|
Exc snhfg mal+mrg >4 cm 11626
|
$16,372.26 |
$16,372.26 |
$16,372.26 |
$3,370.52
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$18,177.36 |
$18,177.36 |
$18,177.36 |
$4,576.00
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$21,498.99 |
$21,498.99 |
$21,498.99 |
$3,986.00
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$13,245.84 |
$13,245.84 |
$13,245.84 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$16,851.90 |
$16,851.90 |
$16,851.90 |
$3,994.09
|
|
Exc thrombosed hemorrhoid 46320
|
$24,129.81 |
$24,129.81 |
$24,129.81 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$16,354.08 |
$16,354.08 |
$16,354.08 |
$1,917.33
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$9,780.57 |
$9,780.57 |
$9,780.57 |
$4,048.38
|
|
Exploration maxillary sinus
|
$45,011.52 |
$45,011.52 |
$45,011.52 |
$4,341.97
|
|
Exploration of knee joint
|
$64,535.38 |
$64,535.38 |
$64,535.38 |
$3,981.06
|
|
Explore parathyroid glands
|
$60,280.16 |
$60,280.16 |
$60,280.16 |
$6,966.64
|
|
Explore wound neck 20100
|
$19,461.00 |
$19,461.00 |
$19,461.00 |
$1,185.00
|
|
Extended steel shank
|
$476.77 |
$476.77 |
$476.77 |
$122.00
|
|
Extension per extension per
|
$494.96 |
$494.96 |
$494.96 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$581.40 |
$581.40 |
$581.40 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$58.80 |
$58.80 |
$58.80 |
$61.10
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$5,195.40 |
$5,195.40 |
$5,195.40 |
$4,260.30
|
|
External recharg sys intern
|
$7,092.31 |
$7,092.31 |
$7,092.31 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$581.40 |
$581.40 |
$581.40 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$88.80 |
$88.80 |
$88.80 |
$108.60
|
|
Eye implant band 40
|
$6,394.52 |
$6,394.52 |
$6,394.52 |
$6,394.52
|
|
F-18 fdg pet diag
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$551.72
|
|
Facial bones <3
|
$313.20 |
$313.20 |
$313.20 |
$252.60
|
|
Facility svs dental rehab
|
$17,941.34 |
$17,941.34 |
$17,941.34 |
$4,558.89
|
|
Factor ix
|
$222.00 |
$222.00 |
$222.00 |
$156.13
|
|
Factor ix recombinant nos
|
$20,201.40 |
$20,201.40 |
$20,201.40 |
$4.65
|
|
Factor viii
|
$105.00 |
$105.00 |
$105.00 |
$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
|
$100.80 |
$100.80 |
$100.80 |
$38.35
|
|
Fatty acids nonesterified
|
$54.00 |
$54.00 |
$54.00 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$4,121.65 |
$4,121.65 |
$4,121.65 |
$956.25
|
|
#fecal-sodium
|
$52.20 |
$52.20 |
$52.20 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Femoral endovas graft add-on 34813
|
$3,260.40 |
$3,260.40 |
$3,260.40 |
$951.36
|
|
Femoral lgth sock fx or equa
|
$498.92 |
$498.92 |
$498.92 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$900.90 |
$900.90 |
$900.90 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$5,698.98 |
$5,698.98 |
$5,698.98 |
$2,590.25
|
|
Ferritin
|
$142.20 |
$142.20 |
$142.20 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,068.62 |
$2,068.62 |
$2,068.62 |
$1,776.61
|
|
Fetal chrmoml microdeltj
|
$700.80 |
$700.80 |
$700.80 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$745.20 |
$745.20 |
$745.20 |
$1,206.81
|
|
Fetal fibronectin
|
$387.60 |
$387.60 |
$387.60 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$303.00 |
$303.00 |
$303.00 |
$105.12
|
|
Fetal hemoglobin rosette
|
$67.80 |
$67.80 |
$67.80 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$53.40 |
$53.40 |
$53.40 |
$69.60
|
|
Fibrin degradation d dimer quantitative
|
$172.80 |
$172.80 |
$172.80 |
$117.70
|
|
Fibrin degradation products
|
$124.80 |
$124.80 |
$124.80 |
$62.64
|
|
Fibrin degrade semiquant
|
$63.60 |
$63.60 |
$63.60 |
$78.09
|
|
Fibrinogen activity
|
$50.40 |
$50.40 |
$50.40 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$104.40 |
$104.40 |
$104.40 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$67.20 |
