|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,815.02 |
$5,815.02 |
$5,815.02 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$6,559.11 |
$6,559.11 |
$6,559.11 |
$3,752.25
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$3,375.69 |
$3,375.69 |
$3,375.69 |
$2,473.60
|
|
Exc tendon sheath or cap lesion 26160
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$9,581.37 |
$9,581.37 |
$9,581.37 |
$2,491.20
|
|
Exc vagina lesion 57135
|
$6,230.16 |
$6,230.16 |
$6,230.16 |
$4,107.36
|
|
Exercise tst brncspsm w/ecg
|
$371.79 |
$371.79 |
$371.79 |
$337.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,995.46 |
$5,995.46 |
$5,995.46 |
$3,473.04
|
|
Exploration of knee joint
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$669.12 |
$669.12 |
$669.12 |
$436.44
|
|
Explore penetrating wnd/extremity 20103
|
$3,539.91 |
$3,539.91 |
$3,539.91 |
$1,917.33
|
|
Explore/repair chest 32110
|
$4,309.50 |
$4,309.50 |
$4,309.50 |
$3,668.70
|
|
Explore/treat finger joint
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$6,535.65 |
$6,535.65 |
$6,535.65 |
$2,837.09
|
|
Explore woundchest 20101
|
$3,885.18 |
$3,885.18 |
$3,885.18 |
$2,179.44
|
|
Explore wound neck 20100
|
$1,028.67 |
$1,028.67 |
$1,028.67 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$3,559.50
|
|
External cannula declotting
|
$2,887.62 |
$2,887.62 |
$2,887.62 |
$1,829.42
|
|
External newborn metabolic screening panel
|
$117.81 |
$117.81 |
$117.81 |
$114.75
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$56.56 |
$56.56 |
$56.56 |
$102.78
|
|
Eye implant band 40
|
$82.25 |
$82.25 |
$82.25 |
$125.00
|
|
F-18 fdg pet diag
|
$51.00 |
$51.00 |
$51.00 |
$602.25
|
|
Facial bones <3
|
$1,069.47 |
$1,069.47 |
$1,069.47 |
$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
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,238.95 |
$9,238.95 |
$9,238.95 |
$7,077.64
|
|
Fat/lipids feces qualitative
|
$16.17 |
$16.17 |
$16.17 |
$34.56
|
|
Fda ide #g240020 carry bag
|
$1,145.66 |
$1,145.66 |
$1,145.66 |
$933.57
|
|
#fecal-sodium
|
$186.15 |
$186.15 |
$186.15 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$39.45 |
$39.45 |
$39.45 |
$66.43
|
|
Fem/popl revasc w/stent
|
$18,036.15 |
$18,036.15 |
$18,036.15 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$127.89 |
$127.89 |
$127.89 |
$120.15
|
|
Ferritin
|
$387.60 |
$387.60 |
$387.60 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$544.19 |
$544.19 |
$544.19 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$523.26 |
$523.26 |
$523.26 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$400.86 |
$400.86 |
$400.86 |
$540.54
|
|
Fetal fibronectin
|
$1,318.86 |
$1,318.86 |
$1,318.86 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$181.05 |
$181.05 |
$181.05 |
$88.80
|
|
Fetal hemoglobin rosette
|
$89.25 |
$89.25 |
$89.25 |
$76.70
|
|
Fetal non stress test
|
$2,086.41 |
$2,086.41 |
$2,086.41 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$30.60 |
$30.60 |
$30.60 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$299.88 |
$299.88 |
$299.88 |
$112.80
|
|
Fibrin degradation products
|
$41.31 |
$41.31 |
$41.31 |
$62.40
|
|
Fibrinogen activity
|
$450.84 |
$450.84 |
$450.84 |
$82.38
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$55.08 |
$55.08 |
$55.08 |
$66.00
|
|
Fibrinolytic plasminogen
|
$58.91 |
$58.91 |
$58.91 |
$109.45
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$441.63 |
$441.63 |
$441.63 |
$460.87
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$708.74 |
$708.74 |
$708.74 |
$973.70
|
|
Filleted finger/toe flap
|
$3,885.18 |
