|
Extension drainage tubing
|
$6.25 |
$6.25 |
$6.25 |
|
|
Extension per extension per
|
$96.35 |
$96.35 |
$96.35 |
|
|
Extensive ear canal surgery 69150
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Extensive ear/neck surgery 69155
|
$2,053.04 |
$2,053.04 |
$2,053.04 |
|
|
Extensive hand surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Extensive hysterectomy
|
$1,981.34 |
$1,981.34 |
$1,981.34 |
|
|
Extensive jaw surgery
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Extensive mastoid surgery
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Extensive mastoid surgery
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Extensive prostate surgery
|
$1,690.69 |
$1,690.69 |
$1,690.69 |
|
|
Extensive prostate surgery
|
$2,076.71 |
$2,076.71 |
$2,076.71 |
|
|
Extensive prostate surgery
|
$2,271.65 |
$2,271.65 |
$2,271.65 |
|
|
Extensive prostate surgery
|
$1,515.78 |
$1,515.78 |
$1,515.78 |
|
|
Extensive prostate surgery
|
$1,511.33 |
$1,511.33 |
$1,511.33 |
|
|
Extensive prostate surgery
|
$1,755.58 |
$1,755.58 |
$1,755.58 |
|
|
Extensive prostate surgery
|
$1,421.76 |
$1,421.76 |
$1,421.76 |
|
|
Extensive prostate surgery
|
$1,726.50 |
$1,726.50 |
$1,726.50 |
|
|
Extensive removal of liver
|
$4,778.08 |
$4,778.08 |
$4,778.08 |
|
|
Extensive surgery of throat
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Extensive surgery of throat
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Extensive surgery of throat
|
$2,775.47 |
$2,775.47 |
$2,775.47 |
|
|
Extensive testis surgery
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
|
|
Extensive thyroid surgery
|
$2,201.28 |
$2,201.28 |
$2,201.28 |
|
|
Extensive vulva surgery
|
$1,969.56 |
$1,969.56 |
$1,969.56 |
|
|
External cannula declotting
|
$2,164.52 |
$2,164.52 |
$2,164.52 |
|
|
External chromosome analysis 20-25 cells
|
$56.00 |
$999.00 |
$1,398.40 |
|
|
External ocular photography
|
$51.36 |
$160.00 |
$160.00 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$16.24 |
$31.92 |
$39.77 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$1,820.31 |
$5,344.74 |
$5,344.74 |
|
|
External recharg sys extern
|
$28.33 |
$28.33 |
$28.33 |
|
|
External recharg sys intern
|
$1,374.24 |
$1,374.24 |
$2,931.16 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$111.86 |
$643.00 |
$1,122.40 |
|
|
Extnd color vision xm
|
$81.12 |
$81.12 |
$81.12 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$21.62 |
$56.00 |
$610.40 |
|
|
Extraction erupted tooth/exr
|
$888.94 |
$888.94 |
$888.94 |
|
|
Extraction of lens
|
$5,683.61 |
$5,683.61 |
$5,683.61 |
|
|
Extraction of lens
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
|
|
Extraction of lens 66920
|
$3,173.34 |
$3,173.34 |
$3,173.34 |
|
|
Extrnl counterpulse, per tx
|
$177.52 |
$371.00 |
$1,586.00 |
|
|
Eye allergy tests
|
$182.95 |
$182.95 |
$182.95 |
|
|
Eye photodynamic ther add-on
|
$31.42 |
$31.42 |
$31.42 |
|
|
Eye Socket (Orbit) X-ray
|
$64.96 |
$444.00 |
$645.60 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$241.18 |
$2,131.00 |
$3,026.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$241.18 |
$1,786.00 |
$2,930.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$143.75 |
$1,151.00 |
$2,342.00 |
|
|
Eye surgery follow-up add-on
|
$142.79 |
$142.79 |
$142.79 |
|
|
Eye suture during surgery
|
$212.33 |
