|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$797.64 |
$797.64 |
$797.64 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,048.56 |
$1,048.56 |
$1,048.56 |
$1,301.30
|
|
Exc/crtg b1 cst/b9 tum rds
|
$834.87 |
$834.87 |
$834.87 |
$3,591.33
|
|
Exc/curtg b1 cst/b9 tum hum
|
$785.91 |
$785.91 |
$785.91 |
$3,839.54
|
|
Exc forearm tum deep < 3 cm
|
$1,097.52 |
$1,097.52 |
$1,097.52 |
$2,547.20
|
|
Exc hand les sc < 1.5 cm
|
$642.60 |
$642.60 |
$642.60 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$1,178.61 |
$1,178.61 |
$1,178.61 |
$2,271.01
|
|
Exchange biliary drg cath
|
$3,612.84 |
$3,612.84 |
$3,612.84 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,776.33 |
$1,776.33 |
$1,776.33 |
$2,256.80
|
|
Excise anal ext tag/papilla
|
$230.01 |
$230.01 |
$230.01 |
$1,395.28
|
|
Excise intestine lesion(s) 44110
|
$1,559.07 |
$1,559.07 |
$1,559.07 |
$1,600.80
|
|
Excise/repair mouth lesion
|
$1,705.95 |
$1,705.95 |
$1,705.95 |
$2,133.48
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$607.41 |
$607.41 |
$607.41 |
$1,974.40
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$797.64 |
$797.64 |
$797.64 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,819.79 |
$2,819.79 |
$2,819.79 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,628.43 |
$1,628.43 |
$1,628.43 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,916.96
|
|
Excision of anal lesion(s)
|
$298.35 |
$298.35 |
$298.35 |
$3,245.23
|
|
Excision of gum lesion 41825
|
$3,496.05 |
$3,496.05 |
$3,496.05 |
$3,920.70
|
|
Excision olecranon bursa
|
$1,258.68 |
$1,258.68 |
$1,258.68 |
$3,591.33
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$1,483.08 |
$1,483.08 |
$1,483.08 |
$3,255.75
|
|
Excis partial tal calc
|
$869.04 |
$869.04 |
$869.04 |
$3,594.44
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$797.64 |
$797.64 |
$797.64 |
$973.71
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,174.75 |
$3,174.75 |
$3,174.75 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$3,752.25
|
|
Exc rect tum transanal part
|
$1,100.07 |
$1,100.07 |
$1,100.07 |
$2,997.10
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$670.14 |
$670.14 |
$670.14 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$686.97 |
$686.97 |
$686.97 |
$4,295.90
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$585.48 |
$585.48 |
$585.48 |
$2,271.01
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,473.60
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$744.60 |
$744.60 |
$744.60 |
$2,271.01
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$645.66 |
$645.66 |
$645.66 |
$3,370.52
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$881.28 |
$881.28 |
$881.28 |
$1,908.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$869.55 |
$869.55 |
$869.55 |
$3,386.84
|
|
Exc tendon sheath or cap lesion 26160
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$675.75 |
$675.75 |
$675.75 |
$2,369.60
|
|
Exc thrombosed hemorrhoid 46320
|
$1,331.10 |
$1,331.10 |
$1,331.10 |
$2,491.20
|
|
Exc tmr sft tiss shldr subq <3cm
|
$580.38 |
$580.38 |
$580.38 |
$2,271.01
|
|
Exc vagina lesion 57135
|
$2,884.05 |
$2,884.05 |
$2,884.05 |
$4,107.36
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,470.04 |
$3,470.04 |
$3,470.04 |
$4,101.67
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,605.48 |
$1,605.48 |
$1,605.48 |
$2,232.75
|
|
Exploration of knee joint
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$350.88 |
$350.88 |
$350.88 |
$436.44
|
|
Explore penetrating wnd/extremity 20103
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$1,917.33
|
|
Explore/repair chest 32110
|
$2,862.63 |
$2,862.63 |
$2,862.63 |
$3,668.70
|
|
Explore/treat finger joint
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,837.09
