|
Explore penetrating wnd/extremity 20103
|
$2,210.40 |
$2,410.40 |
$3,382.40 |
|
|
Explore/treat finger joint
|
$4,538.40 |
$4,538.40 |
$4,538.40 |
|
|
Explore/treat finger joint
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
|
|
Explore wound abdomen 20102
|
$2,784.80 |
$2,784.80 |
$4,452.80 |
|
|
Explore woundchest 20101
|
$1,876.00 |
$1,876.00 |
$1,876.00 |
|
|
Expose art endoprosth iliac 34820
|
$6,118.99 |
$6,118.99 |
$6,118.99 |
|
|
Expose endoprosth brachial 34834
|
$1,384.49 |
$1,384.49 |
$2,423.90 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,432.00 |
$2,432.00 |
$2,432.00 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$3,090.40 |
$3,090.40 |
$3,090.40 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,248.00 |
$4,248.00 |
$5,643.20 |
|
|
Ext ecg>48hr<7d scan a/r
|
$345.60 |
$421.60 |
$479.53 |
|
|
Ext ecg>7d<15d scan a/r
|
$345.60 |
$386.40 |
$479.53 |
|
|
Extended steel shank
|
$81.65 |
$111.44 |
$111.44 |
|
|
Extension per extension per
|
$89.88 |
$122.86 |
$122.86 |
|
|
External chromosome analysis 20-25 cells
|
$338.40 |
$436.30 |
$565.38 |
|
|
External newborn metabolic screening panel
|
$235.20 |
$235.20 |
$235.20 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$50.40 |
$50.40 |
$65.35 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$275.47 |
$289.58 |
$614.40 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$67.20 |
$182.30 |
$229.71 |
|
|
Extrnl counterpulse, per tx
|
$494.40 |
$494.40 |
$494.40 |
|
|
Eye Socket (Orbit) X-ray
|
$128.80 |
$272.80 |
$520.80 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$863.71 |
$1,824.98 |
$3,217.60 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$647.76 |
$2,194.40 |
$3,057.60 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$431.81 |
$1,815.20 |
$2,448.80 |
|
|
F-18 fdg pet diag
|
$369.46 |
$371.20 |
$431.03 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,459.39 |
$3,772.00 |
$4,758.40 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$729.74 |
$2,835.20 |
$3,392.00 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$138.43 |
$171.81 |
$365.60 |
|
|
Facial Bones X-ray (complete)
|
$138.43 |
$268.80 |
$597.60 |
|
|
Facial nerve function test
|
$665.22 |
$665.22 |
$867.60 |
|
|
Factor ix
|
$76.90 |
$89.71 |
$96.88 |
|
|
Factor ix alprolix recomb
|
$47.19 |
$47.19 |
$47.19 |
|
|
Factor ix complex
|
$1,247.68 |
$1,247.68 |
$2,175.84 |
|
|
Factor ix non-recombinant
|
$26.92 |
$26.92 |
$61.40 |
|
|
Factor ix recombinant nos
|
$3,871.28 |
$3,871.28 |
$4,966.56 |
|
|
Factor viii
|
$70.40 |
$349.60 |
$523.82 |
|
|
Factor viii
|
$23.41 |
$23.41 |
$23.41 |
|
|
Factor viii recombinant nos
|
$23.96 |
$23.96 |
$2,384.00 |
|
|
Fallopian tube recnl
|
$1,256.75 |
$1,256.75 |
$2,629.58 |
|
|
Family therapy without pt 50min 90846
|
$133.30 |
$173.66 |
$540.00 |
|
|
Family therapy with patient 50 min 90847
|
$159.46 |
$207.76 |
$540.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$23.01 |
$27.67 |
$153.88 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$3,579.24 |
$5,466.42 |
$6,865.72 |
|
|
Fancc gene
|
$173.49 |
$173.49 |
$224.95 |
|
|
Fat/lipids feces qualitative
|
$38.54 |
$39.31 |
$234.40 |
|
|
Fatty acids nonesterified
|
$57.60 |
$57.60 |
$57.60 |
|
|
Fda ide #g240020 carry bag
|
$562.99 |
$656.82 |
$656.82 |
|
|
#fecal-sodium
|
$22.51 |
$22.51 |
$50.40 |
|
|
Fees w/laryngeal sense test
|
$307.87 |
$323.79 |
$323.79 |
|
|
Felbamate (felbatol(r)) - sendout
|
$36.80 |
