|
Estrogens total-sendout
|
$149.40 |
$149.40 |
$149.40 |
$96.20
|
|
Ethylene glycol -sendout
|
$134.40 |
$134.40 |
$134.40 |
$89.40
|
|
Etoposide 20 mg/ml intravenous solution
|
$319.56 |
$319.56 |
$319.56 |
$235.20
|
|
Eval/fit voice prosthesis iii, st
|
$189.00 |
$189.00 |
$189.00 |
$356.00
|
|
Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen
|
$255.60 |
$255.60 |
$255.60 |
$219.60
|
|
Evaluation heart device
|
$2,199.00 |
$2,199.00 |
$2,199.00 |
$2,368.17
|
|
Evaluation of speech fluency 92521
|
$154.80 |
$154.80 |
$154.80 |
$311.50
|
|
Evoked oa emissions ltd
|
$290.40 |
$290.40 |
$290.40 |
$234.32
|
|
Ewhfo w/joint(s) cf
|
$3,397.45 |
$3,397.45 |
$3,397.45 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$1,959.58 |
$1,959.58 |
$1,959.58 |
$907.92
|
|
Exam of vagina w/scope 57420
|
$505.20 |
$505.20 |
$505.20 |
$486.03
|
|
Ex arm/elbow tum deep 5 cm/>
|
$4,485.60 |
$4,485.60 |
$4,485.60 |
$3,412.80
|
|
Exc arm/elbo les sc <3cm 24075
|
$2,554.80 |
$2,554.80 |
$2,554.80 |
$2,413.45
|
|
Exc back tum deep 5 cm/>
|
$7,927.68 |
$7,927.68 |
$7,927.68 |
$3,805.88
|
|
Exc benign tal 0.5 < cm 11400
|
$518.40 |
$518.40 |
$518.40 |
$827.40
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$1,158.60 |
$1,158.60 |
$1,158.60 |
$1,135.40
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$8,990.58 |
$8,990.58 |
$8,990.58 |
$2,061.19
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$9,874.74 |
$9,874.74 |
$9,874.74 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$2,166.78
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$13,006.44 |
$13,006.44 |
$13,006.44 |
$3,446.50
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$9,874.74 |
$9,874.74 |
$9,874.74 |
$765.50
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$8,296.68 |
$8,296.68 |
$8,296.68 |
$1,247.50
|
|
Exchange biliary drg cath
|
$7,128.00 |
$7,128.00 |
$7,128.00 |
$3,909.56
|
|
Exchange drainage catheter
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$2,205.50
|
|
Exchange nephrostomy cath
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$2,958.80
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$8,380.92 |
$8,380.92 |
$8,380.92 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$7,656.30 |
$7,656.30 |
$7,656.30 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$9,831.54 |
$9,831.54 |
$9,831.54 |
$2,865.00
|
|
Excision of anal lesion(s)
|
$9,977.52 |
$9,977.52 |
$9,977.52 |
$3,786.00
|
|
Excision of penis lesion(s) 54060
|
$11,765.70 |
$11,765.70 |
$11,765.70 |
$2,479.33
|
|
Exc malig feenl 3.1-4.0 11644
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$2,070.30
|
|
Exc malig tal <0.5cm 11600
|
$8,224.20 |
$8,224.20 |
$8,224.20 |
$973.20
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$771.00 |
$771.00 |
$771.00 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$1,191.60 |
$1,191.60 |
$1,191.60 |
$1,131.50
|
|
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
|
$14,605.68 |
$14,605.68 |
$14,605.68 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$6,118.44 |
$6,118.44 |
$6,118.44 |
$1,274.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$12,791.40 |
$12,791.40 |
$12,791.40 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$8,487.66 |
$8,487.66 |
$8,487.66 |
$3,986.00
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$10,319.82 |
$10,319.82 |
$10,319.82 |
$4,014.40
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$22,592.11 |
$22,592.11 |
$22,592.11 |
$1,898.50
|
|
Exc tendon sheath or cap lesion 26160
|
$9,787.08 |
$9,787.08 |
$9,787.08 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$6,134.40 |
$6,134.40 |
$6,134.40 |
$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
