|
Exc neck tum deep < 5 cm
|
$1,220.52 |
$1,220.52 |
$1,235.05 |
|
|
Exc neck tum deep 5 cm/>
|
$1,505.28 |
$1,505.28 |
$1,523.20 |
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$209.60 |
$840.79 |
$861.05 |
|
|
Exc prtl bn phlnx toe
|
$1,808.00 |
$1,865.64 |
$2,049.27 |
|
|
Exc rect tum transanal part
|
$1,420.96 |
$1,438.08 |
$1,455.20 |
|
|
Exc sacral pr ulc prim sutr
|
$1,579.49 |
$1,598.52 |
$1,617.55 |
|
|
Exc sacral pr ulc skn flap
|
$2,148.87 |
$2,174.76 |
$2,200.65 |
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$158.65 |
$1,041.60 |
$1,101.41 |
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$223.74 |
$782.69 |
$1,949.90 |
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$275.72 |
$2,527.56 |
$2,557.65 |
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$1,121.33 |
$2,054.64 |
$2,079.10 |
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,008.45 |
$1,020.60 |
$1,032.75 |
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$287.02 |
$1,674.12 |
$1,694.05 |
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,317.96 |
$1,317.96 |
$2,098.65 |
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$949.52 |
$960.96 |
$972.40 |
|
|
Exc tendon sheath or cap lesion 26160
|
$1,764.84 |
$1,764.84 |
$1,785.85 |
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,696.80 |
$1,696.80 |
$1,717.00 |
|
|
Exc thrombosed hemorrhoid 46320
|
$126.52 |
$1,611.54 |
$2,778.65 |
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$298.77 |
$1,743.50 |
$1,949.90 |
|
|
Exc vagina lesion 57135
|
$5,050.50 |
$5,050.50 |
$5,050.50 |
|
|
Exercise tst brncspsm w/ecg
|
$252.42 |
$252.42 |
$370.27 |
|
|
Exercise tst brncspsm wo ecg
|
$67.00 |
$67.00 |
$67.00 |
|
|
Exercise w/hemodynamic meas
|
$79.00 |
$1,360.80 |
$1,504.66 |
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$2,075.22 |
$2,272.86 |
$4,199.85 |
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,480.63 |
$2,953.13 |
$6,161.23 |
|
|
Exploration maxillary sinus
|
$253.12 |
$253.12 |
$253.12 |
|
|
Explore neck vessels 35800
|
$258.64 |
$258.64 |
$258.64 |
|
|
Explore penetrating wnd/extremity 20103
|
$392.59 |
$856.38 |
$1,343.00 |
|
|
Explore/treat finger joint
|
$2,044.94 |
$2,044.94 |
$2,044.94 |
|
|
Explore wound abdomen 20102
|
$1,390.20 |
$1,390.20 |
$1,966.64 |
|
|
Explore woundchest 20101
|
$1,390.25 |
$1,407.00 |
$1,423.75 |
|
|
Explore wound neck 20100
|
$689.30 |
$1,358.71 |
$1,391.45 |
|
|
Expose art endoprosth iliac 34820
|
$472.00 |
$472.00 |
$2,493.66 |
|
|
Expose endoprosth brachial 34834
|
$2,369.00 |
$2,369.00 |
$2,369.00 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,076.15 |
$2,076.15 |
$2,100.86 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$483.00 |
$1,068.48 |
$1,068.48 |
|
|
Ext ecg>48hr<7d rev&interpj
|
$58.10 |
$58.80 |
$59.50 |
|
|
Ext ecg>48hr<7d scan a/r
|
$100.00 |
$1,162.05 |
$1,168.79 |
|
|
Ext ecg>7d<15d rev&interpj
|
$63.91 |
$64.68 |
$65.45 |
|
|
Ext ecg>7d<15d scan a/r
|
$122.50 |
$1,162.05 |
$1,168.79 |
|
|
Extensive testis surgery
|
$1,718.10 |
$1,738.80 |
$1,759.50 |
|
|
Extensive thyroid surgery
|
$3,780.65 |
$3,826.20 |
$3,871.75 |
|
|
External chromosome analysis 20-25 cells
|
$352.80 |
$386.40 |
$746.17 |
|
|
External newborn metabolic screening panel
|
$102.52 |
$102.52 |
$102.52 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$33.20 |
$43.68 |
$75.65 |
|
|
External recharg sys intern
|
$2,305.80 |
$2,525.40 |
$4,666.50 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$244.08 |
$550.62 |
