|
Exchange drainage catheter
|
$4,667.40 |
$4,667.40 |
$4,667.40 |
$2,205.50
|
|
Exchange lens prosthesis
|
$16,232.92 |
$16,232.92 |
$16,232.92 |
$4,504.00
|
|
Exchange nephrostomy cath
|
$4,370.40 |
$4,370.40 |
$4,370.40 |
$2,958.80
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$10,687.80 |
$10,687.80 |
$10,687.80 |
$3,398.50
|
|
Excise mandible lesion
|
$16,134.78 |
$16,134.78 |
$16,134.78 |
$3,589.62
|
|
Excise parotid gland/lesion
|
$20,281.22 |
$20,281.22 |
$20,281.22 |
$6,553.49
|
|
Excise parotid gland/lesion
|
$26,938.01 |
$26,938.01 |
$33,570.55 |
$7,000.36
|
|
Excise submaxillary gland
|
$16,419.13 |
$16,419.13 |
$16,419.13 |
$6,547.81
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$6,645.30 |
$6,645.30 |
$8,003.64 |
$1,973.12
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$7,965.60 |
$7,965.60 |
$7,965.60 |
$1,012.86
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$7,911.60 |
$7,911.60 |
$14,805.84 |
$2,865.00
|
|
Excision breast lesion
|
$16,952.36 |
$16,952.36 |
$16,952.36 |
$3,749.85
|
|
Excision graft extremity
|
$12,600.60 |
$12,600.60 |
$12,600.60 |
$4,706.99
|
|
Excision lesion mouth roof
|
$15,693.84 |
$15,693.84 |
$15,693.84 |
$3,837.72
|
|
Excision of anal lesion(s)
|
$5,081.16 |
$5,081.16 |
$15,416.69 |
$3,786.00
|
|
Excision of gum lesion 41825
|
$10,853.58 |
$10,853.58 |
$10,853.58 |
$4,007.22
|
|
Excision of neck cyst
|
$18,732.22 |
$18,732.22 |
$18,732.22 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$10,658.82 |
$10,658.82 |
$10,658.82 |
$3,986.00
|
|
Excision of salivary cyst
|
$11,472.84 |
$11,472.84 |
$11,472.84 |
$4,558.89
|
|
Excision of tongue lesion
|
$13,679.40 |
$13,679.40 |
$13,679.40 |
$3,811.00
|
|
Excision olecranon bursa
|
$10,799.09 |
$10,799.09 |
$14,580.90 |
$2,889.60
|
|
Excision tongue lesion without closure 41110
|
$8,728.86 |
$8,728.86 |
$8,728.86 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$9,706.38 |
$9,706.38 |
$11,125.62 |
$3,650.40
|
|
Exc malig feenl 1.1-2 11642
|
$8,231.70 |
$8,231.70 |
$10,141.74 |
$1,082.00
|
|
Exc malig feenl >4cm 11646
|
$9,791.10 |
$9,791.10 |
$9,791.10 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$8,241.60 |
$8,241.60 |
$8,241.60 |
$1,210.30
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$7,318.98 |
$7,318.98 |
$11,760.18 |
$1,917.33
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$10,506.30 |
$10,506.30 |
$10,506.30 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$13,111.67 |
$13,111.67 |
$13,111.67 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$6,259.50 |
$6,259.50 |
$6,259.50 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$8,150.58 |
$8,150.58 |
$17,949.60 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$36,375.88 |
$36,375.88 |
$36,375.88 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$8,028.78 |
$8,028.78 |
$8,028.78 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$50,579.67 |
$50,579.67 |
$50,579.67 |
$3,752.25
|
|
Exc rect tum transanal part
|
$11,532.28 |
$11,532.28 |
$11,532.28 |
$3,245.23
|
|
Exc skn hdrdnt ax complex
|
$24,875.38 |
$24,875.38 |
$24,875.38 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$16,451.16 |
$16,451.16 |
$16,451.16 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$10,506.30 |
$10,506.30 |
$10,506.30 |
$1,274.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$10,043.40 |
$10,043.40 |
$10,043.40 |
$3,370.52
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$7,855.32 |
$7,855.32 |
$15,388.44 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$6,347.64 |
$6,347.64 |
$30,671.82 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$5,473.44 |
$5,473.44 |
$5,473.44 |
$3,986.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$9,216.96 |
$9,216.96 |
$9,216.96 |
$2,557.92
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$7,759.92 |
$7,759.92 |
$7,759.92 |
$3,994.09
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$7,924.80 |
$7,924.80 |
$7,924.80 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$9,575.22 |
$9,575.22 |
$9,575.22 |
$3,994.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$6,436.62 |
$6,436.62 |