$67.20 |
$67.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$265.80 |
$265.80 |
$265.80 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$90.00 |
$90.00 |
$90.00 |
$65.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$4,099.68 |
$4,099.68 |
$4,099.68 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,940.16 |
$1,940.16 |
$1,940.16 |
$1,096.24
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,698.90 |
$1,698.90 |
$1,698.90 |
$869.18
|
|
Filter spider fx 3mmx320cm
|
$30,379.86 |
$30,379.86 |
$30,379.86 |
$7,160.28
|
|
Filter vena cava fem denali
|
$9,291.54 |
$9,291.54 |
$9,291.54 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$543.60 |
$543.60 |
$543.60 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$453.00 |
$453.00 |
$453.00 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$10,287.64 |
$10,287.64 |
$10,287.64 |
$4,584.72
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$69.60 |
$66.43
|
|
Fl exam g/colon tube w contrast
|
$348.60 |
$348.60 |
$348.60 |
$511.92
|
|
Flexible Sigmoidoscopy
|
$4,472.94 |
$4,472.94 |
$4,472.94 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$1,500.45 |
$1,500.45 |
$1,500.45 |
$187.60
|
|
Flow cytometry marker each additional
|
$243.60 |
$243.60 |
$243.60 |
$97.50
|
|
Flow cytometry one marker technical component
|
$473.40 |
$473.40 |
$473.40 |
$284.40
|
|
Floweramniopatch, per sq cm
|
$11,482.30 |
$11,482.30 |
$11,482.30 |
$6,814.14
|
|
Flt3 gene
|
$280.20 |
$280.20 |
$280.20 |
$355.00
|
|
Flt3 gene analysis
|
$208.20 |
$208.20 |
$208.20 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$243.36 |
$243.36 |
$243.36 |
$64.22
|
|
Fluorescent antibody titer dna
|
$53.40 |
$53.40 |
$53.40 |
$122.82
|
|
Fluoroguide for spine inject 77003-26
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$496.03
|
|
Fluoroguide needle placement
|
$1,464.60 |
$1,464.60 |
$1,464.60 |
$510.00
|
|
Fluoro polarize fetal lung
|
$246.00 |
$246.00 |
$246.00 |
$153.92
|
|
Fluoroscopy up to 1 hour
|
$1,024.20 |
$1,024.20 |
$1,024.20 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$118.56 |
$118.56 |
$118.56 |
$94.86
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$91.26 |
$91.26 |
$91.26 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$543.60 |
$543.60 |
$543.60 |
$1,420.80
|
|
Fna bx w/ct gdn ea addl
|
$543.60 |
$543.60 |
$543.60 |
$833.25
|
|
Folic acid
|
$107.40 |
$107.40 |
$107.40 |
$101.50
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$54.75
|
|
Follow-up angiography
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,040.78
|
|
Fomepizole 1 gram/ml intravenous solution
|
$11,536.20 |
$11,536.20 |
$11,536.20 |
$2,581.14
|
|
Fondaparinux sodium
|
$679.80 |
$679.80 |
$679.80 |
$185.12
|
|
Fo nontorsion joint cf
|
$1,751.46 |
$1,751.46 |
$1,751.46 |
$217.50
|
|
Foot arch supp premold metat
|
$435.24 |
$435.24 |
$435.24 |
$70.22
|
|
Foot drp splt w/exp heel lg
|
$318.53 |
$318.53 |
$318.53 |
$143.87
|
|
Foot external keel sach foot
|
$1,775.51 |
$1,775.51 |
$1,775.51 |
$482.25
|
|
Foot insert plastazote or eq
|
$1,406.93 |
$1,406.93 |
$1,406.93 |
$365.48
|
|
Foot insert remov molded spe
|
$1,152.25 |
$1,152.25 |
$1,152.25 |
$312.97
|
|
Foot insert silicone gel eac
|
$1,517.74 |
$1,517.74 |
$1,517.74 |
$295.47
|
|
Foot lamin/prepreg composite
|
$1,066.84 |
$1,066.84 |
$1,066.84 |
$289.76
|
|
Foot plas heel stabi pre ots
|
$470.31 |
$470.31 |
$470.31 |
$76.32
|
|
Foot plate molded stirrup at
|
$2,909.79 |
$2,909.79 |
$2,909.79 |
$714.12
|
|
Foot X-ray
|
$720.00 |
$720.00 |
$720.00 |
$362.40
|
|
Forearm/arm cuffs ext/flex a
|
$5,860.45 |
$5,860.45 |
$5,860.45 |
$580.42
|
|
Forearm/arm cuffs free motio
|
$4,224.65 |
$4,224.65 |
$4,224.65 |
$901.60
|
|
Formoterol fumarate, inh
|
$51.90 |
$51.90 |
$51.90 |
$59.40
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$90.00 |
$90.00 |
$90.00 |
$457.50
|
