|
Excision breast lesion
|
$16,364.14 |
$16,364.14 |
$16,364.14 |
$3,749.85
|
|
Excision olecranon bursa
|
$14,215.56 |
$14,215.56 |
$14,215.56 |
$3,520.67
|
|
Excision tongue lesion without closure 41110
|
$5,329.80 |
$5,329.80 |
$5,329.80 |
$3,592.74
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$12,238.38 |
$12,238.38 |
$12,238.38 |
$3,650.40
|
|
Excis partial tal calc
|
$34,116.88 |
$34,116.88 |
$34,116.88 |
$3,545.97
|
|
Exc leg/ankle tum subfasc<5cm 27619
|
$34,116.88 |
$34,116.88 |
$34,116.88 |
$3,127.88
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$11,548.56 |
$11,548.56 |
$11,548.56 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$5,713.92 |
$5,713.92 |
$5,713.92 |
$1,131.50
|
|
Exc neck tum deep < 5 cm
|
$12,731.56 |
$12,731.56 |
$12,731.56 |
$3,501.81
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$6,962.70 |
$6,962.70 |
$6,962.70 |
$3,386.84
|
|
Exc rect tum transanal part
|
$11,368.77 |
$11,368.77 |
$11,368.77 |
$3,055.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$8,157.12 |
$8,157.12 |
$8,157.12 |
$2,877.00
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$9,854.94 |
$9,854.94 |
$9,854.94 |
$3,986.00
|
|
Exc tendon sheath or cap lesion 26160
|
$8,234.34 |
$8,234.34 |
$8,234.34 |
$2,650.53
|
|
Exc thrombosed hemorrhoid 46320
|
$9,388.17 |
$9,388.17 |
$9,388.17 |
$2,099.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$8,583.48 |
$8,583.48 |
$8,583.48 |
$1,917.33
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,494.48 |
$6,494.48 |
$6,494.48 |
$4,135.20
|
|
Exploration maxillary sinus
|
$20,164.43 |
$20,164.43 |
$20,164.43 |
$4,326.00
|
|
Exploration of spinal fusion
|
$49,532.58 |
$49,532.58 |
$49,532.58 |
$1,975.20
|
|
Explore parathyroid glands
|
$22,654.34 |
$22,654.34 |
$22,654.34 |
$6,804.50
|
|
Explore penetrating wnd/extremity 20103
|
$7,844.94 |
$7,844.94 |
$7,844.94 |
$1,788.80
|
|
Extended steel shank
|
$138.50 |
$138.50 |
$138.50 |
$122.00
|
|
Extension per extension per
|
$152.62 |
$152.62 |
$152.62 |
$149.99
|
|
External chromosome analysis 20-25 cells
|
$520.80 |
$520.80 |
$520.80 |
$376.35
|
|
External recharg sys intern
|
$2,681.21 |
$2,681.21 |
$2,681.21 |
$2,475.00
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$559.20 |
$559.20 |
$559.20 |
$438.00
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$150.00 |
$150.00 |
$150.00 |
$105.06
|
|
Eye implant band 40
|
$4,246.08 |
$4,246.08 |
$4,246.08 |
$5,641.12
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,800.00 |
$4,800.00 |
$4,800.00 |
$4,960.80
|
|
Facial bones <3
|
$252.60 |
$252.60 |
$252.60 |
$252.60
|
|
Facility svs dental rehab
|
$8,367.79 |
$8,367.79 |
$8,367.79 |
$4,558.89
|
|
Factor ix
|
$129.00 |
$129.00 |
$129.00 |
$144.00
|
|
Factor viii
|
$128.40 |
$128.40 |
$128.40 |
$135.36
|
|
Factor viii recombinant nos
|
$21,873.60 |
$21,873.60 |
$21,873.60 |
$6.56
|
|
Fallopian tube recnl
|
$5,007.60 |
$5,007.60 |
$5,007.60 |
$3,624.75
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$9.00 |
$9.00 |
$9.00 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$8,574.24 |
$8,574.24 |
$8,574.24 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$93.00 |
$93.00 |
$93.00 |
$34.50
|
|
Fatty acids nonesterified
|
$63.60 |
$63.60 |
$63.60 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,270.89 |
$1,270.89 |
$1,270.89 |
$956.25
|
|
#fecal-sodium
|
$99.60 |
$99.60 |
$99.60 |
$37.50
|
|
Feeding tube reposition
|
$466.20 |
$466.20 |
$466.20 |
$492.00
|
|
Felbamate (felbatol(r)) - sendout
|
$48.00 |
$48.00 |
$48.00 |
$58.20
|
|
Femoral lgth sock fx or equa
|
$144.94 |
$144.94 |
$144.94 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$314.16 |
$314.16 |
$314.16 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4,108.56 |
$4,108.56 |
$4,108.56 |
$2,511.19
|
|
Ferritin
|
$238.80 |
$238.80 |
$238.80 |
$97.20
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,491.30 |
$1,491.30 |
$1,491.30 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$69.00 |
