|
Exc snhfg mal+mrg 1.1-2 11622
|
$877.20 |
$877.20 |
$877.20 |
$1,274.00
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$319.20 |
$319.20 |
$319.20 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$376.80 |
$376.80 |
$376.80 |
$3,386.84
|
|
Exc sq tum/leg or ankle area <3 cm 27618
|
$515.40 |
$515.40 |
$515.40 |
$2,937.55
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,498.20 |
$1,498.20 |
$1,498.20 |
$4,744.88
|
|
Exc sq tum/neck or ant thorax <3cm 21555
|
$763.80 |
$763.80 |
$763.80 |
$3,322.80
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$637.80 |
$637.80 |
$637.80 |
$4,160.80
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$741.60 |
$741.60 |
$741.60 |
$2,924.22
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$774.60 |
$774.60 |
$774.60 |
$4,425.20
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$808.20 |
$808.20 |
$808.20 |
$4,014.40
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$748.20 |
$748.20 |
$748.20 |
$4,019.60
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$531.00 |
$531.00 |
$531.00 |
$1,917.33
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$878.40 |
$878.40 |
$878.40 |
$4,529.20
|
|
Exc tendon sheath or cap lesion 26160
|
$840.00 |
$840.00 |
$840.00 |
$2,797.08
|
|
Exc thigh/knee les sc<3cm 27327
|
$654.60 |
$654.60 |
$654.60 |
$3,229.48
|
|
Exc thigh/knee tum deep <5cm
|
$924.60 |
$924.60 |
$924.60 |
$3,306.79
|
|
Exc thigh/knee tum dep 5cm/>
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$450.00 |
$450.00 |
$450.00 |
$3,059.15
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$2,616.60 |
$2,616.60 |
$2,616.60 |
$2,054.40
|
|
Exercise tst brncspsm w/ecg
|
$216.60 |
$216.60 |
$216.60 |
$335.52
|
|
Ex palate/uvula lesion without closure 42104
|
$241.20 |
$241.20 |
$241.20 |
$3,837.72
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,378.80 |
$1,378.80 |
$1,378.80 |
$2,357.35
|
|
Exploration maxillary sinus
|
$913.80 |
$913.80 |
$913.80 |
$5,855.00
|
|
Exploration maxillary sinus
|
$390.60 |
$390.60 |
$390.60 |
$4,362.99
|
|
Exploration of ankle joint
|
$1,025.40 |
$1,025.40 |
$1,025.40 |
$3,931.12
|
|
Exploration of foot joint
|
$597.00 |
$597.00 |
$597.00 |
$3,832.27
|
|
Exploration of foot joint
|
$553.20 |
$553.20 |
$553.20 |
$3,786.00
|
|
Exploration of knee joint
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$4,192.86
|
|
Exploration of toe joint
|
$657.60 |
$657.60 |
$657.60 |
$2,211.05
|
|
Explore deep node(s) neck
|
$858.60 |
$858.60 |
$858.60 |
$6,376.26
|
|
Explore parathyroid glands
|
$1,693.80 |
$1,693.80 |
$1,693.80 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$1,834.80 |
$1,834.80 |
$1,834.80 |
$1,788.80
|
|
Explore small intestine 44020
|
$1,671.00 |
$1,671.00 |
$1,671.00 |
$1,548.00
|
|
Explore/treat ankle joint
|
$799.20 |
$799.20 |
$799.20 |
$3,839.54
|
|
Explore/treat finger joint
|
$717.60 |
$717.60 |
$717.60 |
$2,480.83
|
|
Ex sq tumor/face or scalp < 2 cm 21011
|
$445.80 |
$445.80 |
$445.80 |
$2,286.96
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$581.40 |
$581.40 |
$581.40 |
$2,896.40
|
|
External chromosome analysis 20-25 cells
|
$622.20 |
$622.20 |
$622.20 |
$415.01
|
|
External profiling gene expression oncology (breast) mrna 21 genes
|
$11,619.60 |
$11,619.60 |
$11,619.60 |
$4,388.25
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$646.20 |
$646.20 |
$646.20 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$175.80 |
$175.80 |
$175.80 |
$109.00
|
|
Eye implant band 40
|
$2,530.20 |
$2,530.20 |
$2,530.20 |
$5,641.12
|
|
Eye Socket (Orbit) X-ray
|
$170.40 |
$170.40 |
$170.40 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,327.20 |
$1,327.20 |
$1,327.20 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,199.40 |
$1,199.40 |
$1,199.40 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$904.80 |
$904.80 |
$904.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$354.00 |
$354.00 |
$354.00 |
$551.72
|
|
Face bone graft
