|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,588.30 |
$1,588.30 |
$1,588.30 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,292.15 |
$2,292.15 |
$2,292.15 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$334.25 |
$334.25 |
$334.25 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$691.95 |
$691.95 |
$691.95 |
$1,301.30
|
|
Exchange biliary drg cath
|
$2,198.35 |
$2,198.35 |
$2,198.35 |
$4,176.15
|
|
Exchange drainage catheter
|
$1,220.10 |
$1,220.10 |
$1,220.10 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$1,990.45 |
$1,990.45 |
$1,990.45 |
$3,097.16
|
|
Excise/repair mouth lesion
|
$1,307.95 |
$1,307.95 |
$1,307.95 |
$2,133.48
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$602.00 |
$602.00 |
$602.00 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$691.95 |
$691.95 |
$691.95 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,564.15 |
$1,564.15 |
$1,564.15 |
$2,916.96
|
|
Excision of gum lesion 41825
|
$1,731.10 |
$1,731.10 |
$1,731.10 |
$3,920.70
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$602.00 |
$602.00 |
$602.00 |
$973.71
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$2,636.55 |
$2,636.55 |
$2,636.55 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$2,614.50 |
$2,614.50 |
$2,614.50 |
$3,752.25
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$2,473.60
|
|
Exc tendon sheath or cap lesion 26160
|
$1,346.45 |
$1,346.45 |
$1,346.45 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$1,153.25 |
$1,153.25 |
$1,153.25 |
$2,491.20
|
|
Exc vagina lesion 57135
|
$2,422.70 |
$2,422.70 |
$2,422.70 |
$4,107.36
|
|
Exercise tst brncspsm w/ecg
|
$519.05 |
$519.05 |
$519.05 |
$337.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$7,690.25 |
$7,690.25 |
$7,690.25 |
$3,898.13
|
|
Exploration of knee joint
|
$2,738.05 |
$2,738.05 |
$2,738.05 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$294.35 |
$294.35 |
$294.35 |
$436.44
|
|
Explore penetrating wnd/extremity 20103
|
$691.95 |
$691.95 |
$691.95 |
$1,917.33
|
|
Explore/repair chest 32110
|
$2,709.35 |
$2,709.35 |
$2,709.35 |
$3,668.70
|
|
Explore/treat finger joint
|
$1,346.45 |
$1,346.45 |
$1,346.45 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$1,904.35 |
$1,904.35 |
$1,904.35 |
$2,837.09
|
|
Explore woundchest 20101
|
$1,904.35 |
$1,904.35 |
$1,904.35 |
$2,179.44
|
|
Explore wound neck 20100
|
$437.50 |
$437.50 |
$437.50 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,548.40 |
$1,548.40 |
$1,548.40 |
$3,559.50
|
|
External cannula declotting
|
$1,274.70 |
$1,274.70 |
$1,274.70 |
$1,829.42
|
|
External newborn metabolic screening panel
|
$73.50 |
$73.50 |
$73.50 |
$102.52
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$13.57 |
$13.57 |
$13.57 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$32.81 |
$32.81 |
$32.81 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$25.20 |
$25.20 |
$25.20 |
$102.78
|
|
Eye implant band 40
|
$43.32 |
$43.32 |
$43.32 |
$161.52
|
|
Facial bones <3
|
$358.40 |
$358.40 |
$358.40 |
$248.60
|
|
Factor viii
|
$548.10 |
$548.10 |
$548.10 |
$144.30
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$32.78 |
$32.78 |
$32.78 |
$25.65
|
|
Fda ide #g240020 carry bag
|
$601.97 |
$601.97 |
$601.97 |
$956.25
|
|
Fem/popl revasc w/stent
|
$4,712.75 |
$4,712.75 |
$4,712.75 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$769.30 |
$769.30 |
$769.30 |
$115.35
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,999.87 |
$3,999.87 |
$3,999.87 |
$2,028.03
|
|
Ferritin
|
$173.60 |
$173.60 |
$173.60 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$617.82 |
$617.82 |
$617.82 |
$1,473.05
|
|
Fetal biophys profile w/nst 76818
|
$449.75 |
$449.75 |
$449.75 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$255.85 |
$255.85 |
$255.85 |
$540.54
|
|
Fetal fibronectin
|
$289.10 |
$289.10 |
$289.10 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$113.05 |
