|
Evoked potentials upper limbs
|
$754.00 |
$754.00 |
$754.00 |
$903.00
|
|
Evoked potential visual not glaucoma
|
$1,188.20 |
$1,188.20 |
$1,188.20 |
$852.80
|
|
Exam of vagina w/scope 57420
|
$4,917.46 |
$4,917.46 |
$4,917.46 |
$486.03
|
|
Exam plvc w/anes othr thn lcl
|
$5,654.66 |
$5,654.66 |
$5,654.66 |
$2,498.48
|
|
Exc abd tum over 10 cm 49205
|
$14,488.79 |
$14,488.79 |
$14,488.79 |
$825.60
|
|
Exc back les sbq <3 cm 21930
|
$915.85 |
$915.85 |
$915.85 |
$2,271.01
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$2,936.70 |
$2,936.70 |
$2,936.70 |
$828.59
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$1,225.25 |
$1,225.25 |
$1,225.25 |
$779.35
|
|
Exc ext ear/partial/simple repair 69110
|
$5,082.55 |
$5,082.55 |
$5,082.55 |
$3,167.89
|
|
Exchange biliary drg cath
|
$4,845.09 |
$4,845.09 |
$4,845.09 |
$4,143.00
|
|
Exchange blood transfusion newborn 36450
|
$1,168.05 |
$1,168.05 |
$1,168.05 |
$485.65
|
|
Exchange drainage catheter
|
$3,150.81 |
$3,150.81 |
$3,150.81 |
$2,178.16
|
|
Exchange nephrostomy cath
|
$3,638.69 |
$3,638.69 |
$3,638.69 |
$2,752.00
|
|
Excise anal ext tag/papilla
|
$3,654.90 |
$3,654.90 |
$3,654.90 |
$1,388.56
|
|
Excise inferior turbinate
|
$10,938.13 |
$10,938.13 |
$10,938.13 |
$2,258.30
|
|
Excise intrspinl lesion lmbr
|
$16,174.68 |
$16,174.68 |
$16,174.68 |
$5,057.00
|
|
Excise lesion testis
|
$7,399.45 |
$7,399.45 |
$7,399.45 |
$2,715.20
|
|
Excise lip or cheek fold
|
$3,380.72 |
$3,380.72 |
$3,380.72 |
$1,640.99
|
|
Excise parotid gland/lesion
|
$8,566.79 |
$8,566.79 |
$8,566.79 |
$6,465.11
|
|
Excise parotid gland/lesion
|
$11,225.69 |
$11,225.69 |
$11,225.69 |
$6,465.11
|
|
Excise/repair mouth lesion
|
$3,443.54 |
$3,443.54 |
$3,443.54 |
$1,903.93
|
|
Excise submaxillary gland
|
$12,080.18 |
$12,080.18 |
$12,080.18 |
$5,244.99
|
|
Excision floor mouth lesion 41116
|
$4,554.40 |
$4,554.40 |
$4,554.40 |
$3,589.62
|
|
Excision lesion mouth roof
|
$5,639.33 |
$5,639.33 |
$5,639.33 |
$3,276.00
|
|
Excision of anal lesion(s)
|
$4,324.48 |
$4,324.48 |
$4,324.48 |
$3,190.50
|
|
Excision of neck cyst confined 42810
|
$4,807.04 |
$4,807.04 |
$4,807.04 |
$3,497.38
|
|
Excision of penis lesion(s) 54060
|
$4,297.21 |
$4,297.21 |
$4,297.21 |
$2,371.50
|
|
Excision of salivary cyst
|
$6,491.76 |
$6,491.76 |
$6,491.76 |
$3,589.62
|
|
Excision of vaginal septum 57130
|
$7,253.79 |
$7,253.79 |
$7,253.79 |
$3,578.75
|
|
Excision tongue lesion without closure 41110
|
$5,476.93 |
$5,476.93 |
$5,476.93 |
$3,544.29
|
|
Exc of rectal prlpse 45130
|
$12,770.00 |
$12,770.00 |
$12,770.00 |
$2,701.60
|
|
Exc prtl bn phlnx toe
|
$10,783.50 |
$10,783.50 |
$10,783.50 |
$3,122.93
|
|
Exc rect tum transanal full
