|
Evoked potential visual not glaucoma
|
$852.80 |
$852.80 |
$852.80 |
$814.61
|
|
Exc chest wall tumor w/ribs 21601
|
$8,333.00 |
$8,333.00 |
$8,333.00 |
$3,386.84
|
|
Exchange biliary drg cath
|
$6,978.40 |
$6,978.40 |
$6,978.40 |
$3,856.84
|
|
Exchange drainage catheter
|
$3,437.85 |
$3,437.85 |
$3,437.85 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$8,204.30 |
$8,204.30 |
$8,204.30 |
$2,958.80
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,736.80 |
$1,736.80 |
$1,736.80 |
$2,865.00
|
|
Excision graft extremity
|
$5,082.35 |
$5,082.35 |
$5,082.35 |
$4,881.00
|
|
Exercise tst brncspsm w/ecg
|
$434.20 |
$434.20 |
$434.20 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$182.00 |
$182.00 |
$182.00 |
$129.92
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$7,901.40 |
$7,901.40 |
$7,901.40 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$11,540.75 |
$11,540.75 |
$11,540.75 |
$4,101.67
|
|
Expl lap celiotomy w/wo bx 49000
|
$13,261.30 |
$13,261.30 |
$13,261.30 |
$2,357.35
|
|
Explore limb vessels 35860
|
$8,370.05 |
$8,370.05 |
$8,370.05 |
$4,341.66
|
|
Expose art endoprosth iliac 34820
|
$7,398.95 |
$7,398.95 |
$7,398.95 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$8,139.95 |
$8,139.95 |
$8,139.95 |
$1,888.20
|
|
External cannula declotting
|
$1,101.75 |
$1,101.75 |
$1,101.75 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$290.55 |
$290.55 |
$290.55 |
$415.01
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$7,333.95 |
$7,333.95 |
$7,333.95 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$574.60 |
$574.60 |
$574.60 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$174.85 |
$174.85 |
$174.85 |
$109.00
|
|
Eye implant band 40
|
$8,102.90 |
$8,102.90 |
$8,102.90 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$919.75 |
$919.75 |
$919.75 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$4,727.45 |
$4,727.45 |
$4,727.45 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$3,848.65 |
$3,848.65 |
$3,848.65 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$3,557.45 |
$3,557.45 |
$3,557.45 |
$1,320.00
|
|
F-18 fdg pet diag
|
$566.80 |
$566.80 |
$566.80 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,258.80 |
$4,258.80 |
$4,258.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,413.15 |
$3,413.15 |
$3,413.15 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$501.80 |
$501.80 |
$501.80 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$815.10 |
$815.10 |
$815.10 |
$381.75
|
|
Factor ix
|
$487.50 |
$487.50 |
$487.50 |
$162.50
|
|
Factor ix alprolix recomb
|
$3.25 |
$3.25 |
$3.25 |
$9.46
|
|
Factor ix recombinant nos
|
$7.80 |
$7.80 |
$7.80 |
$4.65
|
|
Factor viii
|
$487.50 |
$487.50 |
$487.50 |
$148.00
|
|
Factor viii fc fusion recomb
|
$24.70 |
$24.70 |
$24.70 |
$8.28
|
|
Factor viii nuwiq recomb 1iu
|
$14.95 |
$14.95 |
$14.95 |
$5.20
|
|
Factor viii pegylated recomb
|
$10.40 |
$10.40 |
$10.40 |
$8.05
|
|
Factor viii recombinant nos
|
$3.25 |
$3.25 |
$3.25 |
$5.20
|
|
Factor viii recomb novoeight
|
$11.70 |
$11.70 |
$11.70 |
$7.21
|
|
Fallopian tube recnl
|
$4,084.60 |
$4,084.60 |
$4,084.60 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$3.25 |
$3.25 |
$3.25 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$116.35 |
$116.35 |
$116.35 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$32.50 |
$32.50 |
$32.50 |
$36.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$282.75 |
$282.75 |
$282.75 |
$14,956.68
|
|
#fecal-sodium
|
$116.35 |
$116.35 |
$116.35 |
$37.53
|
|
Feeding tube reposition
|
$1,426.10 |
$1,426.10 |
$1,426.10 |
$520.00
|
|
Fees w/laryngeal sense test
|
$506.35 |
$506.35 |
$506.35 |
$471.00
|
|
Femoral endovas graft add-on 34813
|
$13,832.00 |
$13,832.00 |
$13,832.00 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$56,202.90 |
