|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,101.41 |
$1,101.41 |
$1,101.41 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$840.79 |
$840.79 |
$840.79 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$2,049.27 |
$2,049.27 |
$2,049.27 |
$3,752.25
|
|
Exc rect tum transanal part
|
$1,420.96 |
$1,420.96 |
$1,420.96 |
$3,245.23
|
|
Exc sacral pr ulc prim sutr
|
$1,579.49 |
$1,579.49 |
$1,579.49 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$2,148.87 |
$2,148.87 |
$2,148.87 |
$4,332.25
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,101.41 |
$1,101.41 |
$1,101.41 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$782.69 |
$782.69 |
$782.69 |
$2,014.93
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$1,121.33 |
$1,121.33 |
$1,121.33 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,008.45 |
$1,008.45 |
$1,008.45 |
$4,576.00
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$949.52 |
$949.52 |
$949.52 |
$4,014.40
|
|
Exc thrombosed hemorrhoid 46320
|
$502.15 |
$502.15 |
$502.15 |
$2,106.15
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,101.03 |
$4,101.03 |
$4,101.03 |
$2,473.03
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,902.19 |
$4,902.19 |
$4,902.19 |
$4,101.67
|
|
Explore penetrating wnd/extremity 20103
|
$1,311.40 |
$1,311.40 |
$1,311.40 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$1,861.69 |
$1,861.69 |
$1,861.69 |
$2,791.50
|
|
Explore woundchest 20101
|
$1,390.25 |
$1,390.25 |
$1,390.25 |
$2,254.56
|
|
Explore wound neck 20100
|
$1,358.71 |
$1,358.71 |
$1,358.71 |
$1,185.00
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$511.28 |
$511.28 |
$511.28 |
$2,734.20
|
|
Ext ecg>48hr<7d rev&interpj
|
$58.10 |
$58.10 |
$58.10 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$63.91 |
$63.91 |
$63.91 |
$63.20
|
|
Extensive testis surgery
|
$1,718.10 |
$1,718.10 |
$1,718.10 |
$4,081.37
|
|
Extensive thyroid surgery
|
$3,780.65 |
$3,780.65 |
$3,780.65 |
$3,705.90
|
|
External chromosome analysis 20-25 cells
|
$746.17 |
$746.17 |
$746.17 |
$393.60
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$33.20 |
$33.20 |
$33.20 |
$61.10
|
|
External recharg sys intern
|
$4,556.70 |
$4,556.70 |
$4,556.70 |
$2,788.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$732.06 |
$732.06 |
$732.06 |
$431.40
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$86.32 |
$86.32 |
$86.32 |
$109.18
|
|
F-18 fdg pet diag
|
$561.08 |
$561.08 |
$561.08 |
$551.72
|
|
Fabrication & fitting
|
$182.27 |
$182.27 |
$182.27 |
$182.27
|
|
Facial bones <3
|
$260.62 |
$260.62 |
$260.62 |
$252.60
|
|
Factor ix
|
$145.25 |
$145.25 |
$145.25 |
$160.14
|
|
Factor ix complex
|
$0.95 |
$0.95 |
$0.95 |
$5.91
|
|
Factor ix recombinant nos
|
$0.85 |
$0.85 |
$0.85 |
$4.65
|
|
Factor viii
|
$244.02 |
$244.02 |
$244.02 |
$138.45
|
|
Factor viii
|
$0.77 |
$0.77 |
$0.77 |
$6.10
|
|
Factor viii recombinant nos
|
$1.49 |
$1.49 |
$1.49 |
$6.56
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$2,427.32 |
$2,427.32 |
$2,427.32 |
$5,508.16
|
|
Fat/lipids feces qualitative
|
$107.07 |
$107.07 |
$107.07 |
$37.44
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$49.80 |
$49.80 |
$49.80 |
$14,956.68
|
|
#fecal-sodium
|
$53.95 |
$53.95 |
$53.95 |
$37.96
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1.68 |
$1.68 |
$1.68 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$74.53 |
$74.53 |
$74.53 |
$2,515.99
|
|
Ferritin
|
$39.01 |
$39.01 |
$39.01 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$8.94 |
$8.94 |
$8.94 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$576.85 |
$576.85 |
$576.85 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$287.18 |
$287.18 |
$287.18 |
$477.50
|
|
Fetal fibronectin
|
$348.60 |
$348.60 |
$348.60 |
$387.60
|
|
Fetal hemoglobin (kleihauer betke)
|
$148.57 |
$148.57 |
$148.57 |
$106.00
|
|
Fetal hemoglobin rosette
|
$73.04 |
$73.04 |
$73.04 |
$67.20
|
|
Fetal monitor w/report
|
$132.80 |
$132.80 |