$999.60 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$39.90 |
$46.92 |
$225.25 |
|
|
Eye Socket (Orbit) X-ray
|
$247.38 |
$299.04 |
$418.46 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,368.36 |
$1,659.50 |
$3,037.05 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,152.48 |
$1,520.00 |
$2,536.40 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,029.00 |
$1,394.50 |
$2,333.13 |
|
|
F-18 fdg pet diag
|
$174.05 |
$257.46 |
$561.08 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,442.64 |
$3,442.64 |
$3,442.64 |
|
|
F-18 fluciclovine per mci
|
$882.84 |
$882.84 |
$882.84 |
|
|
F-18 sodium fluoride
|
$133.14 |
$133.14 |
$247.80 |
|
|
Fabrication & fitting
|
$92.24 |
$101.02 |
$186.66 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,058.00 |
$2,497.00 |
$3,870.90 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,872.78 |
$2,074.27 |
$3,307.42 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$75.18 |
$83.50 |
$281.46 |
|
|
Facial Bones X-ray (complete)
|
$259.56 |
$268.80 |
$410.53 |
|
|
Facility svs dental rehab
|
$1,226.82 |
$1,226.82 |
$2,068.51 |
|
|
Factor ix
|
$47.56 |
$342.30 |
$629.85 |
|
|
Factor ix complex
|
$0.53 |
$41.79 |
$84.58 |
|
|
Factor ix recombinant nos
|
$0.47 |
$41.79 |
$84.58 |
|
|
Factor viii
|
$39.73 |
$75.60 |
$247.35 |
|
|
Factor viii
|
$0.43 |
$41.79 |
$84.58 |
|
|
Factor viii recombinant nos
|
$0.83 |
$41.79 |
$84.58 |
|
|
Fallopian tube recnl
|
$708.50 |
$708.50 |
$708.50 |
|
|
Family therapy without pt 50min 90846
|
$202.44 |
$202.44 |
$294.95 |
|
|
Family therapy with patient 50 min 90847
|
$154.94 |
$202.44 |
$294.95 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,345.27 |
$6,141.41 |
$12,429.04 |
|
|
Fat/lipids feces qualitative
|
$11.59 |
$39.48 |
$107.07 |
|
|
Fatty acids nonesterified
|
$42.30 |
$42.30 |
$42.30 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$27.60 |
$15,120.00 |
$30,600.00 |
|
|
#fecal-sodium
|
$20.00 |
$32.34 |
$78.69 |
|
|
Feeding tube reposition
|
$516.25 |
$693.42 |
$693.42 |
|
|
Felbamate (felbatol(r)) - sendout
|
$45.36 |
$184.38 |
$354.45 |
|
|
Fem/popl revasc w/stent
|
$10,758.50 |
$11,362.26 |
$16,960.44 |
|
|
Feno poc
|
$36.54 |
$36.54 |
$139.69 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$0.93 |
$141.75 |
$286.88 |
|
|
Fern test
|
$40.46 |
$40.46 |
$40.46 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$41.31 |
$1,716.63 |
$3,474.12 |
|
|
Ferritin
|
$36.78 |
$102.48 |
$232.05 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4.95 |
$384.14 |
$777.41 |
|
|
Fetal biophys profile w/nst 76818
|
$194.12 |
$477.96 |
$718.26 |
|
|
Fetal chrom aneuploidy gsa panel
|
$1,678.89 |
$1,678.89 |
$1,678.89 |
|
|
Fetal contract stress test 59020 - 26
|
$116.38 |
$194.04 |
$342.21 |
|
|
Fetal cord puncture prenatal
|
$280.14 |
$280.14 |
$336.50 |
|
|
Fetal fibronectin
|
$118.92 |
$438.60 |
$493.92 |
|
|
Fetal fluid drainage w/us
|
$135.66 |
$135.66 |
$644.00 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$35.52 |
$207.48 |
$352.75 |
|
|
Fetal hemoglobin rosette
|
$17.46 |
$91.98 |
$128.35 |
|
|
Fetal lung maturity assess lam body dnst
|
$28.56 |
$28.56 |
$36.55 |
|
|
Fetal monitor w/report
|
$77.74 |
$126.65 |
$133.56 |
|
|
Fetal non stress test
|
$116.38 |
$242.34 |
$624.04 |
|
|
#_fet/norfentcnfrmur
|
$41.07 |
$41.07 |
$41.07 |
|
|
Fibrin degradation d dimer quantitative
|
$18.66 |
$165.90 |
$190.50 |
|
|
Fibrin degradation products
|
$38.18 |
$85.26 |
$139.40 |
|
|
Fibrin degrade semiquant
|
$19.92 |
$180.18 |
$180.18 |
|