|
Expl lap celiotomy w/wo bx 49000
|
$1,383.29 |
$1,383.29 |
$1,383.29 |
$2,232.75
|
|
Exploration of knee joint
|
$1,280.72 |
$1,280.72 |
$1,280.72 |
$3,850.53
|
|
Exploration of toe joint
|
$556.11 |
$556.11 |
$556.11 |
$1,893.86
|
|
Explore parathyroid glands
|
$1,734.93 |
$1,734.93 |
$1,734.93 |
$6,465.11
|
|
Explore/treat ankle joint
|
$811.86 |
$811.86 |
$811.86 |
$3,839.54
|
|
Explore/treat eye socket
|
$1,642.36 |
$1,642.36 |
$1,642.36 |
$3,320.43
|
|
Explore/treat finger joint
|
$712.62 |
$712.62 |
$712.62 |
$2,615.25
|
|
Explore/treat knee joint
|
$831.17 |
$831.17 |
$831.17 |
$3,839.54
|
|
Explore wound abdomen 20102
|
$411.59 |
$411.59 |
$411.59 |
$2,837.09
|
|
Explore woundchest 20101
|
$335.67 |
$335.67 |
$335.67 |
$2,179.44
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$604.07 |
$604.07 |
$604.07 |
$2,271.01
|
|
External chromosome analysis 20-25 cells
|
$116.55 |
$116.55 |
$116.55 |
$389.35
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$73.43 |
$73.43 |
$73.43 |
$61.32
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$116.55 |
$116.55 |
$116.55 |
$458.73
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$52.95 |
$52.95 |
$52.95 |
$102.78
|
|
F-18 fdg pet diag
|
$404.27 |
$404.27 |
$404.27 |
$602.25
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,655.01 |
$3,655.01 |
$3,655.01 |
$4,960.80
|
|
Facial bones <3
|
$422.25 |
$422.25 |
$422.25 |
$248.60
|
|
Factor ix
|
$21.92 |
$21.92 |
$21.92 |
$131.30
|
|
Factor viii
|
$16.52 |
$16.52 |
$16.52 |
$144.30
|
|
Family therapy without pt 50min 90846
|
$176.49 |
$176.49 |
$176.49 |
$244.07
|
|
Fat/lipids feces qualitative
|
$9.33 |
$9.33 |
$9.33 |
$34.56
|
|
Fatty acids nonesterified
|
$19.98 |
$19.98 |
$19.98 |
$57.60
|
|
#fecal-sodium
|
$47.29 |
$47.29 |
$47.29 |
$37.50
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.74 |
$35.74 |
$35.74 |
$120.15
|
|
Ferritin
|
$107.23 |
$107.23 |
$107.23 |
$103.68
|
|
Fetal biophys profile w/nst 76818
|
$1,332.67 |
$1,332.67 |
$1,332.67 |
$541.74
|
|
Fetal fibronectin
|
$620.72 |
$620.72 |
$620.72 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$337.00 |
$337.00 |
$337.00 |
$88.80
|
|
Fetal hemoglobin rosette
|
$63.94 |
$63.94 |
$63.94 |
$76.70
|
|
Fibrin degradation d dimer quantitative
|
$215.12 |
$215.12 |
$215.12 |
$112.80
|
|
Fibrinogen activity
|
$153.18 |
$153.18 |
$153.18 |
$82.38
|
|
Fibrinolytic antiplasmin
|
$23.52 |
$23.52 |
$23.52 |
$56.00
|
|
Fibrinolytic plasminogen
|
$37.30 |
$37.30 |
$37.30 |
$109.45
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$895.35 |
$895.35 |
$895.35 |
$973.70
|
|
Filleted finger/toe flap
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$2,164.64
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$674.66 |
$674.66 |
$674.66 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$173.83 |
$173.83 |
$173.83 |
$547.53
|
|
Fitting of diaphragm/cap 57170
|
$84.59 |
$84.59 |
$84.59 |
$222.86
|
|
Fixation of knee joint
|
$263.07 |
$263.07 |
$263.07 |
$1,963.35
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,149.52 |
$1,149.52 |
$1,149.52 |
$3,981.06
|
|
Flecainide (tambocor)-sendout
|
$16.79 |
$16.79 |
$16.79 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$718.62 |
$718.62 |
$718.62 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$124.55 |
$124.55 |
$124.55 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$26.38 |
$26.38 |
$26.38 |
$103.00
|
|
Flow cytometry one marker technical component
|
$63.27 |
$63.27 |
$63.27 |
$270.75
|
|
Fluorescent antibody titer dna
|
$9.99 |
$9.99 |
$9.99 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$646.69 |
$646.69 |
$646.69 |
$507.00
|
|
Fluoroguide needle placement
|
$1,963.37 |
$1,963.37 |
$1,963.37 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$965.04 |
$965.04 |
$965.04 |
$494.52
|
|
Folic acid
|
$124.55 |
$124.55 |
$124.55 |
$90.60
|
|
