|
Exc leg/ankle tum subfasc<5cm 27619
|
$765.05 |
$765.05 |
$765.05 |
|
|
Exc les conjunctiva <1 cm
|
$3,188.20 |
$3,188.20 |
$3,188.20 |
|
|
Exc les conjunctiva >1 cm
|
$2,503.80 |
$2,503.80 |
$2,503.80 |
|
|
Exc les conjunctiva adj scl
|
$9,672.34 |
$9,672.34 |
$9,672.34 |
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$12,313.05 |
$12,313.05 |
$12,313.05 |
|
|
Exc malig feenl <0.5cm 11640
|
$237.75 |
$237.75 |
$405.60 |
|
|
Exc malig feenl 1.1-2 11642
|
$144.30 |
$144.30 |
$560.95 |
|
|
Exc malig feenl 3.1-4.0 11644
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
|
|
Exc malig feenl >4cm 11646
|
$2,254.85 |
$2,254.85 |
$2,254.85 |
|
|
Exc malig snhfg 0.5cm or less 11620
|
$228.75 |
$252.85 |
$330.85 |
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$115.70 |
$301.50 |
$435.50 |
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$165.10 |
$523.25 |
$707.20 |
|
|
Exc malig tal <0.5cm 11600
|
$96.85 |
$189.75 |
$345.15 |
|
|
Exc malig tal 0.6-1.0cm 11601
|
$117.65 |
$117.65 |
$399.75 |
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$127.40 |
$394.55 |
$509.60 |
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$341.25 |
$560.30 |
$633.10 |
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$168.35 |
$378.75 |
$650.65 |
|
|
Exc neck tum deep < 5 cm
|
$1,178.45 |
$1,178.45 |
$1,178.45 |
|
|
Exc neck tum deep 5 cm/>
|
$1,448.20 |
$1,448.20 |
$1,953.90 |
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$542.75 |
$542.75 |
$622.70 |
|
|
Exc rect tum transanal full
|
$10,910.50 |
$10,910.50 |
$10,910.50 |
|
|
Exc rect tum transanal part
|
$8,395.24 |
$8,395.24 |
$9,506.69 |
|
|
Exc shoulder tum deep < 5 cm
|
$1,103.05 |
$1,103.05 |
$1,103.05 |
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$738.40 |
$738.40 |
$738.40 |
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$133.90 |
$311.25 |
$550.55 |
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,457.95 |
$1,457.95 |
$1,457.95 |
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$230.75 |
$230.75 |
$764.40 |
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$978.25 |
$978.25 |
$1,046.50 |
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$732.55 |
$754.65 |
$1,457.95 |
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,420.25 |
$1,457.95 |
$1,457.95 |
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$955.50 |
$955.50 |
$1,032.85 |
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$1,205.10 |
$1,205.10 |
$1,241.50 |
|
|
Exc thigh/knee les sc<3cm 27327
|
$253.50 |
$253.50 |
$1,034.15 |
|
|
Exc thigh/knee tum deep <5cm
|
$1,495.00 |
$1,495.00 |
$1,495.00 |
|
|
Exc thrombosed hemorrhoid 46320
|
$352.30 |
$356.20 |
$12,669.90 |
|
|
Exc tmr sft tiss shldr subq <3cm
|
$384.00 |
$384.00 |
$384.00 |
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$245.05 |
$245.05 |
$1,001.65 |
|
|
Exc vagina lesion 57135
|
$12,476.00 |
$12,476.00 |
$12,476.00 |
|
|
Exercise tst brncspsm w/ecg
|
$292.50 |
$292.50 |
$318.50 |
|
|
Exercise w/hemodynamic meas
|
$6,990.75 |
$6,990.75 |
$6,990.75 |
|
|
Ex palate/uvula lesion without closure 42104
|
$12,357.00 |
$12,357.00 |
$12,357.00 |
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,589.25 |
$1,589.25 |
$4,847.05 |
|
|
Exploration maxillary sinus
|
$14,949.83 |
$14,949.83 |
$14,949.83 |
|
|
Exploration maxillary sinus
|
$17,352.59 |
$17,352.59 |
$17,352.59 |
|
|
Exploration of frontal sinus
|
$21,013.26 |
$21,013.26 |
$21,013.26 |
|
|
Exploration retroperitoneal area 49010
|
$1,550.25 |
$1,550.25 |
$1,550.25 |
