|
Evasc rpr a-unilac ndgft 34703
|
$10,136.00 |
$10,136.00 |
$10,136.00 |
$5,608.35
|
|
Evasc rpr ilio-iliac ndgft
|
$10,131.60 |
$10,131.60 |
$10,131.60 |
$7,150.44
|
|
Event monitor
|
$240.80 |
$240.80 |
$240.80 |
$237.60
|
|
Evoked oa emissions ltd
|
$124.40 |
$124.40 |
$124.40 |
$244.00
|
|
Evoked potentials upper limbs
|
$592.80 |
$592.80 |
$592.80 |
$908.54
|
|
Evoked potential visual not glaucoma
|
$765.60 |
$765.60 |
$765.60 |
$812.40
|
|
Ewhfo w/joint(s) cf
|
$734.58 |
$734.58 |
$734.58 |
$1,363.60
|
|
Ewho w/joint(s) cf
|
$449.82 |
$449.82 |
$449.82 |
$830.70
|
|
Exam of vagina w/scope 57420
|
$1,159.20 |
$1,159.20 |
$1,159.20 |
$486.03
|
|
Exam pelvic add-on
|
$83.20 |
$83.20 |
$83.20 |
$41.60
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$807.20 |
$807.20 |
$807.20 |
$1,051.40
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$702.00 |
$702.00 |
$702.00 |
$1,467.00
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$2,121.60
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$702.00 |
$702.00 |
$702.00 |
$1,244.03
|
|
Exchange biliary drg cath
|
$2,121.20 |
$2,121.20 |
$2,121.20 |
$3,797.76
|
|
Exchange drainage catheter
|
$712.80 |
$712.80 |
$712.80 |
$2,191.20
|
|
Exchange nephrostomy cath
|
$6,615.20 |
$6,615.20 |
$6,615.20 |
$2,958.80
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$702.00 |
$702.00 |
$702.00 |
$863.10
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$1,634.80 |
$1,634.80 |
$1,634.80 |
$1,999.20
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$2,641.65
|
|
Exc sacral pr ulc prim sutr
|
$4,688.40 |
$4,688.40 |
$4,688.40 |
$3,386.84
|
|
Exc vagina lesion 57135
|
$1,404.00 |
$1,404.00 |
$1,404.00 |
$4,232.80
|
|
Exercise tst brncspsm w/ecg
|
$494.80 |
$494.80 |
$494.80 |
$324.00
|
|
Exercise w/hemodynamic meas
|
$202.00 |
$202.00 |
$202.00 |
$901.60
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$2,412.90 |
$2,412.90 |
$2,412.90 |
$4,136.83
|
|
Extended visual field xm
|
$122.00 |
$122.00 |
$122.00 |
$162.75
|
|
External chromosome analysis 20-25 cells
|
$175.60 |
$175.60 |
$175.60 |
$403.00
|
|
External ocular photography
|
$56.40 |
$56.40 |
$56.40 |
$86.03
|
|
External recharg sys intern
|
$252.01 |
$252.01 |
$252.01 |
$2,931.16
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$179.20 |
$179.20 |
$179.20 |
$445.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$108.80 |
$108.80 |
$108.80 |
$109.00
|
|
F-18 fdg pet diag
|
$130.01 |
$130.01 |
$130.01 |
$551.72
|
|
F-18 fluciclovine per mci
|
$407.46 |
$407.46 |
$407.46 |
$1,042.30
|
|
F-18 sodium fluoride
|
$166.40 |
$166.40 |
$166.40 |
$492.56
|
|
Facial bones <3
|
$166.80 |
$166.80 |
$166.80 |
$252.60
|
|
Factor ix
|
$59.60 |
$59.60 |
$59.60 |
$154.50
|
|
Factor viii
|
$170.40 |
$170.40 |
$170.40 |
$144.82
|
|
Family therapy without pt 50min 90846
|
$262.00 |
$262.00 |
$262.00 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$225.60 |
$225.60 |
$225.60 |
$230.36
|
|
Fat/lipids feces qualitative
|
$36.00 |
$36.00 |
$36.00 |
$36.00
|
|
Fatty acids nonesterified
|
$52.48 |
$52.48 |
$52.48 |
$64.28
|
|
Fecal microbiota prep instil
|
$340.00 |
$340.00 |
$340.00 |
$1,059.00
|
|
#fecal-sodium
|
$926.40 |
$926.40 |
$926.40 |
$37.50
|
|
Fem/popl revasc w/stent
|
$7,200.00 |
$7,200.00 |
$7,200.00 |
$16,782.48
|
|
Feno poc
|
$99.60 |
$99.60 |
$99.60 |
$99.60
|
|
Ferritin
|
$92.80 |
$92.80 |
$92.80 |
$102.07
|
|
Fetal biophys profile w/nst 76818
|
$596.80 |
$596.80 |
$596.80 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$601.75 |
$601.75 |
$601.75 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$803.60 |
$803.60 |
$803.60 |
$475.50
|
|
Fetal fibronectin
|
$288.40 |
$288.40 |
$288.40 |
$387.60
|
|
Fetal fluid drainage w/us
