|
Exploration of foot joint
|
$1,250.60 |
$1,250.60 |
$1,250.60 |
$3,786.00
|
|
Exploration of frontal sinus
|
$1,144.00 |
$1,144.00 |
$1,144.00 |
$4,555.73
|
|
Exploration of frontal sinus
|
$2,472.60 |
$2,472.60 |
$2,472.60 |
$6,553.49
|
|
Exploration of knee joint
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$4,192.86
|
|
Exploration of middle ear
|
$2,004.60 |
$2,004.60 |
$2,004.60 |
$3,837.72
|
|
Exploration of spinal fusion
|
$3,209.05 |
$3,209.05 |
$3,209.05 |
$1,975.20
|
|
Exploration of toe joint
|
$1,175.20 |
$1,175.20 |
$1,175.20 |
$2,211.05
|
|
Exploration of ureter
|
$4,464.20 |
$4,464.20 |
$4,464.20 |
$3,986.00
|
|
Exploration/repair of rectum
|
$4,674.80 |
$4,674.80 |
$4,674.80 |
$2,780.00
|
|
Exploration/repair of rectum 45563
|
$6,858.80 |
$6,858.80 |
$6,858.80 |
$3,086.40
|
|
Exploration retroperitoneal area 49010
|
$4,175.60 |
$4,175.60 |
$4,175.60 |
$1,786.20
|
|
Exploratory heart surgery 33310
|
$5,288.40 |
$5,288.40 |
$5,288.40 |
$2,852.00
|
|
Exploratory heart surgery 33315
|
$9,100.00 |
$9,100.00 |
$9,100.00 |
$4,671.20
|
|
Explore adrenal gland w or without biopsy 60540
|
$5,153.85 |
$5,153.85 |
$5,153.85 |
$2,228.80
|
|
Explore/biopsy eye socket
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$4,870.40
|
|
Explore/biopsy eye socket
|
$4,006.60 |
$4,006.60 |
$4,006.60 |
$6,340.24
|
|
Explore chest vessels 35820
|
$9,591.40 |
$9,591.40 |
$9,591.40 |
$3,891.00
|
|
Explore deep node(s) neck
|
$2,067.00 |
$2,067.00 |
$2,067.00 |
$6,376.26
|
|
Explore/drain eye socket
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$3,269.14
|
|
Explore epididymis
|
$1,650.35 |
$1,650.35 |
$1,650.35 |
$4,081.37
|
|
Explore inner ear
|
$3,824.60 |
$3,824.60 |
$3,824.60 |
$6,553.49
|
|
Explore inner ear
|
$3,283.80 |
$3,283.80 |
$3,283.80 |
$7,000.36
|
|
Explore/irrigate tear ducts
|
$1,117.35 |
$1,117.35 |
$1,117.35 |
$545.30
|
|
Explore limb vessels 35860
|
$3,965.00 |
$3,965.00 |
$3,965.00 |
$4,341.66
|
|
Explore neck vessels 35800
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$1,772.80
|
|
Explore parathyroid glands
|
$4,461.60 |
$4,461.60 |
$4,461.60 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$1,788.80
|
|
Explore/repair chest 32110
|
$8,537.75 |
$8,537.75 |
$8,537.75 |
$3,698.00
|
|
Explore scrotum
|
$1,645.80 |
$1,645.80 |
$1,645.80 |
$3,863.60
|
|
Explore small intestine 44020
|
$4,217.20 |
$4,217.20 |
$4,217.20 |
$1,548.00
|
|
Explore/treat ankle joint
|
$1,599.00 |
$1,599.00 |
$1,599.00 |
$3,839.54
|
|
Explore/treat eye socket
|
$2,678.00 |
$2,678.00 |
$2,678.00 |
$3,320.43
|
|
Explore/treat finger joint
|
$1,016.60 |
$1,016.60 |
$1,016.60 |
$3,839.54
|
|
Explore/treat finger joint
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$2,480.83
|
|
Explore/treat knee joint
|
$1,565.20 |
$1,565.20 |
$1,565.20 |
$4,386.51
|
|
Explore/treat wrist joint
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$4,499.12
|
|
Explore wound abdomen 20102
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$2,784.80
|
|
Explore woundchest 20101
|
$6,836.70 |
$6,836.70 |
$6,836.70 |
$2,227.68
|
|
Explore wound neck 20100
|
$2,698.80 |
$2,698.80 |
$2,698.80 |
$1,185.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$999.89
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,851.20 |
$1,851.20 |
$1,851.20 |
$1,122.00
|
|
Explr/decompress eye socket
|
$4,664.40 |
$4,664.40 |
$4,664.40 |
$5,965.71
|
|
Explr/decompress eye socket
|
$4,971.20 |
$4,971.20 |
$4,971.20 |
$5,419.00
|
|
Expose art endoprosth iliac 34820
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$16,076.45 |
$16,076.45 |
$16,076.45 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$5,981.95 |
$5,981.95 |
$5,981.95 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$130.00 |
$130.00 |
$130.00 |
$57.00
|
|
Ext ecg>48hr<7d scan a/r
|
