|
Exc neck tum deep < 5 cm
|
$711.97 |
$711.97 |
$711.97 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$878.08 |
$878.08 |
$878.08 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$496.37 |
$496.37 |
$496.37 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$1,088.29 |
$1,088.29 |
$1,088.29 |
$3,795.42
|
|
Exc rect tum transanal part
|
$838.88 |
$838.88 |
$838.88 |
$3,245.23
|
|
Exc sacral pr ulc prim sutr
|
$932.47 |
$932.47 |
$932.47 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$1,268.61 |
$1,268.61 |
$1,268.61 |
$4,332.25
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$607.60 |
$607.60 |
$607.60 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,124.06 |
$1,124.06 |
$1,124.06 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,474.41 |
$1,474.41 |
$1,474.41 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$1,198.54 |
$1,198.54 |
$1,198.54 |
$2,877.00
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$595.35 |
$595.35 |
$595.35 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$976.57 |
$976.57 |
$976.57 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,209.81 |
$1,209.81 |
$1,209.81 |
$2,852.63
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$560.56 |
$560.56 |
$560.56 |
$4,014.40
|
|
Exc tendon sheath or cap lesion 26160
|
$1,029.49 |
$1,029.49 |
$1,029.49 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$989.80 |
$989.80 |
$989.80 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$1,601.81 |
$1,601.81 |
$1,601.81 |
$2,106.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,124.06 |
$1,124.06 |
$1,124.06 |
$1,949.90
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,421.09 |
$2,421.09 |
$2,421.09 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,894.07 |
$2,894.07 |
$2,894.07 |
$4,136.83
|
|
Explore penetrating wnd/extremity 20103
|
$774.20 |
$774.20 |
$774.20 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$988.82 |
$988.82 |
$988.82 |
$2,699.50
|
|
Explore woundchest 20101
|
$820.75 |
$820.75 |
$820.75 |
$2,195.00
|
|
Explore wound neck 20100
|
$802.13 |
$802.13 |
$802.13 |
$1,185.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,211.09 |
$1,211.09 |
$1,211.09 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$281.75 |
$281.75 |
$281.75 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$34.30 |
$34.30 |
$34.30 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$37.73 |
$37.73 |
$37.73 |
$63.20
|
|
Extensive testis surgery
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$4,081.37
|
|
Extensive thyroid surgery
|
$2,231.95 |
$2,231.95 |
$2,231.95 |
$3,705.90
|
|
External chromosome analysis 20-25 cells
|
$370.44 |
$370.44 |
$370.44 |
$403.00
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$43.61 |
$43.61 |
$43.61 |
$61.10
|
|
External recharg sys intern
|
$2,690.10 |
$2,690.10 |
$2,690.10 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$576.24 |
$576.24 |
$576.24 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$129.85 |
$129.85 |
$129.85 |
$109.00
|
|
F-18 fdg pet diag
|
$255.29 |
$255.29 |
$255.29 |
$551.72
|
|
Fabrication & fitting
|
$107.61 |
$107.61 |
$107.61 |
$182.27
|
|
Facial bones <3
|
$108.78 |
$108.78 |
$108.78 |
$252.60
|
|
Facility svs dental rehab
|
$1,004.99 |
$1,004.99 |
$1,004.99 |
$4,558.89
|
|
Factor ix
|
$363.09 |
$363.09 |
$363.09 |
$154.50
|
|
Factor ix complex
|
$48.76 |
$48.76 |
$48.76 |
$5.91
|
|
Factor ix recombinant nos
|
$48.76 |
$48.76 |
$48.76 |
$4.65
|
|
Factor viii
|
$142.59 |
$142.59 |
$142.59 |
$144.82
|
|
Factor viii
|
$48.76 |
$48.76 |
$48.76 |
$4.85
|
|
Factor viii recombinant nos
|
$48.76 |
$48.76 |
$48.76 |
$5.40
|
|
Family therapy without pt 50min 90846
|
$170.03 |
$170.03 |
$170.03 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$170.03 |
$170.03 |
$170.03 |
$230.36
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$7,164.98 |
$7,164.98 |
