIONE) VITAMIN K, PER 1 MG | J3430 | 12 |
FLF | J3105 | INJECTION, TREBUTALINE SULFATE, UP TO 1 MG | J3105 | 35 |
FLF | 90660 | INFLUENZA VIRUS INTRANASA | 90660 | 70 |
FLF | 90746 | HEPATITIS B VACCINE/ADULT | 90746 | 79 |
FLF | 90715 | TDAP VACCINE | 90715 | 116 |
FLF | 90703 | TETANUS TOXID | 90703 | 152 |
FLF | 90714 | TETANUS DIPHTHERIA TOXOID | 90714 | 152 |
FLF | 90718 | TETANUS & DIPTHERIA | 90718 | 152 |
FLF | 90675 | RABIES VAC IM | 90675 | 475 |
FLF | 71048 | XRAY ABDOMEN 1 VIEW | 71048 | 97 |
FLF | 74018 | XRAY ABDOMEN 1 VIEW | 74018 | 97 |
FLF | 73552 | FEMUR; MIN 2 VIEWS | 73552 | 102 |
FLF | 74019 | XRAY ABDOMEN, 2 VIEWS | 74019 | 118 |
FLF | 74021 | XRAY ABDOMEN, 3 OR MORE VIEWS | 74021 | 138 |
FLF | 71110 | RIBS BILATERAL 3 VIEWS | 71110 | 144 |
FLF | 70120 | RADEX MASTOIDS LESS THAN 3 VIEWS PR SIDE | 71020 | 157 |
FLF | 73090 | XRAY FOREARM AP & LAT | 73090 | 176 |
FLF | 71045 | CHEST X RAY 1 VIEW | 71045 | 205 |
FLF | 73020 | RADEX SHO 1 VIEW | 73020 | 231 |
FLF | 73660 | XRAY TOES, MIN 2 VIEWS | 73660 | 233 |
FLF | 70160 | NASAL BONE X-RAY | 70160 | 234 |
FLF | 73070 | XRAY ELBOW 2 VIEWS | 73070 | 234 |
FLF | 73600 | XRAY ANKLE 2 VIEWS | 73600 | 234 |
FLF | 71120 | CHEST 2 VIEWS | 71120 | 255 |
FLF | 70350 | CEPHALOGRAM ORTHODONTIC | 70350 | 257 |
FLF | 73562 | XRAY KNEE MIN 3 VIEWS | 73562 | 261 |
FLF | 70030 | RADEX EYE DETCJ FB | 70030 | 263 |
FLF | 71111 | RIBS BILATERAL W/CHEST | 71111 | 263 |
FLF | 71100 | RIBS UNILATERAL 2 VIEWS | 71100 | 264 |
FLF | 72070 | SPINE THORACIC 2 VIEWS | 72070 | 271 |
FLF | 73000 | XRAY CLAVICLE 2 VIEWS | 73000 | 278 |
FLF | 72220 | XRAY COCCYX/SACRUM | 72220 | 284 |
FLF | 71010 | XRAY CHEST AP | 71010 | 299 |
FLF | 73550 | XRAY FEMUR AP & LAT VIEW | 73550 | 311 |
FLF | 73560 | XRAY KNEE, SUNRISE VIEW | 73560 | 312 |
FLF | 72020 | SPINE SINGLE VIEW | 72020 | 314 |
FLF | 73650 | RAD EXAN HEEL MIN 2 VIEWS | 73650 | 320 |
FLF | 73120 | XRAY HAND AP & LAT | 73120 | 322 |
FLF | 73080 | XRAY ELBOW GREATER THAN 3 VIEWS-COMP | 73080 | 338 |
FLF | 70100 | XRAY MANDIBLE LESS THAN 4 VIEWS | 70100 | 351 |
FLF | 70110 | XRAY MANDIBLE MIN 4 VIEWS | 70110 | 351 |
FLF | 70328 | RADEX TMPRMAND JT OPN&CLSD MOUTH UNI | 70328 | 351 |
FLF | 73010 | SCAPULA COMPLETE | 73010 | 354 |
FLF | 73140 | XRAY FINGER MIN 2 VIEWS | 73140 | 355 |
FLF | 73060 | XRAY HUMERUS MIN 2 VIEWS | 73060 | 367 |
FLF | 73110 | XRAY WRIST/COMP MIN 3 VIE | 73110 | 367 |
FLF | 73050 | XRAY AC JOINTS-BILAT | 73050 | 372 |
FLF | 72069 | RADEX SPI THORACOLMBR STANDING SCOLIOSIS | 72069 | 374 |
FLF | 70140 | XRAY FACIAL BONES LESS THAN 3 VIEW | 70140 | 377 |
FLF | 70250 | SKULL LESS THAN 4 VIEWS | 70250 | 378 |
FLF | 73100 | XRAY WRIST AP & LAT VIEW | 73100 | 378 |
