|
Exploration retroperitoneal area 49010
|
$1,786.20 |
$1,786.20 |
$1,786.20 |
$1,786.20
|
|
Exploratory heart surgery 33310
|
$2,457.00 |
$2,457.00 |
$2,457.00 |
$2,852.00
|
|
Exploratory heart surgery 33315
|
$3,693.60 |
$3,693.60 |
$3,693.60 |
$4,671.20
|
|
Explore adrenal gland w or without biopsy 60540
|
$1,998.60 |
$1,998.60 |
$1,998.60 |
$2,228.80
|
|
Explore chest vessels 35820
|
$3,891.00 |
$3,891.00 |
$3,891.00 |
$3,891.00
|
|
Explore deep node(s) neck
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$6,376.26
|
|
Explore limb vessels 35860
|
$1,624.20 |
$1,624.20 |
$1,624.20 |
$4,341.66
|
|
Explore neck vessels 35800
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$1,772.80
|
|
Explore parathyroid glands
|
$1,839.60 |
$1,839.60 |
$1,839.60 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$1,788.80
|
|
Explore/repair chest 32110
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$3,698.00
|
|
Explore small intestine 44020
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,548.00
|
|
Explore/treat eye socket 67413
|
$1,639.20 |
$1,639.20 |
$1,639.20 |
$4,500.80
|
|
Explore wound abdomen 20102
|
$895.80 |
$895.80 |
$895.80 |
$2,784.80
|
|
Explore woundchest 20101
|
$831.00 |
$831.00 |
$831.00 |
$2,227.68
|
|
Explore wound neck 20100
|
$1,178.40 |
$1,178.40 |
$1,178.40 |
$1,185.00
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$999.89
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,063.20 |
$1,063.20 |
$1,063.20 |
$1,122.00
|
|
Expose art endoprosth iliac 34820
|
$965.40 |
$965.40 |
$965.40 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$544.80 |
$544.80 |
$544.80 |
$1,888.20
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$802.20 |
$802.20 |
$802.20 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$672.00 |
$672.00 |
$672.00 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$650.40 |
$650.40 |
$650.40 |
$2,896.40
|
|
Extension drainage tubing
|
$36.00 |
$36.00 |
$36.00 |
$27.60
|
|
Extensive ear canal surgery 69150
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$5,395.75
|
|
Extensive ear/neck surgery 69155
|
$3,192.60 |
$3,192.60 |
$3,192.60 |
$3,040.80
|
|
Extensive thyroid surgery
|
$3,233.40 |
$3,233.40 |
$3,233.40 |
$3,705.90
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$257.40 |
$257.40 |
$257.40 |
$109.00
|
|
Extraction of lens 66920
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$3,737.60
|
|
Eye implant band 40
|
$5,388.60 |
$5,388.60 |
$5,388.60 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$161.40 |
$161.40 |
$161.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,249.80 |
$1,249.80 |
$1,249.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$988.80 |
$988.80 |
$988.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$273.00 |
$273.00 |
$273.00 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,674.20 |
$2,674.20 |
$2,674.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,522.20 |
$1,522.20 |
$1,522.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$175.80 |
$175.80 |
$175.80 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$294.60 |
$294.60 |
$294.60 |
$381.75
|
|
Factor ix
|
$257.40 |
$257.40 |
$257.40 |
$162.50
|
|
Factor ix complex
|
$13.16 |
$13.16 |
$13.16 |
$4.68
|
|
Factor ix recombinant nos
|
$13.90 |
$13.90 |
$13.90 |
$4.65
|
|
Factor viii
|
$501.00 |
$501.00 |
$501.00 |
$148.00
|
|
Factor viii
|
$15.34 |
$15.34 |
$15.34 |
$4.85
|
|
Factor viii recombinant nos
|
$15.89 |
$15.89 |
$15.89 |
$5.20
|
|
Fallopian tube recnl
|
$544.80 |
$544.80 |
$544.80 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$114.00 |
$114.00 |
$114.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$174.00 |
$174.00 |
$174.00 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$14.11 |
$14.11 |
$14.11 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,508.16 |
