|
Ewho w/joint(s) cf
|
$4,162.45 |
$4,162.45 |
$4,162.45 |
$830.70
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$312.90 |
$312.90 |
$312.90 |
$1,152.96
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$2,071.85 |
$2,071.85 |
$2,071.85 |
$1,501.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,160.05 |
$1,160.05 |
$1,160.05 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$2,032.65 |
$2,032.65 |
$2,032.65 |
$1,314.67
|
|
Exchange drainage catheter
|
$458.35 |
$458.35 |
$458.35 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$5,961.25 |
$5,961.25 |
$5,961.25 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,103.75 |
$2,103.75 |
$2,103.75 |
$914.34
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$6,128.65 |
$6,128.65 |
$6,128.65 |
$1,072.24
|
|
Exc malig tal <0.5cm 11600
|
$1,991.45 |
$1,991.45 |
$1,991.45 |
$973.71
|
|
Exc thrombosed hemorrhoid 46320
|
$3,678.05 |
$3,678.05 |
$3,678.05 |
$2,175.36
|
|
Exercise tst brncspsm w/ecg
|
$1,128.25 |
$1,128.25 |
$1,128.25 |
$335.52
|
|
Expl lap celiotomy w/wo bx 49000
|
$11,378.10 |
$11,378.10 |
$11,378.10 |
$2,357.35
|
|
Explore penetrating wnd/extremity 20103
|
$1,846.75 |
$1,846.75 |
$1,846.75 |
$1,788.80
|
|
Ext ecg>48hr<7d scan a/r
|
$399.65 |
$399.65 |
$399.65 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$399.65 |
$399.65 |
$399.65 |
$345.60
|
|
External chromosome analysis 20-25 cells
|
$973.40 |
$973.40 |
$973.40 |
$415.01
|
|
External newborn metabolic screening panel
|
$183.25 |
$183.25 |
$183.25 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$314.95 |
$314.95 |
$314.95 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$172.35 |
$172.35 |
$172.35 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$361.30 |
$361.30 |
$361.30 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,503.35 |
$2,503.35 |
$2,503.35 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,260.60 |
$2,260.60 |
$2,260.60 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,956.45 |
$3,956.45 |
$3,956.45 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,554.55 |
$2,554.55 |
$2,554.55 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$261.50 |
$261.50 |
$261.50 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$357.20 |
$357.20 |
$357.20 |
$381.75
|
|
Factor ix
|
$207.60 |
$207.60 |
$207.60 |
$162.50
|
|
Factor viii
|
$249.40 |
$249.40 |
$249.40 |
$148.00
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$5.80 |
$5.80 |
$5.80 |
$22.20
|
|
Fancc gene
|
$261.15 |
$261.15 |
$261.15 |
$140.00
|
|
Fat/lipids feces qualitative
|
$161.60 |
$161.60 |
$161.60 |
$36.00
|
|
Fatty acids nonesterified
|
$133.85 |
$133.85 |
$133.85 |
$72.15
|
|
#fecal-sodium
|
$48.70 |
$48.70 |
$48.70 |
$37.53
|
|
Fees w/laryngeal sense test
|
$725.00 |
$725.00 |
$725.00 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$173.45 |
$173.45 |
$173.45 |
$66.43
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$124.07 |
$124.07 |
$124.07 |
$101.40
|
|
Ferritin
|
$149.60 |
$149.60 |
$149.60 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,630.28 |
$3,630.28 |
$3,630.28 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$285.00 |
$285.00 |
$285.00 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$5,412.65 |
$5,412.65 |
$5,412.65 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$439.50 |
$439.50 |
$439.50 |
$477.50
|
|
Fetal fibronectin
|
$694.25 |
$694.25 |
$694.25 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$87.55 |
$87.55 |
$87.55 |
$102.00
|
|
Fetal hemoglobin rosette
|
$74.15 |
$74.15 |
$74.15 |
$67.20
|
|
Fetal non stress test
|
$439.50 |
$439.50 |
$439.50 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$187.75 |
$187.75 |
$187.75 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$80.85 |
$80.85 |
$80.85 |
$120.64
|
|
Fibrinogen activity
|
$95.70 |
$95.70 |
$95.70 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$96.60 |
