|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,313.76 |
$1,313.76 |
$1,313.76 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,916.96
|
|
Excision of gum lesion 41825
|
$5,759.94 |
$5,759.94 |
$5,759.94 |
$3,920.70
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,313.76 |
$1,313.76 |
$1,313.76 |
$973.71
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$6,059.82 |
$6,059.82 |
$6,059.82 |
$3,752.25
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,473.60
|
|
Exc tendon sheath or cap lesion 26160
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$5,936.40 |
$5,936.40 |
$5,936.40 |
$2,491.20
|
|
Exc vagina lesion 57135
|
$5,755.86 |
$5,755.86 |
$5,755.86 |
$4,107.36
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,995.46 |
$5,995.46 |
$5,995.46 |
$3,898.13
|
|
Exploration of knee joint
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$512.04 |
$512.04 |
$512.04 |
$436.44
|
|
Explore penetrating wnd/extremity 20103
|
$2,557.65 |
$2,557.65 |
$2,557.65 |
$1,917.33
|
|
Explore/repair chest 32110
|
$4,197.30 |
$4,197.30 |
$4,197.30 |
$3,668.70
|
|
Explore/treat finger joint
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,837.09
|
|
Explore woundchest 20101
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,179.44
|
|
Explore wound neck 20100
|
$925.14 |
$925.14 |
$925.14 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$3,559.50
|
|
External cannula declotting
|
$3,012.06 |
$3,012.06 |
$3,012.06 |
$1,829.42
|
|
External newborn metabolic screening panel
|
$120.36 |
$120.36 |
$120.36 |
$102.52
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$56.56 |
$56.56 |
$56.56 |
$102.78
|
|
Eye implant band 40
|
$125.00 |
$125.00 |
$125.00 |
$161.52
|
|
Facial bones <3
|
$912.39 |
$912.39 |
$912.39 |
$248.60
|
|
Factor ix
|
$93.87 |
$93.87 |
$93.87 |
$131.30
|
|
Factor viii
|
$103.03 |
$103.03 |
$103.03 |
$144.30
|
|
Family therapy with patient 50 min 90847
|
$712.47 |
$712.47 |
$712.47 |
$239.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$24.53
|
|
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 |
$956.25
|
|
#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)
|
$127.89 |
$127.89 |
$127.89 |
$114.66
|
|
Ferritin
|
$329.46 |
$329.46 |
$329.46 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$2,175.15 |
$2,175.15 |
$2,175.15 |
$541.74
|
|
Fetal fibronectin
|
$820.59 |
$820.59 |
$820.59 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$276.42 |
$276.42 |
$276.42 |
$88.80
|
|
Fetal hemoglobin rosette
|
$86.70 |
$86.70 |
$86.70 |
$76.70
|
|
Fetal non stress test
|
$1,806.93 |
$1,806.93 |
$1,806.93 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$30.60 |
$30.60 |
$30.60 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$268.26 |
$268.26 |
$268.26 |
$112.80
|
|
Fibrin degradation products
|
$41.31 |
$41.31 |
$41.31 |
$62.40
|
|
Fibrinogen activity
|
$194.31 |
$194.31 |
$194.31 |
$82.38
|
|
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 |
$519.20
|
|
Filleted finger/toe flap
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,164.64
|
|
Filter spider fx 3mmx320cm
|
$11,080.26 |
$11,080.26 |
$11,080.26 |
$6,878.20
|
|
Filter vena cava fem denali
|
$5,330.52 |
$5,330.52 |
$5,330.52 |
$3,519.51
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$444.72 |
$444.72 |
$444.72 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,255.11 |
$1,255.11 |
$1,255.11 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$755.82 |
$755.82 |
$755.82 |
$547.53
|
|
Fixation of knee joint
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,680.45 |
$1,680.45 |
$1,680.45 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$6,232.20 |
$6,232.20 |
$6,232.20 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$573.75 |
$573.75 |
$573.75 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$1,529.49 |
$1,529.49 |
$1,529.49 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$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 |
$74.00
|
|
Fluid pressure muscle 20950
|
$1,313.76 |
$1,313.76 |
$1,313.76 |
$779.45
|
|
Fluorescent antibody titer dna
|
$25.50 |
$25.50 |
$25.50 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$2,043.06 |
$2,043.06 |
$2,043.06 |
$507.00
|
|
Fluoroguide needle placement
|
$1,106.19 |
$1,106.19 |
$1,106.19 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$1,474.41 |
$1,474.41 |
$1,474.41 |
$494.52
|
|
Folic acid
|
$303.96 |
$303.96 |
$303.96 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$60.09
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,461.64 |
$2,461.64 |
$2,461.64 |
$2,471.57
|
|
Fondaparinux sodium
|
$84.15 |
$84.15 |
$84.15 |
$174.74
|
|
Foot X-ray
|
$1,077.63 |
$1,077.63 |
$1,077.63 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$6,622.86 |
$6,622.86 |
$6,622.86 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$1,195.95 |
$1,195.95 |
$1,195.95 |
$595.80
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$129.73 |
$129.73 |
$129.73 |
$88.73
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$52.53 |
$52.53 |
$52.53 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$46.41 |
$46.41 |
$46.41 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$315.18 |
$315.18 |
$315.18 |
$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
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$2,919.95
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,513.90 |
$3,513.90 |
$3,513.90 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$33.95
|
|
Fusion of finger joint
|
$6,026.16 |
$6,026.16 |
$6,026.16 |
$3,986.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$45.90 |
$45.90 |
$45.90 |
$162.68
|
|
Gammaglobulin iga
|
$69.36 |
$69.36 |
$69.36 |
$75.30
|
|
Gammaglobulin ige
|
$81.09 |
$81.09 |
$81.09 |
$85.00
|
|
Gamma glutamyltransferase
|
$206.04 |
$206.04 |
$206.04 |
$55.28
|
|
Gamunex-c/gammaked
|
$3,195.43 |
$3,195.43 |
$3,195.43 |
$6,963.60
|
|
Gardner vag dna quant
|
$83.13 |
$83.13 |
$83.13 |
$89.70
|
|
Gemcitabine 1 gram intravenous solution
|
$281.84 |
$281.84 |
$281.84 |
$276.26
|
|
General health panel
|
$276.93 |
$276.93 |
$276.93 |
$280.50
|
|
Generator barostim neo2 2014
|
$115,409.80 |
$115,409.80 |
$115,409.80 |
$54,677.39
|
|
Generator emblem MRI sicd subq
|
$60,375.84 |
$60,375.84 |
$60,375.84 |
$37,300.73
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$145.35 |
$145.35 |
$145.35 |
$65.88
|
|
Gentamicin peak therapeutic drug level
|
$141.78 |
$141.78 |
$141.78 |
$119.00
|
|
Ghs abscess perianal iandd
|
$2,894.76 |
$2,894.76 |
$2,894.76 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$5,230.05 |
$5,230.05 |
$5,230.05 |
$3,776.00
|
|
Ghs alpha thalasemia, 7 deletions
|
$234.60 |
$234.60 |
$234.60 |
$382.20
|
|
Ghs aspiration bladder - needle
|
$435.54 |
$435.54 |
$435.54 |
$590.84
|
|
Ghs bladder cath - complex-foley
|
$1,384.14 |
$1,384.14 |
$1,384.14 |
$344.48
|
