|
Evoked potentials upper limbs
|
$2,029.10 |
$2,029.10 |
$2,029.10 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$941.42 |
$941.42 |
$941.42 |
$829.44
|
|
Exc benign tal 0.5 < cm 11400
|
$161.20 |
$161.20 |
$161.20 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$173.56 |
$173.56 |
$173.56 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,052.15 |
$1,052.15 |
$1,052.15 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$93.22 |
$93.22 |
$93.22 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$173.56 |
$173.56 |
$173.56 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$206.00 |
$206.00 |
$206.00 |
$2,112.60
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$169.95 |
$169.95 |
$169.95 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$679.29 |
$679.29 |
$679.29 |
$1,301.30
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$458.87 |
$458.87 |
$458.87 |
$1,061.40
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,418.44 |
$2,418.44 |
$2,418.44 |
$2,101.45
|
|
Exchange biliary drg cath
|
$5,396.69 |
$5,396.69 |
$5,396.69 |
$4,176.15
|
|
Exchange drainage catheter
|
$4,837.91 |
$4,837.91 |
$4,837.91 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$4,914.65 |
$4,914.65 |
$4,914.65 |
$3,097.16
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$207.55 |
$207.55 |
$207.55 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$224.03 |
$224.03 |
$224.03 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$190.04 |
$190.04 |
$190.04 |
$1,064.30
|
|
Exc malig feenl <0.5cm 11640
|
$364.62 |
$364.62 |
$364.62 |
$1,206.78
|
|
Exc malig feenl 1.1-2 11642
|
$1,042.36 |
$1,042.36 |
$1,042.36 |
$1,113.60
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,418.44 |
$2,418.44 |
$2,418.44 |
$2,070.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$431.06 |
$431.06 |
$431.06 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,540.50 |
$2,540.50 |
$2,540.50 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$1,064.51 |
$1,064.51 |
$1,064.51 |
$894.66
|
|
Exc malig tal 0.6-1.0cm 11601
|
$454.75 |
$454.75 |
$454.75 |
$828.59
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$224.03 |
$224.03 |
$224.03 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,070.17 |
$1,070.17 |
$1,070.17 |
$1,246.00
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,070.17 |
$1,070.17 |
$1,070.17 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,540.50 |
$2,540.50 |
$2,540.50 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$4,392.44 |
$4,392.44 |
$4,392.44 |
$3,370.52
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,473.03 |
$2,473.03 |
$2,473.03 |
$2,647.92
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$1,124.76 |
$1,124.76 |
$1,124.76 |
$3,473.04
|
|
External cannula declotting
|
$1,313.25 |
$1,313.25 |
$1,313.25 |
$1,829.42
|
|
External chromosome analysis 20-25 cells
|
$129.78 |
$129.78 |
$129.78 |
$389.35
|
|
External newborn metabolic screening panel
|
$119.48 |
$119.48 |
$119.48 |
$114.75
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$120.95 |
$120.95 |
$120.95 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$43.26 |
$43.26 |
$43.26 |
$102.78
|
|
F-18 fdg pet diag
|
$328.06 |
$328.06 |
$328.06 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$1,637.70 |
$1,637.70 |
$1,637.70 |
$4,960.80
|
|
F-18 fluciclovine per mci
|
$2,345.83 |
$2,345.83 |
$2,345.83 |
$1,307.52
|
|
Facial bones <3
|
$618.00 |
$618.00 |
$618.00 |
$248.60
|
|
Factor ix
|
$16.95 |
$16.95 |
$16.95 |
$131.30
|
|
Factor ix complex
|
$3.09 |
$3.09 |
$3.09 |
$3.23
|
|
Factor viii
|
$67.00 |
$67.00 |
$67.00 |
$144.30
|
|
Factor viii recomb novoeight
|
$5.67 |
$5.67 |
$5.67 |
$1.38
|
|
Fallopian tube recnl
|
$3,818.73 |
$3,818.73 |
$3,818.73 |
$3,624.75
|
|
Family therapy without pt 50min 90846
|
$215.27 |
$215.27 |
$215.27 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$215.27 |
$215.27 |
$215.27 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$27.81 |
