|
Excision of neck cyst
|
$1,194.48 |
$1,194.48 |
$1,194.48 |
$6,150.92
|
|
Excision of neck cyst confined 42810
|
$913.41 |
$913.41 |
$913.41 |
$3,986.00
|
|
Excision of penis lesion(s) 54060
|
$279.18 |
$279.18 |
$279.18 |
$2,479.33
|
|
Excision of tongue lesion
|
$711.72 |
$711.72 |
$711.72 |
$3,811.00
|
|
Excision of uvula
|
$347.22 |
$347.22 |
$347.22 |
$3,811.00
|
|
Excision olecranon bursa
|
$778.68 |
$778.68 |
$778.68 |
$2,889.60
|
|
Excision radial head
|
$1,157.22 |
$1,157.22 |
$1,157.22 |
$3,839.54
|
|
Excision tongue lesion without closure 41110
|
$477.36 |
$477.36 |
$477.36 |
$3,786.00
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$981.18 |
$981.18 |
$981.18 |
$3,650.40
|
|
Excis partial tal calc
|
$1,446.66 |
$1,446.66 |
$1,446.66 |
$3,591.33
|
|
Exc les/mucos/sub/ves mouth/no rpr 40810
|
$451.98 |
$451.98 |
$451.98 |
$2,591.37
|
|
Exc malig feenl <0.5cm 11640
|
$426.60 |
$426.60 |
$426.60 |
$1,055.20
|
|
Exc malig feenl 1.1-2 11642
|
$563.22 |
$563.22 |
$563.22 |
$1,082.00
|
|
Exc malig feenl 3.1-4.0 11644
|
$814.32 |
$814.32 |
$814.32 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$1,059.48 |
$1,059.48 |
$1,059.48 |
$3,083.21
|
|
Exc malig snhfg 0.5cm or less 11620
|
$414.72 |
$414.72 |
$414.72 |
$1,210.30
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$482.22 |
$482.22 |
$482.22 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$621.00 |
$621.00 |
$621.00 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$413.64 |
$413.64 |
$413.64 |
$973.20
|
|
Exc malig tal 0.6-1.0cm 11601
|
$479.52 |
$479.52 |
$479.52 |
$832.60
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$515.16 |
$515.16 |
$515.16 |
$889.20
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$586.44 |
$586.44 |
$586.44 |
$1,131.50
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$652.86 |
$652.86 |
$652.86 |
$1,294.80
|
|
Exc neck tum deep < 5 cm
|
$1,233.63 |
$1,233.63 |
$1,233.63 |
$3,501.81
|
|
Exc neck tum deep 5 cm/>
|
$1,523.34 |
$1,523.34 |
$1,523.34 |
$3,386.84
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$548.91 |
$548.91 |
$548.91 |
$3,386.84
|
|
Exc prtl bn phlnx toe
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$3,752.25
|
|
Exc rect tum transanal part
|
$1,364.85 |
$1,364.85 |
$1,364.85 |
$3,245.23
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$1,097.82 |
$1,097.82 |
$1,097.82 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$531.36 |
$531.36 |
$531.36 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$705.78 |
$705.78 |
$705.78 |
$2,014.93
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$847.80 |
$847.80 |
$847.80 |
$3,370.52
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$647.46 |
$647.46 |
$647.46 |
$2,310.40
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,033.56 |
$1,033.56 |
$1,033.56 |
$4,576.00
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$907.20 |
$907.20 |
$907.20 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$1,105.38 |
$1,105.38 |
$1,105.38 |
$3,986.00
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$1,079.46 |
$1,079.46 |
$1,079.46 |
$2,557.92
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$859.68 |
$859.68 |
$859.68 |
$3,994.09
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$881.82 |
$881.82 |
$881.82 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$881.28 |
$881.28 |
$881.28 |
$3,994.09
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$887.76 |
$887.76 |
$887.76 |
$1,898.50
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$979.02 |
$979.02 |
$979.02 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$1,286.82 |
$1,286.82 |
$1,286.82 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$1,038.96 |
$1,038.96 |
$1,038.96 |
$3,188.10
|
|
Exc thrombosed hemorrhoid 46320
|
$237.60 |
$237.60 |
$237.60 |
$2,099.00
|
|
Exc tmr sft tiss shldr subq <3cm
|
$696.06 |
$696.06 |
$696.06 |
$2,448.00
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$935.82 |
$935.82 |
$935.82 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$515.16 |
$515.16 |
$515.16 |
$4,232.80
|
|
Ex palate/uvula lesion without closure 42104