|
$456.80 |
$456.80 |
$456.80 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$61.20 |
$61.20 |
$61.20 |
$104.00
|
|
Fetal hemoglobin rosette
|
$43.60 |
$43.60 |
$43.60 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$53.20 |
$53.20 |
$53.20 |
$67.00
|
|
Fetal non stress test
|
$798.00 |
$798.00 |
$798.00 |
$478.50
|
|
Fibrin degradation d dimer quantitative
|
$34.40 |
$34.40 |
$34.40 |
$120.05
|
|
Fibrin degradation products
|
$274.00 |
$274.00 |
$274.00 |
$74.25
|
|
Fibrin degrade semiquant
|
$50.40 |
$50.40 |
$50.40 |
$78.80
|
|
Fibrinogen activity
|
$88.80 |
$88.80 |
$88.80 |
$85.86
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$33.20 |
$33.20 |
$33.20 |
$61.02
|
|
Fibrinolytic antiplasmin
|
$85.74 |
$85.74 |
$85.74 |
$72.80
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$56.00 |
$56.00 |
$56.00 |
$66.60
|
|
Filter spider fx 3mmx320cm
|
$8,687.70 |
$8,687.70 |
$8,687.70 |
$7,188.75
|
|
Filter vena cava fem denali
|
$2,236.50 |
$2,236.50 |
$2,236.50 |
$3,816.40
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$699.20 |
$699.20 |
$699.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$699.20 |
$699.20 |
$699.20 |
$694.14
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$366.00 |
$366.00 |
$366.00 |
$280.50
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$699.20 |
$699.20 |
$699.20 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$366.00 |
$366.00 |
$366.00 |
$497.00
|
|
Fix g/colon tube w/device
|
$620.00 |
$620.00 |
$620.00 |
$1,165.45
|
|
Fl exam g/colon tube w contrast
|
$904.40 |
$904.40 |
$904.40 |
$523.95
|
|
Flow cytometry marker each additional
|
$150.40 |
$150.40 |
$150.40 |
$97.50
|
|
Flow cytometry one marker technical component
|
$276.40 |
$276.40 |
$276.40 |
$276.60
|
|
Flt3 gene
|
$399.60 |
$399.60 |
$399.60 |
$355.00
|
|
Flt3 gene analysis
|
$294.00 |
$294.00 |
$294.00 |
$215.20
|
|
Fluidotherapy charges pt
|
$104.40 |
$104.40 |
$104.40 |
$98.40
|
|
Fluorescein angrph mltiframe
|
$267.60 |
$267.60 |
$267.60 |
$336.50
|
|
Fluorescent antibody titer dna
|
$199.20 |
$199.20 |
$199.20 |
$123.65
|
|
Fluoroestradiol f 18
|
$924.42 |
$924.42 |
$924.42 |
$1,591.20
|
|
Fluoroguide for spine inject 77003-26
|
$215.60 |
$215.60 |
$215.60 |
$495.95
|
|
Fluoroguide needle placement
|
$291.60 |
$291.60 |
$291.60 |
$497.20
|
|
Fluoroscopy up to 1 hour
|
$300.80 |
$300.80 |
$300.80 |
$497.40
|
|
Fmri brain by phys/psych
|
$1,064.00 |
$1,064.00 |
$1,064.00 |
$1,560.51
|
|
Fmri brain by tech
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,558.05
|
|
Fna bx w/ct gdn 1st les
|
$699.20 |
$699.20 |
$699.20 |
$1,427.65
|
|
Fna bx w/ct gdn ea addl
|
$699.20 |
$699.20 |
$699.20 |
$834.90
|
|
Fna bx w/mr gdn 1st les
|
$699.20 |
$699.20 |
$699.20 |
$1,294.80
|
|
Fna bx w/mr gdn ea addl
|
$699.20 |
$699.20 |
$699.20 |
$766.70
|
|
Foam drg >16<=48 sq in without b
|
$12.60 |
$12.60 |
$12.60 |
$39.00
|
|
Folic acid
|
$97.20 |
$97.20 |
$97.20 |
$99.96
|
|
Follow-up angiography
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$1,939.14
|
|
Fo nontorsion joint cf
|
$115.50 |
$115.50 |
$115.50 |
$217.50
|
|
Foot arch support remov prem
|
$147.00 |
$147.00 |
$147.00 |
$141.41
|
|
Foot drp splt w/exp heel lg
|
$55.86 |
$55.86 |
$55.86 |
$143.87
|
|
Foot X-ray
|
$183.60 |
$183.60 |
$183.60 |
$352.08
|
|
Forearm/arm cuffs free motio
|
$398.16 |
$398.16 |
$398.16 |
$901.60
|
|
Fracture assessment via dxa
|
$105.20 |
$105.20 |
$105.20 |
$175.50
|
|
_fragile x methylation-sendout
|
$729.20 |
$729.20 |
$729.20 |
$183.74
|
|
Fresh frozen plasma frozen within 8 hours of collection each unit
|
$188.80 |
$188.80 |
$188.80 |
$164.16
|
|
Fresh frozen plasma thawing ea un
|
$160.00 |
$160.00 |
$160.00 |
$130.98
|
