|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,076.04 |
$1,076.04 |
$1,076.04 |
$1,012.86
|
|
Exercise tst brncspsm w/ecg
|
$370.27 |
$370.27 |
$370.27 |
$318.50
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$3,014.01 |
$3,014.01 |
$3,014.01 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,602.82 |
$3,602.82 |
$3,602.82 |
$4,048.38
|
|
Explore neck vessels 35800
|
$258.64 |
$258.64 |
$258.64 |
$1,772.80
|
|
Explore penetrating wnd/extremity 20103
|
$845.46 |
$845.46 |
$845.46 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$1,966.64 |
$1,966.64 |
$1,966.64 |
$2,568.80
|
|
Explore wound neck 20100
|
$689.30 |
$689.30 |
$689.30 |
$1,185.00
|
|
Ext ecg>48hr<7d scan a/r
|
$1,162.05 |
$1,162.05 |
$1,162.05 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$1,162.05 |
$1,162.05 |
$1,162.05 |
$336.07
|
|
External chromosome analysis 20-25 cells
|
$512.40 |
$512.40 |
$512.40 |
$384.15
|
|
External recharg sys intern
|
$3,348.90 |
$3,348.90 |
$3,348.90 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$489.83 |
$489.83 |
$489.83 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$212.89 |
$212.89 |
$212.89 |
$108.60
|
|
Fabrication & fitting
|
$133.96 |
$133.96 |
$133.96 |
$182.27
|
|
Facial bones <3
|
$113.46 |
$113.46 |
$113.46 |
$252.60
|
|
Facility svs dental rehab
|
$2,068.51 |
$2,068.51 |
$2,068.51 |
$4,558.89
|
|
Factor ix
|
$84.18 |
$84.18 |
$84.18 |
$156.13
|
|
Factor ix complex
|
$0.70 |
$0.70 |
$0.70 |
$5.91
|
|
Factor ix recombinant nos
|
$0.63 |
$0.63 |
$0.63 |
$4.65
|
|
Factor viii
|
$96.99 |
$96.99 |
$96.99 |
$133.81
|
|
Factor viii
|
$0.56 |
$0.56 |
$0.56 |
$5.02
|
|
Factor viii recombinant nos
|
$1.10 |
$1.10 |
$1.10 |
$6.56
|
|
Family therapy with patient 50 min 90847
|
$154.94 |
$154.94 |
$154.94 |
$230.36
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,783.94 |
$1,783.94 |
$1,783.94 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$11.59 |
$11.59 |
$11.59 |
$38.35
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$36.60 |
$36.60 |
$36.60 |
$14,956.68
|
|
#fecal-sodium
|
$78.69 |
$78.69 |
$78.69 |
$37.50
|
|
Feeding tube reposition
|
$577.06 |
$577.06 |
$577.06 |
$532.61
|
|
Fem/popl revasc w/stent
|
$16,960.44 |
$16,960.44 |
$16,960.44 |
$16,843.00
|
|
Feno poc
|
$139.69 |
$139.69 |
$139.69 |
$97.18
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1.24 |
$1.24 |
$1.24 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$54.78 |
$54.78 |
$54.78 |
$2,590.25
|
|
Ferritin
|
$71.98 |
$71.98 |
$71.98 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$6.57 |
$6.57 |
$6.57 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$529.48 |
$529.48 |
$529.48 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$342.21 |
$342.21 |
$342.21 |
$475.50
|
|
Fetal fibronectin
|
$272.67 |
$272.67 |
$272.67 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$188.49 |
$188.49 |
$188.49 |
$105.12
|
|
Fetal hemoglobin rosette
|
$105.53 |
$105.53 |
$105.53 |
$67.20
|
|
Fetal monitor w/report
|
$97.60 |
$97.60 |
$97.60 |
$295.50
|
|
Fetal non stress test
|
$355.02 |
$355.02 |
$355.02 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$187.27 |
$187.27 |
$187.27 |
$117.70
|
|
Fibrin degradation products
|
$92.72 |
$92.72 |
$92.72 |
$62.64
|
|
Fibrinogen activity
|
$100.04 |
$100.04 |
$100.04 |
$83.50
|
|
Fibrinolytic plasminogen
|
$73.81 |
$73.81 |
$73.81 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$68.93 |
$68.93 |
$68.93 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$95.81 |
$95.81 |
$95.81 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$71.40 |
$71.40 |
$71.40 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$233.16 |
$233.16 |
$233.16 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$4,939.63 |