|
$9,374.28 |
$9,374.28 |
$9,374.28 |
$3,038.07
|
|
Exc rect tum transanal part
|
$5,589.76 |
$5,589.76 |
$5,589.76 |
$2,594.40
|
|
Exc thrombosed hemorrhoid 46320
|
$5,462.94 |
$5,462.94 |
$5,462.94 |
$2,481.60
|
|
Exc vagina lesion 57135
|
$12,664.18 |
$12,664.18 |
$12,664.18 |
$3,783.19
|
|
Exercise w/hemodynamic meas
|
$590.20 |
$590.20 |
$590.20 |
$1,117.00
|
|
Ex palate/uvula lesion without closure 42104
|
$3,578.41 |
$3,578.41 |
$3,578.41 |
$3,629.25
|
|
Expander tiss 133s-mv-12-t 300ml natrelle smth
|
$3,363.75 |
$3,363.75 |
$3,363.75 |
$3,449.40
|
|
Exploration maxillary sinus
|
$12,341.34 |
$12,341.34 |
$12,341.34 |
$2,931.88
|
|
Explore chest vessels 35820
|
$10,749.17 |
$10,749.17 |
$10,749.17 |
$4,912.80
|
|
Explore parathyroid glands
|
$11,281.46 |
$11,281.46 |
$11,281.46 |
$6,547.81
|
|
Extensive vulva surgery
|
$16,559.97 |
$16,559.97 |
$16,559.97 |
$3,468.80
|
|
External chromosome analysis 20-25 cells
|
$295.75 |
$295.75 |
$295.75 |
$457.50
|
|
External pretreatment of serum for use in antibody identification by dilution
|
$94.90 |
$94.90 |
$94.90 |
$69.55
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$759.85 |
$759.85 |
$759.85 |
$569.60
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$116.35 |
$116.35 |
$116.35 |
$102.50
|
|
F-18 fdg pet diag
|
$2,399.15 |
$2,399.15 |
$2,399.15 |
$750.58
|
|
F-18 florbetapir less than or equal to 10 mci
|
$4,217.20 |
$4,217.20 |
$4,217.20 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$885.30 |
$885.30 |
$885.30 |
$7,624.40
|
|
F-18 sodium fluoride
|
$564.20 |
$564.20 |
$564.20 |
$532.20
|
|
Facial bones <3
|
$465.40 |
$465.40 |
$465.40 |
$216.45
|
|
Factor ix
|
$127.40 |
$127.40 |
$127.40 |
$139.75
|
|
Factor ix complex
|
$7,229.43 |
$7,229.43 |
$7,229.43 |
$3.23
|
|
Factor ix non-recombinant
|
$2,914.57 |
$2,914.57 |
$2,914.57 |
$1.35
|
|
Factor ix recombinant nos
|
$17,389.71 |
$17,389.71 |
$17,389.71 |
$1.88
|
|
Factor viii
|
$158.60 |
$158.60 |
$158.60 |
$152.50
|
|
Factor viii recombinant nos
|
$12,765.48 |
$12,765.48 |
$12,765.48 |
$3.30
|
|
Factor viii recomb novoeight
|
$7,783.03 |
$7,783.03 |
$7,783.03 |
$1.52
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$7.15 |
$7.15 |
$7.15 |
$7.15
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$11,874.36 |
$11,874.36 |
$11,874.36 |
$47.09
|
|
Fat/lipids feces qualitative
|
$55.25 |
$55.25 |
$55.25 |
$43.66
|
|
Fatty acids nonesterified
|
$183.30 |
$183.30 |
$183.30 |
$64.28
|
|
Fecal microbiota prep instil
|
$235.95 |
$235.95 |
$235.95 |
$1,010.01
|
|
#fecal-sodium
|
$64.35 |
$64.35 |
$64.35 |
$40.30
|
|
Feeding tube reposition
|
$602.55 |
$602.55 |
$602.55 |
$295.20
|
|
Felbamate (felbatol(r)) - sendout