$10,428.12 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$9,212.70 |
$9,212.70 |
$9,212.70 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$8,312.04 |
$8,312.04 |
$13,283.70 |
$3,188.10
|
|
Exc thigh/knee tum deep <5cm
|
$9,720.30 |
$9,720.30 |
$9,720.30 |
$3,167.89
|
|
Exc tmr sft tiss shldr subq <3cm
|
$7,460.58 |
$7,460.58 |
$7,460.58 |
$2,448.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$8,357.58 |
$8,357.58 |
$12,640.62 |
$1,917.33
|
|
Ex palate/uvula lesion without closure 42104
|
$13,133.22 |
$13,133.22 |
$13,133.22 |
$3,837.72
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$8,662.62 |
$8,662.62 |
$60,630.93 |
$4,048.38
|
|
Expl lap celiotomy w/wo bx 49000
|
$10,505.82 |
$10,505.82 |
$10,505.82 |
$1,944.80
|
|
Exploration maxillary sinus
|
$34,587.04 |
$34,587.04 |
$34,587.04 |
$5,855.00
|
|
Exploration maxillary sinus
|
$43,454.06 |
$43,454.06 |
$43,454.06 |
$4,341.97
|
|
Exploration of knee joint
|
$19,152.96 |
$19,152.96 |
$19,152.96 |
$3,981.06
|
|
Explore parathyroid glands
|
$21,355.59 |
$21,355.59 |
$23,759.37 |
$6,966.64
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$11,667.04 |
$11,667.04 |
$16,534.45 |
$2,734.20
|
|
Extended steel shank
|
$184.73 |
$184.73 |
$184.73 |
$122.00
|
|
Extension per extension per
|
$203.57 |
$203.57 |
$203.57 |
$143.44
|
|
External chromosome analysis 20-25 cells
|
$330.60 |
$330.60 |
$330.60 |
$384.15
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$55.80 |
$55.80 |
$55.80 |
$61.10
|
|
External recharg sys intern
|
$2,361.80 |
$2,361.80 |
$2,361.80 |
$2,635.20
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$393.00 |
$393.00 |
$393.00 |
$454.20
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$332.40 |
$332.40 |
$332.40 |
$108.60
|
|
Eye implant band 40
|
$3,740.25 |
$3,740.25 |
$3,740.25 |
$6,394.52
|
|
F-18 florbetapir less than or equal to 10 mci
|
$6,000.54 |
$6,000.54 |
$6,000.54 |
$4,960.80
|
|
Facial bones <3
|
$360.60 |
$360.60 |
$360.60 |
$252.60
|
|
Facility svs dental rehab
|
$12,340.92 |
$12,340.92 |
$23,507.16 |
$4,558.89
|
|
Factor ix
|
$104.40 |
$104.40 |
$104.40 |
$156.13
|
|
Factor ix recombinant nos
|
$8,926.20 |
$8,926.20 |
$9,082.80 |
$4.65
|
|
Factor viii
|
$104.40 |
$104.40 |
$104.40 |
$133.81
|
|
Factor viii recombinant nos
|
$12,468.00 |
$12,468.00 |
$12,686.70 |
$6.56
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.50 |
$7.50 |
$22,413.17 |
$22.20
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$14,444.70 |
$14,444.70 |
$15,741.00 |
$5,800.72
|
|
Fat/lipids feces qualitative
|
$19.20 |
$19.20 |
$19.20 |
$38.35
|
|
Fatty acids nonesterified
|
$41.40 |
$41.40 |
$41.40 |
$64.28
|
|
Fda ide #g240020 carry bag
|
$1,695.17 |
$1,695.17 |
$1,695.17 |
$956.25
|
|
#fecal-sodium
|
$13.20 |
$13.20 |
$13.20 |
$37.50
|
|
Felbamate (felbatol(r)) - sendout
|
$48.00 |
$48.00 |
$48.00 |
$65.00
|
|
Femoral lgth sock fx or equa
|
$193.32 |
$193.32 |
$193.32 |
$126.42
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$28,016.27 |
$28,016.27 |
$28,681.71 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$7,554.42 |
$7,554.42 |
$7,686.96 |
$2,590.25
|
|
Ferritin
|
$109.80 |
$109.80 |
$109.80 |
$100.94
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,742.06 |
$2,742.06 |
$2,790.18 |
$1,776.61
|
|
Fetal chrmoml microdeltj
|
$1,504.80 |
$1,504.80 |
$1,504.80 |
$834.96
|
|
Fetal chrom aneuploidy gsa panel
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$1,206.81
|
|
Fetal fibronectin
|
$352.20 |
$352.20 |
$352.20 |
$373.41
|
|
Fetal hemoglobin (kleihauer betke)
|
$186.60 |
$186.60 |
$186.60 |
$105.12
|
|
Fetal hemoglobin rosette
|
$40.20 |
$40.20 |
$40.20 |
$67.20
|
|
Fetal lung maturity assess lam body dnst
|
$138.00 |
$138.00 |
$138.00 |
$69.60
|
|
Fibrin degradation d dimer quantitative
|
$69.60 |
$69.60 |
$69.60 |
$117.70
|
|
Fibrin degradation products
|
$49.80 |
$49.80 |
$49.80 |
$62.64
|
|
Fibrin degrade semiquant
|
$77.40 |
$77.40 |
$77.40 |
$78.09
|
|
Fibrinogen activity
|
$43.20 |
$43.20 |
$43.20 |
$83.50
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$99.60 |
$99.60 |
$99.60 |
$64.05
|
|
Fibrinolytic antiplasmin
|
$99.60 |
$99.60 |
$99.60 |
$72.80
|
