|
Exc malig snhfg 0.6-1.0 cm 11621
|
$533.40 |
$533.40 |
$533.40 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$771.40 |
$771.40 |
$771.40 |
$828.59
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$771.40 |
$771.40 |
$771.40 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$771.40 |
$771.40 |
$771.40 |
$1,246.00
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$4,349.10 |
$4,349.10 |
$4,349.10 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$3,918.60 |
$3,918.60 |
$3,918.60 |
$3,752.25
|
|
Exc sacral pr ulc prim sutr
|
$4,356.80 |
$4,356.80 |
$4,356.80 |
$3,386.84
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,473.60
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$4,363.10 |
$4,363.10 |
$4,363.10 |
$3,370.52
|
|
Exc tendon sheath or cap lesion 26160
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$995.40 |
$995.40 |
$995.40 |
$2,491.20
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,777.65 |
$1,777.65 |
$1,777.65 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$2,017.75 |
$2,017.75 |
$2,017.75 |
$4,107.36
|
|
Exercise tst brncspsm w/ecg
|
$91.00 |
$91.00 |
$91.00 |
$337.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,943.68 |
$2,943.68 |
$2,943.68 |
$4,101.67
|
|
Exploration of knee joint
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,850.53
|
|
Explore/irrigate tear ducts
|
$196.70 |
$196.70 |
$196.70 |
$436.44
|
|
Explore penetrating wnd/extremity 20103
|
$597.80 |
$597.80 |
$597.80 |
$1,917.33
|
|
Explore/repair chest 32110
|
$3,668.70 |
$3,668.70 |
$3,668.70 |
$3,668.70
|
|
Explore/treat finger joint
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,615.25
|
|
Explore wound abdomen 20102
|
$1,644.30 |
$1,644.30 |
$1,644.30 |
$2,837.09
|
|
Explore woundchest 20101
|
$1,644.30 |
$1,644.30 |
$1,644.30 |
$2,179.44
|
|
Explore wound neck 20100
|
$387.80 |
$387.80 |
$387.80 |
$1,185.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,337.00 |
$1,337.00 |
$1,337.00 |
$3,559.50
|
|
External cannula declotting
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$1,829.42
|
|
External newborn metabolic screening panel
|
$73.50 |
$73.50 |
$73.50 |
$104.72
|
|
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
|
$35.35 |
$35.35 |
$35.35 |
$102.78
|
|
Eye implant band 40
|
$43.32 |
$43.32 |
$43.32 |
$173.19
|
|
F-18 florbetapir less than or equal to 10 mci
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$4,960.80
|
|
Facial bones <3
|
$328.30 |
$328.30 |
$328.30 |
$248.60
|
|
Factor ix complex
|
$5,068.83 |
$5,068.83 |
$5,068.83 |
$4.68
|
|
Factor viii
|
$1,097.25 |
$1,097.25 |
$1,097.25 |
$144.30
|
|
Factor viii recomb novoeight
|
$6,778.74 |
$6,778.74 |
$6,778.74 |
$11.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$32.76 |
$32.76 |
$32.76 |
$24.21
|
|
Fda ide #g240020 carry bag
|
$601.97 |
$601.97 |
$601.97 |
$933.57
|
|
Fem/popl revasc w/stent
|
$5,540.15 |
$5,540.15 |
$5,540.15 |
$18,599.10
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$142.59 |
$142.59 |
$142.59 |
$118.20
|
|
Ferritin
|
$116.20 |
$116.20 |
$116.20 |
$103.68
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$528.85 |
$528.85 |
$528.85 |
$1,426.50
|
|
Fetal biophys profile w/nst 76818
|
$772.80 |
$772.80 |
$772.80 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$329.70 |
$329.70 |
$329.70 |
$540.54
|
|
Fetal fibronectin
|
$164.85 |
$164.85 |
$164.85 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$226.10 |
$226.10 |
$226.10 |
$88.80
|
|
Fetal hemoglobin rosette
|
$131.60 |
$131.60 |
$131.60 |
$76.70
|
|
Fetal non stress test
|
$142.45 |
$142.45 |
$142.45 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$179.20 |
$179.20 |
$179.20 |
$112.80
|
|
Fibrin degradation products