$69.00 |
$69.00 |
$535.50
|
|
Fetal chrmoml microdeltj
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$606.60 |
$606.60 |
$606.60 |
$1,122.87
|
|
Fetal fibronectin
|
$243.60 |
$243.60 |
$243.60 |
$352.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$286.20 |
$286.20 |
$286.20 |
$100.00
|
|
Fetal hemoglobin rosette
|
$63.00 |
$63.00 |
$63.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$53.40 |
$53.40 |
$53.40 |
$69.60
|
|
Fibrin degradation d dimer quantitative
|
$91.80 |
$91.80 |
$91.80 |
$112.89
|
|
Fibrin degradation products
|
$52.80 |
$52.80 |
$52.80 |
$58.85
|
|
Fibrin degrade semiquant
|
$63.60 |
$63.60 |
$63.60 |
$77.40
|
|
Fibrinogen activity
|
$150.60 |
$150.60 |
$150.60 |
$82.56
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$104.40 |
$104.40 |
$104.40 |
$63.94
|
|
Fibrinolytic antiplasmin
|
$104.40 |
$104.40 |
$104.40 |
$70.20
|
|
Fibrinolytic plasminogen
|
$126.60 |
$126.60 |
$126.60 |
$105.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,429.68 |
$1,429.68 |
$1,429.68 |
$615.02
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,398.72 |
$1,398.72 |
$1,398.72 |
$1,208.71
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,224.78 |
$1,224.78 |
$1,224.78 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$44,575.09 |
$44,575.09 |
$44,575.09 |
$6,878.20
|
|
Filter vena cava fem denali
|
$6,169.76 |
$6,169.76 |
$6,169.76 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$802.20 |
$802.20 |
$802.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$802.20 |
$802.20 |
$802.20 |
$685.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$763.20 |
$763.20 |
$763.20 |
$824.50
|
|
Fine needle asp without image guide 10021
|
$433.20 |
$433.20 |
$433.20 |
$503.76
|
|
Finger joint sz00 swanson w/grommets
|
$6,831.18 |
$6,831.18 |
$6,831.18 |
$4,584.72
|
|
Fixation of knee joint
|
$5,322.00 |
$5,322.00 |
$5,322.00 |
$1,893.86
|
|
Fix g/colon tube w/device
|
$735.00 |
$735.00 |
$735.00 |
$1,183.00
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$8,346.24 |
$8,346.24 |
$8,346.24 |
$4,192.86
|
|
Flecainide (tambocor)-sendout
|
$69.60 |
$69.60 |
$69.60 |
$65.65
|
|
Fl exam g/colon tube w contrast
|
$1,675.80 |
$1,675.80 |
$1,675.80 |
$522.75
|
|
Flexible Sigmoidoscopy
|
$10,850.16 |
$10,850.16 |
$10,850.16 |
$1,284.13
|
|
Flex thermoplastic collar mo
|
$462.66 |
$462.66 |
$462.66 |
$187.60
|
|
Flow cytometry marker each additional
|
$75.60 |
$75.60 |
$75.60 |
$98.40
|
|
Flow cytometry one marker technical component
|
$477.60 |
$477.60 |
$477.60 |
$270.75
|
|
Floweramniopatch, per sq cm
|
$7,624.46 |
$7,624.46 |
$7,624.46 |
$6,814.14
|
|
Flt3 gene
|
$274.80 |
$274.80 |
$274.80 |
$355.00
|
|
Flt3 gene analysis
|
$152.40 |
$152.40 |
$152.40 |
$213.92
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$84.90 |
$84.90 |
$84.90 |
$70.32
|
|
Fluidotherapy charges pt
|
$285.60 |
$285.60 |
$285.60 |
$95.00
|
|
Fluorescent antibody titer dna
|
$78.60 |
$78.60 |
$78.60 |
$123.00
|
|
Fluoroguide for spine inject 77003-26
|
$2,118.60 |
$2,118.60 |
$2,118.60 |
$504.46
|
|
Fluoroguide needle placement
|
$527.40 |
$527.40 |
$527.40 |
$502.04
|
|
Fluoro polarize fetal lung
|
$222.00 |
$222.00 |
$222.00 |
$127.20
|
|
Fluoroscopy up to 1 hour
|
$672.00 |
$672.00 |
$672.00 |
$489.84
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$97.47
|
|
Fluphenazine decanoate 25 mg/ml injection solution
|
$39.24 |
$39.24 |
$39.24 |
$72.52
|
|
Fna bx w/ct gdn 1st les
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$1,427.65
|
|
Folic acid
|
$205.80 |
$205.80 |
$205.80 |
$95.45
|
|
Folic acid 5 mg/ml injection solution
|
$9.00 |
$9.00 |
$9.00 |
$48.78
|
|
Follow-up angiography
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$1,939.14
|
|
Fomepizole 1 gram/ml intravenous solution
|
$1,891.86 |
$1,891.86 |
$1,891.86 |
$2,581.14
|
|
Fondaparinux sodium
|
$225.66 |
$225.66 |
$225.66 |
$186.20
|
|
Fo nontorsion joint cf
|
$540.05 |
$540.05 |
$540.05 |
$217.50
|