$54.40 |
$71.20 |
|
|
Fem focal defic constant fri
|
$7,308.56 |
$9,468.93 |
$9,468.93 |
|
|
Femoral endovas graft add-on 34813
|
$1,298.02 |
$1,298.02 |
$1,765.15 |
|
|
Femoral lgth sock fx or equa
|
$95.76 |
$130.82 |
$130.82 |
|
|
Feno poc
|
$102.48 |
$154.67 |
$154.67 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$24.95 |
$92.29 |
$641.85 |
|
|
Fern test
|
$69.72 |
$69.72 |
$101.47 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$554.32 |
$1,693.76 |
$1,976.05 |
|
|
Ferritin
|
$25.87 |
$28.32 |
$156.80 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$262.29 |
$348.87 |
$1,997.59 |
|
|
Ferumoxytol, esrd use
|
$637.73 |
$637.73 |
$637.73 |
|
|
Fetal aneuploidy trisom risk
|
$557.26 |
$557.26 |
$557.26 |
|
|
Fetal biophys profile w/nst 76818
|
$425.21 |
$756.80 |
$887.20 |
|
|
Fetal contract stress test 59020 - 26
|
$349.05 |
$433.50 |
$610.40 |
|
|
Fetal cord puncture prenatal
|
$782.54 |
$2,549.09 |
$2,549.09 |
|
|
Fetal fibronectin
|
$311.20 |
$439.99 |
$513.07 |
|
|
Fetal fluid drainage w/us
|
$147.95 |
$190.34 |
$304.22 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$80.00 |
$266.40 |
$272.66 |
|
|
Fetal hemoglobin rosette
|
$26.40 |
$47.38 |
$127.20 |
|
|
Fetal non stress test
|
$264.80 |
$385.62 |
$457.82 |
|
|
Fetal shunt placement w/us
|
$166.66 |
$166.66 |
$330.58 |
|
|
#_fet/norfentcnfrmur
|
$178.40 |
$178.40 |
$178.40 |
|
|
Fibrin degradation d dimer quantitative
|
$65.52 |
$71.66 |
$219.20 |
|
|
Fibrinogen activity
|
$43.01 |
$46.99 |
$51.35 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$86.40 |
$90.40 |
$104.00 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$60.00 |
$60.00 |
$60.00 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$259.59 |
$357.81 |
$391.88 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$383.00 |
$944.56 |
$1,101.99 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$295.13 |
$476.23 |
$555.60 |
|
|
Filter spider fx 3mmx320cm
|
$1,991.20 |
$6,050.88 |
$7,358.16 |
|
|
Filter vena cava fem denali
|
$2,397.60 |
$3,594.08 |
$4,180.79 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$890.57 |
$931.62 |
$1,882.40 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$749.60 |
$890.57 |
$1,512.86 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$154.06 |
$154.06 |
$403.68 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$242.26 |
$416.35 |
$1,006.40 |
|
|
Fine needle asp without image guide 10021
|
$193.54 |
$474.72 |
$734.40 |
|
|
Finger X-ray (both hands)
|
$195.20 |
$220.00 |
$345.60 |
|
|
Fixation of knee joint
|
$3,839.20 |
$3,839.20 |
$3,839.20 |
|
|
Fix g/colon tube w/device
|
$745.47 |
$745.47 |
$1,240.80 |
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$6,003.20 |
$6,003.20 |
$6,003.20 |
|
|
Flecainide (tambocor)-sendout
|
$40.90 |
$47.71 |
$51.52 |
|
|
Fl exam g/colon tube w contrast
|
$516.80 |
$582.12 |
$876.67 |
|
|
Flex/ext wrist w/wo friction
|
$3,626.56 |
$4,817.23 |
$4,817.23 |
|
|
Flex foot system
|
$5,822.15 |
$7,543.14 |
$7,543.14 |
|
|
Flexible keel foot
|
$627.42 |
$833.28 |
$833.28 |
|
|
Flexible metal hinge pair
|
$349.94 |
$478.13 |
$478.13 |
|
|
Flexible Sigmoidoscopy
|
$2,204.80 |
$2,204.80 |
$2,357.60 |
|
|
Flexion/extension wrist unit
|
$593.82 |
$788.76 |
$788.76 |
|
|
Flex thermoplastic collar mo
|
$241.58 |
$330.06 |
$330.06 |
|
|
Flex-walk sys low ext prosth
|
$5,229.73 |
$6,775.61 |
$6,775.61 |
|
|
Flotufolastat f18 diag 1 mci
|
$2,091.04 |
$2,091.04 |
$2,091.04 |
|
