|
Ext ecg>48hr<7d rev&interpj
|
$130.00 |
$130.00 |
$130.00 |
$57.00
|
|
Ext ecg>48hr<7d scan a/r
|
$481.65 |
$481.65 |
$481.65 |
$241.92
|
|
Ext ecg>7d<15d rev&interpj
|
$157.30 |
$157.30 |
$157.30 |
$57.75
|
|
Ext ecg>7d<15d scan a/r
|
$481.65 |
$481.65 |
$481.65 |
$345.60
|
|
Extended culture of oocytes
|
$910.00 |
$910.00 |
$910.00 |
$892.77
|
|
Extended steel shank
|
$39.47 |
$39.47 |
$39.47 |
$111.44
|
|
Extended visual field xm
|
$385.45 |
$385.45 |
$528.45 |
$162.75
|
|
Extension per extension per
|
$43.47 |
$43.47 |
$43.47 |
$134.44
|
|
Extensive ear canal surgery 69150
|
$3,892.20 |
$3,892.20 |
$3,892.20 |
$5,339.00
|
|
Extensive hand surgery
|
$3,954.60 |
$3,954.60 |
$3,954.60 |
$4,350.00
|
|
Extensive hysterectomy
|
$6,078.80 |
$6,078.80 |
$6,078.80 |
$1,981.34
|
|
Extensive jaw surgery
|
$4,776.20 |
$4,776.20 |
$4,776.20 |
$6,048.05
|
|
Extensive mastoid surgery
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$7,000.36
|
|
Extensive mastoid surgery
|
$5,298.80 |
$5,298.80 |
$5,298.80 |
$7,000.36
|
|
Extensive prostate surgery
|
$6,315.40 |
$6,315.40 |
$6,315.40 |
$1,690.69
|
|
Extensive prostate surgery
|
$5,553.60 |
$5,553.60 |
$5,553.60 |
$2,956.80
|
|
Extensive prostate surgery
|
$5,553.60 |
$5,553.60 |
$5,553.60 |
$1,771.20
|
|
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 surgery of throat
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$7,000.36
|
|
Extensive surgery of throat
|
$4,622.80 |
$4,622.80 |
$4,622.80 |
$6,547.81
|
|
Extensive surgery of throat
|
$8,465.60 |
$8,465.60 |
$8,465.60 |
$2,775.47
|
|
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 |
$3,233.40
|
|
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 ocular photography
|
$131.95 |
$131.95 |
$131.95 |
$86.03
|
|
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
|
|
Extnd color vision xm
|
$221.65 |
$221.65 |
$221.65 |
$105.04
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$80.60 |
$80.60 |
$80.60 |
$109.00
|
|
Extraction erupted tooth/exr
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$1,666.43
|
|
Extraction of lens
|
$3,018.60 |
$3,018.60 |
$3,018.60 |
$4,396.50
|
|
Extraction of lens
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$2,698.92
|
|
Extraction of lens 66920
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$3,737.60
|
|
Extrnl counterpulse, per tx
|
$335.40 |
$335.40 |
$335.40 |
$431.60
|
|
Eye allergy tests
|
$61.10 |
$61.10 |
$61.10 |
$142.80
|
|
Eye photodynamic ther add-on
|
$122.20 |
$122.20 |
$122.20 |
$821.60
|
|
Eye Socket (Orbit) X-ray
|
$477.10 |
$477.10 |
$549.90 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$798.20 |
$798.20 |
$1,161.55 |
$1,707.60
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$798.20 |
$798.20 |
$1,121.25 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$477.10 |
$477.10 |
$843.05 |
$1,318.20
|
|
Eye surgery follow-up add-on
|
$520.00 |
$520.00 |
$520.00 |
$1,914.01
|
|
Eye suture during surgery
|
$839.80 |
$839.80 |
$839.80 |
$1,612.80
|
|
F-18 fdg pet diag
|
$162.50 |
$162.50 |
$162.50 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$3,718.00 |
$4,015.70 |
$4,252.95 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$643.50 |
$6,427.20 |
$6,427.20 |
$1,042.30
|
|
F-18 sodium fluoride
|
$141.05 |
$325.00 |
$325.00 |
$492.56
|
|
Face bone graft
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$2,160.60 |
$2,830.10
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,470.30 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$395.20 |
$395.20 |
$444.60 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$477.10 |
$477.10 |
$544.70 |
$381.75
|
|
Facial nerve function test
|
$111.80 |
$111.80 |
$111.80 |
$368.50
|
|
Factor ix
|
$85.15 |
$85.15 |
$85.15 |
$162.00
|
|
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 |
$145.50
|
|
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
|
|
Fallopian tube recnl
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$3,744.41
|
|
Fam adapt bhv tx gdn phy/qhp
|
$89.05 |
$89.05 |
$89.05 |
$66.40
|
|
Family therapy without pt 50min 90846
|
$313.30 |
$313.30 |
$683.80 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$313.30 |
$313.30 |
$712.40 |
$231.60
|
|
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 |
$34.56
|
|
Fatty acids nonesterified
|
$84.50 |
$84.50 |
$84.50 |
$72.44
|
|
Fda ide #g240020 carry bag
|
$414.38 |
$414.38 |
$414.38 |
$903.05
|
|
Fecal microbiota, live-jslm 150 ml rectal suspension enema
|
$96.43 |
$96.43 |
$96.43 |
$14,956.68
|
|
Fecal microbiota prep instil
|
$2,370.55 |
$2,370.55 |
$2,370.55 |
$1,009.14
|
|
#fecal-sodium
|
$22.10 |
$22.10 |
$22.10 |
$37.50
|
|
Feeding tube reposition
|
$507.00 |
$507.00 |
$507.00 |
$528.82
|
|
Fees w/laryngeal sense test
|
$488.80 |
$488.80 |
$488.80 |
$457.50
|
|
Felbamate (felbatol(r)) - sendout
|
$83.85 |
$83.85 |
$83.85 |
$66.43
|
|
Femoral endovas graft add-on 34813
|
$1,245.40 |
$1,245.40 |
$1,245.40 |
$1,245.40
|
|
Femoral lgth sock fx or equa
|
$65.65 |
$65.65 |
$65.65 |
$126.42
|
|
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 |
$34.45
|
|
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
|
$2.60 |
$164.31 |
$164.31 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$477.10 |
$477.10 |
$750.10 |
$541.74
|
|
Fetal chrmoml microdeltj
|
$3,404.05 |
$3,404.05 |
$3,404.05 |
$869.12
|
|
Fetal chrom aneuploidy gsa panel
|
$3,404.05 |
$3,404.05 |
$3,404.05 |
$1,195.80
|
|
Fetal contract stress test 59020 - 26
|
$171.60 |
$523.25 |
$523.25 |
$477.50
|
|
Fetal cord puncture prenatal
|
$894.40 |
$894.40 |
$894.40 |
$648.90
|
|
Fetal fibronectin
|
$288.60 |
$288.60 |
$288.60 |
$389.95
|
|
Fetal fluid drainage w/us
|
$1,362.40 |
$1,362.40 |
$1,362.40 |
$592.48
|
|
Fetal hemoglobin (kleihauer betke)
|
$34.45 |
$34.45 |
$34.45 |
$101.20
|
|
Fetal hemoglobin rosette
|
$42.25 |
$42.25 |
$42.25 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$86.45 |
$86.45 |
$86.45 |
$67.00
|
|
Fetal monitor w/report
|
$247.00 |
$247.00 |
$247.00 |
$295.50
|
|
Fetal non stress test
|
$523.25 |
$523.25 |
$674.70 |
$478.50
|