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$5,022.60 |
$5,022.60 |
$5,022.60 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$223.20 |
$223.20 |
$223.20 |
$318.50
|
|
Exercise tst brncspsm wo ecg
|
$223.20 |
$223.20 |
$223.20 |
$114.50
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$6,647.39 |
$6,647.39 |
$6,647.39 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$6,903.60 |
$6,903.60 |
$6,903.60 |
$1,944.80
|
|
Exploration of toe joint
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$1,893.86
|
|
Explore penetrating wnd/extremity 20103
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$1,788.80
|
|
Explore/treat finger joint
|
$2,724.00 |
$2,724.00 |
$2,724.00 |
$2,146.20
|
|
Extended steel shank
|
$273.82 |
$273.82 |
$273.82 |
$122.00
|
|
Extension per extension per
|
$279.96 |
$279.96 |
$279.96 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$719.40 |
$719.40 |
$719.40 |
$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
|
$2,744.33 |
$2,744.33 |
$2,744.33 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$802.80 |
$802.80 |
$802.80 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$82.20 |
$82.20 |
$82.20 |
$108.60
|
|
Eye implant band 40
|
$4,346.05 |
$4,346.05 |
$4,346.05 |
$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
|
$238.80 |
$238.80 |
$238.80 |
$252.60
|
|
Facility svs dental rehab
|
$13,513.68 |
$13,513.68 |
$13,513.68 |
$4,558.89
|
|
Factor ix
|
$60.60 |
$60.60 |
$60.60 |
$156.13
|
|
Factor ix recombinant nos
|
$10,440.00 |
$10,440.00 |
$10,440.00 |
$4.65
|
|
Factor viii
|
$84.60 |
$84.60 |
$84.60 |
$133.81
|
|
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
|
$9,574.26 |
$9,574.26 |
$9,574.26 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$17.40 |
$17.40 |
$17.40 |
$38.35
|
|
Fatty acids nonesterified
|
$153.60 |
$153.60 |
$153.60 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,361.71 |
$1,361.71 |
$1,361.71 |
$956.25
|
|
#fecal-sodium
|
$88.80 |
$88.80 |
$88.80 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$286.54 |
$286.54 |
$286.54 |
$126.42
|
|
Fem/popl revasc w/stent
|
$72,024.74 |
$72,024.74 |
$72,024.74 |
$16,843.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$288.78 |
$288.78 |
$288.78 |
$101.40
|
|
Fern test
|
$27.60 |
$27.60 |
$27.60 |
$39.65
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$4,417.80 |
$4,417.80 |
$4,417.80 |
$2,590.25
|
|
Ferritin
|
$90.60 |
$90.60 |
$90.60 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$1,603.56 |
$1,603.56 |
$1,603.56 |
$1,776.61
|
|
Fetal biophys profile w/nst 76818
|
$1,006.80 |
$1,006.80 |
$1,006.80 |
$535.37
|
|
Fetal chrmoml microdeltj
|
$612.60 |
$612.60 |
$612.60 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$609.00 |
$609.00 |
$609.00 |
$1,206.81
|
|
Fetal fibronectin
|
$303.60 |
$303.60 |
$303.60 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$126.60 |
$126.60 |
$126.60 |
$105.12
|
|
Fetal hemoglobin rosette
|
$30.00 |
$30.00 |
$30.00 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$63.00 |
$63.00 |
$63.00 |
$69.60
|
|
Fetal non stress test
|
$140.40 |
$140.40 |
$140.40 |
$463.03
|
|
Fibrin degradation d dimer quantitative
|
$324.00 |
$324.00 |
$324.00 |
$117.70
|
|
Fibrin degradation products
|
$117.00 |
$117.00 |
$117.00 |
$62.64
|
|
Fibrin degrade semiquant
|
$129.00 |
$129.00 |
$129.00 |
$78.09
|
|
Fibrinogen activity
|
$126.60 |
$126.60 |
$126.60 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$99.60 |
$99.60 |
$99.60 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$205.20 |
$205.20 |
$205.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$103.20 |
$103.20 |
$103.20 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$73.20 |
$73.20 |
$73.20 |
$65.00
|
