|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,521.75 |
$1,521.75 |
$1,521.75 |
$1,154.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$1,891.50 |
$1,891.50 |
$1,891.50 |
$1,294.80
|
|
Exc neck tum deep 5 cm/>
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$3,163.50 |
$3,163.50 |
$3,163.50 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$3,752.25 |
$3,752.25 |
$3,752.25 |
$3,839.54
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$2,185.50 |
$2,185.50 |
$2,185.50 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$2,444.25 |
$2,444.25 |
$2,444.25 |
$2,171.00
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$4,381.50 |
$4,381.50 |
$4,381.50 |
$3,322.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$2,852.63
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$4,661.25 |
$4,661.25 |
$4,661.25 |
$4,425.20
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$3,293.25 |
$3,293.25 |
$3,293.25 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$1,908.09
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,897.50 |
$1,897.50 |
$1,897.50 |
$3,229.48
|
|
Exc thrombosed hemorrhoid 46320
|
$5,596.50 |
$5,596.50 |
$5,596.50 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$1,880.25 |
$1,880.25 |
$1,880.25 |
$2,776.16
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$2,732.25 |
$2,732.25 |
$2,732.25 |
$2,054.40
|
|
Exercise tst brncspsm w/ecg
|
$337.50 |
$337.50 |
$337.50 |
$324.00
|
|
Exercise w/hemodynamic meas
|
$3,198.75 |
$3,198.75 |
$3,198.75 |
$901.60
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$5,258.00
|
|
Exome sequence analysis
|
$7,002.00 |
$7,002.00 |
$7,002.00 |
$12,000.00
|
|
Ex palate/uvula lesion without closure 42104
|
$3,629.25 |
$3,629.25 |
$3,629.25 |
$3,837.72
|
|
Expander breast 300cc mod hght extra proj smth natrelle
|
$4,848.75 |
$4,848.75 |
$4,848.75 |
$2,421.09
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$7,852.50 |
$7,852.50 |
$7,852.50 |
$4,048.38
|
|
Explore penetrating wnd/extremity 20103
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$1,788.80
|
|
Explore/treat knee joint
|
$4,723.50 |
$4,723.50 |
$4,723.50 |
$4,350.00
|
|
Explore woundchest 20101
|
$2,113.50 |
$2,113.50 |
$2,113.50 |
$2,195.00
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$2,397.75 |
$2,397.75 |
$2,397.75 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$3,845.25 |
$3,845.25 |
$3,845.25 |
$2,896.40
|
|
Ext ecg>48hr<7d scan a/r
|
$238.50 |
$238.50 |
$238.50 |
$241.92
|
|
Ext ecg>7d<15d scan a/r
|
$238.50 |
$238.50 |
$238.50 |
$345.60
|
|
Extended visual field xm
|
$162.75 |
$162.75 |
$162.75 |
$162.75
|
|
External chromosome analysis 20-25 cells
|
$457.50 |
$457.50 |
$457.50 |
$415.01
|
|
External recharg sys intern
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$943.50 |
$943.50 |
$943.50 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$234.00 |
$234.00 |
$234.00 |
$109.00
|
|
Eye implant band 40
|
$356.07 |
$356.07 |
$356.07 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$674.25 |
$674.25 |
$674.25 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,661.25 |
$1,661.25 |
$1,661.25 |
$1,686.75
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,487.25 |
$1,487.25 |
$1,487.25 |
$1,538.95
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$1,400.25 |
$1,400.25 |
$1,400.25 |
$1,316.09
|
|
Ezh2 gene common variants
|
$328.50 |
$328.50 |
$328.50 |
$288.21
|
|
F-18 fdg pet diag
|
$2,773.11 |
$2,773.11 |
$2,773.11 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$5,679.38 |
$5,679.38 |
$5,679.38 |
$5,224.83
|
|
Fabrication & fitting
|
$180.00 |
$180.00 |
$180.00 |
$182.27
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,181.00 |
$2,181.00 |
$2,181.00 |
$2,830.10
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,883.25 |
$1,883.25 |
$1,883.25 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$570.00 |
$570.00 |
$570.00 |
$252.20
|
|
