|
Excise intrspinl lesion thrc
|
$6,265.00 |
$6,265.00 |
$6,265.00 |
$4,874.40
|
|
Excise/repair mouth lesion
|
$959.40 |
$959.40 |
$959.40 |
$1,915.20
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$465.40 |
$465.40 |
$465.40 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,324.00 |
$2,324.00 |
$2,324.00 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,478.00 |
$1,478.00 |
$1,478.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,096.55 |
$1,096.55 |
$1,096.55 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$42,215.55 |
$42,215.55 |
$42,215.55 |
$3,823.00
|
|
Excision of neck cyst
|
$36,218.93 |
$36,218.93 |
$36,218.93 |
$6,150.92
|
|
Excis partial tal calc
|
$56,235.55 |
$56,235.55 |
$56,235.55 |
$3,594.44
|
|
Exc malig feenl <0.5cm 11640
|
$677.30 |
$677.30 |
$677.30 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$600.00 |
$600.00 |
$600.00 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$34,083.00 |
$34,083.00 |
$34,083.00 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$3,253.05
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$34,894.70 |
$34,894.70 |
$34,894.70 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,047.80 |
$1,047.80 |
$1,047.80 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$677.30 |
$677.30 |
$677.30 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$518.89 |
$518.89 |
$518.89 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$534.00 |
$534.00 |
$534.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$638.00 |
$638.00 |
$638.00 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$701.00 |
$701.00 |
$701.00 |
$1,294.80
|
|
Exc prtl bn phlnx toe
|
$40,972.40 |
$40,972.40 |
$40,972.40 |
$3,839.54
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$559.00 |
$559.00 |
$559.00 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,623.00 |
$2,623.00 |
$2,623.00 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,762.80 |
$1,762.80 |
$1,762.80 |
$3,386.84
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$56,040.00 |
$56,040.00 |
$56,040.00 |
$4,744.88
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,411.70 |
$1,411.70 |
$1,411.70 |
$2,924.22
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$5,396.95 |
$5,396.95 |
$5,396.95 |
$4,014.40
|
|
Exc tendon sheath or cap lesion 26160
|
$22,540.18 |
$22,540.18 |
$22,540.18 |
$2,797.08
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$3,527.00 |
$3,527.00 |
$3,527.00 |
$2,054.40
|
|
Exc vagina lesion 57135
|
$29,742.60 |
$29,742.60 |
$29,742.60 |
$4,292.17
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,420.11 |
$2,420.11 |
$2,420.11 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,952.42 |
$2,952.42 |
$2,952.42 |
$4,101.67
|
|
Exploration maxillary sinus
|
$59,629.80 |
$59,629.80 |
$59,629.80 |
$4,362.99
|
|
Exploration of spinal fusion
|
$2,771.00 |
$2,771.00 |
$2,771.00 |
$1,975.20
|
|
Explore parathyroid glands
|
$54,843.34 |
$54,843.34 |
$54,843.34 |
$7,000.36
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$33,954.60 |
$33,954.60 |
$33,954.60 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$80.00 |
$80.00 |
$80.00 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$87.00 |
$87.00 |
$87.00 |
$63.20
|
|
External chromosome analysis 20-25 cells
|
$368.55 |
$368.55 |
$368.55 |
$415.01
|
|
External newborn metabolic screening panel
|
$123.50 |
$123.50 |
$123.50 |
$109.76
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$61.10 |
$61.10 |
$61.10 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$6,324.00 |
$6,324.00 |
$6,324.00 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$2,042.00 |
$2,042.00 |
$2,042.00 |
$109.00
|
|
Extraction erupted tooth/exr
|
$44,110.10 |
$44,110.10 |
$44,110.10 |
$1,666.43
|
|
Eye implant band 40
|
$1,141.56 |
$1,141.56 |
$1,141.56 |
$5,641.12
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,209.65 |
$1,209.65 |
