|
Ex sq tumor/face or scalp < 2 cm 21011
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,582.16 |
$4,582.16 |
$4,582.16 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$243.18 |
$243.18 |
$299.30 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$266.86 |
$266.86 |
$328.44 |
$345.60
|
|
Extended visual field xm
|
$335.52 |
$335.52 |
$335.52 |
$162.75
|
|
External chromosome analysis 20-25 cells
|
$451.07 |
$451.07 |
$555.17 |
$415.01
|
|
External ocular photography
|
$192.19 |
$192.19 |
$192.19 |
$86.03
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$457.07 |
$457.07 |
$562.54 |
$457.07
|
|
Extnd color vision xm
|
$335.52 |
$335.52 |
$360.21 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$64.90 |
$64.90 |
$79.88 |
$109.00
|
|
Extraction erupted tooth/exr
|
$1,666.43 |
$1,666.43 |
$2,050.99 |
$1,666.43
|
|
Extrnl counterpulse, per tx
|
$335.52 |
$335.52 |
$335.52 |
$431.60
|
|
Eye Socket (Orbit) X-ray
|
$275.16 |
$275.16 |
$338.66 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$795.04 |
$795.04 |
$845.92 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$795.04 |
$795.04 |
$845.92 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$489.02 |
$489.02 |
$520.31 |
$1,320.00
|
|
F-18 fdg pet diag
|
$306.10 |
$306.10 |
$376.74 |
$551.72
|
|
F9 full gene sequence
|
$1,248.98 |
$1,248.98 |
$1,537.20 |
$1,200.00
|
|
Face bone graft
|
$11,060.43 |
$11,060.43 |
$11,060.43 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,648.98 |
$1,648.98 |
$1,652.32 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,006.36 |
$1,006.36 |
$1,307.22 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$201.75 |
$201.75 |
$248.30 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$275.16 |
$275.16 |
$338.66 |
$381.75
|
|
Factor ix
|
$68.91 |
$68.91 |
$84.82 |
$162.50
|
|
Factor viii
|
$64.79 |
$64.79 |
$79.74 |
$148.00
|
|
Family therapy without pt 50min 90846
|
$415.42 |
$415.42 |
$415.97 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$415.42 |
$415.42 |
$415.97 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.01 |
$0.01 |
$0.02 |
$22.20
|
|
Fasciotomy hip/thigh any typ
|
$1,946.61 |
$1,946.61 |
$2,395.83 |
$3,342.87
|
|
Fat/lipids feces qualitative
|
$18.43 |
$18.43 |
$22.69 |
$36.00
|
|
Fatty acids nonesterified
|
$44.21 |
$44.21 |
$54.42 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$633.75 |
$633.75 |
$633.75 |
$903.05
|
|
#fecal-sodium
|
$17.59 |
$17.59 |
$21.65 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$49.56 |
$49.56 |
$61.00 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$3,012.84 |
$3,012.84 |
$3,708.11 |
$1,245.40
|
|
Fem/popl revasc w/stent
|
$20,251.58 |
$20,251.58 |
$21,741.66 |
$16,129.60
|
|
Feno poc
|
$114.07 |
$114.07 |
$122.45 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1.17 |
$1.17 |
$1.25 |
$101.40
|
|
Fern test
|
$28.55 |
$28.55 |
$35.14 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3.00 |
$3.00 |
$3.70 |
$2,590.25
|
|
Ferritin
|
$49.33 |
$49.33 |
$60.71 |
$102.48
|
|
Fetal aneuploidy trisom risk
|
$2,330.37 |
$2,330.37 |
$2,868.14 |
$1,077.00
|
|
Fetal biophys profile w/nst 76818
|
$425.45 |
$425.45 |
$456.76 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$2,113.85 |
$2,113.85 |
$2,601.66 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$558.63 |
$558.63 |
$558.63 |
$477.50
|
|
Fetal cord puncture prenatal
|
$1,028.98 |
$1,028.98 |
$1,028.98 |
$751.20
|
|
Fetal fibronectin
|
$233.08 |
$233.08 |
$286.87 |
$389.95
|
|
Fetal fluid drainage w/us
|
$1,028.98 |
$1,028.98 |
$1,028.98 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$27.99 |
$27.99 |
$34.45 |
$102.00
|
|
Fetal hemoglobin rosette
|
$27.43 |
$27.43 |
$33.76 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$68.44 |