$240.50 |
$240.50 |
$240.50 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$143.00 |
$143.00 |
$143.00 |
$789.60
|
|
Ext ecg>7d<15d rev&interpj
|
$157.30 |
$157.30 |
$157.30 |
$63.20
|
|
Ext ecg>7d<15d scan a/r
|
$240.50 |
$240.50 |
$240.50 |
$345.60
|
|
Extended visual field xm
|
$481.65 |
$481.65 |
$481.65 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$3,892.20 |
$3,892.20 |
$3,892.20 |
$5,395.75
|
|
Extensive hand surgery
|
$3,954.60 |
$3,954.60 |
$3,954.60 |
$4,499.12
|
|
Extensive jaw surgery
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$6,048.05
|
|
Extensive mastoid surgery
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$7,000.36
|
|
Extensive mastoid surgery
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$8,120.00
|
|
Extensive prostate surgery
|
$6,315.40 |
$6,315.40 |
$6,315.40 |
$1,690.69
|
|
Extensive prostate surgery
|
$7,282.60 |
$7,282.60 |
$7,282.60 |
$2,076.71
|
|
Extensive prostate surgery
|
$8,073.65 |
$8,073.65 |
$8,073.65 |
$4,457.60
|
|
Extensive prostate surgery
|
$5,553.60 |
$5,553.60 |
$5,553.60 |
$2,956.80
|
|
Extensive prostate surgery
|
$5,553.60 |
$5,553.60 |
$5,553.60 |
$2,957.60
|
|
Extensive prostate surgery
|
$7,201.35 |
$7,201.35 |
$7,201.35 |
$3,444.80
|
|
Extensive removal of liver
|
$15,464.80 |
$15,464.80 |
$15,464.80 |
$8,414.40
|
|
Extensive surgery of throat
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$7,000.36
|
|
Extensive surgery of throat
|
$4,622.80 |
$4,622.80 |
$4,622.80 |
$6,547.81
|
|
Extensive surgery of throat
|
$8,465.60 |
$8,465.60 |
$8,465.60 |
$7,663.20
|
|
Extensive testis surgery
|
$3,429.40 |
$3,429.40 |
$3,429.40 |
$4,081.37
|
|
Extensive thyroid surgery
|
$7,389.20 |
$7,389.20 |
$7,389.20 |
$3,705.90
|
|
Extensive vulva surgery
|
$5,683.60 |
$5,683.60 |
$5,683.60 |
$3,468.80
|
|
External cannula declotting
|
$7,257.25 |
$7,257.25 |
$7,257.25 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$422.50 |
$422.50 |
$422.50 |
$415.01
|
|
External ocular photography
|
$14.30 |
$14.30 |
$14.30 |
$86.03
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$63.70 |
$63.70 |
$63.70 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$765.70 |
$765.70 |
$765.70 |
$457.07
|
|
Extnd color vision xm
|
$44.20 |
$44.20 |
$44.20 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$124.15 |
$124.15 |
$124.15 |
$109.00
|
|
Extraction of lens 66920
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$3,737.60
|
|
Eye photodynamic ther add-on
|
$122.20 |
$122.20 |
$122.20 |
$821.60
|
|
Eye Socket (Orbit) X-ray
|
$669.50 |
$669.50 |
$669.50 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,320.80 |
$1,320.80 |
$1,320.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$962.65 |
$962.65 |
$962.65 |
$1,320.00
|
|
F-18 fdg pet diag
|
$178.75 |
$178.75 |
$178.75 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,089.80 |
$4,089.80 |
$4,089.80 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$6,427.20 |
$6,427.20 |
$6,427.20 |
$1,042.30
|
|
F-18 sodium fluoride
|
$325.00 |
$325.00 |
$325.00 |
$492.56
|
|
Face bone graft
|
$3,343.60 |
$3,343.60 |
$3,343.60 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,561.00 |
$2,561.00 |
$2,561.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,741.35 |
$1,741.35 |
$1,741.35 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$543.40 |
$543.40 |
$543.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$664.30 |
$664.30 |
$664.30 |
$381.75
|
|
Facial nerve function test
|
$111.80 |
$111.80 |
$111.80 |
$368.50
|
|
Factor ix
|
$109.85 |
$109.85 |
$109.85 |
$162.50
|
|
Factor ix alprolix recomb
|
$9.46 |
$9.46 |
$9.46 |
$9.46
|
|
Factor ix recombinant nos
|
$4.17 |
$4.17 |
$4.17 |
$4.65
|
|
Factor viii
|
$190.45 |
$190.45 |
$190.45 |
$148.00
|
|
Factor viii fc fusion recomb
|
$6.53 |
$6.53 |
$6.53 |
$8.28
|