|
$247.65 |
$247.65 |
$247.65 |
$83.85
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$530.00 |
$530.00 |
$530.00 |
$48.88
|
|
Fern test
|
$47.45 |
$47.45 |
$47.45 |
$18.02
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$473.48 |
$473.48 |
$473.48 |
$2,131.58
|
|
Ferritin
|
$48.75 |
$48.75 |
$48.75 |
$86.45
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$5,221.50 |
$5,221.50 |
$5,221.50 |
$2,289.60
|
|
Fetal biophys profile w/nst 76818
|
$568.10 |
$568.10 |
$568.10 |
$525.33
|
|
Fetal chrom aneuploidy gsa panel
|
$1,740.70 |
$1,740.70 |
$1,740.70 |
$1,231.20
|
|
Fetal contract stress test 59020 - 26
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$555.60
|
|
Fetal cord puncture prenatal
|
$6,557.22 |
$6,557.22 |
$6,557.22 |
$626.34
|
|
Fetal fibronectin
|
$327.60 |
$327.60 |
$327.60 |
$309.40
|
|
Fetal fluid drainage w/us
|
$4,434.68 |
$4,434.68 |
$4,434.68 |
$626.34
|
|
Fetal hemoglobin (kleihauer betke)
|
$733.20 |
$733.20 |
$733.20 |
$59.85
|
|
Fetal hemoglobin rosette
|
$60.45 |
$60.45 |
$60.45 |
$48.35
|
|
Fetal lung maturity assess lam body dnst
|
$96.20 |
$96.20 |
$96.20 |
$64.28
|
|
Fetal non stress test
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$507.90
|
|
#_fet/norfentcnfrmur
|
$150.15 |
$150.15 |
$150.15 |
$120.85
|
|
Fibrin degradation d dimer quantitative
|
$36.40 |
$36.40 |
$36.40 |
$87.60
|
|
Fibrin degrade semiquant
|
$111.15 |
$111.15 |
$111.15 |
$88.00
|
|
Fibrinogen activity
|
$22.75 |
$22.75 |
$22.75 |
$61.80
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$64.35 |
$64.35 |
$64.35 |
$69.55
|
|
Fibrinolytic antiplasmin
|
$169.00 |
$169.00 |
$169.00 |
$68.40
|
|
Fibrinolytic plasminogen
|
$239.85 |
$239.85 |
$239.85 |
$120.00
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$479.05 |
$479.05 |
$479.05 |
$70.80
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$1,141.08 |
$1,141.08 |
$1,141.08 |
$492.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,730.61 |
$1,730.61 |
$1,730.61 |
$1,223.60
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,429.54 |
$1,429.54 |
$1,429.54 |
$998.68
|
|
Filter spider fx 3mmx320cm
|
$20,889.70 |
$20,889.70 |
$20,889.70 |
$8,212.50
|
|
Filter vena cava fem denali
|
$2,884.70 |
$2,884.70 |
$2,884.70 |
$4,659.75
|
|
Finasteride, 5 mg
|
$4.87 |
$4.87 |
$4.87 |
$4.87
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$722.15 |
$722.15 |
$722.15 |
$1,070.00
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$2,166.40 |
$2,166.40 |
$2,166.40 |
$738.00
|
|
Fine needle asp without image guide 10021
|
$3,019.20 |
$3,019.20 |
$3,019.20 |
$547.53
|
|
Flecainide (tambocor)-sendout
|
$114.40 |
$114.40 |
$114.40 |
$86.40
|
