|
Evaluation of speech fluency 92521
|
$121.80 |
$181.80 |
$824.80 |
|
|
Evaluation psychiatric diagnostic
|
$56.18 |
$393.60 |
$831.49 |
|
|
Evasc prlng admn rx agnt 1st
|
$5,421.00 |
$24,500.40 |
$39,092.12 |
|
|
Evasc prlng admn rx agnt add
|
$4,839.50 |
$21,435.00 |
$25,363.35 |
|
|
Evasc rpr a-ao ndgft 34701
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
|
|
Evasc rpr a-biiliac ndgft rptr
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
|
|
Evasc rpr a-unilac ndgft 34703
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
|
|
Evasc rpr a-unilac ndgft rpt
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
|
|
Evasc rpr ilio-iliac ndgft
|
$13,642.80 |
$13,642.80 |
$13,642.80 |
|
|
Evasc rpr ilio-iliac rpt
|
$20,464.20 |
$20,464.20 |
$20,464.20 |
|
|
Evasc st rpr thrc/aa acrs br
|
$17,154.00 |
$19,602.60 |
$19,602.60 |
|
|
Evasc st rpr thrc/aa x crsg
|
$17,154.00 |
$19,602.60 |
$19,602.60 |
|
|
Event monitor
|
$244.00 |
$458.88 |
$999.00 |
|
|
Evoked auditory tst complete
|
$165.00 |
$244.80 |
$244.80 |
|
|
Evoked oa emissions ltd
|
$133.20 |
$219.60 |
$380.00 |
|
|
Evoked potentials auditory screening automated analysis
|
$133.20 |
$244.00 |
$845.63 |
|
|
Evoked potentials upper limbs
|
$903.00 |
$1,360.20 |
$3,582.16 |
|
|
Evoked potential visual not glaucoma
|
$1,128.00 |
$1,640.40 |
$2,208.62 |
|
|
Evok oa screening qual
|
$139.80 |
$163.80 |
$163.80 |
|
|
Exam of vagina w/scope 57420
|
$57.40 |
$57.40 |
$57.40 |
|
|
Exam pelvic add-on
|
$10.85 |
$10.85 |
$10.85 |
|
|
Exc benign tal 0.5 < cm 11400
|
$48.12 |
$2,670.60 |
$2,816.40 |
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,923.00 |
$1,923.00 |
$4,402.20 |
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$50.75 |
$50.75 |
$50.75 |
|
|
Exchange biliary drg cath
|
$4,934.40 |
$5,287.20 |
$5,287.20 |
|
|
Exchange blood transfusion newborn 36450
|
$273.00 |
$343.20 |
$343.20 |
|
|
Exchange drainage catheter
|
$1,401.00 |
$1,797.60 |
$2,982.00 |
|
|
Exchange nephrostomy cath
|
$3,580.80 |
$5,831.40 |
$15,310.80 |
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$228.38 |
$228.38 |
$228.38 |
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$67.55 |
$67.55 |
$67.55 |
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$138.78 |
$138.78 |
$138.78 |
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$84.18 |
$84.18 |
$84.18 |
|
|
Exc prtl bn phlnx toe
|
$5,713.80 |
$5,713.80 |
$5,713.80 |
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$264.60 |
$264.60 |
$264.60 |
|
|
Exercise tst brncspsm w/ecg
|
$176.50 |
$771.00 |
$810.00 |
|
|
Exercise w/hemodynamic meas
|
$1,678.80 |
$1,678.80 |
$6,631.58 |
|
|
Exome sequence analysis
|
$4,112.93 |
$4,112.93 |
$4,112.93 |
|
|
Exome sequence analysis
|
$10,325.36 |
$10,325.36 |
$10,325.36 |
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,000.00 |
$6,000.00 |
$17,287.09 |
|
|
Ext ecg>48hr<7d scan a/r
|
$433.80 |
$433.80 |
$433.80 |
|
|
Ext ecg>7d<15d scan a/r
|
$433.80 |
$433.80 |
$433.80 |
|
|
External chromosome analysis 20-25 cells
|
$390.60 |
$918.60 |
$1,689.78 |
|
|
External newborn metabolic screening panel
|
$71.50 |
$72.50 |
$75.00 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$164.33 |
$164.33 |
$164.33 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$15,484.70 |
$15,484.70 |
$15,484.70 |
|
|
External recharg sys intern
|
$958.80 |
$5,740.80 |
$25,211.79 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$199.20 |
$883.80 |
