|
Exploration of toe joint
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,771.43
|
|
Explore/biopsy eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$4,440.96
|
|
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 |
$6,224.40
|
|
Explore/drain eye socket
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$4,174.40
|
|
Explore/drain eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$5,405.82
|
|
Explore epididymis
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$3,159.40
|
|
Explore inner ear
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,473.38
|
|
Explore inner ear
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,553.49
|
|
Explore/irrigate tear ducts
|
$326.69 |
$326.69 |
$326.69 |
$362.24
|
|
Explore limb vessels 35860
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$3,965.00
|
|
Explore parathyroid glands
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Explore penetrating wnd/extremity 20103
|
$1,770.73 |
$1,770.73 |
$1,770.73 |
$1,908.09
|
|
Explore scrotum
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$2,256.54
|
|
Explore/treat ankle joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,591.33
|
|
Explore/treat eye socket
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$3,269.14
|
|
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 |
$5,405.82
|
|
Explore/treat eye socket 67413
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$3,269.14
|
|
Explore/treat finger joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,591.33
|
|
Explore/treat finger joint
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,211.05
|
|
Explore/treat knee joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,705.22
|
|
Explore/treat wrist joint
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,705.22
|
|
Explore wound abdomen 20102
|
$1,999.13 |
$1,999.13 |
$1,999.13 |
$2,837.09
|
|
Explore woundchest 20101
|
$1,999.13 |
$1,999.13 |
$1,999.13 |
$2,113.50
|
|
Explore wound neck 20100
|
$556.55 |
$556.55 |
$556.55 |
$1,270.95
|
|
Explr/decompress eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$5,821.06
|
|
Explr/decompress eye socket
|
$4,121.25 |
$4,121.25 |
$4,121.25 |
$4,955.69
|
|
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 |
$2,271.01
|
|
Ext ecg>48hr<7d scan a/r
|
$140.87 |
$140.87 |
$140.87 |
$238.50
|
|
Ext ecg>7d<15d scan a/r
|
$140.87 |
$140.87 |
$140.87 |
$238.50
|
|
Extended culture of oocytes
|
$892.77 |
$892.77 |
$892.77 |
$534.40
|
|
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 |
$5,299.82
|
|
Extensive hand surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,591.33
|
|
Extensive mastoid surgery
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,553.49
|
|
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 |
$6,547.81
|
|
Extensive surgery of throat
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,153.07
|
|
Extensive testis surgery
|
$3,769.31 |
$3,769.31 |
$3,769.31 |
$3,817.53
|
|
External cannula declotting
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$1,471.82
|
|
External chromosome analysis 20-25 cells
|
$144.61 |
$144.61 |
$144.61 |
$457.50
|
|
External ocular photography
|
$42.90 |
$42.90 |
$42.90 |
$51.36
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$26.76 |
$26.76 |
$26.76 |
$69.55
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$5,155.15
