|
Explore/treat finger joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Explore/treat finger joint
|
$1,893.86 |
$1,893.86 |
$4,002.34 |
|
|
Explore/treat knee joint
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Explore/treat wrist joint
|
$3,839.54 |
$3,839.54 |
$8,441.76 |
|
|
Explore wound abdomen 20102
|
$2,164.64 |
$2,164.64 |
$2,699.50 |
|
|
Explore woundchest 20101
|
$2,164.64 |
$2,164.64 |
$2,699.50 |
|
|
Explore wound neck 20100
|
$602.63 |
$602.63 |
$602.63 |
|
|
Explor not followed by surg repair artery; up extrem 35702
|
$6,661.44 |
$6,661.44 |
$8,198.70 |
|
|
Explr/decompress eye socket
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
|
|
Explr/decompress eye socket
|
$4,462.45 |
$4,462.45 |
$4,462.45 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,917.33 |
$1,917.33 |
$4,582.16 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$1,917.33 |
$1,917.33 |
$5,450.15 |
|
|
Ext ecg>48hr<7d scan a/r
|
$114.00 |
$152.54 |
$361.00 |
|
|
Ext ecg>7d<15d scan a/r
|
$152.54 |
$152.54 |
$361.00 |
|
|
Extended culture of oocytes
|
$966.69 |
$966.69 |
$966.69 |
|
|
Extended visual field xm
|
$38.25 |
$152.54 |
$868.00 |
|
|
Extensive ear canal surgery 69150
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Extensive hand surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
|
|
Extensive jaw surgery
|
$6,048.05 |
$6,048.05 |
$6,048.05 |
|
|
Extensive mastoid surgery
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Extensive mastoid surgery
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Extensive surgery of throat
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Extensive surgery of throat
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
|
|
Extensive testis surgery
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
|
|
External cannula declotting
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
|
|
External chromosome analysis 20-25 cells
|
$128.00 |
$144.61 |
$555.17 |
|
|
External ocular photography
|
$46.45 |
$46.45 |
$192.19 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$28.98 |
$28.98 |
$28.98 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$128.00 |
$143.75 |
$843.00 |
|
|
Extnd color vision xm
|
$70.29 |
$70.29 |
$570.00 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$17.93 |
$17.93 |
$230.41 |
|
|
Extraction erupted tooth/exr
|
$1,666.43 |
$1,967.49 |
$2,050.99 |
|
|
Extraction of lens
|
$4,760.49 |
$4,760.49 |
$4,760.49 |
|
|
Extraction of lens
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
|
|
Extraction of lens 66920
|
$2,698.92 |
$2,698.92 |
$2,698.92 |
|
|
Extrnl counterpulse, per tx
|
$152.54 |
$152.54 |
$896.01 |
|
|
Eye allergy tests
|
$152.54 |
$152.54 |
$152.54 |
|
|
Eye implant band 40
|
$4,875.00 |
$4,875.00 |
$4,875.00 |
|
|
Eye Socket (Orbit) X-ray
|
$125.84 |
$125.84 |
$2,147.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$210.66 |
$210.66 |
$6,248.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$210.66 |
$210.66 |
$3,997.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$125.84 |
$125.84 |
$3,103.00 |
|
|
Ezh2 gene common variants
|
$175.40 |
$175.40 |
$903.00 |
|
|
Ezh2 gene full gene sequence
|
$282.88 |
$282.88 |
$282.88 |
|
|
F-18 fdg pet diag
|
$297.50 |
$306.10 |
$1,393.35 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$353.40 |