|
|
Explore/biopsy eye socket
|
$14,253.39 |
$14,253.39 |
$14,253.39 |
|
|
Explore deep node(s) neck
|
$21,469.17 |
$21,469.17 |
$21,469.17 |
|
|
Explore/drain eye socket
|
$13,617.98 |
$13,617.98 |
$13,617.98 |
|
|
Explore inner ear
|
$17,690.37 |
$17,690.37 |
$17,690.37 |
|
|
Explore/irrigate tear ducts
|
$285.35 |
$285.35 |
$285.35 |
|
|
Explore parathyroid glands
|
$20,654.80 |
$20,654.80 |
$28,845.55 |
|
|
Explore penetrating wnd/extremity 20103
|
$1,038.70 |
$1,105.65 |
$1,524.25 |
|
|
Explore small intestine 44020
|
$1,894.10 |
$1,894.10 |
$1,894.10 |
|
|
Explore woundchest 20101
|
$1,437.15 |
$1,437.15 |
$1,437.15 |
|
|
Explore wound neck 20100
|
$1,584.05 |
$1,584.05 |
$1,584.05 |
|
|
Explr/decompress eye socket
|
$29,383.74 |
$29,383.74 |
$29,383.74 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,203.15 |
$1,203.15 |
$1,203.15 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$809.25 |
$809.25 |
$809.25 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$834.60 |
$834.60 |
$834.60 |
|
|
Ext ecg>48hr<7d scan a/r
|
$364.50 |
$364.50 |
$364.50 |
|
|
Extended visual field xm
|
$124.80 |
$124.80 |
$124.80 |
|
|
Extensive mastoid surgery
|
$29,255.66 |
$29,255.66 |
$29,255.66 |
|
|
External chromosome analysis 20-25 cells
|
$177.45 |
$209.95 |
$561.60 |
|
|
External ocular photography
|
$39.00 |
$39.00 |
$61.10 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$53.95 |
$69.55 |
$71.50 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$177.45 |
$329.55 |
$538.20 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$53.25 |
$130.65 |
$344.50 |
|
|
Extraction of lens
|
$14,939.00 |
$14,939.00 |
$14,939.00 |
|
|
Extraction of lens
|
$23,638.15 |
$23,638.15 |
$23,638.15 |
|
|
Extraction of lens 66920
|
$9,796.72 |
$9,796.72 |
$9,796.72 |
|
|
F-18 fdg pet diag
|
$1,363.70 |
$1,363.70 |
$1,363.70 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,989.70 |
$3,989.70 |
$3,989.70 |
|
|
F-18 fluciclovine per mci
|
$772.20 |
$772.20 |
$772.20 |
|
|
Facial bones <3
|
$210.60 |
$221.00 |
$431.60 |
|
|
Factor ix
|
$123.50 |
$185.90 |
$263.90 |
|
|
Factor ix alprolix recomb
|
$23,712.78 |
$23,712.78 |
$23,712.78 |
|
|
Factor ix non-recombinant
|
$3,502.13 |
$3,502.13 |
$3,502.13 |
|
|
Factor ix recombinant nos
|
$3,471.00 |
$3,471.00 |
$10,447.71 |
|
|
Factor viii
|
$73.45 |
$172.90 |
$265.85 |
|
|
Factor xiii recomb a-subunit
|
$97,091.31 |
$97,091.31 |
$97,091.31 |
|
|
Fallopian tube recnl
|
$7,826.65 |
$7,826.65 |
$7,826.65 |
|
|
Family therapy without pt 50min 90846
|
$188.25 |
$188.25 |
$188.25 |
|
|
Family therapy with patient 50 min 90847
|
$143.65 |
$143.65 |
$222.75 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,274.09 |
$7,064.62 |
$8,475.34 |
|
|
Fat/lipids feces qualitative
|
$27.00 |
$69.55 |
$130.65 |
|
|
Fatty acids nonesterified
|
$33.00 |
$72.15 |
$106.60 |
|
|
Fda ide #g240020 carry bag
|
$566.15 |
$566.15 |
$566.15 |
|
|
Fecal microbiota prep instil
|
$55.90 |
$55.90 |
$55.90 |
|
|
#fecal-sodium
|
$33.15 |
$46.15 |
$80.60 |
|
|
Fees w/laryngeal sense test
|
$579.80 |
$579.80 |
$579.80 |
|
|
Felbamate (felbatol(r)) - sendout
|
$66.95 |
$123.50 |
$136.50 |
|
|
Fem/popl revasc w/stent
|
$25,488.88 |
$25,488.88 |
$44,447.90 |
|
|
Feno poc
|
$76.50 |
$126.10 |
$138.45 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$3.75 |
$119.46 |
$252.72 |
|
|
Fern test
|
$18.20 |
$18.20 |
$48.75 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$228.65 |
$327.14 |
$457.29 |
|
|
Ferritin
|
$40.50 |
$131.30 |
$156.65 |
|