$4,939.63 |
$4,939.63 |
$7,160.28
|
|
Filter vena cava fem denali
|
$3,337.74 |
$3,337.74 |
$3,337.74 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$788.12 |
$788.12 |
$788.12 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$788.12 |
$788.12 |
$788.12 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$788.12 |
$788.12 |
$788.12 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$267.79 |
$267.79 |
$267.79 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$3,421.76 |
$3,421.76 |
$3,421.76 |
$4,584.72
|
|
Fix g/colon tube w/device
|
$660.02 |
$660.02 |
$660.02 |
$1,183.00
|
|
Fl exam g/colon tube w contrast
|
$264.13 |
$264.13 |
$264.13 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$732.61 |
$732.61 |
$732.61 |
$1,284.13
|
|
Flow cytometry marker each additional
|
$67.10 |
$67.10 |
$67.10 |
$97.50
|
|
Flow cytometry one marker technical component
|
$273.89 |
$273.89 |
$273.89 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.11 |
$0.11 |
$0.11 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$75.85 |
$75.85 |
$75.85 |
$493.35
|
|
Fluidotherapy charges pt
|
$54.90 |
$54.90 |
$54.90 |
$91.00
|
|
Fluorescent antibody titer dna
|
$136.03 |
$136.03 |
$136.03 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$595.36 |
$595.36 |
$595.36 |
$496.03
|
|
Fluoroguide needle placement
|
$991.86 |
$991.86 |
$991.86 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$588.04 |
$588.04 |
$588.04 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.73 |
$0.73 |
$0.73 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$6.76 |
$6.76 |
$6.76 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$788.12 |
$788.12 |
$788.12 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$788.12 |
$788.12 |
$788.12 |
$833.25
|
|
Fna bx w/mr gdn 1st les
|
$757.62 |
$757.62 |
$757.62 |
$1,135.40
|
|
Fna bx w/mr gdn ea addl
|
$757.62 |
$757.62 |
$757.62 |
$760.80
|
|
Foam drg >16<=48 sq in w/bdr
|
$12.83 |
$12.83 |
$12.83 |
$62.09
|
|
Foam drg <=16 sq in w/border
|
$12.03 |
$12.03 |
$12.03 |
$16.37
|
|
Foam drsg <=16 sq in without bdr
|
$23.22 |
$23.22 |
$23.22 |
$21.74
|
|
Folic acid
|
$101.87 |
$101.87 |
$101.87 |
$101.50
|
|
Follow-up angiography
|
$924.76 |
$924.76 |
$924.76 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$557.91 |
$557.91 |
$557.91 |
$2,581.14
|
|
Fondaparinux sodium
|
$132.59 |
$132.59 |
$132.59 |
$185.12
|
|
Foot X-ray
|
$336.72 |
$336.72 |
$336.72 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$175.68 |
$175.68 |
$175.68 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$186.67 |
$186.67 |
$186.67 |
$457.50
|
|
Foscarnet sodium injection
|
$0.95 |
$0.95 |
$0.95 |
$879.58
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$11.28 |
$11.28 |
$11.28 |
$106.10
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$129.32 |
$129.32 |
$129.32 |
$151.58
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$134.20 |
$134.20 |
$134.20 |
$156.60
|
|
Fructosamine glycated protein
|
$104.31 |
$104.31 |
$104.31 |
$60.75
|
|
Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr
|
$0.16 |
$0.16 |
$0.16 |
$27.08
|
|
Ga-67 gallium 0.1 mci
|
$204.96 |
$204.96 |
$204.96 |
$118.56
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$2.90 |
$2.90 |
$2.90 |
$102.00
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$2.73 |
$2.73 |
$2.73 |
$144.98
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$3.15 |
$3.15 |
$3.15 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$7.92 |
$7.92 |
$7.92 |
$250.83
|
|
Galactose transferase test
|
$39.04 |
$39.04 |
$39.04 |
$31.35
|
|
Gamma globulin 1 cc inj
|
$26.87 |
$26.87 |
$26.87 |
$363.35
|
|
Gammaglobulin iga
|
$35.38 |
$35.38 |
$35.38 |
$67.20
|
|
Gammaglobulin ige
|
$70.15 |
$70.15 |
$70.15 |
$83.85
|