|
Exploratory heart surgery 33315
|
$2,905.68 |
$2,905.68 |
$2,905.68 |
$4,671.20
|
|
Explore chest vessels 35820
|
$3,052.59 |
$3,052.59 |
$3,052.59 |
$4,912.80
|
|
Explore limb vessels 35860
|
$1,274.02 |
$1,274.02 |
$1,274.02 |
$3,965.00
|
|
Explore neck vessels 35800
|
$1,133.04 |
$1,133.04 |
$1,133.04 |
$2,115.00
|
|
Explore penetrating wnd/extremity 20103
|
$1,050.68 |
$1,050.68 |
$1,050.68 |
$1,917.33
|
|
Explore/repair chest 32110
|
$2,245.30 |
$2,245.30 |
$2,245.30 |
$3,668.70
|
|
Explore scrotum
|
$555.76 |
$555.76 |
$555.76 |
$3,817.53
|
|
Explore small intestine 44020
|
$1,413.51 |
$1,413.51 |
$1,413.51 |
$2,388.80
|
|
Explore/treat ankle joint
|
$647.03 |
$647.03 |
$647.03 |
$3,839.54
|
|
Explore/treat finger joint
|
$626.25 |
$626.25 |
$626.25 |
$2,615.25
|
|
Explore/treat knee joint
|
$691.55 |
$691.55 |
$691.55 |
$3,839.54
|
|
Explore wound abdomen 20102
|
$2,972.46 |
$2,972.46 |
$2,972.46 |
$2,837.09
|
|
Explore woundchest 20101
|
$2,972.46 |
$2,972.46 |
$2,972.46 |
$2,179.44
|
|
Explore wound neck 20100
|
$925.28 |
$925.28 |
$925.28 |
$1,185.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$632.93 |
$632.93 |
$632.93 |
$2,559.50
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$626.99 |
$626.99 |
$626.99 |
$1,851.20
|
|
Expose art endoprosth iliac 34820
|
$520.15 |
$520.15 |
$520.15 |
$1,820.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$384.36 |
$384.36 |
$384.36 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$506.79 |
$506.79 |
$506.79 |
$2,271.01
|
|
Extended visual field xm
|
$96.46 |
$96.46 |
$96.46 |
$162.75
|
|
External cannula declotting
|
$366.55 |
$366.55 |
$366.55 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$509.76 |
$509.76 |
$509.76 |
$389.35
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$924.54 |
$924.54 |
$924.54 |
$458.73
|
|
Extnd color vision xm
|
$82.37 |
$82.37 |
$82.37 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$192.92 |
$192.92 |
$192.92 |
$102.78
|
|
Factor ix
|
$290.13 |
$290.13 |
$290.13 |
$131.30
|
|
Factor ix complex
|
$4,250.92 |
$4,250.92 |
$4,250.92 |
$4.68
|
|
Factor ix idelvion inj
|
$58,943.00 |
$58,943.00 |
$58,943.00 |
$5.34
|
|
Factor ix non-recombinant
|
$2,883.42 |
$2,883.42 |
$2,883.42 |
$1.89
|
|
Factor viii
|
$69.26 |
$69.26 |
$69.26 |
$144.30
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$10,830.98 |
$10,830.98 |
$10,830.98 |
$5,923.42
|
|
Fat/lipids feces qualitative
|
$109.82 |
$109.82 |
$109.82 |
$34.56
|
|
Fatty acids nonesterified
|
$148.40 |
$148.40 |
$148.40 |
$57.60
|
|
#fecal-sodium
|
$34.88 |
$34.88 |
$34.88 |
$37.50
|
|
Femoral endovas graft add-on 34813
|
$364.33 |
$364.33 |
$364.33 |
$1,304.00
|
|
Fem/popl revasc w/stent
|
$22,134.61 |
$22,134.61 |
$22,134.61 |
$18,599.10
|
|
Feno poc
|
$58.62 |
$58.62 |
$58.62 |
$80.25
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$45.27 |
$45.27 |
$45.27 |
$118.20
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4,152.24 |
$4,152.24 |
$4,152.24 |
$2,131.58
|
|
Ferritin
|
$201.09 |
$201.09 |
$201.09 |
$103.68
|
|
Fetal contract stress test 59020 - 26
|
$332.42 |
$332.42 |
$332.42 |
$540.54
|
|
Fetal fibronectin
|
$561.70 |
$561.70 |
$561.70 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$146.18 |
$146.18 |
$146.18 |
$88.80
|
|
Fetal hemoglobin rosette
|
$61.59 |
$61.59 |
$61.59 |
$76.70
|
|
Fetal non stress test
|
$468.21 |
$468.21 |
$468.21 |
$507.90
|
|
Fibrin degradation products
|
$43.04 |
$43.04 |
$43.04 |
$62.40
|
|
Fibrinogen activity
|
$171.41 |
$171.41 |
$171.41 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$236.70 |
$236.70 |
$236.70 |
$66.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$204.05 |
$204.05 |
$204.05 |
$59.89
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$462.27 |
$462.27 |
$462.27 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$249.32 |
