|
Evasc prlng admn rx agnt 1st
|
$20,798.21 |
$20,798.21 |
$20,798.21 |
$4,031.48
|
|
Evasc prlng admn rx agnt add
|
$10,399.15 |
$10,399.15 |
$10,399.15 |
$2,803.24
|
|
Evasc repair of iliac artery; endograft 34718
|
$5,109.94 |
$5,109.94 |
$5,109.94 |
$6,311.00
|
|
Evasc rpr a-ao ndgft 34701
|
$6,491.18 |
$6,491.18 |
$6,491.18 |
$5,403.50
|
|
Evasc rpr a-ao ndgft rpt 34702
|
$4,288.18 |
$4,288.18 |
$4,288.18 |
$4,577.00
|
|
Evasc rpr a-biiliac ndgft rptr
|
$4,313.09 |
$4,313.09 |
$4,313.09 |
$8,565.60
|
|
Evasc rpr a-iliac ndgft 34717
|
$11,304.96 |
$11,304.96 |
$11,304.96 |
$4,919.00
|
|
Evasc rpr a-unilac ndgft 34703
|
$6,491.18 |
$6,491.18 |
$6,491.18 |
$5,741.00
|
|
Evasc rpr a-unilac ndgft rpt
|
$6,432.34 |
$6,432.34 |
$6,432.34 |
$5,902.40
|
|
Evasc rpr ilio-iliac ndgft
|
$11,304.96 |
$11,304.96 |
$11,304.96 |
$7,060.51
|
|
Evasc rpr ilio-iliac rpt
|
$11,304.96 |
$11,304.96 |
$11,304.96 |
$7,922.00
|
|
Evasc st rpr thrc/aa acrs br
|
$13,973.57 |
$13,973.57 |
$13,973.57 |
$5,225.35
|
|
Evasc st rpr thrc/aa x crsg
|
$13,973.57 |
$13,973.57 |
$13,973.57 |
$11,524.11
|
|
Event monitor
|
$109.63 |
$109.63 |
$109.63 |
$231.00
|
|
Evoked auditory tst complete
|
$383.28 |
$383.28 |
$383.28 |
$357.41
|
|
Evoked oa emissions ltd
|
$279.31 |
$279.31 |
$279.31 |
$244.00
|
|
Evoked potentials auditory screening automated analysis
|
$197.23 |
$197.23 |
$197.23 |
$261.30
|
|
Evoked potentials upper limbs
|
$231.46 |
$231.46 |
$231.46 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$222.00 |
$222.00 |
$222.00 |
$814.61
|
|
Evok oa screening qual
|
$279.31 |
$279.31 |
$279.31 |
$109.13
|
|
Ewhfo w/joint(s) cf
|
$2,226.38 |
$2,226.38 |
$2,226.38 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,284.14 |
$1,284.14 |
$1,284.14 |
$830.70
|
|
Exchange biliary drg cath
|
$1,725.70 |
$1,725.70 |
$1,725.70 |
$3,856.84
|
|
Exchange blood transfusion newborn 36450
|
$421.49 |
$421.49 |
$421.49 |
$566.55
|
|
Exchange drainage catheter
|
$1,645.49 |
$1,645.49 |
$1,645.49 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,595.98 |
$2,595.98 |
$2,595.98 |
$2,958.80
|
|
Exc thrombosed hemorrhoid 46320
|
$1,288.32 |
$1,288.32 |
$1,288.32 |
$2,175.36
|
|
Excursion amplifier lever ty
|
$520.32 |
$520.32 |
$520.32 |
$294.00
|
|
Excursion amplifier pulley t
|
$364.03 |
$364.03 |
$364.03 |
$226.80
|
|
Exercise tst brncspsm w/ecg
|
$1,232.30 |
$1,232.30 |
$1,232.30 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$946.46 |
$946.46 |
$946.46 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$2,706.82 |
$2,706.82 |
$2,706.82 |
$901.60
|
|
Exoskeletal ak ultra-light m
|
$1,345.78 |
$1,345.78 |
$1,345.78 |
$996.80
|
|
Exoskeletal axial rotation u
|
$1,157.14 |
$1,157.14 |
$1,157.14 |
$868.00
|
|
Exoskeletal bk ultralt mater
|
$932.45 |
$932.45 |
$932.45 |
$4,542.72
|
|
Exoskel hip ultra-light mate
|
$1,927.01 |
$1,927.01 |
$1,927.01 |
$1,257.20
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,123.33 |
$2,123.33 |
$2,123.33 |
$4,101.67
|
|
Expose art endoprosth iliac 34820
|
$6,118.99 |
$6,118.99 |
$6,118.99 |
$1,812.80
|
|
Expose endoprosth brachial 34834
|
$2,423.90 |
$2,423.90 |
$2,423.90 |
$1,888.20
|
|
Ext ecg>48hr<7d scan a/r
|
$345.60 |
$345.60 |
$345.60 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$345.60 |
$345.60 |
$345.60 |
$345.60
|
|
Extended steel shank
|
$95.52 |
$95.52 |
$95.52 |
$111.44
|
|
Extension per extension per
|
$105.31 |
$105.31 |
$105.31 |
$134.44
|
|
External chromosome analysis 20-25 cells
|
$415.01 |
$415.01 |
$415.01 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$58.80 |
$58.80 |
$58.80 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$275.47 |
$275.47 |
$275.47 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$182.30 |
$182.30 |
$182.30 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$494.40 |
$494.40 |
$494.40 |
$431.60
|
|
Eye Socket (Orbit) X-ray
