|
Extensive testis surgery
|
$993.60 |
$3,758.40 |
$3,758.40 |
|
|
Extensive thyroid surgery
|
$2,186.40 |
$4,126.40 |
$4,985.00 |
|
|
Extensive vulva surgery
|
$3,468.80 |
$3,468.80 |
$3,468.80 |
|
|
External cannula declotting
|
$596.80 |
$596.80 |
$596.80 |
|
|
External chromosome analysis 20-25 cells
|
$159.25 |
$363.20 |
$722.00 |
|
|
External newborn metabolic screening panel
|
$92.30 |
$157.60 |
$211.20 |
|
|
External ocular photography
|
$49.60 |
$49.60 |
$49.60 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$42.72 |
$61.10 |
$164.99 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,003.00 |
$7,746.40 |
$7,746.40 |
|
|
External recharg sys intern
|
$2,305.80 |
$2,635.20 |
$4,326.00 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$360.80 |
$431.00 |
$6,324.00 |
|
|
Extnd color vision xm
|
$107.20 |
$107.20 |
$107.20 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$39.90 |
$133.25 |
$2,300.00 |
|
|
Extraction erupted tooth/exr
|
$18,562.70 |
$38,163.35 |
$44,110.10 |
|
|
Extraction of lens
|
$4,260.80 |
$4,260.80 |
$4,260.80 |
|
|
Extraction of lens
|
$3,889.60 |
$3,889.60 |
$3,889.60 |
|
|
Extraction of lens 66920
|
$1,341.60 |
$3,737.60 |
$11,774.72 |
|
|
Extrnl counterpulse, per tx
|
$245.60 |
$245.60 |
$245.60 |
|
|
Eye allergy tests
|
$104.00 |
$104.00 |
$104.00 |
|
|
Eye implant band 40
|
$163.20 |
$1,141.56 |
$5,388.60 |
|
|
Eye photodynamic ther add-on
|
$74.40 |
$74.40 |
$74.40 |
|
|
Eye Socket (Orbit) X-ray
|
$147.60 |
$316.43 |
$559.65 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$581.60 |
$1,580.84 |
$4,469.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$758.16 |
$1,521.58 |
$4,049.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$683.83 |
$1,392.95 |
$3,491.00 |
|
|
Eye surgery follow-up add-on
|
$1,529.60 |
$1,529.60 |
$1,529.60 |
|
|
Eye suture during surgery
|
$739.20 |
$739.20 |
$739.20 |
|
|
Ezh2 gene full gene sequence
|
$271.57 |
$271.57 |
$271.57 |
|
|
F-18 fdg pet diag
|
$250.08 |
$1,463.24 |
$7,999.68 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,442.64 |
$15,145.00 |
$15,145.00 |
|
|
F-18 fluciclovine per mci
|
$882.84 |
$27,455.00 |
$27,455.00 |
|
|
F-18 sodium fluoride
|
$133.14 |
$1,391.25 |
$1,391.25 |
|
|
F9 full gene sequence
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
|
|
Fabrication & fitting
|
$92.24 |
$105.41 |
$107.61 |
|
|
Face bone graft
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,798.22 |
$3,576.30 |
$8,039.00 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,101.36 |
$1,781.72 |
$4,905.00 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$75.18 |
$182.64 |
$497.00 |
|
|
Facial Bones X-ray (complete)
|
$153.60 |
$360.68 |
$659.25 |
|
|
Facial nerve function test
|
$148.00 |
$148.00 |
$148.00 |
|
|
Facility svs dental rehab
|
$984.48 |
$1,226.82 |
$43,980.75 |
|
|
Factor ix
|
$95.72 |
$146.25 |
$572.00 |
|
|
Factor ix complex
|
$13.16 |
$41.79 |
$6,714.85 |
|
|
Factor ix idelvion inj
|
$3.35 |
$3.35 |
$3.35 |
|
|
Factor ix recombinant nos
|
$2.75 |
$13.90 |
$8,262.25 |
|
|
Factor viii
|
$39.20 |
$144.30 |
$657.00 |
|
|
Factor viii
|
$15.17 |
$15.34 |
$48.76 |
|
|
Factor viii pegylated recomb
|
$4.27 |
$4.27 |
$4.27 |
|
|
Factor viii recombinant nos
|
$2.40 |
$2.40 |
$48.76 |
|
|
Factor xiii anti-hem factor
|