|
|
Explore woundchest 20101
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,179.44
|
|
Explore wound neck 20100
|
$561.51 |
$561.51 |
$561.51 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$3,559.50
|
|
Ext ecg>48hr<7d scan a/r
|
$53.55 |
$53.55 |
$53.55 |
$251.71
|
|
External cannula declotting
|
$1,517.76 |
$1,517.76 |
$1,517.76 |
$1,829.42
|
|
External newborn metabolic screening panel
|
$114.75 |
$114.75 |
$114.75 |
$104.72
|
|
Eye implant band 40
|
$80.00 |
$80.00 |
$80.00 |
$356.07
|
|
Facial bones <3
|
$425.85 |
$425.85 |
$425.85 |
$248.60
|
|
Family therapy without pt 50min 90846
|
$241.23 |
$241.23 |
$241.23 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$343.23 |
$343.23 |
$343.23 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$22.23
|
|
Fda ide #g240020 carry bag
|
$787.64 |
$787.64 |
$787.64 |
$933.57
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$113.65
|
|
Ferritin
|
$112.20 |
$112.20 |
$112.20 |
$103.68
|
|
Fetal contract stress test 59020 - 26
|
$218.79 |
$218.79 |
$218.79 |
$540.54
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.80 |
$40.80 |
$40.80 |
$88.80
|
|
Fetal hemoglobin rosette
|
$86.70 |
$86.70 |
$86.70 |
$76.70
|
|
Fetal non stress test
|
$218.79 |
$218.79 |
$218.79 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$65.28 |
$65.28 |
$65.28 |
$112.80
|
|
Fibrinogen activity
|
$54.06 |
$54.06 |
$54.06 |
$82.38
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$291.68 |
$291.68 |
$291.68 |
$519.20
|
|
Filleted finger/toe flap
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$5,677.73 |
$5,677.73 |
$5,677.73 |
$6,878.20
|
|
Filter vena cava fem denali
|
$3,160.73 |
$3,160.73 |
$3,160.73 |
$3,519.51
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$414.63 |
$414.63 |
$414.63 |
$261.80
|
|
Fine needle asp without image guide 10021
|
$797.64 |
$797.64 |
$797.64 |
$547.53
|
|
Fixation of knee joint
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$842.01 |
$842.01 |
$842.01 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$3,657.72 |
$3,657.72 |
$3,657.72 |
$3,981.06
|
|
Flexible Sigmoidoscopy
|
$847.62 |
$847.62 |
$847.62 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,040.09
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$73.89
|
|
Fluid pressure muscle 20950
|
$797.64 |
$797.64 |
$797.64 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$2,043.06 |
$2,043.06 |
$2,043.06 |
$507.00
|
|
Fluoroguide needle placement
|
$585.48 |
$585.48 |
$585.48 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$852.72 |
$852.72 |
$852.72 |
$494.52
|
|
Folic acid
|
$95.88 |
$95.88 |
$95.88 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$49.34
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,533.82 |
$1,533.82 |
$1,533.82 |
$2,461.93
|
|
Foot X-ray
|
$425.85 |
$425.85 |
$425.85 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$3,318.06 |
$3,318.06 |
$3,318.06 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$264.18 |
$264.18 |
$264.18 |
$595.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$129.73 |
$129.73 |
$129.73 |
$86.40
|
|
Fracture assessment via dxa
|
$88.74 |
$88.74 |
$88.74 |
$146.80
|
|
Fragmenting of kidney stone
|
$1,146.48 |
$1,146.48 |
$1,146.48 |
$9,827.25
|
|
Freeing of bowel adhesion 44005
|
$1,640.16 |
$1,640.16 |
$1,640.16 |
$2,684.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$35.70 |
$35.70 |
$35.70 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$35.70 |
$35.70 |
$35.70 |
$164.16
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,760.52 |
$1,760.52 |
$1,760.52 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$1,760.52 |
$1,760.52 |
$1,760.52 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$25.71
|