|
Eye Socket (Orbit) X-ray
|
$63.72 |
$117.81 |
$151.89 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$194.55 |
$517.67 |
$821.25 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$194.55 |
$450.59 |
$694.75 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$116.22 |
$353.04 |
$478.49 |
|
|
Ezh2 gene common variants
|
$175.40 |
$192.94 |
$192.94 |
|
|
Ezh2 gene full gene sequence
|
$282.88 |
$311.17 |
$311.17 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$2,194.62 |
$2,194.62 |
$2,194.62 |
|
|
F-18 fluciclovine per mci
|
$268.42 |
$268.42 |
$268.42 |
|
|
F9 full gene sequence
|
$600.00 |
$660.00 |
$660.00 |
|
|
Face bone graft
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$390.30 |
$696.73 |
$2,209.00 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$264.17 |
$499.23 |
$782.27 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$50.80 |
$96.23 |
$105.77 |
|
|
Facial Bones X-ray (complete)
|
$100.60 |
$117.81 |
$218.00 |
|
|
Facial nerve function test
|
$340.32 |
$344.68 |
$366.72 |
|
|
Facility svs dental rehab
|
$3,544.29 |
$3,589.62 |
$3,819.23 |
|
|
Factor ix
|
$19.04 |
$20.94 |
$154.50 |
|
|
Factor ix alprolix recomb
|
$3.59 |
$3.63 |
$3.63 |
|
|
Factor ix complex
|
$1.65 |
$1.70 |
$1.70 |
|
|
Factor ix idelvion inj
|
$5.05 |
$5.34 |
$5.34 |
|
|
Factor ix non-recombinant
|
$1.34 |
$1.34 |
$1.41 |
|
|
Factor ix recomb gly rebinyn
|
$4.57 |
$4.58 |
$4.58 |
|
|
Factor ix recombinant nos
|
$1.85 |
$1.88 |
$1.88 |
|
|
Factor viii
|
$17.90 |
$19.69 |
$93.50 |
|
|
Factor viii
|
$1.13 |
$1.13 |
$1.17 |
|
|
Factor viii fc fusion recomb
|
$2.34 |
$2.42 |
$2.42 |
|
|
Factor viii nuwiq recomb 1iu
|
$1.18 |
$1.18 |
$1.24 |
|
|
Factor viii pegylated recomb
|
$2.10 |
$2.15 |
$2.15 |
|
|
Factor viii recombinant nos
|
$1.54 |
$1.54 |
$1.55 |
|
|
Factor viii recomb novoeight
|
$1.38 |
$1.52 |
$1.52 |
|
|
Factor viii recomb obizur
|
$3.22 |
$3.23 |
$3.23 |
|
|
Factor xiii anti-hem factor
|
$10.16 |
$10.78 |
$10.78 |
|
|
Factor xiii recomb a-subunit
|
$17.26 |
$18.29 |
$18.29 |
|
|
Fallopian tube recnl
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Fam adapt bhv tx gdn phy/qhp
|
$32.56 |
$32.97 |
$100.00 |
|
|
Family therapy without pt 50min 90846
|
$78.27 |
$175.59 |
$239.50 |
|
|
Family therapy with patient 50 min 90847
|
$112.43 |
$177.84 |
$264.18 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$27.81 |
$30.00 |
$30.00 |
|
|
Fancc gene
|
$36.62 |
$40.28 |
$40.28 |
|
|
Fat/lipids feces qualitative
|
$5.10 |
$5.61 |
$29.50 |
|
|
Fatty acids nonesterified
|
$18.77 |
$20.65 |
$39.50 |
|
|
Fecal bilirubin test
|
$4.56 |
$5.02 |
$5.02 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$63.30 |
$64.03 |
$64.03 |
|
|
Fecal microbiota prep instil
|
$996.39 |
$1,009.14 |
$1,073.68 |
|
|
#fecal-sodium
|
$4.86 |
$5.35 |
$5.35 |
|
|
Feeding tube reposition
|
$88.62 |
$88.62 |
$187.32 |
|
|
Fees w/laryngeal sense test
|
$127.75 |
$127.75 |
$127.75 |
|
|
Felbamate (felbatol(r)) - sendout
|
$18.64 |
$20.50 |
$29.50 |
|
|
Fem/popl revasc w/stent
|
$3,786.00 |
$6,311.00 |
$13,355.34 |
|
|
Feno poc
|
$12.13 |
$43.44 |
$65.68 |
|
|
Fern test
|
$9.74 |
$10.71 |
$10.71 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1.10 |
