|
Established Patient Office Visit (level 5)
|
$126.00 |
$126.00 |
$126.00 |
$280.33
|
|
Estradiol total
|
$90.60 |
$90.60 |
$90.60 |
$146.50
|
|
Estrogens total-sendout
|
$167.40 |
$167.40 |
$167.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$88.80 |
$88.80 |
$88.80 |
$89.40
|
|
Etonogestrel implant system
|
$1,062.60 |
$1,062.60 |
$1,062.60 |
$2,081.30
|
|
Etoposide 20 mg/ml intravenous solution
|
$150.48 |
$150.48 |
$150.48 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$259.20 |
$259.20 |
$259.20 |
$356.00
|
|
Evaluation of speech fluency 92521
|
$211.80 |
$211.80 |
$211.80 |
$311.50
|
|
Event monitor
|
$234.60 |
$234.60 |
$234.60 |
$242.65
|
|
Evoked potentials auditory screening automated analysis
|
$230.40 |
$230.40 |
$230.40 |
$249.71
|
|
Ewhfo w/joint(s) cf
|
$3,197.44 |
$3,197.44 |
$3,197.44 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,844.21 |
$1,844.21 |
$1,844.21 |
$907.92
|
|
Exam of vagina w/scope 57420
|
$540.00 |
$540.00 |
$540.00 |
$486.03
|
|
Ex arm/elbow tum deep < 5 cm
|
$12,693.66 |
$12,693.66 |
$12,693.66 |
$3,386.84
|
|
Exc abd les sc 3 cm/>
|
$13,133.82 |
$13,133.82 |
$13,133.82 |
$3,796.00
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,554.80 |
$2,554.80 |
$2,554.80 |
$2,413.45
|
|
Exc back les sbq <3 cm 21930
|
$2,554.80 |
$2,554.80 |
$2,554.80 |
$2,676.58
|
|
Exc back tum deep 5 cm/>
|
$15,897.66 |
$15,897.66 |
$15,897.66 |
$3,805.88
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$2,694.60 |
$2,694.60 |
$2,694.60 |
$2,244.20
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$2,247.70
|
|
Exc benign tal 0.5 < cm 11400
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$914.34
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$12,481.38 |
$12,481.38 |
$12,481.38 |
$2,166.78
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$12,819.00 |
$12,819.00 |
$12,819.00 |
$1,247.50
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$612.60 |
$612.60 |
$612.60 |
$973.71
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$10,189.20 |
$10,189.20 |
$10,189.20 |
$3,230.00
|
|
Exc hidradenitis peri/umb int 11470
|
$4,415.40 |
$4,415.40 |
$4,415.40 |
$3,386.84
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$10,832.28 |
$10,832.28 |
$10,832.28 |
$3,398.50
|
|
Exc im tumor/foot/toe < 1.5 cm 28045
|
$10,026.90 |
$10,026.90 |
$10,026.90 |
$3,370.52
|
|
Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946
|
$14,423.02 |
$14,423.02 |
$14,423.02 |
$4,017.60
|
|
Excise pharynx lesion
|
$2,619.60 |
$2,619.60 |
$2,619.60 |
$3,837.72
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$612.60 |
$612.60 |
$612.60 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$10,452.78 |
$10,452.78 |
$10,452.78 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$14,185.50 |
$14,185.50 |
$14,185.50 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$17,230.20 |
$17,230.20 |
$17,230.20 |
$3,786.00
|
|
Excision of tongue lesion
|
$2,619.60 |
$2,619.60 |
$2,619.60 |
$3,811.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$2,554.80 |
$2,554.80 |
$2,554.80 |
$3,650.40
|
|
Excis partial tal calc
|
$14,388.90 |
$14,388.90 |
$14,388.90 |
$3,591.33
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$973.71
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$1,294.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$4,537.80 |
$4,537.80 |
$4,537.80 |
$3,386.84
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$4,590.00 |
$4,590.00 |
$4,590.00 |
$3,386.84
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$14,388.90 |
$14,388.90 |
$14,388.90 |
$3,986.00
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$11,642.22 |
$11,642.22 |
$11,642.22 |
$4,014.40
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$13,189.56 |
$13,189.56 |
$13,189.56 |
$4,529.20
|
|
Exc thigh/knee les sc<3cm 27327
|
$2,554.80 |