$249.32 |
$249.32 |
$624.65
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$77.17 |
$77.17 |
$77.17 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$508.27 |
$508.27 |
$508.27 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$152.86 |
$152.86 |
$152.86 |
$547.53
|
|
Fixation of knee joint
|
$238.93 |
$238.93 |
$238.93 |
$1,963.35
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,045.48 |
$1,045.48 |
$1,045.48 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$637.38 |
$637.38 |
$637.38 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,909.91 |
$1,909.91 |
$1,909.91 |
$1,284.13
|
|
Flow cytometry interp 16 or more
|
$314.61 |
$314.61 |
$314.61 |
$208.80
|
|
Flow cytometry marker each additional
|
$527.40 |
$527.40 |
$527.40 |
$103.00
|
|
Flow cytometry one marker technical component
|
$299.03 |
$299.03 |
$299.03 |
$270.75
|
|
#flow interp 9 - 15 markers
|
$285.67 |
$285.67 |
$285.67 |
$194.04
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$48.98 |
$48.98 |
$48.98 |
$74.00
|
|
Fluidotherapy charges pt
|
$125.40 |
$125.40 |
$125.40 |
$95.00
|
|
Fluid pressure muscle 20950
|
$135.05 |
$135.05 |
$135.05 |
$779.45
|
|
Fluorescent antibody titer dna
|
$742.00 |
$742.00 |
$742.00 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$44.52 |
$44.52 |
$44.52 |
$507.00
|
|
Fluoroguide needle placement
|
$705.65 |
$705.65 |
$705.65 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$643.32 |
$643.32 |
$643.32 |
$494.52
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$221.86 |
$221.86 |
$221.86 |
$79.52
|
|
Folic acid
|
$206.28 |
$206.28 |
$206.28 |
$90.60
|
|
Follow-up angiography
|
$4,704.28 |
$4,704.28 |
$4,704.28 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,279.43 |
$2,279.43 |
$2,279.43 |
$2,581.14
|
|
Fondaparinux sodium
|
$86.08 |
$86.08 |
$86.08 |
$176.54
|
|
Foot X-ray
|
$1,031.38 |
$1,031.38 |
$1,031.38 |
$362.40
|
|
Forensic cytopathology
|
$388.81 |
$388.81 |
$388.81 |
$63.23
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$566.89 |
$566.89 |
$566.89 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$189.21 |
$189.21 |
$189.21 |
$425.16
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$100.17 |
$100.17 |
$100.17 |
$86.40
|
|
_fragile x methylation-sendout
|
$1,110.04 |
$1,110.04 |
$1,110.04 |
$174.00
|
|
Fragmenting of kidney stone
|
$878.53 |
$878.53 |
$878.53 |
$9,827.25
|
|
Freeing of bowel adhesion 44005
|
$1,681.38 |
$1,681.38 |
$1,681.38 |
$2,684.00
|
|
Free/remove chest lining 32320
|
$2,247.52 |
$2,247.52 |
$2,247.52 |
$3,890.40
|
|
Frenulotomy of penis
|
$279.00 |
$279.00 |
$279.00 |
$3,897.55
|
|
Fructosamine glycated protein
|
$220.38 |
$220.38 |
$220.38 |
$60.42
|
|
Ftl cgen abnor four anal
|
$689.32 |
$689.32 |
$689.32 |
$211.83
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,481.04 |
$1,481.04 |
$1,481.04 |
$2,919.95
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$4,120.33 |
$4,120.33 |
$4,120.33 |
$2,465.10
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$4,120.33 |
$4,120.33 |
$4,120.33 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$14.84 |
$14.84 |
$14.84 |
$27.48
|
|
Fusion of big toe joint
|
$520.15 |
$520.15 |
$520.15 |
$5,419.00
|
|
Fusion of finger joint
|
$970.54 |
$970.54 |
$970.54 |
$3,986.00
|
|
Fusion of knuckle joint
|
$1,168.65 |
$1,168.65 |
$1,168.65 |
$3,545.97
|
|
Galac-1-phosphate uridyltran - sendout
|
$163.24 |
$163.24 |
$163.24 |
$82.50
|
|
Galectin-3
|
$299.77 |
$299.77 |
$299.77 |
$110.65
|
|
Gallbladder Removal (Laparoscopic)
|
$940.86 |
$940.86 |
$940.86 |
$6,904.15
|
|
Gamma globulin 1 cc inj
|
$670.03 |
$670.03 |
$670.03 |
$158.67
|
|
Gammaglobulin iga
|
$155.82 |
$155.82 |
$155.82 |
$75.30
|
|
Gammaglobulin ige
|
$48.86 |
$48.86 |
$48.86 |
$85.00
|
|
Gamma glutamyltransferase
|
$79.40 |
$79.40 |
$79.40 |
$55.28
|
