|
Evoked potential visual not glaucoma
|
$1,172.25 |
$1,172.25 |
$1,172.25 |
$917.20
|
|
Evok oa screening qual
|
$286.50 |
$286.50 |
$286.50 |
$120.90
|
|
Exam of vagina w/scope 57420
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$535.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$1,880.25 |
$1,880.25 |
$1,880.25 |
$2,271.01
|
|
Exc back les sbq <3 cm 21930
|
$2,531.25 |
$2,531.25 |
$2,531.25 |
$2,531.25
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$3,069.75 |
$3,069.75 |
$3,069.75 |
$2,184.60
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$2,306.25 |
$2,306.25 |
$2,306.25 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$813.63
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,447.50 |
$1,447.50 |
$1,447.50 |
$973.71
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,319.75 |
$2,319.75 |
$2,319.75 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$1,989.75 |
$1,989.75 |
$1,989.75 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,967.25 |
$1,967.25 |
$1,967.25 |
$1,980.10
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$3,483.00 |
$3,483.00 |
$3,483.00 |
$3,335.67
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$2,131.50 |
$2,131.50 |
$2,131.50 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$1,343.00
|
|
Exc face tum deep 2cm/> 21014
|
$6,184.50 |
$6,184.50 |
$6,184.50 |
$3,127.88
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$2,101.45
|
|
Exc forearm les sc 3 cm/>
|
$3,778.50 |
$3,778.50 |
$3,778.50 |
$2,271.01
|
|
Exc hand les sc < 1.5 cm
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,620.24
|
|
Exchange biliary drg cath
|
$2,959.50 |
$2,959.50 |
$2,959.50 |
$4,143.00
|
|
Exchange drainage catheter
|
$2,774.25 |
$2,774.25 |
$2,774.25 |
$2,256.80
|
|
Exchange nephrostomy cath
|
$2,515.50 |
$2,515.50 |
$2,515.50 |
$2,752.00
|
|
Exc hidradenitis peri/umb int 11470
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$3,285.96
|
|
Exc im tumor/shoulder area 5cm/> 23073
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$3,411.20
|
|
Excise anal ext tag/papilla
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,645.43
|
|
Excise lip or cheek fold
|
$2,247.75 |
$2,247.75 |
$2,247.75 |
$1,763.60
|
|
Excise/repair mouth lesion
|
$3,501.00 |
$3,501.00 |
$3,501.00 |
$1,903.93
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,447.50 |
$1,447.50 |
$1,447.50 |
$765.00
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$2,064.75 |
$2,064.75 |
$2,064.75 |
$2,039.05
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$1,520.25 |
$1,520.25 |
$1,520.25 |
$1,074.00
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$3,723.75 |
$3,723.75 |
$3,723.75 |
$3,159.65
|
|
Excision lesion mouth roof
|
$3,600.75 |
$3,600.75 |
$3,600.75 |
$3,276.00
|
|
Excision of anal lesion(s)
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$3,190.50
|
|
Excision of penis lesion(s) 54060
|
$2,371.50 |
$2,371.50 |
$2,371.50 |
$2,371.50
|
|
Excision of tongue lesion
|
$3,732.00 |
$3,732.00 |
$3,732.00 |
$2,583.98
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$3,255.75 |
$3,255.75 |
$3,255.75 |
$3,255.75
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$3,401.25 |
$3,401.25 |
$3,401.25 |
$2,591.37
|
|
Exc malig feenl 1.1-2 11642
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$1,322.10
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$2,306.25 |
$2,306.25 |
$2,306.25 |
$1,855.89
|
|
Exc malig tal <0.5cm 11600
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
$845.00
|
|
Exc malig tal 0.6-1.0cm 11601
|
$1,407.75 |
$1,407.75 |
$1,407.75 |
$823.68
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$2,151.75 |
$2,151.75 |
$2,151.75 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,521.75 |
$1,521.75 |
$1,521.75 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$1,322.10
|
|
Exc neck tum deep 5 cm/>
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$3,285.96
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,163.50 |
$3,163.50 |
$3,163.50 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$3,752.25 |
