|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$4,536.80 |
$4,536.80 |
$4,536.80 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$2,658.40 |
$2,658.40 |
$2,658.40 |
$1,917.33
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$4,898.40 |
$4,898.40 |
$4,898.40 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,797.08
|
|
Exc thigh/knee les sc<3cm 27327
|
$3,327.20 |
$3,327.20 |
$3,327.20 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$5,456.80 |
$5,456.80 |
$5,456.80 |
$3,306.79
|
|
Exc thigh/knee tum dep 5cm/>
|
$6,417.60 |
$6,417.60 |
$6,417.60 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$3,232.80 |
$3,232.80 |
$3,232.80 |
$3,059.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$3,135.20 |
$3,135.20 |
$3,135.20 |
$2,054.40
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,799.60 |
$3,799.60 |
$3,799.60 |
$4,101.67
|
|
Exploration of foot joint
|
$4,581.60 |
$4,581.60 |
$4,581.60 |
$3,832.27
|
|
Explore penetrating wnd/extremity 20103
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$1,788.80
|
|
Explore/treat finger joint
|
$4,538.40 |
$4,538.40 |
$4,538.40 |
$3,839.54
|
|
Explore/treat finger joint
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$2,480.83
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$3,090.40 |
$3,090.40 |
$3,090.40 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,248.00 |
$4,248.00 |
$4,248.00 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$421.60 |
$421.60 |
$421.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$426.40 |
$426.40 |
$426.40 |
$345.60
|
|
Eye Socket (Orbit) X-ray
|
$472.80 |
$472.80 |
$472.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$2,210.40 |
$2,210.40 |
$2,210.40 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$1,320.00
|
|
F-18 fdg pet diag
|
$371.20 |
$371.20 |
$371.20 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$4,011.20 |
$4,011.20 |
$4,011.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$3,105.60 |
$3,105.60 |
$3,105.60 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$335.20 |
$335.20 |
$335.20 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$570.40 |
$570.40 |
$570.40 |
$381.75
|
|
Factor ix alprolix recomb
|
$47.19 |
$47.19 |
$47.19 |
$9.46
|
|
Factor viii recombinant nos
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$5.20
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$46.80 |
$46.80 |
$46.80 |
$22.20
|
|
Femoral endovas graft add-on 34813
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$1,245.40
|
|
Feno poc
|
$152.80 |
$152.80 |
$152.80 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$69.00 |
$69.00 |
$69.00 |
$101.40
|
|
Fetal biophys profile w/nst 76818
|
$867.20 |
$867.20 |
$867.20 |
$541.74
|
|
Fetal non stress test
|
$451.20 |
$451.20 |
$451.20 |
$478.50
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$383.00 |
$383.00 |
$383.00 |
$1,197.83
|
|
Filter spider fx 3mmx320cm
|
$7,358.16 |
$7,358.16 |
$7,358.16 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,551.00 |
$3,551.00 |
$3,551.00 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$749.60 |
$749.60 |
$749.60 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$340.00 |
$340.00 |
$340.00 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$734.40 |
$734.40 |
$734.40 |
$504.45
|
|
Finger X-ray (both hands)
|
$319.20 |
$319.20 |
$319.20 |
$241.50
|
|
Fixation of knee joint
|
$3,839.20 |
$3,839.20 |
$3,839.20 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$1,240.80 |
$1,240.80 |
$1,240.80 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$6,003.20 |
$6,003.20 |
$6,003.20 |
$4,499.12
|
|
Fl exam g/colon tube w contrast
|
$695.20 |
$695.20 |
$695.20 |
$540.80
|
|
Flexible Sigmoidoscopy
|
$2,357.60 |
$2,357.60 |
$2,357.60 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$93.60 |
$93.60 |
