|
Explore/drain eye socket
|
$4,174.40 |
$4,174.40 |
$4,174.40 |
$2,794.40
|
|
Explore/drain eye socket
|
$6,324.80 |
$6,324.80 |
$6,324.80 |
$6,311.00
|
|
Explore epididymis
|
$902.40 |
$902.40 |
$902.40 |
$4,061.71
|
|
Explore inner ear
|
$5,112.00 |
$5,112.00 |
$5,112.00 |
$6,547.81
|
|
Explore inner ear
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$7,000.36
|
|
Explore/irrigate tear ducts
|
$646.40 |
$646.40 |
$646.40 |
$523.25
|
|
Explore limb vessels 35860
|
$2,043.20 |
$2,043.20 |
$2,715.00 |
$3,986.00
|
|
Explore neck vessels 35800
|
$1,772.80 |
$1,772.80 |
$2,431.00 |
$1,772.80
|
|
Explore parathyroid glands
|
$2,376.00 |
$2,376.00 |
$41,819.43 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$1,544.25 |
$1,544.25 |
$1,544.25 |
$1,788.80
|
|
Explore/repair chest 32110
|
$7,826.65 |
$7,826.65 |
$7,826.65 |
$3,720.50
|
|
Explore scrotum
|
$974.40 |
$974.40 |
$974.40 |
$3,863.60
|
|
Explore small intestine 44020
|
$2,388.80 |
$2,388.80 |
$3,478.00 |
$1,512.00
|
|
Explore/treat ankle joint
|
$2,224.00 |
$2,224.00 |
$2,224.00 |
$3,839.54
|
|
Explore/treat eye socket
|
$4,558.40 |
$4,558.40 |
$4,558.40 |
$3,320.43
|
|
Explore/treat eye socket
|
$8,328.00 |
$8,328.00 |
$8,328.00 |
$5,809.13
|
|
Explore/treat eye socket
|
$6,528.00 |
$6,528.00 |
$6,528.00 |
$6,311.00
|
|
Explore/treat eye socket 67413
|
$4,500.80 |
$4,500.80 |
$4,500.80 |
$4,350.00
|
|
Explore/treat finger joint
|
$1,651.20 |
$1,651.20 |
$1,651.20 |
$3,821.05
|
|
Explore/treat finger joint
|
$2,551.66 |
$2,551.66 |
$2,551.66 |
$2,211.05
|
|
Explore/treat knee joint
|
$2,332.80 |
$2,332.80 |
$24,572.80 |
$4,350.00
|
|
Explore/treat wrist joint
|
$1,985.60 |
$1,985.60 |
$1,985.60 |
$4,386.51
|
|
Explore wound abdomen 20102
|
$861.00 |
$861.00 |
$2,940.96 |
$2,699.50
|
|
Explore woundchest 20101
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$2,195.00
|
|
Explore wound neck 20100
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$1,185.00
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$1,122.00
|
|
Explr/decompress eye socket
|
$6,924.80 |
$6,924.80 |
$6,924.80 |
$5,821.06
|
|
Explr/decompress eye socket
|
$7,300.80 |
$7,300.80 |
$7,300.80 |
$5,405.82
|
|
Expose art endoprosth iliac 34820
|
$1,812.80 |
$1,812.80 |
$1,812.80 |
$1,812.80
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$4,666.25 |
$4,666.25 |
$4,666.25 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,472.49 |
$1,472.49 |
$18,536.75 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$759.00 |
$759.00 |
$1,472.49 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$57.60 |
$57.60 |
$80.00 |
$57.00
|
|
Ext ecg>48hr<7d scan a/r
|
$105.30 |
$105.30 |
$120.16 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$535.20 |
$535.20 |
$535.20 |
$789.60
|
|
Ext ecg>7d<15d rev&interpj
|
$63.20 |
$63.20 |
$87.00 |
$57.75
|
|
Ext ecg>7d<15d scan a/r
|
$198.90 |
$198.90 |
$425.60 |
$345.60
|
|
Extended culture of oocytes
|
$157.60 |
$157.60 |
$157.60 |
$892.77
|
|
Extended visual field xm
|
$139.20 |
$139.20 |
$139.20 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$2,522.40 |
$2,522.40 |
$2,522.40 |
$5,339.00
|
|
Extensive hand surgery
|
$2,621.60 |
$2,621.60 |
$2,621.60 |
$4,350.00
|
|
Extensive mastoid surgery
|
$6,046.40 |
$6,046.40 |
$6,046.40 |
$7,000.36
|
|
Extensive mastoid surgery
|
$8,120.00 |
$8,120.00 |
$8,120.00 |
$7,000.36
|
|
Extensive prostate surgery
|
$4,457.60 |
$4,457.60 |
$4,457.60 |
$4,457.60
|
|
Extensive prostate surgery
|
$2,956.80 |
$2,956.80 |
$2,956.80 |
$2,956.80
|
|
Extensive prostate surgery
|
$2,957.60 |
$2,957.60 |
$2,957.60 |
$1,771.20
|
|
Extensive prostate surgery
|
$3,444.80 |
$3,444.80 |
$3,444.80 |
$3,444.80
|
|
Extensive removal of liver
|
$8,414.40 |
$8,414.40 |
$12,166.00 |
$8,414.40
|
|
Extensive surgery of throat
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$7,000.36
|
|
