|
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
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$885.60 |
$885.60 |
$921.05 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$828.00 |
$828.00 |
$5,380.00 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$57.60 |
$57.60 |
$80.00 |
$57.00
|
|
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
|
$425.60 |
$425.60 |
$425.60 |
$345.60
|
|
Extended culture of oocytes
|
$157.60 |
$157.60 |
$157.60 |
$904.19
|
|
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 |
$5,395.75
|
|
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 |
$8,120.00
|
|
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 |
$2,628.12
|
|
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 |
$8,414.40 |
$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 |
$4,126.40 |
$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
|
$172.25 |
$172.25 |
$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 |
$76.95
|
|
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 |
$4,388.25
|
|
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 |
$2,300.00 |
$109.00
|
|
Extraction erupted tooth/exr
|
$38,163.35 |
$38,163.35 |
$38,163.35 |
$1,666.43
|
|
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
|
$376.56 |
$376.56 |
$559.65 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,337.11 |
$1,337.11 |
$1,337.11 |
$1,705.60
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,144.64 |
$1,144.64 |
$1,788.15 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$981.11 |
$981.11 |
$2,476.00 |
$1,320.00
|
|
Eye surgery follow-up add-on
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
$4,670.40
|
|
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
|
$1,018.32 |
$1,018.32 |
$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
|
|
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)
|
$2,473.33 |
$2,473.33 |
$3,576.30 |
$2,830.10
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,657.60 |
$1,657.60 |
$2,171.00 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$163.80 |
$163.80 |
$181.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$360.68 |
$360.68 |
$659.25 |
$381.75
|
|
Facial nerve function test
|
$148.00 |
$148.00 |
$148.00 |
$368.50
|
|
Facility svs dental rehab
|
$37,483.55 |
$37,483.55 |
$37,483.55 |
$4,558.89
|
|
Factor ix
|
$95.72 |
$95.72 |
$340.60 |
$162.00
|
|
Factor viii
|
$39.20 |
$39.20 |
$169.00 |
$145.50
|
|
Factor viii recombinant nos
|
$2.40 |
$2.40 |
$2.40 |
$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 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$230.40 |
$230.40 |
$303.00 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$239.20 |
$239.20 |
$315.00 |
$234.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$4.10 |
$4.10 |
$71.44 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$44.31 |
$44.31 |
$9,722.40 |
$5,894.50
|
|
Fancc gene
|
$127.86 |
$127.86 |
$127.86 |
$140.00
|
|
Fasciotomy hip/thigh any typ
|
$4,512.00 |
$4,512.00 |
$4,512.00 |
$3,342.87
|
|
Fat/lipids feces qualitative
|
$33.57 |
$33.57 |
$48.75 |
$34.80
|
|
Fatty acids nonesterified
|
$64.28 |
$64.28 |
$89.70 |
$72.15
|
|
Fecal bilirubin test
|
$12.00 |
$12.00 |
$12.00 |
$12.00
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$28,233.45 |
$28,233.45 |
$28,233.45 |
$14,956.68
|
|
Fecal microbiota prep instil
|
$278.40 |
$278.40 |
$278.40 |
$1,009.14
|
|
#fecal-sodium
|
$33.57 |
$33.57 |
$75.40 |
$37.50
|
|
Feeding tube reposition
|
$532.61 |
$532.61 |
$532.61 |
$520.00
|
|
Fees w/laryngeal sense i&r
|
$92.80 |
$92.80 |
$92.80 |
$174.72
|
|
Fees w/laryngeal sense test
|
$471.20 |
$471.20 |
$471.20 |
$457.50
|
|
Felbamate (felbatol(r)) - sendout
|
$66.43 |
$66.43 |
$90.35 |
$66.43
|
|
Fem/popl revasc w/stent
|
$17,579.90 |
$17,579.90 |
$48,569.60 |
$16,782.48
|
|
Feno poc
|
$58.40 |
$58.40 |
$58.40 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$73.40 |
$73.40 |
$22,575.95 |
$101.40
|
|
Fern test
|
$55.25 |
$55.25 |
$56.44 |
$35.14
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3.24 |
$3.24 |
$5,262.00 |
$2,590.25
|
|
Ferritin
|
$64.28 |
$64.28 |
$1,069.00 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3.78 |
$3.78 |
$1,333.80 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$187.20 |
$187.20 |
$455.05 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$879.51
|
|
Fetal chrom aneuploidy gsa panel
|
$1,518.40 |
$1,518.40 |
$1,592.50 |
$1,195.80
|
|
Fetal contract stress test 59020 - 26
|
$169.60 |
$169.60 |
$169.60 |
$477.50
|
|
Fetal cord puncture prenatal
|
$488.00 |
$488.00 |
$488.00 |
$714.56
|
|
Fetal fibronectin
|
$291.41 |
$291.41 |
$309.40 |
$389.95
|
|
Fetal fluid drainage w/us
|
$932.80 |
$932.80 |
$932.80 |
$606.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.57 |
$33.57 |
$128.70 |
$101.40
|
|
Fetal hemoglobin rosette
|
$33.57 |
$33.57 |
$63.05 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$64.28 |
$64.28 |
$64.28 |
$67.00
|
|
Fetal monitor/interpret only
|
$102.40 |
$102.40 |
$102.40 |
$102.40
|
|
Fetal monitor w/report
|
$123.20 |
$123.20 |
$123.20 |
$295.50
|