$10.40 |
$10.40 |
$10.40 |
|
|
Fallopian tube recnl
|
$519.00 |
$1,425.60 |
$1,425.60 |
|
|
Family therapy without pt 50min 90846
|
$114.00 |
$230.40 |
$303.00 |
|
|
Family therapy with patient 50 min 90847
|
$104.00 |
$239.20 |
$315.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.76 |
$14.11 |
$71.56 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$43.32 |
$9,722.40 |
$9,722.40 |
|
|
Fancc gene
|
$127.86 |
$127.86 |
$127.86 |
|
|
Fasciotomy hip/thigh any typ
|
$4,512.00 |
$4,512.00 |
$4,512.00 |
|
|
Fat/lipids feces qualitative
|
$23.04 |
$41.60 |
$105.00 |
|
|
Fatty acids nonesterified
|
$47.40 |
$64.28 |
$89.70 |
|
|
Fecal bilirubin test
|
$12.00 |
$12.00 |
$12.00 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$58.48 |
$28,233.45 |
$28,233.45 |
|
|
Fecal microbiota prep instil
|
$278.40 |
$278.40 |
$1,623.28 |
|
|
#fecal-sodium
|
$13.00 |
$33.57 |
$94.80 |
|
|
Feeding tube reposition
|
$268.80 |
$295.20 |
$735.37 |
|
|
Fees w/laryngeal sense i&r
|
$92.80 |
$92.80 |
$92.80 |
|
|
Fees w/laryngeal sense test
|
$471.20 |
$471.20 |
$471.20 |
|
|
Felbamate (felbatol(r)) - sendout
|
$0.65 |
$66.43 |
$204.33 |
|
|
Femoral endovas graft add-on 34813
|
$448.80 |
$471.00 |
$471.00 |
|
|
Fem/popl revasc w/stent
|
$874.80 |
$48,569.60 |
$97,392.00 |
|
|
Fem urinary collect pouch
|
$3.60 |
$3.60 |
$3.60 |
|
|
Feno poc
|
$34.20 |
$58.40 |
$2,068.00 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$53.25 |
$73.56 |
$90,074.59 |
|
|
Fern test
|
$25.20 |
$56.44 |
$315.00 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$2.47 |
$2,002.73 |
$5,262.00 |
|
|
Ferritin
|
$64.28 |
$102.48 |
$1,117.00 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2.39 |
$712.85 |
$2,064.98 |
|
|
Ferumoxytol, esrd use
|
$2,064.98 |
$2,064.98 |
$2,064.98 |
|
|
Fetal biophys profile w/nst 76818
|
$187.20 |
$419.90 |
$1,018.80 |
|
|
Fetal chrmoml microdeltj
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
|
|
Fetal chrom aneuploidy gsa panel
|
$1,518.40 |
$1,518.40 |
$2,027.40 |
|
|
Fetal contract stress test 59020 - 26
|
$60.60 |
$270.06 |
$615.60 |
|
|
Fetal cord puncture prenatal
|
$280.14 |
$488.00 |
$488.00 |
|
|
Fetal fibronectin
|
$221.40 |
$291.41 |
$945.00 |
|
|
Fetal fluid drainage w/us
|
$135.66 |
$932.80 |
$932.80 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$33.57 |
$48.75 |
$389.35 |
|
|
Fetal hemoglobin rosette
|
$31.20 |
$46.20 |
$200.00 |
|
|
Fetal lung maturity assess lam body dnst
|
$20.64 |
$64.28 |
$69.60 |
|
|
Fetal monitor/interpret only
|
$102.40 |
$102.40 |
$102.40 |
|
|
Fetal monitor w/report
|
$71.52 |
$123.20 |
$161.00 |
|
|
Fetal non stress test
|
$185.90 |
$376.20 |
$28,428.10 |
|
|
Fetal scalp blood sampling 59030
|
$269.40 |
$272.80 |
$282.60 |
|
|
Fetal shunt placement w/us
|
$1,262.40 |
$1,262.40 |
$1,262.40 |
|
|
#_fet/norfentcnfrmur
|
$72.14 |
$72.14 |
$306.00 |
|
|
Fibrin degradation d dimer quantitative
|
$32.85 |
$95.40 |
$351.00 |
|
|
Fibrin degradation products
|
$26.65 |
$32.85 |
$85.26 |
|
|
Fibrin degrade semiquant
|
$32.85 |
$32.85 |
$180.18 |
|
|
Fibrin degradj d-dimer
|
$33.57 |
$33.57 |
$33.57 |
|
|
Fibrinogen activity
|
$32.85 |
$66.95 |
$259.00 |
|
|
Fibrinogen test
|
$32.85 |
$32.85 |
$32.85 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$50.40 |
$179.76 |
$342.00 |
|