$1,016.40 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$99.38 |
$154.80 |
$811.06 |
|
|
Extrnl counterpulse, per tx
|
$666.32 |
$666.32 |
$666.32 |
|
|
Eye Socket (Orbit) X-ray
|
$224.00 |
$247.80 |
$1,149.87 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$528.88 |
$858.50 |
$2,964.15 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$542.40 |
$749.00 |
$2,895.12 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$459.50 |
$612.00 |
$2,842.00 |
|
|
F-18 fdg pet diag
|
$211.20 |
$1,487.50 |
$1,611.37 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,452.20 |
$6,387.60 |
$27,579.08 |
|
|
F-18 fluciclovine per mci
|
$758.40 |
$758.40 |
$49,995.56 |
|
|
F-18 sodium fluoride
|
$1,320.23 |
$1,320.23 |
$1,320.23 |
|
|
F9 full gene sequence
|
$2,999.27 |
$2,999.27 |
$2,999.27 |
|
|
Fabrication & fitting
|
$221.40 |
$221.40 |
$221.40 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$582.60 |
$899.00 |
$3,792.60 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$582.60 |
$655.00 |
$3,258.04 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$120.00 |
$208.20 |
$795.73 |
|
|
Facial Bones X-ray (complete)
|
$236.50 |
$273.00 |
$939.31 |
|
|
Factor ix
|
$59.50 |
$311.40 |
$485.40 |
|
|
Factor ix alprolix recomb
|
$5.61 |
$5.61 |
$5.61 |
|
|
Factor ix complex
|
$3.23 |
$3.23 |
$3.23 |
|
|
Factor ix idelvion inj
|
$7.14 |
$7.14 |
$7.14 |
|
|
Factor ix non-recombinant
|
$3.45 |
$3.45 |
$3.45 |
|
|
Factor ix recombinan rixubis
|
$3.25 |
$3.25 |
$3.25 |
|
|
Factor ix recombinant nos
|
$3.46 |
$3,162.00 |
$36,091.26 |
|
|
Factor viii
|
$125.50 |
$253.80 |
$891.52 |
|
|
Factor viii fc fusion recomb
|
$3.87 |
$8,202.60 |
$8,202.60 |
|
|
Factor viii nuwiq recomb 1iu
|
$3.32 |
$3.32 |
$3.32 |
|
|
Factor viii pegylated recomb
|
$3.53 |
$3.53 |
$3.53 |
|
|
Factor viii recombinant nos
|
$3.30 |
$6,518.14 |
$29,479.20 |
|
|
Factor viii recomb obizur
|
$4.43 |
$4.43 |
$4.43 |
|
|
Factor xiii anti-hem factor
|
$14.73 |
$14.73 |
$14.73 |
|
|
Fallopian tube recnl
|
$3,622.50 |
$3,622.50 |
$3,622.50 |
|
|
Family therapy without pt 50min 90846
|
$36.40 |
$204.60 |
$605.51 |
|
|
Family therapy with patient 50 min 90847
|
$54.95 |
$204.60 |
$590.33 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.08 |
$8.08 |
$8.08 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$47.09 |
$47.09 |
$7,046.92 |
|
|
Fancc gene
|
$1,664.14 |
$1,664.14 |
$1,664.14 |
|
|
Fat/lipids feces qualitative
|
$16.29 |
$71.40 |
$288.60 |
|
|
Fatty acids nonesterified
|
$102.60 |
$141.00 |
$157.80 |
|
|
Fda ide #g240020 carry bag
|
$1,280.40 |
$1,280.40 |
$1,280.40 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$11,420.12 |
$11,420.12 |
$11,420.12 |
|
|
#fecal-sodium
|
$30.00 |
$75.60 |
$103.76 |
|
|
Feeding tube reposition
|
$258.00 |
$258.00 |
$258.00 |
|
|
Fees w/laryngeal sense test
|
$399.59 |
$399.59 |
$399.59 |
|
|
Felbamate (felbatol(r)) - sendout
|
$118.00 |
$126.00 |
$201.56 |
|
|
Fem/popl revasc w/stent
|
$19,740.00 |
$27,333.00 |
$29,964.60 |
|
|
Feno poc
|
$35.00 |
$75.60 |
$135.60 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$43.23 |
$107.80 |
$296.35 |
|
|
Fern test
|
$89.72 |
$89.72 |
$89.72 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,131.58 |
$2,172.80 |
$8,151.36 |
|
|
Ferritin
|
$85.00 |
$169.00 |
$273.60 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$150.70 |
$1,392.29 |
$1,392.29 |
|
|
Fetal biophys profile w/nst 76818
|
$178.10 |
$480.00 |
$961.80 |
|