|
Explore/drain eye socket
|
$4,174.40 |
$5,469.12 |
$26,256.88 |
|
|
Explore/drain eye socket
|
$6,324.80 |
$6,324.80 |
$6,324.80 |
|
|
Explore epididymis
|
$902.40 |
$902.40 |
$38,413.10 |
|
|
Explore inner ear
|
$5,112.00 |
$5,112.00 |
$39,132.88 |
|
|
Explore inner ear
|
$4,576.00 |
$4,576.00 |
$57,973.68 |
|
|
Explore/irrigate tear ducts
|
$646.40 |
$22,363.26 |
$36,021.92 |
|
|
Explore limb vessels 35860
|
$1,624.20 |
$2,043.20 |
$20,575.18 |
|
|
Explore neck vessels 35800
|
$1,366.20 |
$1,692.72 |
$53,649.16 |
|
|
Explore parathyroid glands
|
$1,839.60 |
$35,027.80 |
$60,477.73 |
|
|
Explore penetrating wnd/extremity 20103
|
$1,020.60 |
$1,740.60 |
$7,920.00 |
|
|
Explore/repair chest 32110
|
$1,075.00 |
$3,579.20 |
$4,083.80 |
|
|
Explore scrotum
|
$974.40 |
$974.40 |
$90,344.37 |
|
|
Explore small intestine 44020
|
$1,512.00 |
$1,512.00 |
$2,388.80 |
|
|
Explore/treat ankle joint
|
$858.60 |
$858.60 |
$2,224.00 |
|
|
Explore/treat eye socket
|
$4,558.40 |
$20,117.87 |
$32,546.57 |
|
|
Explore/treat eye socket
|
$8,328.00 |
$8,328.00 |
$31,649.52 |
|
|
Explore/treat eye socket
|
$6,528.00 |
$6,528.00 |
$6,528.00 |
|
|
Explore/treat eye socket 67413
|
$1,639.20 |
$1,639.20 |
$21,670.76 |
|
|
Explore/treat finger joint
|
$519.00 |
$1,651.20 |
$7,008.48 |
|
|
Explore/treat finger joint
|
$814.80 |
$814.80 |
$968.00 |
|
|
Explore/treat knee joint
|
$807.60 |
$807.60 |
$2,332.80 |
|
|
Explore/treat wrist joint
|
$1,985.60 |
$1,985.60 |
$1,985.60 |
|
|
Explore wound abdomen 20102
|
$895.80 |
$2,195.00 |
$5,486.40 |
|
|
Explore woundchest 20101
|
$831.00 |
$1,756.20 |
$9,069.84 |
|
|
Explore wound neck 20100
|
$550.08 |
$1,178.40 |
$2,974.40 |
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$1,120.20 |
$1,120.20 |
$63,347.68 |
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,063.20 |
$1,211.70 |
$1,211.70 |
|
|
Explr/decompress eye socket
|
$6,924.80 |
$38,492.18 |
$38,492.18 |
|
|
Explr/decompress eye socket
|
$7,300.80 |
$32,026.73 |
$32,026.73 |
|
|
Expose art endoprosth iliac 34820
|
$703.20 |
$965.40 |
$2,115.60 |
|
|
Expose endoprosth brachial 34834
|
$415.20 |
$2,546.60 |
$7,219.44 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$802.20 |
$1,548.80 |
$5,243.76 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$672.00 |
$2,744.70 |
$2,744.70 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$650.40 |
$2,972.90 |
$2,972.90 |
|
|
Ext ecg>48hr<7d rev&interpj
|
$57.60 |
$57.60 |
$57.60 |
|
|
Ext ecg>48hr<7d scan a/r
|
$150.00 |
$541.20 |
$721.60 |
|
|
Ext ecg>7d<15d rec scan a/r
|
$535.20 |
$535.20 |
$535.20 |
|
|
Ext ecg>7d<15d rev&interpj
|
$63.20 |
$63.20 |
$63.20 |
|
|
Ext ecg>7d<15d scan a/r
|
$217.50 |
$541.20 |
$721.60 |
|
|
Extended culture of oocytes
|
$157.60 |
$157.60 |
$157.60 |
|
|
Extended visual field xm
|
$73.50 |
$139.20 |
$203.40 |
|
|
Extension drainage tubing
|
$36.00 |
$36.00 |
$36.00 |
|
|
Extensive ear canal surgery 69150
|
$2,051.40 |
$2,051.40 |
$43,914.53 |
|
|
Extensive ear/neck surgery 69155
|
$3,192.60 |
$3,192.60 |
$90,549.37 |
|
|
Extensive hand surgery
|
$2,621.60 |
$2,621.60 |
$2,621.60 |
|
|
Extensive mastoid surgery
|
$6,046.40 |
$6,046.40 |
$53,140.60 |
|
|
Extensive mastoid surgery
|
$8,120.00 |
$60,480.97 |
$60,480.97 |
|
|
Extensive prostate surgery
|
$4,457.60 |
$4,457.60 |
$4,457.60 |
|
|
Extensive prostate surgery
|
$2,956.80 |
$2,956.80 |
$2,956.80 |
|
|
Extensive prostate surgery
|
$2,957.60 |
$2,957.60 |
