|
Exp w remove/deep fb/forearm/wrist 25248
|
$1,380.60 |
$1,380.60 |
$1,380.60 |
$3,623.43
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$4,844.45 |
$4,844.45 |
$4,844.45 |
$2,896.40
|
|
Ext ecg>48hr<7d rev&interpj
|
$130.00 |
$130.00 |
$130.00 |
$57.00
|
|
Ext ecg>48hr<7d scan a/r
|
$240.50 |
$240.50 |
$240.50 |
$241.92
|
|
Ext ecg>7d<15d rec scan a/r
|
$143.00 |
$143.00 |
$143.00 |
$789.60
|
|
Ext ecg>7d<15d rev&interpj
|
$157.30 |
$157.30 |
$157.30 |
$63.20
|
|
Ext ecg>7d<15d scan a/r
|
$240.50 |
$240.50 |
$240.50 |
$345.60
|
|
Extended visual field xm
|
$528.45 |
$528.45 |
$528.45 |
$162.75
|
|
Extensive prostate surgery
|
$5,553.60 |
$5,553.60 |
$5,553.60 |
$2,956.80
|
|
Extensive prostate surgery
|
$7,201.35 |
$7,201.35 |
$7,201.35 |
$3,444.80
|
|
Extensive removal of liver
|
$15,464.80 |
$15,464.80 |
$15,464.80 |
$8,414.40
|
|
Extensive testis surgery
|
$3,429.40 |
$3,429.40 |
$3,429.40 |
$4,081.37
|
|
Extensive thyroid surgery
|
$7,389.20 |
$7,389.20 |
$7,389.20 |
$3,705.90
|
|
Extensive vulva surgery
|
$5,683.60 |
$5,683.60 |
$5,683.60 |
$3,468.80
|
|
External cannula declotting
|
$5,805.80 |
$5,805.80 |
$5,805.80 |
$1,838.28
|
|
External chromosome analysis 20-25 cells
|
$648.70 |
$648.70 |
$648.70 |
$415.01
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$109.85 |
$109.85 |
$109.85 |
$63.70
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$644.80 |
$644.80 |
$644.80 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$80.60 |
$80.60 |
$80.60 |
$109.00
|
|
Extraction erupted tooth/exr
|
$195.00 |
$195.00 |
$195.00 |
$1,666.43
|
|
Eye Socket (Orbit) X-ray
|
$549.90 |
$549.90 |
$549.90 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$843.05 |
$843.05 |
$843.05 |
$1,320.00
|
|
F-18 fdg pet diag
|
$162.50 |
$162.50 |
$162.50 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,015.70 |
$4,015.70 |
$4,015.70 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$6,427.20 |
$6,427.20 |
$6,427.20 |
$1,042.30
|
|
F-18 sodium fluoride
|
$325.00 |
$325.00 |
$325.00 |
$492.56
|
|
Face bone graft
|
$3,343.60 |
$3,343.60 |
$3,343.60 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$444.60 |
$444.60 |
$444.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$544.70 |
$544.70 |
$544.70 |
$381.75
|
|
Factor ix
|
$85.15 |
$85.15 |
$85.15 |
$162.50
|
|
Factor ix alprolix recomb
|
$9.46 |
$9.46 |
$9.46 |
$9.46
|
|
Factor ix recombinant nos
|
$4.17 |
$4.17 |
$4.17 |
$4.65
|
|
Factor viii
|
$80.60 |
$80.60 |
$80.60 |
$148.00
|
|
Factor viii fc fusion recomb
|
$6.53 |
$6.53 |
$6.53 |
$8.28
|
|
Factor viii recombinant nos
|
$4.58 |
$4.58 |
$4.58 |
$5.20
|
|
Factor viii recomb obizur
|
$6.90 |
$6.90 |
$6.90 |
$7.29
|
|
Factor xiii recomb a-subunit
|
$46.45 |
$46.45 |
$46.45 |
$46.05
|
|
Fam adapt bhv tx gdn phy/qhp
|
$63.70 |
$63.70 |
$63.70 |
$66.40
|
|
Family therapy without pt 50min 90846
|
$683.80 |
$683.80 |
$683.80 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$712.40 |
$712.40 |
$712.40 |
$236.70
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$1.05 |
$1.05 |
$1.05 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$9,629.78 |
$9,629.78 |
$9,629.78 |
$5,894.50
|
|
Fancc gene
|
$164.45 |
$164.45 |
$164.45 |
$140.00
|
|
Fasciotomy hip/thigh any typ
|
$3,351.40 |
$3,351.40 |
$3,351.40 |
$3,342.87
|
|
Fat/lipids feces qualitative
|
$22.75 |
$22.75 |
$22.75 |
$36.00
|
|
Fatty acids nonesterified
|
$84.50 |
$84.50 |
$84.50 |
$72.15
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$96.43 |
$96.43 |
$96.43 |
