|
Explore penetrating wnd/extremity 20103
|
$313.92 |
$313.92 |
$2,059.50 |
|
|
Explore scrotum
|
$314.56 |
$314.56 |
$314.56 |
|
|
Explore/treat finger joint
|
$339.52 |
$339.52 |
$339.52 |
|
|
Explore/treat knee joint
|
$5,766.75 |
$5,766.75 |
$5,766.75 |
|
|
Explore wound abdomen 20102
|
$200.64 |
$200.64 |
$200.64 |
|
|
Explore wound neck 20100
|
$466.88 |
$466.88 |
$466.88 |
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$311.68 |
$311.68 |
$311.68 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$218.56 |
$218.56 |
$218.56 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$277.76 |
$277.76 |
$277.76 |
|
|
Ext ecg>48hr<7d rev&interpj
|
$18.24 |
$18.24 |
$18.24 |
|
|
Ext ecg>48hr<7d scan a/r
|
$256.50 |
$256.50 |
$256.50 |
|
|
Ext ecg>7d<15d rec scan a/r
|
$242.56 |
$242.56 |
$474.00 |
|
|
Ext ecg>7d<15d rev&interpj
|
$20.16 |
$20.16 |
$20.16 |
|
|
Ext ecg>7d<15d scan a/r
|
$516.00 |
$516.00 |
$516.00 |
|
|
Extended visual field xm
|
$134.25 |
$134.25 |
$134.25 |
|
|
External cannula declotting
|
$4,136.25 |
$4,136.25 |
$4,136.25 |
|
|
External chromosome analysis 20-25 cells
|
$182.08 |
$182.08 |
$389.25 |
|
|
External newborn metabolic screening panel
|
$33.92 |
$33.92 |
$33.92 |
|
|
External ocular photography
|
$51.75 |
$51.75 |
$51.75 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$76.16 |
$76.16 |
$141.00 |
|
|
External recharg sys extern
|
$0.75 |
$0.75 |
$0.75 |
|
|
External recharg sys intern
|
$2.25 |
$2.25 |
$2.25 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$224.96 |
$224.96 |
$387.00 |
|
|
Extnd color vision xm
|
$101.25 |
$101.25 |
$101.25 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$85.44 |
$85.44 |
$127.50 |
|
|
Eye implant band 40
|
$111.93 |
$111.93 |
$111.93 |
|
|
F-18 fdg pet diag
|
$346.24 |
$346.24 |
$346.24 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,720.07 |
$6,720.07 |
$6,720.07 |
|
|
F-18 fluciclovine per mci
|
$12,882.69 |
$12,882.69 |
$12,882.69 |
|
|
F-18 sodium fluoride
|
$4,245.75 |
$4,245.75 |
$4,245.75 |
|
|
Facial bones <3
|
$135.68 |
$135.68 |
$240.00 |
|
|
Factor ix
|
$99.20 |
$99.20 |
$119.25 |
|
|
Factor ix alprolix recomb
|
$15.66 |
$15.66 |
$15.66 |
|
|
Factor ix complex
|
$8.52 |
$8.52 |
$8.52 |
|
|
Factor ix idelvion inj
|
$20.70 |
$20.70 |
$20.70 |
|
|
Factor ix non-recombinant
|
$9.23 |
$9.23 |
$9.23 |
|
|
Factor ix recomb gly rebinyn
|
$19.27 |
$19.27 |
$19.27 |
|
|
Factor ix recombinan rixubis
|
$9.42 |
$9.42 |
$9.42 |
|
|
Factor viia recomb sevenfact
|
$12.17 |
$12.17 |
$12.17 |
|
|
Factor viii
|
$78.72 |
$78.72 |
$112.50 |
|
|
Factor viii
|
$8.80 |
$8.80 |
$8.80 |
|
|
Factor viii fc fusion recomb
|
$11.95 |
$11.95 |
$11.95 |
|
|
Factor viii nuwiq recomb 1iu
|
$9.72 |
$9.72 |
$9.72 |
|
|
Factor viii pegylated recomb
|
$11.62 |
$11.62 |
$11.62 |
|
|
Factor viii recombinant nos
|
$9.93 |
$9.93 |
$9.93 |
|
|
Factor viii recomb novoeight
|
$10.67 |
$10.67 |
$10.67 |
|
|
Factor viii recomb obizur
|
$12.78 |
$12.78 |
$12.78 |
|
|
Factor xiii anti-hem factor
|
$42.86 |
$42.86 |
$42.86 |
|
|
Factor xiii recomb a-subunit
|
$61.68 |
$61.68 |
$61.68 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$15.90 |
$15.90 |
$40.17 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$2,240.00 |
$2,240.00 |