$7,164.98 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$23.52 |
$23.52 |
$23.52 |
$36.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$17,640.00 |
$17,640.00 |
$17,640.00 |
$14,956.68
|
|
#fecal-sodium
|
$31.36 |
$31.36 |
$31.36 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$204.33 |
$204.33 |
$204.33 |
$61.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$165.38 |
$165.38 |
$165.38 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2,002.73 |
$2,002.73 |
$2,002.73 |
$2,590.25
|
|
Ferritin
|
$133.77 |
$133.77 |
$133.77 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$448.16 |
$448.16 |
$448.16 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$278.81 |
$278.81 |
$278.81 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$176.40 |
$176.40 |
$176.40 |
$475.50
|
|
Fetal fibronectin
|
$252.84 |
$252.84 |
$252.84 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$203.35 |
$203.35 |
$203.35 |
$104.00
|
|
Fetal hemoglobin rosette
|
$73.99 |
$73.99 |
$73.99 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$21.07 |
$21.07 |
$21.07 |
$67.00
|
|
Fetal monitor w/report
|
$73.01 |
$73.01 |
$73.01 |
$295.50
|
|
Fetal non stress test
|
$211.19 |
$211.19 |
$211.19 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$96.04 |
$96.04 |
$96.04 |
$120.05
|
|
Fibrin degradation products
|
$80.36 |
$80.36 |
$80.36 |
$74.25
|
|
Fibrin degrade semiquant
|
$62.72 |
$62.72 |
$62.72 |
$78.80
|
|
Fibrinogen activity
|
$64.19 |
$64.19 |
$64.19 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$153.86 |
$153.86 |
$153.86 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$103.39 |
$103.39 |
$103.39 |
$72.80
|
|
Fibrinolytic plasminogen
|
$131.81 |
$131.81 |
$131.81 |
$105.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$136.22 |
$136.22 |
$136.22 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$307.85 |
$307.85 |
$307.85 |
$582.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$48.76 |
$48.76 |
$48.76 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,097.02 |
$1,097.02 |
$1,097.02 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$3,967.90 |
$3,967.90 |
$3,967.90 |
$7,188.75
|
|
Filter vena cava fem denali
|
$2,681.14 |
$2,681.14 |
$2,681.14 |
$3,816.40
|
|
Fine needle asp without image guide 10021
|
$181.30 |
$181.30 |
$181.30 |
$497.00
|
|
Finger joint sz00 swanson w/grommets
|
$2,748.63 |
$2,748.63 |
$2,748.63 |
$4,584.72
|
|
Fitting of diaphragm/cap 57170
|
$780.08 |
$780.08 |
$780.08 |
$238.06
|
|
Fl exam g/colon tube w contrast
|
$96.53 |
$96.53 |
$96.53 |
$523.95
|
|
Flexible Sigmoidoscopy
|
$262.15 |
$262.15 |
$262.15 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$704.62 |
$704.62 |
$704.62 |
$2,160.48
|
|
Flow cytometry marker each additional
|
$73.99 |
$73.99 |
$73.99 |
$97.50
|
|
Flow cytometry one marker technical component
|
$410.13 |
$410.13 |
$410.13 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$101.31 |
$101.31 |
$101.31 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$609.22 |
$609.22 |
$609.22 |
$493.35
|
|
Fluidotherapy charges pt
|
$41.65 |
$41.65 |
$41.65 |
$98.40
|
|
Fluid pressure muscle 20950
|
$405.23 |
$405.23 |
$405.23 |
$779.45
|
|
Fluorescent antibody titer dna
|
$95.55 |
$95.55 |
$95.55 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$245.49 |
$245.49 |
$245.49 |
$495.95
|
|
Fluoroguide needle placement
|
$553.21 |
$553.21 |
$553.21 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$327.81 |
$327.81 |
$327.81 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$145.53 |
$145.53 |
$145.53 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$135.73 |
$135.73 |
$135.73 |
$72.52
|
|
Foam drg >16<=48 sq in w/bdr
|
$43.52 |
$43.52 |
$43.52 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$11.96 |
$11.96 |
$11.96 |
$16.25
|
|
Foam drg > 48 sq in without brdr
|
$14.07 |
$14.07 |
$14.07 |
$33.49
|
|
Foam drsg <=16 sq in without bdr
|
$18.65 |
$18.65 |
$18.65 |
$22.32
|