|
$179.20 |
$179.20 |
$179.20 |
$62.40
|
|
Fibrinogen activity
|
$201.60 |
$201.60 |
$201.60 |
$82.38
|
|
Filleted finger/toe flap
|
$1,494.50 |
$1,494.50 |
$1,494.50 |
$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
|
$266.70 |
$266.70 |
$266.70 |
$261.80
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$765.45 |
$765.45 |
$765.45 |
$806.40
|
|
Fine needle asp without image guide 10021
|
$332.15 |
$332.15 |
$332.15 |
$547.53
|
|
Fixation of knee joint
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$862.40 |
$862.40 |
$862.40 |
$1,236.90
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,981.06
|
|
Fl exam g/colon tube w contrast
|
$280.35 |
$280.35 |
$280.35 |
$546.86
|
|
Flexible Sigmoidoscopy
|
$677.95 |
$677.95 |
$677.95 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,040.09
|
|
Flow cytometry marker each additional
|
$55.65 |
$55.65 |
$55.65 |
$103.00
|
|
Flow cytometry one marker technical component
|
$194.95 |
$194.95 |
$194.95 |
$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
|
$133.17 |
$133.17 |
$133.17 |
$74.00
|
|
Fludarabine 50 mg intravenous solution
|
$934.58 |
$934.58 |
$934.58 |
$601.96
|
|
Fluidotherapy charges pt
|
$77.70 |
$77.70 |
$77.70 |
$95.00
|
|
Fluid pressure muscle 20950
|
$597.80 |
$597.80 |
$597.80 |
$779.45
|
|
Fluorescent antibody titer dna
|
$4.31 |
$4.31 |
$4.31 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$483.00 |
$483.00 |
$483.00 |
$507.00
|
|
Fluoroguide needle placement
|
$188.65 |
$188.65 |
$188.65 |
$536.26
|
|
Fluoroscopy up to 1 hour
|
$288.75 |
$288.75 |
$288.75 |
$494.52
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$145.38 |
$145.38 |
$145.38 |
$136.92
|
|
Fna bx w/ct gdn 1st les
|
$1,899.80 |
$1,899.80 |
$1,899.80 |
$1,588.65
|
|
Fna bx w/ct gdn ea addl
|
$964.60 |
$964.60 |
$964.60 |
$775.14
|
|
Folic acid
|
$119.35 |
$119.35 |
$119.35 |
$90.60
|
|
Folic acid 5 mg/ml injection solution
|
$32.78 |
$32.78 |
$32.78 |
$56.70
|
|
Follow-up angiography
|
$1,885.45 |
$1,885.45 |
$1,885.45 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,928.19 |
$3,928.19 |
$3,928.19 |
$2,581.14
|
|
Fondaparinux sodium
|
$212.89 |
$212.89 |
$212.89 |
$176.54
|
|
Foot X-ray
|
$324.80 |
$324.80 |
$324.80 |
$362.40
|
|
Forehead flap w/vasc pedicle 15731
|
$4,402.30 |
$4,402.30 |
$4,402.30 |
$4,332.25
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$156.80 |
$156.80 |
$156.80 |
$595.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,202.58 |
$1,202.58 |
$1,202.58 |
$425.16
|
|
Foscarnet sodium injection
|
$1,196.69 |
$1,196.69 |
$1,196.69 |
$1,101.86
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$145.31 |
$145.31 |
$145.31 |
$86.40
|
|
Fracture assessment via dxa
|
$124.25 |
$124.25 |
$124.25 |
$146.80
|
|
Frenectomy 41115
|
$2,305.45 |
$2,305.45 |
$2,305.45 |
$1,744.44
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$50.05 |
$50.05 |
$50.05 |
$168.75
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$50.05 |
$50.05 |
$50.05 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$109.20 |
$109.20 |
$109.20 |
$123.90
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$2,420.60 |
$2,420.60 |
$2,420.60 |
$2,919.95
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$2,558.85 |
$2,558.85 |
$2,558.85 |
$2,465.10
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$3,146.85 |
$3,146.85 |
$3,146.85 |
$2,501.10
|
|
Furosemide 10 mg/ml injection solution
|
$34.46 |
$34.46 |
$34.46 |
$27.48
|
|
Fusion of finger joint
|
$2,426.55 |
$2,426.55 |
$2,426.55 |
$3,986.00
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$31.50 |
$31.50 |
$31.50 |
$162.68
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$138.15 |
$138.15 |
$138.15 |
$210.50
|