$7,256.10 |
|
|
Fancc gene
|
$191.36 |
$191.36 |
$191.36 |
|
|
Fat/lipids feces qualitative
|
$5.44 |
$5.44 |
$21.00 |
|
|
Fatty acids nonesterified
|
$11.84 |
$11.84 |
$95.25 |
|
|
Fecal bilirubin test
|
$27.00 |
$27.00 |
$27.00 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$20,031.27 |
$20,031.27 |
$20,031.27 |
|
|
#fecal-sodium
|
$8.96 |
$8.96 |
$30.75 |
|
|
Feeding tube reposition
|
$423.00 |
$423.00 |
$719.04 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$69.29 |
$69.29 |
$232.27 |
|
|
Fern test
|
$37.50 |
$37.50 |
$37.50 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,266.43 |
$1,266.43 |
$3,621.92 |
|
|
Ferritin
|
$87.00 |
$87.00 |
$87.68 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,796.84 |
$2,796.84 |
$2,796.84 |
|
|
Fetal aneuploidy trisom risk
|
$2,027.25 |
$2,027.25 |
$2,027.25 |
|
|
Fetal biophys profile w/nst 76818
|
$300.16 |
$300.16 |
$382.50 |
|
|
Fetal chrmoml microdeltj
|
$485.76 |
$485.76 |
$485.76 |
|
|
Fetal chrom aneuploidy gsa panel
|
$485.76 |
$485.76 |
$2,110.50 |
|
|
Fetal contract stress test 59020 - 26
|
$169.60 |
$169.60 |
$536.25 |
|
|
Fetal fibronectin
|
$166.72 |
$166.72 |
$404.25 |
|
|
Fetal fluid drainage w/us
|
$852.00 |
$852.00 |
$852.00 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$48.75 |
$48.75 |
$51.84 |
|
|
Fetal hemoglobin rosette
|
$49.50 |
$49.50 |
$112.00 |
|
|
Fetal lung maturity assess lam body dnst
|
$36.80 |
$36.80 |
$115.50 |
|
|
Fetal non stress test
|
$176.96 |
$176.96 |
$536.25 |
|
|
#_fet/norfentcnfrmur
|
$19.84 |
$19.84 |
$89.25 |
|
|
Fibrin degradation d dimer quantitative
|
$49.92 |
$49.92 |
$164.25 |
|
|
Fibrin degradation products
|
$6.40 |
$6.40 |
$42.00 |
|
|
Fibrin degrade semiquant
|
$48.00 |
$48.00 |
$48.00 |
|
|
Fibrin degradj d-dimer
|
$62.25 |
$62.25 |
$62.25 |
|
|
Fibrinogen activity
|
$49.92 |
$49.92 |
$80.25 |
|
|
Fibrinogen test
|
$69.00 |
$69.00 |
$69.00 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$187.50 |
$187.50 |
$187.50 |
|
|
Fibrinolytic antiplasmin
|
$47.25 |
$47.25 |
$47.25 |
|
|
Fibrinolytic plasmin
|
$47.25 |
$47.25 |
$47.25 |
|
|
Fibrinolytic plasminogen
|
$40.64 |
$40.64 |
$105.00 |
|
|
Fibrinolytic plasminogen
|
$62.25 |
$62.25 |
$62.25 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$41.25 |
$41.25 |
$41.25 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$823.69 |
$823.69 |
$823.69 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,247.29 |
$1,247.29 |
$1,247.29 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$294.99 |
$294.99 |
$1,030.97 |
|
|
Filter spider fx 3mmx320cm
|
$742.50 |
$742.50 |
$4,179.20 |
|
|
Filter vena cava fem denali
|
$697.50 |
$697.50 |
$3,841.28 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$600.96 |
$600.96 |
$1,869.00 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$130.50 |
$130.50 |
$133.12 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$175.50 |
$175.50 |
$358.72 |
|
|
Fine needle asp without image guide 10021
|
$189.76 |
$189.76 |
$1,118.25 |
|
|
Finger joint sz00 swanson w/grommets
|
$0.75 |
$0.75 |
$0.75 |
|
|
Fistula repair & colostomy
|
$863.68 |
$863.68 |
$863.68 |
|
|
Fitting of diaphragm/cap 57170
|
$114.56 |
$114.56 |
$114.56 |
|
|
Fixation of knee joint
|
$128.64 |
$128.64 |
$128.64 |
|