$1.14 |
$1.14 |
|
|
Ferritin
|
$13.63 |
$14.99 |
$84.00 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$0.31 |
$0.31 |
$0.34 |
|
|
Ferumoxytol, esrd use
|
$0.31 |
$0.31 |
$0.34 |
|
|
Fetal aneuploidy trisom risk
|
$795.00 |
$874.50 |
$874.50 |
|
|
Fetal biophys profile w/nst 76818
|
$116.22 |
$125.23 |
$290.59 |
|
|
Fetal chrmoml microdeltj
|
$759.05 |
$834.96 |
$834.96 |
|
|
Fetal chrom aneuploidy gsa panel
|
$759.05 |
$834.96 |
$834.96 |
|
|
Fetal contract stress test 59020 - 26
|
$219.85 |
$3,986.00 |
$6,839.00 |
|
|
Fetal cord puncture prenatal
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Fetal fibronectin
|
$64.41 |
$70.85 |
$70.85 |
|
|
Fetal fluid drainage w/us
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$7.73 |
$8.50 |
$8.50 |
|
|
Fetal hemoglobin rosette
|
$9.36 |
$10.30 |
$10.30 |
|
|
Fetal lung maturity assess lam body dnst
|
$19.32 |
$21.25 |
$21.25 |
|
|
Fetal non stress test
|
$219.85 |
$3,986.00 |
$6,839.00 |
|
|
Fetal scalp blood sampling 59030
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
Fetal shunt placement w/us
|
$332.44 |
$3,986.00 |
$6,839.00 |
|
|
#_fet/norfentcnfrmur
|
$30.21 |
$38.26 |
$57.08 |
|
|
Fiasp for insulin pump use
|
$7.41 |
$7.76 |
$7.76 |
|
|
Fibrin degradation d dimer quantitative
|
$10.18 |
$11.20 |
$57.50 |
|
|
Fibrin degradation products
|
$6.89 |
$7.58 |
$7.58 |
|
|
Fibrin degrade semiquant
|
$9.72 |
$10.69 |
$10.69 |
|
|
Fibrin degradj d-dimer
|
$10.18 |
$11.20 |
$11.20 |
|
|
Fibrinogen activity
|
$9.72 |
$10.69 |
$70.00 |
|
|
Fibrinogen test
|
$12.43 |
$13.67 |
$13.67 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$15.48 |
$17.03 |
$17.03 |
|
|
Fibrinolytic antiplasmin
|
$7.71 |
$8.48 |
$8.48 |
|
|
Fibrinolytic plasmin
|
$7.71 |
$8.48 |
$8.48 |
|
|
Fibrinolytic plasminogen
|
$17.19 |
$18.91 |
$18.91 |
|
|
Fibrinolytic plasminogen
|
$10.18 |
$11.20 |
$11.20 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$6.53 |
$7.18 |
$7.18 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$0.27 |
$0.29 |
$0.29 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$0.99 |
$0.99 |
$1.00 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$0.36 |
$0.37 |
$0.37 |
|
|
Filleted finger/toe flap
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Filtered speech hearing test
|
$41.23 |
$43.48 |
$53.16 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$768.94 |
$3,986.00 |
$6,839.00 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$4,881.00 |
$5,741.00 |
$6,311.00 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$3,986.00 |
$5,419.00 |
$5,741.00 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$4,881.00 |
$5,741.00 |
$6,311.00 |
|
|
Fine needle asp without image guide 10021
|
$436.64 |
$3,986.00 |
$6,839.00 |
|
|
Finger tendon transfer
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Finger tendon transfer
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Finger X-ray (both hands)
|
$89.50 |
$97.46 |
$103.69 |
|
|
Fit aphakia spectcl monofocl
|
$64.92 |
$65.75 |
$69.95 |
|
|
Fit aphakia spectcl multifoc
|
$64.92 |
$65.75 |
$69.95 |
|
|
Fitg spect low vis 1system
|
$42.90 |
$43.44 |
$46.22 |
|
|
Fitg spect lw vis cmpnd lens
|
$42.90 |
$43.44 |
$46.22 |
|