|
$455.22 |
$455.22 |
$455.22 |
$3,837.72
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,628.91 |
$1,628.91 |
$1,628.91 |
$1,944.80
|
|
Exploration maxillary sinus
|
$448.47 |
$448.47 |
$448.47 |
$4,341.97
|
|
Exploration of knee joint
|
$1,582.20 |
$1,582.20 |
$1,582.20 |
$3,981.06
|
|
Exploration of middle ear
|
$1,442.34 |
$1,442.34 |
$1,442.34 |
$3,837.72
|
|
Exploration of toe joint
|
$664.20 |
$664.20 |
$664.20 |
$1,893.86
|
|
Explore limb vessels 35860
|
$1,737.72 |
$1,737.72 |
$1,737.72 |
$4,341.66
|
|
Explore penetrating wnd/extremity 20103
|
$716.58 |
$716.58 |
$716.58 |
$1,788.80
|
|
Explore small intestine 44020
|
$1,997.46 |
$1,997.46 |
$1,997.46 |
$1,548.00
|
|
Explore/treat finger joint
|
$730.08 |
$730.08 |
$730.08 |
$3,594.44
|
|
Explore/treat finger joint
|
$860.76 |
$860.76 |
$860.76 |
$2,146.20
|
|
Explore wound abdomen 20102
|
$527.58 |
$527.58 |
$527.58 |
$2,568.80
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$787.86 |
$787.86 |
$787.86 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$714.96 |
$714.96 |
$714.96 |
$2,734.20
|
|
Extensive prostate surgery
|
$3,247.83 |
$3,247.83 |
$3,247.83 |
$2,957.60
|
|
Extensive prostate surgery
|
$3,760.02 |
$3,760.02 |
$3,760.02 |
$3,444.80
|
|
Facial bones <3
|
$36.18 |
$36.18 |
$36.18 |
$252.60
|
|
Family therapy without pt 50min 90846
|
$132.30 |
$132.30 |
$132.30 |
$241.60
|
|
Family therapy with patient 50 min 90847
|
$137.70 |
$137.70 |
$137.70 |
$230.36
|
|
Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr
|
$19.88 |
$19.88 |
$19.88 |
$22.20
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$30.78 |
$30.78 |
$30.78 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,938.30 |
$1,938.30 |
$1,938.30 |
$2,590.25
|
|
Fetal biophys profile w/nst 76818
|
$188.46 |
$188.46 |
$188.46 |
$535.37
|
|
Fetal contract stress test 59020 - 26
|
$85.86 |
$85.86 |
$85.86 |
$475.50
|
|
Fetal non stress test
|
$101.52 |
$101.52 |
$101.52 |
$463.03
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$615.90 |
$615.90 |
$615.90 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1.71 |
$1.71 |
$1.71 |
$1,096.24
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$285.12 |
$285.12 |
$285.12 |
$1,081.52
|
|
Fine needle aspiration biopsy without img gdn; ea addtl 10004
|
$110.70 |
$110.70 |
$110.70 |
$272.70
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$147.42 |
$147.42 |
$147.42 |
$823.90
|
|
Fine needle asp without image guide 10021
|
$210.60 |
$210.60 |
$210.60 |
$503.76
|
|
Fitting of diaphragm/cap 57170
|
$160.92 |
$160.92 |
$160.92 |
$238.06
|
|
Fixation of knee joint
|
$342.90 |
$342.90 |
$342.90 |
$1,893.86
|
|
Fixtn pq skel dstl rad fx/epiphysl sep
|
$1,512.81 |
$1,512.81 |
$1,512.81 |
$4,242.15
|
|
Flexible Sigmoidoscopy
|
$263.79 |
$263.79 |
$263.79 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$353.16 |
$353.16 |
$353.16 |
$2,168.40
|
|
Flow cytometry interp 16 or more
|
$85.05 |
$85.05 |
$85.05 |
$204.00
|
|
#flow interp 9 - 15 markers
|
$89.64 |
$89.64 |
$89.64 |
$172.50
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$30.24 |
$30.24 |
$30.24 |
$64.22
|
|
Fluid pressure muscle 20950
|
$185.76 |
$185.76 |
$185.76 |
$768.94
|
|
Fluoroguide for spine inject 77003-26
|
$105.84 |
$105.84 |
$105.84 |
$496.03
|
|
Fluoroguide needle placement
|
$149.04 |
$149.04 |
$149.04 |
$510.00
|
|
Fluoroscopy up to 1 hour
|
$56.16 |
$56.16 |
$56.16 |
$492.00
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$54.11 |
$54.11 |
$54.11 |
$94.86
|
|
Fluvirin vacc, 3 yrs & >, im
|
$17.82 |
$17.82 |
$17.82 |
$17.16
|
|
Fna bx w/ct gdn 1st les
|
$348.30 |
$348.30 |
$348.30 |
$1,420.80
|
|
Folic acid 5 mg/ml injection solution
|
$0.56 |
$0.56 |
$0.56 |
$54.75
|
|
Fomepizole 1 gram/ml intravenous solution
|
$12.42 |
$12.42 |
$12.42 |
$2,581.14
|
|
Foot X-ray
|
$190.62 |
$190.62 |
$190.62 |
$362.40
|
|
Foreskn manip w/lss preputial ads+stretching 54450
|
$133.38 |
$133.38 |
$133.38 |
$532.80
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$586.09 |
$586.09 |
$586.09 |
$457.50
|
|
Foscarnet sodium injection
|
$37.80 |
$37.80 |
$37.80 |
$879.58
|