|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$1,235.05 |
$1,235.05 |
$1,235.05 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$1,523.20 |
$1,523.20 |
$1,523.20 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$861.05 |
$861.05 |
$861.05 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$1,887.85 |
$1,887.85 |
$1,887.85 |
$3,752.25
|
|
Exc rect tum transanal part
|
$1,455.20 |
$1,455.20 |
$1,455.20 |
$3,245.23
|
|
Exc sacral pr ulc prim sutr
|
$1,617.55 |
$1,617.55 |
$1,617.55 |
$3,386.84
|
|
Exc sacral pr ulc skn flap
|
$2,200.65 |
$2,200.65 |
$2,200.65 |
$4,332.25
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$1,054.00 |
$1,054.00 |
$1,054.00 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$1,949.90 |
$1,949.90 |
$1,949.90 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$2,557.65 |
$2,557.65 |
$2,557.65 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$2,079.10 |
$2,079.10 |
$2,079.10 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,032.75 |
$1,032.75 |
$1,032.75 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$1,694.05 |
$1,694.05 |
$1,694.05 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$2,098.65 |
$2,098.65 |
$2,098.65 |
$2,834.50
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$972.40 |
$972.40 |
$972.40 |
$4,014.40
|
|
Exc tendon sheath or cap lesion 26160
|
$1,785.85 |
$1,785.85 |
$1,785.85 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,717.00 |
$1,717.00 |
$1,717.00 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$2,778.65 |
$2,778.65 |
$2,778.65 |
$2,163.20
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,949.90 |
$1,949.90 |
$1,949.90 |
$1,954.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,199.85 |
$4,199.85 |
$4,199.85 |
$2,470.78
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,020.32 |
$5,020.32 |
$5,020.32 |
$4,135.20
|
|
Explore penetrating wnd/extremity 20103
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$1,788.80
|
|
Explore wound abdomen 20102
|
$1,715.30 |
$1,715.30 |
$1,715.30 |
$2,791.50
|
|
Explore woundchest 20101
|
$1,423.75 |
$1,423.75 |
$1,423.75 |
$2,254.56
|
|
Explore wound neck 20100
|
$1,391.45 |
$1,391.45 |
$1,391.45 |
$1,185.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,100.86 |
$2,100.86 |
$2,100.86 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$488.75 |
$488.75 |
$488.75 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$59.50 |
$59.50 |
$59.50 |
$57.00
|
|
Ext ecg>7d<15d rev&interpj
|
$65.45 |
$65.45 |
$65.45 |
$63.20
|
|
Extensive testis surgery
|
$1,759.50 |
$1,759.50 |
$1,759.50 |
$4,081.37
|
|
Extensive thyroid surgery
|
$3,871.75 |
$3,871.75 |
$3,871.75 |
$3,705.90
|
|
External chromosome analysis 20-25 cells
|
$642.60 |
$642.60 |
$642.60 |
$399.75
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$75.65 |
$75.65 |
$75.65 |
$61.10
|
|
External recharg sys intern
|
$4,666.50 |
$4,666.50 |
$4,666.50 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$999.60 |
$999.60 |
$999.60 |
$431.95
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$225.25 |
$225.25 |
$225.25 |
$109.18
|
|
F-18 fdg pet diag
|
$442.85 |
$442.85 |
$442.85 |
$551.72
|
|
Fabrication & fitting
|
$186.66 |
$186.66 |
$186.66 |
$182.27
|
|
Facial bones <3
|
$188.70 |
$188.70 |
$188.70 |
$252.60
|
|
Facility svs dental rehab
|
$1,743.35 |
$1,743.35 |
$1,743.35 |
$4,558.89
|
|
Factor ix
|
$629.85 |
$629.85 |
$629.85 |
$147.70
|
|
Factor ix complex
|
$84.58 |
$84.58 |
$84.58 |
$5.91
|
|
Factor ix recombinant nos
|
$84.58 |
$84.58 |
$84.58 |
$4.65
|
|
Factor viii
|
$247.35 |
$247.35 |
$247.35 |
$136.80
|
|
Factor viii
|
$84.58 |
$84.58 |
$84.58 |
$6.10
|
|
Factor viii recombinant nos
|
$84.58 |
$84.58 |
$84.58 |
$6.56
|
|
Family therapy without pt 50min 90846
|
$294.95 |
$294.95 |
$294.95 |
$239.50
|
|
Family therapy with patient 50 min 90847
|
$294.95 |
$294.95 |
$294.95 |
$236.70
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$12,429.04 |