Fracture assessment via dxa
|
$359.64 |
$359.64 |
$359.64 |
$146.80
|
|
Fragmenting of kidney stone
|
$1,034.30 |
$1,034.30 |
$1,034.30 |
$9,827.25
|
|
Freeing of bowel adhesion 44005
|
$1,914.09 |
$1,914.09 |
$1,914.09 |
$2,684.00
|
|
Frenulotomy of penis
|
$355.65 |
$355.65 |
$355.65 |
$3,897.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$129.21 |
$129.21 |
$129.21 |
$149.50
|
|
Fructosamine glycated protein
|
$6.28 |
$6.28 |
$6.28 |
$60.42
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$1,009.66 |
$1,009.66 |
$1,009.66 |
$2,465.10
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$279.72 |
$279.72 |
$279.72 |
$429.55
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$953.05 |
$953.05 |
$953.05 |
$2,501.10
|
|
Fusion of big toe joint
|
$1,048.29 |
$1,048.29 |
$1,048.29 |
$5,855.00
|
|
Fusion of finger joint
|
$1,137.53 |
$1,137.53 |
$1,137.53 |
$3,986.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$17.32 |
$17.32 |
$17.32 |
$162.68
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$246.42 |
$246.42 |
$246.42 |
$138.37
|
|
Gallbladder Removal (Laparoscopic)
|
$1,149.52 |
$1,149.52 |
$1,149.52 |
$6,904.15
|
|
Gammaglobulin iga
|
$15.49 |
$15.49 |
$15.49 |
$75.30
|
|
Gammaglobulin ige
|
$27.41 |
$27.41 |
$27.41 |
$85.00
|
|
Gamma glutamyltransferase
|
$72.60 |
$72.60 |
$72.60 |
$55.28
|
|
Gastroesophageal reflux study
|
$4,008.66 |
$4,008.66 |
$4,008.66 |
$957.25
|
|
Gated heart multiple
|
$4,263.74 |
$4,263.74 |
$4,263.74 |
$1,370.99
|
|
General health panel
|
$362.31 |
$362.31 |
$362.31 |
$280.50
|
|
Gentamicin peak therapeutic drug level
|
$121.22 |
$121.22 |
$121.22 |
$119.00
|
|
Ghs abscess perianal iandd
|
$178.49 |
$178.49 |
$178.49 |
$1,530.50
|
|
Ghs abscess postoperative iandd complex
|
$339.66 |
$339.66 |
$339.66 |
$3,776.00
|
|
Ghs antibodies (torch) igm
|
$10.85 |
$10.85 |
$10.85 |
$73.70
|
|
Ghs bladder cath - complex-foley
|
$145.86 |
$145.86 |
$145.86 |
$344.48
|
|
Ghs central line insert < age 5, failed
|
$2,842.49 |
$2,842.49 |
$2,842.49 |
$2,676.75
|
|
Ghs change cysto/gastrost
|
$70.60 |
$70.60 |
$70.60 |
$699.60
|
|
Ghs chemo >8 hrs
|
$1,431.90 |
$1,431.90 |
$1,431.90 |
$714.87
|
|
Ghs chemo IV push, ea addtl
|
$807.86 |
$807.86 |
$807.86 |
$291.60
|
|
Ghs closd tx interphalang jt disloc w/ma
|
$299.70 |
$299.70 |
$299.70 |
$596.55
|
|
Ghs closed tx bimalleolar fracture w/manip
|
$1,026.31 |
$1,026.31 |
$1,026.31 |
$1,707.42
|
|
Ghs closed tx tibial fracture w/manip
|
$1,164.84 |
$1,164.84 |
$1,164.84 |
$2,621.64
|
|
Ghs closure surg wound/dehiscence-13160
|
$1,421.25 |
$1,421.25 |
$1,421.25 |
$2,973.33
|
|
Ghs clsd red med malleolus fx without manip
|
$518.15 |
$518.15 |
$518.15 |
$581.60
|
|
Ghs clsd tx frac distal tibia w/manipulation
|
$859.14 |
$859.14 |
$859.14 |
$2,399.46
|
|
Ghs conjunctiva foreign body-embed bil
|
$59.94 |
$59.94 |
$59.94 |
$448.80
|
|
Ghs conjunctiva foreign body-superf bil
|
$55.95 |
$55.95 |
$55.95 |
$316.25
|
|
Ghs corneal fb without slit lamp bilat
|
$89.91 |
$89.91 |
$89.91 |
$435.07
|
|
Ghs cutdown placement age 1 and over
|
$49.95 |
$49.95 |
$49.95 |
$411.84
|
|
Ghs dislocation elbow closed treatment
|
$599.40 |
$599.40 |
$599.40 |
$687.73
|
|
Ghs ed peritoneal lavage w guidance if performed
|
$1,566.44 |
$1,566.44 |
$1,566.44 |
$1,313.95
|
|
Ghs fb removal foot - deep - left
|
$554.12 |
$554.12 |
$554.12 |
$2,880.30
|
|
Ghs fb removal - incisional
|
$352.98 |
$352.98 |
$352.98 |
$2,425.20
|
|
Ghs fb removal - non-incisional
|
$269.73 |
$269.73 |
$269.73 |
$1,794.93
|
|
Ghs fish cytogen
|
$210.99 |
$210.99 |
$210.99 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$210.99 |
$210.99 |
$210.99 |
$229.45
|
|
Ghs flow volume loop
|
$216.45 |
$216.45 |
$216.45 |
$309.12
|
|
Ghs gastric intub aspiration lavage
|
$621.38 |
$621.38 |
$621.38 |
$403.20
|
|
Ghs histoplasma antigen
|
$29.97 |
$29.97 |
$29.97 |
$137.80
|
