|
Estradiol valerate 10 mg inj
|
$92.04 |
$92.04 |
$92.04 |
$57.35
|
|
Estrogens total-sendout
|
$57.60 |
$57.60 |
$57.60 |
$96.20
|
|
Ethylene glycol -sendout
|
$102.00 |
$102.00 |
$102.00 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$540.72 |
$540.72 |
$540.72 |
$235.20
|
|
Euflexxa inj per dose
|
$1,060.26 |
$1,060.26 |
$1,060.26 |
$587.51
|
|
Eval/fit voice prosthesis iii, st
|
$426.00 |
$426.00 |
$426.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$205.80 |
$205.80 |
$205.80 |
$219.60
|
|
Evaluation heart device
|
$2,134.20 |
$2,134.20 |
$2,134.20 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$243.00 |
$243.00 |
$243.00 |
$311.50
|
|
Evaluation psychiatric diagnostic
|
$348.60 |
$348.60 |
$348.60 |
$312.00
|
|
Evasc prlng admn rx agnt 1st
|
$536.40 |
$536.40 |
$536.40 |
$3,822.00
|
|
Evasc prlng admn rx agnt add
|
$536.40 |
$536.40 |
$536.40 |
$2,734.40
|
|
Evasc repair of iliac artery; endograft 34718
|
$8,242.80 |
$8,242.80 |
$8,242.80 |
$6,925.05
|
|
Evoked potentials auditory screening automated analysis
|
$471.00 |
$471.00 |
$471.00 |
$249.71
|
|
Evoked potentials upper limbs
|
$523.20 |
$523.20 |
$523.20 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$287.40 |
$287.40 |
$287.40 |
$814.61
|
|
Ewhfo w/joint(s) cf
|
$1,984.15 |
$1,984.15 |
$1,984.15 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,144.42 |
$1,144.42 |
$1,144.42 |
$907.92
|
|
Exc abd les sc 3 cm/>
|
$8,229.41 |
$8,229.41 |
$8,229.41 |
$3,796.00
|
|
Exc benign tal 0.5 < cm 11400
|
$9,479.76 |
$9,479.76 |
$9,479.76 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,227.00 |
$1,227.00 |
$1,227.00 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$11,820.83 |
$11,820.83 |
$11,820.83 |
$1,135.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$7,928.57 |
$7,928.57 |
$7,928.57 |
$1,372.15
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$12,144.18 |
$12,144.18 |
$12,144.18 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$24,313.55 |
$24,313.55 |
$24,313.55 |
$1,247.50
|
|
Exc hand les sc < 1.5 cm
|
$6,922.50 |
$6,922.50 |
$6,922.50 |
$1,897.50
|
|
Exchange biliary drg cath
|
$4,642.20 |
$4,642.20 |
$4,642.20 |
$3,909.56
|
|
Exchange drainage catheter
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$1,483.80 |
$1,483.80 |
$1,483.80 |
$2,958.80
|
|
Excise lip or cheek fold
|
$2,333.40 |
$2,333.40 |
$2,333.40 |
$1,855.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$9,994.80 |
$9,994.80 |
$9,994.80 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$9,262.14 |
$9,262.14 |
$9,262.14 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$10,895.45 |
$10,895.45 |
$10,895.45 |
$2,865.00
|
|
Excision breast lesion
|
$14,810.04 |
$14,810.04 |
$14,810.04 |
$3,749.85
|
|
Excision of anal lesion(s)
|
$7,641.60 |
$7,641.60 |
$7,641.60 |
$3,786.00
|
|
Excision of uvula
|
$6,087.36 |
$6,087.36 |
$6,087.36 |
$3,811.00
|
|
Excision olecranon bursa
|
$10,608.17 |
$10,608.17 |
$10,608.17 |
$2,889.60
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$11,960.87 |
$11,960.87 |
$11,960.87 |
$3,650.40
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$14,232.66 |
$14,232.66 |
$14,232.66 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$11,552.34 |
$11,552.34 |
$11,552.34 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$16,029.64 |
$16,029.64 |
$16,029.64 |
$3,752.25
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$11,523.69 |
$11,523.69 |
$11,523.69 |
$4,576.00
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$9,609.11 |
$9,609.11 |
$9,609.11 |
$3,994.09
|
|
Exc tendon sheath or cap lesion 26160
|
$14,411.64 |
$14,411.64 |
$14,411.64 |
$2,650.53
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$22,308.50 |
$22,308.50 |
$22,308.50 |
$1,917.33
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,911.47 |
