|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$103.35 |
$103.35 |
$103.35 |
$765.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$107.90 |
$107.90 |
$107.90 |
$1,855.89
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$91.65 |
$91.65 |
$91.65 |
$973.71
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
$2,925.00
|
|
Excision breast lesion
|
$371.15 |
$371.15 |
$371.15 |
$3,694.96
|
|
Excision of anal lesion(s)
|
$20,606.67 |
$20,606.67 |
$20,606.67 |
$3,190.50
|
|
Exc malig feenl 1.1-2 11642
|
$144.30 |
$144.30 |
$144.30 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
$1,908.09
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$115.70 |
$115.70 |
$115.70 |
$869.48
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$165.10 |
$165.10 |
$165.10 |
$1,849.38
|
|
Exc malig tal <0.5cm 11600
|
$96.85 |
$96.85 |
$96.85 |
$805.38
|
|
Exc malig tal 0.6-1.0cm 11601
|
$117.65 |
$117.65 |
$117.65 |
$817.00
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$127.40 |
$127.40 |
$127.40 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$633.10 |
$633.10 |
$633.10 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$168.35 |
$168.35 |
$168.35 |
$1,322.10
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$133.90 |
$133.90 |
$133.90 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$230.75 |
$230.75 |
$230.75 |
$2,850.35
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
$1,908.09
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
$2,473.60
|
|
Exc thigh/knee les sc<3cm 27327
|
$253.50 |
$253.50 |
$253.50 |
$2,369.60
|
|
Exc thrombosed hemorrhoid 46320
|
$12,669.90 |
$12,669.90 |
$12,669.90 |
$2,481.60
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$245.05 |
$245.05 |
$245.05 |
$1,904.37
|
|
Explore parathyroid glands
|
$28,845.55 |
$28,845.55 |
$28,845.55 |
$6,547.81
|
|
External chromosome analysis 20-25 cells
|
$177.45 |
$177.45 |
$177.45 |
$457.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$53.95 |
$53.95 |
$53.95 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$177.45 |
$177.45 |
$177.45 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$208.65 |
$208.65 |
$208.65 |
$102.50
|
|
Facial bones <3
|
$431.60 |
$431.60 |
$431.60 |
$216.45
|
|
Factor ix
|
$263.90 |
$263.90 |
$263.90 |
$139.75
|
|
Factor ix recombinant nos
|
$3,471.00 |
$3,471.00 |
$3,471.00 |
$1.88
|
|
Factor viii
|
$265.85 |
$265.85 |
$265.85 |
$152.50
|
|
Family therapy with patient 50 min 90847
|
$143.65 |
$143.65 |
$143.65 |
$224.80
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,274.09 |
$5,274.09 |
$5,274.09 |
$47.09
|
|
Fat/lipids feces qualitative
|
$81.90 |
$81.90 |
$81.90 |
$43.66
|
|
Fatty acids nonesterified
|
$33.15 |
$33.15 |
$33.15 |
$64.28
|
|
Fecal microbiota prep instil
|
$55.90 |
$55.90 |
$55.90 |
$1,010.01
|
|
#fecal-sodium
|
$80.60 |
$80.60 |
$80.60 |
$40.30
|
|
Felbamate (felbatol(r)) - sendout
|
$66.95 |
$66.95 |
$66.95 |
$83.85
|
|
Fem/popl revasc w/stent
|
$44,447.90 |
$44,447.90 |
$44,447.90 |
$21,553.12
|
|
Feno poc
|
$126.10 |
$126.10 |
$126.10 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$119.46 |
$119.46 |
$119.46 |
$48.88
|
|
Fern test
|
$18.20 |
$18.20 |
$18.20 |
$18.02
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$351.77 |
$351.77 |
$351.77 |
$2,131.58
|
|
Ferritin
|
$156.65 |
$156.65 |
$156.65 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$3,879.27 |
$3,879.27 |
$3,879.27 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$766.35 |
$766.35 |
$766.35 |
$525.33
|
|
Fetal contract stress test 59020 - 26
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$555.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$105.30 |
$105.30 |
$105.30 |
$59.85
|
|
Fetal hemoglobin rosette
|
$33.80 |
$33.80 |