$27.81 |
$27.81 |
$27.81
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$7.21 |
$7.21 |
$7.21 |
$34.56
|
|
Fatty acids nonesterified
|
$15.45 |
$15.45 |
$15.45 |
$57.60
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$21,691.80 |
$21,691.80 |
$21,691.80 |
$63.30
|
|
#fecal-sodium
|
$52.53 |
$52.53 |
$52.53 |
$37.50
|
|
Feeding tube reposition
|
$284.28 |
$284.28 |
$284.28 |
$441.86
|
|
Fem/popl revasc w/stent
|
$12,833.29 |
$12,833.29 |
$12,833.29 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$89.10 |
$89.10 |
$89.10 |
$120.15
|
|
Fern test
|
$67.98 |
$67.98 |
$67.98 |
$17.72
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,492.60 |
$2,492.60 |
$2,492.60 |
$2,027.60
|
|
Ferritin
|
$175.62 |
$175.62 |
$175.62 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,793.36 |
$2,793.36 |
$2,793.36 |
$1,776.61
|
|
Ferumoxytol, esrd use
|
$2,793.36 |
$2,793.36 |
$2,793.36 |
$0.34
|
|
Fetal biophys profile w/nst 76818
|
$1,978.12 |
$1,978.12 |
$1,978.12 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$319.30 |
$319.30 |
$319.30 |
$1,217.45
|
|
Fetal contract stress test 59020 - 26
|
$653.02 |
$653.02 |
$653.02 |
$540.54
|
|
Fetal fibronectin
|
$345.05 |
$345.05 |
$345.05 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$210.12 |
$210.12 |
$210.12 |
$88.80
|
|
Fetal hemoglobin rosette
|
$80.86 |
$80.86 |
$80.86 |
$76.70
|
|
Fetal non stress test
|
$538.18 |
$538.18 |
$538.18 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$142.66 |
$142.66 |
$142.66 |
$112.80
|
|
Fibrin degradation products
|
$18.19 |
$18.19 |
$18.19 |
$62.40
|
|
Fibrin degrade semiquant
|
$112.27 |
$112.27 |
$112.27 |
$92.00
|
|
Fibrinogen activity
|
$178.71 |
$178.71 |
$178.71 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$18.19 |
$18.19 |
$18.19 |
$56.00
|
|
Fibrinolytic plasminogen
|
$37.60 |
$37.60 |
$37.60 |
$109.45
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$9.39 |
$9.39 |
$9.39 |
$59.89
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$844.60 |
$844.60 |
$844.60 |
$460.87
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,208.71 |
$1,208.71 |
$1,208.71 |
$1,405.40
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,058.33 |
$1,058.33 |
$1,058.33 |
$973.70
|
|
Filter spider fx 3mmx320cm
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$6,152.59
|
|
Filter vena cava fem denali
|
$1,462.60 |
$1,462.60 |
$1,462.60 |
$3,467.25
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,361.66 |
$1,361.66 |
$1,361.66 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$680.83 |
$680.83 |
$680.83 |
$624.65
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$680.83 |
$680.83 |
$680.83 |
$806.40
|
|
Fix g/colon tube w/device
|
$1,360.63 |
$1,360.63 |
$1,360.63 |
$1,236.90
|
|
Flebogamma injection
|
$3,431.96 |
$3,431.96 |
$3,431.96 |
$2,827.01
|
|
Flecainide (tambocor)-sendout
|
$12.99 |
$12.99 |
$12.99 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$354.32 |
$354.32 |
$354.32 |
$546.86
|
|
Flow cytometry marker each additional
|
$65.92 |
$65.92 |
$65.92 |
$103.00
|
|
Flow cytometry one marker technical component
|
$61.80 |
$61.80 |
$61.80 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$256.47 |
$256.47 |
$256.47 |
$86.42
|
|
Fluorescent antibody titer dna
|
$128.75 |
$128.75 |
$128.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$475.86 |
$475.86 |
$475.86 |
$507.00
|
|
Fluoroguide needle placement
|
$746.75 |
$746.75 |
$746.75 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$965.11 |
$965.11 |
$965.11 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$140.08 |
$140.08 |
$140.08 |
$107.46
|
|
Fna bx w/ct gdn 1st les
|
$1,361.66 |
$1,361.66 |
$1,361.66 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$680.83 |
$680.83 |
$680.83 |
$775.14
|
|
Folic acid
|
$103.00 |
$103.00 |
$103.00 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$154.50 |
$154.50 |
$154.50 |
$55.66
|
