|
Ex sq tumor/face or scalp < 2 cm 21011
|
$4,370.59 |
$4,370.59 |
$4,370.59 |
|
|
Ext ecg>48hr<7d scan a/r
|
$903.52 |
$903.52 |
$903.52 |
|
|
Ext ecg>7d<15d scan a/r
|
$471.74 |
$471.74 |
$471.74 |
|
|
Extended visual field xm
|
$957.00 |
$957.00 |
$957.00 |
|
|
External cannula declotting
|
$3,491.24 |
$3,491.24 |
$3,491.24 |
|
|
External chromosome analysis 20-25 cells
|
$194.43 |
$1,996.12 |
$6,860.37 |
|
|
External newborn metabolic screening panel
|
$60.60 |
$66.41 |
$138.32 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$36.95 |
$516.00 |
$807.00 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$24,215.00 |
$24,215.00 |
$24,215.00 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$193.54 |
$1,952.59 |
$6,859.76 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$24.05 |
$256.54 |
$256.54 |
|
|
Eye Socket (Orbit) X-ray
|
$64.06 |
$1,441.50 |
$1,859.92 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$456.84 |
$6,647.09 |
$17,900.50 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$380.70 |
$5,613.92 |
$8,021.50 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$304.56 |
$4,686.25 |
$5,306.43 |
|
|
F-18 fdg pet diag
|
$186.29 |
$3,783.08 |
$7,092.24 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$15,348.97 |
$15,348.97 |
$15,495.15 |
|
|
F-18 fluciclovine per mci
|
$317.95 |
$2,322.00 |
$5,415.33 |
|
|
F-18 sodium fluoride
|
$1,125.61 |
$1,125.61 |
$3,451.25 |
|
|
F9 full gene sequence
|
$777.60 |
$777.60 |
$777.60 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$498.52 |
$7,868.00 |
$24,380.40 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$332.35 |
$6,107.69 |
$20,658.55 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$46.82 |
$1,058.76 |
$1,276.75 |
|
|
Facial Bones X-ray (complete)
|
$64.77 |
$1,441.50 |
$1,607.46 |
|
|
Facial nerve function test
|
$2,033.79 |
$2,033.79 |
$2,033.79 |
|
|
Factor ix
|
$8.06 |
$455.07 |
$2,519.00 |
|
|
Factor ix complex
|
$1.42 |
$8.83 |
$17,736.75 |
|
|
Factor ix non-recombinant
|
$10.29 |
$10.29 |
$10.29 |
|
|
Factor ix recombinant nos
|
$11.33 |
$15.68 |
$6,546.27 |
|
|
Factor viii
|
$6.73 |
$455.07 |
$2,329.00 |
|
|
Factor viii
|
$17.85 |
$1,035.00 |
$33,516.00 |
|
|
Factor viii recombinant nos
|
$0.34 |
$19.60 |
$29.65 |
|
|
Factor xiii anti-hem factor
|
$70.85 |
$70.85 |
$70.85 |
|
|
Fallopian tube recnl
|
$1,381.36 |
$5,329.09 |
$5,329.09 |
|
|
Family therapy without pt 50min 90846
|
$167.71 |
$778.02 |
$988.00 |
|
|
Family therapy with patient 50 min 90847
|
$182.24 |
$516.40 |
$988.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$75.79 |
$75.79 |
$401.52 |
|
|
Fancc gene
|
$63.33 |
$63.33 |
$147.31 |
|
|
Fat/lipids feces qualitative
|
$15.44 |
$80.97 |
$2,519.41 |
|
|
Fatty acids nonesterified
|
$15.66 |
$211.76 |
$3,166.00 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$40,320.00 |
$40,320.00 |
$40,320.00 |
|
|
#fecal-sodium
|
$13.17 |
$78.85 |
$683.01 |
|
|
Feeding tube reposition
|
$198.53 |
$2,938.00 |
$4,367.95 |
|
|
Fees w/laryngeal sense test
|
$254.65 |
$254.65 |
$297.55 |
|
|
Felbamate (felbatol(r)) - sendout
|
$16.80 |
$135.50 |
$1,856.89 |
|
|
Fem/popl revasc w/stent
|
$13,033.91 |
$23,055.84 |
$23,055.84 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.90 |
$502.13 |
$502.13 |
|
|
Fern test
|
$14.98 |
$15.18 |
$40.66 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1.71 |
$1,019.97 |
$9,771.00 |
|
|
Ferritin
|
$11.55 |
$218.18 |
$1,214.00 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,636.50 |
