|
Explore scrotum
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$3,863.60
|
|
Explore/treat ankle joint
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$3,839.54
|
|
Explore/treat eye socket
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
$3,320.43
|
|
Explore/treat eye socket
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
$5,809.13
|
|
Explore/treat eye socket
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
$6,528.00
|
|
Explore/treat eye socket 67413
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
$4,500.80
|
|
Explore/treat finger joint
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$3,839.54
|
|
Explore/treat finger joint
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$2,480.83
|
|
Explore/treat knee joint
|
$8,512.00 |
$8,512.00 |
$8,512.00 |
$4,386.51
|
|
Explore/treat wrist joint
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,499.12
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$1,122.00
|
|
Explr/decompress eye socket
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$5,965.71
|
|
Explr/decompress eye socket
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
$5,419.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,896.40
|
|
Extensive hand surgery
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,499.12
|
|
Extensive surgery of throat
|
$14,038.00 |
$14,038.00 |
$14,038.00 |
$7,000.36
|
|
Extensive testis surgery
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$4,081.37
|
|
External chromosome analysis 20-25 cells
|
$3,512.00 |
$3,512.00 |
$3,512.00 |
$415.01
|
|
External newborn metabolic screening panel
|
$365.00 |
$365.00 |
$365.00 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$135.00 |
$135.00 |
$135.00 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$2,177.00 |
$2,177.00 |
$2,177.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$196.00 |
$196.00 |
$196.00 |
$109.00
|
|
Extraction erupted tooth/exr
|
$170.00 |
$170.00 |
$170.00 |
$1,666.43
|
|
Extraction of lens
|
$7,564.00 |
$7,564.00 |
$7,564.00 |
$2,698.92
|
|
Extraction of lens 66920
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$3,737.60
|
|
Eye implant band 40
|
$3,749.90 |
$3,749.90 |
$3,749.90 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$70.00 |
$70.00 |
$70.00 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,370.00 |
$2,370.00 |
$2,370.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,976.00 |
$1,976.00 |
$1,976.00 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,289.00 |
$1,289.00 |
$1,289.00 |
$1,320.00
|
|
Eye surgery follow-up add-on
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$4,670.40
|
|
Eye suture during surgery
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$1,612.80
|
|
F-18 fdg pet diag
|
$1,352.70 |
$1,352.70 |
$1,352.70 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,786.58 |
$6,786.58 |
$6,786.58 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$1,348.36 |
$1,348.36 |
$1,348.36 |
$1,042.30
|
|
Face bone graft
|
$11,697.00 |
$11,697.00 |
$11,697.00 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$434.00 |
$434.00 |
$434.00 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$555.00 |
$555.00 |
$555.00 |
$381.75
|
|
Factor ix
|
$315.00 |
$315.00 |
$315.00 |
$162.50
|
|
Factor ix recombinant nos
|
$4.20 |
$4.20 |
$4.20 |
$4.65
|
|
Factor viii
|
$300.00 |
$300.00 |
$300.00 |
$148.00
|
|
Factor viii recombinant nos
|
$5.19 |
$5.19 |
$5.19 |
$5.20
|
|
Factor viii recomb novoeight
|
$5.34 |
$5.34 |
$5.34 |
$7.21
|
|
Factor viii recomb obizur
|
$7.29 |
$7.29 |
$7.29 |
$7.29
|
|
Fallopian tube recnl
|
$10,666.00 |
$10,666.00 |
$10,666.00 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$628.00 |
$628.00 |
$628.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$628.00 |
$628.00 |
$628.00 |
$236.70
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$64.37 |
$64.37 |
$64.37 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$21.00 |
$21.00 |
$21.00 |
$36.00
|
|
Fatty acids nonesterified
|
$300.00 |
$300.00 |
$300.00 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$486.20 |
$486.20 |
$486.20 |
$903.05
|
|
Fecal microbiota prep instil
|
$759.00 |
$759.00 |
$759.00 |
$1,009.14
|
|
#fecal-sodium
|
$105.00 |
$105.00 |
$105.00 |
$37.53
|
|
Fees w/laryngeal sense test
|
$937.00 |
$937.00 |
$937.00 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$74.00 |
$74.00 |
$74.00 |
$66.43
|
|
Fem/popl revasc w/stent
|
$8,687.00 |
$8,687.00 |
$8,687.00 |
$16,129.60
|
|
Feno poc
|
$109.00 |
$109.00 |
$109.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$93.73 |
$93.73 |
$93.73 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4.44 |
$4.44 |
$4.44 |
$2,590.25
|
|
Ferritin
|
$200.00 |
$200.00 |
$200.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5.45 |
$5.45 |
$5.45 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$947.00 |
$947.00 |
$947.00 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$1,013.00 |
$1,013.00 |
$1,013.00 |
$477.50
|
|
Fetal cord puncture prenatal
|
$2,256.00 |
$2,256.00 |
$2,256.00 |
$751.20
|
|
Fetal fibronectin
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$54.00 |
$54.00 |
$54.00 |
$102.00
|
|
Fetal hemoglobin rosette
|
$129.00 |
$129.00 |
$129.00 |
$67.20
|
|
Fetal monitor w/report
|
$788.00 |
$788.00 |
$788.00 |
$295.50
|
|
Fetal non stress test
|
$406.00 |
$406.00 |
$406.00 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$343.00 |
$343.00 |
$343.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$175.00 |
$175.00 |
$175.00 |
$120.64
|
|
Fibrin degradation products
|
$126.00 |
$126.00 |
$126.00 |
$75.02
|
|
Fibrin degrade semiquant
|
$126.00 |
$126.00 |
$126.00 |
$84.50
|
|
Fibrinogen activity
|
$153.00 |
$153.00 |
$153.00 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$61.00 |
$61.00 |
$61.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$437.00 |
$437.00 |
$437.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$196.00 |
$196.00 |
$196.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$121.00 |
$121.00 |
$121.00 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$4.74 |
$4.74 |
$4.74 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$3.90 |
$3.90 |
$3.90 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$24,213.20 |
$24,213.20 |
$24,213.20 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,579.50 |
$2,579.50 |
$2,579.50 |
$3,718.18
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$323.00 |
$323.00 |
$323.00 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$834.00 |
$834.00 |
$834.00 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,294.00 |
$1,294.00 |
$1,294.00 |
$504.45
|
|
Finger tendon transfer
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$3,842.75
|
|
Finger tendon transfer
|
$8,159.00 |
$8,159.00 |
$8,159.00 |
$4,350.00
|
|
Finger X-ray (both hands)
|
$304.00 |
$304.00 |
$304.00 |
$241.50
|
|
Fixation of knee joint
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$5,252.00 |
$5,252.00 |
$5,252.00 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$9,074.00 |
$9,074.00 |
$9,074.00 |
$4,499.12
|
|
Flecainide (tambocor)-sendout
|
$74.00 |
$74.00 |
$74.00 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$687.00 |
$687.00 |
$687.00 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$3,011.00 |
$3,011.00 |
$3,011.00 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$5,987.00 |
$5,987.00 |
$5,987.00 |
$2,168.40
|
|
Florbetaben f18 diagnostic
|
$4,950.00 |
$4,950.00 |
$4,950.00 |
$4,950.00
|