$96.60 |
$96.60 |
$61.00
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,524.75 |
$1,524.75 |
$1,524.75 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,251.66 |
$1,251.66 |
$1,251.66 |
$891.02
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,141.70 |
$1,141.70 |
$1,141.70 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,178.15 |
$1,178.15 |
$1,178.15 |
$504.45
|
|
Finger X-ray (both hands)
|
$260.15 |
$260.15 |
$260.15 |
$241.50
|
|
Flecainide (tambocor)-sendout
|
$256.15 |
$256.15 |
$256.15 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$676.75 |
$676.75 |
$676.75 |
$540.80
|
|
Floor of mouth biopsy 41108
|
$4,417.65 |
$4,417.65 |
$4,417.65 |
$2,168.40
|
|
Flow cytometry marker each additional
|
$98.40 |
$98.40 |
$98.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$203.20 |
$203.20 |
$203.20 |
$285.00
|
|
Flt3 gene
|
$542.20 |
$542.20 |
$542.20 |
$366.29
|
|
Flt3 gene analysis
|
$271.90 |
$271.90 |
$271.90 |
$216.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$30.42 |
$30.42 |
$30.42 |
$64.22
|
|
Fluidotherapy charges pt
|
$125.40 |
$125.40 |
$125.40 |
$101.40
|
|
Fluid pressure muscle 20950
|
$2,174.80 |
$2,174.80 |
$2,174.80 |
$779.45
|
|
Fluorescent antibody titer dna
|
$102.15 |
$102.15 |
$102.15 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$377.45 |
$377.45 |
$377.45 |
$495.00
|
|
Fluoroguide needle placement
|
$535.20 |
$535.20 |
$535.20 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$20.81 |
$20.81 |
$20.81 |
$107.00
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$55.21 |
$55.21 |
$55.21 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,991.45 |
$1,991.45 |
$1,991.45 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,336.20 |
$1,336.20 |
$1,336.20 |
$834.90
|
|
Folic acid
|
$160.30 |
$160.30 |
$160.30 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$2.60 |
$2.60 |
$2.60 |
$45.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,562.10 |
$4,562.10 |
$4,562.10 |
$2,511.73
|
|
Fondaparinux sodium
|
$275.35 |
$275.35 |
$275.35 |
$186.20
|
|
Foot X-ray
|
$260.15 |
$260.15 |
$260.15 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$217.10 |
$217.10 |
$217.10 |
$290.40
|
|
Forearm X-ray (both sides)
|
$229.15 |
$229.15 |
$229.15 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$968.90 |
$968.90 |
$968.90 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$1,526.62 |
$1,526.62 |
$1,526.62 |
$490.67
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$204.95 |
$204.95 |
$204.95 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$262.90 |
$262.90 |
$262.90 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$368.05 |
$368.05 |
$368.05 |
$164.84
|
|
Fructosamine glycated protein
|
$146.15 |
$146.15 |
$146.15 |
$63.50
|
|
Ftl cgen abnor 3 proteins
|
$10,606.20 |
$10,606.20 |
$10,606.20 |
$2,389.10
|
|
Ftl cgen abnor four anal
|
$1,094.55 |
$1,094.55 |
$1,094.55 |
$211.83
|
|
Ftl cgen abnor two proteins
|
$223.45 |
$223.45 |
$223.45 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$504.15 |
$504.15 |
$504.15 |
$355.00
|
|
Full thick gft/scalp/arm/leg/20sqcm or< 15220
|
$5,802.10 |
$5,802.10 |
$5,802.10 |
$2,499.37
|
|
Full thick gft/scalp/arm/leg/add 20sqcm 15221
|
$3,639.30 |
$3,639.30 |
$3,639.30 |
$1,056.41
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$5,544.55 |
$5,544.55 |
$5,544.55 |
$2,798.50
|
|
Furosemide 10 mg/ml injection solution
|
$52.93 |
$52.93 |
$52.93 |
$19.53
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$234.97 |
$234.97 |
$234.97 |
$120.00
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$406.43 |
$406.43 |
$406.43 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$573.52 |
$573.52 |
$573.52 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,718.70 |
$1,718.70 |
$1,718.70 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,718.70 |
$1,718.70 |
$1,718.70 |
$1,615.00
|