Extensive surgery of throat
|
$3,425.60 |
$3,425.60 |
$3,425.60 |
$6,547.81
|
|
Extensive testis surgery
|
$3,758.40 |
$3,758.40 |
$3,758.40 |
$4,081.37
|
|
Extensive thyroid surgery
|
$4,126.40 |
$4,126.40 |
$4,985.00 |
$3,233.40
|
|
Extensive vulva surgery
|
$3,468.80 |
$3,468.80 |
$3,468.80 |
$3,468.80
|
|
External cannula declotting
|
$596.80 |
$596.80 |
$596.80 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$159.25 |
$159.25 |
$363.20 |
$415.01
|
|
External newborn metabolic screening panel
|
$123.50 |
$123.50 |
$157.60 |
$109.76
|
|
External ocular photography
|
$49.60 |
$49.60 |
$49.60 |
$86.03
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$61.10 |
$61.10 |
$164.99 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,003.00 |
$3,003.00 |
$7,746.40 |
$4,306.29
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$360.80 |
$360.80 |
$737.75 |
$457.07
|
|
Extnd color vision xm
|
$107.20 |
$107.20 |
$107.20 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$48.57 |
$48.57 |
$204.10 |
$109.00
|
|
Extraction of lens
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
$4,396.50
|
|
Extraction of lens
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
$2,698.92
|
|
Extraction of lens 66920
|
$3,737.60 |
$3,737.60 |
$3,737.60 |
$3,737.60
|
|
Extrnl counterpulse, per tx
|
$245.60 |
$245.60 |
$245.60 |
$431.60
|
|
Eye allergy tests
|
$104.00 |
$104.00 |
$104.00 |
$142.80
|
|
Eye implant band 40
|
$1,141.56 |
$1,141.56 |
$1,141.56 |
$5,641.12
|
|
Eye photodynamic ther add-on
|
$74.40 |
$74.40 |
$74.40 |
$821.60
|
|
Eye Socket (Orbit) X-ray
|
$313.95 |
$313.95 |
$490.14 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,624.35 |
$1,624.35 |
$2,785.98 |
$1,707.60
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,510.60 |
$1,510.60 |
$2,153.27 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$2,057.47 |
$2,057.47 |
$3,491.00 |
$1,318.20
|
|
Eye surgery follow-up add-on
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
$1,914.01
|
|
Eye suture during surgery
|
$739.20 |
$739.20 |
$739.20 |
$1,612.80
|
|
Ezh2 gene full gene sequence
|
$271.57 |
$271.57 |
$271.57 |
$321.60
|
|
F-18 fdg pet diag
|
$1,613.40 |
$1,613.40 |
$1,768.20 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,515.12 |
$4,515.12 |
$15,145.00 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$950.45 |
$950.45 |
$27,455.00 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,391.25 |
$1,391.25 |
$1,391.25 |
$492.56
|
|
F9 full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,200.00
|
|
Face bone graft
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,935.75 |
$3,935.75 |
$4,968.20 |
$2,830.10
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,045.53 |
$3,045.53 |
$3,188.25 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$211.90 |
$211.90 |
$357.87 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$406.90 |
$406.90 |
$425.53 |
$381.75
|
|
Facial nerve function test
|
$148.00 |
$148.00 |
$148.00 |
$368.50
|
|
Factor ix
|
$95.72 |
$95.72 |
$371.80 |
$162.00
|
|
Factor ix complex
|
$6,714.85 |
$6,714.85 |
$6,714.85 |
$4.68
|
|
Factor ix recombinant nos
|
$2.75 |
$2.75 |
$8,262.25 |
$4.65
|
|
Factor viii
|
$39.20 |
$39.20 |
$427.05 |
$145.50
|
|
Factor viii pegylated recomb
|
$4.27 |
$4.27 |
$4.27 |
$8.05
|
|
Factor viii recombinant nos
|
$3.32 |
$3.32 |
$3.32 |
$5.20
|
|
Factor xiii anti-hem factor
|
$10.40 |
$10.40 |
$10.40 |
$23.98
|
|
Fallopian tube recnl
|
$1,425.60 |
$1,425.60 |
$1,425.60 |
$3,744.41
|
|
Family therapy without pt 50min 90846
|
$233.85 |
$233.85 |
$233.85 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$239.20 |
$239.20 |
$239.20 |
$231.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.10 |
$4.10 |
$71.56 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$43.32 |
$43.32 |
$9,722.40 |
$5,894.50
|
|
Fancc gene
|
$127.86 |
$127.86 |
$127.86 |
$140.00
|
