|
Exc tr-ext mal+marg tal >4 cm 11606
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$2,054.40
|
|
Exc vagina lesion 57135
|
$3,474.84 |
$3,474.84 |
$3,474.84 |
$4,292.17
|
|
Exercise tst brncspsm w/ecg
|
$140.87 |
$140.87 |
$140.87 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$64.92 |
$64.92 |
$64.92 |
$129.92
|
|
Exhaled breath condensate
|
$3.58 |
$3.58 |
$3.58 |
$24.80
|
|
Exome re-evaluation
|
$320.00 |
$320.00 |
$320.00 |
$441.60
|
|
Exome sequence analysis
|
$4,780.00 |
$4,780.00 |
$4,780.00 |
$5,258.00
|
|
Exome sequence analysis
|
$12,000.00 |
$12,000.00 |
$12,000.00 |
$12,000.00
|
|
Ex palate/uvula lesion without closure 42104
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,837.72
|
|
Exploration for testis
|
$3,856.84 |
$3,856.84 |
$3,856.84 |
$4,156.03
|
|
Exploration for testis
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$3,468.80
|
|
Exploration maxillary sinus
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,855.00
|
|
Exploration maxillary sinus
|
$4,029.39 |
$4,029.39 |
$4,029.39 |
$4,362.99
|
|
Exploration of ankle joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,931.12
|
|
Exploration of foot joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,832.27
|
|
Exploration of foot joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,786.00
|
|
Exploration of frontal sinus
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$4,555.73
|
|
Exploration of frontal sinus
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,553.49
|
|
Exploration of knee joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,192.86
|
|
Exploration of middle ear
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,837.72
|
|
Exploration of sinuses
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,233.60
|
|
Exploration of toe joint
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,211.05
|
|
Explore/biopsy eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$4,870.40
|
|
Explore/biopsy eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$6,340.24
|
|
Explore deep node(s) neck
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Explore/drain eye socket
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$3,269.14
|
|
Explore/drain eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$6,324.80
|
|
Explore epididymis
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,081.37
|
|
Explore inner ear
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,553.49
|
|
Explore inner ear
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$7,000.36
|
|
Explore/irrigate tear ducts
|
$326.69 |
$326.69 |
$326.69 |
$545.30
|
|
Explore limb vessels 35860
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$4,341.66
|
|
Explore parathyroid glands
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$1,788.80
|
|
Explore scrotum
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$3,863.60
|
|
Explore/treat ankle joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Explore/treat eye socket
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$3,320.43
|
|
Explore/treat eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$5,809.13
|
|
Explore/treat eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$6,528.00
|
|
Explore/treat eye socket 67413
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$4,500.80
|
|
Explore/treat finger joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,839.54
|
|
Explore/treat finger joint
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,480.83
|
|
Explore/treat knee joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,386.51
|
|
Explore/treat wrist joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,499.12
|
|
Explore wound abdomen 20102
|
$1,999.13 |
$1,999.13 |
$1,999.13 |
$2,784.80
|
|
Explore woundchest 20101
|
$1,999.13 |
$1,999.13 |
$1,999.13 |
$2,227.68
|
|
Explore wound neck 20100
|
$556.55 |
$556.55 |
$556.55 |
$1,185.00
|
|
Explr/decompress eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$5,965.71
|
|
Explr/decompress eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$5,419.00
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$140.87 |
$140.87 |
$140.87 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$140.87 |
$140.87 |
$140.87 |
$345.60
|
|
Extended culture of oocytes
|
$892.77 |
$892.77 |
$892.77 |
$904.19
|
|
Extended visual field xm
|
$140.87 |
$140.87 |
$140.87 |
$162.75
|
|
Extensive ear canal surgery 69150
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,395.75
|
|
Extensive hand surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,499.12
|
|
Extensive mastoid surgery
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$7,000.36
|
|
Extensive mastoid surgery
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$8,120.00
|
|
Extensive surgery of throat
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$7,000.36
|
|
Extensive surgery of throat
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Extensive testis surgery
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$4,081.37
|
|
External cannula declotting
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$144.61 |
$144.61 |
$144.61 |
$415.01
|
|
External ocular photography
|
$42.90 |
$42.90 |
$42.90 |
$86.03
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$26.76 |
$26.76 |
$26.76 |
$63.70
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$143.75 |
$143.75 |
$143.75 |
$457.07
|
|
Extnd color vision xm
|
$64.92 |
$64.92 |
$64.92 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$17.93 |
$17.93 |
$17.93 |
$109.00
|
|
Extraction erupted tooth/exr
|
$1,817.06 |
$1,817.06 |
$1,817.06 |
$1,666.43
|
|
Extraction of lens
|
$4,396.50 |
$4,396.50 |
$4,396.50 |
$4,452.74
|
|
Extraction of lens
|
$2,492.56 |
$2,492.56 |
$2,492.56 |
$2,698.92
|
|
Extraction of lens 66920
|
$2,492.56 |
$2,492.56 |
$2,492.56 |
$3,737.60
|
|
Extrnl counterpulse, per tx
|
$140.87 |
$140.87 |
$140.87 |
$431.60
|
|
Eye allergy tests
|
$140.87 |
$140.87 |
$140.87 |
$142.80
|
|
Eye Socket (Orbit) X-ray
|
$116.22 |
$116.22 |
$116.22 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$194.55 |
$194.55 |
$194.55 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$194.55 |
$194.55 |
$194.55 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$116.22 |
$116.22 |
$116.22 |
$1,320.00
|
|
Ezh2 gene common variants
|
$175.40 |
$175.40 |
$175.40 |
$288.21
|
|
Ezh2 gene full gene sequence
|
$282.88 |
$282.88 |
$282.88 |
$333.20
|
|
F-18 florbetapir less than or equal to 10 mci
|
$2,194.62 |
$2,194.62 |
$2,194.62 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$268.42 |
$268.42 |
$268.42 |
$1,042.30
|
|
F9 full gene sequence
|
$600.00 |
$600.00 |
$600.00 |
$1,200.00
|
|
Face bone graft
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$264.17 |
$264.17 |
$264.17 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$96.23 |
$96.23 |
$96.23 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$116.22 |
$116.22 |
$116.22 |
$381.75
|
|
Facial nerve function test
|
$340.32 |
$340.32 |
$340.32 |
$368.50
|
|
Facility svs dental rehab
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$4,558.89
|
|
Factor ix
|
$19.04 |
$19.04 |
$19.04 |
$162.50
|
|
Factor ix alprolix recomb
|
$3.63 |
$3.63 |
$3.63 |
$9.46
|
|
Factor ix complex
|
$1.70 |
$1.70 |
$1.70 |
$4.68
|
|
Factor ix idelvion inj
|
$5.34 |
$5.34 |
$5.34 |
$14.35
|
|
Factor ix non-recombinant
|
$1.34 |
$1.34 |
$1.34 |
$4.63
|
|
Factor ix recomb gly rebinyn
|
$4.58 |
$4.58 |
$4.58 |
$13.36
|
|
Factor ix recombinant nos
|
$1.88 |
$1.88 |
$1.88 |
$4.65
|