$93.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$558.40 |
$558.40 |
$558.40 |
$285.00
|
|
Floweramniopatch, per sq cm
|
$147.00 |
$147.00 |
$147.00 |
$269.00
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$63.40 |
$63.40 |
$63.40 |
$64.22
|
|
Fluidotherapy charges pt
|
$118.40 |
$118.40 |
$118.40 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,006.40 |
$1,006.40 |
$1,006.40 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$708.00 |
$708.00 |
$708.00 |
$495.00
|
|
Fluoroguide needle placement
|
$641.60 |
$641.60 |
$641.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$695.20 |
$695.20 |
$695.20 |
$503.80
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$72.79 |
$72.79 |
$72.79 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$2,236.80 |
$2,236.80 |
$2,236.80 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$834.90
|
|
Folic acid 5 mg/ml injection solution
|
$44.16 |
$44.16 |
$44.16 |
$45.00
|
|
Follow-up angiography
|
$1,669.60 |
$1,669.60 |
$1,669.60 |
$1,983.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,658.51 |
$1,658.51 |
$1,658.51 |
$2,511.73
|
|
Fondaparinux sodium
|
$77.74 |
$77.74 |
$77.74 |
$186.20
|
|
Fo nontorsion joint cf
|
$318.24 |
$318.24 |
$318.24 |
$217.50
|
|
Foot drp splt w/exp heel lg
|
$115.20 |
$115.20 |
$115.20 |
$143.14
|
|
Foot lamin/prepreg composite
|
$243.44 |
$243.44 |
$243.44 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$32.26 |
$32.26 |
$32.26 |
$76.32
|
|
Foot X-ray
|
$438.40 |
$438.40 |
$438.40 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$371.20 |
$371.20 |
$371.20 |
$290.40
|
|
Forearm/arm cuffs ext/flex a
|
$692.76 |
$692.76 |
$692.76 |
$669.13
|
|
Forearm X-ray (both sides)
|
$391.20 |
$391.20 |
$391.20 |
$324.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$888.80 |
$888.80 |
$888.80 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$65.80 |
$65.80 |
$65.80 |
$490.67
|
|
Foscarnet sodium injection
|
$476.00 |
$476.00 |
$476.00 |
$988.21
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$59.24 |
$59.24 |
$59.24 |
$103.62
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$236.80 |
$236.80 |
$236.80 |
$155.25
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$260.00 |
$260.00 |
$260.00 |
$164.84
|
|
Full Spine X-ray (Scoliosis Survey)
|
$461.60 |
$461.60 |
$461.60 |
$355.00
|
|
Furosemide 10 mg/ml injection solution
|
$49.95 |
$49.95 |
$49.95 |
$19.53
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$108.40
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$12.00 |
$12.00 |
$12.00 |
$120.00
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$102.09 |
$102.09 |
$102.09 |
$249.80
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,804.00 |
$1,804.00 |
$1,804.00 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,854.40 |
$1,854.40 |
$1,854.40 |
$1,615.00
|
|
Gamma globulin 1 cc inj
|
$494.96 |
$494.96 |
$494.96 |
$407.60
|
|
Gammagraft
|
$128.00 |
$128.00 |
$128.00 |
$1.00
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$209.82 |
$209.82 |
$209.82 |
$197.40
|
|
Gemcitabine 1 gram intravenous solution
|
$166.79 |
$166.79 |
$166.79 |
$207.51
|
|
Generator barostim neo2 2014
|
$69,958.35 |
$69,958.35 |
$69,958.35 |
$52,020.00
|
|
Generator emblem MRI sicd subq
|
$65,577.60 |
$65,577.60 |
$65,577.60 |
$36,467.76
|
|
Gen, neuro, clo loop, rechg
|
$36,800.00 |
$36,800.00 |
$36,800.00 |
$38,632.78
|
|
Gentamicin 10 mg/ml liquid compound - enteral use only
|
$64.60 |
$64.60 |
$64.60 |
$52.54
|
|
G-esoph reflx tst w/electrod
|
$424.00 |
$424.00 |
$424.00 |
$1,514.00
|
|
Ghs abscess perianal iandd
|
$1,720.80 |
$1,720.80 |
$1,720.80 |
$1,465.00
|
|
Ghs abscess postoperative iandd complex
|
$6,256.00 |
$6,256.00 |
$6,256.00 |
$3,776.00
|
|
Ghs analysis neurostim without reprogramming
|
$300.00 |
$300.00 |
$300.00 |
$262.35
|