$12,429.04 |
$12,429.04 |
$5,508.16
|
|
Fat/lipids feces qualitative
|
$40.80 |
$40.80 |
$40.80 |
$37.40
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$30,600.00 |
$30,600.00 |
$30,600.00 |
$14,956.68
|
|
#fecal-sodium
|
$54.40 |
$54.40 |
$54.40 |
$37.96
|
|
Felbamate (felbatol(r)) - sendout
|
$354.45 |
$354.45 |
$354.45 |
$58.20
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$286.88 |
$286.88 |
$286.88 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,474.12 |
$3,474.12 |
$3,474.12 |
$2,590.25
|
|
Ferritin
|
$232.05 |
$232.05 |
$232.05 |
$100.05
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$777.41 |
$777.41 |
$777.41 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$483.65 |
$483.65 |
$483.65 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$306.00 |
$306.00 |
$306.00 |
$477.00
|
|
Fetal fibronectin
|
$438.60 |
$438.60 |
$438.60 |
$380.10
|
|
Fetal hemoglobin (kleihauer betke)
|
$352.75 |
$352.75 |
$352.75 |
$105.60
|
|
Fetal hemoglobin rosette
|
$128.35 |
$128.35 |
$128.35 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$36.55 |
$36.55 |
$36.55 |
$68.44
|
|
Fetal monitor w/report
|
$126.65 |
$126.65 |
$126.65 |
$295.50
|
|
Fetal non stress test
|
$366.35 |
$366.35 |
$366.35 |
$467.46
|
|
Fibrin degradation d dimer quantitative
|
$166.60 |
$166.60 |
$166.60 |
$119.40
|
|
Fibrin degradation products
|
$139.40 |
$139.40 |
$139.40 |
$63.90
|
|
Fibrin degrade semiquant
|
$108.80 |
$108.80 |
$108.80 |
$81.00
|
|
Fibrinogen activity
|
$111.35 |
$111.35 |
$111.35 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$266.90 |
$266.90 |
$266.90 |
$61.80
|
|
Fibrinolytic antiplasmin
|
$179.35 |
$179.35 |
$179.35 |
$72.80
|
|
Fibrinolytic plasminogen
|
$228.65 |
$228.65 |
$228.65 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$236.30 |
$236.30 |
$236.30 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$534.03 |
$534.03 |
$534.03 |
$571.09
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$84.58 |
$84.58 |
$84.58 |
$1,101.99
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,902.98 |
$1,902.98 |
$1,902.98 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$6,883.09 |
$6,883.09 |
$6,883.09 |
$7,180.66
|
|
Filter vena cava fem denali
|
$4,650.95 |
$4,650.95 |
$4,650.95 |
$3,841.28
|
|
Fine needle asp without image guide 10021
|
$314.50 |
$314.50 |
$314.50 |
$504.45
|
|
Finger joint sz00 swanson w/grommets
|
$4,768.02 |
$4,768.02 |
$4,768.02 |
$4,584.72
|
|
Fitting of diaphragm/cap 57170
|
$1,353.20 |
$1,353.20 |
$1,353.20 |
$238.06
|
|
Fl exam g/colon tube w contrast
|
$167.45 |
$167.45 |
$167.45 |
$532.80
|
|
Flexible Sigmoidoscopy
|
$454.75 |
$454.75 |
$454.75 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$1,222.30 |
$1,222.30 |
$1,222.30 |
$2,112.60
|
|
Flow cytometry marker each additional
|
$128.35 |
$128.35 |
$128.35 |
$96.85
|
|
Flow cytometry one marker technical component
|
$711.45 |
$711.45 |
$711.45 |
$276.60
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$175.74 |
$175.74 |
$175.74 |
$64.15
|
|
Fludarabine 50 mg intravenous solution
|
$1,056.81 |
$1,056.81 |
$1,056.81 |
$493.35
|
|
Fluidotherapy charges pt
|
$72.25 |
$72.25 |
$72.25 |
$93.42
|
|
Fluid pressure muscle 20950
|
$702.95 |
$702.95 |
$702.95 |
$784.80
|
|
Fluorescent antibody titer dna
|
$165.75 |
$165.75 |
$165.75 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$425.85 |
$425.85 |
$425.85 |
$495.95
|
|
Fluoroguide needle placement
|
$959.65 |
$959.65 |
$959.65 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$568.65 |
$568.65 |
$568.65 |
$497.40
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$252.45 |
$252.45 |
$252.45 |
$106.20
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$235.45 |
$235.45 |
$235.45 |
$72.52
|
|
Foam drg >16<=48 sq in w/bdr
|
$75.48 |
$75.48 |
$75.48 |
$58.10
|
|
Foam drg <=16 sq in w/border
|
$20.74 |
$20.74 |
$20.74 |
$13.62
|
|
Foam drg > 48 sq in without brdr
|
$24.40 |
$24.40 |
$24.40 |
$33.49
|
