|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
$4,048.38
|
|
Exploration maxillary sinus
|
$40,849.12 |
$40,849.12 |
$40,849.12 |
$4,341.97
|
|
Exploration of toe joint
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$1,542.60 |
$1,542.60 |
$1,542.60 |
$1,788.80
|
|
Explore/treat finger joint
|
$6,061.80 |
$6,061.80 |
$6,061.80 |
$3,594.44
|
|
Explore/treat finger joint
|
$3,034.80 |
$3,034.80 |
$3,034.80 |
$2,146.20
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$35,739.59 |
$35,739.59 |
$35,739.59 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$11,212.20 |
$11,212.20 |
$11,212.20 |
$2,734.20
|
|
Extended steel shank
|
$122.00 |
$122.00 |
$122.00 |
$122.00
|
|
Extension per extension per
|
$134.44 |
$134.44 |
$134.44 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$552.00 |
$552.00 |
$552.00 |
$384.15
|
|
External recharg sys intern
|
$2,361.80 |
$2,361.80 |
$2,361.80 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$309.00 |
$309.00 |
$309.00 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$66.60 |
$66.60 |
$66.60 |
$108.60
|
|
Eye implant band 40
|
$3,740.25 |
$3,740.25 |
$3,740.25 |
$6,394.52
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,543.50 |
$4,543.50 |
$4,543.50 |
$4,960.80
|
|
Facial bones <3
|
$297.00 |
$297.00 |
$297.00 |
$252.60
|
|
Facility svs dental rehab
|
$40,074.25 |
$40,074.25 |
$40,074.25 |
$4,558.89
|
|
Factor ix
|
$129.60 |
$129.60 |
$129.60 |
$156.13
|
|
Factor ix recombinant nos
|
$7,516.80 |
$7,516.80 |
$7,516.80 |
$4.65
|
|
Factor viii
|
$153.00 |
$153.00 |
$153.00 |
$133.81
|
|
Factor viii recombinant nos
|
$10,499.34 |
$10,499.34 |
$10,499.34 |
$6.56
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$6.00 |
$6.00 |
$6.00 |
$22.20
|
|
Fancc gene
|
$316.20 |
$316.20 |
$316.20 |
$147.00
|
|
Fat/lipids feces qualitative
|
$49.20 |
$49.20 |
$49.20 |
$38.35
|
|
Fatty acids nonesterified
|
$54.60 |
$54.60 |
$54.60 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,119.49 |
$1,119.49 |
$1,119.49 |
$956.25
|
|
#fecal-sodium
|
$16.20 |
$16.20 |
$16.20 |
$37.50
|
|
Feeding tube reposition
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$532.61
|
|
Felbamate (felbatol(r)) - sendout
|
$58.20 |
$58.20 |
$58.20 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$127.67 |
$127.67 |
$127.67 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$347.46 |
$347.46 |
$347.46 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$6,361.62 |
$6,361.62 |
$6,361.62 |
$2,590.25
|
|
Ferritin
|
$102.60 |
$102.60 |
$102.60 |
$100.94
|
|
Fetal biophys profile w/nst 76818
|
$790.20 |
$790.20 |
$790.20 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$1,592.40 |
$1,592.40 |
$1,592.40 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$1,592.40 |
$1,592.40 |
$1,592.40 |
$1,206.81
|
|
Fetal hemoglobin (kleihauer betke)
|
$130.80 |
$130.80 |
$130.80 |
$105.12
|
|
Fetal hemoglobin rosette
|
$16.20 |
$16.20 |
$16.20 |
$67.20
|
|
Fibrin degradation d dimer quantitative
|
$22.80 |
$22.80 |
$22.80 |
$117.70
|
|
Fibrin degradj d-dimer
|
$57.00 |
$57.00 |
$57.00 |
$111.50
|
|
Fibrinogen activity
|
$27.60 |
$27.60 |
$27.60 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$104.40 |
$104.40 |
$104.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$99.60 |
$99.60 |
$99.60 |
$72.80
|
|
Fibrinolytic plasminogen
|
$121.20 |
$121.20 |
$121.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$90.60 |
$90.60 |
$90.60 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,581.06 |
$1,581.06 |
$1,581.06 |
$595.48
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,185.24 |
$1,185.24 |
$1,185.24 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$39,264.89 |