$56,202.90 |
$56,202.90 |
$16,129.60
|
|
Feno poc
|
$114.40 |
$114.40 |
$114.40 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$251.55 |
$251.55 |
$251.55 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$11.70 |
$11.70 |
$11.70 |
$2,590.25
|
|
Ferritin
|
$339.95 |
$339.95 |
$339.95 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$10.40 |
$10.40 |
$10.40 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$1,025.05 |
$1,025.05 |
$1,025.05 |
$541.74
|
|
Fetal fibronectin
|
$904.80 |
$904.80 |
$904.80 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$442.65 |
$442.65 |
$442.65 |
$102.00
|
|
Fetal hemoglobin rosette
|
$245.05 |
$245.05 |
$245.05 |
$67.20
|
|
#_fet/norfentcnfrmur
|
$184.60 |
$184.60 |
$184.60 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$414.70 |
$414.70 |
$414.70 |
$120.64
|
|
Fibrin degradation products
|
$215.15 |
$215.15 |
$215.15 |
$75.02
|
|
Fibrinogen activity
|
$331.50 |
$331.50 |
$331.50 |
$87.00
|
|
Fibrinolytic plasminogen
|
$209.95 |
$209.95 |
$209.95 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$124.80 |
$124.80 |
$124.80 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$5.20 |
$5.20 |
$5.20 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$188.50 |
$188.50 |
$188.50 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.60 |
$2.60 |
$2.60 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$48,296.95 |
$48,296.95 |
$48,296.95 |
$7,358.16
|
|
Filter vena cava fem denali
|
$10,387.00 |
$10,387.00 |
$10,387.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$624.65 |
$624.65 |
$624.65 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$339.30 |
$339.30 |
$339.30 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$694.20 |
$694.20 |
$694.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$683.80 |
$683.80 |
$683.80 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$7,287.80 |
$7,287.80 |
$7,287.80 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$472.55 |
$472.55 |
$472.55 |
$241.50
|
|
Fix g/colon tube w/device
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$1,183.00
|
|
Flebogamma injection
|
$451.10 |
$451.10 |
$451.10 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$31.20 |
$31.20 |
$31.20 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$609.05 |
$609.05 |
$609.05 |
$540.80
|
|
Flotufolastat f18 diag 1 mci
|
$1,270.75 |
$1,270.75 |
$1,270.75 |
$2,091.04
|
|
Flow cytometry marker each additional
|
$396.50 |
$396.50 |
$396.50 |
$97.50
|
|
Flow cytometry one marker technical component
|
$396.50 |
$396.50 |
$396.50 |
$285.00
|
|
Flt3 gene
|
$493.35 |
$493.35 |
$493.35 |
$366.29
|
|
Flt3 gene analysis
|
$432.25 |
$432.25 |
$432.25 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$161.20 |
$161.20 |
$161.20 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,624.35 |
$1,624.35 |
$1,624.35 |
$493.35
|
|
Fluidotherapy charges pt
|
$269.10 |
$269.10 |
$269.10 |
$101.40
|
|
Fluorescent antibody titer dna
|
$326.30 |
$326.30 |
$326.30 |
$123.65
|
|
Fluoroestradiol f 18
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$495.95 |
$495.95 |
$495.95 |
$495.00
|
|
Fluoroguide needle placement
|
$2,644.85 |
$2,644.85 |
$2,644.85 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$873.60 |
$873.60 |
$873.60 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$38.35 |
$38.35 |
$38.35 |
$107.00
|
|
Flurpiridaz f18, diag, 1 mci
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$1,033.50
|
|
Flutemetamol f18 diagnostic
|
$4,774.90 |
$4,774.90 |
$4,774.90 |
$5,265.00
|
|
Fmri brain by phys/psych
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$1,639.00
|
|
Fmri brain by tech
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$624.65 |
$624.65 |
$624.65 |
$834.90
|