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$143.75 |
$143.75 |
$143.75 |
$569.60
|
|
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 |
$102.50
|
|
Extraction erupted tooth/exr
|
$1,817.06 |
$1,817.06 |
$1,817.06 |
$1,840.30
|
|
Extraction of lens
|
$4,396.50 |
$4,396.50 |
$4,396.50 |
$4,260.80
|
|
Extraction of lens
|
$2,492.56 |
$2,492.56 |
$2,492.56 |
$2,524.45
|
|
Extraction of lens 66920
|
$2,492.56 |
$2,492.56 |
$2,492.56 |
$3,173.34
|
|
Extrnl counterpulse, per tx
|
$140.87 |
$140.87 |
$140.87 |
$142.80
|
|
Eye allergy tests
|
$140.87 |
$140.87 |
$140.87 |
$129.56
|
|
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 |
$7,624.40
|
|
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 |
$6,547.81
|
|
Facial bones <3
|
$96.23 |
$96.23 |
$96.23 |
$216.45
|
|
Facial nerve function test
|
$340.32 |
$340.32 |
$340.32 |
$180.01
|
|
Facility svs dental rehab
|
$3,544.29 |
$3,544.29 |
$3,544.29 |
$3,589.62
|
|
Factor ix
|
$19.04 |
$19.04 |
$19.04 |
$139.75
|
|
Factor ix alprolix recomb
|
$3.63 |
$3.63 |
$3.63 |
$3.63
|
|
Factor ix complex
|
$1.70 |
$1.70 |
$1.70 |
$3.23
|
|
Factor ix idelvion inj
|
$5.34 |
$5.34 |
$5.34 |
$5.16
|
|
Factor ix non-recombinant
|
$1.34 |
$1.34 |
$1.34 |
$1.35
|
|
Factor ix recomb gly rebinyn
|
$4.58 |
$4.58 |
$4.58 |
$3.68
|
|
Factor ix recombinant nos
|
$1.88 |
$1.88 |
$1.88 |
$1.88
|
|
Factor viii
|
$17.90 |
$17.90 |
$17.90 |
$152.50
|
|
Factor viii
|
$1.13 |
$1.13 |
$1.13 |
$1.35
|
|
Factor viii fc fusion recomb
|
$2.42 |
$2.42 |
$2.42 |
$17,969.85
|
|
Factor viii nuwiq recomb 1iu
|
$1.18 |
$1.18 |
$1.18 |
$1.18
|
|
Factor viii pegylated recomb
|
$2.15 |
$2.15 |
$2.15 |
$2.15
|
|
Factor viii recombinant nos
|
$1.54 |
$1.54 |
$1.54 |
$3.30
|
|
Factor viii recomb novoeight
|
$1.52 |
$1.52 |
$1.52 |
$1.52
|
|
Factor viii recomb obizur
|
$3.23 |
$3.23 |
$3.23 |
$3.23
|
|
Factor xiii anti-hem factor
|
$10.78 |
$10.78 |
$10.78 |
$14.73
|
|
Factor xiii recomb a-subunit
|
$18.29 |
$18.29 |
$18.29 |
$68.26
|
|
Fallopian tube recnl
|
$3,474.84 |
$3,474.84 |
$3,474.84 |
$2,904.00
|
|
Family therapy without pt 50min 90846
|
$175.59 |
$175.59 |
$175.59 |
$230.40
|
|
Family therapy with patient 50 min 90847
|
$175.59 |
$175.59 |
$175.59 |
$224.80
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$47.09
|
|
Fancc gene
|
$36.62 |
$36.62 |
$36.62 |
$158.10
|
|
Fat/lipids feces qualitative
|
$5.10 |
$5.10 |
$5.10 |
$43.66
|
|
Fatty acids nonesterified
|
$18.77 |
$18.77 |
$18.77 |
$64.28
|
|
Fecal bilirubin test
|
$4.56 |
$4.56 |
$4.56 |
$6.76
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$64.03 |
$64.03 |
$64.03 |
$64.03
|
|
Fecal microbiota prep instil
|
$996.39 |
$996.39 |
$996.39 |
$1,010.01
|
|
#fecal-sodium
|
$4.86 |
$4.86 |
$4.86 |
$40.30
|
|
Fees w/laryngeal sense test
|
$127.75 |
$127.75 |
$127.75 |
$433.50
|
|
Felbamate (felbatol(r)) - sendout
|
$18.64 |
$18.64 |
$18.64 |
$83.85
|
|
Fem/popl revasc w/stent
|
$12,393.88 |
$12,393.88 |
$12,393.88 |
$21,553.12
|
|
Feno poc
|
$42.90 |
$42.90 |
$42.90 |
$97.18
|
|
Fern test
|
$9.74 |
$9.74 |
$9.74 |
$18.02
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1.14 |
$1.14 |
$1.14 |
$2,131.58
|
|
Ferritin
|
$13.63 |
$13.63 |
$13.63 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$0.31 |
$0.31 |
$0.31 |
$2,289.60
|
|
Ferumoxytol, esrd use
|
$0.31 |
$0.31 |
$0.31 |
$0.31
|