$212.33 |
$212.33 |
|
|
Ezh2 gene common variants
|
$82.25 |
$242.05 |
$242.05 |
|
|
Ezh2 gene full gene sequence
|
$390.37 |
$390.37 |
$390.37 |
|
|
F-18 fdg pet diag
|
$189.00 |
$332.27 |
$1,098.16 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$2,519.38 |
$7,651.94 |
$7,651.94 |
|
|
F-18 fluciclovine per mci
|
$276.64 |
$444.73 |
$444.73 |
|
|
F-18 sodium fluoride
|
$419.44 |
$419.44 |
$1,015.84 |
|
|
F9 full gene sequence
|
$282.00 |
$828.00 |
$828.00 |
|
|
Fabrication & fitting
|
$514.02 |
$514.02 |
$514.02 |
|
|
Face bone graft
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$360.49 |
$3,520.00 |
$5,993.00 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$233.59 |
$1,902.00 |
$3,611.00 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$42.00 |
$215.00 |
$503.20 |
|
|
Facial Bones X-ray (complete)
|
$68.32 |
$461.00 |
$645.60 |
|
|
Facial nerve function test
|
$296.91 |
$296.91 |
$296.91 |
|
|
Facility svs dental rehab
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
|
Factor ix
|
$15.62 |
$82.00 |
$321.60 |
|
|
Factor ix alprolix recomb
|
$4.97 |
$4.97 |
$4.97 |
|
|
Factor ix complex
|
$0.88 |
$2.35 |
$2.35 |
|
|
Factor ix idelvion inj
|
$7.33 |
$7.33 |
$7.33 |
|
|
Factor ix non-recombinant
|
$1.89 |
$1.89 |
$1.89 |
|
|
Factor ix recomb gly rebinyn
|
$6.28 |
$6.28 |
$6.28 |
|
|
Factor ix recombinan rixubis
|
$2.40 |
$2.40 |
$2.40 |
|
|
Factor ix recombinant nos
|
$0.92 |
$2.53 |
$1,323.00 |
|
|
Factor viia recomb sevenfact
|
$3.24 |
$3.24 |
$3.24 |
|
|
Factor viii
|
$24.70 |
$76.00 |
$327.20 |
|
|
Factor viii
|
$1.54 |
$1.54 |
$2.22 |
|
|
Factor viii fc fusion recomb
|
$3.41 |
$3.41 |
$3.41 |
|
|
Factor viii nuwiq recomb 1iu
|
$1.56 |
$1.56 |
$1.56 |
|
|
Factor viii pegylated recomb
|
$2.98 |
$2.98 |
$2.98 |
|
|
Factor viii recombinant nos
|
$1.20 |
$2.20 |
$2.20 |
|
|
Factor viii recomb novoeight
|
$2.14 |
$2.14 |
$2.14 |
|
|
Factor viii recomb obizur
|
$4.46 |
$4.46 |
$4.46 |
|
|
Factor xiii anti-hem factor
|
$14.85 |
$14.85 |
$14.85 |
|
|
Factor xiii recomb a-subunit
|
$25.62 |
$25.62 |
$25.62 |
|
|
Fallopian tube recnl
|
$4,451.18 |
$4,451.18 |
$7,782.40 |
|
|
Fam adapt bhv tx gdn phy/qhp
|
$51.52 |
$51.52 |
$51.52 |
|
|
Family therapy without pt 50min 90846
|
$81.78 |
$244.07 |
$244.07 |
|
|
Family therapy with patient 50 min 90847
|
$114.21 |
$244.07 |
$244.07 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.01 |
$0.01 |
$0.01 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$43.19 |
$43.19 |
$43.19 |
|
|
Fancc gene
|
$17.39 |
$50.54 |
$1,491.20 |
|
|
Fasciotomy hip/thigh any typ
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Fat/lipids feces qualitative
|
$3.95 |
$7.04 |
$108.00 |
|
|
Fatty acids nonesterified
|
$12.91 |
$25.90 |
$276.80 |
|
|
Fda ide #g240020 carry bag
|
$283.60 |
$283.60 |
$283.60 |
|
|
Fecal bilirubin test
|
$6.29 |
$6.29 |
$6.29 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$89.18 |
$89.18 |
$89.18 |
|
|
Fecal microbiota prep instil
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
|
|
#fecal-sodium
|
$6.71 |
$16.00 |
$84.00 |
|
|
Feeding tube reposition
|
$49.22 |
$49.22 |
$2,100.00 |
|
|
Fees w/laryngeal sense i&r
|
$47.83 |
$47.83 |
$47.83 |
|
|
Fees w/laryngeal sense test
|
$111.59 |
$422.00 |
$422.00 |
|
|
Felbamate (felbatol(r)) - sendout
|
$25.72 |
$25.72 |
$133.60 |
|