$14,956.68
|
|
Fecal microbiota prep instil
|
$383.50 |
$383.50 |
$383.50 |
$1,009.14
|
|
#fecal-sodium
|
$22.10 |
$22.10 |
$22.10 |
$37.53
|
|
Fees w/laryngeal sense test
|
$488.80 |
$488.80 |
$488.80 |
$471.00
|
|
Felbamate (felbatol(r)) - sendout
|
$83.85 |
$83.85 |
$83.85 |
$66.43
|
|
Feno poc
|
$76.70 |
$76.70 |
$76.70 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$5.17 |
$5.17 |
$5.17 |
$101.40
|
|
Fern test
|
$43.55 |
$43.55 |
$43.55 |
$37.03
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$241.22 |
$241.22 |
$241.22 |
$2,590.25
|
|
Ferritin
|
$61.10 |
$61.10 |
$61.10 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$164.31 |
$164.31 |
$164.31 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$750.10 |
$750.10 |
$750.10 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$3,404.05 |
$3,404.05 |
$3,404.05 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$523.25 |
$523.25 |
$523.25 |
$477.50
|
|
Fetal cord puncture prenatal
|
$894.40 |
$894.40 |
$894.40 |
$751.20
|
|
Fetal fibronectin
|
$288.60 |
$288.60 |
$288.60 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$34.45 |
$34.45 |
$34.45 |
$102.00
|
|
Fetal hemoglobin rosette
|
$42.25 |
$42.25 |
$42.25 |
$67.20
|
|
Fetal monitor w/report
|
$247.00 |
$247.00 |
$247.00 |
$295.50
|
|
Fetal non stress test
|
$674.70 |
$674.70 |
$674.70 |
$478.50
|
|
#_fet/norfentcnfrmur
|
$18.20 |
$18.20 |
$18.20 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$45.50 |
$45.50 |
$45.50 |
$120.64
|
|
Fibrin degradation products
|
$31.20 |
$31.20 |
$31.20 |
$75.02
|
|
Fibrinogen activity
|
$43.55 |
$43.55 |
$43.55 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$69.55 |
$69.55 |
$69.55 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$34.45 |
$34.45 |
$34.45 |
$72.80
|
|
Fibrinolytic plasminogen
|
$77.35 |
$77.35 |
$77.35 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$29.25 |
$29.25 |
$29.25 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,024.92 |
$1,024.92 |
$1,024.92 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,561.74 |
$1,561.74 |
$1,561.74 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,284.02 |
$1,284.02 |
$1,284.02 |
$891.02
|
|
Filleted finger/toe flap
|
$2,873.00 |
$2,873.00 |
$2,873.00 |
$2,431.38
|
|
Filter spider fx 3mmx320cm
|
$2,754.70 |
$2,754.70 |
$2,754.70 |
$7,358.16
|
|
Filter vena cava fem denali
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,104.05 |
$2,104.05 |
$2,104.05 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$471.25 |
$471.25 |
$471.25 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$661.05 |
$661.05 |
$661.05 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$612.30 |
$612.30 |
$612.30 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,194.70 |
$1,194.70 |
$1,194.70 |
$504.45
|
|
Finger tendon transfer
|
$2,537.60 |
$2,537.60 |
$2,537.60 |
$3,842.75
|
|
Finger tendon transfer
|
$3,694.60 |
$3,694.60 |
$3,694.60 |
$4,350.00
|
|
Finger X-ray (both hands)
|
$429.00 |
$429.00 |
$429.00 |
$241.50
|
|
Fistula repair transperine 57308
|
$2,753.40 |
$2,753.40 |
$2,753.40 |
$1,245.00
|
|
Fitting of diaphragm/cap 57170
|
$236.60 |
$236.60 |
$236.60 |
$238.06
|
|
Fixation of ankle joint
|
$621.40 |
$621.40 |
$621.40 |
$3,591.33
|
|
Fixation of knee joint
|
$465.40 |
$465.40 |
$465.40 |
$1,963.35
|
|
Fixation of shoulder blade
|
$3,606.20 |
$3,606.20 |
$3,606.20 |
$6,311.00
|
|
Fix g/colon tube w/device
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$2,160.60 |
$2,160.60 |
$2,160.60 |
$4,499.12
|
