|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$868.02 |
$868.02 |
$868.02 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$868.02 |
$868.02 |
$868.02 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$1,301.30
|
|
Exchange biliary drg cath
|
$4,516.05 |
$4,516.05 |
$4,516.05 |
$4,176.15
|
|
Exchange drainage catheter
|
$2,220.54 |
$2,220.54 |
$2,220.54 |
$2,256.80
|
|
Exc hidradenitis peri/umb int 11470
|
$3,858.66 |
$3,858.66 |
$3,858.66 |
$3,386.84
|
|
Excise/repair mouth lesion
|
$1,856.91 |
$1,856.91 |
$1,856.91 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$868.02 |
$868.02 |
$868.02 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,290.41 |
$2,290.41 |
$2,290.41 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,916.96
|
|
Excision of gum lesion 41825
|
$3,805.11 |
$3,805.11 |
$3,805.11 |
$3,920.70
|
|
Exc malig feenl <0.5cm 11640
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$1,206.78
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,290.41 |
$2,290.41 |
$2,290.41 |
$1,917.33
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$562.53 |
$562.53 |
$562.53 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,012.86 |
$1,012.86 |
$1,012.86 |
$1,246.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,455.25 |
$3,455.25 |
$3,455.25 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$3,795.42 |
$3,795.42 |
$3,795.42 |
$3,752.25
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,473.60
|
|
Exc tendon sheath or cap lesion 26160
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$4,649.16 |
$4,649.16 |
$4,649.16 |
$2,491.20
|
|
Exc vagina lesion 57135
|
$3,605.19 |
$3,605.19 |
$3,605.19 |
$4,107.36
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,653.18 |
$3,653.18 |
$3,653.18 |
$3,473.04
|
|
Exploration of knee joint
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$337.62 |
$337.62 |
$337.62 |
$436.44
|
|
Explore penetrating wnd/extremity 20103
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$1,917.33
|
|
Explore/repair chest 32110
|
$9,487.53 |
$9,487.53 |
$9,487.53 |
$3,668.70
|
|
Explore/treat finger joint
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$2,308.26 |
$2,308.26 |
$2,308.26 |
$2,837.09
|
|
Explore woundchest 20101
|
$2,308.26 |
$2,308.26 |
$2,308.26 |
$2,179.44
|
|
Explore wound neck 20100
|
$611.49 |
$611.49 |
$611.49 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$3,559.50
|
|
Ext ecg>7d<15d scan a/r
|
$131.58 |
$131.58 |
$131.58 |
$262.20
|
|
External cannula declotting
|
$2,276.64 |
$2,276.64 |
$2,276.64 |
$1,829.42
|
|
External newborn metabolic screening panel
|
$114.75 |
$114.75 |
$114.75 |
$114.75
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$56.56 |
$56.56 |
$56.56 |
$102.78
|
|
Eye implant band 40
|
$106.25 |
$106.25 |
$106.25 |
$125.00
|
|
Facial bones <3
|
$906.27 |
$906.27 |
$906.27 |
$248.60
|
|
Factor ix
|
$93.87 |
$93.87 |
$93.87 |
$131.30
|
|
Factor viii
|
$103.03 |
$103.03 |
$103.03 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$27.81
|
|
Fat/lipids feces qualitative
|
$16.17 |
$16.17 |
$16.17 |
$34.56
|
|
Fda ide #g240020 carry bag
|
$1,253.07 |
$1,253.07 |
$1,253.07 |
$933.57
|
|
#fecal-sodium
|
$26.86 |
$26.86 |
$26.86 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$39.45 |
$39.45 |
$39.45 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$97.87 |
$97.87 |
$97.87 |
$120.15
|
|
Ferritin
|
$151.98 |
$151.98 |
$151.98 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$471.85 |
$471.85 |
$471.85 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,103.13 |
$1,103.13 |
$1,103.13 |
$541.74
|
|
Fetal hemoglobin (kleihauer betke)
|
$53.55 |
$53.55 |
$53.55 |
$88.80
|
|
Fetal hemoglobin rosette
|
$86.70 |
$86.70 |
$86.70 |
$76.70
|
|
Fetal non stress test
|
$333.03 |
$333.03 |
$333.03 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$30.60 |
$30.60 |
$30.60 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$69.87 |
$69.87 |
$69.87 |
$112.80
|
|
Fibrin degradation products
|
$41.31 |
$41.31 |
$41.31 |
$62.40
|
|
Fibrinogen activity
|
$205.53 |
$205.53 |
$205.53 |
$82.38
|
|
Fibrinolytic plasminogen
|
$58.91 |
$58.91 |
$58.91 |
$109.45
|
|
Filleted finger/toe flap
|
$2,308.26 |
$2,308.26 |
$2,308.26 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$5,127.70 |
$5,127.70 |
$5,127.70 |
$6,152.59
|
|
Filter vena cava fem denali
|
$3,519.51 |
$3,519.51 |
$3,519.51 |
$3,467.25
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$1,059.78 |
$1,059.78 |
$1,059.78 |
$261.80
|
|
Fine needle asp without image guide 10021
|
$548.25 |
$548.25 |
$548.25 |
$547.53
|
|
Fixation of knee joint
|
$1,919.13 |
$1,919.13 |
$1,919.13 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,052.64 |
$1,052.64 |
$1,052.64 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$5,396.31 |
$5,396.31 |
$5,396.31 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,271.94 |
$1,271.94 |
$1,271.94 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$2,005.32 |
$2,005.32 |
$2,005.32 |
$2,040.09
|
|
Flow cytometry marker each additional
|
$35.86 |
$35.86 |
$35.86 |
$103.00
|
|
Flow cytometry one marker technical component
|
$35.87 |
$35.87 |
$35.87 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$86.42
|
|
Fluid pressure muscle 20950
|
$774.18 |
$774.18 |
$774.18 |
$779.45
|
|
Fluorescent antibody titer dna
|
$25.50 |
$25.50 |
$25.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$317.22 |
$317.22 |
$317.22 |
$507.00
|
|
Fluoroguide needle placement
|
$412.08 |
$412.08 |
$412.08 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$451.86 |
$451.86 |
$451.86 |
$494.52
|
|
Folic acid
|
$145.35 |
$145.35 |
$145.35 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$55.66
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,533.82 |
$1,533.82 |
$1,533.82 |
$2,860.43
|
|
Foot X-ray
|
$878.22 |
$878.22 |
$878.22 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$4,147.83 |
$4,147.83 |
$4,147.83 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,091.91 |
$1,091.91 |
$1,091.91 |
$595.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$188.34 |
$188.34 |
$188.34 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$54.57 |
$54.57 |
$54.57 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$111.69 |
$111.69 |
$111.69 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$218.28 |
$218.28 |
$218.28 |
$123.90
|
|
Fructosamine glycated protein
|
$19.38 |
$19.38 |
$19.38 |
$60.42
|
|
Ftl cgen abnor four anal
|
$247.35 |
$247.35 |
$247.35 |
$211.83
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,200.65 |
$2,200.65 |
$2,200.65 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$2,200.65 |
$2,200.65 |
$2,200.65 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$27.69
|
|
Fusion of finger joint
|
$3,981.06 |
$3,981.06 |
$3,981.06 |
$3,986.00
|