|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$1,314.67
|
|
Exc forearm les sc 3 cm/>
|
$3,778.50 |
$3,778.50 |
$3,778.50 |
$3,628.50
|
|
Exchange biliary drg cath
|
$7,521.75 |
$7,521.75 |
$7,521.75 |
$3,856.84
|
|
Exchange drainage catheter
|
$2,516.25 |
$2,516.25 |
$2,516.25 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$2,958.80
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$3,486.52
|
|
Excise lip or cheek fold
|
$687.00 |
$687.00 |
$687.00 |
$1,855.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$4,858.50 |
$4,858.50 |
$4,858.50 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$561.00 |
$561.00 |
$561.00 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,510.75 |
$3,510.75 |
$3,510.75 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$2,658.75 |
$2,658.75 |
$2,658.75 |
$3,823.00
|
|
Excision of penis lesion(s) 54060
|
$1,976.25 |
$1,976.25 |
$1,976.25 |
$2,837.09
|
|
Exc malig tal <0.5cm 11600
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
$973.71
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$1,521.75 |
$1,521.75 |
$1,521.75 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,521.75 |
$1,521.75 |
$1,521.75 |
$1,207.80
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$9,215.25 |
$9,215.25 |
$9,215.25 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$3,126.75 |
$3,126.75 |
$3,126.75 |
$3,839.54
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$4,101.00 |
$4,101.00 |
$4,101.00 |
$2,924.22
|
|
Exc thrombosed hemorrhoid 46320
|
$1,533.75 |
$1,533.75 |
$1,533.75 |
$2,175.36
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$2,577.75 |
$2,577.75 |
$2,577.75 |
$2,054.40
|
|
Exercise tst brncspsm w/ecg
|
$484.50 |
$484.50 |
$484.50 |
$335.52
|
|
Exercise w/hemodynamic meas
|
$1,791.00 |
$1,791.00 |
$1,791.00 |
$901.60
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$5,258.00
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$12,000.00
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,848.75 |
$4,848.75 |
$4,848.75 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$7,852.50 |
$7,852.50 |
$7,852.50 |
$4,101.67
|
|
Explore/treat knee joint
|
$3,918.75 |
$3,918.75 |
$3,918.75 |
$4,386.51
|
|
Explore woundchest 20101
|
$1,761.00 |
$1,761.00 |
$1,761.00 |
$2,227.68
|
|
Ext ecg>48hr<7d scan a/r
|
$238.50 |
$238.50 |
$238.50 |
$241.92
|
|
External cannula declotting
|
$2,181.75 |
$2,181.75 |
$2,181.75 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$345.75 |
$345.75 |
$345.75 |
$415.01
|
|
External recharg sys intern
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$903.75 |
$903.75 |
$903.75 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$234.00 |
$234.00 |
$234.00 |
$109.00
|
|
Extrnl counterpulse, per tx
|
$573.75 |
$573.75 |
$573.75 |
$431.60
|
|
Eye implant band 40
|
$356.07 |
$356.07 |
$356.07 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$387.75 |
$387.75 |
$387.75 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,923.00 |
$1,923.00 |
$1,923.00 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,834.50 |
$1,834.50 |
$1,834.50 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,651.50 |
$1,651.50 |
$1,651.50 |
$1,320.00
|
|
Ezh2 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$288.21
|
|
F-18 fdg pet diag
|
$2,773.11 |
$2,773.11 |
$2,773.11 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,679.38 |
$5,679.38 |
$5,679.38 |
$5,224.83
|
|
Fabrication & fitting
|
$180.00 |
$180.00 |
$180.00 |
$182.27
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,919.75 |
$2,919.75 |
$2,919.75 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$2,307.75 |
$2,307.75 |
$2,307.75 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$256.50 |
$256.50 |
$256.50 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$457.50 |
