|
Explore/treat finger joint
|
$2,782.28 |
$2,782.28 |
$3,598.00 |
|
|
Explore wound abdomen 20102
|
$2,010.00 |
$3,277.70 |
$3,277.70 |
|
|
Explore woundchest 20101
|
$2,010.00 |
$3,535.63 |
$3,535.63 |
|
|
Explore wound neck 20100
|
$641.50 |
$3,543.78 |
$3,543.78 |
|
|
Explor not followed by surg repair artery; low extrem 35703
|
$2,559.50 |
$2,559.50 |
$2,559.50 |
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$3,623.43 |
$3,623.43 |
$20,434.00 |
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$1,782.50 |
$2,702.73 |
$2,702.73 |
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$1,782.50 |
$1,782.50 |
$1,782.50 |
|
|
Ext ecg>48hr<7d scan a/r
|
$384.00 |
$483.50 |
$834.00 |
|
|
Ext ecg>7d<15d scan a/r
|
$483.50 |
$834.00 |
$834.00 |
|
|
Extended culture of oocytes
|
$534.40 |
$534.40 |
$534.40 |
|
|
Extended visual field xm
|
$156.00 |
$156.00 |
$156.00 |
|
|
Extension per extension per
|
$155.77 |
$155.77 |
$155.77 |
|
|
External cannula declotting
|
$1,462.00 |
$1,587.65 |
$1,587.65 |
|
|
External chromosome analysis 20-25 cells
|
$72.50 |
$514.10 |
$1,082.00 |
|
|
External ocular photography
|
$91.50 |
$91.50 |
$91.50 |
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$19.83 |
$19.83 |
$53.00 |
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$2,317.50 |
$2,317.50 |
$2,317.50 |
|
|
External recharg sys intern
|
$600.00 |
$600.00 |
$600.00 |
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$363.50 |
$644.50 |
$1,751.00 |
|
|
Extnd color vision xm
|
$92.00 |
$92.00 |
$92.00 |
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$97.28 |
$97.28 |
$277.00 |
|
|
Extraction erupted tooth/exr
|
$1,106.50 |
$1,106.50 |
$1,106.50 |
|
|
Eye implant band 40
|
$490.00 |
$490.00 |
$490.00 |
|
|
Eye Socket (Orbit) X-ray
|
$284.38 |
$284.38 |
$533.50 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,530.00 |
$2,521.15 |
$5,463.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,333.50 |
$1,619.05 |
$4,909.00 |
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,041.00 |
$1,430.20 |
$3,015.00 |
|
|
F-18 fdg pet diag
|
$93.00 |
$750.58 |
$750.58 |
|
|
F-18 florbetapir less than or equal to 10 mci
|
$1,864.00 |
$8,572.20 |
$8,572.20 |
|
|
F-18 fluciclovine per mci
|
$375.50 |
$15,499.50 |
$15,499.50 |
|
|
F-18 sodium fluoride
|
$1,379.98 |
$1,379.98 |
$1,379.98 |
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,814.00 |
$2,552.60 |
$6,872.00 |
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,480.50 |
$2,054.78 |
$4,124.82 |
|
|
Facial Bones X-ray (1 to 2 views)
|
$201.78 |
$201.78 |
$348.00 |
|
|
Facial Bones X-ray (complete)
|
$337.95 |
$337.95 |
$731.00 |
|
|
Factor ix
|
$269.00 |
$350.90 |
$350.90 |
|
|
Factor ix alprolix recomb
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor ix idelvion inj
|
$26.35 |
$26.35 |
$26.35 |
|
|
Factor ix recomb gly rebinyn
|
$26.05 |
$26.05 |
$26.05 |
|
|
Factor ix recombinan rixubis
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor ix recombinant nos
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor viii
|
$40.00 |
$301.55 |
$301.55 |
|
|
Factor viii fc fusion recomb
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor viii pegylated recomb
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor viii recombinant nos
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor viii recomb novoeight
|
$22.50 |
$22.50 |
$22.50 |
|
|
Factor viii recomb obizur
|
$22.50 |
$22.50 |
$22.50 |
|
|
Fallopian tube recnl
|
$1,389.18 |
$1,389.18 |
$1,389.18 |
|
|
Family therapy without pt 50min 90846