$2,194.62 |
$2,194.62 |
|
|
F-18 fluciclovine per mci
|
$268.42 |
$268.42 |
$514.05 |
|
|
F-18 sodium fluoride
|
$0.35 |
$0.35 |
$0.35 |
|
|
F9 full gene sequence
|
$600.00 |
$600.00 |
$1,537.20 |
|
|
Face bone graft
|
$7,000.36 |
$7,000.36 |
$11,060.43 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$422.61 |
$422.61 |
$10,547.00 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$286.04 |
$286.04 |
$6,747.00 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$104.19 |
$104.19 |
$778.00 |
|
|
Facial Bones X-ray (complete)
|
$125.84 |
$125.84 |
$1,550.00 |
|
|
Facial nerve function test
|
$368.50 |
$368.50 |
$368.50 |
|
|
Facility svs dental rehab
|
$3,837.72 |
$3,837.72 |
$3,837.72 |
|
|
Factor ix
|
$19.04 |
$19.04 |
$505.00 |
|
|
Factor ix alprolix recomb
|
$3.59 |
$3.59 |
$12.40 |
|
|
Factor ix complex
|
$1.65 |
$1.65 |
$4,434.22 |
|
|
Factor ix idelvion inj
|
$5.05 |
$5.05 |
$19.10 |
|
|
Factor ix non-recombinant
|
$1.41 |
$1.41 |
$3.92 |
|
|
Factor ix recomb gly rebinyn
|
$4.57 |
$4.57 |
$16.03 |
|
|
Factor ix recombinan rixubis
|
$5.10 |
$5.10 |
$5.10 |
|
|
Factor ix recombinant nos
|
$1.85 |
$1.85 |
$3.55 |
|
|
Factor viia recomb sevenfact
|
$6.78 |
$6.78 |
$6.78 |
|
|
Factor viii
|
$17.90 |
$17.90 |
$494.00 |
|
|
Factor viii
|
$1.17 |
$1.17 |
$3.87 |
|
|
Factor viii fc fusion recomb
|
$2.34 |
$2.34 |
$9.21 |
|
|
Factor viii nuwiq recomb 1iu
|
$1.24 |
$1.24 |
$2.34 |
|
|
Factor viii pegylated recomb
|
$2.10 |
$2.10 |
$20,279.53 |
|
|
Factor viii recombinant nos
|
$1.55 |
$1.55 |
$9.34 |
|
|
Factor viii recomb novoeight
|
$1.38 |
$1.38 |
$3.13 |
|
|
Factor viii recomb obizur
|
$3.22 |
$3.22 |
$3.82 |
|
|
Factor xiii anti-hem factor
|
$10.16 |
$10.16 |
$28.50 |
|
|
Factor xiii recomb a-subunit
|
$17.26 |
$17.26 |
$63.62 |
|
|
Fallopian tube recnl
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
|
|
Fam adapt bhv tx gdn phy/qhp
|
$35.25 |
$35.25 |
$776.00 |
|
|
Family therapy without pt 50min 90846
|
$104.40 |
$190.13 |
$579.00 |
|
|
Family therapy with patient 50 min 90847
|
$104.40 |
$190.13 |
$579.00 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$0.01 |
$0.02 |
$1.15 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$27.81 |
$27.81 |
$9,829.30 |
|
|
Fancc gene
|
$36.62 |
$36.62 |
$36.62 |
|
|
Fasciotomy hip/thigh any typ
|
$1,946.61 |
$3,342.87 |
$3,342.87 |
|
|
Fat/lipids feces qualitative
|
$5.10 |
$5.10 |
$107.92 |
|
|
Fatty acids nonesterified
|
$18.77 |
$18.77 |
$54.42 |
|
|
Fda ide #g240020 carry bag
|
$633.75 |
$633.75 |
$633.75 |
|
|
Fecal bilirubin test
|
$4.56 |
$4.56 |
$4.56 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$63.30 |
$63.30 |
$213.15 |
|
|
Fecal microbiota prep instil
|
$1,078.88 |
$1,078.88 |
$1,078.88 |
|
|
#fecal-sodium
|
$4.86 |
$4.86 |
$94.24 |
|
|
Feeding tube reposition
|
$699.00 |
$699.00 |
$699.00 |
|
|
Fees w/laryngeal sense test
|
$107.46 |
$109.37 |
$109.37 |
|
|
Felbamate (felbatol(r)) - sendout
|
$18.64 |
$18.64 |
$61.00 |
|
|
Femoral endovas graft add-on 34813
|
$3,012.84 |
$3,012.84 |
$3,708.11 |
|
|
Fem/popl revasc w/stent
|
$7,234.80 |
$13,419.98 |
$21,741.66 |
|
|
Feno poc
|
$46.45 |
$46.45 |
$122.45 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$1.17 |
$1.25 |
$118.20 |
|
|
Fern test
|
$9.74 |
$9.74 |
$35.14 |
|
