|
Establish access to artery
|
$2,235.00 |
$2,235.00 |
$2,235.00 |
$973.08
|
|
Established Patient Office Visit (level 1)
|
$216.00 |
$216.00 |
$216.00 |
$118.20
|
|
Established Patient Office Visit (level 2)
|
$250.80 |
$250.80 |
$280.80 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$333.60 |
$333.60 |
$333.60 |
$183.60
|
|
Established Patient Office Visit (level 4)
|
$400.20 |
$400.20 |
$400.20 |
$213.21
|
|
Established Patient Office Visit (level 5)
|
$613.80 |
$613.80 |
$613.80 |
$270.09
|
|
Estradiol total
|
$490.80 |
$490.80 |
$490.80 |
$142.20
|
|
Estradiol valerate 10 mg inj
|
$192.96 |
$192.96 |
$192.96 |
$137.64
|
|
Estrogens total-sendout
|
$252.00 |
$252.00 |
$252.00 |
$111.00
|
|
Ethylene glycol -sendout
|
$266.40 |
$266.40 |
$266.40 |
$81.25
|
|
Etoposide 20 mg/ml intravenous solution
|
$1.82 |
$1.82 |
$1.82 |
$20.35
|
|
Etoposide 50 mg cap
|
$46.45 |
$46.45 |
$46.45 |
$110.87
|
|
Euglobulin lysis
|
$198.60 |
$198.60 |
$198.60 |
$37.70
|
|
Eval aud rehab status/first hr 92626
|
$285.60 |
$285.60 |
$285.60 |
$266.00
|
|
Eval/fit voice prosthesis iii, st
|
$308.40 |
$308.40 |
$308.40 |
$384.94
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$219.60 |
$219.60 |
$219.60 |
$219.60
|
|
Evaluation of speech fluency 92521
|
$157.20 |
$157.20 |
$157.20 |
$347.75
|
|
Evaluation psychiatric diagnostic
|
$560.40 |
$560.40 |
$560.40 |
$325.65
|
|
Evasc prlng admn rx agnt 1st
|
$24,500.40 |
$24,500.40 |
$24,500.40 |
$4,420.65
|
|
Evasc prlng admn rx agnt add
|
$21,435.00 |
$21,435.00 |
$21,435.00 |
$3,060.00
|
|
Evasc st rpr thrc/aa acrs br
|
$19,602.60 |
$19,602.60 |
$19,602.60 |
$5,225.35
|
|
Evasc st rpr thrc/aa x crsg
|
$19,602.60 |
$19,602.60 |
$19,602.60 |
$11,524.11
|
|
Evoked auditory tst complete
|
$244.80 |
$244.80 |
$244.80 |
$374.62
|
|
Evoked oa emissions ltd
|
$219.60 |
$219.60 |
$219.60 |
$234.32
|
|
Evoked potentials auditory screening automated analysis
|
$521.40 |
$521.40 |
$521.40 |
$328.16
|
|
Evoked potentials upper limbs
|
$1,360.20 |
$1,360.20 |
$1,360.20 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$1,640.40 |
$1,640.40 |
$1,640.40 |
$852.80
|
|
Evok oa screening qual
|
$163.80 |
$163.80 |
$163.80 |
$127.03
|
|
Exc benign tal 0.5 < cm 11400
|
$2,816.40 |
$2,816.40 |
$2,816.40 |
$805.70
|
|
Exchange biliary drg cath
|
$5,287.20 |
$5,287.20 |
$5,287.20 |
$4,143.00
|
|
Exchange blood transfusion newborn 36450
|
$343.20 |
$343.20 |
$343.20 |
$485.65
|
|
Exchange drainage catheter
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$5,831.40 |
$5,831.40 |
$5,831.40 |
$2,752.00
|
|
Exercise w/hemodynamic meas
|
$1,678.80 |
$1,678.80 |
$1,678.80 |
$1,117.00
|
|
External chromosome analysis 20-25 cells
|
$918.60 |
$918.60 |
$918.60 |
$457.50
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$946.80 |
$946.80 |
$946.80 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$234.60 |
$234.60 |
$234.60 |
$102.50
|
|
F-18 fdg pet diag
|
$211.20 |
$211.20 |
$211.20 |
$750.58
|
|
Facial bones <3
|
$208.20 |
$208.20 |
$208.20 |
$216.45
|
|
Factor ix
|
$485.40 |
$485.40 |
$485.40 |
$139.75
|
|
Factor ix alprolix recomb
|
$5.61 |
$5.61 |
$5.61 |
$3.63
|
|
Factor ix complex
|
$3.23 |
$3.23 |
$3.23 |
$3.23
|
|
Factor ix idelvion inj
|
$7.14 |
$7.14 |
$7.14 |
$5.16
|
|
Factor ix non-recombinant
|
$3.45 |
$3.45 |
$3.45 |
$1.35
|
|
Factor ix recombinant nos
|
$3.46 |
$3.46 |
$3.46 |
$1.88
|
|
Factor viii
|
$509.40 |
$509.40 |
$509.40 |
$152.50
|
|
Factor viii fc fusion recomb
|
$3.87 |
$3.87 |
$3.87 |
$17,969.85
|
|
Factor viii nuwiq recomb 1iu
|
$3.32 |
$3.32 |
$3.32 |
$1.18
|
|
Factor viii pegylated recomb
|
$3.53 |
$3.53 |
$3.53 |
$2.15
|
|
Factor viii recombinant nos
|
$3.30 |
$3.30 |
$3.30 |
$3.30
|
|