|
$56.90 |
$56.90 |
$586.11 |
|
|
Family therapy with patient 50 min 90847
|
$27.68 |
$27.68 |
$602.39 |
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$23.13 |
$26.35 |
$26.35 |
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,894.50 |
$5,894.50 |
$5,894.50 |
|
|
Fat/lipids feces qualitative
|
$36.50 |
$66.50 |
$162.00 |
|
|
Fatty acids nonesterified
|
$51.08 |
$51.08 |
$103.32 |
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$27,405.00 |
$27,405.00 |
$27,405.00 |
|
|
#fecal-sodium
|
$25.00 |
$52.40 |
$52.40 |
|
|
Feeding tube reposition
|
$402.00 |
$402.00 |
$402.00 |
|
|
Fees w/laryngeal sense test
|
$399.00 |
$399.00 |
$399.00 |
|
|
Felbamate (felbatol(r)) - sendout
|
$84.00 |
$168.45 |
$168.45 |
|
|
Femoral endovas graft add-on 34813
|
$1,496.68 |
$1,496.68 |
$1,496.68 |
|
|
Femoral lgth sock fx or equa
|
$52.27 |
$52.27 |
$52.27 |
|
|
Fem/popl revasc w/stent
|
$17,656.00 |
$19,039.38 |
$19,039.38 |
|
|
Feno poc
|
$97.18 |
$97.18 |
$110.50 |
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$71.72 |
$386.88 |
$386.88 |
|
|
Fern test
|
$25.00 |
$49.15 |
$49.15 |
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$149.99 |
$2,028.03 |
$2,028.03 |
|
|
Ferritin
|
$66.00 |
$156.70 |
$156.70 |
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$844.25 |
$976.88 |
$976.88 |
|
|
Fetal biophys profile w/nst 76818
|
$309.38 |
$309.38 |
$1,051.00 |
|
|
Fetal chrmoml microdeltj
|
$286.55 |
$286.55 |
$286.55 |
|
|
Fetal chrom aneuploidy gsa panel
|
$692.75 |
$692.75 |
$1,833.00 |
|
|
Fetal contract stress test 59020 - 26
|
$317.00 |
$656.28 |
$656.28 |
|
|
Fetal cord puncture prenatal
|
$819.00 |
$819.00 |
$833.00 |
|
|
Fetal fibronectin
|
$305.50 |
$433.13 |
$678.00 |
|
|
Fetal fluid drainage w/us
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
|
|
Fetal hemoglobin (kleihauer betke)
|
$54.00 |
$168.30 |
$168.30 |
|
|
Fetal hemoglobin rosette
|
$32.00 |
$168.30 |
$168.30 |
|
|
Fetal lung maturity assess lam body dnst
|
$67.50 |
$67.50 |
$67.50 |
|
|
Fetal monitor w/report
|
$452.40 |
$452.40 |
$452.40 |
|
|
Fetal non stress test
|
$403.00 |
$507.90 |
$507.90 |
|
|
Fetal shunt placement w/us
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
|
|
#_fet/norfentcnfrmur
|
$120.85 |
$120.85 |
$122.76 |
|
|
Fibrin degradation d dimer quantitative
|
$81.50 |
$144.50 |
$234.68 |
|
|
Fibrin degradation products
|
$70.00 |
$138.95 |
$138.95 |
|
|
Fibrin degrade semiquant
|
$234.68 |
$234.68 |
$234.68 |
|
|
Fibrinogen activity
|
$51.00 |
$82.38 |
$166.00 |
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$91.33 |
$91.33 |
$91.33 |
|
|
Fibrinolytic antiplasmin
|
$23.00 |
$23.00 |
$23.00 |
|
|
Fibrinolytic plasminogen
|
$65.00 |
$208.20 |
$272.00 |
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$151.10 |
$151.10 |
$181.00 |
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$519.20 |
$519.20 |
$519.20 |
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,214.53 |
$1,214.53 |
$2,520.17 |
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$651.95 |
$755.90 |
$1,061.49 |
|
|
Filter spider fx 3mmx320cm
|
$807.50 |
$807.50 |
$2,474.68 |
|
|
Filter vena cava fem denali
|
$887.50 |
$887.50 |
$2,067.93 |
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$946.50 |
$1,058.25 |
$2,682.00 |
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,834.88 |
$1,834.88 |
$1,834.88 |
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$82.00 |
$416.40 |
$416.40 |
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$859.50 |
$1,036.13 |
$1,796.55 |
|