$113.05 |
$113.05 |
$88.80
|
|
Fetal hemoglobin rosette
|
$65.45 |
$65.45 |
$65.45 |
$76.70
|
|
Fetal non stress test
|
$189.35 |
$189.35 |
$189.35 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$164.15 |
$164.15 |
$164.15 |
$112.80
|
|
Fibrin degrade semiquant
|
$121.45 |
$121.45 |
$121.45 |
$92.00
|
|
Fibrinogen activity
|
$98.70 |
$98.70 |
$98.70 |
$82.38
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$491.69 |
$491.69 |
$491.69 |
$519.20
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,819.73 |
$1,819.73 |
$1,819.73 |
$1,221.89
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$820.19 |
$820.19 |
$820.19 |
$926.54
|
|
Filleted finger/toe flap
|
$1,655.85 |
$1,655.85 |
$1,655.85 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$5,280.63 |
$5,280.63 |
$5,280.63 |
$6,878.20
|
|
Filter vena cava fem denali
|
$2,638.13 |
$2,638.13 |
$2,638.13 |
$3,519.51
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$301.00 |
$301.00 |
$301.00 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$411.95 |
$411.95 |
$411.95 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$384.65 |
$384.65 |
$384.65 |
$547.53
|
|
Fixation of knee joint
|
$1,346.45 |
$1,346.45 |
$1,346.45 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$2,259.60 |
$2,259.60 |
$2,259.60 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,738.05 |
$2,738.05 |
$2,738.05 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$255.85 |
$255.85 |
$255.85 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$610.75 |
$610.75 |
$610.75 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$2,040.09
|
|
Flow cytometry one marker technical component
|
$6.56 |
$6.56 |
$6.56 |
$270.75
|
|
Flt3 gene
|
$52.50 |
$52.50 |
$52.50 |
$352.95
|
|
Flt3 gene analysis
|
$52.50 |
$52.50 |
$52.50 |
$229.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$86.42 |
$86.42 |
$86.42 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$980.83 |
$980.83 |
$980.83 |
$601.96
|
|
Fluidotherapy charges pt
|
$89.95 |
$89.95 |
$89.95 |
$95.00
|
|
Fluid pressure muscle 20950
|
$691.95 |
$691.95 |
$691.95 |
$779.45
|
|
Fluorescent antibody titer dna
|
$4.31 |
$4.31 |
$4.31 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$665.70 |
$665.70 |
$665.70 |
$507.00
|
|
Fluoroguide needle placement
|
$502.25 |
$502.25 |
$502.25 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$502.25 |
$502.25 |
$502.25 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$272.73 |
$272.73 |
$272.73 |
$136.92
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$73.45 |
$73.45 |
$73.45 |
$88.00
|
|
Fna bx w/ct gdn 1st les
|
$1,203.30 |
$1,203.30 |
$1,203.30 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$602.00 |
$602.00 |
$602.00 |
$775.14
|
|
Folic acid
|
$173.60 |
$173.60 |
$173.60 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$32.83 |
$32.83 |
$32.83 |
$60.09
|
|
Follow-up angiography
|
$844.90 |
$844.90 |
$844.90 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,158.19 |
$2,158.19 |
$2,158.19 |
$2,471.57
|
|
Fondaparinux sodium
|
$209.80 |
$209.80 |
$209.80 |
$174.74
|
|
Foot X-ray
|
$418.60 |
$418.60 |
$418.60 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$3,250.80 |
$3,250.80 |
$3,250.80 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$296.10 |
$296.10 |
$296.10 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,202.58 |
$1,202.58 |
$1,202.58 |
$383.97
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$145.31 |
$145.31 |
$145.31 |
$87.89
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$165.90 |
$165.90 |
$165.90 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$165.90 |
$165.90 |
$165.90 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$156.80 |
$156.80 |
$156.80 |
$123.90
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,183.70 |
$1,183.70 |
$1,183.70 |
$2,919.95
|