$68.44 |
$84.24 |
$67.00
|
|
Fetal non stress test
|
$558.63 |
$558.63 |
$599.71 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$52.60 |
$52.60 |
$64.74 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$36.82 |
$36.82 |
$45.31 |
$120.64
|
|
Fibrin degradation products
|
$24.96 |
$24.96 |
$30.72 |
$75.02
|
|
Fibrinogen activity
|
$30.74 |
$30.74 |
$37.83 |
$87.00
|
|
Fibrinogen test
|
$41.09 |
$41.09 |
$50.58 |
$32.85
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$45.37 |
$45.37 |
$55.84 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$27.88 |
$27.88 |
$34.31 |
$72.80
|
|
Fibrinolytic plasminogen
|
$62.20 |
$62.20 |
$76.55 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$23.63 |
$23.63 |
$29.08 |
$66.60
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$2.14 |
$2.14 |
$2.64 |
$1,197.83
|
|
Filter spider fx 3mmx320cm
|
$3,600.00 |
$3,600.00 |
$26,637.87 |
$7,358.16
|
|
Filter vena cava fem denali
|
$3,266.26 |
$3,266.26 |
$3,419.02 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,631.47 |
$1,631.47 |
$2,007.96 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$815.72 |
$815.72 |
$1,003.96 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$815.72 |
$815.72 |
$1,003.97 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$815.72 |
$815.72 |
$1,003.97 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,107.30 |
$1,107.30 |
$1,188.79 |
$504.45
|
|
Finger X-ray (both hands)
|
$201.75 |
$201.75 |
$248.30 |
$241.50
|
|
Fitting of diaphragm/cap 57170
|
$558.63 |
$558.63 |
$599.71 |
$238.06
|
|
Fixation of knee joint
|
$3,413.24 |
$3,413.24 |
$4,200.91 |
$1,963.35
|
|
Fix g/colon tube w/device
|
$2,195.76 |
$2,195.76 |
$2,357.31 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$41.32 |
$41.32 |
$50.86 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$875.65 |
$875.65 |
$940.07 |
$540.80
|
|
Flexible keel foot
|
$673.54 |
$673.54 |
$828.98 |
$590.47
|
|
Flexible Sigmoidoscopy
|
$2,393.41 |
$2,393.41 |
$2,569.51 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$3,812.63 |
$3,812.63 |
$3,812.63 |
$2,168.40
|
|
Flow cytometry interp 16 or more
|
$251.27 |
$251.27 |
$309.26 |
$200.00
|
|
Flow cytometry marker each additional
|
$85.22 |
$85.22 |
$104.88 |
$97.50
|
|
Flow cytometry one marker technical component
|
$595.91 |
$595.91 |
$733.43 |
$285.00
|
|
#flow interp 9 - 15 markers
|
$187.91 |
$187.91 |
$231.27 |
$172.50
|
|
Flt3 gene
|
$485.16 |
$485.16 |
$597.12 |
$366.29
|
|
Flt3 gene analysis
|
$243.30 |
$243.30 |
$299.45 |
$216.00
|
|
Fluidotherapy charges pt
|
$55.41 |
$55.41 |
$68.20 |
$101.40
|
|
Fluid pressure muscle 20950
|
$1,994.36 |
$1,994.36 |
$2,141.10 |
$779.45
|
|
Fluocinol acet intravit imp
|
$1,023.45 |
$1,023.45 |
$1,259.63 |
$14,359.80
|
|
Fluorescein angrph mltiframe
|
$870.76 |
$870.76 |
$870.76 |
$336.50
|
|
Fluorescent antibody titer dna
|
$43.62 |
$43.62 |
$53.68 |
$123.65
|
|
Fluoroguide for spine inject 77003-26
|
$171.68 |
$171.68 |
$242.50 |
$495.00
|
|
Fluoroguide needle placement
|
$187.51 |
$187.51 |
$551.88 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$579.34 |
$579.34 |
$713.03 |
$503.80
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$17.10 |
$17.10 |
$21.05 |
$72.52
|
|
Fluzone vacc, 3 yrs & >, im
|
$28.26 |
$28.26 |
$30.47 |
$43.20
|
|
Fmri brain by tech
|
$1,006.36 |
$1,006.36 |
$1,307.22 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$1,631.47 |
$1,631.47 |
$2,007.96 |
$1,462.20
|
|
Fna bx w/ct gdn ea addl
|
$815.72 |
$815.72 |
$1,003.96 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$1,631.47 |
$1,631.47 |
$2,007.96 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$815.72 |
$815.72 |
$1,003.96 |
$766.70
|
|
Folic acid
|
$53.21 |
$53.21 |
$65.49 |
$101.50
|