$457.50 |
$457.50 |
$381.75
|
|
Factor ix
|
$186.75 |
$186.75 |
$186.75 |
$162.50
|
|
Factor ix alprolix recomb
|
$38,712.83 |
$38,712.83 |
$38,712.83 |
$9.46
|
|
Factor ix complex
|
$4,991.63 |
$4,991.63 |
$4,991.63 |
$4.68
|
|
Factor ix idelvion inj
|
$36,235.50 |
$36,235.50 |
$36,235.50 |
$14.35
|
|
Factor ix recombinant nos
|
$7,321.05 |
$7,321.05 |
$7,321.05 |
$4.65
|
|
Factor viii
|
$201.75 |
$201.75 |
$201.75 |
$148.00
|
|
Factor viii fc fusion recomb
|
$17,969.85 |
$17,969.85 |
$17,969.85 |
$8.28
|
|
Factor viii pegylated recomb
|
$11.10 |
$11.10 |
$11.10 |
$8.05
|
|
Factor viii recombinant nos
|
$11.10 |
$11.10 |
$11.10 |
$5.20
|
|
Factor viii recomb obizur
|
$5,435.33 |
$5,435.33 |
$5,435.33 |
$7.29
|
|
Factor xiii recomb a-subunit
|
$68.26 |
$68.26 |
$68.26 |
$46.05
|
|
Fallopian tube recnl
|
$3,020.25 |
$3,020.25 |
$3,020.25 |
$3,740.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.88 |
$8.88 |
$8.88 |
$22.20
|
|
Fatty acids nonesterified
|
$108.75 |
$108.75 |
$108.75 |
$72.15
|
|
Fda ide #g240020 carry bag
|
$956.25 |
$956.25 |
$956.25 |
$903.05
|
|
Fecal microbiota prep instil
|
$883.50 |
$883.50 |
$883.50 |
$1,009.14
|
|
#fecal-sodium
|
$86.25 |
$86.25 |
$86.25 |
$37.53
|
|
Felbamate (felbatol(r)) - sendout
|
$75.00 |
$75.00 |
$75.00 |
$66.43
|
|
Feno poc
|
$220.50 |
$220.50 |
$220.50 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.94 |
$35.94 |
$35.94 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,736.68 |
$3,736.68 |
$3,736.68 |
$2,590.25
|
|
Ferritin
|
$242.25 |
$242.25 |
$242.25 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,030.11 |
$4,030.11 |
$4,030.11 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$656.25 |
$656.25 |
$656.25 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$102.00 |
$102.00 |
$102.00 |
$477.50
|
|
Fetal hemoglobin rosette
|
$128.25 |
$128.25 |
$128.25 |
$67.20
|
|
Fetal monitor w/report
|
$105.00 |
$105.00 |
$105.00 |
$295.50
|
|
Fetal non stress test
|
$391.50 |
$391.50 |
$391.50 |
$478.50
|
|
Fetal shunt placement w/us
|
$296.25 |
$296.25 |
$296.25 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$153.75 |
$153.75 |
$153.75 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$77.25 |
$77.25 |
$77.25 |
$120.64
|
|
Fibrin degradation products
|
$184.50 |
$184.50 |
$184.50 |
$75.02
|
|
Fibrinogen activity
|
$50.25 |
$50.25 |
$50.25 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$72.00 |
$72.00 |
$72.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$84.00 |
$84.00 |
$84.00 |
$72.80
|
|
Fibrinolytic plasminogen
|
$567.75 |
$567.75 |
$567.75 |
$107.50
|
|
Fibrinolytic plasminogen
|
$335.25 |
$335.25 |
$335.25 |
$103.60
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$416.25 |
$416.25 |
$416.25 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$492.48 |
$492.48 |
$492.48 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,964.97 |
$1,964.97 |
$1,964.97 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,504.82 |
$1,504.82 |
$1,504.82 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$8,212.50 |
$8,212.50 |
$8,212.50 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,659.75 |
$4,659.75 |
$4,659.75 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$621.75 |
$621.75 |
$621.75 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$621.75 |
$621.75 |
$621.75 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$168.00 |
$168.00 |
$168.00 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$702.75 |
$702.75 |
$702.75 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$723.00 |
$723.00 |
$723.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$216.75 |
$216.75 |
$216.75 |
$241.50
|
|
Flebogamma injection
|
$3,562.92 |
$3,562.92 |
$3,562.92 |
$3,438.30
|