$3,752.25 |
$3,752.25 |
$3,122.93
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,444.25 |
$2,444.25 |
$2,444.25 |
$2,171.00
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$4,381.50 |
$4,381.50 |
$4,381.50 |
$3,885.60
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$2,473.60
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$4,661.25 |
$4,661.25 |
$4,661.25 |
$3,591.03
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$3,293.25 |
$3,293.25 |
$3,293.25 |
$3,293.25
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,793.38
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$2,369.60
|
|
Exc thrombosed hemorrhoid 46320
|
$5,596.50 |
$5,596.50 |
$5,596.50 |
$2,563.73
|
|
Exc tmr sft tiss shldr subq <3cm
|
$1,880.25 |
$1,880.25 |
$1,880.25 |
$2,271.01
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$2,732.25 |
$2,732.25 |
$2,732.25 |
$1,908.09
|
|
Exercise tst brncspsm w/ecg
|
$337.50 |
$337.50 |
$337.50 |
$337.50
|
|
Exercise w/hemodynamic meas
|
$3,198.75 |
$3,198.75 |
$3,198.75 |
$1,311.85
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$4,912.50
|
|
Ex palate/uvula lesion without closure 42104
|
$3,629.25 |
$3,629.25 |
$3,629.25 |
$3,629.25
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,848.75 |
$4,848.75 |
$4,848.75 |
$4,848.75
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$7,852.50 |
$7,852.50 |
$7,852.50 |
$7,852.50
|
|
Explore penetrating wnd/extremity 20103
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$2,014.54
|
|
Explore/treat knee joint
|
$4,723.50 |
$4,723.50 |
$4,723.50 |
$3,743.15
|
|
Explore woundchest 20101
|
$2,113.50 |
$2,113.50 |
$2,113.50 |
$2,113.50
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,397.75 |
$2,397.75 |
$2,397.75 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$3,845.25 |
$3,845.25 |
$3,845.25 |
$2,678.76
|
|
Ext ecg>48hr<7d scan a/r
|
$238.50 |
$238.50 |
$238.50 |
$238.50
|
|
Ext ecg>7d<15d scan a/r
|
$238.50 |
$238.50 |
$238.50 |
$240.50
|
|
Extended visual field xm
|
$162.75 |
$162.75 |
$162.75 |
$182.95
|
|
External chromosome analysis 20-25 cells
|
$457.50 |
$457.50 |
$457.50 |
$514.10
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$943.50 |
$943.50 |
$943.50 |
$643.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$234.00 |
$234.00 |
$234.00 |
$100.20
|
|
Eye implant band 40
|
$356.07 |
$356.07 |
$356.07 |
$356.07
|
|
F-18 fdg pet diag
|
$2,773.11 |
$2,773.11 |
$2,773.11 |
$750.58
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,679.38 |
$5,679.38 |
$5,679.38 |
$5,224.83
|
|
Facial bones <3
|
$570.00 |
$570.00 |
$570.00 |
$241.75
|
|
Factor ix
|
$254.25 |
$254.25 |
$254.25 |
$150.60
|
|
Factor ix alprolix recomb
|
$38,712.83 |
$38,712.83 |
$38,712.83 |
$38,712.83
|
|
Factor ix complex
|
$4,991.63 |
$4,991.63 |
$4,991.63 |
$4,991.63
|
|
Factor ix idelvion inj
|
$36,235.50 |
$36,235.50 |
$36,235.50 |
$36,235.50
|
|
Factor ix recombinant nos
|
$7,321.05 |
$7,321.05 |
$7,321.05 |
$7,321.05
|
|
Factor viii
|
$274.50 |
$274.50 |
$274.50 |
$152.50
|
|
Factor viii fc fusion recomb
|
$17,969.85 |
$17,969.85 |
$17,969.85 |
$17,969.85
|
|
Factor viii pegylated recomb
|
$11.10 |
$11.10 |
$11.10 |
$11.10
|
|
Factor viii recombinant nos
|
$11.10 |
$11.10 |
$11.10 |
$11.10
|
|
Factor viii recomb obizur
|
$5,435.33 |
$5,435.33 |
$5,435.33 |
$5,435.33
|
|
Factor xiii recomb a-subunit
|
$68.26 |
$68.26 |
$68.26 |
$68.26
|
|
Fallopian tube recnl
|
$3,624.75 |
$3,624.75 |
$3,624.75 |
$2,720.00
|
|
Family therapy without pt 50min 90846
|
$309.75 |
$309.75 |
$309.75 |
$233.85
|
|
Family therapy with patient 50 min 90847
|
$297.00 |
$297.00 |
$297.00 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.88 |
$8.88 |
$8.88 |
$0.40
|
|
Fatty acids nonesterified
|
$121.50 |
$121.50 |
$121.50 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$956.25 |
$956.25 |
$956.25 |
$956.25
|
|
Fecal microbiota prep instil
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,059.00
|
|
#fecal-sodium
|
$97.50 |
$97.50 |
$97.50 |
$42.00
|