$33.80 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$137.80 |
$137.80 |
$137.80 |
$64.28
|
|
Fetal non stress test
|
$1,790.10 |
$1,790.10 |
$1,790.10 |
$507.90
|
|
Fibrin degradation d dimer quantitative
|
$201.50 |
$201.50 |
$201.50 |
$87.60
|
|
Fibrinogen activity
|
$117.00 |
$117.00 |
$117.00 |
$61.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$55.90 |
$55.90 |
$55.90 |
$70.80
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$650.71 |
$650.71 |
$650.71 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$856.01 |
$856.01 |
$856.01 |
$998.68
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,815.80 |
$2,815.80 |
$2,815.80 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$358.80 |
$358.80 |
$358.80 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$36.40 |
$36.40 |
$36.40 |
$86.40
|
|
Fl exam g/colon tube w contrast
|
$51,748.61 |
$51,748.61 |
$51,748.61 |
$522.75
|
|
Flexible Sigmoidoscopy
|
$7,119.65 |
$7,119.65 |
$7,119.65 |
$1,278.72
|
|
Flow cytometry marker each additional
|
$56.55 |
$56.55 |
$56.55 |
$103.00
|
|
Flow cytometry one marker technical component
|
$1,303.90 |
$1,303.90 |
$1,303.90 |
$304.43
|
|
Flt3 gene
|
$130.65 |
$130.65 |
$130.65 |
$355.00
|
|
Flt3 gene analysis
|
$130.65 |
$130.65 |
$130.65 |
$262.80
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$45.50 |
$45.50 |
$45.50 |
$48.56
|
|
Fluorescent antibody titer dna
|
$128.05 |
$128.05 |
$128.05 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$479.70 |
$479.70 |
$479.70 |
$497.25
|
|
Fluoroguide needle placement
|
$705.25 |
$705.25 |
$705.25 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$633.75 |
$633.75 |
$633.75 |
$474.50
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$55.41 |
$55.41 |
$55.41 |
$73.16
|
|
Folic acid
|
$176.15 |
$176.15 |
$176.15 |
$85.50
|
|
Folic acid 5 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$3.00
|
|
Fomepizole 1 gram/ml intravenous solution
|
$3,376.65 |
$3,376.65 |
$3,376.65 |
$18.44
|
|
Fondaparinux sodium
|
$176.54 |
$176.54 |
$176.54 |
$121.83
|
|
Foot X-ray
|
$522.60 |
$522.60 |
$522.60 |
$339.50
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$152.52 |
$152.52 |
$152.52 |
$201.52
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$394.22 |
$394.22 |
$394.22 |
$66.38
|
|
Fragmenting of kidney stone
|
$28,655.54 |
$28,655.54 |
$28,655.54 |
$9,827.25
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$107.90 |
$107.90 |
$107.90 |
$186.55
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$501.15 |
$501.15 |
$501.15 |
$217.30
|
|
Fresh frozen plasma thawing ea un
|
$33.15 |
$33.15 |
$33.15 |
$114.35
|
|
Fructosamine glycated protein
|
$79.95 |
$79.95 |
$79.95 |
$69.55
|
|
Ftl cgen abnor four anal
|
$324.35 |
$324.35 |
$324.35 |
$267.15
|
|
Furosemide 10 mg/ml injection solution
|
$11.11 |
$11.11 |
$11.11 |
$7.15
|
|
G0180 home health certification
|
$107.25 |
$107.25 |
$107.25 |
$97.50
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$461.37 |
$461.37 |
$461.37 |
$90.60
|
|
Galac-1-phosphate uridyltran - sendout
|
$87.10 |
$87.10 |
$87.10 |
$85.50
|
|
Galactose transferase test
|
$15.60 |
$15.60 |
$15.60 |
$25.00
|
|
Gallbladder Removal (Laparoscopic)
|
$21,845.50 |
$21,845.50 |
$21,845.50 |
$6,870.89
|
|
Gallium illuccix 1 millicure
|
$2,031.90 |
$2,031.90 |
$2,031.90 |
$1,377.60
|
|
Gamma globulin 1 cc inj
|
$927.01 |
$927.01 |
$927.01 |
$106.20
|
|
Gammaglobulin iga
|
$182.00 |
$182.00 |
$182.00 |
$78.60
|
|
Gammaglobulin ige
|
$131.95 |
$131.95 |
$131.95 |
$87.10
|
|
Gamma glutamyltransferase
|
$93.60 |
$93.60 |
$93.60 |
$54.60
|
|
Gamunex-c/gammaked
|
$11,949.60 |
$11,949.60 |
$11,949.60 |
$100.40
|
|
Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr
|
$222.30 |
$222.30 |
$222.30 |
$154.86
|