Factor viii recomb obizur
|
$4.43 |
$4.43 |
$4.43 |
$3.23
|
|
Factor xiii anti-hem factor
|
$14.73 |
$14.73 |
$14.73 |
$14.73
|
|
Family therapy without pt 50min 90846
|
$85.20 |
$85.20 |
$85.20 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$97.80 |
$97.80 |
$97.80 |
$224.80
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$47.09 |
$47.09
|
|
Fat/lipids feces qualitative
|
$267.00 |
$267.00 |
$267.00 |
$43.66
|
|
Fatty acids nonesterified
|
$141.00 |
$141.00 |
$141.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
$956.25
|
|
#fecal-sodium
|
$75.60 |
$75.60 |
$75.60 |
$40.30
|
|
Feeding tube reposition
|
$258.00 |
$258.00 |
$258.00 |
$295.20
|
|
Fem/popl revasc w/stent
|
$27,333.00 |
$27,333.00 |
$27,333.00 |
$21,553.12
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$125.31 |
$134.40 |
$134.40 |
$48.88
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,131.58 |
$2,131.58 |
$2,172.80 |
$2,131.58
|
|
Ferritin
|
$247.80 |
$247.80 |
$247.80 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,392.29 |
$1,392.29 |
$1,392.29 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$480.00 |
$480.00 |
$480.00 |
$525.33
|
|
Fetal fibronectin
|
$1,060.20 |
$1,060.20 |
$1,060.20 |
$309.40
|
|
Fetal fluid drainage w/us
|
$585.60 |
$585.60 |
$585.60 |
$626.34
|
|
Fetal hemoglobin (kleihauer betke)
|
$199.20 |
$199.20 |
$199.20 |
$59.85
|
|
Fetal hemoglobin rosette
|
$60.60 |
$60.60 |
$60.60 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$90.60 |
$90.60 |
$90.60 |
$64.28
|
|
Fetal non stress test
|
$770.40 |
$770.40 |
$770.40 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$386.40 |
$386.40 |
$386.40 |
$87.60
|
|
Fibrin degradation products
|
$175.20 |
$175.20 |
$175.20 |
$56.16
|
|
Fibrin degrade semiquant
|
$153.00 |
$153.00 |
$238.20 |
$88.00
|
|
Fibrinogen activity
|
$207.00 |
$207.00 |
$207.00 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$170.40 |
$170.40 |
$170.40 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$274.20 |
$274.20 |
$274.20 |
$68.40
|
|
Fibrinolytic plasminogen
|
$238.20 |
$238.20 |
$238.20 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$114.60 |
$114.60 |
$114.60 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,241.66 |
$1,241.66 |
$1,241.66 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2.24 |
$2.24 |
$2.24 |
$998.68
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$1,070.00
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$612.97
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,476.60 |
$1,476.60 |
$1,476.60 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$991.20 |
$991.20 |
$991.20 |
$547.53
|
|
Finger joint sz00 swanson w/grommets
|
$3,970.80 |
$3,970.80 |
$4,413.60 |
$4,413.60
|
|
Fix g/colon tube w/device
|
$2,749.80 |
$2,749.80 |
$2,749.80 |
$1,165.45
|
|
Fl exam g/colon tube w contrast
|
$923.40 |
$923.40 |
$923.40 |
$522.75
|
|
Flow cytometry marker each additional
|
$226.80 |
$226.80 |
$226.80 |
$103.00
|
|
Flow cytometry one marker technical component
|
$304.80 |
$304.80 |
$304.80 |
$304.43
|
|
Floxuridine injection
|
$298.45 |
$298.45 |
$298.45 |
$4,125.55
|
|
Flt3 gene
|
$348.00 |
$348.00 |
$348.00 |
$355.00
|
|
Flt3 gene analysis
|
$262.80 |
$262.80 |
$262.80 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$103.18 |
$103.18 |
$103.18 |
$48.56
|
|
Fludarabine 50 mg intravenous solution
|
$301.45 |
$301.45 |
$301.45 |
$417.96
|
|
Fluidotherapy charges pt
|
$111.60 |
$111.60 |
$111.60 |
$101.40
|
|
Fluocinolone acetonide implt
|
$20,888.95 |
$20,888.95 |
$20,888.95 |
$34,587.60
|
|
Fluorescent antibody titer dna
|
$274.80 |
$274.80 |
$274.80 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$276.00 |
$276.00 |
$276.00 |
$497.25
|