FLF | 72170 | RAD EXAM PELVIS 1/2 VEIW | 72170 | 380 |
FLF | 73500 | RADIOLOGIC EXAM HIP UNILAT 1 VIEW | 73500 | 380 |
FLF | 73590 | XRAY TIBIA/FIBULA AP/LAT | 73590 | 381 |
FLF | 73620 | XRAY FOOT MIN 2 VIEWS | 73620 | 382 |
FLF | 71046 | CHEST XRAY 2 VIEWS | 71046 | 387 |
FLF | 73030 | SHOULDR COMPLETE 2 VIEWS | 73030 | 389 |
FLF | 73564 | RAD EXAM KNEE 4 OR MORE | 73564 | 393 |
FLF | 72040 | SPINE, CERVICAL 2/3 VIEWS | 72040 | 411 |
FLF | 73130 | XRAY HAND MIN 3 VIEWS | 73130 | 416 |
FLF | 73501 | RADIOLOGIC EXAM, HIP UNIL W/PELVIS 1 VIEW | 73501 | 425 |
FLF | 74010 | RADEX ABD ANTEROPOST&ADDL OBLQ&CONE VIEWS | 74010 | 426 |
FLF | 72190 | RADEX PELVIS COMPL MIN 3 | 72190 | 433 |
FLF | 74020 | RAD EXAM ABDOMEN COMPL | 74020 | 454 |
FLF | 71020 | XRAY CHEST PA & LATERAL | 71020 | 464 |
FLF | 72114 | RAD EXAM SPINE LUMBO COMP | 72114 | 466 |
FLF | 70200 | RAD EXAM ORBIT COMP. | 70200 | 468 |
FLF | 73510 | XRAY HIP MIN 2 VIEWS | 73510 | 476 |
FLF | 71101 | RIB UNILATERAL W CHEST | 71101 | 484 |
FLF | 73610 | XRAY ANKLE 3 VIEWS/COMPLE | 73610 | 485 |
FLF | 72050 | SPINE, CERVICAL MIN 4VIEW | 72050 | 491 |
FLF | 70220 | RAD EXAM SINUS COMPLETE | 70220 | 493 |
FLF | 70150 | XRAY FACIAL BONES GREATER THAN 3 VIEW | 70150 | 499 |
FLF | 70260 | RAD EXAM SKULL COMPLETE | 70260 | 501 |
FLF | 73520 | HIPS BILAT MIN 2 VIEW INC | 73520 | 507 |
FLF | 71030 | RADEX CH COMPL MIN 4 VIEW | 71030 | 524 |
FLF | 72074 | RAD EXAN SPINE THROAC 4 V | 72074 | 535 |
FLF | 71060 | BRONCHOGRAPHY BI RS&I | 71060 | 537 |
FLF | 73630 | XRAY FOOT MIN 3 VIEWS | 73630 | 537 |
FLF | 72072 | SPINE THORACIC 3 VIEWS | 72072 | 554 |
FLF | 72120 | SPINE LUMBAR AP & LAT W F | 72120 | 554 |
FLF | 74022 | RAD EXAM COMPLETE ABD | 74022 | 570 |
FLF | 72100 | SPINE LUMBO. MIN 4 VIEWS | 72100 | 583 |
FLF | 70360 | RAD EXAM NECK,SOFT TISSUE | 70360 | 682 |
FLF | 73502 | RADIOLOGIC EXAMINATION, HIP, UNILATERAL, WITH PELVIS WHEN PERFORMED;2-3 VIEWS | 701 | |
FLF | 74000 | RAD EXAM ABD SINGL ANTER | 74000 | 759 |
FLF | 72110 | LUMBAR X-RAY 4 VIEWS RADEX SPI LUMBOSAC MINIMUM 4 VIEWS | 72110 | 793 |
FLF | 72052 | SPINE CERV. COMP FLEX/EXT | 72052 | 840 |
FLF | 78320 | B1&/JT IMG TOMOG SPECT | 78320 | 923 |
FLF | 74241 | RADEX GI TRC UPR +-DLYD FLMS W/KUB | 74241 | 998 |
FLF | 74247 | RADEX GI UPR C+ +-GLUC +-DYLD FLMS W/KUB | 74247 | 1010 |
FLF | S8037 | MRCP MAGNETIC RESONANCE CHOLANGIOPANCREATOGRAPHY | S8037 | 1284 |
FLF | 78306 | B1&/JT IMG WHBDY | 78306 | 1440 |
FLF | 78315 | B1&/JT IMG 3 PHASE STD | 78315 | 1440 |
FLF | 78472 | CARD BPI GTD=BRM PLNR 1 STD REST/STRS | 78472 | 2039 |
FLF | 78223 | HIDA SCAN-HEPATBL DUX SYS IMG GLBLDR | 78223 | 2509 |
FLF | 78075 | ADRNL IMG CORTEX&/MEDULLA | 78075 | 3618 |