$5,508.16 |
$5,508.16 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$105.00 |
$105.00 |
$105.00 |
$36.00
|
|
Fatty acids nonesterified
|
$47.40 |
$47.40 |
$47.40 |
$72.15
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$16,432.46 |
$16,432.46 |
$16,432.46 |
$14,956.68
|
|
#fecal-sodium
|
$48.60 |
$48.60 |
$48.60 |
$37.53
|
|
Feeding tube reposition
|
$294.00 |
$294.00 |
$294.00 |
$520.00
|
|
Felbamate (felbatol(r)) - sendout
|
$47.40 |
$47.40 |
$47.40 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$471.00 |
$471.00 |
$471.00 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$874.80 |
$874.80 |
$874.80 |
$16,129.60
|
|
Fem urinary collect pouch
|
$3.60 |
$3.60 |
$3.60 |
$3.60
|
|
Feno poc
|
$36.00 |
$36.00 |
$36.00 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$59.74 |
$59.74 |
$59.74 |
$101.40
|
|
Fern test
|
$26.40 |
$26.40 |
$26.40 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,746.54 |
$2,746.54 |
$2,746.54 |
$2,590.25
|
|
Ferritin
|
$97.20 |
$97.20 |
$97.20 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,064.98 |
$2,064.98 |
$2,064.98 |
$1,636.50
|
|
Ferumoxytol, esrd use
|
$2,064.98 |
$2,064.98 |
$2,064.98 |
$0.50
|
|
Fetal biophys profile w/nst 76818
|
$396.60 |
$396.60 |
$396.60 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$2,027.40 |
$2,027.40 |
$2,027.40 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$60.60 |
$60.60 |
$60.60 |
$477.50
|
|
Fetal fibronectin
|
$221.40 |
$221.40 |
$221.40 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$50.40 |
$50.40 |
$50.40 |
$102.00
|
|
Fetal lung maturity assess lam body dnst
|
$69.60 |
$69.60 |
$69.60 |
$67.00
|
|
Fetal non stress test
|
$376.20 |
$376.20 |
$376.20 |
$478.50
|
|
Fetal scalp blood sampling 59030
|
$282.60 |
$282.60 |
$282.60 |
$419.01
|
|
#_fet/norfentcnfrmur
|
$306.00 |
$306.00 |
$306.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$80.40 |
$80.40 |
$80.40 |
$120.64
|
|
Fibrinogen activity
|
$65.40 |
$65.40 |
$65.40 |
$87.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$22.80 |
$22.80 |
$22.80 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$953.68 |
$953.68 |
$953.68 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$789.94 |
$789.94 |
$789.94 |
$891.02
|
|
Filleted finger/toe flap
|
$954.00 |
$954.00 |
$954.00 |
$2,431.38
|
|
Filter spider fx 3mmx320cm
|
$7,533.00 |
$7,533.00 |
$7,533.00 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,487.80 |
$3,487.80 |
$3,487.80 |
$3,718.18
|
|
Fimbrioplasty 58760
|
$1,581.60 |
$1,581.60 |
$1,581.60 |
$4,092.80
|
|
Finasteride, 5 mg
|
$6.34 |
$6.34 |
$6.34 |
$11.00
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$394.20 |
$394.20 |
$394.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$256.80 |
$256.80 |
$256.80 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$174.60 |
$174.60 |
$174.60 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$436.20 |
$436.20 |
$436.20 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$277.20 |
$277.20 |
$277.20 |
$504.45
|
|
Finger X-ray (both hands)
|
$211.80 |
$211.80 |
$211.80 |
$241.50
|
|
Fistula repair transperine 57308
|
$1,245.00 |
$1,245.00 |
$1,245.00 |
$1,245.00
|
|
Fitting of diaphragm/cap 57170
|
$121.20 |
$121.20 |
$121.20 |
$238.06
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$935.40 |
$935.40 |
$935.40 |
$4,499.12
|
|
Flebogamma injection
|
$2,551.62 |
$2,551.62 |
$2,551.62 |
$3,438.30
|
|
Flecainide (tambocor)-sendout
|
$47.40 |
$47.40 |
$47.40 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$298.80 |
$298.80 |
$298.80 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$103.20 |
$103.20 |
$103.20 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$288.00 |
$288.00 |
$288.00 |
$2,168.40
|
|
Flow cytometry interp 16 or more
|
$94.80 |
$94.80 |
$94.80 |
$200.00
|
