|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$1,220.52 |
$1,220.52 |
$1,220.52 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$1,505.28 |
$1,505.28 |
$1,505.28 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$850.92 |
$850.92 |
$850.92 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$1,865.64 |
$1,865.64 |
$1,865.64 |
$3,752.25
|
|
Exc rect tum transanal part
|
$1,438.08 |
$1,438.08 |
$1,438.08 |
$3,245.23
|
|
Exc sacral pr ulc prim sutr
|
$1,598.52 |
$1,598.52 |
$1,598.52 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$2,174.76 |
$2,174.76 |
$2,174.76 |
$4,332.25
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,041.60 |
$1,041.60 |
$1,041.60 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,926.96 |
$1,926.96 |
$1,926.96 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$2,527.56 |
$2,527.56 |
$2,527.56 |
$3,370.52
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,054.64 |
$2,054.64 |
$2,054.64 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,020.60 |
$1,020.60 |
$1,020.60 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,674.12 |
$1,674.12 |
$1,674.12 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,073.96 |
$2,073.96 |
$2,073.96 |
$2,557.92
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$960.96 |
$960.96 |
$960.96 |
$4,014.40
|
|
Exc tendon sheath or cap lesion 26160
|
$1,764.84 |
$1,764.84 |
$1,764.84 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,696.80 |
$1,696.80 |
$1,696.80 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$2,745.96 |
$2,745.96 |
$2,745.96 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,926.96 |
$1,926.96 |
$1,926.96 |
$1,917.33
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,150.44 |
$4,150.44 |
$4,150.44 |
$2,470.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$4,961.25 |
$4,961.25 |
$4,961.25 |
$4,048.38
|
|
Explore penetrating wnd/extremity 20103
|
$1,327.20 |
$1,327.20 |
$1,327.20 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$1,695.12 |
$1,695.12 |
$1,695.12 |
$2,568.80
|
|
Explore woundchest 20101
|
$1,407.00 |
$1,407.00 |
$1,407.00 |
$2,254.56
|
|
Explore wound neck 20100
|
$1,375.08 |
$1,375.08 |
$1,375.08 |
$1,185.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,076.15 |
$2,076.15 |
$2,076.15 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$483.00 |
$483.00 |
$483.00 |
$2,734.20
|
|
Ext ecg>48hr<7d rev&interpj
|
$58.80 |
$58.80 |
$58.80 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$64.68 |
$64.68 |
$64.68 |
$63.20
|
|
Extensive testis surgery
|
$1,738.80 |
$1,738.80 |
$1,738.80 |
$4,081.37
|
|
Extensive thyroid surgery
|
$3,826.20 |
$3,826.20 |
$3,826.20 |
$3,705.90
|
|
External chromosome analysis 20-25 cells
|
$635.04 |
$635.04 |
$635.04 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$74.76 |
$74.76 |
$74.76 |
$61.10
|
|
External recharg sys intern
|
$4,611.60 |
$4,611.60 |
$4,611.60 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$987.84 |
$987.84 |
$987.84 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$222.60 |
$222.60 |
$222.60 |
$108.60
|
|
F-18 fdg pet diag
|
$437.64 |
$437.64 |
$437.64 |
$551.72
|
|
Fabrication & fitting
|
$184.47 |
$184.47 |
$184.47 |
$182.27
|
|
Facial bones <3
|
$186.48 |
$186.48 |
$186.48 |
$252.60
|
|
Facility svs dental rehab
|
$1,722.84 |
$1,722.84 |
$1,722.84 |
$4,558.89
|
|
Factor ix
|
$622.44 |
$622.44 |
$622.44 |
$156.13
|
|
Factor ix complex
|
$83.58 |
$83.58 |
$83.58 |
$5.91
|
|
Factor ix recombinant nos
|
$83.58 |
$83.58 |
$83.58 |
$4.65
|
|
Factor viii
|
$244.44 |
$244.44 |
$244.44 |
$133.81
|
|
Factor viii
|
$83.58 |
$83.58 |
$83.58 |
$5.02
|
|
Factor viii recombinant nos
|
$83.58 |
$83.58 |
$83.58 |
$6.56
|
|
Family therapy without pt 50min 90846
|
$291.48 |
$291.48 |
$291.48 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$291.48 |
$291.48 |
$291.48 |
$230.36
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$12,282.82 |