|
$138.43 |
$138.43 |
$138.43 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$863.71 |
$863.71 |
$863.71 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$647.76 |
$647.76 |
$647.76 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$431.81 |
$431.81 |
$431.81 |
$1,320.00
|
|
F-18 fdg pet diag
|
$369.46 |
$369.46 |
$369.46 |
$551.72
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,459.39 |
$1,459.39 |
$1,459.39 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$729.74 |
$729.74 |
$729.74 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$138.43 |
$138.43 |
$138.43 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$138.43 |
$138.43 |
$138.43 |
$381.75
|
|
Facial nerve function test
|
$867.60 |
$867.60 |
$867.60 |
$368.50
|
|
Factor ix
|
$76.90 |
$76.90 |
$76.90 |
$162.50
|
|
Factor ix complex
|
$2,175.84 |
$2,175.84 |
$2,175.84 |
$4.68
|
|
Factor ix recombinant nos
|
$4,966.56 |
$4,966.56 |
$4,966.56 |
$4.65
|
|
Factor viii
|
$244.85 |
$244.85 |
$244.85 |
$148.00
|
|
Factor viii
|
$23.41 |
$23.41 |
$23.41 |
$4.85
|
|
Factor viii recombinant nos
|
$23.96 |
$23.96 |
$23.96 |
$5.20
|
|
Fallopian tube recnl
|
$2,629.58 |
$2,629.58 |
$2,629.58 |
$3,740.75
|
|
Family therapy without pt 50min 90846
|
$133.30 |
$133.30 |
$133.30 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$159.46 |
$159.46 |
$159.46 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$23.01 |
$23.01 |
$23.01 |
$22.20
|
|
Fat/lipids feces qualitative
|
$38.54 |
$38.54 |
$38.54 |
$36.00
|
|
Fda ide #g240020 carry bag
|
$562.99 |
$562.99 |
$562.99 |
$903.05
|
|
Fees w/laryngeal sense test
|
$307.87 |
$307.87 |
$307.87 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$48.10 |
$48.10 |
$48.10 |
$66.43
|
|
Fem focal defic constant fri
|
$8,116.22 |
$8,116.22 |
$8,116.22 |
$5,703.60
|
|
Femoral endovas graft add-on 34813
|
$1,765.15 |
$1,765.15 |
$1,765.15 |
$1,245.40
|
|
Femoral lgth sock fx or equa
|
$112.13 |
$112.13 |
$112.13 |
$126.42
|
|
Feno poc
|
$102.48 |
$102.48 |
$102.48 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$641.85 |
$641.85 |
$641.85 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,693.76 |
$1,693.76 |
$1,693.76 |
$2,590.25
|
|
Ferritin
|
$28.32 |
$28.32 |
$28.32 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$262.29 |
$262.29 |
$262.29 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$761.66 |
$761.66 |
$761.66 |
$541.74
|
|
Fetal cord puncture prenatal
|
$2,549.09 |
$2,549.09 |
$2,549.09 |
$751.20
|
|
Fetal fibronectin
|
$481.54 |
$481.54 |
$481.54 |
$389.95
|
|
Fetal fluid drainage w/us
|
$304.22 |
$304.22 |
$304.22 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$128.30 |
$128.30 |
$128.30 |
$102.00
|
|
Fetal hemoglobin rosette
|
$51.89 |
$51.89 |
$51.89 |
$67.20
|
|
Fetal non stress test
|
$457.82 |
$457.82 |
$457.82 |
$478.50
|
|
Fetal shunt placement w/us
|
$330.58 |
$330.58 |
$330.58 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$71.66 |
$71.66 |
$71.66 |
$120.64
|
|
Fibrinogen activity
|
$46.99 |
$46.99 |
$46.99 |
$87.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$306.69 |
$306.69 |
$306.69 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$944.56 |
$944.56 |
$944.56 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$476.23 |
$476.23 |
$476.23 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$6,050.88 |
$6,050.88 |
$6,050.88 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,583.54 |
$3,583.54 |
$3,583.54 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,512.86 |
$1,512.86 |
$1,512.86 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,512.86 |
$1,512.86 |
$1,512.86 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$403.68 |
$403.68 |
$403.68 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$416.35 |
$416.35 |
$416.35 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$474.72 |
$474.72 |
$474.72 |
$504.45
|
