|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$1,330.55 |
$1,330.55 |
$1,330.55 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,023.10 |
$1,023.10 |
$1,023.10 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$2,087.15 |
$2,087.15 |
$2,087.15 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$833.30 |
$833.30 |
$833.30 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,086.15 |
$1,086.15 |
$1,086.15 |
$1,314.67
|
|
Exc chest wall tumor w/ribs 21601
|
$8,333.00 |
$8,333.00 |
$8,333.00 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$617.50 |
$617.50 |
$617.50 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$1,452.10 |
$1,452.10 |
$1,452.10 |
$2,101.45
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$4,257.50 |
$4,257.50 |
$4,257.50 |
$3,484.00
|
|
Exc forearm les sc 3 cm/>
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$3,628.50
|
|
Exc forearm tum deep 3 cm/>
|
$3,141.45 |
$3,141.45 |
$3,141.45 |
$4,247.20
|
|
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
|
|
Exc hidradenitis ing simpl 11462
|
$3,081.00 |
$3,081.00 |
$3,081.00 |
$3,386.84
|
|
Exc hidradenitis peri/umb comp 11471
|
$2,111.20 |
$2,111.20 |
$2,111.20 |
$3,386.84
|
|
Exc hidradenitis peri/umb int 11470
|
$2,087.15 |
$2,087.15 |
$2,087.15 |
$3,399.24
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$5,096.65 |
$5,096.65 |
$5,096.65 |
$3,398.50
|
|
Exc ischial pr ulc prim sutr
|
$8,538.40 |
$8,538.40 |
$8,538.40 |
$3,386.84
|
|
Excise epiphyseal bar
|
$9,417.85 |
$9,417.85 |
$9,417.85 |
$4,947.20
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$4,035.85 |
$4,035.85 |
$4,035.85 |
$3,322.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$769.60 |
$769.60 |
$769.60 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$890.50 |
$890.50 |
$890.50 |
$1,072.24
|
|
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
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$5,096.65 |
$5,096.65 |
$5,096.65 |
$4,420.32
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$3,127.88
|
|
Excl laa open any method 33267
|
$37,594.05 |
$37,594.05 |
$37,594.05 |
$2,592.00
|
|
Excl laa opn oth px any meth 33268
|
$4,731.35 |
$4,731.35 |
$4,731.35 |
$324.00
|
|
Excl laa thrscp any method
|
$29,729.70 |
$29,729.70 |
$29,729.70 |
$3,720.60
|
|
Exc malig feenl <0.5cm 11640
|
$514.15 |
$514.15 |
$514.15 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$635.70 |
$635.70 |
$635.70 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,452.10 |
$1,452.10 |
$1,452.10 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$2,087.15 |
$2,087.15 |
$2,087.15 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$1,210.30 |
$1,210.30 |
$1,210.30 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$2,015.65 |
$2,015.65 |
$2,015.65 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$845.00 |
$845.00 |
$845.00 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$2,015.65 |
$2,015.65 |
$2,015.65 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,504.75 |
$1,504.75 |
$1,504.75 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,249.95 |
$1,249.95 |
$1,249.95 |
$1,294.80
|
|
Exc prtl bn phlnx toe
|
$5,908.50 |
$5,908.50 |
$5,908.50 |
$3,839.54
|
|
Exc skn hdrdnt ax complex
|
$2,087.15 |
$2,087.15 |
$2,087.15 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$3,081.00 |
$3,081.00 |
$3,081.00 |
$3,386.84
|
|
Exc skn hdrdnt ing complex
|
$2,087.15 |
$2,087.15 |
$2,087.15 |
$3,994.09
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,504.75 |
$1,504.75 |
$1,504.75 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,397.50 |
$1,397.50 |
$1,397.50 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$2,296.45 |
$2,296.45 |
$2,296.45 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,121.60 |
$2,121.60 |
$2,121.60 |
$2,937.55
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$6,142.50 |
$6,142.50 |
$6,142.50 |
$4,160.80
|
|
Exc thigh/knee les sc<3cm 27327
|
$5,166.20 |
$5,166.20 |
$5,166.20 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$10,331.75 |
$10,331.75 |
$10,331.75 |
$3,306.79
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,577.55 |
$1,577.55 |
$1,577.55 |
$2,054.40
|
|
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
|
|
Exercise w/hemodynamic meas
|
$257.40 |
$257.40 |
$257.40 |
$901.60
|
|
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
|
|
Explore penetrating wnd/extremity 20103
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$5,560.75 |
$5,560.75 |
$5,560.75 |
$2,784.80
|
|
Explore woundchest 20101
|
$6,284.20 |
$6,284.20 |
$6,284.20 |
$2,227.68
|
|
Explore wound neck 20100
|
$1,749.15 |
$1,749.15 |
$1,749.15 |
$1,185.00
|
|
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
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$5,351.45 |
$5,351.45 |
$5,351.45 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,439.50 |
$4,439.50 |
$4,439.50 |
$2,896.40
|
|
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
|
|
Extrnl counterpulse, per tx
|
$638.95 |
$638.95 |
$638.95 |
$431.60
|
|
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)
|
$4,835.35 |
$4,835.35 |
$4,835.35 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$4,103.45 |
$4,103.45 |
$4,103.45 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$3,792.10 |
$3,792.10 |
$3,792.10 |
$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)
|
$521.95 |
$521.95 |
$521.95 |
$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
|