|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$102.15 |
$102.15 |
$102.15 |
$1,501.50
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$145.54 |
$145.54 |
$145.54 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$257.64 |
$257.64 |
$257.64 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$96.73 |
$96.73 |
$96.73 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$166.16 |
$166.16 |
$166.16 |
$1,314.67
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$145.54 |
$145.54 |
$145.54 |
$999.50
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$213.80 |
$213.80 |
$213.80 |
$2,101.45
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$122.04 |
$122.04 |
$122.04 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$127.01 |
$127.01 |
$127.01 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$107.12 |
$107.12 |
$107.12 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$278.02 |
$278.02 |
$278.02 |
$2,865.00
|
|
Excision nasal polyp(s) simple 30110
|
$217.74 |
$217.74 |
$217.74 |
$1,752.89
|
|
Excision of tongue lesion
|
$229.62 |
$229.62 |
$229.62 |
$3,837.72
|
|
Excision tongue lesion without closure 41110
|
$122.04 |
$122.04 |
$122.04 |
$3,819.23
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$139.01 |
$139.01 |
$139.01 |
$3,104.42
|
|
Exc malig feenl <0.5cm 11640
|
$117.52 |
$117.52 |
$117.52 |
$1,186.00
|
|
Exc malig feenl 1.1-2 11642
|
$170.40 |
$170.40 |
$170.40 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$265.78 |
$265.78 |
$265.78 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$368.38 |
$368.38 |
$368.38 |
$3,253.05
|
|
Exc malig snhfg 0.5cm or less 11620
|
$114.36 |
$114.36 |
$114.36 |
$1,377.57
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$139.67 |
$139.67 |
$139.67 |
$1,064.70
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$197.07 |
$197.07 |
$197.07 |
$1,954.00
|
|
Exc malig tal <0.5cm 11600
|
$135.75 |
$135.75 |
$135.75 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$138.76 |
$138.76 |
$138.76 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$151.42 |
$151.42 |
$151.42 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$180.80 |
$180.80 |
$180.80 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$199.78 |
$199.78 |
$199.78 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$209.60 |
$209.60 |
$209.60 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$158.65 |
$158.65 |
$158.65 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$223.74 |
$223.74 |
$223.74 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$275.72 |
$275.72 |
$275.72 |
$3,386.84
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$287.02 |
$287.02 |
$287.02 |
$3,322.80
|
|
Exc thrombosed hemorrhoid 46320
|
$126.52 |
$126.52 |
$126.52 |
$2,175.36
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$298.77 |
$298.77 |
$298.77 |
$2,054.40
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,161.23 |
$6,161.23 |
$6,161.23 |
$4,101.67
|
|
Exploration maxillary sinus
|
$253.12 |
$253.12 |
$253.12 |
$4,362.99
|
|
Explore penetrating wnd/extremity 20103
|
$392.59 |
$392.59 |
$392.59 |
$1,788.80
|
|
Explore wound neck 20100
|
$1,027.36 |
$1,027.36 |
$1,027.36 |
$1,185.00
|
|
External newborn metabolic screening panel
|
$102.52 |
$102.52 |
$102.52 |
$109.76
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$244.08 |
$244.08 |
$244.08 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$99.84 |
$99.84 |
$99.84 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$373.36 |
$373.36 |
$373.36 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,870.88 |
$1,870.88 |
$1,870.88 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,496.34 |
$1,496.34 |
$1,496.34 |
$1,320.00
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$3,111.41 |
$3,111.41 |
$3,111.41 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,074.27 |
$2,074.27 |