$1,636.50 |
$8,540.00 |
|
|
Fetal biophys profile w/nst 76818
|
$320.19 |
$2,271.38 |
$2,960.25 |
|
|
Fetal chrmoml microdeltj
|
$425.00 |
$1,414.34 |
$6,455.34 |
|
|
Fetal chrom aneuploidy gsa panel
|
$349.00 |
$846.55 |
$984.10 |
|
|
Fetal contract stress test 59020 - 26
|
$353.57 |
$519.18 |
$740.00 |
|
|
Fetal fibronectin
|
$44.04 |
$1,197.09 |
$2,241.07 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$6.02 |
$512.40 |
$2,449.75 |
|
|
Fetal hemoglobin rosette
|
$2.96 |
$183.25 |
$841.69 |
|
|
Fetal lung maturity assess lam body dnst
|
$317.48 |
$379.90 |
$1,173.43 |
|
|
Fetal monitor w/report
|
$1,191.20 |
$1,191.20 |
$1,191.20 |
|
|
Fetal non stress test
|
$409.25 |
$1,270.50 |
$1,679.95 |
|
|
#_fet/norfentcnfrmur
|
$15.21 |
$161.88 |
$161.88 |
|
|
Fibrin degradation d dimer quantitative
|
$3.16 |
$418.19 |
$1,808.75 |
|
|
Fibrin degradation products
|
$8.16 |
$488.52 |
$1,467.25 |
|
|
Fibrin degrade semiquant
|
$241.69 |
$241.69 |
$1,308.50 |
|
|
Fibrinogen activity
|
$3.06 |
$241.88 |
$1,587.75 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$4.79 |
$63.94 |
$63.94 |
|
|
Fibrinolytic antiplasmin
|
$6.77 |
$268.33 |
$2,460.00 |
|
|
Fibrinolytic plasminogen
|
$8.57 |
$273.55 |
$1,948.25 |
|
|
Fibrinolytic plasminogen
|
$634.70 |
$1,320.83 |
$1,563.25 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$7.24 |
$243.59 |
$2,198.50 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2,188.74 |
$2,188.74 |
$2,188.74 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$926.54 |
$926.54 |
$2,302.16 |
|
|
Filter spider fx 3mmx320cm
|
$5,396.28 |
$6,195.30 |
$8,827.31 |
|
|
Filter vena cava fem denali
|
$3,437.32 |
$3,733.80 |
$4,956.78 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$99.84 |
$4,850.48 |
$4,850.48 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$65.54 |
$1,640.45 |
$1,640.45 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$1,367.03 |
$1,367.03 |
$1,367.03 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$272.65 |
$1,640.45 |
$1,640.45 |
|
|
Fine needle asp without image guide 10021
|
$256.88 |
$2,983.50 |
$2,983.50 |
|
|
Finger X-ray (both hands)
|
$58.78 |
$954.63 |
$954.63 |
|
|
Fitting of diaphragm/cap 57170
|
$519.18 |
$519.18 |
$519.18 |
|
|
Fixation of knee joint
|
$4,181.05 |
$4,181.05 |
$4,181.05 |
|
|
Fix g/colon tube w/device
|
$394.70 |
$1,245.88 |
$1,245.88 |
|
|
Flebogamma injection
|
$276.05 |
$430.91 |
$19,307.68 |
|
|
Flecainide (tambocor)-sendout
|
$15.44 |
$1,668.75 |
$5,534.45 |
|
|
Fl exam g/colon tube w contrast
|
$143.81 |
$664.34 |
$664.34 |
|
|
Flow cytometry interp 16 or more
|
$405.18 |
$405.18 |
$405.18 |
|
|
Flow cytometry marker each additional
|
$56.45 |
$142.00 |
$194.90 |
|
|
Flow cytometry one marker technical component
|
$321.66 |
$468.14 |
$3,275.82 |
|
|
Floweramniopatch, per sq cm
|
$1.00 |
$1.00 |
$1.00 |
|
|
#flow interp 9 - 15 markers
|
$3,090.47 |
$3,090.47 |
$3,090.47 |
|
|
Floxuridine injection
|
$582.24 |
$2,207.36 |
$7,087.00 |
|
|
Flt3 gene
|
$69.08 |
$750.75 |
$1,969.55 |
|
|
Flt3 gene analysis
|
$34.61 |
$438.52 |
$1,701.91 |
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$208.38 |
$208.38 |
$1,095.57 |
|
|
Fludarabine 50 mg intravenous solution
|
$1,926.97 |
$5,280.25 |
$9,392.00 |
|
|
Fluidotherapy charges pt
|
$46.17 |
$357.89 |
$357.89 |
|
|
Fluid pressure muscle 20950
|
$481.81 |
$2,478.00 |
$2,478.00 |
|
|
Fluorescent antibody titer dna
|
$154.84 |
$192.73 |
$618.54 |
|