Facial Bones X-ray (complete)
|
$663.00 |
$663.00 |
$663.00 |
$381.75
|
|
Factor ix
|
$254.25 |
$254.25 |
$254.25 |
$160.14
|
|
Factor ix alprolix recomb
|
$38,712.83 |
$38,712.83 |
$38,712.83 |
$9.46
|
|
Factor ix complex
|
$4,991.63 |
$4,991.63 |
$4,991.63 |
$4.68
|
|
Factor ix idelvion inj
|
$36,235.50 |
$36,235.50 |
$36,235.50 |
$14.35
|
|
Factor ix recombinant nos
|
$7,321.05 |
$7,321.05 |
$7,321.05 |
$4.65
|
|
Factor viii
|
$274.50 |
$274.50 |
$274.50 |
$144.30
|
|
Factor viii fc fusion recomb
|
$17,969.85 |
$17,969.85 |
$17,969.85 |
$8.28
|
|
Factor viii pegylated recomb
|
$11.10 |
$11.10 |
$11.10 |
$8.05
|
|
Factor viii recombinant nos
|
$11.10 |
$11.10 |
$11.10 |
$5.20
|
|
Factor viii recomb obizur
|
$5,435.33 |
$5,435.33 |
$5,435.33 |
$7.29
|
|
Factor xiii recomb a-subunit
|
$68.26 |
$68.26 |
$68.26 |
$46.05
|
|
Fallopian tube recnl
|
$3,624.75 |
$3,624.75 |
$3,624.75 |
$3,744.41
|
|
Family therapy without pt 50min 90846
|
$309.75 |
$309.75 |
$309.75 |
$244.07
|
|
Family therapy with patient 50 min 90847
|
$297.00 |
$297.00 |
$297.00 |
$234.60
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$8.88 |
$8.88 |
$8.88 |
$22.20
|
|
Fatty acids nonesterified
|
$121.50 |
$121.50 |
$121.50 |
$68.64
|
|
Fda ide #g240020 carry bag
|
$956.25 |
$956.25 |
$956.25 |
$903.05
|
|
Fecal microbiota prep instil
|
$1,059.00 |
$1,059.00 |
$1,059.00 |
$1,009.14
|
|
#fecal-sodium
|
$97.50 |
$97.50 |
$97.50 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$97.50 |
$97.50 |
$97.50 |
$65.00
|
|
Feno poc
|
$153.75 |
$153.75 |
$153.75 |
$99.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.94 |
$35.94 |
$35.94 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$3,736.68 |
$3,736.68 |
$3,736.68 |
$2,590.25
|
|
Ferritin
|
$242.25 |
$242.25 |
$242.25 |
$102.07
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$4,030.11 |
$4,030.11 |
$4,030.11 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$831.75 |
$831.75 |
$831.75 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$267.75 |
$267.75 |
$267.75 |
$477.50
|
|
Fetal hemoglobin rosette
|
$204.00 |
$204.00 |
$204.00 |
$67.20
|
|
Fetal monitor w/report
|
$295.50 |
$295.50 |
$295.50 |
$295.50
|
|
Fetal non stress test
|
$478.50 |
$478.50 |
$478.50 |
$478.50
|
|
Fetal shunt placement w/us
|
$355.50 |
$355.50 |
$355.50 |
$754.00
|
|
#_fet/norfentcnfrmur
|
$171.00 |
$171.00 |
$171.00 |
$95.68
|
|
Fibrin degradation d dimer quantitative
|
$162.00 |
$162.00 |
$162.00 |
$119.40
|
|
Fibrin degradation products
|
$171.00 |
$171.00 |
$171.00 |
$74.00
|
|
Fibrinogen activity
|
$113.25 |
$113.25 |
$113.25 |
$85.73
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$72.00 |
$72.00 |
$72.00 |
$59.50
|
|
Fibrinolytic antiplasmin
|
$103.50 |
$103.50 |
$103.50 |
$72.80
|
|
Fibrinolytic plasminogen
|
$650.25 |
$650.25 |
$650.25 |
$107.50
|
|
Fibrinolytic plasminogen
|
$373.50 |
$373.50 |
$373.50 |
$95.92
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$544.50 |
$544.50 |
$544.50 |
$65.40
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$492.48 |
$492.48 |
$492.48 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,964.97 |
$1,964.97 |
$1,964.97 |
$1,183.71
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,504.82 |
$1,504.82 |
$1,504.82 |
$891.02
|
|
Filtered speech hearing test
|
$237.00 |
$237.00 |
$237.00 |
$99.32
|
|
Filter spider fx 3mmx320cm
|
$8,212.50 |
$8,212.50 |
$8,212.50 |
$7,257.19
|
|
Filter vena cava fem denali
|
$4,659.75 |
$4,659.75 |
$4,659.75 |
$3,666.24
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$1,219.50 |
$1,219.50 |
$1,219.50 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$688.00
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$226.50 |
$226.50 |
$226.50 |
$306.93
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,165.50 |
$1,165.50 |
$1,165.50 |
$834.00
|
|
Fine needle asp without image guide 10021
|
$642.75 |
$642.75 |
$642.75 |
$501.00
|