$107,055.89 |
|
|
Extensive prostate surgery
|
$3,444.80 |
$3,444.80 |
$116,141.66 |
|
|
Extensive removal of liver
|
$8,414.40 |
$8,414.40 |
$8,414.40 |
|
|
Extensive surgery of throat
|
$2,484.00 |
$2,484.00 |
$83,708.74 |
|
|
Extensive surgery of throat
|
$3,425.60 |
$3,425.60 |
$45,703.85 |
|
|
Extensive testis surgery
|
$3,758.40 |
$3,758.40 |
$3,758.40 |
|
|
Extensive thyroid surgery
|
$3,233.40 |
$4,126.40 |
$53,583.87 |
|
|
Extensive vulva surgery
|
$3,468.80 |
$3,468.80 |
$62,126.30 |
|
|
External cannula declotting
|
$596.80 |
$596.80 |
$3,948.48 |
|
|
External chromosome analysis 20-25 cells
|
$106.25 |
$635.00 |
$1,450.80 |
|
|
External newborn metabolic screening panel
|
$138.24 |
$157.60 |
$325.44 |
|
|
External ocular photography
|
$49.60 |
$49.60 |
$171.00 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$30.96 |
$75.00 |
$164.99 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$2,833.20 |
$3,150.60 |
$7,746.40 |
|
|
External recharg sys intern
|
$1,800.48 |
$2,514.75 |
$80,664.60 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$128.75 |
$665.28 |
$1,453.20 |
|
|
Extnd color vision xm
|
$107.20 |
$107.20 |
$111.60 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$29.70 |
$257.40 |
$604.80 |
|
|
Extraction erupted tooth/exr
|
$328.30 |
$328.30 |
$328.30 |
|
|
Extraction of lens
|
$4,260.80 |
$4,260.80 |
$60,787.03 |
|
|
Extraction of lens
|
$3,889.60 |
$3,889.60 |
$11,058.97 |
|
|
Extraction of lens 66920
|
$1,408.80 |
$1,408.80 |
$45,568.10 |
|
|
Extrnl counterpulse, per tx
|
$245.60 |
$297.50 |
$583.92 |
|
|
Eye allergy tests
|
$104.00 |
$104.00 |
$104.00 |
|
|
Eye implant band 40
|
$744.62 |
$2,595.69 |
$6,844.39 |
|
|
Eye photodynamic ther add-on
|
$74.40 |
$74.40 |
$74.40 |
|
|
Eye Socket (Orbit) X-ray
|
$161.40 |
$483.70 |
$828.10 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$750.00 |
$2,456.00 |
$4,162.40 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$700.00 |
$2,153.40 |
$3,869.60 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$523.38 |
$1,818.00 |
$3,491.40 |
|
|
Eye surgery follow-up add-on
|
$1,529.60 |
$15,200.21 |
$16,068.14 |
|
|
Eye suture during surgery
|
$739.20 |
$739.20 |
$32,512.67 |
|
|
Ezh2 gene full gene sequence
|
$271.57 |
$686.00 |
$686.00 |
|
|
F-18 fdg pet diag
|
$273.00 |
$1,504.25 |
$1,960.13 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,965.00 |
$7,214.20 |
$7,886.42 |
|
|
F-18 fluciclovine per mci
|
$1,282.40 |
$1,282.40 |
$4,036.56 |
|
|
F-18 sodium fluoride
|
$350.79 |
$1,064.00 |
$1,697.85 |
|
|
F9 full gene sequence
|
$1,200.00 |
$1,455.30 |
$1,455.30 |
|
|
Face bone graft
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,250.00 |
$3,718.08 |
$5,284.80 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$880.44 |
$2,704.32 |
$4,532.40 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$53.13 |
$363.20 |
$659.40 |
|
|
Facial Bones X-ray (complete)
|
$127.50 |
$485.28 |
$897.40 |
|
|
Facial nerve function test
|
$148.00 |
$148.00 |
$461.40 |
|
|
Factor ix
|
$40.00 |
$202.50 |
$501.60 |
|
|
Factor ix alprolix recomb
|
$2,573.20 |
$2,573.20 |
$2,573.20 |
|
|
Factor ix complex
|
$13.16 |
$1,410.71 |
$1,410.71 |
|
|
Factor ix idelvion inj
|
$3.35 |
$3.35 |
$3.35 |
|
|
Factor ix non-recombinant
|
$1,077.24 |
$1,077.24 |
$6,939.80 |
|
|
Factor ix recombinan rixubis
|
$7,702.45 |
$7,702.45 |
$7,702.45 |
|
|
Factor ix recombinant nos
|
$4.51 |
$3,215.80 |
$11,801.30 |
|