$39,264.89 |
$39,264.89 |
$7,160.28
|
|
Filter vena cava fem denali
|
$5,434.76 |
$5,434.76 |
$5,434.76 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,615.20 |
$1,615.20 |
$1,615.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$963.00 |
$963.00 |
$963.00 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$6,017.39 |
$6,017.39 |
$6,017.39 |
$4,584.72
|
|
Fixation of knee joint
|
$8,225.64 |
$8,225.64 |
$8,225.64 |
$1,893.86
|
|
Fix g/colon tube w/device
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$84.00 |
$84.00 |
$84.00 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$1,491.60 |
$1,491.60 |
$1,491.60 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$8,433.36 |
$8,433.36 |
$8,433.36 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$407.54 |
$407.54 |
$407.54 |
$187.60
|
|
Flow cytometry marker each additional
|
$95.40 |
$95.40 |
$95.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$565.80 |
$565.80 |
$565.80 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$6,716.17 |
$6,716.17 |
$6,716.17 |
$6,814.14
|
|
Flt3 gene
|
$255.60 |
$255.60 |
$255.60 |
$355.00
|
|
Flt3 gene analysis
|
$183.60 |
$183.60 |
$183.60 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$93.90 |
$93.90 |
$93.90 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$271.44 |
$271.44 |
$271.44 |
$493.35
|
|
Fluidotherapy charges pt
|
$58.80 |
$58.80 |
$58.80 |
$91.00
|
|
Fluid pressure muscle 20950
|
$1,337.40 |
$1,337.40 |
$1,337.40 |
$768.94
|
|
Fluorescent antibody titer dna
|
$234.60 |
$234.60 |
$234.60 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$791.40 |
$791.40 |
$791.40 |
$496.03
|
|
Fluoroguide needle placement
|
$865.80 |
$865.80 |
$865.80 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$562.80 |
$562.80 |
$562.80 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$866.64 |
$866.64 |
$866.64 |
$72.52
|
|
Flurpiridaz f18, diag, 1 mci
|
$41,250.00 |
$41,250.00 |
$41,250.00 |
$1,033.50
|
|
Flutemetamol f18 diagnostic
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$5,215.08
|
|
Fna bx w/ct gdn 1st les
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$2,064.00 |
$2,064.00 |
$2,064.00 |
$833.25
|
|
Folic acid 5 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$54.75
|
|
Follow-up angiography
|
$4,954.80 |
$4,954.80 |
$4,954.80 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$4,448.88 |
$4,448.88 |
$4,448.88 |
$2,581.14
|
|
Fondaparinux sodium
|
$264.00 |
$264.00 |
$264.00 |
$185.12
|
|
Fo nontorsion joint cf
|
$475.72 |
$475.72 |
$475.72 |
$217.50
|
|
Foot arch supp premold metat
|
$111.37 |
$111.37 |
$111.37 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$81.51 |
$81.51 |
$81.51 |
$143.87
|
|
Foot external keel sach foot
|
$482.25 |
$482.25 |
$482.25 |
$482.25
|
|
Foot insert plastazote or eq
|
$382.14 |
$382.14 |
$382.14 |
$365.48
|
|
Foot insert remov molded spe
|
$312.97 |
$312.97 |
$312.97 |
$312.97
|
|
Foot insert silicone gel eac
|
$412.24 |
$412.24 |
$412.24 |
$295.47
|
|
Foot lamin/prepreg composite
|
$289.76 |
$289.76 |
$289.76 |
$289.76
|
|
Foot longitudinal arch suppo
|
$280.20 |
$280.20 |
$280.20 |
$295.47
|
|
Foot longitud/metatarsal sup
|
$280.20 |
$280.20 |
$280.20 |
$221.20
|
|
Foot plas heel stabi pre ots
|
$120.35 |
$120.35 |
$120.35 |
$76.32
|
|
Foot plate molded stirrup at
|
$790.34 |
$790.34 |
$790.34 |
$714.12
|
|
Foot X-ray
|
$295.20 |
$295.20 |
$295.20 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$1,951.58 |
$1,951.58 |
$1,951.58 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$1,406.84 |
$1,406.84 |
$1,406.84 |
$901.60
|
|
Formoterol fumarate, inh
|
$55.80 |
$55.80 |
$55.80 |
$59.40
|