$2,074.27 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$281.46 |
$281.46 |
$281.46 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$328.84 |
$328.84 |
$328.84 |
$381.75
|
|
Factor ix
|
$47.56 |
$47.56 |
$47.56 |
$162.50
|
|
Factor viii
|
$39.73 |
$39.73 |
$39.73 |
$148.00
|
|
Fat/lipids feces qualitative
|
$41.68 |
$41.68 |
$41.68 |
$36.00
|
|
Fatty acids nonesterified
|
$42.30 |
$42.30 |
$42.30 |
$72.15
|
|
#fecal-sodium
|
$35.55 |
$35.55 |
$35.55 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$45.36 |
$45.36 |
$45.36 |
$66.43
|
|
Fern test
|
$40.46 |
$40.46 |
$40.46 |
$37.03
|
|
Ferritin
|
$36.78 |
$36.78 |
$36.78 |
$102.48
|
|
Fetal biophys profile w/nst 76818
|
$718.26 |
$718.26 |
$718.26 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,678.89 |
$1,678.89 |
$1,678.89 |
$1,166.15
|
|
Fetal fibronectin
|
$118.92 |
$118.92 |
$118.92 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$35.52 |
$35.52 |
$35.52 |
$102.00
|
|
Fetal hemoglobin rosette
|
$17.46 |
$17.46 |
$17.46 |
$67.20
|
|
Fetal non stress test
|
$624.04 |
$624.04 |
$624.04 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$41.07 |
$41.07 |
$41.07 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$18.66 |
$18.66 |
$18.66 |
$120.64
|
|
Fibrin degradation products
|
$48.16 |
$48.16 |
$48.16 |
$75.02
|
|
Fibrinogen activity
|
$18.06 |
$18.06 |
$18.06 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$28.29 |
$28.29 |
$28.29 |
$61.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$42.74 |
$42.74 |
$42.74 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$7,700.70 |
$7,700.70 |
$7,700.70 |
$7,358.16
|
|
Filter vena cava fem denali
|
$6,161.23 |
$6,161.23 |
$6,161.23 |
$3,718.18
|
|
Fine needle asp without image guide 10021
|
$52.43 |
$52.43 |
$52.43 |
$504.45
|
|
Finger X-ray (both hands)
|
$188.12 |
$188.12 |
$188.12 |
$241.50
|
|
Floor of mouth biopsy 41108
|
$82.26 |
$82.26 |
$82.26 |
$2,168.40
|
|
Flow cytometry marker each additional
|
$71.19 |
$71.19 |
$71.19 |
$97.50
|
|
Flow cytometry one marker technical component
|
$405.67 |
$405.67 |
$405.67 |
$285.00
|
|
Flt3 gene
|
$366.29 |
$366.29 |
$366.29 |
$366.29
|
|
Flt3 gene analysis
|
$183.51 |
$183.51 |
$183.51 |
$216.00
|
|
Fluidotherapy charges pt
|
$75.56 |
$75.56 |
$75.56 |
$101.40
|
|
Fluid pressure muscle 20950
|
$547.95 |
$547.95 |
$547.95 |
$779.45
|
|
Fluorescent antibody titer dna
|
$642.82 |
$642.82 |
$642.82 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$66.55 |
$66.55 |
$66.55 |
$495.00
|
|
Fluoroguide needle placement
|
$484.65 |
$484.65 |
$484.65 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$538.50 |
$538.50 |
$538.50 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$8.50 |
$8.50 |
$8.50 |
$107.00
|
|
Folic acid
|
$27.59 |
$27.59 |
$27.59 |
$101.50
|
|
Foot X-ray
|
$318.79 |
$318.79 |
$318.79 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$222.58 |
$222.58 |
$222.58 |
$290.40
|
|
Forearm X-ray (both sides)
|
$231.20 |
$231.20 |
$231.20 |
$324.00
|
|
Fresh frozen plasma 8-24 hours collection each unit
|
$52.92 |
$52.92 |
$52.92 |
$155.25
|
|
Fresh frozen plasma thawing ea un
|
$224.63 |
$224.63 |
$224.63 |
$131.25
|
|
Fructosamine glycated protein
|
$32.49 |
$32.49 |
$32.49 |
$63.50
|
|
Ftl cgen abnor two proteins
|
$191.62 |
$191.62 |
$191.62 |
$109.00
|
|
Full Spine X-ray (Scoliosis Survey)
|
$357.56 |
$357.56 |
$357.56 |
$355.00
|
|
Full thick gft w/close donor fccmnaghf <=20sqcm 15240
|
$891.61 |
$891.61 |
$891.61 |
$2,798.50
|
|
Gabapentin non-blood
|
$34.33 |
$34.33 |
$34.33 |
$42.35
|
|
Galac-1-phosphate uridyltran - sendout
|
$106.05 |
$106.05 |
$106.05 |
$100.00
|
|
Galactose transferase test
|
$22.07 |
$22.07 |
$22.07 |
$31.35
|
|
Gallbladder and Bile Duct Scan (HIDA Scan)
|
$1,207.10 |
$1,207.10 |
$1,207.10 |
$1,494.00
|
|
Gallbladder Function Scan (HIDA with Medication)
|
$1,653.06 |
$1,653.06 |
$1,653.06 |
$1,615.00
|