$6,911.47 |
$6,911.47 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$6,903.60 |
$6,903.60 |
$6,903.60 |
$1,944.80
|
|
Exploration maxillary sinus
|
$11,116.67 |
$11,116.67 |
$11,116.67 |
$4,341.97
|
|
Exploration of toe joint
|
$2,769.60 |
$2,769.60 |
$2,769.60 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$2,133.00 |
$2,133.00 |
$2,133.00 |
$1,788.80
|
|
Ext ecg>48hr<7d scan a/r
|
$202.80 |
$202.80 |
$202.80 |
$241.92
|
|
Extended steel shank
|
$136.12 |
$136.12 |
$136.12 |
$122.00
|
|
Extension per extension per
|
$149.99 |
$149.99 |
$149.99 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$322.80 |
$322.80 |
$322.80 |
$384.15
|
|
External recharg sys intern
|
$1,602.72 |
$1,602.72 |
$1,602.72 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$438.00 |
$438.00 |
$438.00 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$133.20 |
$133.20 |
$133.20 |
$108.60
|
|
Eye implant band 40
|
$2,538.14 |
$2,538.14 |
$2,538.14 |
$6,394.52
|
|
F-18 fdg pet diag
|
$5,435.40 |
$5,435.40 |
$5,435.40 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,452.20 |
$5,452.20 |
$5,452.20 |
$4,960.80
|
|
Facial bones <3
|
$721.20 |
$721.20 |
$721.20 |
$252.60
|
|
Facility svs dental rehab
|
$6,553.68 |
$6,553.68 |
$6,553.68 |
$4,558.89
|
|
Factor ix
|
$82.80 |
$82.80 |
$82.80 |
$156.13
|
|
Factor ix recombinant nos
|
$15,346.80 |
$15,346.80 |
$15,346.80 |
$4.65
|
|
Factor viii
|
$136.80 |
$136.80 |
$136.80 |
$133.81
|
|
Factor viii recombinant nos
|
$11,524.80 |
$11,524.80 |
$11,524.80 |
$6.56
|
|
Family therapy without pt 50min 90846
|
$646.20 |
$646.20 |
$646.20 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$735.00 |
$735.00 |
$735.00 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,796.50 |
$9,796.50 |
$9,796.50 |
$5,800.72
|
|
Fancc gene
|
$65.40 |
$65.40 |
$65.40 |
$147.00
|
|
Fat/lipids feces qualitative
|
$16.80 |
$16.80 |
$16.80 |
$38.35
|
|
Fatty acids nonesterified
|
$54.00 |
$54.00 |
$54.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,352.49 |
$1,352.49 |
$1,352.49 |
$956.25
|
|
#fecal-sodium
|
$16.20 |
$16.20 |
$16.20 |
$37.50
|
|
Feeding tube reposition
|
$446.40 |
$446.40 |
$446.40 |
$532.61
|
|
Felbamate (felbatol(r)) - sendout
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$142.44 |
$142.44 |
$142.44 |
$126.42
|
|
Fem/popl revasc w/stent
|
$74,262.25 |
$74,262.25 |
$74,262.25 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$378.84 |
$378.84 |
$378.84 |
$101.40
|
|
Fern test
|
$54.00 |
$54.00 |
$54.00 |
$39.65
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4,329.48 |
$4,329.48 |
$4,329.48 |
$2,590.25
|
|
Ferritin
|
$154.80 |
$154.80 |
$154.80 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,571.52 |
$1,571.52 |
$1,571.52 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$951.60 |
$951.60 |
$951.60 |
$1,206.81
|
|
Fetal contract stress test 59020 - 26
|
$340.80 |
$340.80 |
$340.80 |
$475.50
|
|
Fetal hemoglobin (kleihauer betke)
|
$101.40 |
$101.40 |
$101.40 |
$105.12
|
|
Fetal hemoglobin rosette
|
$61.20 |
$61.20 |
$61.20 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$53.40 |
$53.40 |
$53.40 |
$69.60
|
|
Fetal monitor w/report
|
$148.80 |
$148.80 |
$148.80 |
$295.50
|
|
Fetal non stress test
|
$896.40 |
$896.40 |
$896.40 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$69.60 |
$69.60 |
$69.60 |
$117.70
|
|
Fibrin degradation products
|
$51.00 |
$51.00 |
$51.00 |
$62.64
|
|
Fibrinogen activity
|
$37.80 |
$37.80 |
$37.80 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$104.40 |
$104.40 |
$104.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$58.80 |
$58.80 |
$58.80 |
$72.80
|
|
Fibrinolytic plasminogen
|
$67.80 |
$67.80 |
$67.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$71.40 |
$71.40 |
$71.40 |
$65.00
|