|
$1,479.60 |
$1,479.60 |
$1,479.60 |
$6,700.98
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$1,897.20 |
$1,897.20 |
$1,897.20 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,318.20 |
$1,318.20 |
$1,318.20 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$145.80 |
$145.80 |
$145.80 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$138.60 |
$138.60 |
$138.60 |
$381.75
|
|
Factor ix complex
|
$3.60 |
$3.60 |
$3.60 |
$4.68
|
|
Factor viii
|
$122.40 |
$122.40 |
$122.40 |
$148.00
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$5,716.80 |
$5,716.80 |
$5,716.80 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$40.20 |
$40.20 |
$40.20 |
$36.00
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$118.20 |
$118.20 |
$118.20 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$1,846.20 |
$1,846.20 |
$1,846.20 |
$2,590.25
|
|
Ferritin
|
$94.80 |
$94.80 |
$94.80 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$2,971.80 |
$2,971.80 |
$2,971.80 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$445.80 |
$445.80 |
$445.80 |
$541.74
|
|
Fetal contract stress test 59020 - 26
|
$780.60 |
$780.60 |
$780.60 |
$477.50
|
|
Fetal fibronectin
|
$294.00 |
$294.00 |
$294.00 |
$389.95
|
|
Fetal hemoglobin (kleihauer betke)
|
$77.40 |
$77.40 |
$77.40 |
$102.00
|
|
Fetal monitor w/report
|
$384.00 |
$384.00 |
$384.00 |
$295.50
|
|
#_fet/norfentcnfrmur
|
$62.40 |
$62.40 |
$62.40 |
$95.68
|
|
Fibrin degradation products
|
$49.80 |
$49.80 |
$49.80 |
$75.02
|
|
Fibrin degrade semiquant
|
$74.40 |
$74.40 |
$74.40 |
$84.50
|
|
Fibrinogen activity
|
$61.80 |
$61.80 |
$61.80 |
$87.00
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$545.40 |
$545.40 |
$545.40 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$1,093.20 |
$1,093.20 |
$1,093.20 |
$891.02
|
|
Filleted finger/toe flap
|
$1,014.60 |
$1,014.60 |
$1,014.60 |
$2,431.38
|
|
Filter vena cava fem denali
|
$1,237.20 |
$1,237.20 |
$1,237.20 |
$3,718.18
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$87.60 |
$87.60 |
$87.60 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$144.60 |
$144.60 |
$144.60 |
$504.45
|
|
Finger X-ray (both hands)
|
$124.20 |
$124.20 |
$124.20 |
$241.50
|
|
Fixation of knee joint
|
$284.40 |
$284.40 |
$284.40 |
$1,963.35
|
|
Flexible Sigmoidoscopy
|
$176.40 |
$176.40 |
$176.40 |
$1,284.13
|
|
Floor of mouth biopsy 41108
|
$165.60 |
$165.60 |
$165.60 |
$2,168.40
|
|
Flow cytometry interp 16 or more
|
$385.20 |
$385.20 |
$385.20 |
$200.00
|
|
Flow cytometry marker each additional
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$97.50
|
|
Flow cytometry one marker technical component
|
$248.40 |
$248.40 |
$248.40 |
$285.00
|
|
Flt3 gene
|
$565.80 |
$565.80 |
$565.80 |
$366.29
|
|
Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback
|
$144.60 |
$144.60 |
$144.60 |
$64.22
|
|
Fludarabine 50 mg intravenous solution
|
$812.40 |
$812.40 |
$812.40 |
$493.35
|
|
Fluidotherapy charges pt
|
$82.20 |
$82.20 |
$82.20 |
$101.40
|
|
Fluid pressure muscle 20950
|
$131.40 |
$131.40 |
$131.40 |
$779.45
|
|
Fluoroguide for spine inject 77003-26
|
$252.00 |
$252.00 |
$252.00 |
$495.00
|
|
Fluoroguide needle placement
|
$258.60 |
$258.60 |
$258.60 |
$497.92
|
|
Fluoroscopy (Live X-ray Guidance, up to 1 hour)
|
$252.00 |
$252.00 |
$252.00 |
$503.80
|
|
Fluorouracil 50 mg/ml intravenous solution (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$107.00
|
|
Folic acid
|
$105.00 |
$105.00 |
$105.00 |
$101.50
|
|
Fomepizole 1 gram/ml intravenous solution
|
$2,265.60 |
$2,265.60 |
$2,265.60 |
$2,511.73
|
|
Foot X-ray
|
$144.60 |
$144.60 |
$144.60 |
$355.20
|
|
Foot X-ray (2 views, both feet)
|
$118.80 |
$118.80 |
$118.80 |
$290.40
|
|
Forearm X-ray (both sides)
|
$128.40 |
$128.40 |
$128.40 |
$324.00
|
|
Forehead flap w/vasc pedicle 15731
|
$1,884.60 |
$1,884.60 |
$1,884.60 |
$4,872.75
|
|
Fosaprepitant 150 mg intravenous powder for solution
|
$220.20 |
$220.20 |
$220.20 |
$490.67
|