$12,282.82 |
$12,282.82 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$40.32 |
$40.32 |
$40.32 |
$38.35
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$30,240.00 |
$30,240.00 |
$30,240.00 |
$14,956.68
|
|
#fecal-sodium
|
$53.76 |
$53.76 |
$53.76 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$350.28 |
$350.28 |
$350.28 |
$65.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$283.50 |
$283.50 |
$283.50 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,433.25 |
$3,433.25 |
$3,433.25 |
$2,590.25
|
|
Ferritin
|
$229.32 |
$229.32 |
$229.32 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$768.27 |
$768.27 |
$768.27 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$477.96 |
$477.96 |
$477.96 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$302.40 |
$302.40 |
$302.40 |
$475.50
|
|
Fetal fibronectin
|
$433.44 |
$433.44 |
$433.44 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$348.60 |
$348.60 |
$348.60 |
$105.12
|
|
Fetal hemoglobin rosette
|
$126.84 |
$126.84 |
$126.84 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$36.12 |
$36.12 |
$36.12 |
$69.60
|
|
Fetal monitor w/report
|
$125.16 |
$125.16 |
$125.16 |
$295.50
|
|
Fetal non stress test
|
$362.04 |
$362.04 |
$362.04 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$164.64 |
$164.64 |
$164.64 |
$117.70
|
|
Fibrin degradation products
|
$137.76 |
$137.76 |
$137.76 |
$62.64
|
|
Fibrin degrade semiquant
|
$107.52 |
$107.52 |
$107.52 |
$78.09
|
|
Fibrinogen activity
|
$110.04 |
$110.04 |
$110.04 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$263.76 |
$263.76 |
$263.76 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$177.24 |
$177.24 |
$177.24 |
$72.80
|
|
Fibrinolytic plasminogen
|
$225.96 |
$225.96 |
$225.96 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$233.52 |
$233.52 |
$233.52 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$527.74 |
$527.74 |
$527.74 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$83.58 |
$83.58 |
$83.58 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,880.60 |
$1,880.60 |
$1,880.60 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$6,802.11 |
$6,802.11 |
$6,802.11 |
$7,160.28
|
|
Filter vena cava fem denali
|
$4,596.23 |
$4,596.23 |
$4,596.23 |
$3,718.18
|
|
Fine needle asp without image guide 10021
|
$310.80 |
$310.80 |
$310.80 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$4,711.93 |
$4,711.93 |
$4,711.93 |
$4,584.72
|
|
Fitting of diaphragm/cap 57170
|
$1,337.28 |
$1,337.28 |
$1,337.28 |
$238.06
|
|
Fl exam g/colon tube w contrast
|
$165.48 |
$165.48 |
$165.48 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$449.40 |
$449.40 |
$449.40 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,207.92 |
$1,207.92 |
$1,207.92 |
$2,168.40
|
|
Flow cytometry marker each additional
|
$126.84 |
$126.84 |
$126.84 |
$97.50
|
|
Flow cytometry one marker technical component
|
$703.08 |
$703.08 |
$703.08 |
$284.40
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$173.67 |
$173.67 |
$173.67 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$1,044.38 |
$1,044.38 |
$1,044.38 |
$493.35
|
|
Fluidotherapy charges pt
|
$71.40 |
$71.40 |
$71.40 |
$91.00
|
|
Fluid pressure muscle 20950
|
$694.68 |
$694.68 |
$694.68 |
$768.94
|
|
Fluorescent antibody titer dna
|
$163.80 |
$163.80 |
$163.80 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$420.84 |
$420.84 |
$420.84 |
$496.03
|
|
Fluoroguide needle placement
|
$948.36 |
$948.36 |
$948.36 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$561.96 |
$561.96 |
$561.96 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$249.48 |
$249.48 |
$249.48 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$232.68 |
$232.68 |
$232.68 |
$72.52
|
|
Foam drg >16<=48 sq in w/bdr
|
$74.60 |
$74.60 |
$74.60 |
$62.09
|
|
Foam drg <=16 sq in w/border
|
$20.50 |
$20.50 |
$20.50 |
$16.37
|
|
Foam drg > 48 sq in without brdr
|
$24.11 |
$24.11 |
$24.11 |
$33.49
|