$1,209.65 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,661.00 |
$1,661.00 |
$1,661.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$1,768.20 |
$1,768.20 |
$1,768.20 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$15,145.00 |
$15,145.00 |
$15,145.00 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$27,455.00 |
$27,455.00 |
$27,455.00 |
$1,042.30
|
|
F-18 sodium fluoride
|
$1,391.25 |
$1,391.25 |
$1,391.25 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,987.90 |
$2,987.90 |
$2,987.90 |
$2,821.87
|
|
Facial Bones X-ray (complete)
|
$317.85 |
$317.85 |
$317.85 |
$381.75
|
|
Facility svs dental rehab
|
$43,980.75 |
$43,980.75 |
$43,980.75 |
$4,558.89
|
|
Factor ix
|
$100.10 |
$100.10 |
$100.10 |
$162.50
|
|
Factor viii
|
$144.30 |
$144.30 |
$144.30 |
$148.00
|
|
Family therapy without pt 50min 90846
|
$303.00 |
$303.00 |
$303.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$315.00 |
$315.00 |
$315.00 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.10 |
$4.10 |
$4.10 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,722.40 |
$9,722.40 |
$9,722.40 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$41.60 |
$41.60 |
$41.60 |
$36.00
|
|
Fatty acids nonesterified
|
$81.25 |
$81.25 |
$81.25 |
$72.15
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$28,233.45 |
$28,233.45 |
$28,233.45 |
$14,956.68
|
|
#fecal-sodium
|
$13.00 |
$13.00 |
$13.00 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$90.35 |
$90.35 |
$90.35 |
$66.43
|
|
Fem/popl revasc w/stent
|
$55,547.42 |
$55,547.42 |
$55,547.42 |
$16,129.60
|
|
Feno poc
|
$157.95 |
$157.95 |
$157.95 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$90,074.59 |
$90,074.59 |
$90,074.59 |
$101.40
|
|
Ferritin
|
$1,037.00 |
$1,037.00 |
$1,037.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,386.35 |
$1,386.35 |
$1,386.35 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$202.80 |
$202.80 |
$202.80 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$1,166.15
|
|
Fetal fibronectin
|
$395.20 |
$395.20 |
$395.20 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$135.20 |
$135.20 |
$135.20 |
$102.00
|
|
Fetal hemoglobin rosette
|
$91.00 |
$91.00 |
$91.00 |
$67.20
|
|
Fetal monitor w/report
|
$161.00 |
$161.00 |
$161.00 |
$295.50
|
|
Fetal non stress test
|
$3,712.30 |
$3,712.30 |
$3,712.30 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$161.20 |
$161.20 |
$161.20 |
$120.64
|
|
Fibrin degradation products
|
$26.65 |
$26.65 |
$26.65 |
$75.02
|
|
Fibrinogen activity
|
$161.20 |
$161.20 |
$161.20 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$268.45 |
$268.45 |
$268.45 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$154.05 |
$154.05 |
$154.05 |
$72.80
|
|
Fibrinolytic plasminogen
|
$113.10 |
$113.10 |
$113.10 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$155.35 |
$155.35 |
$155.35 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,611.50 |
$1,611.50 |
$1,611.50 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,447.95 |
$1,447.95 |
$1,447.95 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$2,018.90 |
$2,018.90 |
$2,018.90 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$17,509.15 |
$17,509.15 |
$17,509.15 |
$7,358.16
|
|
Filter vena cava fem denali
|
$23,327.77 |
$23,327.77 |
$23,327.77 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$551.20 |
$551.20 |
$551.20 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$294.47 |
$294.47 |
$294.47 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$4,584.72
|
|
Finger X-ray (both hands)
|
$842.00 |
$842.00 |
$842.00 |
$241.50
|
|
Fixation of knee joint
|
$15,855.00 |
$15,855.00 |
$15,855.00 |
$1,963.35
|
|
Flecainide (tambocor)-sendout
|
$60.45 |
$60.45 |
$60.45 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$805.35 |
$805.35 |
$805.35 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$12,646.90 |
$12,646.90 |
$12,646.90 |
$1,284.13
|