$132.80 |
$295.50
|
|
Fetal non stress test
|
$395.08 |
$395.08 |
$395.08 |
$467.46
|
|
Fibrin degradation d dimer quantitative
|
$157.70 |
$157.70 |
$157.70 |
$119.40
|
|
Fibrin degradation products
|
$84.66 |
$84.66 |
$84.66 |
$65.94
|
|
Fibrin degrade semiquant
|
$19.92 |
$19.92 |
$19.92 |
$81.00
|
|
Fibrinogen activity
|
$107.07 |
$107.07 |
$107.07 |
$84.50
|
|
Fibrinolytic plasminogen
|
$57.27 |
$57.27 |
$57.27 |
$107.50
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$130.37 |
$130.37 |
$130.37 |
$571.09
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$97.15 |
$97.15 |
$97.15 |
$1,101.99
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$317.25 |
$317.25 |
$317.25 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$6,721.14 |
$6,721.14 |
$6,721.14 |
$7,180.66
|
|
Filter vena cava fem denali
|
$4,541.52 |
$4,541.52 |
$4,541.52 |
$3,860.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,122.99 |
$1,122.99 |
$1,122.99 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$404.21 |
$404.21 |
$404.21 |
$500.40
|
|
Finger joint sz00 swanson w/grommets
|
$4,655.83 |
$4,655.83 |
$4,655.83 |
$4,584.72
|
|
Fl exam g/colon tube w contrast
|
$553.61 |
$553.61 |
$553.61 |
$528.62
|
|
Flexible Sigmoidoscopy
|
$444.05 |
$444.05 |
$444.05 |
$1,278.72
|
|
Floor of mouth biopsy 41108
|
$1,277.37 |
$1,277.37 |
$1,277.37 |
$2,112.60
|
|
Flow cytometry marker each additional
|
$131.14 |
$131.14 |
$131.14 |
$97.44
|
|
Flow cytometry one marker technical component
|
$146.08 |
$146.08 |
$146.08 |
$270.75
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$0.15 |
$0.15 |
$0.15 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$103.20 |
$103.20 |
$103.20 |
$493.35
|
|
Fluidotherapy charges pt
|
$148.57 |
$148.57 |
$148.57 |
$93.77
|
|
Fluid pressure muscle 20950
|
$763.60 |
$763.60 |
$763.60 |
$778.78
|
|
Fluorescent antibody titer dna
|
$73.87 |
$73.87 |
$73.87 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$534.52 |
$534.52 |
$534.52 |
$496.03
|
|
Fluoroguide needle placement
|
$979.40 |
$979.40 |
$979.40 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$524.56 |
$524.56 |
$524.56 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$0.99 |
$0.99 |
$0.99 |
$105.07
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$9.20 |
$9.20 |
$9.20 |
$72.52
|
|
Foam drg >16<=48 sq in w/bdr
|
$17.46 |
$17.46 |
$17.46 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$16.37 |
$16.37 |
$16.37 |
$13.62
|
|
Foam drsg <=16 sq in without bdr
|
$31.59 |
$31.59 |
$31.59 |
$21.74
|
|
Folic acid
|
$73.04 |
$73.04 |
$73.04 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$759.12 |
$759.12 |
$759.12 |
$2,546.45
|
|
Fondaparinux sodium
|
$180.41 |
$180.41 |
$180.41 |
$186.20
|
|
Foot X-ray
|
$273.07 |
$273.07 |
$273.07 |
$364.00
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$314.57 |
$314.57 |
$314.57 |
$534.00
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$253.99 |
$253.99 |
$253.99 |
$470.29
|
|
Foscarnet sodium injection
|
$1.30 |
$1.30 |
$1.30 |
$883.03
|
|
Fosphenytoin 50 mg pe/ml injection (wrapper)
|
$15.35 |
$15.35 |
$15.35 |
$104.81
|
|
Fracture assessment via dxa
|
$22.41 |
$22.41 |
$22.41 |
$175.50
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$117.86 |
$117.86 |
$117.86 |
$157.20
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$169.32 |
$169.32 |
$169.32 |
$160.45
|
|
Full thick gft/nose/ear/lid/lip/20sqcm or< 15260
|
$1,029.20 |
$1,029.20 |
$1,029.20 |
$3,091.20
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$5,362.63 |
$5,362.63 |
$5,362.63 |
$2,707.20
|
|
Gadobutrol 1 mmol/ml intravenous solution (wrapper)
|
$3.94 |
$3.94 |
$3.94 |
$107.11
|
|
Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper)
|
$3.71 |
$3.71 |
$3.71 |
$129.88
|
|
Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution
|
$4.28 |
$4.28 |
$4.28 |
$177.52
|
|
Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution
|
$10.78 |
$10.78 |
$10.78 |
$249.80
|