$3,885.18 |
$3,885.18 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$11,080.26 |
$11,080.26 |
$11,080.26 |
$6,152.59
|
|
Filter vena cava fem denali
|
$5,330.52 |
$5,330.52 |
$5,330.52 |
$3,467.25
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$469.20 |
$469.20 |
$469.20 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,572.84 |
$1,572.84 |
$1,572.84 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$936.87 |
$936.87 |
$936.87 |
$547.53
|
|
Fixation of knee joint
|
$3,229.32 |
$3,229.32 |
$3,229.32 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,819.17 |
$1,819.17 |
$1,819.17 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$6,138.87 |
$6,138.87 |
$6,138.87 |
$3,981.06
|
|
Flebogamma injection
|
$4,320.44 |
$4,320.44 |
$4,320.44 |
$2,827.01
|
|
Fl exam g/colon tube w contrast
|
$512.55 |
$512.55 |
$512.55 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,612.62 |
$1,612.62 |
$1,612.62 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$3,375.69 |
$3,375.69 |
$3,375.69 |
$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
|
$1,461.15 |
$1,461.15 |
$1,461.15 |
$779.45
|
|
Fluorescent antibody titer dna
|
$25.50 |
$25.50 |
$25.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$2,264.91 |
$2,264.91 |
$2,264.91 |
$507.00
|
|
Fluoroguide needle placement
|
$1,659.54 |
$1,659.54 |
$1,659.54 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,712.58 |
$1,712.58 |
$1,712.58 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$407.47 |
$407.47 |
$407.47 |
$107.46
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$115.88 |
$115.88 |
$115.88 |
$142.87
|
|
Fna bx w/ct gdn 1st les
|
$3,269.10 |
$3,269.10 |
$3,269.10 |
$1,588.65
|
|
Folic acid
|
$443.19 |
$443.19 |
$443.19 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$55.66
|
|
Fondaparinux sodium
|
$412.72 |
$412.72 |
$412.72 |
$176.81
|
|
Foot X-ray
|
$1,046.01 |
$1,046.01 |
$1,046.01 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$7,168.56 |
$7,168.56 |
$7,168.56 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,372.92 |
$1,372.92 |
$1,372.92 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$204.82 |
$204.82 |
$204.82 |
$470.29
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$188.34 |
$188.34 |
$188.34 |
$107.31
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$103.02 |
$103.02 |
$103.02 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$103.02 |
$103.02 |
$103.02 |
$149.50
|
|
Fresh frozen plasma thawing ea un
|
$222.87 |
$222.87 |
$222.87 |
$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
|
$3,803.07 |
$3,803.07 |
$3,803.07 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,803.07 |
$3,803.07 |
$3,803.07 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$27.69
|
|
Fusion of finger joint
|
$6,700.38 |
$6,700.38 |
$6,700.38 |
$3,986.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$112.46 |
$112.46 |
$112.46 |
$162.68
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$303.56 |
$303.56 |
$303.56 |
$210.50
|
|
Gamma globulin 1 cc inj
|
$1,474.06 |
$1,474.06 |
$1,474.06 |
$158.67
|
|
Gammaglobulin iga
|
$302.43 |
$302.43 |
$302.43 |
$75.30
|
|
Gammaglobulin ige
|
$66.81 |
$66.81 |
$66.81 |
$85.00
|
|
Gamma glutamyltransferase
|
$220.32 |
$220.32 |
$220.32 |
$55.28
|
|
Gamunex-c/gammaked
|
$6,349.04 |
$6,349.04 |
$6,349.04 |
$7,372.04
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$192.17 |
$192.17 |
$192.17 |
$209.07
|
|
Gardner vag dna quant
|
$83.13 |
$83.13 |
$83.13 |
$89.70
|
|
Gemcitabine 1 gram intravenous solution
|
$358.33 |
$358.33 |
$358.33 |
$252.84
|