$2,554.80 |
$2,554.80 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$1,985.40 |
$1,985.40 |
$1,985.40 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$2,620.20 |
$2,620.20 |
$2,620.20 |
$1,917.33
|
|
Exercise tst brncspsm w/ecg
|
$223.20 |
$223.20 |
$223.20 |
$318.50
|
|
Exercise tst brncspsm wo ecg
|
$112.80 |
$112.80 |
$112.80 |
$114.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,256.03 |
$6,256.03 |
$6,256.03 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$6,903.60 |
$6,903.60 |
$6,903.60 |
$1,944.80
|
|
Exploration of foot joint
|
$14,584.32 |
$14,584.32 |
$14,584.32 |
$3,832.27
|
|
Exploration of toe joint
|
$2,769.60 |
$2,769.60 |
$2,769.60 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$1,788.80
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,554.80 |
$2,554.80 |
$2,554.80 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$2,734.20 |
$2,734.20 |
$2,734.20 |
$2,734.20
|
|
Extended steel shank
|
$133.42 |
$133.42 |
$133.42 |
$122.00
|
|
Extension per extension per
|
$147.02 |
$147.02 |
$147.02 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$55.80 |
$55.80 |
$55.80 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$3,089.40 |
$3,089.40 |
$3,089.40 |
$4,260.30
|
|
External recharg sys intern
|
$2,582.77 |
$2,582.77 |
$2,582.77 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$532.20 |
$532.20 |
$532.20 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$121.80 |
$121.80 |
$121.80 |
$108.60
|
|
Eye implant band 40
|
$4,090.18 |
$4,090.18 |
$4,090.18 |
$6,394.52
|
|
F-18 fdg pet diag
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$551.72
|
|
F9 full gene sequence
|
$992.40 |
$992.40 |
$992.40 |
$1,200.00
|
|
Facial bones <3
|
$147.00 |
$147.00 |
$147.00 |
$252.60
|
|
Factor ix
|
$30.00 |
$30.00 |
$30.00 |
$156.13
|
|
Factor viii
|
$140.40 |
$140.40 |
$140.40 |
$133.81
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$22.20
|
|
Fat/lipids feces qualitative
|
$34.80 |
$34.80 |
$34.80 |
$38.35
|
|
Fatty acids nonesterified
|
$78.60 |
$78.60 |
$78.60 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,224.23 |
$1,224.23 |
$1,224.23 |
$956.25
|
|
#fecal-sodium
|
$25.80 |
$25.80 |
$25.80 |
$37.50
|
|
Feeding tube reposition
|
$600.60 |
$600.60 |
$600.60 |
$532.61
|
|
Felbamate (felbatol(r)) - sendout
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$139.61 |
$139.61 |
$139.61 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$101.40
|
|
Fern test
|
$27.60 |
$27.60 |
$27.60 |
$39.65
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,507.78 |
$3,507.78 |
$3,507.78 |
$2,590.25
|
|
Ferritin
|
$82.80 |
$82.80 |
$82.80 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,273.26 |
$1,273.26 |
$1,273.26 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$696.60 |
$696.60 |
$696.60 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$501.60 |
$501.60 |
$501.60 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$498.00 |
$498.00 |
$498.00 |
$1,206.81
|
|
Fetal fibronectin
|
$406.20 |
$406.20 |
$406.20 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$50.40 |
$50.40 |
$50.40 |
$105.12
|
|
Fetal hemoglobin rosette
|
$160.20 |
$160.20 |
$160.20 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$69.60 |
$69.60 |
$69.60 |
$69.60
|
|
Fetal non stress test
|
$140.40 |
$140.40 |
$140.40 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$52.80 |
$52.80 |
$52.80 |
$117.70
|
|
Fibrin degradation products
|
$45.00 |
$45.00 |
$45.00 |
$62.64
|
|
Fibrin degrade semiquant
|
$70.80 |
$70.80 |
$70.80 |
$78.09
|
|
Fibrinogen activity
|
$55.20 |
$55.20 |
$55.20 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$99.60 |
$99.60 |
$99.60 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$238.20 |
$238.20 |
$238.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$87.00 |
$87.00 |
$87.00 |
$107.50
|
